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New Advances in Clinical Dentistry
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New Advances in Clinical Dentistry

A special issue of Applied Sciences (ISSN 2076-3417). This special issue belongs to the section "Applied Dentistry and Oral Sciences".

Deadline for manuscript submissions: closed (30 November 2022) | Viewed by 16172

Special Issue Editors

Prof. Dr. Fabrizio Bambini

E-Mail Website
Guest Editor
Department of Clinical Sciences and Stomatology, Polytechnic University of Marche, 60100 Ancona, Italy
Interests: oral surgery; implantology; dental materials; oral pathology
Special Issues, Collections and Topics in MDPI journals
Dr. Lucia Memè

E-Mail Website
Guest Editor
Department of Clinical Sciences and Stomatology, Polytechnic University of Marche, 60100 Ancona, Italy
Interests: orthodontic; pedodontics; oral surgery; implantology; dental materials; oral pathology
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

The development of research in dentistry has been very productive over the last 40 years; scientific studies in vitro and on animals play an essential role in the development of innovative therapies. The work of clinicians is fundamental to putting previous studies into practice, and evidence-based dentistry is the basis for every dentist in every moment of their clinical practice. This Special Issue aims to publish clear clinical results obtained with new dental techniques, case reports with updated techniques, and the latest-generation materials and equipment. These works must cover restorative, endodontics, pediatric dentistry, orthodontics, oral surgery and periodontology, prosthetics, implantology, oral pathology, and dental materials. The aim is to spread new clinical approaches that are simple and usable by every clinician based on clear and evident results.

Dr. Fabrizio Bambini
Dr. Lucia Memè
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Applied Sciences is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2400 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

 

Keywords

  • clinical dentistry
  • restorative
  • endodontics
  • pediatric dentistry
  • orthodontics
  • oral surgery
  • implantology
  • dental materials
  • prosthetic

Published Papers (7 papers)

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Research

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9 pages, 677 KiB  
Communication
The Effect and the Potential Use of Magnetic–Dam Barrier in Guided Bone Regeneration: A Laboratory Study
by Lucia Memè, Fabrizio Bambini, Gianni Gallusi, Davide Sartini, Valentina Pozzi, Monica Emanuelli, Enrico M. Strappa and Stefano Mummolo
Appl. Sci. 2023, 13(3), 1625; https://0-doi-org.brum.beds.ac.uk/10.3390/app13031625 - 27 Jan 2023
Cited by 5 | Viewed by 1124
Abstract
Guided bone regeneration (GBR) has been shown to be an optimal technique to accelerate the bone regeneration process thanks to the action of membrane barriers that promote tissue healing through the process of osteogenesis, inducing the repopulation with osteoprogenitor cells that prevent the [...] Read more.
Guided bone regeneration (GBR) has been shown to be an optimal technique to accelerate the bone regeneration process thanks to the action of membrane barriers that promote tissue healing through the process of osteogenesis, inducing the repopulation with osteoprogenitor cells that prevent the invasion of non-osteogenic tissue. However, current membranes, such as expanded polytetrafluoroethylene or rubber dam, have some disadvantages that could potentially reduce the effectiveness of GBR. Recently, some scaffolds with magnetic properties have been tested to promote rapid osteogenesis. The aim of this laboratory study was to evaluate the intensity of the magnetic field generated by a custom-made rubber dam magnetised with neodymium-iron-boron (Nd2F14B) (three layers of latex filled with Nd2F14B powder on the inner surface) and to understand the effects of such a membrane on cell viability. A magnetic field of 750 G, 400 G, and 900 G was generated on the surface and on the long and wide sides of 3 and 2 cm in contact with the rubber dam. At a distance of 1 mm from the magnetic dam, a magnetic field of 300 G, 150 G, and 400 G was measured on the surface and on the long and wide sides of the rubber dam, respectively. After 72 h, the MG-63 osteoblast-like line showed a slight decrease in cell proliferation (85 ± 10) compared with the unmodified dam (95 ± 6) and the cell control population. According to our findings, this magnetic cofferdam is able to generate a static magnetic field and significantly affect cell proliferation in contrast to other nonabsorbable membranes. Further laboratory studies and subsequent clinical trials are needed to evaluate the significant improvements that can be achieved by using this type of magnetic rubber dam in GBR. Full article
(This article belongs to the Special Issue New Advances in Clinical Dentistry)
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7 pages, 651 KiB  
Communication
Effect of the Magnetic Field Generated by a New NeFeB Cover Screw on Bone Healing around Endosseous Implants: A Case Series Report from Dental Practice
by Gianni Gallusi, Enrico M. Strappa, Riccardo Monterubbianesi, Luigi Ferrante, Francesco Sampalmieri and Lucia Memè
Appl. Sci. 2023, 13(1), 268; https://0-doi-org.brum.beds.ac.uk/10.3390/app13010268 - 26 Dec 2022
Cited by 4 | Viewed by 1212
Abstract
This study aimed to investigate the effect of static magnetic field (SMF) generated by innovative cover screws made of NeFeB on early bone healing around dental implants. The study was carried out on humans in a private dental practice. Eight 3i implants (Biomet, [...] Read more.
This study aimed to investigate the effect of static magnetic field (SMF) generated by innovative cover screws made of NeFeB on early bone healing around dental implants. The study was carried out on humans in a private dental practice. Eight 3i implants (Biomet, Palm Beach, FL, USA) were placed in the posterior mandible at 3.6 and 3.7. The control implants were closed with a conventional screw (G1), while the test implants were closed with a Supercharged® screw (G2). Both groups were compared for stability at 0, 7, 14, 21, 50, and 90 days using a resonant frequency analyzer with Ostell Mentor (Osstell AB, Gothenburg, Sweden). After 50 days, the Supercharged® cover screw was removed. A significant increase in implant stability quotient (ISQ), corresponding to a lower degree of bone resorption, was observed in G2 throughout the follow-up period (p < 0.05), while an initial ISQ decrease was observed until day 21 in G1. In conclusion, the effect of SMF seems to be in the early stages of osseointegration and increases the stability of dental implants. Full article
(This article belongs to the Special Issue New Advances in Clinical Dentistry)
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11 pages, 1475 KiB  
Article
Evaluation of the Efficacy of Different Irrigation Systems on the Removal of Root Canal Smear Layer: A Scanning Electron Microscopic Study
by Vincenzo Tosco, Riccardo Monterubbianesi, José Aranguren, Lucia Memè, Angelo Putignano and Giovanna Orsini
Appl. Sci. 2023, 13(1), 149; https://0-doi-org.brum.beds.ac.uk/10.3390/app13010149 - 22 Dec 2022
Cited by 6 | Viewed by 2269
Abstract
Irrigation represents a crucial step in endodontics for bacteria disinfection and smear layer removal. Several irrigation strategies have been proposed, although their effects are controversial. This study aims to assess the comparison of four different irrigation systems on the smear layer removal utilizing [...] Read more.
Irrigation represents a crucial step in endodontics for bacteria disinfection and smear layer removal. Several irrigation strategies have been proposed, although their effects are controversial. This study aims to assess the comparison of four different irrigation systems on the smear layer removal utilizing scanning electron microscopy (SEM). Forty sound monoradicular teeth were collected and casually allocated into four groups (n = 10): Group A, conventional irrigation; Group B, IrriFlex irrigation; Group C, ultrasonic irrigation system; Group D, apical negative pressure irrigation. After chemo-mechanical preparation and longitudinal root separation, the three root thirds were analyzed by SEM. Micrographs were carried out at ×2000 to analyze the smear layer residual in each third of the root canal. Statistically significant differences were found between Group A and Group D (p < 0.05). Groups B and C showed satisfactory results in the coronal and middle thirds, while Group D was the only system that achieved satisfactory results in the apical third. However, the complete smear layer removal in the root canal was never achieved with any of the four systems tested. In conclusion, among the four tested irrigation systems, the greatest efficacy on smear layer removal was reached by Group D. Full article
(This article belongs to the Special Issue New Advances in Clinical Dentistry)
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Review

