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Case Report: This case report describes the multidisciplinary approach performed in a 9-year-old male patient with dental agenesia affecting teeth 21 and 22. Autotransplantation of the right upper second premolar with incomplete rhizogenesis to the missing area was combined with coronary reshaping with resin composite and orthodontic therapy. The treatment began with the extraction of the deciduous upper left central incisor, bone preparation for the recipient site of the donor tooth, atraumatic extraction of the right upper second premolar and immediate autotransplantation in the surgically prepared recipient site. Subsequently, sutures to reposition the flap and a rigid splint were performed. After 12 months, coronary reshaping of the autotransplanted tooth with resin composite was carried out. Orthodontic treatment involving the use of a fixed appliance was used to correct the interdental spaces and achieve adequate occlusion. Clinical and radiographic follow-up 10 years after tooth autotransplantation and 9 years after reshaping revealed partial obliteration of the pulp chamber, root resorption, ankylosis and the presence of endodontic treatment., Conclusions: The long-term outcomes highlighted that tooth autotransplantation represents a biologically and cost-effective procedure for replacing missing teeth in young patients, particularly in cases of incomplete rhizogenesis of the autotransplanted tooth., Clinical Significance: This case report discusses tooth autotransplantation and resin composite reshaping as viable and long-term clinical options for treating young patients with dental agenesis., (© 2024 Wiley Periodicals LLC.)

Dental trauma in primary teeth can cause irreversible changes in the development of permanent tooth germs, including enamel hypoplasia, crown dilaceration, and root dilaceration. This article discusses multidisciplinary treatment of enamel hypoplasia and root dilaceration in the maxillary left central incisor of an 11-year-old girl. A 10-year follow-up is reported to demonstrate the long-term clinical outcomes. At the initial presentation, the patient's mother reported that the child had an accident at the age of 2 years, resulting in intrusive luxation of the primary maxillary left central incisor. After the accident, the patient was monitored for eruption of the permanent successor tooth, and different approaches were proposed during each period of the patient's development on the basis of the clinical diagnosis of root dilaceration and enamel hypoplasia. The crown was restored with composite resin, and the root defect was restored with resin-modified glass ionomer cement. After 10 years, the clinical outcomes highlight that the multidisciplinary approach was successful in preserving the natural tooth with good periodontal health conditions., Competing Interests: No conflicts of interest reported.

In order to achieve aesthetic and harmonious smile results, the use of anterior upper teeth golden proportion concepts represents reliable and scientific based guidelines. However, measuring, recording and analysing teeth and smiles biometric values proves to be a clinical and laboratory routine chalenge, once it is time consuming and demands additional especific math calculus or formulas. The aim of this paper is present an invention, "anterior upper teeth golden proportion millimetric templates," a set of instruments fabricated in order to achieve precise and fast millimetric measures, once they present predefined geometrical drawings and diagrams. Currently, when planning aesthetic tooth size modifications treatments, tools are used as pachymeters, dry edge compass, or some softwares. Most of times this strategy relies on professional expertise and intuiton, which shows to be limitating factors with the need of trial-and-error training and an accurate critical and artistic sense. Unfortunately, this is not inherent to all professionals, especially undergraduate dental school students. Thus, the templates bring differentials and advantages, being versatile and convenient, allowing countless clinical and laboratory uses, even over a cellphone or a computer screen. An excellent diagnostic aid providing ideal teeth proportions and positioning, increasing the chances of success in dental treatment planning., Competing Interests: All institutional or corporate affiliations of the authors and all funding sources supporting the work are acknowledge. Excepted as disclosed below. It's certified that it has no commercial associations that might represent a conflict of interest in connection with the submitted manuscript. Invention patent under number BR 1020200014102 – INPI–Instituto Nacional da Propriedade Industrial – 01/22/2020 – Product Fabricated by Indusbello Industry, Brazil, under the name “Aureum” ®., (Copyright © 2022 Adriana De Oliveira Silva et al.)

