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Journal Cover Current Oral Health Reports
  [2 followers]  Follow
   Hybrid Journal Hybrid journal (It can contain Open Access articles)
   ISSN (Online) 2196-3002
   Published by Springer-Verlag Homepage  [2329 journals]
  • Fit of CAD/CAM Tooth-supported Single Crowns and Fixed Dental Prostheses
    • Authors: Evanthia Anadioti; Catherine Lee; Alexa Schweitzer
      Abstract: Purpose of Review Dentistry follows the generational change towards digital technology, and traditional techniques for dental restorative procedures are being influenced. An increasingly large number of CAD/CAM systems are currently used for fabrication of single crowns and fixed dental prostheses in the dental practice. The fit of a full coverage restoration is considered as criterion for long-term success. A review and comparison of the available digital workflows, CAD/CAM systems, and related biomaterial were conducted. Recent Findings Despite the variability of the different systems and evaluation methods, the majority of current literature attributes clinically acceptable marginal and internal gap measurements to the full digital workflow. Summary While the contemporary digital systems appear to provide many advantages along with high-quality prostheses, the existing limitations and the continuous technological advancements fuel intensive research and improvement.
      PubDate: 2017-05-03
      DOI: 10.1007/s40496-017-0139-x
  • Esthetic Crown Lengthening: Contemporary Guidelines for Achieving Ideal
           Gingival Architecture and Stability
    • Authors: Ernesto A. Lee
      Abstract: Purpose of Review The achievement and maintenance of ideal gingival margin levels and architecture constitute essential requirements for esthetic crown lengthening procedures. The use of a scalpel blade and ancillary mechanical armamentarium to sculpt the gingival margins may not be the most efficient or accurate surgical method available, and this review will consider the use of contemporary alternatives. Additionally, the fact that gingival margin levels are often not stable following esthetic crown lengthening surgery is a phenomenon that has perplexed clinicians. The purpose of this article is to review the pertinent literature in search of predictable clinical protocols for esthetic crown lengthening. Recent Findings There has been increasing interest in the use of lasers for dental applications, and their potential benefits for gingival sculpting procedures must be considered. Diode lasers may offer an advantageous compromise between surgical efficacy and practicality. Additionally, coronal gingival re-growth is often an undesired sequela of traditional crown lengthening procedures. Recent literature helps to identify potential contributing factors. Summary The establishment of ideal gingival margin architecture requires precise sculpting of the soft tissues. This is often easier to achieve with lasers, particularly diode lasers. Coronal gingival proliferation following esthetic crown lengthening may be prevented by incorporating more current concepts regarding the need for sufficient bone removal and flap management that emphasizes the preservation of gingival complex dimensions.
      PubDate: 2017-05-02
      DOI: 10.1007/s40496-017-0140-4
  • Periodontal Medicine—New Diagnostic Opportunities
    • Authors: Ricardo Teles
      Abstract: Purpose of Review We examined the literature on periodontal medicine to determine how this field has influenced the diagnosis of periodontal diseases and the search for biomarkers in oral fluids. Recent Findings Periodontal medicine has pushed the boundaries of biomarker discovery in oral fluids, where several analytes present in serum can be detected and potentially explored for the diagnosis of systemic conditions. The study of mechanisms linking oral and systemic diseases has also contributed to advances in our understanding of systemic modulation of the subgingival microenvironment and its effects on gingival crevicular fluid components and the local microbiota. Summary Recent technological advances in “omics” platforms allow us to examine concomitantly functional changes that occur in the host and the resident microbiota during disease processes. Integration of multi-omics data such as the one proposed by the Integrative Human Microbiome Project will afford new insights into the interplay between oral and systemic diseases.
