Regenerative Endodontics and the promise beyond dental pulp disease repair.

The dental pulp is a multi-structural soft tissue composed of fibroblasts, odontoblasts,lymphocytes, endothelial cells, amongst others; with prominent formative, sensorial,and protective functions. Pulpitis is a painful inflammatory (necrotic) disease causedby untreated dental decay/caries, trauma and multiple restorations; often irreversible/unrecoverable, due to insufficient vascularization, mainly because of the anatomy ofthe pulp chamber: a small root canal in volume and a narrow apical forame

Autonomous Robotics: A fresh Era of Implant Dentistry… is a reality!

Per-Ingvar Brånemark’s virtuoso encounter of “osseointegration” in 1952 and George A. Zarb’s outstanding long-term evidence-based efforts, presented in 1982 via the renowned “Toronto Conference on Osseointegration in Clinical Dentistry” revived the realm of dental implantology. The last decades witnessed a hungry integration of computerized tomographic scans, computer-aided design/computerassisted manufacturing (CAD/CAM) and three-dimensional (3-D) surgical planning software, in practices and academic/training programs. With such oro-dental appliances that transfer the computerized planning into the surgical field, the oro-dental implantology field has been undergoing a remarkable and fast-paced trend towards minimallyinvasive surgical procedures

L-PRF: A “Super” Biomaterial for Naturally Guided Hard/Soft Tissue Bioengineering and Regeneration of Oro-Dental, Periodontal and Jaw Defects

Leukocyte and platelet-rich fibrin (L-PRF) is a 3-D autogenous biomaterial derived via simple and rapid centrifugation of whole blood patient samples, in the absence of anti-coagulants, bovine thrombin, additives or any gelifying agents. A relatively new “revolutionary” step in second generation platelet concentrate-based therapeutics, clinical effectiveness of L-PRF remains highly-debatable, whether due to preparation protocol variability, limited evidence-based clinical literature and/or inadequate understanding of its biocomponents. This critical review provides an update on the application of L-PRF during oral surgery procedures, in human Randomized and Controlled Clinical Trials only (up to February 2016). Accordingly, autologous L-PRF is often associated with early bone formation and maturation; accelerated soft-tissue healing; and reduced post-surgical pain and discomfort. L-PRF is a simple, malleable and safe biomaterial suitable for use in oral surgery. An innovative tool in Regenerative Dentistry, L-PRF is a strong alternative and possibly cost-effective biomaterial for oral-tissue regeneration. Preparation protocols require revision and standardization. Furthermore, a good analysis of its rheological properties, biocomponents and their bioactive function would enhance the validity, comprehension and therapeutic potential of the reported findings or observations; a step closer towards a new era of “super” dental biomaterials and bioscaffolds

Salud Oro-Dental y Diabetes Tipo 2 Mellitus.

.

nanoBONE: revisando la reconstrucción y reparación ósea… con un nanoGiro.

-

NanoBioTechnology-guided Distraction Osteogenesis and Histiogenesis

 &nbsp

Fibrinolytic Alveolitis, since 1896: Contemporary Concepts and Quandaries

Précis - During basic and specialized training, we’re often told that socket preservation is standard of care. Today, we wonder, is it? If not, why not? We were also voiced much about atraumatic extraction and the simple technique of socket grafting, especially in areas where bone and soft tissue shrinkage would impede proper pontic aesthetics and implant placement. What about retained roots, trauma to other structures, damage to developing (underlying) permanent teeth, and need for tension-less flaps at suture line? Are dentists following? Do we in the smile zone, at least? Besides, why are we still questioned, almost on a regular basis, by residents as well as fellow clinicians whether to irrigate or not, post-extraction? Concerns, we thought to address celebrating the end of 2017, or in better words, ~120 years since coining the term “ dry socket” for the first time

Two-year sealant survival in a high caries cohort at a graduate pedodontic clinic

Objectives: To assess the efficacy of resin sealants in children aged 6-12 years referred to one graduate pedodontic program located in the Middle East (2009-2010). Study Design: Data from a cohort of 110 patients with at least 2 erupted first permanent molars were included in this study. Dental health status was evaluated using the DMFs/t index. UltraSeal XT® Plus sealants (n=253 applications) were performed in presence of rubber dam isolation and survival carefully inspected and scored at 1 and 2 years. Cross-sectional examination of descriptives and bi/multivariate analysis followed. Results: Majority (63%) were males. Caries were diagnosed in 77.9% of children with only 1% deemed caries-free. Hence, mean DMFs/t was 9.3±6.1/7.2±5.1, respectively. At 2 years, 66% of sealants were completely retained and 11% completely lost. Analysis revealed higher sealant survival in mandibular teeth. Conclusions: Fluoride-releasing resin sealant is an effectual preventive tool especially in such a high carious population