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Research
Article
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Influence of
contemporary resin-based restorative materials
Sanjay
Nandwani, dds, ms, Marlus da Silva Pedrosa, dds, phd, Ceib Phillips, mph, phd,
Abstract: Purpose: To evaluate
the influence of contemporary resin-based restorative materials on
saliva-derived in vitro biofilm microcosms under cariogenic challenge. Methods: Thirty specimens (7 mm × 1.8 mm) were fabricated from five resin-based
restorative materials (n= 6 per material) according to the manufacturers’
instructions: Fuji Ionomer Type II LC (GC), Filtek Supreme Ultra (3M, ESPE), Activa BioActive (Pulpdent), FIT-SA (Shofu America), SDR Flow+ (Dentsply Sirona). Hydroxyapatite (HA) discs (7 mm × 1.8
mm; HiMed Inc.) were used as controls. All specimens
were UV sterilized, and biofilms were developed on the specimens using saliva from healthy donors, with and without 0.2% sucrose supplementation
to mimic cariogenic challenge. After incubation, biofilm-associated cells were
detached and plated onto selective agar plates to quantify total facultative
anaerobes, total anaerobic bacteria, mutans streptococci, and Lactobacillus
spp. Plates were incubated either under 5% CO2 or in an
anaerobic chamber. CFU counts were normalized to the specimen surface area (log10 CFU/cm2). Results: Recoverable viable counts were
significantly influenced by both material type and environmental conditions.
FIT-SA and SDR Flow+ supported higher bacterial loads, particularly for mutans
streptococci and Lactobacillus spp., under sucrose-enriched conditions. In
contrast, Fuji maintained lower recoverable CFU under all conditions,
suggesting reduced bacterial accumulation on this material in this model.
Materials like FIT-SA and SDR Flow+ may promote higher recoverable
biofilm-associated bacterial loads under sucrose challenge, while Fuji
exhibited consistently lower CFU across conditions. (Am J Dent 2026;39:218-225).
Clinical significance: Resin-based restorative materials marketed as
bioactive supported varying levels of viable biofilm accumulation under sucrose
challenge. These findings indicate that bioactive claims alone do not
necessarily translate into reduced microbial burden and reinforce the need for
effective disease control before definitive restorative placement, particularly
in high caries–risk patients.
Mail: Dr. Apoena Ribeiro, Department of Orofacial Sciences, UCSF
School of Dentistry, Box 075, 3707 Parnassus Ave., D-1000, San Francisco, CA
94143, USA. E-mail:
apoena.ribeiro@ucsf.edu
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Research
Article
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Chemical and laser
desensitization approaches for managing
Gözde
Erdoğan, dds, Ece
Açıkgöz-Alparslan, dds & Mediha Büyükgöze-Dindar, dds
Abstract: Purpose: This randomized clinical trial aimed to evaluate and
compare the desensitizing efficacy of Gluma, Er,Cr:YSGG laser irradiation, and
their combined application in Stage III/IV
periodontitis patients presenting dentin hypersensitivity (DH) following
non-surgical periodontal therapy (NSPT). Methods: 62 patients were
screened; 52 who met the inclusion criteria (Visual Analog Scale [VAS] > 4
and Schiff Cold Air Sensitivity Scale [SS] score 2-3) were randomized into
three groups: Gluma (n= 18), Er,Cr:YSGG laser (n= 17) and combination therapy (n=
17). DH was assessed using VAS and SS at baseline, 1 week, 2 weeks, 1 month, 2
months, and 6 months. Four participants dropped out; analyses were conducted on
48 participants (16 per group). Statistical significance was set at α=
0.05. Results: All treatment modalities produced significant reductions
in both VAS and SS scores over time (P< 0.05). DH was greatest immediately
after NSPT and decreased progressively across early follow-ups, with the most
pronounced improvement observed up to the second month. At 6 months, a slight
recurrence of sensitivity was noted; however, symptom levels remained improved
relative to baseline. No statistically significant intergroup differences were
detected at any evaluation point for either outcome (P> 0.05), indicating
comparable performance of Gluma, Er,Cr:YSGG laser, and the combined protocol
throughout the 6-month follow-up. (Am J Dent 2026;39:226-232).
Clinical significance: Both chemical
and laser-based desensitization therapies can be effectively and safely applied
to manage post-NSPT dentin hypersensitivity in periodontitis patients.
