Managing Carious Lesions: Consensus Recommendations on Carious Tissue Removal
The International Caries Consensus Collaboration undertook a consensus process and here presents clinical recommendations for carious tissue removal and managing cavitated carious lesions, including restoration, based on texture of demineralized dentine. Dentists should manage the disease dental caries and control activity of existing cavitated lesions to preserve hard tissues and retain teeth long-term. Entering the restorative cycle should be avoided as far as possible. Controlling the disease in cavitated carious lesions should be attempted using methods which are aimed at biofilm removal or control first. Only when cav...
Source: Advances in dental research - April 19, 2016 Category: Dentistry Authors: Schwendicke, F., Frencken, J. E., Bjorndal, L., Maltz, M., Manton, D. J., Ricketts, D., Van Landuyt, K., Banerjee, A., Campus, G., Domejean, S., Fontana, M., Leal, S., Lo, E., Machiulskiene, V., Schulte, A., Splieth, C., Zandona, A. F., Innes, N. P. T. Tags: Articles Source Type: research
Managing Carious Lesions: Consensus Recommendations on Terminology
Variation in the terminology used to describe clinical management of carious lesions has contributed to a lack of clarity in the scientific literature and beyond. In this article, the International Caries Consensus Collaboration presents 1) issues around terminology, a scoping review of current words used in the literature for caries removal techniques, and 2) agreed terms and definitions, explaining how these were decided. Dental caries is the name of the disease, and the carious lesion is the consequence and manifestation of the disease—the signs or symptoms of the disease. The term dental caries management should ...
Source: Advances in dental research - April 19, 2016 Category: Dentistry Authors: Innes, N. P. T., Frencken, J. E., Bjorndal, L., Maltz, M., Manton, D. J., Ricketts, D., Van Landuyt, K., Banerjee, A., Campus, G., Domejean, S., Fontana, M., Leal, S., Lo, E., Machiulskiene, V., Schulte, A., Splieth, C., Zandona, A., Schwendicke, F. Tags: Articles Source Type: research
Managing Carious Lesions: Why Do We Need Consensus on Terminology and Clinical Recommendations on Carious Tissue Removal?
(Source: Advances in dental research)
Source: Advances in dental research - April 19, 2016 Category: Dentistry Authors: Frencken, J. E., Innes, N. P. T., Schwendicke, F. Tags: Articles Source Type: research
Effect of Osteotomy Preparation on Osseointegration of Immediately Loaded, Tapered Dental Implants
The aim of the present preclinical in vivo study was to evaluate whether a modified "drill-only" protocol, involving slight underpreparation of the implant site, may have an effect on aspects of osseointegration of a novel bone-level tapered implant, compared with the "standard drilling" protocol involving taping and profiling of the marginal aspect of the implant socket. In each side of the edentulated and completely healed mandible of 11 minipigs, 2 tapered implants (8 mm long x 4.1 mm Ø, BLT; Institut Straumann AG, Basel, Switzerland) were installed either with the drill-only or the standard drilling protocol. Si...
Source: Advances in dental research - February 29, 2016 Category: Dentistry Authors: Stavropoulos, A., Cochran, D., Obrecht, M., Pippenger, B. E., Dard, M. Tags: Articles Source Type: research
Integrative Performance Analysis of a Novel Bone Level Tapered Implant
In conclusion, we have assessed the biomechanical behavior of a novel taper-walled implant in combination with a bone-type specific drill procedure in both synthetic and natural bone of various types, and we have developed an in silico model for predicting primary stability upon implantation. (Source: Advances in dental research)
Source: Advances in dental research - February 29, 2016 Category: Dentistry Authors: Dard, M., Kuehne, S., Obrecht, M., Grandin, M., Helfenstein, J., Pippenger, B. E. Tags: Articles Source Type: research
A Critical Perspective on Mechanical Testing of Implants and Prostheses
This article critically appraises the most common mechanical testing methods used to characterize the implant-prostheses complex. It attempts to provide insight into the process of construction of an informed database of clinically relevant questions regarding preclinical evaluation of implant biomechanics and failure mechanisms. The use of single load to failure, fatigue life, fatigue limit, and step-stress accelerated life testing is discussed with emphasis on their deliverables, weaknesses, and strengths. Fractographic analysis and challenges in the correlation between laboratory- and in-service-produced failures of den...
Source: Advances in dental research - February 29, 2016 Category: Dentistry Authors: Bonfante, E. A., Coelho, P. G. Tags: Articles Source Type: research
Implant Surface Design Regulates Mesenchymal Stem Cell Differentiation and Maturation
This article reviews the surface parameters of dental implant materials that contribute to improved cell response and osseointegration. In particular, we focus on how surface design affects mesenchymal cell response and differentiation into the osteoblast lineage. Surface roughness has been largely studied at the microscale, but recent studies have highlighted the importance of hierarchical micron/submicron/nanosurface roughness, as well as surface roughness in combination with surface wettability. Integrins are transmembrane receptors that recognize changes in the surface and mediate downstream signaling pathways. Specifi...
