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At least 1,189 records · Page 66Linked to original sources

Age of restorations at replacement in permanent teeth in general dental practice.

The ages of 6,761 restorations replaced in permanent teeth, 6,088 in adults > or =19 years of age and 673 in adolescents < or =18 years, were available for analyses. The results showed that the median age of amalgam restorations in adults was 11 years and that of resin-based composite restorations 8 years. This difference in longevity was significant (P = 0.000 l). The median age of failed conventional glass ionomer restorations in adults was 4 years and for resin-modified glass ionomer 2 years. In adolescents, the median longevity of failed amalgam restorations was 5 years and that of composite restorations 3 years, while both types of glass ionomers had a median longevity of 2 years. The data were subdivided based on clinician gender and practice setting. The results showed that the median age of amalgam and composite restorations replaced Its male clinicians was higher than that for female clinicians irrespective of clinical setting. The median age of amalgam and composite restorations replaced by salaried dentists was significantly lower than that by private practitioners. Minor differences were noted in longevity of restorations between male and female patients. The age of replaced restorations was shortest for the group of clinicians with the least clinical experience and highest for those that graduated > or = 30 years ago.

Adolescent↗

Effectiveness of high-power laser use in the removal of esthetic restorations: a systematic review.

This systematic review aimed to evaluate the effectiveness of high-power lasers in the removal of esthetic restorations compared with conventional methods. The review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and registered in PROSPERO (registration number: CRD420251055736). A comprehensive electronic search was performed in MEDLINE, Scopus, Embase, Web of Science, and the Cochrane Library. Study selection, data extraction, and methodological quality assessment were independently performed by four reviewers using QUIN tool for in vitro studies. A total of 2.384 records were identified, of which 19 in vitro studies conducted on extracted human permanent teeth met the eligibility criteria and were included in the qualitative synthesis. The included studies evaluated different high-power laser systems, predominantly Er: YAG and Er, Cr: YSGG lasers, as well as CO&#x2082; lasers. Five studies were classified as high quality, whereas the remaining fourteen studies were classified as moderate quality. Available laboratory evidence suggests that laser-assisted techniques may represent a potential alternative approach for removing esthetic restorations, with advantages including conservative tissue removal, reduced damage to underlying tooth structures, and intrapulpal temperature increases within acceptable limits. The Er: YAG laser was the most frequently investigated system, with power settings ranging from 1.5 to 5.9&#xa0;W, showing particularly favorable laboratorial performance in the removal of lithium disilicate restorations, especially in thinner substrates. Within the limitations of the available evidence, high-power lasers appear to be a promising and minimally invasive alternative to conventional methods for the removal of esthetic restorations. However, the predominance of in vitro studies highlights the need for well-designed clinical trials to confirm these findings and support their clinical application.

Humans↗

A survey of the pattern of private general dental practice in Queensland.

All non-specialist ADA member private practitioners in Queensland were invited to participate in a survey to determine the number of the various types of permanent restorations placed in one week and the percentage breakdown of the time they devoted to the various areas of dentistry. Final year dentistry students at the University of Queensland were asked to estimate the projected breakdown of their time in future practice. Results showed that amalgam is still by far the most commonly used material followed by composite resin and glass ionomer cement and that restorative dentistry accounts for the bulk of the practitioners' time. Students' estimations of the work mix were in agreement with those of the practitioners.

Adult↗