All-ceramic restorations are the foundation of modern restorative aesthetic dentistry. The industry for dental materials now provides a large selection of biomaterials with a range of constantly improving qualities. Although this is undoubtedly advantageous, the vast array of materials may confuse even experienced dentists. Even if recently the demand of digital dentistry in daily dental practice has significantly increased, due to a lack of understanding concerning cementation techniques, which are different for each type of ceramic used, dentists are continuing to be hesitant to utilise these various CAD/CAM materials. This study analysed 58 articles from 2008 to 2025, focusing on narrative, comprehensive, and systematic reviews and in vitro studies on dental dentistry materials. English articles were included, but non-English articles and case reports were excluded. The analysis included articles from all journal categories, ensuring adherence to inclusion and exclusion criteria. The aim of the research is to assess material classifications and properties that guide practices concerning the adhesive cementation of all-ceramic restorations. In order to provide a clear overview of the composition, characteristics, clinical considerations, and current trends of contemporary dental materials, as well as some recommendations for future research in this area that would be relevant to dentists and the scientific community, the authors of the paper were guided by this structure when writing the article content. The key is to ensure the aesthetics, resistance, and long-term clinical success of the treatment plan by providing dental professionals with clear, accurate information and instructions about resin-luting materials and indirect restoration materials.
All-ceramic restorations are the foundation of modern esthetic dentistry. Clinical approaches for preparation, durability, aesthetics, and repair have been reformed by the idea of adhesive dentistry. The aim of the study and the objective question was to evaluate the impact of heated hydrofluoric acid pretreatment and the application technique’s influence on the surface morphology and roughness of leucite-reinforced glass–ceramic materials (IPS Empress CAD, Ivoclar Vivadent), which is fundamental for understanding the adhesive cementation process. Scanning electron microscopy was used to observe the effectiveness of the two HF (Yellow Porcelain Etch, Cerkamed) application techniques and the HF’s temperature impact on the surface topography of the ceramic. Based on surface conditioning methods, the adhesive cement (Panavia V5, Kuraray Noritake Dental Inc., Tokyo, Japan) was applied to the conditioned ceramic samples and light-cured. Shear bond strength values were correlated with the micro-retentive surface texture of the ceramic. With universal testing equipment at a 0.5 mm/min crosshead speed, SBS values between the resin cement and the ceramic material were assessed until failure. Analyzing the fractured surfaces of the specimens by digital microscopy, the failure modes were divided into three categories: adhesive, cohesive, and mixed failure. Analysis of variance (ANOVA) was used to statistically analyze the collected data. The results show that alternative treatment methods affected the material’s surface characteristics and have an influence on the shear bond strength.
Background and Objectives: The extraction of mandibular third molars poses challenges due to their proximity to the mandibular canal and risk of inferior alveolar nerve (IAN) injury. Accurate preoperative evaluation is essential to minimize complications. This study assessed the three-dimensional positional relationship between the mandibular canal and lower third molars using cone-beam computed tomography (CBCT), aiming to identify anatomical positions associated with increased surgical risk. Materials and Methods: This retrospective study analyzed 253 CBCT scans of fully developed lower third molars. The mandibular canal position was classified as apical (Class I), buccal (Class II), lingual (Class III), or interradicular (Class IV). Contact was categorized as no contact, contact with a complete or defective white line, or canal penetration. In no-contact cases, the apex–canal distance was measured. Statistical analysis included descriptive and contingency analyses using the Chi-Square Likelihood Ratio test. Results: Class I was most common (70.8%) and presented the lowest risk, while Classes III and IV showed significantly higher frequencies of canal contact or penetration. Class II exhibited shorter distances even in no-contact cases, suggesting residual risk. Statistically significant associations were found between canal position and both contact type (p < 0.001) and apex–canal distance (p = 0.046). Conclusions: CBCT offers valuable insight into the anatomical relationship between third molars and the mandibular canal. High-risk positions—particularly lingual and interradicular—require careful assessment. Even in the absence of contact, close proximity may pose a risk and should inform surgical planning.
Background and Objectives: Modern esthetic dentistry is based on all-ceramic restorations. Dentists still have reservations about using these restorations due to a lack of understanding of the cementation technique, which depends on the type of ceramic used. The aim of the study is to evaluate the approaches and practices of clinicians regarding the adhesive cementation of all-ceramic restorations. Materials and Methods: An online questionnaire regarding the use of all-ceramic restorations and their bonding methods was designed by distinguishing the cementation of oxide and silica-based ceramics. The survey included dentists practicing in Timiș County, Romania. The questionnaire and the evaluation of the answers were designed based on the techniques and evidence from the literature. Results: Considering the work experience, we obtained two groups: group 1—1 to 6 years and group 2—6 to 9+ years. The results revealed significant values when comparing the two groups in the surface protocol and decontamination (p = 0.005), type of cement used (p = 0.002), and isolation techniques (p = 0.002). Conclusions: The results show that many clinicians need additional training to improve their cementing technique and avoid the confusion caused by insufficient information about the interrelationship between the type of ceramic and the cementation procedure.
Despite the progress made in diagnosing and treating maxillofacial infections, the course of infection can be unpredictable, leading to severe complications, prolonged hospitalization, and substantial financial costs to health care services. It is important to determine whether various serum inflammatory marker levels on admission may predict a prolonged hospital stay in these patients. To analyze the role of CRP, white blood cell count (WBC), and neutrophil-to-lymphocyte ratio (NLR) in predicting the prolonged duration of hospitalization in maxillofacial infections, we performed a retrospective study by collecting paper records data from 108 patients who met our inclusion criteria. The patients were divided into two groups according to the duration of hospitalization (group A < 5 days and group B ≥ 5 days). The predictor variables were CRP, WBC, and NLR, and the outcome variable was the duration of hospitalization. This study confirmed a positive linear correlation (p < 0.001) between the predictors and the outcome variable. The optimal cut-off values for WBC are 11,030 white blood cells/μL and 63 mg/L for CRP. Levels that exceed these optimal values predict a duration of hospitalization of over (≥) 5 days. Serum WBC and CRP on admission may predict the duration of hospitalization in patients with MFI.
Background/Objectives: The most common form of supernumerary teeth is represented by the mesiodens. Very often, they are impacted, usually palatially, but can be found buccally or between the roots of the permanent central incisors. Their position can be normal, inclined, or inverted. In the possible case where the impacted mesiodens crown is oriented upwards towards the nasal cavity, they are called inverted mesiodens. The inverted mesiodens are mainly asymptomatic, and the main diagnostic methods are radiological, especially CBCT. Methods: This paper presents the intraoral approach through the nasal floor as a very reliable method for the surgical removal of inverted mesiodens. We report a protocol, including the diagnosis process, criteria for choosing this surgical approach, and description of the surgical procedure. Preoperative CBCT is mandatory for diagnosis and choice of the surgical approach. This is chosen based on measurements on the cross-sectional view of the CBCT investigation and is in compliance with our criteria related to the appropriate surgical approach. Results: Using this approach, the mesiodens were extracted without intraoperative or postoperative complications or accidents, and operating times were relatively short. Conclusions: The intraoral approach through the nasal floor for surgical removal of inverted mesiodens satisfies all the conditions to be a predictable, safe, and time-efficient technique. It has its limitations, mainly regarding the surgical skills of the operating team. The cone–beam computed tomography (CBCT) has a fundamental role in the diagnosis and treatment of included mesiodens.