      PubDate: 2017-05-02
      DOI: 10.1007/s40496-017-0138-y
  • Mastication and Gut Hormones—Are There Any Associations'
    • Authors: James Hollis
      Abstract: Purpose of Review The human gastrointestinal tract (stomach, intestine, and pancreas) secretes more than 20 different hormones. These hormones influence many physiological processes and may contribute to the risk of developing several chronic diseases. Consequently, a better understanding of the factors that influence their secretion and action may lead to a new approach in preventing or treating chronic disease. Several factors are known to influence the gut hormone response including the macronutrient content or the physical characteristics of the ingested meal. However, despite having a major role in the digestion of foods, the influence of mastication on the gut hormones has gained little attention. This brief review will discuss the limited number of studies that have been conducted and make suggestions for further research in this area. Recent Findings At this time, limited research has been conducted to determine the influence of mastication on the gut hormone response. While emerging evidence suggests that mastication may contribute to the gut hormone response, the current studies do not isolate the effect of mastication from other factors such as differences in the particle size of the swallowed bolus. Consequently, they do not unambiguously indicate that mastication directly influences the gut hormone response. There are several theoretical reasons why mastication would influence the gut hormone response and further research is required. Summary If there is an influence of mastication on the gut hormone response, then inter-individual differences in mastication may contribute to the risk of some chronic diseases. Moreover, the impact of impaired mastication, due to tooth loss or aging, on the gut hormone response requires elucidation as these groups may be at increased risk of chronic disease or poor body weight due to changes in the satiation or satiety response.
      PubDate: 2017-04-24
      DOI: 10.1007/s40496-017-0129-z
  • Digital Impressions for Implant-Supported Fixed Dental Prostheses
    • Authors: Sang J. Lee; Jason D. Lee
      Abstract: Purpose of Review With the advent of CAD/CAM systems in dentistry, digital impressions have become an integral part of the treatment workflow in implant dentistry. The purpose of this article is to review the current status of digital impression systems, their applications within the digital workflow in implant dentistry, and the literature related to clinical viability in terms of its efficiency, accuracy, and patient-centered factors. Recent Findings The accuracy of intraoral scanners is similar to that of conventional impression techniques for single-crown and short-span fixed dental prosthesis (FDP) implant restorations. Clinical adjustment times were found to be shorter for dental implant crowns that were fabricated through a digital workflow than through a conventional one. Patients overwhelmingly prefer digital impressions over conventional methods in clinical studies. Summary Intraoral scanner systems are clinically viable tools for the taking of implant impressions, demonstrating comparable accuracy and improved efficiency as compared to conventional methods, when provided appropriate case selection. Conventional methods demonstrate better accuracy for full-arch cases and long-span FDPs. Due to the relative lack of clinical studies in this area, future investigative efforts should focus on in vivo investigation into the accuracy of digital implant impressions in a variety of clinical situations.
      PubDate: 2017-04-24
      DOI: 10.1007/s40496-017-0135-1
  • Clinical Performance of All-Ceramic Dental Restorations
    • Authors: Julian Conejo; Reto Nueesch; Mariam Vonderheide; Markus B. Blatz
      Abstract: Purpose of Review The study aims to assess the current scientific evidence on the clinical performance of all-ceramic dental restorations. Recent Findings Silica-based and oxide-based ceramics provide esthetic treatment alternatives but rely on proper case selection and handling. Clinical long-term success rates are generally high for both tooth-supported and implant-supported restorations. Due to limited flexural strength and high brittleness, silica-based ceramics are limited in respect to clinical indications and their success greatly depends on resin bonding for final insertion. High-strength oxide-based ceramics can be inserted with conventional cements and reveal high success rates. More recently developed materials, such as resin matrix ceramics, zirconia-reinforced silicate ceramics, and monolithic translucent zirconia, reveal promising properties in the laboratory. However, they lack scientific validation through long-term clinical trials. Summary Established silica-based and oxide-based ceramic materials demonstrate high long-term clinical survival rates; however, recently developed ceramics need further assessment.
