Objectives The aim of this research is to evaluate/compare the use of traditional versus sleeve fixed partial denture (PD) designs made from different materials on supporting structures. The comparison included three- and four-unit PD cases. Materials and Methods Four finite element models are used in the research. The three-unit PD consists of the mandibular second premolar, first molar (as a pontic), and second molar. The four-unit PD includes the first premolar. The PD materials assessed were zirconia, E-max, and Celtra Duo. Bone has been simplified representing it as two cuboids. Each PD has been loaded to two cases over the pontic's central fossa: 300 N compressive, 150 N obliquely applied with 45 degrees forming 24 cases. Results The three-unit traditional and sleeve PDs material change showed a slight change in cortical bone stress under vertical loading. Under oblique loading, cortical bone Von Mises stresses were higher by about 12 to 15% more than vertical loading. On the other hand, the four-unit PDs showed minor effect by changing PD material, while using sleeve design PD can reduce the cortical bone stresses up to 20% in comparison to traditional PD design. The mucosa and spongy bone were negligibly affected by changing PD material, and the traditional and sleeve designs showed close values to each other. Superiority of sleeve design appeared by reducing cement layer stresses dramatically, while PD body material rigidity affects its response. Conclusion Within the limitations of this study, the higher rigid PD material can dissipate loadings over it more preferably regarding its effect on the underlying structures. Sleeve PD design is equivalent to the traditional one for three-unit PDs, while it showed better performance with four-unit PDs. Zirconia three-unit PDs' bodies received the lowest stresses and redistributed and transferred the applied load to the underneath structures better than the other two tested materials. This finding was reversed with four-unit PDs.

Background/Purpose: Teeth prepared for fixed dental prostheses are subject to various types of insults in the oral cavity. Therefore, to protect the tooth, the pulp, and supporting structures, provisional restorations are mandatory. Our study aimed to evaluate the knowledge and clinical practices regarding provisional fixed dental prostheses (PFDPs) among dental professionals in Saudi Arabia. Materials and Methods: A cross-sectional study based on a self-administered online survey was conducted among 312 dentists (general practitioners and specialists) across Saudi Arabia. The questionnaire assessed participants’ knowledge (11 items) and clinical practices (9 items) related to PFDPs. Statistical analyses included descriptive statistics, chi-square tests, and multivariate logistic regression. Results: Only 46.5% of respondents demonstrated adequate knowledge of PFDPs. Knowledge was significantly higher among specialists than general practitioners (57.4% vs. 41.7%, p = 0.011), and specialists were more likely to recognize the influence of PFDPs on treatment outcomes. Clinical practice patterns indicated that even though 94.2% of respondents frequently placed PFDPs, only 66.0% always did so. Moreover, 21.2% of respondents rarely or never disinfect PFDPs. Public sector dentists and specialists were more likely to use custom-made PFDPs. Key gaps in knowledge were observed regarding the materials and equipment used in the fabrication of PFDPs, particularly concerning CAD/CAM technology. Conclusions: Although most dentists in Saudi Arabia provided PFDPs to their patients, significant gaps remain in their knowledge, particularly regarding fabrication materials and techniques. Targeted educational interventions, especially for general practitioners, are needed to enhance clinical outcomes.

Statement of Problem. The performance of central incisor endocrowns with varying crown heights and different computer‐aided designs and computer‐aided manufacturing materials is not clear. Purpose. The aim of this study was to compare and assess the stress distribution and failure possibility of endodontically treated central incisor protected with endocrowns with different heights, with various CAD–CAM blocks such as IPS e.max CAD, Katana Zirconia, and Zolid Fx Zirconia. Materials and Methods. A root canal‐treated central incisor (plastic model) restored with an endocrown was scanned with a laser scanner to prepare a control model with a CAD software and then transferred to an FEA software. Proposed crown heights were 2, 4, and 6 mm. The model that was duplicated and restored with CAD–CAM blocks, IPS e.max CAD, Katana Zirconia, and Zolid Fx Zirconia were tested as endocrown materials. Bone geometry was simplified to be two coaxial cylinders in all models. Stress distributions under 50 N axial and oblique (with 135° angle from the vertical plane) loading were analyzed. Each model was then subjected to two occlusal loading conditions—the lingual slope of the incisal edge and the junction between incisal and middle thirds. Eighteen runs and calculations were performed to determine the endocrown height and material effect. Results. The results showed a minor or negligible effect of changing the endocrown material. Increasing endocrown height was shown to reduce stresses and deformations on most of the model components (bone, gutta‐percha, periodontal ligament, and endocrown), except root and cement. Differences in deformations and stresses between the two models of 4 and 6 mm were relatively smaller (ranged between 1% and 30%) compared to those between the 2 and 4 mm models (ranged between 10% and 400%). Conclusions. The material used to fabricate endocrowns did not show considerable effect on the underlying structures. However, the endocrown design (2, 4, and 6 mm height) was shown to affect all components of the studied systems. Increasing endocrown height is recommended for bone, periodontal ligaments, and endocrown body, as it reduces stresses and deformations. On the other hand, it dramatically increases stresses on the root and cement layer. Smaller endocrown sizes represent an acceptable treatment option when there is a healthy periodontal state, while using larger sizes will be more suitable when there is a periodontal compromise with bone loss.

