Aesthetic Clinical Case for Immediate Implant Therapy for Maxillary Central Incisor.

This case report features a female patient with the chief complaint of needing to replace an anterior crown. After a comprehensive oral assessment and cone beam computed tomography (CBCT) radiographic examination, it was determined that the crown on Tooth #9 was subgingivally fractured. The procedure involved atraumatic extraction of Tooth #9, followed by immediate implant placement.

Dental Dam Isolation for Crown Removal, Atraumatic Tooth Extraction, Immediate Implant Placement, and Restoration Cementation: A Case Study.

Objectives: This case report describes the clinical protocols for the removal of crowns, tooth extraction, immediate implant placement, and cementation of new crowns, all performed under total or partial isolation with a dental dam.

Clinical Considerations: The patient's chief complaint was dissatisfaction with her smile. Radiographic and clinical evaluations led to the recommendation to replace the porcelain-fused-to-metal crowns on the maxillary central and lateral incisors with all-ceramic crowns.

Nursing practice and advanced practice nurses in contrast media safety management.

In diagnostic imaging departments, there has been a technological evolution in recent years. Progress made in interventional processes and the development of new treatments, as well as an increase in the number of diagnostic and therapeutic tests, has generated a growing and exponential need for specific care. Furthermore, the people who come to these departments are often in a vulnerable state and out of their comfort zone.

Mechanical Behavior of Thin Ceramic Laminates on Central Incisors.

Restorative dentistry often uses ceramic laminate veneers for aesthetic anterior teeth restorations due to their natural appearance and minimal invasiveness. However, the understanding of their clinical performance and how ceramic microstructure and processing affect longevity is limited. This study aimed to address this gap by determining the mechanical behavior, fracture load, and failure modes of CAD-CAM processed laminate veneers made of either lithium-disilicate-based glass ceramic (IPS e.

Color Stability of Bulk-Fill Flowable Resin Composites After Artificial Aging.

Background: This study aimed to evaluate the color stability of bulk-fill flowable resin composites with 2 difference shades at baseline and after artificial aging.

Methods: Disk-shaped specimens (Ø10 × 4 mm) were fabricated from three bulk-fill flowable resin resin composites (Filtek Bulk-Fill Flow, Venus Bulk-Fill Flow, and Estelite Bulk-Fill Flow). The specimens in each bulk-fill resin composite group were divided into two subgroups (n = 10 per subgroup) with two different shades, A1 (N = 30) and A3 (N = 30), and were polymerized with light curing (800 mW/cm/Valo LED Unit, Ultradent) and polished.

Green Synthesis of Silver Nanoparticles with Roasted Green Tea: Applications in Alginate-Gelatin Hydrogels for Bone Regeneration.

The incorporation of silver nanoparticles (AgNPs) into alginate-gelatin (Alg-Gel) hydrogels can enhance the properties of these materials for bone regeneration applications, due to the antimicrobial properties of AgNPs and non-cytotoxic concentrations, osteoinductive properties, and regulation of stem cell proliferation and differentiation. Here, the hydrogel formulation included 2% (/) sodium alginate, 4 µg/mL AgNPs, and 2.5% (/) gelatin.

Exploring Rural Medicine Residency Programs: A Narrative Review.

The challenges of rural medicine are not unknown as access to healthcare is compounded by physician recruitment, specialty care, and resource availability. Rural populations across the US are in a constant struggle for proper medical care and preventive health. Despite research efforts to examine the practice of rural medicine, little has been shared about the role of medical education in overcoming the hurdles of rural medicine.

Navigating Esthetic Challenges: Immediate Implant Placement and Comprehensive Restorative Solutions-A Clinical Case With 2-Year Follow-Up Study.

The esthetics of immediate implant dentistry can be challenging. Clinical considerations for immediate implant placement have demonstrated long-term success rates comparable to traditional delayed implant protocols. However, it is a sensitive technique that requires proper treatment planning as well as meticulous execution to be predictable and successful in the long term.

Lasers efficacy in pain management after primary and secondary endodontic treatment: a systematic review and meta-analysis of randomized clinical trials.

Postoperative pain is a common concern following root canal treatments (RCT), impacting both patients and oral health practitioners. This systematic review and meta-analysis aimed to evaluate the effectiveness of laser treatment modalities in reducing postoperative pain compared to conventional methods after primary and secondary RCT in permanent mature teeth. A search of three electronic databases (PubMed, ScienceDirect, and The Cochrane Library) was conducted, using a broad range of keywords and terms.

Conservative management of malpositioned maxillary anterior implant. Technique description and case report.

This case report presents the conservative management of a malposed implant in the maxillary anterior region caused by craniofacial bone remodeling. The patient expressed dissatisfaction with the position and shade of an implant that was placed almost three decades previously. After evaluating different treatment options, the patient opted to replace the implant prosthesis.

3D-printed tooth reduction guide for minimally invasive veneer preparations. A case report.

Aim: Current CAD/CAM techniques allow clinicians to design and 3D print tooth reduction guides that facilitate controlled preparations in the esthetic zone. The present case report describes the workflow for designing and printing a tooth reduction guide intended to assist ceramic veneer preparations. This 3D-printed guide divides the facial surface of the teeth into four areas and allows the measuring of all areas, including the incisal edge, with a periodontal probe.

3D Printed Dual Reduction Guide: A Feasible Alternative for Conservative Gingivectomy and Minimally Invasive Preparation for Ceramic Veneers.

Objectives: This case report describes a digital workflow for designing and 3D printing a guide with the dual purpose of gingivectomy and tooth preparation in the esthetic zone, to be followed by cementation of ceramic veneers under rubber dam isolation.

