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The scientific literature is increasingly focused on peri-implant mucositis and peri-implantitis, which are biological outcomes of dental implant treatment. Background/Objectives: The present study aimed to evaluate the two most critical complications of dental implantation, peri-implant mucositis and peri-implantitis, through the prism of different influencing factors. Methods: We followed 40 patients, with a total number of 92 dental implants, divided into three age groups: under 35 years, between 35 and 55 years, and older than 55 years. Patients were also divided into groups according to the time since implant placement: 1–3 years, 4–7 years, and more than 7 years. The patients were examined, and periodontal pocket depth, peri-implant pocket depth, Löe–Silness gingival index, mucosal thickness, and keratinized mucosal width were recorded; bone resorption was measured on radiographs using a 2D image analysis method; and a questionnaire was also conducted. Results: Bone resorption was highest in the 35–55 age group (3.09 ± 0.04 mm) and for implants placed 4–7 years ago (3.39 ± 0.12 mm). Females had a mean bone resorption of 3.4 ± 0.15 mm and males of 2.45 ± 0.07 mm. Statistically, there was a significant difference only in the Löe–Silness index: the 35–55 age group had the highest values (p = 0.04). Conclusions: There were no statistically significant differences between the time since implant placement and the degree of bone resorption, nor between sexes. Peri-implant inflammation may occur at any age, regardless of the lifetime of the implants. [ABSTRACT FROM AUTHOR]

Background: The purpose of this study was to investigate the effect of different light curing modes on the polymerization shrinkage of a bulk-fill composite and to evaluate the impact of two layering techniques on the cuspal deflection. Methods: Nine different light curing modes were tested on bulk-fill composite samples in aluminum MOD cavities. Intensity, duration, and illumination distance were the factors that changed during the different curing modes. The digital image correlation method was used to visually represent the displacement of carbon particles on the materials' surface caused by shrinkage along both the horizontal and vertical axes. For simulating cuspal deflection, a separate protocol was used, with a bulk and horizontal layering technique. Results: The results showed that the largest horizontal displacements were present in the soft start group (6.00 ± 0.82 µm) and in the X-tra power group (5.67 ± 1.21 µm). The smallest horizontal displacements were detected in normal curing modes (4.00 ± 1.58 µm; 4.00 ± 2.68 µm). The largest vertical displacements, at the bottom layer, were present in the normal curing mode group with a 20 s curing time (5.22 ± 1.56 µm), while the smallest vertical displacements were shown in the X-tra power group (2.89 ± 0.60 µm). The observed particle displacements showing the shrinkage of the composite were correlated with the curing mode. The bulk-fill group showed less cuspal deflection than the horizontal layering group did, but the difference was not statistically significant (p = 0.575). Conclusions: Within the limitations of this in vitro study, it can be concluded that lower intensities of curing lights (1200 mW/cm2) may perform better from the point of view of material shrinkage than high and extreme light intensities do. The pulse delay mode might be recommended in the case of bulk-fill materials. The number of layers did not significantly affect the cuspal deflection in the case of the studied composite. [ABSTRACT FROM AUTHOR]

Background: The use of various clear Vacuum Formed Retainers (VFR) is widespread, but there are no comprehensive guidelines on how patients should clean their retainers for optimal aging and plaque removal. Direct comparisons between methods and materials have not been performed. Objective: We examined the change in surface roughness of polypropylene (PP) and thermoplastic polyurethane (TPU) materials undergoing various cleaning protocols. Material and methods: We conducted a study among individuals who wear vacuumformed retainers, to understand their cleaning habits. After summarizing responses, we created 4 cleaning groups: toothbrushes only, two different types of toothpaste with toothbrushes, and electric toothbrush with toothpaste. We chose to compare the cleaning protocols used by patients under in vitro conditions to eliminate changes caused by human factors. Samples of retainer materials: Copyplast C and Erkoloc-pro were vacuum-molded onto type IV dental stone models. A self-designed and self-fabricated toothbrush simulator was used for 30 days of brushing, 30s each day. Surface roughness (Ra) of the inner surface was measured using a Mitutoyo SJ-310 profilometer. Statistical analysis included ANOVA and t-tests. Results : The initial surface roughness between TPU and PP samples was not significantly different (p=0.199). Use of the Colgate Soft toothbrush alone had a significantly different effect (p=0.02) on the TPU and PP samples, with the TPU material showing a significant change in surface roughness (p=0.008). In addition, the Curaprox Soft toothbrush with Colgate Max White Optic toothpaste significantly altered the surface of the TPU samples (p=0.04). Interestingly, the Colgate Max White Optic toothpaste visibly discolored the TPU samples. The Colgate Soft and Medium toothbrushes combined with Elmex Caries Protection toothpaste significantly abraded the surface of the PP samples, with the TPU material being significantly more wear-resistant to the same protocol. Notably, using the Oral-B Pro3 Cross Action electric toothbrush with Colgate Max White Optic toothpaste showed a significant difference between the TPU and PP samples. Conclusions: Our results showed that different cleaning procedures affected TPU and PP retainer materials differently. TPU samples generally showed a decrease in surface roughness after most cleaning procedures, while PP samples showed an increase in surface roughness. Curaprox Super Soft and Soft toothbrushes with Elmex Caries Protection toothpaste are recommended for optimal cleaning, as they produce less wear than Colgate toothbrushes. Medium and electric toothbrushes and whitening toothpaste should be used with caution. These findings underscore the importance of cleaning method selection to maintain VFR material integrity and hygiene, thereby improving patient satisfaction. [ABSTRACT FROM AUTHOR]

Background: Bisphenol A (BPA) is a synthetic organic compound used as a monomer in the production of polycarbonates, epoxy resin and methacrylate. In dentistry, it can be released during the photopolymerization of dental materials. It is toxic at a certain level and it can influence or produce changes in hormonal activity, asthma, diabetes, obesity, behavior changes, cancer, infertility and genital malformations. Objective: The objective of this review is to assess data regarding the release of BPA from dental materials and its level in the human body as reported in the scientific literature. Material and methods: A review of the scientific literature was performed by searching PubMed database articles, based on the PRISMA guideline for systematic reviews. The key words used to search were "Bisphenol A resin composite toxicity", "Bisphenol A urine dental", "Bisphenol A toxicity dental", "Bisphenol A dental materials HPLC". The newest articles have been selected, between 2019 and 2023. Results : The database issued 98 articles. After the first selection we had 25 articles, after the second selection 16 relevant articles were included in the present review. The extracted datas were the materials and methods, the analysed period and the obtained results. Studies that analysed BPA through high-performance liquid chromatography (HPLC) were included. BPA levels were measured from saliva and associated with the use of dental composites and dental sealants. The amount of BPA increased after polymerisation from an average of 2 ng/ml to 35,5 ng/ml in 1 hour and it kept increasing with time. We found no relevant data in the literature regarding levels of BPA in the urine and blood. The studies conducted on specimens of dual cured resin cements did not detect BPA. On the contrary, the ones made on dental composites and compomers concluded that the amount of BPA increases in the first hour after application. The released BPA level depends on the photopolymerization method and it can be decreased by finishing and polishing. The amount of BPA released from dental composites has an average of 2- 35,5 ng/ml. The problem that occurs is that the tolerable daily dose is 0,2 ng/kg of body. Conclusions: Based on the included studies, the amount of BPA released from dental composites depends on different factors and it has an average value bigger than the tolerable daily dose. The release is very high and it can cause changes in the body. BPA can be absorbed in the oral or gastrointestinal mucosa, which can produce systemic toxic effects. [ABSTRACT FROM AUTHOR]