Objectives: The aim of this study was to evaluate the effect of a protocol of photobiomodulation (PBM) with light-emitting diodes (LED) on the clinical risk of bleaching-induced sensitivity., Materials and Methods: Sixty-four volunteers were selected and randomly divided in two groups, placebo (PG) and LED (LG). The LG received PBM irradiation and tooth bleaching, while the PG received tooth bleaching and simulation of the irradiation. The occurrence of painful sensitivity was recorded during the dental bleaching; immediately after bleaching; and 24, 48, and 72 h after tooth bleaching. At the same measurement times, data were collected on the intensity of sensitivity (VAS and NRS scale) and teeth affected by bleaching-induced sensitivity. A questionnaire sought to measure how the painful sensitivity influenced basic daily activities. Tooth color measures were performed using subjective and objective methods., Results: LED irradiation decreased the occurrence of sensitivity at all studied evaluation times as well as its intensity, with the exception of the 72-h data when both groups presented no difference. Teeth affected by bleaching-induced sensitivity were significantly greater in the PG. Color measurements presented no differences between the groups in the recently after and later measures., Conclusions: PBM with LED decreases sensitivity risk and sensibility intensity during and after office bleaching and causes no influence on the shade degree of whitening achieved. The decrease in tooth sensitivity provided more comfort and less suffering while drinking., Clinical Relevance: LED irradiation is a promising intervention in the control of bleaching-induced sensitivity., Trial Registration: RBR-7hpfwj. Sensitivity intensity measured by the VAS scale (0-10) in the first whitening session (Graphic A) and second whitening session (Graphic B). Significance level set at ≤ 5%. *Mann-Whiteney U test. Columns followed by the same letter are significant different (ap < 0.001; bp < 0.001; cp < 0.001; dp =0.013; ep < 0.001; fp < 0.001; gp < 0.001; hp = 0.002)., (© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)

The direct fiber-reinforced fixed dental prosthesis (FRFDP) is a minimally invasive approach to replacing missing anterior teeth, offering good survival rates and sound mechanical properties. This report describes the placement and 12-month follow-up results of FRFDPs used to replace missing anterior teeth in 2 patients. In the first case, the extraction of the maxillary right central incisor was related to trauma. In the second case, severe periodontal disease necessitated the extraction of the mandibular left central incisor. Based on the biological and financial considerations of the patients and the need to obtain clinical resolution in a short time, placement of an FRFDP was proposed in each case. Each patient was informed of the benefits and limitations of an FRFDP and accepted the treatment plan. In each case, an FRFDP was placed immediately after the surgical extraction of the incisor, using the extracted tooth as a pontic. The results observed at the 12-month follow-up examinations of the patients suggest that the FRFDP is a viable, esthetic, and functional option to replace missing anterior teeth., Competing Interests: The authors report no conflict of interest pertaining to any of the products or companies discussed in this article.

Aim: This study aimed to evaluate the effect of a laser-activated bleaching agent containing titanium dioxide (TiO 2 ) nanoparticles on enamel roughness and hardness., Materials and Methods: Twenty human premolars were randomized into two groups according to the bleaching treatments performed: HP - 35% hydrogen peroxide and HP + TiO 2 - 30% hydrogen peroxide containing TiO 2 light-activated by diode laser (980 nm). It was performed two bleaching sessions with an interval of 7 days. Microhardness and roughness of the enamel were assessed at three times: T0 - Before 1 st appointment, T1 - after 2 nd appointment, and T2-7 days after 2 nd appointment., Results: The HP + TiO 2 did not cause changes on enamel roughness and hardness and presented the same effects of the HP., Conclusions: Both bleaching agents showed no difference between them. Then, it is possible to conclude that both are viable for clinical use during in-office dental bleaching technique regarding the microstructural changes that they might cause., Competing Interests: There are no conflicts of interest., (Copyright: © 2021 Journal of Conservative Dentistry.)

This research aimed to obtain the depth dependence of polymerization contraction and microporosity from irradiated dental resin cements by X-ray computed microtomography (μCT). Samples (n = 5) of commercial Relyx U200 (RU) and AllCem Core (AC) dual-cure resin cements were injected in a cylindrical Teflon sampler (25 mm 3 ) and separated according to polymerization mechanism: self-cured (not irradiated) and dual-cured (irradiated from the top surface with a LED device). The cement's volume was scanned with the μCT scanning conditions kept constant. To assess the depth dependence of polymerization contraction, it was measured the displacement of the cement mass from the sample holder at 30 vertical cuts (0.1 mm distant). To probe the microporosity, the percentage of area with presence of porosity by slice was obtained. All data were statistically treated. It was observed a positive linear correlation between depth and polymerization contraction in the irradiated groups. In the other hand, the concentration of micropores decreased with increasing depth. Furthermore, the composition of the resin cement was determinant for the correlation's coefficients of these physical properties with depth. The μCT technique showed to be useful to probe physical properties of dental restorative materials that influence in the clinical outcomes, revealing that, for thin specimens, when light cured the RU cement presented mechanical behavior more favorable for clinical applications., (© 2020 Wiley Periodicals, Inc.)

