Conservative Dentistry Journal

Ethical and legal aspect of digital dentistry in conservative dental practice

Yessy Andriani Fauziah — 2024-12-18

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

Yelda Polat — 2024-12-18

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

Eric Priyo Prasetyo — 2024-12-18

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

Mefina Kuntjoro — 2024-12-18

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

Daniyal Lazuardi Ramadhan — 2024-12-18

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.