Introduction: The choice of crown material for dental implants is critical, and polymer-infiltrated hybrid ceramics have been proposed to mitigate excessive stress. However, research on the stress distribution in these materials and their impact on supporting structures is limited. This study evaluated stress distribution across various CAD/CAM crown materials: multilayered zirconia, polymer-infiltrated hybrid ceramics, and lithium disilicate ceramics on maxillary premolar implants. Materials and Methods: A three-dimensional finite-element model simulating a maxillary premolar implant was developed, featuring a 3.7 mm diameter, 13 mm length, and 5.5 mm abutment height, and was covered with a 50 μm cement layer. The model was subjected to compressive vertical and oblique loads, and three superstructure materials were tested. Results: The study noted slight differences in deformation and stress distribution among materials under the same load conditions. Multilayered zirconia crowns exhibited the least deformation, followed by lithium disilicate crowns, whereas polymer-infiltrated hybrid ceramics showed the most significant deformation. Discussion: The polymer-infiltrated hybrid ceramics exhibited higher susceptibility to deformation due to their resin content. Resilient materials reduce implant stress; implant failure is unlikely at von Mises stress levels below 550 MPa. Oblique loading intensified stress and deformation across all structures, corroborating previous findings about risks to prosthetic parts and surrounding tissues. While cortical bone experienced higher stress than spongy bone, it did not exceed strength limits, particularly at the implant-abutment neck. Conclusions: Stress and deformation increased progressively across all materials, with oblique loads producing greater stress than vertical loads. The bone and mucosa showed minimal response to the crown materials.

Objective: The current investigation aims to assess the clinical efficacy of intraoral photographic assessment in detecting dental caries of varying severity and to assess different variables, such as the type of dentition, examiner experience, and the type of imaging equipment, on evaluative clarity. Methods: This meta-analysis of the PRISMA-DTA systematic review and diagnostic test accuracy was conducted. They searched electronic databases such as PubMed, Web of Science, Scopus, Embase, and Cochrane Library from the beginning of time up to January 2025. The studies had to have evaluated intraoral photographic caries because they were required to have compared it with clinical intraoral examination and provide extractable tooth-level 2 × 2 data. Enamel (ICDAS 1 3), dentine (ICDAS 4 6), and any caries (ICDAS 1 6) were analyzed separately in a meta-analysis. A random-effects model was used to compute pooled sensitivity, specificity, diagnostic odds ratio (DOR), and summary receiver operating characteristic (SROC) curves. Subgroup analysis was done on a pre-specified basis according to dentition, type of examiner, and imaging device. This study has been registered in PROSPERO with reference number 2026 CRD420261330820. Results: Twenty-three studies were retrieved through a comprehensive search and were stratified by severity into three categories. In the case of enamel caries, sensitivity was 0.65 (95% CI: 0.62–0.68), specificity was 0.95 (95% CI: 0.94–0.95), DOR was 36.74 (95% CI: 12.44–108.49), and the AUC was 0.87. In the case of dentine caries, the pooled sensitivity and specificity were 0.86 (95% CI: 0.85–0.87) and 0.96 (95% CI: 0.96–0.97), respectively, which produced the DOR of 176 (95% CI: 91.2–339.6) and the AUC of 0.94. Any caries had a pooled sensitivity of 0.81 (95% CI: 0.80–0.83), specificity of 0.97 (95% CI: 0.96–0.97), DOR of 64.04 (95% CI: 11.65–351.94), and AUC of 0.888. Subgroup analyses revealed that diagnostic accuracy was greater when the lesions were severe. Conclusions: Intraoral photographic assessment has a moderate level of accuracy in detecting enamel lesions and has a clinically acceptable level of accuracy in detecting dentine caries. The clinical efficacy increased with the severity of lesions and was consistent with high specificity at all levels of threshold. Imaging on smartphones could be a promising method for caries screening.