Conservative Dentistry Journal

Ethical and legal aspect of digital dentistry in conservative dental practice

2024-12-18T10:59:53+07:00

Background: The dental profession began to use digital dentistry on a daily basis. The ethical and legal issues associated with incorporating this technology into routine dental practice have not received enough attention, despite the large number of publications on digital dentistry. This study aimed to assess the ethical and legal impacts of digital dentistry technology on both dentists and patients. There was also discussion of the difficulties associated with the virtual patient and telemedicine. Purpose: to systematically examine and analyze the ethical and legal implications of digital technology into conservative dental practice. Reviews: Digital dentistry has several advantages, including increased diagnostic accuracy, better treatment results, and higher patient satisfaction, it also poses substantial ethical and legal aspect. This review examines patient confidentiality, data protection, informed consent, digital dental device safety, and tele-dentistry regulation. This review give a complete overview of the ethical and legal aspect surrounding digital dentistry by integrating current research and regulatory requirements, therefore guiding best practices and policy in conservative dental practices. Conclusion: Digital dentistry offers significant benefits to dental practices, including improved diagnostic accuracy, treatment outcomes, and patient satisfaction. However, dentists must address ethical and legal concerns like informed consent, patient data protection, and access to advanced technology. Regular evaluations through patient feedback and clinical audits are necessary to optimize these benefits. Additionally, dentists must educate patients on oral hygiene and advance dental technology, ensuring safe, high-quality dental care in the digital era.

Evaluation of stress distribution in coronal base and restorative materials: A narrative review of finite element analysis studies

2024-12-18T11:26:18+07:00

Background: Analyzing the stresses created by functional and parafunctional forces on teeth, bones, soft tissues, and intraoral dental materials is crucial for enhancing the success and development of restorations. Purpose: The purpose of this review is to evaluate studies that examine stress distribution in coronal base and restorative materials using the method of finite element analysis. Review: The three-dimensional finite element analysis method is extensively utilized to study biomechanical behavior and assess stress distribution within dental materials. Numerous studies from 2010 to 2024 have investigated the stress caused by polymerization shrinkage and the distribution of stress in various base and restorative materials. Conclusion: This review emphasizes findings related to stress distribution in coronal base and restorative materials, stressing the importance of considering the elastic modulus and thickness of base materials, and highlighting the need for additional research in this field.

Sugary drink consumption and tooth decay relationship in diabetes mellitus patients

2024-12-18T11:37:08+07:00

Introduction: Diabetes mellitus is a chronic metabolic disorder characterized by high blood sugar levels. It is a global health problem that can increase the risk of tooth decay and requires conservative dental treatment. Several factors impact the severity of tooth decay, sugary drink consumption is one of them. This study aimed to investigate the association between tooth decay in patients with diabetes mellitus who regularly consume sugary drink versus those who do not. These patients visited Conservative Dentistry Section, Universitas Airlangga Dental Hospital Surabaya, Indonesia, during Jan-Mar 2023. Methods: This study involved 37 patients with diabetes mellitus and posterior tooth decay. Demographic data were gathered from personal interview and dental records. Statistical analysis was done using chi-square analysis. Results: sugary drink consumption has a significant difference (p<0.05) among the patients with posterior tooth decay and diabetes mellitus. Conclusion: sugary drink consumption influences the severity of tooth decay in diabetes mellitus patients.

Immediate Complete Overdenture: optimizing patient’s quality of life with endodontic - prosthodontic approach

2024-12-18T11:52:44+07:00

Background: Immediate complete overdentures are designed for placement denture immediately following the extraction or decapitation of natural teeth. This procedure overcome the challenges associated of esthetic problems, including functional difficulties and psychological issues. Purpose: The article aims to highlight the advantages of endodontic-prosthodontic approach through immediate overdenture, such as the preservation of alveolar bone and improvement in patient’s psychological well-being and quality of life. Case: A 60-years-old female came into Universitas Airlangga Dental Hospital with the chief complaint of missing multiple teeth with upper front teeth becoming loose and desire to replace them because of difficulty in chewing food. Case Management: Diagnostic impressions were taken using irreversible hydrocolloid material, then poured in the dental stone to create final impression. The treatment plan included endodontic treatment, scaling and root planning for 11. The vertical dimension of occlusion was established using a bite rim and mounted on an articulator. Then, the immediate overdenture was created by arranging artificial teeth. Before the denture insertion, 11 was decapitated and filled the orifice with glass ionomer cement. Extraction of 21, 22, 23 was carried out and after ensuring hemostasis, the immediate overdenture was inserted. To finalize the denture insertion, occlusion was assessed using articulating paper. Control was done after day 1,3 and 7 after denture insertion. Conclusion: This case report describes the effectiveness of immediate overdentures as a valuable treatment option through endodontic-prosthodontic approach. By providing a functional and aesthetic solution while minimizing the edentulous period, immediate dentures significantly enhance patient’s quality of life.