Acid erosion should be treated according to its multifactorial etiology. This case report describes a patient with tooth wear caused by daily intake of acidic carbonated beverages. After meticulous clinical and radiographic analysis, the clinician restored the teeth temporarily with chemically cured glass ionomer cement. Afterward, the patient underwent basic periodontal therapy with scaling and coronal polishing. The patient received guidance regarding daily oral hygiene and eating habits to control the ingestion of acidic drinks. After reestablishing adequate oral conditions, the clinician placed direct composite resin restorations on the maxillary anterior teeth that displayed dental erosion. The clinical procedures improved the patient's oral health as well as the form, esthetics, and function of the worn teeth., Competing Interests: The authors report no conflicts of interest pertaining to any of the products or companies discussed in this article.

Objective: To investigate the effect of two light-curing protocols on mechanical behavior of three bulk-fill resin composites (BFRC) considering their optical properties., Methods: One increment of 4 mm thickness of the bulk-fill resin composites Opus Bulk Fill, Tetric N-Ceram and Filtek Bulk Fill Flow were submitted to two different light-curing protocols: Sp - irradiance of 1000 mW/cm 2 (20 s); Xp - irradiance of 3200 mW/cm 2 (6 s). To assess the influence on the mechanical behavior it was studied polymerization shrinkage by X-ray microtomography (n = 3), Vickers hardness (n = 10) at the top and bottom surfaces of the samples, irradiance reaching the bottom surface (n = 3) and absorbance spectrum during the light-curing time interval (n = 3). Data were analyzed by two-way ANOVA test for parametric data and Kruskal Wallis test, followed by Wilcoxon or Mann-Whitney U post-test, for non-parametric data., Results: All BFRCs contracted when light-cured, with greater contraction for Xp. Filltek Bulk Fill Flow showed highest polymerization shrinkage, for both Sp and Xp. All BFRCs showed minor hardness values on the bottom surface, with greater reduction for Xp. All BFRCs exhibited a decrease in irradiance at 4 mm depth. A decrease in absorbance intensity throughout the light-cure was observed, except for Opus Bulk Fill., Conclusions: Regardless BFRCs composition, the light-curing protocol with lower irradiance and longer exposure time results in lower polymerization shrinkage and higher hardness. The higher irradiance in a shorter time interval compromises the mechanical behavior of the resin composites, which may result in undesirable clinical outcomes., (Copyright © 2018 Elsevier Ltd. All rights reserved.)

Cariostatic treatment has been shown to successfully arrest caries. However, it blackens the carious tooth structure. This study evaluated the effects of an experimental cariostatic agent with silver nanoparticles (Ag-Nano) using microhardness (MH) and microbiological tests. The cariostatic agents tested were: Saforide®, Cariestop®, Ancarie® and Ag-Nano. Sixty-six samples from deciduous enamel were submitted to initial (after pH cycling to obtain initial caries-like lesion) and final (after cariostatic application) MH testing and %MH values were calculated. After longitudinal sectioning, internal (I) MH was evaluated. Strains of Streptococcus mutans, Escherichia coli, and Enterococcus faecalis in brain-heart infusion culture were treated with the cariostatic agents. Agar diffusion tests (ADTs) were performed and minimum inhibitory concentrations were determined. The statistical tests used were: Kruskal-Wallis and Dunn (%MD; ADT; MIC) and ANOVA followed by Tukey's test (I-MH) (p<0.05). The %MH of Saforide® was significantly greater than that of Ag-Nano (p<0.05). Internal MH showed progressive improvement in the enamel remineralization for all cariostatic tested. In ADTs showed greater inhibition of S. mutans, E. faecalis, and E. coli by Saforide® than by Ancarie® and Ag-Nano. Ag-Nano was able to inhibit 100% microorganism growth at a lower concentration than required for the other agents. It was concluded that Ag-Nano treatment promoted remineralization of deciduous tooth enamel with initial caries-like lesion and bactericidal activity.