Source: Advances in dental research - February 29, 2016 Category: Dentistry Authors: Boyan, B. D., Cheng, A., Olivares-Navarrete, R., Schwartz, Z. Tags: Articles Source Type: research
Tapered Implants in Dentistry: Revitalizing Concepts with Technology: A Review
The most common approach to lessen treatment times is by decreasing the healing period during which osseointegration is established. Implant design parameters such as implant surface, primary stability, thread configuration, body shape, and the type of bone have to be considered to obtain this objective. The relationship that exists between these components will define the initial stability of the implant. It is believed implant sites using a tapered design and surface modification can increase the primary stability in low-density bone. Furthermore, recent experimental preclinical work has shown the possibility of attainin...
Source: Advances in dental research - February 29, 2016 Category: Dentistry Authors: Wilson, T. G., Miller, R. J., Trushkowsky, R., Dard, M. Tags: Articles Source Type: research
Clinical Relevance of Integrated Developmental Research for Dental Implants
(Source: Advances in dental research)
Source: Advances in dental research - February 29, 2016 Category: Dentistry Authors: Dard, M. Tags: Articles Source Type: research
Strategies for Oral Health Research in Africa and the Middle Eastern Region
This article identifies priorities and proposes strategies for researchers, stakeholders, and policy makers for the initiation and sustenance of appropriate oral health care research. The proposed interventions are intended to promote collaboration, capacity building, and health advocacy. Local ownership in multinational research projects in low- and middle-income countries, complemented by skills transfer from high-income countries, is encouraged to ensure that regional health needs are addressed. Emphasis is placed on a shift toward translational research that has a direct impact on oral health care systems. (Source: Adv...
Source: Advances in dental research - June 22, 2015 Category: Dentistry Authors: Naidoo, S., Dimba, E., Yengopal, V., Folayan, M. O., Akpata, E. S. Tags: Articles Source Type: research
Capacity Building and Financing Oral Health in the African and Middle East Region
Many low- and middle-income countries do not yet have policies to implement effective oral health programs. A reason is lack of human and financial resources. Gaps between resource needs and available health funding are widening. By building capacity, countries aim to improve oral health through actions by oral health care personnel and oral health care organizations and their communities. Capacity building involves achieving measurable and sustainable results in training, research, and provision of care. Actions include advancement of knowledge, attitudes and skills, expansion of support, and development of cohesiveness a...
Source: Advances in dental research - June 22, 2015 Category: Dentistry Authors: Mumghamba, E. G., Joury, E., Fatusi, O., Ober-Oluoch, J., Onigbanjo, R. J., Honkala, S. Tags: Articles Source Type: research
Determinants of Oral Diseases in the African and Middle East Region
Oral health policies must be developed that emphasize the role of social determinants in health and oral diseases. The aim of this report is to review literature on determinants of oral diseases and apply the concepts to promoting oral health in the African countries in the African and Middle East region (AMER). Structural and proximal determinants of oral diseases are common to those affected by other noncommunicable diseases (NCDs). Oral diseases are also heavily affected by issues of politics, poor health behaviors, underdeveloped health systems, and low oral health literacy. Wide-scale poverty exists in populations in ...
Source: Advances in dental research - June 22, 2015 Category: Dentistry Authors: Chidzonga, M. M., Carneiro, L. C., Kalyanyama, B. M., Kwamin, F., Oginni, F. O. Tags: Articles Source Type: research
Oral Health Inequalities between Rural and Urban Populations of the African and Middle East Region
Although there have been major improvements in oral health, with remarkable advances in the prevention and management of oral diseases, globally, inequalities persist between urban and rural communities. These inequalities exist in the distribution of oral health services, accessibility, utilization, treatment outcomes, oral health knowledge and practices, health insurance coverage, oral health–related quality of life, and prevalence of oral diseases, among others. People living in rural areas are likely to be poorer, be less health literate, have more caries, have fewer teeth, have no health insurance coverage, and ...
Source: Advances in dental research - June 22, 2015 Category: Dentistry Authors: Ogunbodede, E. O., Kida, I. A., Madjapa, H. S., Amedari, M., Ehizele, A., Mutave, R., Sodipo, B., Temilola, S., Okoye, L. Tags: Articles Source Type: research
Prevalence and Severity of Oral Diseases in the Africa and Middle East Region
This review aims to determine the prevalence and severity of oral health diseases in the Africa and Middle East region (AMER). The profile of oral diseases is not homogeneous across the AMER. There are large disparities between groups. Reliable data are scarce. The prevalence and severity of oral diseases appear to be increasing in the African region, as does associated morbidity. There are substantial differences in inequalities in oral health. Dental caries prevalence is less severe in most African countries than in developed countries, but the high rate of untreated caries reflects the limited resources available and di...
Source: Advances in dental research - June 22, 2015 Category: Dentistry Authors: Abid, A., Maatouk, F., Berrezouga, L., Azodo, C., Uti, O., El-Shamy, H., Oginni, A. Tags: Articles Source Type: research
Reducing Inequalities in Oral Health in the Africa and Middle East Region
Dentistry is facing many serious challenges and threats. Addressing them will require major changes in strategy. This work outlines the extent of dental disease in the Africa and Middle East Region (AMER) and suggests strategies to reduce inequalities in oral health. The main oral health challenges in the AMER relate to controlling the relentless increase in caries with age. A very conservative estimate of population caries levels suggests that a 5-fold increase in dental personnel would be required just to treat current levels of caries. Hence, we argue that current approaches to control caries in the AMER are both ineffe...
Source: Advances in dental research - June 22, 2015 Category: Dentistry Authors: Sheiham, A., Williams, D. M. Tags: Articles Source Type: research