Chipped Veneer Restoration: A Full Digital Workflow Utilizing Intraoral Scanner and Lithium Disilicate CAD/CAM Blocks Material

2024-12-18T12:09:53+07:00

Background: Chipped veneers are a typical dental problem that affects both appearance and function. Advances in digital dentistry, particularly intraoral scanning and CAD/CAM technology, have transformed restorative procedures, allowing for quicker, more precise, and least invasive treatments. Purpose: The purpose of this article is to illustrate the use of a comprehensive digital workflow to restore damaged veneer, with a focus on process efficiency and precision. Case: A 32-year-old male patient come to clinic with a chipped veneer on the maxillary lateral incisor. The patient expressed concerns about aesthetics and desired a swift, minimally invasive solution. Clinical examination confirmed the need for restoration without replacing the entire veneer. Case management: The restoration process began with shade guide taking and removing the excess cement in the tooth and gingival management using retraction cord, after the preparation performed intraoral scanning process begin, which provided an accurate digital imprint of the damaged tooth and surrounding dentition. The scan results were used to design the repair with CAD software, assuring the best fit and aesthetics. The restoration was made from lithium disilicate utilizing a chairside milling machine. The veneer piece was polished, treated, and then cemented to the tooth. The whole approach reduced chairside time while producing a useful and appealing result. Conclusion: A full digital method that incorporates intraoral scanning and lithium disilicate milling provides a consistent, efficient, and patient-friendly approach to chipped veneer repair. This case demonstrates the potential for digital dentistry to improve clinical results while lowering procedural complexity.

Efficacy of white vinegar, 37% phosphoric acid and 10% hydrofluoric acid on the retrievability of bioceramic sealer: an in-vitro study

2024-12-25T08:04:48+07:00

Background: Root canal retreatment is performed when root canal treatment fails. One of the challenges in retreatment is the removal of root canal filling material. Bioceramic sealer is a new endodontic biomaterial that has many advantages. Nevertheless, the difficulty in retrieving bioceramic sealer in failed root canal treatment remains a controversy. Purpose: To investigate the efficacy of white vinegar, 37% phosphoric acid and 10% hydrofluoric acid in retrieving bioceramic sealer. Methods: Bioceramic sealer specimen was used as samples in this study consisting of 60 samples divided into four treatment groups. All groups were soaked in white vinegar, 37% phosphoric acid, 10% hydrofluoric acid and saline as negative control for 10 minutes. Microhardness testing was performed using Vickers Microhardness Tester, then all data were statistically analysed using One Way ANOVA and post-hoc LSD. Results: The result of this study showed mean and standard deviation of VHN of bioceramic sealer specimen which were soaked in white vinegar, 37% phosphoric acid, 10% hydrofluoric acid and saline as follows respectively: 45.11±2.39; 51.46±3.64; 29.77±2.66; 66.16±1.70 with p value <0.001. Conclusion: 10% hydrofluoric acid has the greatest potency as root canal solvent for bioceramic sealer during root canal retreatment.

A review of sodium diclofenac as a potential medicament to eliminate Enterococcus faecalis in regenerative endodontic treatment