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11 pages, 304 KiB  
Review
Application of Ozone Therapy in Paediatric Dentistry
by Maurizio D’Amario, Mariachiara Di Carlo, Salvatore Massimo Natale, Lucia Memè, Giuseppe Marzo, Giorgio Matarazzo and Mario Capogreco
Appl. Sci. 2022, 12(21), 11100; https://0-doi-org.brum.beds.ac.uk/10.3390/app122111100 - 2 Nov 2022
Cited by 5 | Viewed by 3359
Abstract
The therapeutic use of ozone has been suggested for a long time in general dentistry and paediatric dentistry for its antimicrobial, virucidal, disinfectant, and biocompatible properties. Ozone has also anti-inflammatory, analgesic, and immunostimulant properties, and it promotes tissue regeneration. Dental treatment in children [...] Read more.
The therapeutic use of ozone has been suggested for a long time in general dentistry and paediatric dentistry for its antimicrobial, virucidal, disinfectant, and biocompatible properties. Ozone has also anti-inflammatory, analgesic, and immunostimulant properties, and it promotes tissue regeneration. Dental treatment in children is often complex and ozone could support the clinician to enhance the approach and prognosis with young patients, non-cooperant children, or special needs patients. The efficiency of ozone will certainly increase if studies continue to show positive outcomes in a growing number of dental paediatric conditions. This review explores the recent literature of ozone therapy in paediatric dentistry and suggests fields of application for future randomized controlled trials (RCTs). Full article
(This article belongs to the Special Issue New Advances in Clinical Dentistry)

