ORIGINAL RESEARCH ARTICLE | April 5, 2025
Narrow Unitary Implants (3.3 MM) and Reduced Platform (3.0) in Molars for Cases of Reduced Mesiodistal Space
Eduardo Anitua
Page no 184-193 |
https://doi.org/10.36348/sjodr.2025.v10i04.001
Introduction: The rehabilitation of areas with localized horizontal atrophy in the molar region or with reduced interdental spaces using dental implants is challenging. In many cases, horizontal regeneration must be performed prior to implant placement, which increases the morbidity of the procedure, particularly considering it involves a unitary implant. For these situations, narrow-diameter implants with reduced platforms offer a viable solution to address localized atrophies successfully. This case series demonstrates situations resolved with these implants in a safe and predictable manner. Materials and Methods: Narrow implants with a diameter of 3.3 mm and a narrow platform (3.0 mm) were prospectively analyzed. These implants were placed in molar positions and rehabilitated as single-unit restorations in cases of localized horizontal atrophy with reduced mesiodistal spaces, avoiding the use of regenerative techniques to restore lost width. The primary variable evaluated was implant survival, followed by crestal bone loss and the occurrence of surgical or prosthetic complications during the follow-up period. Qualitative variables were described using frequency analysis, while quantitative variables were summarized using mean and standard deviation. Implant survival was estimated using the Kaplan-Meier method. Results: Thirteen patients were recruited, receiving a total of 15 implants that met the inclusion criteria. Of these, 73.3% were placed in the mandible, with position 46 being the most frequent location. All the implants studied had a diameter of 3.3 mm with a platform of 3.0 mm and were placed for unitary molar rehabilitation, using screw-retained crowns supported by single abutments. Implant lengths were 5.5 mm in 33.3% of cases and 6.5 mm in the remaining 66.7%. The mean mesial bone loss at the end of the follow-up was 0.49 mm (+/- 0.21), while the mean distal bone loss was 0.43 mm (+/- 0.28). Conclusions: Narrow-platform (3.0 mm) and reduced-diameter implants can be placed in molar regions and rehabilitated as single-unit restorations in cases of localized horizontal atrophy, reduced interproximal spaces, or both factors combined, with favorable outcomes.
REVIEW ARTICLE | April 9, 2025
Evolving Technologies in Orthodontics: The Example of the Direct 3D Printed Aligners: A Literature Review
Raslen Ghazel, Mohamed Amine Blouza, Yesmine Abid, Wiem Ben Amor, Ines Dallel, Samir Tobji, Adel Ben Amor
Page no 194-204 |
https://doi.org/10.36348/sjodr.2025.v10i04.002
Orthodontics has witnessed significant advancements in recent decades. One such innovation is the advent of three dimensional (3D) printed aligners, which offer a promising alternative to traditional wire-and-bracket appliances and conventional ready-made or in-house aligners. The aim of this literature review was to critically appraise the available data and information in the literature about the direct printed aligner, its raw material and to compare it with the traditional thermoformed aligners. The research question of the study was what the proprieties are, the mechanical behaviors, the hazards of the resin used, and the aligners fabricated from the direct 3D-printed process compared to the traditional in-office or aligners made by companies. The answers were elaborated according to the PICO method: Problem: the different properties and related challenges of the use of the new materials in orthodontics, Intervention: the new resins used in and aligners produced by direct 3D-printing, Comparison: aligners produced by companies and made in-office with thermoforming, Outcome; Are the new materials used and the process of fabrication advantageous compared to the thermoformed aligners? The analysis of the studied literature showed that 3D direct printed aligners have some promising advantages in comparison with thermoformed aligners. However, studies of high-quality levels are still required to explore more in depth the potential and the limitations of this new way of manufacturing clear aligners.
Diabetes mellitus (DM) is one of the most common diseases worldwide. Its effects on oral and dental health are well distinguished. As this disease is increasing worldwide, it is essential for dental care providers to be fully aware of the disease diagnosis and management and to deal with it confidently. This review discusses the oral manifestations and dental considerations that should be followed when treating patients with DM.
Background: Betel nut chewing is a deeply ingrained cultural practice in various regions, including rural Bangladesh. Despite its cultural significance, this habit poses significant health risks, particularly concerning oral health. This study aims to assess the impact of betel nut chewing on oral health among individuals in rural Bangladesh. Methods: A descriptive cross-sectional study was conducted at the Jamalpur 250 Bedded General Hospital in Bangladesh from January to July 2023. A total of 150 adult participants were recruited. Data collection involved structured questionnaires covering demographic information, betel nut chewing habits, and self-reported oral health issues, complemented by clinical oral examinations performed by qualified dentists. Results: Out of 150 participants, 100 (66.7%) reported habitual betel nut chewing. Among these chewers, 70% engaged in daily chewing, with 40% having chewed for 5-10 years. Common oral health issues identified among chewers included dental discoloration (60%), periodontal disease (45%), and oral submucous fibrosis (30%). A significant association was observed between the duration of betel nut chewing and the prevalence of oral health conditions; participants chewing for over 10 years exhibited higher rates of oral submucous fibrosis (66.7%) and leukoplakia (33.3%). Conclusion: The study underscores a strong association between betel nut chewing and adverse oral health outcomes in rural Bangladesh. The findings highlight the need for targeted public health interventions to raise awareness about the risks of betel nut consumption and to promote oral health in these communities.
REVIEW ARTICLE | April 24, 2025
Man Behind the Mask: A Male Pediatric Dentist’s Quest for Childhood Confidence
Akil Prawin S S, Sonal Gupta, Afsia Saly, Charu Aggarwal, Rohan Shrivastava, Nayana Abraham
Page no 216-220 |
https://doi.org/10.36348/sjodr.2025.v10i04.005
Creating a positive and playful environment in pediatric dentistry is essential for fostering trust and easing young patients' anxieties. While female pediatric dentists in India are increasingly recognized for their nurturing approach, the smaller representation of male practitioners highlights an opportunity for growth. By adopting child-friendly techniques, such as playful communication, empathetic listening, and creative interactions, male pediatric dentists can effectively bridge the gap and break stereotypes. Embracing a "pookie" persona—a blend of professionalism and playfulness—allows male dentists to transform dental visits into enjoyable experiences, leaving lasting positive impressions on children. This review underscores the importance of combining technical expertise with emotional connection to ensure comprehensive pediatric dental care for male pediatric dentists.