Nevertheless, clinicians should consider the possibility of symptom recurrence
over longer follow-up and advise patients on appropriate maintenance or
retreatment strategies.
Mail: Dr. Ece
Açıkgöz-Alparslan, Department of Periodontology, Faculty of Dentistry,
Trakya University, Edirne, Turkey. E-mail: eceacikgoz@trakya.edu.tr
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Research
Articles
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Effect of
thermocycling and polishing protocols on the optical and
Busra Tosun, dds & Zeynep Ozturk, dds
Abstract: Purpose: To evaluate the influence of material type and polishing
protocol on translucency, surface roughness, hardness, and color stability of
CAD-CAM and 3D-printed restorative materials before and after thermocycling. Methods: A total of 144 disk-shaped specimens (10 × 2 mm) were fabricated from VITA Enamic, Cerasmart, Celtra Duo, and a 3D-printed resin. Each was divided into
four subgroups (n=9) based on surface treatment: glaze only; glaze, bur
reduction, and composite polishing; glaze, bur reduction, and ceramic
polishing; and glaze, bur reduction, and re-glazing. TP, Vickers hardness,
surface roughness (Ra), and color change (ΔE) were measured before and
after 10,000 thermal cycles. One specimen per group was examined by scanning
electron microscopy. Data was analyzed with robust ANOVA (α= 0.05). Results: Material type and thermocycling significantly affected TP values (P< 0.001).
CAD-CAM materials showed higher translucency and overall hardness values than
the 3D-printed resin. Surface roughness was influenced by both material and
polishing protocol (P< 0.001); glaze-only generally resulted in smoother
surfaces, while ceramic polishing was associated with increased surface
roughness in certain material groups. Color stability also varied significantly
(P< 0.001); CAD-CAM ceramic polish showed the lowest ΔE values, while
several 3D-printed groups exceeded clinically acceptable ΔE thresholds
after thermocycling. (Am J Dent 2026;39:233-240).
Clinical significance: Material type, surface treatment, and thermocycling
affected optical and mechanical properties. CAD-CAM materials generally
outperformed the 3D-printed resin, especially in translucency and hardness.
Mechanical polishing protocols may provide more stable long-term surface
characteristics than glazing alone, particularly for esthetically demanding
restorations.
Mail: Dr. Busra Tosun, Department
of Prosthodontics, Faculty of Dentistry, Bolu Abant İzzet Baysal University, 14030, Bolu, Turkey. E-mail:
dtbusra86@hotmail.com
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Research
Article
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Wear resistance of
self-adhesive and universal resin luting cements
Miyuki
Oshika, dds, Yukari Odagiri, dds, Kami Yoneyama, dds, Mark A.
Latta, dmd, ms,
Abstract: Purpose: To compare the wear resistance of
conventional self-adhesive resin luting cements with that of recently developed
universal resin luting cements under both dual-cure and chemical-cure
conditions, and to evaluate the influence of mixing method (hand-mix or
auto-mix). Methods: Five resin luting cements were evaluated: three
universal cements (G-Cem One EM (GUA) and RelyX Universal (RUA) auto-mix types, and G-Cem One neo (GUH) hand-mix type) and two
conventional self-adhesive cements (Clearfil SA
Luting Multi in hand-mix (SH) and auto-mix (SA) forms, and RelyX Unicem 2 (RA) auto-mix type). Wear resistance was
assessed using an Alabama wear-testing machine. Volume loss (mm³) and maximum
facet depth (µm) were measured after wear testing. Statistical analyses were
performed to compare differences among materials, curing modes, and mixing methods. Results: The volume loss ranged from 0.054–0.167 mm³ and the maximum
facet depth ranged from 99.6 to 222.7 µm. Significant differences were observed
among the resin luting cements and between dual-cure
and chemical-cure conditions. However, no significant differences were found
between curing conditions within the universal resin luting cements.
Additionally, no significant differences were identified between the hand-mixed
and auto-mixed versions of the same or similar materials. (Am J Dent 2026;39:241-246).
Clinical significance: Wear resistance was strongly material dependent, but
universal resin luting cements showed no influence of curing mode. A universal
resin luting cement with good wear resistance may be a good option when
restorative margins are difficult to illuminate.