2024-12-25T08:26:27+07:00

Background: Traumatic dental injuries often occur in the community reaching 85% of patients and in preschool children the proportion reaches 17%. Among the injuries are tooth fracture, tooth luxation, tooth avulsion and open apex which causes pulp death or necrosis, causing root growth to stop. Regenerative endodontic treatment (RET) with a biological approach to treat necrotic immature permanent teeth can promote pulpal growth, increase the thickness of the dentin wall and form apical foramens. Enterococcus faecalis bacteria can be resistant to some drugs and root canal irrigation substances and may persist in the root canal system. Recently, sodium diclofenac has been reported to retain a new potential to eliminate Enterococcus faecalis biofilm. This shows that sodium diclofenac is potential as an anti-biofilm material. Purpose: To evaluate the potential use of sodium diclofenac in RET. Review: This review was investigated in PubMed and Google Scholar containing keywords: Sodium Diclofenac, Enterococcus faecalis and Regenerative Endodontic Treatment. Sodium diclofenac is a potential medicament to eliminate Enterococcus faecalis biofilm therefore has a potency to be used in Regenerative Endodontic Treatment. Conclusion: The success rate of RET depends on the elimination of microorganisms in the root canal systems. The use of sodium diclofenac as a medicament to eliminate Enterococcus faecalis biofilm is potential to be used in RET. Further researches are encouraged to explore the benefits of sodium diclofenac as a medicament in RET.

Improving teeth appearance from the impact of unhealthy lifestyle: a case report

2024-12-25T09:39:27+07:00

Background: Tooth discoloration in one or more anterior teeth can cause significant aesthetic problem for patients because it affects the smile that relates to a person’s self-confidence. Thus, external bleaching is a viable treatment alternative. Discoloration stains on teeth are caused by smoking and the consumption of pigmented beverage such as coffee. Purpose: This case reports an external bleaching caused by an unhealthy lifestyle. Case: A 26- year-old female television presenter wanted to treat yellowish dark shade of her teeth and this made her feel less confident due to the yellowish dark shade teeth. Case Management: Teeth discoloration was managed with external bleaching using hydrogen peroxide 40%. After the treatment, the teeth shade increased from yellow-brownish to A2 with Vita Classic shade guide. Conclusion: The case report shows that external bleaching treatment produces brighter shade and increase self-confidence of the patient so she feels very satisfied.

Smile makeover for multiple caries of anterior teeth through endodontic, periodontic, and restorative management: a case report

2024-12-25T09:57:53+07:00

Background: Dental aesthetic issues may affect individual’s aesthetic, function, and psychological well-being. The functions of the stomatognathic system are supporting mastication, speaking, breathing and swallowing functions, so that structural integrity and an ideal and harmonious smile can be achieved as well. Aesthetic issues due to caries of maxillary anterior teeth requires deep analysis, consideration and appropriate treatment planning to aim a good result both functionally and aesthetically. Digital smile design (DSD) plays an important role in aesthetic dentistry where problems can easily be rectified. Purpose: This case report describes a step-by-step aesthetic treatment of a male patient with multiple caries of anterior teeth. Case: This study reports a 21-year-old man with multiple caries on his maxillary anterior teeth. Tooth number 12 with class IV caries lesion. Teeth number 11 and 22 with class IV and VI caries lesion and were endodontically treated, tooth number 21 with class III mesiodistal caries lesion. The patient’s chief complaint is that he felt less confidence with his appearance. Case Management: tooth number 21 was managed with endodontic treatment and followed by insertion of fiber post. Teeth number 11 and 22 that endodontically treated previously, were managed with prefabricated fiber post. Tooth number 12 was managed with crown. Teeth number 11, 21, 22 11, 21, 22 were managed with gingivectomy for aesthetic crown lengthening. Lithium disilicate was chosen for the crown materials Conclusion: Anterior teeth with multiple caries can be improved through endodontic-periodontal-restoration treatments to improve the function and aesthetic performance.

Apex resection treatment on tooth 21 and 22 with suspected radicular cyst

2024-12-25T10:18:27+07:00

Background: Apex resection is the surgical removal of the apex or root end of a tooth. Endodontic failure is the most usual reason of treatment being performed. Retreatment may be the first option for teeth which have been treated conventionally and exhibit a persistent apical lesion. In particular, failures during conventional therapy could hinder results by leading infections to spread to inaccessible apical regions, necessitating surgery. Purpose: This case report aims to describe the management of radicular cyst on previously treated tooth. Case: A 51-year-old male patient came to Soewandhie General Hospital with a complaint of swelling on his hard palate from one year before. The left maxillary incisor has undergone root canal treatment about 1 year ago, but had not been permanently filled. Case Management: The treatments given were retreatment for 21 and root canal treatment for 22, then followed by cyst enucleation and apex resection on both teeth. Conclusion: Apex resection shows a satisfying result for treating previously treated tooth with persistent apical lesion.