      PubDate: 2017-04-22
      DOI: 10.1007/s40496-017-0132-4
  • Malnutrition and Oral Disease in the Elderly––Is There Any
           Bidirectional Relationship'
    • Authors: Masanori Iwasaki; Misuzu Sato; Akihiro Yoshihara; Hideo Miyazaki
      Abstract: Purpose of Review The purpose of the review is to find recent evidence for a bidirectional relationship between oral diseases and malnutrition. Recent Findings Electronic search of MEDLINE using PubMed and a manual search of key journals for literature published in English between January 2013 and June 2016, was conducted and resulted in the selection of 25 papers. These selected studies comprised 19 observational studies, which included 17 cross-sectional and 2 longitudinal designs, and 6 interventional studies. A majority of the studies demonstrated a significant association between the following conditions in older adults: older adults with oral diseases are at risk for malnutrition and malnourished older adults are at risk for oral diseases. Treatment with dental prosthesis may have positive effects on the nutritional status of older adults. Summary The current review revealed that research findings support a potential bidirectional relationship between oral diseases and malnutrition; however, there is insufficient evidence to draw definitive conclusions. Additional high-quality studies are necessary to accumulate more evidence.
      PubDate: 2017-04-21
      DOI: 10.1007/s40496-017-0127-1
  • Digital Workflow in Implant Dentistry
    • Authors: Mark Ludlow; Walter Renne
      Abstract: Purpose of Review Implant dentistry is going through a digital revolution. Through the development of new equipment and their corresponding workflows, the diagnosis and treatment of our patients are becoming simpler and more efficient. This review examines the workflows and techniques that apply digital technology to the pre-operative planning stages, the surgical placement, and the prosthetic phases of implant treatment. Recent Findings With the current influx of new hardware and software into the market, dental technology has the potential to infiltrate every area of clinical implant dentistry. Its use generally begins with the diagnostic scanning by means of an intra-oral scanner and cone beam computed tomography. These modalities, in conjunction with implant planning software, allow for the planning and the guided surgical execution of dental implants. Technology can further be used with the prosthetic design and manufacturing of the interim and final restorations of the implants allowing all areas of clinical diagnosis and care to have the opportunity to apply digital dentistry. These tools can allow for more predictable, profitable, and pleasant treatment for our patients. Summary As our clinical landscape changes with the influx of digital tools, the uses, workflows, and clinical protocols associated with implant dentistry can be learned and applied in our daily clinical practice allowing for the streamlining and simplification of patient care.
      PubDate: 2017-04-21
      DOI: 10.1007/s40496-017-0134-2
  • Restoration of the Worn Dentition: Basic Prosthodontic Principles and
           Current Rehabilitation Techniques
    • Authors: Georgios Maroulakos; William W. Nagy; Panagiota G. Stathopoulou; Nikos Mattheos; Vasilios Chronopoulos
      Abstract: Purpose of Review Dental wear is an existing and increasing problem. This review aims to describe the prosthodontic principles as well as the current trends in materials and techniques for the rehabilitation of patients with worn dentition. Recent Findings The current literature includes a lot of information in relation to clinical and laboratory procedures for the restoration of the worn dentition. Also, recent in vitro and in vivo studies address the clinical success, properties, and wear behavior of current materials. Summary A plethora of materials are currently used to restore dental wear including, direct/indirect composite resin, and all-ceramic restorations. Minimally invasive procedures are based on adhesive cementation of restorations, and in many situations, patients are restored with partial coverage restorations. Long-term success of the rehabilitation is dependent on careful material selection, based on current evidence, careful execution of well-established rehabilitation techniques, and a patient-based individualized maintenance program.
      PubDate: 2017-04-20
      DOI: 10.1007/s40496-017-0133-3
  • Epidemiological Evidences for the Association of Obesity and Metabolic
           Disorders with Oral Diseases
    • Authors: Michiko Furuta; Yoshihisa Yamashita
      Abstract: Purpose of Review Obesity is the underlying cause of many chronic diseases and affects overall health. Obesity and obesity-related metabolic disorders, particularly, metabolic syndrome and diabetes, have been recognized to be associated with oral diseases. This review describes the recent evidence from epidemiological studies investigating the effect of obesity and metabolic disorders on oral diseases, including dental caries and periodontal disease in adults. Recent Findings Longitudinal studies indicate the direction of association that obesity and diabetes affect periodontal disease. Interpretation of causal relationships between metabolic syndrome and periodontal disease remains limited because of the small number of prospective evidence. Longitudinal studies investigating dental caries have not been performed. Summary Further exploration of the effect of metabolic syndrome on periodontal disease, and that of obesity and metabolic disorders on dental caries in longitudinal studies, is warranted.