Mail: Dr. Akimasa Tsujimoto,
Department of Operative Dentistry, School of Dentistry, Aichi Gakuin University, 2-11 Suemori-dori,
Chikusa-ku, Nagoya, 464-8651, Japan. E-mail:
aki-tj@dpc.agu.ac.jp
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Research
Article
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Comparative
effects of sodium fluoride and fluoride-free
Beatriz
H.D. Panariello, dds, ms, phd, Brendon M. Brunette, bs, bfa & Carson
C. Davis, bs
Abstract: Purpose: To compare the antibiofilm and antiacidogenic effects of a fluoride-free nano-hydroxyapatite (nHAp)
dentifrice with a sodium fluoride (NaF) dentifrice
against Streptococcus mutans biofilms in vitro. Methods: S.
mutans UA159 biofilms were grown on hydroxyapatite discs and treated with a
dentifrice containing nano-hydroxyapatite (nHAp)
(Boka Ela Mint Fluoride Free Toothpaste), a 0.24% NaF dentifrice (Colgate Cavity Protection Toothpaste), 0.12% chlorhexidine (CHX,
positive control), or sterile distilled water (negative control). Two
experimental conditions were evaluated: treatment during biofilm development (twice-daily from 0 to 72 hours) and treatment of mature
biofilms (treatments applied at 48 hours and evaluated at 72 hours). Outcomes
included colony-forming unit (CFU) counts and pH of spent media. Data was
analyzed using one-way ANOVA followed by Šídák multiple comparisons (α= 0.05). Results: During biofilm
development, both dentifrices significantly reduced bacterial viability
compared with the negative control (NaF, P<
0.0001; nHAp, P= 0.0200). However, when directly
comparing the two, NaF caused a significantly greater
reduction in bacterial viability than nHAp (P<
0.0001). Biofilms treated with NaF maintained higher
pH values over time, indicating reduced acid production by S. mutans,
whereas nHAp-treated groups showed moderate
acidification. In mature biofilms, CHX and NaF demonstrated comparable antibiofilm activity, with no statistically significant
difference between them (P= 0.0670). In contrast, nHAp showed significantly higher CFU counts than both CHX and NaF (P< 0.0001), although it still demonstrated a measurable reduction in
bacterial viability compared with water control. NaF treatments significantly increased pH at 72 hours, whereas nHAp produced a smaller increase in pH. Altogether, the NaF dentifrice demonstrated superior antibiofilm and antiacidogenic effects compared with the fluoride-free nHAp dentifrice under the tested conditions. (Am J Dent 2026;39:247-252).
Clinical significance: The fluoride-free nano-hydroxyapatite dentifrice did
not exhibit anticaries potential.
Mail: Dr. Beatriz Panariello, School
of Dental Medicine, Lake Erie College of Osteopathic Medicine, 4800 Lakewood
Ranch Blvd., Bradenton, FL 34211, USA. E-mail: bpanariello@lecom.edu
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Research
Article
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Evaluation of the
bond strength of monolithic zirconia ceramics
Gönül Merve
Eyüboğlu-Ateş, dds & Ayşe Koçak-Büyükdere, dds, phd
Abstract: Purpose: To evaluate the laboratory bond
strength of monolithic zirconia ceramics subjected to four different surface
pretreatments when cemented to enamel and dentin using a dual-cure
resin cement. Methods: 120 extracted human maxillary central and lateral
incisors were prepared at two levels: enamel (E) and dentin (D). Zirconia
specimens (0.7 mm thick) were divided into four groups: primer (P),
sandblasting + primer (SP), silane (S), and tribochemical silica + silane (TS). Each group was further divided according to the bonding
substrate, resulting in eight subgroups (n=15). After surface pretreatments,
specimens were cemented, subjected to thermocycling, and tested for shear bond
strength (SBS). Data were statistically analyzed (P< 0.05), and failure
modes were examined under a stereomicroscope. Results: The type of
dental substrate, surface pretreatment, and their interaction significantly
affected SBS values (P< 0.001). Enamel groups showed higher bond strength
than dentin groups (P< 0.001). The highest SBS values were obtained in the
SP-E group (13.3 ± 2.3 MPa), while the lowest SBS values were obtained in the S-D
group (2.5 ± 1.0 MPa). (Am J Dent 2026;39:259-265).