Objectives: This study evaluated smear layer removal by different chemical solutions used with or without ultrasonic activation after post preparation., Materials and Methods: Forty-five extracted uniradicular human mandibular premolars with single canals were treated endodontically. The cervical and middle thirds of the fillings were then removed, and the specimens were divided into 9 groups: G1, saline solution (NaCl); G2, 2.5% sodium hypochlorite (NaOCl); G3, 2% chlorhexidine (CHX); G4, 11.5% polyacrylic acid (PAA); G5, 17% ethylenediaminetetraacetic acid (EDTA). For the groups 6, 7, 8, and 9, the same solutions used in the groups 2, 3, 4, and 5 were used, respectively, but activated with ultrasonic activation. Afterwards, the roots were analyzed by a score considering the images obtained from a scanning electron microscope., Results: EDTA achieved the best performance compared with the other solutions evaluated regardless of the irrigation method ( p < 0.05)., Conclusions: Ultrasonic activation did not significantly influence smear layer removal., Competing Interests: Conflict of Interest: No potential conflict of interest relevant to this article was reported.

The aim of this study was to evaluate the flexural strength of acrylic resin bars by varying the types of resin polymerization and reinforcement methods. Fourteen groups (N=10) were created by the interaction of factors in study: type of resin (self-cured (SC) or heat-cured (HC)) and reinforcement method (industrialized glass fiber (Ind), unidirectional glass fiber (Uni), short glass fiber (Short), unidirectional and short glass fiber (Uni-Short), thermoplastic resin fiber (Tpl), and steel wire (SW)). Reinforced bars (25×2×2 mm) were tested in flexural strength (0.5 mm/min) and examined by scanning electron microscopy (SEM). Data (MPa) were submitted to factorial analysis, ANOVA, and Tukey and T-student tests (a=5%) showing significant interaction (P=0.008), for SC: Uni (241.71±67.77)a, Uni-Short (221.05±71.97)a, Ind (215.21±46.59)ab, SW (190.51±31.49)abc, Short (156.31±28.76)bcd, Tpl (132.51±20.21)cd, Control SC (101.47±19.79)d and for HC: Ind (268.93±105.65)a, Uni (215.14±67.60)ab, Short (198.44±95.27)abc, Uni-Short (189.56±92.27)abc, Tpl (161.32±62.51)cd, SW (106.69±28.70)cd, and Control HC (93.39±39.61)d. SEM analysis showed better fiber-resin interaction for HC. Nonimpregnated fibers, irrespective of their length, tend to improve fracture strength of acrylics.

The rehabilitation of prosthetic spaces resulting from severe periodontitis represents a challenge in terms of functional and esthetic aspects. Generally, tooth extraction is followed by alveolar ridge volume reduction, which increases the esthetic problem. The aim of this article is to report the integration of esthetics and functional parameters in the oral rehabilitation of extracted periodontally compromised mandibular central incisors through the construction of a direct glass fiber-reinforced composite fixed partial denture (DFPD). After periodontal therapy, the patient received a periodontal subepithelial graft, enabling an increase in the thickness and height of the alveolar ridge. The DFPD was fabricated with the use of extracted teeth. Mandibular canines and lateral incisors received cavities 2 mm deep and wide. After fiber insertion, tooth adaptation, and composite resin coverage, the teeth were finished and polished. Results showed an excellent esthetic result with stabilization and function of the remaining periodontally affected teeth.

The objective of this study was to analyze the formation of resin tags on enamel surfaces submitted or not to enamel microabrasion technique. Thirteen undergraduate dental students received removable acrylic palatal appliances on which four sections from intact premolars were fixed, measuring 4.0 mm x 4.0 mm. Two sections received the application of a microabrasive system and the remaining sections did not receive any surface treatment. The patients were instructed to wear the acrylic palatal appliances for 4 months during the day. After this time, the sections were etched with 37% phosphoric acid for 15 seconds (sections 1 and 2) and 60 seconds (sections 3 and 4), followed by adhesive system and composite resin applications. All the sections were prepared for light microscopy analysis to observe the degree of resin penetration (x400). The results were submitted to a three-way analysis of variance with a significance level of 5%. The difference between groups was verified by the Tukey test, at a significance level of 5%. The results showed that microabraded enamel required a longer period of acid etching for longer resin tags.