      PubDate: 2017-04-20
      DOI: 10.1007/s40496-017-0125-3
  • Oral Disease and Malnutrition in the Elderly—Impact of Oral Cancer
    • Authors: Nur Mohammad Monsur Hassan; Rahena Akhter; Lisa Staudinger; Nicholas Tarpey; Simon Basha; Stephen Cox; Haruhiko Kashiwazaki
      Abstract: Purpose of Review The purpose of this paper is to review current evidence for a concomitant relationship between oral diseases and malnutrition in the elderly. A narrative overview of current literature was undertaken to combine the context for research with critical elaboration and commentary. Recent Findings Oral disease is one of the most common public health issues worldwide with significant socio-economic impacts, and yet it is frequently neglected in public health policy. Epidemiologic studies show that oral disease frequently causes malnutrition in the elderly. In particular, malnutrition is associated with poor quality of life and poor efficacy of oncologic therapy in oral cancer patients. Summary As oral disease remains a major public health burden worldwide, it is of great importance to integrate oral health into the nutrition agenda via the Common Risk Factor Approach. As such the long-term sustainable strategy for global oral health should focus on health promotion and malnutrition prevention in the elderly.
      PubDate: 2017-04-19
      DOI: 10.1007/s40496-017-0126-2
  • The Influence of Periodontal Burden on Metabolic Control of
           Diabetes—Myth or Reality'—from a Nutritional Perspective
    • Authors: Fusanori Nishimura; Tomomi Sano; Terukazu Sanui
      Abstract: Purpose of Review The effects of periodontal treatment on the metabolic control of diabetes have been extensively studied. This report summarizes current understanding on the underlying mechanisms. Recent Findings All recent studies supporting the beneficial effects of periodontal treatment have common features: (1) clinically, periodontal disease in diabetics is relatively severe, (2) the subjects exhibit elevated hs-CRP level, which declines following periodontal treatment, and (3) the subjects generally do not exhibit morbid obesity. Nevertheless, the subjects with higher hs-CRP appear to develop more mature adipose tissues than the subjects with lower hs-CRP. Summary Inflammatory immune cells have been reported to migrate into adipose tissue, interact with adipocytes, and thereby exacerbate adipose tissue inflammation. This may be a key mechanism explaining how local periodontal inflammation influences systemic inflammation. Therefore, appropriate life style intervention is an additional requirement in addition to reducing other obvious risk factors such as smoking in the overall management of periodontal disease in subjects with diabetes.
      PubDate: 2017-04-18
      DOI: 10.1007/s40496-017-0136-0
  • Malnutrition and Oral Health in Children
    • Authors: Marcio A. da Fonseca
      Abstract: Purpose The purpose of this paper is to review the effects of malnutrition on children’s oral health. Recent Findings Malnutrition negatively affects the development of craniofacial structures and teeth. Nutrient deficiencies during amelogenesis and dentinogenesis lead to defective tooth structures, which tend to harbor cariogenic bacteria. The role of vitamin D in prevention of dental caries is inconclusive. Some researchers believe dental caries is not multifactorial nor transmissible because caries cannot develop without sugars. There is conflicting information in relation to the effects of malnutrition in tooth eruption and exfoliation, but its deleterious influence is clear in the integrity of the oral mucosa and salivary function. Summary An improper nutrition deprives the child from important nutrients for growth and development, including that of oral structures. More research is needed to elucidate the role of malnutrition in tooth development, exfoliation, and eruption.