Other

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10 pages, 12544 KiB  
Case Report
Restoration of Severe Bone and Soft Tissue Atrophy by Means of a Xenogenic Bone Sheet (Flex Cortical Sheet): A Case Report
by Roberto Rossi, Lucia Memè, Enrico M. Strappa and Fabrizio Bambini
Appl. Sci. 2023, 13(2), 692; https://0-doi-org.brum.beds.ac.uk/10.3390/app13020692 - 4 Jan 2023
Cited by 6 | Viewed by 1756
Abstract
The use of xenogenic cortical bone laminas in Guided Bone Regeneration (GBR) has been well described in the literature over the past decade. These biomaterials present a very low degree of complications due to their nature (porcine or equine collagenated bone) and the [...] Read more.
The use of xenogenic cortical bone laminas in Guided Bone Regeneration (GBR) has been well described in the literature over the past decade. These biomaterials present a very low degree of complications due to their nature (porcine or equine collagenated bone) and the fact that when they become exposed, they simply hydrolyze without major complications. One of the problems related to the first generation of these laminas was their extreme rigidity and return elasticity, often forcing clinicians to anchor them with pins and/or screws. A new generation of bone laminas called Flex Cortical Sheet (FCS) have recently been introduced with machine-made thicknesses of 0.2, 0.5, and 0.9 mm and increased flexibility and adaptability to ridge defects. This paper has the goal of presenting a case of vertical and horizontal reconstruction performed by means of a 0.5 mm FCS and showing the workflow necessary to successfully restore a complex situation. After 8 months of healing, the GBR resulted in a horizontal and vertical augmentation of 8 mm and 8 mm, respectively. The radiographic examination at 18 months demonstrated great stability of new bone around implants. Full article
(This article belongs to the Special Issue New Advances in Clinical Dentistry)
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10 pages, 2952 KiB  
Case Report
Modified Periosteal Inhibition (MPI) Technique for Extraction Sockets: A Case Series Report
by Andrea Grassi, Lucia Memè, Enrico M. Strappa, Emanuele Martini and Fabrizio Bambini
Appl. Sci. 2022, 12(23), 12292; https://0-doi-org.brum.beds.ac.uk/10.3390/app122312292 - 1 Dec 2022
Cited by 6 | Viewed by 3247
Abstract
Several Alveolar Ridge Preservation (ARP) procedures have been proposed over the years. The purpose of this study was to describe the new Modified Periosteal Inhibition (MPI) technique for ARP. Seven patients were enrolled (age range: 28–72 years old; 5 males, 2 females). In [...] Read more.
Several Alveolar Ridge Preservation (ARP) procedures have been proposed over the years. The purpose of this study was to describe the new Modified Periosteal Inhibition (MPI) technique for ARP. Seven patients were enrolled (age range: 28–72 years old; 5 males, 2 females). In total, nine hopeless teeth were treated. Following the elevation of a full-thickness flap, atraumatic tooth extraction was conducted, preserving the buccal bone of the alveolar socket. OsteoBiol® Lamina Soft (Tecnoss®, Giaveno, Italy), 0.5 mm thick, was suitably shaped (8–10 mm in height, extending from the mesial and to the distal corners of the socket). The lamina was gently positioned between the buccal periosteum and the buccal bone plate. Tisseel® (Baxter Healthcare Corporation, Deerfield, IL, USA) was applied to seal the cortical membrane. The flaps were sutured with PTFE 4-0 (Omnia, Fidenza, Italy). Postoperative instructions were provided. Patients were strictly monitored during the follow-up. No early or late biological complications were experienced. Cone Beam Computed Tomography (CBCT) exams were performed at baseline and 4 months later. The thickness of the buccal cortical bone at baseline was 1.18 ± 0.57 mm. The pre-operative and post-operative ridge widths were 10.74 ± 1.54 mm and 11.16 ± 1.57 mm, respectively. A horizontal ridge increase of 0.41 ± 0.21 mm was observed during the healing period. At 4 months of healing, the bone volume was adequate for implant placement and no additional bone regeneration procedures were required. MPI technique was effective in preventing the horizontal contraction of the post-extraction socket. Further studies will be needed in the future to confirm our positive results. Full article
(This article belongs to the Special Issue New Advances in Clinical Dentistry)
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14 pages, 236732 KiB  
Case Report
The ‘Guided Tissue Regeneration (GTR) Effect’ of Guided Bone Regeneration (GBR) with the Use of Bone Lamina: A Report of Three Cases with More than 36 Months of Follow-Up
by Roberto Rossi, Michele Modoni, Riccardo Monterubbianesi, Giacomo Dallari and Lucia Memè
Appl. Sci. 2022, 12(21), 11247; https://0-doi-org.brum.beds.ac.uk/10.3390/app122111247 - 6 Nov 2022
Cited by 5 | Viewed by 2385
Abstract
The world of dentistry knows the benefits and results of guided bone regeneration. One of the most successful techniques introduced a decade ago utilizes, as a barrier membrane, a sheet made of collagenated xenograft called bone lamina. Indications and applications with different surgical [...] Read more.
The world of dentistry knows the benefits and results of guided bone regeneration. One of the most successful techniques introduced a decade ago utilizes, as a barrier membrane, a sheet made of collagenated xenograft called bone lamina. Indications and applications with different surgical techniques have been well described by several authors. This technique not only presents a very low degree of complications, but also has some added benefits that this article will highlight. The so called ‘GTR effect’ means that the GBR not only reproduces the required bone volume for placing implants, but also improves attachment levels on the teeth adjacent to the augmented area. Bone lamina produces both GBR and GTR effects. Full article
(This article belongs to the Special Issue New Advances in Clinical Dentistry)
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