Recent advancements in biomimetic dentistry have introduced innovative materials designed to better simulate natural dentin. One such material is Ribbond^®, long polyethylene fiber. It is particularly effective in absorbing and redistributing masticatory forces in teeth with substantial dentin loss. This review aims to analyze the literature on the biomimetic restorative technique using long polyethylene fiber and assess its benefits and indications relative to traditional cusp coverage restorations. Methods: A search was conducted in the PubMed database until March 2024. The authors selected in vitro studies that studied long polyethylene fiber as a dentin reinforcement. Results: From 247 potentially relevant articles, eighteen studies were included in the review. A detailed analysis of the reviewed literature was summarized into three principal sections involving the use of long polyethylene fiber in restorative dentistry. Conclusions: Long polyethylene fibers improve fracture resistance and promote favorable fracture modes, helping to mitigate the shrinkage forces in composite restorations. However, their clinical significance over traditional cusp coverage is unclear.

Several metallic and polymer-based implants have been fabricated for orthopedic applications. For instance, titanium (Ti), zirconia (Zr), and polyetheretherketone (PEEK) are employed due to their excellent biocompatibility properties. Hence, the present study aimed to compare the functional and biological properties of these three biomaterials with surface modification. For this purpose, Ti, Zr, and ceramic-reinforced PEEK (CrPEEK) were coated with NaOH and tested for the biological response. Our results showed that the surface modification of these biomaterials significantly improved the water contact, protein adhesion, and bioactivity compared with uncoated samples. Among the NaOH-coated biomaterials, Ti and CrPEEK showed higher protein absorption than Zr. However, the mineral binding ability was higher in CrPEEK than in the other two biomaterials. Although the coating improved the functional properties, NaOH coating did not influence the antibacterial effect against E. coli and S. aureus in these biomaterials. Similar to the antibacterial effects, the NaOH coating did not contribute any significant changes in cell proliferation and cell loading, and CrPEEK showed better biocompatibility among the biomaterials. Therefore, this study concluded that the surface modification of biomaterials could potentially improve the functional properties but not the antibacterial and biocompatibility, and CrPEEK could be an alternative material to Ti and Zr with desirable qualities in orthopedic applications.

Background: Traditional sandblasted large-grit acid-etched (SLA) surface treatments frequently utilize alumina (Al₂O₃) blasting, which may leave residual particles embedded in implant surfaces, potentially compromising biocompatibility and osseointegration. This study investigates a contamination-free alternative: titanium dioxide particle (TiO₂) blasting followed by hydrochloric acid (HCl) etching, aimed at generating a cleaner, hierarchical micro–nano-textured surface. Methods: Grade IV titanium disks were treated either with TiO₂ sandblasting alone or with an additional HCl etching step. Surfaces were analyzed via atomic force microscopy (AFM), scanning electron microscopy (SEM), contact angle measurements, and profilometry. hFOB osteoblasts were cultured to assess adhesion, proliferation, metabolic activity, and morphology. Results: The combination treatment produced a more homogeneous micro–nano structure with significantly increased roughness and a cleaner surface chemistry. Osteoblast proliferation and metabolic activity were notably improved in the TiO₂ and HCl group. SEM imaging showed a more organized cytoskeletal structure and pronounced filopodia at 72 h. Conclusions: Titanium blasting combined with HCl etching yields a cost-effective, contamination-free surface modification with promising early-stage cellular responses. This approach represents a safer and effective alternative to conventional SLA treatment.

Objectives: This double-blind, randomized clinical trial aimed to evaluate the impact of 2 g of pre-operative amoxicillin on postoperative clinical outcomes and salivary prostaglandin E2 (PGE2) concentration following mandibular third molar removal. Methods: Eighteen healthy adult patients requiring impacted mandibular third molar extraction were randomly assigned to two groups: an experimental group (EG) receiving 2 g of amoxicillin and a placebo group (PG) receiving empty capsules, one hour before the surgery and before taking the first saliva sample. Primary outcomes measured were pain levels at different time points and salivary PGE2 concentrations measured before, 24 h, and 7 days after the surgery, while secondary outcomes included changes in maximum mouth opening (MMO) immediately after the surgery at 1 day and a week post-surgery, and facial swelling at 24 h and 7 days post-surgery. Results: The results showed no significant differences between the EG and PG in terms of pain levels, salivary PGE2 concentration, MMO changes, or facial swelling at different time points (p-values > 0.05). One instance of surgical site infection was noted in the PG in the 7-day follow-up session, but it was not statistically significant (p-value = 0.303). Correlation analyses indicated that a higher number of sutures and a higher difficulty index of surgery were associated with increased pain, while longer surgery duration and osteotomy were linked to more MMO changes and facial swelling (p-values < 0.05). In addition, while longer surgery duration and performing tooth section were correlated with lower PGE2 concentrations, PGE2 concentrations were positively correlated with pain levels (p-values < 0.05). Conclusions: Based on the results of this study, administering 2 g of prophylactic amoxicillin did not significantly affect postoperative clinical or laboratory outcomes in healthy patients undergoing mandibular third molar surgery.

This study evaluates the influence of conventional versus simplified drilling protocols on bone remodeling after the osteointegration period, marginal bone loss (MBL), and primary implant stability. A randomized, double-blind clinical trial was conducted involving 44 implants in 37 patients over a two-year period. The primary outcome was peri-implant tissue stability, measured as MBL at baseline, 12 months, and 24 months. Secondary outcomes included implant stability, measured via insertion torque, and survival rates. The results indicated no significant differences in initial bone remodeling and MBL between groups after 24 months. Both protocols demonstrated high survival rates, with one implant failure recorded in the simplified protocol group. Although simplified drilling protocols may reduce surgical complexity, concerns about heat generation and reduced adaptability in osteotomy were described in the literature. This study concludes that drilling protocol choice does not significantly impact bone levels during osteointegration, crestal bone maintenance, or implant survival over 24 months, but further research is needed to explore long-term effects and prosthetic factors.

This presentation combines a conceptual overview with a real clinical application. A 24-year-old woman, referred for esthetic enhancement, received porcelain veneers using the Bright Corus protocol. The outcome was biologically respectful, esthetically harmonious, and anatomically precise, with minimal human intervention and a high degree of predictability. This treatment exemplified how artificial intelligence-driven digitally assisted dentistry can enhance the reliability of restorative procedures by orchestrating a unified, precision-guided workflow.