      PubDate: 2017-04-18
      DOI: 10.1007/s40496-017-0130-6
  • Root Coverage Procedures for Multiple Recession Defects
    • Authors: Pin-Chuang Lai; Henry Greenwell
      Abstract: Purpose of Review The demand for root coverage in multiple gingival recession defects has increased in recent years. Compared to isolated recession, multiple gingival recession defects are much more challenging due to various limiting factors and require more sophisticated surgical techniques. This review aims to address recent progress in the management of multiple recession defects. Recent Findings The subepithelial connective tissue graft (SCTG) procedure, while effective, is limited due to tissue availability and patient preference to avoid a donor harvest site. Different surgical techniques and biological materials have been studied in an attempt to find ideal alternatives. Summary Based on the studies reviewed, the SCTG procedure still remains the gold standard in terms of percent root coverage. Acellular dermal matrix allograft in conjunction with different flap designs has shown comparable, satisfactory results up to 1 year postoperatively. Other materials such as porcine collagen matrix and enamel matrix derivative also show some promise. Well-designed studies with long-term outcomes are still needed.
      PubDate: 2017-04-17
      DOI: 10.1007/s40496-017-0131-5
  • CAD/CAM Removable Dental Prostheses: a Review of Digital Impression
           Techniques for Edentulous Arches and Advancements on Design and
           Manufacturing Systems
    • Authors: Ghadeer Thalji; Wissanee Jia-mahasap
      Abstract: Purpose of Review The aim of this article is to provide an overview of CAD/CAM removable dental prostheses in the treatment of completely edentulous patients. Recent Findings Computer-aided design/computer-aided manufacturing protocols continue to evolve in many areas in dentistry including removable complete dentures. Current protocols are advantageous in decreasing the number of clinical appointments needed, which may reduce the distress in elderly with limited access to care. In addition, CAD/CAM complete dentures are fabricated using standardized techniques using high-value quality controlled materials. Laboratory tabletop scanners are being used predominantly for the digitization of conventional impressions or dental casts. Further research is needed to further advance existing intra-oral scanners in digital impressioning of the completely edentulous jaws. Summary Use of digital technology in complete denture manufacturing provides prostheses with improved quality such as reduced porosity, polymerization shrinkage, and improved retention. Presence of digital depository data allows replacement dentures to be fabricated in case they are lost or damaged.
      PubDate: 2017-04-17
      DOI: 10.1007/s40496-017-0137-z
  • Taste Sensing Systems Influencing Metabolic Consequences
    • Authors: Noriatsu Shigemura
      Abstract: Recent Findings The taste information contributes to evaluate the quality and nutritional value of food before it is ingested, and thus, is essential for maintaining nutritive homeostasis within the body. Recent studies revealed that taste sensitivity is modulated by humoral factors such as hormones. Angiotensin II is a key hormone regulating sodium and water balance. Investigations of its involvement in the taste system revealed that angiotensin II suppresses the gustatory NaCl responses (amiloride-sensitive component) and enhances sweet taste sensitivity without affecting umami, sour, and bitter responses in mice. Summary These results suggest that taste modulation by angiotensin II may play important roles in maintaining electrolyte and glucose homeostasis. Purpose of Review This review focuses on the molecular mechanisms of salty taste perception and its modulation through the angiotensin II signaling to work out novel strategies to control food intake influencing metabolic consequences.
      PubDate: 2017-04-17
      DOI: 10.1007/s40496-017-0128-0
  • The Impact of Oral Health on General Health: Educating Professionals and
    • Authors: Casey Hein; Ray C. Williams
      Abstract: Purpose of Review This review provides a brief summary of what science has postulated about the oral cavity and its relationship to the rest of the body. This article then looks at the emerging body of evidence for a definitive statement on the impact of oral health and disease on overall health and disease. It concludes by examining ways to educate oral healthcare providers (OHCPs) (i.e., dentists and dental hygienists) and their role in educating patients and the public about the interrelationships of oral and overall health and challenges associated with this. Recent Findings Since 1989, there have been major advances in understanding the role of periodontal infection and inflammation in contributing to the risk for systemic diseases. As the evidence emerges for an oral-systemic link, new strategies for educating dentistry, medicine, other non-dental healthcare professions, and the public about this link are also emerging. Summary Hopefully, a new awareness and understanding of the significance of oral health in sustaining general health lead to a new emphasis for prevention and treatment of periodontal disease.