Clinical significance: This laboratory study provides some suggestions to
clinicians on which surface pretreatment should be used and how deep the
preparation should be during the cementation of ultra-translucent monolithic
zirconia restorations. The results showed that applying an MDP-containing
primer after airborne-particle abrasion and using silane following tribochemical silica coating significantly increased bond
strength. In addition, keeping the preparation margins as much as possible at
the enamel level enhances the long-term durability of the bond and should be
prioritized in the planning of minimally invasive zirconia restorations.
Mail: Dr. Gönül Merve Eyüboğlu
Ateş, Department of Prosthodontics Faculty of Dentistry, Kocaeli
University, Başiskele, Kocaeli 41190, Turkey. E-mail: gmeyuboglu@gmail.com
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Research
Article
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Prevention of
demineralization adjacent to glass-ionomer restorations
Yun Jung Kim, dds, ms, Justine Kolker, dds, ms, phd, Jeff Banas, phd, Tabitha Peter, ms,
Abstract: Purpose: To determine in the laboratory whether
silver diamine fluoride (SDF) or sodium fluoride (NaF)
varnish prevents demineralization adjacent to glass-ionomer restorations on
root surfaces. Methods: 45 non-carious molar roots were prepared for
class V restorations and allocated into nine different groups: Fuji II LC; Fuji
II LC + 38% SDF; Fuji II LC + 5% NaF; Equia Forte;
Equia Forte + 38% SDF; Equia Forte + 5% NaF; Equia
Forte + resin coating; Equia Forte + resin coating + 38% SDF; Equia Forte +
resin coating + 5% NaF. Samples were immersed in MRS
medium + 5% sucrose containing S. mutans and L. casei to develop
a biofilm. Subsequently, the MRS medium was replenished daily and incubated at
37°C for 8 days. The lesion depth adjacent to the restoration was measured from
images captured by a polarized light microscope. A Kruskal-Wallis test was used to compare the median depth measurements between groups. Dunn
tests were used for pairwise comparison after Kruskal-Wallis test. Results: The lesion depth was least in restorations with 38% SDF
and 5% NaF. Equia Forte and Equia Forte + resin
coating + 5% NaF was significantly less demineralized
than Fuji II LC without fluoride treatment. 38% SDF and 5% NaF varnish applied to newly placed glass-ionomer restorations reduce dentin
demineralization. (Am J Dent 2026;39:266-272).
Clinical significance: The root caries could be prevented further by
combining a fluoride-releasing material and applying topical fluoride agents.
The immediate application of 38% SDF and 5% NaF varnish to the fluoride-releasing material may reduce the occurrence of root
caries.
Mail: Dr. Yun Jung Kim, Department
of Operative Dentistry, University of Iowa College of Dentistry and Dental
Clinics, 801 Newton Rd., Iowa City, IA 52242,
USA. E-mail: yunjung-kim@uiowa.edu
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Review
Article
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Oral microbiome
and inflammatory bowel disease: A scoping review
![]()
Caifeng Chen, mm, Hongli Zhang, mm, Tingting Cheng, bm, Feng Zhou, bm,
Abstract: Purpose: To examine the association between
the oral microbiome and IBD in terms of microbiota diversity, composition,
function, and diagnostic potential through a scoping review of the existing
literature. Methods: This scoping review was structured following the
PRISMA-ScR guidelines. Literature searches
were conducted in PubMed, Embase, and the Cochrane Library, with the
time frame restricted from database inception to November 17, 2025. Results: This review included 31 studies, among which seven topics for patients with
periodontitis and IBD-related periodontitis, three studies assessed single
bacterial species, and the remaining 21 articles explored the diversity and phylum-level
taxonomic shifts of oral microbiota in IBD patients, functional and metabolic
pathway alterations associated with oral dysbiosis, as well as the diagnostic
potential and biomarkers derived from oral microbial profiles. (Am J Dent 2026;39:253-258).
Clinical significance: The oral microbiota of IBD patients exhibits
characteristic dysbiosis, manifested by the enrichment of pathogenic taxa,
depletion of anti-inflammatory species, and metabolic dysfunction, which are
closely associated with gut microbial alterations and systemic inflammatory
status. The salivary microbiome demonstrates significant diagnostic potential
for IBD.
Mail: Peiwen Qi, Stomatology Hospital,
School of Stomatology, Zhejiang University School of Medicine, Zhejiang
Provincial Clinical Research Center for Oral Diseases, Hangzhou 310000, China. E-mail: qpw@zju.edu.cn and Caifeng Chen, E-mail: ccf08020603@163.com