Clinical Considerations: The patient's primary concern was to improve her smile. After clinical evaluation, our recommendation was for a minimal gingivectomy to match the gingival zenith for both central incisors, to be followed by ceramic laminate veneers.

Promoting long-term local ownership of natural heritage through outreach: the case of the endemic Bolivian titi monkeys.

Adequate knowledge and learning about local biodiversity are a prerequisite for effective attitudinal changes in favour of species protection. Outreach activities are considered a useful tool for sharing information with local stakeholders who play a crucial role in conserving wildlife. We conducted two outreach campaigns focused on schoolchildren in two villages to share information on the natural history of the Bolivian endemic titi monkeys, Plecturocebus olallae and Plecturocebus modestus, to promote their conservation.

Similar short-term outcomes for bone-level implants with or without intermediate abutments.

Design: A single-center (university-setting), prospective, longitudinal, split-mouth, single-blind, randomized controlled clinical trial investigated peri-implant parameters of bone-level implants restored with either screw-retained prostheses connected directly to the implants or with intermediate abutments over a 3-year period. The study adhered to the ethical principles of the Helsinki Declaration and the CONSORT guidelines. Ethical approval was granted, and the trial was registered at Clinicaltrials.

Fracture resistance of CAD/CAM tooth-colored versus cast metal post-and-core restorations in root filled teeth: An in vitro study.

Purpose: This study investigated the fracture resistance and failure modes of custom-fabricated post- and core dental restorations using various CAD/CAM materials.

Materials And Methods: Seventy-five mandibular second premolars were allocated to five groups (n = 15) and prepared for standardized post and core restorations. The groups included a control group comprising cast metal and four CAD/CAM materials: Vita Enamic, Shofu HC, Trilor, and PEKK.

Three Dimensional-Printed Gingivectomy and Tooth Reduction Guides Prior Ceramic Restorations: A Case Report.

Computer-aided design and computer-aided manufacturing (CAD/CAM) dentistry have significantly changed workflows in recent years. Restorations and devices can now be digitally designed and 3D-printed for dental care purposes. This clinical case report provides straightforward protocols for the digital design and 3D manufacture of gingivectomy and tooth preparation guides.

Fracture Resistance of Zirconia Surveyed Crowns With Digitally Designed and Hand-Modified Occlusal Rest Seats.

Background In light of the trend of using zirconia crowns, clinicians will likely face abutment included in removable partial dentures (RPD) designs with existing zirconia. However, the decision to replace the existing crown with a surveyed crown or modify the existing crown to accept the RPD is unclear. To the best of our knowledge, there is a lack of literature on the effect of preparing a rest seat on the existing monolithic zirconia crown in the patient's mouth on the fracture resistance of the crown.

Combining Orthodontic and Restorative Care with Novel Workflows.

This report describes multidisciplinary care combining orthodontics and restorative dentistry for a patient with Class II occlusion and stained mandibular and maxillary resin composite veneers. The orthodontic treatment improved severe overjet and malocclusion prior to restorative care. Occlusal assessment was provided with a novel digital device (PlaneSystem, Zirkonzahn) that is integrated with digital workflows for the evaluation of the occlusal plane and condylar path inclination.

Depth distortion and angular deviation of a fully guided tooth-supported static surgical guide in a partially edentulous patient: A systematic review and meta-analysis.

Purpose: This systematic review and meta-analysis aimed to evaluate the depth distortion and angular deviation of fully-guided tooth-supported static surgical guides (FTSG) in partially edentulous arches compared to partially guided surgical guides or freehand.

Material And Methods: This study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and was registered in the Open Science Framework (OSF). The formulated population, intervention, comparison, and outcome (PICO) question was: "In partially edentulous arches, what are the depth distortion and angular deviation of FTSG compared to partially guided surgical guides or freehand?" The search strategy involved four main electronic databases, and an additional manual search was completed in November 2023 by following an established search strategy.

Minimally invasive techniques in the management of muscular temporomandibular joint disorders: A five-year observational study.

Background: To evaluate the effectiveness of three minimally invasive techniques for managing patients with myofascial pain dysfunction, determine their association with sociodemographic factors, habits, medication usage, comorbidities, treatment history, pain duration, complaint intensity, and diagnosis limitations.

Material And Methods: This five-year observational study scrutinized 1,000 medical records from individuals treated at the TMD Orofacial Dental Research Center. TMD treatments were organized into Group 1 (thermotherapy, exercises, and CBT), Group 2 (Group 1 plus intramuscular manual therapy), and Group 3 (Group 1 and Group 2 plus occlusal appliances) and correlated with sociodemographic factors, habits, prior medication usage, comorbidities, history of prior treatments, duration of pain, intensity of complaint, and diagnosis limitations or without limitations regarding the symptoms of muscular temporomandibular disorders (TMD).

[Evaluation of healthcare product supply chain expenses in institutional studies - A case study at Toulouse's university hospital center].

Clinical research faces complex and unpredictable budgetary challenges, despite its central role in the development of healthcare products. This retrospective study examines the estimated and actual costs of 13 trials managed by the Clinical Trials Coordinating Pharmacy at the University Hospital of Toulouse. It aims to assess the accuracy of estimates, identify trial-influencing events and identify budget adjustment variables.

Advanced restorative management of focal microdontia: A brief review and case report.

Focal microdontia is a dental anomaly characterized by the presence of a single abnormally small anterior or posterior tooth. The objective of this article is to provide an updated review of the literature on the advanced restorative management of focal microdontia, and to document a clinical case where the reviewed advanced restorative approaches were applied to treat a young adult presenting with a non-syndromic asymmetrical focal microdontia.We conducted a preliminary examination of the existing literature on the advanced restorative management of focal microdontia.