      PubDate: 2017-02-20
      DOI: 10.1007/s40496-017-0124-4
  • Functional Salivary Gland Regenerative Therapy for Oral Health
    • Authors: Miho Ogawa; Takashi Tsuji
      Abstract: Salivary glands maintain oral health and homeostasis via functional interactions with many organs, including the teeth and the tongue. Dysfunction of salivary glands causes many problems, such as dental caries, bacterial infection, and swallowing dysfunction. Current regenerative therapy for salivary gland tissue repair and whole salivary gland replacement is currently a novel therapeutic concept that may result in full recovery of salivary gland function. The salivary glands arise from reciprocal epithelial and mesenchymal interactions. We developed a novel three-dimensional cell manipulation method that can reproduce organogenesis via the epithelial-mesenchymal interaction. The bioengineered salivary glands develop correct structure and successfully secrete saliva into the oral cavity via reestablishment of the afferent-efferent neural network. The bioengineered salivary glands also improve dry mouth symptoms, such as bacterial infections and swallowing dysfunction. This review summarizes recent findings and technological advances in salivary gland regenerative therapy.
      PubDate: 2017-02-08
      DOI: 10.1007/s40496-017-0123-5
  • Periodontitis and Systemic Disease: Association or Causality'
    • Authors: Lewis Winning; Gerard J. Linden
      Abstract: Purpose of Review The aim was to assess recent evidence that diabetes, metabolic syndrome (MetS) and obesity impact the progression of periodontitis. Recent Findings Electronic searches using Embase, Medline, and Web of Science were carried out for epidemiological studies on humans, published between 2014 and 2016. A small number of prospective studies and systematic reviews were identified that in general provide further support for the hypothesis that diabetes, metabolic syndrome and obesity can adversely affect the periodontal condition. Summary Confounding remains the most challenging issue in the interpretation of the associations found between diabetes, MetS, obesity and periodontal disease. Recent research applying a Mendelian randomisation approach concluded that the association between obesity and periodontitis is confounded and questioned a role for obesity in causation. Further studies are warranted to assess the issue of causality.
      PubDate: 2017-01-23
      DOI: 10.1007/s40496-017-0121-7
  • Advances and Challenges in Oral Biofilm Control
    • Authors: Beatriz Helena Dias Panariello; Cecilia Atem Gonçalves de Araújo Costa; Ana Cláudia Pavarina; Sérgio Lima Santiago; Simone Duarte
      Abstract: Purpose of Review The paper aims to critically study the literature published over the past 3 years as relevant to oral biofilm control. The emphasis of this review is the interests and importance of new findings, seeking the following answers: (i) what is the major challenge in oral biofilm control', (ii) what are the new anti-biofilm approaches', and (iii) what are the further researches' Recent Findings In addition to mechanical plaque removal and the use of chemical agents against pathogenic biofilm, there is a need for development of new anti-biofilm approaches. The majority of the new studies aiming to control oral biofilm have been performed with the characterization of the extracellular matrix components. Exopolysaccharides (EPS), proteins, lipids, nucleic acids (eDNA), lipoteichoic acids (LTA), and lipopolysaccharides have been identified in the matrices of bacterial biofilms and are considered the current targets to oral biofilm control. Summary The extracellular matrix is essential for the existence of the biofilm and by its virulence both in bacterial and fungal pathogens. The better understanding of the biomechanical properties of the EPS matrix is the main advance and is leading to new chemical and/or biological approaches to remove or disorganize cariogenic biofilms. Recently, researches are focusing on the extracellular matrix for oral biofilm control with further clinical applicability.
      PubDate: 2017-01-14
      DOI: 10.1007/s40496-017-0120-8
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