The review critically evaluates the current state of studies investigating laser irradiation for modifying titanium surfaces to enhance the biointegration of dental implants. Laser modification is a rapidly evolving physicochemical surface modification process with the potential to revolutionize dental implant technology. A thorough search of electronic databases, including PubMed, Science Direct, MEDLINE, and Web of Knowledge, was conducted to identify relevant articles. The review focuses on the surface features of laser-modified implants, encompassing in vitro cell culture experiments, rare animal experiments, and limited clinical trials. Of the 26 selected sources, 21 describe surface features, while only two involve in vivo human experiments. The review highlights the lack of long-term clinical experience and calls for further research to mature these technologies. Despite the absence of a consensus on optimal laser types and settings, the overall results are promising, with few negative outcomes. As research in laser irradiation of titanium surfaces progresses, significant advancements in dental implant technology and improved patient well-being are anticipated.

Background: The treatment of transversal maxillary deficiency usually aims at skeletal expansion. The treatment option highly depends on the maturation stage of the midpalatal suture (MPS), which may vary between individuals at the same chronological age. Therefore, the individual determination of the MPS maturation is crucial. Aims: Our aim was to investigate the applicability of fractal analysis for the quantitative evaluation of MPS maturation. Methods: Nine experienced orthodontists were asked to evaluate the MPS maturation on 51 cone beam computed tomography (CBCT) scans according to the Angelieri classification method. Intra- and inter-examiner reliability was measured using Cohen’s Kappa coefficient. The stages were agreed upon according to the results of the examiners with the highest strength of agreement. Fractal analysis was then performed on the CBCTs and the correlation between the fractal dimension values and maturation stages was then evaluated. Optimal fractal dimension cut-off values were determined using a receiver operating characteristic curve. Results: The cut-off point was found at 1.073, at which the use of fractal dimension for predicting MPS maturation showed 100% sensitivity, 93.7% specificity, 9.5% false positive, 0% false negative rate. Conclusion: Our results provided further evidence that fractal analysis is a reliable tool to determine MPS maturation stage.

The influence of energy drinks on dental materials are relatively under addressed. Our aim was to investigate the effect of energy drinks on dental materials used intraorally in young individuals. Commonly used preventive, restorative, and orthodontic materials were tested in vitro. The effect of two commercially available energy drinks (HELL, BURN) was investigated on different dental materials: machined, anodized Titanium (grade 5: Ti6Al4V) and composites (Grandio Seal, VOCO; Filtek Z250, 3M ESPE; Estelite SQ, TOKUYAMA). The roughness (Ra) and morphological changes were examined by atomic force microscopy (AFM) and scanning electron microscopy (SEM). AFM and SEM revealed significant differences in the Ra and morphology of the samples. AFM results for the machined and anodized titanium samples showed that the two energy drinks modified the surface roughness differently; BURN changed the roughness of machined samples significantly, while anodized discs were not altered significantly by the two energy drinks. In case of composite samples there was no significant difference for the Estelite SQ, relative low differences for the Filtek Z250 and significant changes in the morphology and surface roughness of Grandio Seal. On all tested materials, changes in the surface roughness and morphology were more or less detected, proving energy drinks do in fact have a harmful effect. It can be concluded that material erosion depends on the material composition and particle arrangement. Where the surface is characterized by a regular, uniform particle arrangement, energy drinks are less able to influence the roughness, while for samples where the surface is rich in aggregates, the material erodes the surface much more easily.

Metallic biomaterials are frequently exposed to chemically aggressive environments that may compromise surface integrity and corrosion resistance. Acidic media containing organic acids represent a relevant challenge for metallic systems, as they can destabilize passive oxide layers and promote surface degradation processes. The present in vitro study investigated acid-induced surface alterations in four commercially relevant orthodontic alloys—nickel–titanium (NiTi), copper–nickel–titanium (CuNiTi), titanium–molybdenum alloy (TMA), and stainless steel—as representative metallic biomaterials. Specimens were exposed to two commercially available acidic beverages with distinct pH conditions, followed by analysis of surface morphology, roughness, and elemental composition using atomic force microscopy (AFM), scanning electron microscopy (SEM), and energy-dispersive X-ray spectroscopy (EDS). The results demonstrated pronounced alloy-dependent differences in degradation behavior. Stainless steel and TMAs exhibited significant increases in surface roughness and morphological alterations, whereas NiTi-based alloys showed comparatively stable surface characteristics. Elemental analysis revealed material-specific compositional variations, suggesting selective surface modification processes under acidic exposure. These differences can be attributed to variations in alloy composition, microstructure, and the stability of passive oxide layers, which collectively govern corrosion resistance in metallic systems. The findings provide insight into acid-induced degradation mechanisms in metallic biomaterials and highlight the importance of material-dependent corrosion behavior under chemically aggressive conditions. These observations may have implications for surface-mediated biological responses and long-term functional performance of metallic biomaterials.

