Restorative procedures for caries affecting primary molars are a daily challenge for pediatric dentistry, and one of the main factors influencing the results of these restorative procedures is the choice of dental material used: bioactive materials were recently introduced, combining the strength of composites and the benefits of glass ionomers. The present study’s objective is to clinically evaluate the aesthetic, functional and biological properties of Activa™ Bioactive composite in approximal and occlusal carious lesions for 1 year using the FDI criteria for evaluating direct dental restorations. Forty-five children with occlusal or approximal caries in first or second primary molars were included in the study: the cavities were then randomized to be restored with either Activa BioActive or SDR Bulk-fill and evaluated over time according to Federation Dentaire Internationale (FDI) criteria. Results showed that Activa BioActive composite has similar performance over time compared to Bulk-fill composite, for both functional and aesthetic properties. Thus, within the limitations of this study, including the short follow-up period, it can be concluded that bioactive materials might be the material of choice to restore primary molars. A longer follow-up period is desirable to confirm these findings.

The success of implant-supported fixed complete dental prostheses (ISFCDPs) depends on multiple factors: some are related to the fixtures, such as fixture material, surface characteristics, positioning, and type of connection to prosthetic components; others are related to the prostheses, such as design and materials used. Zirconia is a material widely used in fixed prosthodontics, whether on natural teeth or on implants, with excellent results over time. Regarding the use of zirconia for ISFCDPs, the 2018 ITI Consensus Report stated that “implant-supported monolithic zirconia prostheses may be a future option with more supporting evidence”. Since CAD/CAM technology and zirconia are being continuously innovated to achieve better results and performances over time, a narrative review of the literature seems necessary to focus research efforts towards effective and durable solutions for implant-supported, full-arch rehabilitations. The objective of the present narrative review was to search the literature for studies regarding the clinical performance of zirconia-based ISFCDPs. According to the results of this review, the use of zirconia for ISFCDPs showed good clinical outcomes, with high survival rates ranging from 88% to 100% and prosthetic complications that were restorable by the clinicians in most cases.

The basis for dental implant success comes not only with the titanium implant osseointegration but also depends on other factors such as the development of a soft tissue barrier, which protects the peri-implant bone from the oral environment. The characteristics of surfaces in contact with peri-implant soft tissues may affect the capacity of peri-implant mucosal cells to create a tight seal around the implant, thus influencing long-term implant success. Many histological studies on animals have been conducted on different materials to better understand their influence on peri-implant soft tissues, with the limitation that results from animal studies cannot be fully translated in humans. The aim of this review paper was to analyze the literature focusing on histological clinical studies in humans which have examined different materials or different surface treatments and their effects on peri-implant soft tissues. The research was conducted according to the following PICO question: “Do different implant/abutment materials affect peri-implant soft tissues adhesion and health?”. Nine articles were analyzed in this review. The results of this review show the influence of different abutment materials on the peri-implant soft tissues, and the need of further research regarding the effect that abutment materials, surface treatments, and surface properties have on soft tissues.

Conservative dentistry in primary dentition aims to remove and repair existing carious lesions and to prevent secondary caries up until exfoliation of the primary tooth happens, in order to maintain the important role in terms of the space maintenance and guidance for eruption that deciduous teeth have. Many different materials are used, and some of them, recently commercialized, show bioactive properties able to prevent secondary caries. This trial’s primary focus is to evaluate the biological, functional, and aesthetic characteristics of Cention-N alkasite material compared to glass ionomer cement (GIC) through the use of standardized FDI criteria for direct restorations. A blinded, split-mouth study was designed for this purpose, including 112 deciduous molars in 45 children showing class II caries restored with either GIC or alkasite material. The data from this study indicates that the Cention-N alkasite material showed equal performance compared with Fuji IX GIC after one year. A thorough evaluation of exfoliated teeth restored with this material will provide long-term data and an evaluation on infiltration rates.

The use of zirconia for full-arch Implant-Supported Fixed Complete Dental Prostheses (ISFCDPs) is common and reliable, with different techniques available for their design and fabrication. This retrospective study investigated prosthetic and implant survival/success rates and patients’ satisfaction for ISFCDPs produced with three different techniques: zirconia-on-titanium (milled zirconia arch glued to a titanium bar), progressive monolithic zirconia (entirely made of zirconia and directly screwed to the implants) and zirconia-on-zirconia (milled esthetic zirconia crowns glued to a milled high resistance zirconia frame). Fourteen patients (five males, nine females) aged 52–80 and treated with 14 ISFCDPs (86 implants) were included in this analysis. The mean follow-up at the time of recall was 36 months. Prosthetic and implant-related success rates were, respectively, 92.86% and 95.35%. No failures have been reported. One case of prosthetic chipping was observed; however, it was successfully repaired intraorally. Patients’ satisfaction was high: 78.57% were completely satisfied, 14.53% very satisfied and 7.14% satisfied. In conclusion, all the patients recommend treatment with ISFCDPs as full-arch prosthetic rehabilitation. The present study demonstrates positive clinical outcomes and high patients’ satisfaction. Further long-term, prospective studies with a larger cohort of patients are needed to confirm the advantages of the different prosthetic designs.