Background: Soft tissue stability around dental implant abutments is critical for maintaining a functional peri-implant seal. Yellow anodization is used to improve the aesthetic and surface characteristics of titanium abutments, yet its epithelial effects under more physiologically relevant 3D conditions remain insufficiently explored. Objective: To develop a 3D bioprinted in vitro peri-implant mucosa model and to compare epithelial cell responses on yellow anodized versus turned titanium abutment surfaces. Methods: Commercial Grade 5 (Ti6Al4V) titanium abutments were anodized and compared with turned controls. A collagen-based 3D bioprinted “collar-like” construct incorporating YD-38 epithelial cells was fabricated using a custom holder system to simulate peri-implant mucosal contact. Samples were cultured for 14 and 21 days. Cell distribution and morphology were assessed by optical microscopy and HE staining, while cytoskeletal organization was evaluated by TRITC-phalloidin/Hoechst staining and confocal microscopy. Quantitative fluorescence analysis was performed at 21 days. Results: Both surfaces supported epithelial coverage in the 3D environment. Anodized specimens showed more pronounced actin cytoskeletal organization and the presence of actin-rich, filamentous cellular extensions compared with turned controls. Quantitative image analysis demonstrated significantly higher TRITC-phalloidin signal intensity at 21 days on anodized samples (p < 0.001). Conclusions: Within the limitations of a 3D epithelial in vitro model using YD-38 cells, yellow anodization was associated with enhanced epithelial cytoskeletal organization compared with turned titanium. The presented 3D bioprinted platform may serve as a practical in vitro tool for screening abutment surface modifications relevant to peri-implant soft tissue integration.

Soft tissue calcifications on dental panoramic radiographs (PR) may reflect systemic vascular disease. Given the increased cardiovascular and cerebrovascular risk in diabetes, this study compared their prevalence in patients with diabetes and baseline-comparable nondiabetic controls and explored associations in the combined sample. This retrospective case-control study included 56 adults with diabetes and 56 nondiabetic controls, frequency-matched by age (±5 years) and sex. Four calibrated examiners independently evaluated PRs with consensus adjudication. Outcomes were soft tissue calcification, carotid-region calcification, and stylohyoid ligament complex calcification/ossification. Crude prevalence was calculated for each group and the total sample, and multivariable logistic regression adjusted for age, sex, diabetes status, smoking, alcohol use, renal disease, and rheumatic disease. A total of 112 participants were analysed (56 with diabetes mellitus and 56 controls), with comparable baseline characteristics between groups. In the total sample, the crude prevalence of any soft tissue calcification was 42.0%, carotid-region calcification 27.7%, and stylohyoid ligament complex calcification/ossification 35.7%. In adjusted models across the combined sample, age was independently associated with higher odds of any soft tissue calcification (per 10-year increase: aOR 1.68, 95% CI 1.23-2.29; P = 0.001) and carotid-region calcification (aOR 1.52, 95% CI 1.08-2.14; P = .016). Male sex was associated with lower odds of any soft tissue calcification (aOR 0.40, 95% CI 0.16-0.99; P = .047). Diabetes status was not independently associated with the outcomes in the fully adjusted models. Panoramic soft tissue calcifications were common. Although diabetes was not an independent predictor, frequent detection of suspected carotid-region calcifications supports structured reporting and opportunistic vascular risk assessment on routine PR, especially in older patients. Opportunistic identification of carotid-region calcifications on routine PR may support early cardiovascular risk assessment, particularly in patients with diabetes and older adults.