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  1. Article ; Online: Biomechanical performance of endocrown and core-crown restorations: A systematic review.

    Lenz, Ulysses / Bacchi, Atais / Della Bona, Alvaro

    Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.

    2023  Volume 36, Issue 2, Page(s) 303–323

    Abstract: Objective: To assess and compare, through a systematic review of the literature, the biomechanical performance of endocrowns and traditional core-crowns (with and without intracanal post) for the rehabilitation of endodontically treated teeth with ... ...

    Abstract Objective: To assess and compare, through a systematic review of the literature, the biomechanical performance of endocrowns and traditional core-crowns (with and without intracanal post) for the rehabilitation of endodontically treated teeth with severe coronal structure damage.
    Materials and methods: A systematic search was performed in MEDLINE/PubMed, Scopus, and Web of Science databases. In-vitro studies comparing endocrowns with (post-)core-crown restorations were selected and screened by two independent reviewers. The included studies were submitted to the risk of bias analysis using the RoBDEMAT tool and the biomechanical outcomes were collected for qualitative analysis. The extracted data were presented based on comparative analyses among the included studies.
    Results: Thirty-one studies were included: 9 studies evaluated restorations of molars, 14 for premolars, and 8 studies evaluated anterior restorations. For the majority of the studies, endocrowns showed either similar or greater survival rates under fatigue and monotonic load than (post-)core-crown restorations, irrespectively of the tooth. The endocrowns showed more favorable failure patterns than (post-)core-crowns, irrespectively of the tooth. Endocrowns produced lower stresses in the restorative material for molars and premolars and in the luting material for premolars than (post-)core-crown restorations. The included studies presented adequate information for most items of the RoBDEMAT risk of bias tool.
    Conclusion: Endocrowns showed similar or greater biomechanical performance than the traditional (post-)core-crown restorations in most of the evaluated studies.
    Clinical significance: This systematic review showed that endocrowns present either similar or greater biomechanical performance than core-crown restorations for anterior and posterior endodontically treated teeth with severe structural damage.
    MeSH term(s) Humans ; Crowns ; Dental Materials ; Dental Restoration Failure ; Dental Stress Analysis ; Materials Testing ; Tooth, Nonvital/therapy ; Prosthodontics/methods
    Chemical Substances Dental Materials
    Language English
    Publishing date 2023-08-12
    Publishing country England
    Document type Systematic Review ; Journal Article ; Review
    ZDB-ID 2043146-6
    ISSN 1708-8240 ; 1496-4155
    ISSN (online) 1708-8240
    ISSN 1496-4155
    DOI 10.1111/jerd.13119
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Peri-implant Outcomes from Customized Healing Abutments Using Immediate Implants: A Systematic Review.

    Lenz, Ulysses / Bona, Álvaro Della / Tretto, Pedro Henrique / Bacchi, Ataís

    The International journal of oral & maxillofacial implants

    2023  Volume 38, Issue 5, Page(s) 985–995

    Abstract: Purpose: To evaluate the peri-implant outcomes of customized healing abutments (CstHA) placed on dental implants inserted in fresh tooth extraction sockets.: Materials and methods: The study was registered on PROSPERO: CRD42022304320. A systematic ... ...

    Abstract Purpose: To evaluate the peri-implant outcomes of customized healing abutments (CstHA) placed on dental implants inserted in fresh tooth extraction sockets.
    Materials and methods: The study was registered on PROSPERO: CRD42022304320. A systematic search in PubMed, Scopus, and Web of Science was conducted between April 2022 and October 2022 to identify clinical studies involving immediate implant surgery associated with CstHA placement. The Joanna Briggs Institute Critical Appraisal and RoB2 tool were performed for the risk of bias analysis.
    Results: A total of 12 studies were included, most of them with low risk of bias. Four studies compared CstHA vs conventional healing abutments (CnvtHA), two compared CstHA vs cover screw and collagen matrix (CMa), and six were clinical case series. For the CstHA vs CnvtHA comparison, favorable results were observed for CstHA considering papilla maintenance and probing depth, yet the mean marginal bone level was statistically similar between CstHA and CnvtHA. CstHA showed advantages when compared to CMa for total bone volume, papilla height, and midfacial mucosa maintenance. Significantly less horizonal bone loss was reported when using CstHA compared with CMa. Horizontal and vertical bone loss was observed in a few (or no) sites in the case series using CstHA.
    Conclusions: CstHA provides favorable peri-implant response because in general it does not result in a significant loss of soft and hard tissues.
    MeSH term(s) Humans ; Dental Implants ; Immediate Dental Implant Loading/methods ; Dental Implants, Single-Tooth ; Dental Implantation, Endosseous/methods ; Tooth Socket/surgery ; Tooth Extraction/methods ; Dental Abutments
    Chemical Substances Dental Implants
    Language English
    Publishing date 2023-10-17
    Publishing country United States
    Document type Systematic Review ; Journal Article
    ZDB-ID 632880-5
    ISSN 1942-4434 ; 0882-2786
    ISSN (online) 1942-4434
    ISSN 0882-2786
    DOI 10.11607/jomi.10311
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Structural and torque changes in implant components of different diameters subjected to mechanical fatigue.

    Dos Santos, Renan Brandenburg / Lenz, Ulysses / Griggs, Jason Alan / Estrela, Carlos / Bueno, Mike Dos Reis / Porto, Olavo Cesar Lyra / Della Bona, Alvaro

    Dental materials : official publication of the Academy of Dental Materials

    2024  Volume 40, Issue 3, Page(s) 493–499

    Abstract: Objectives: To evaluate torque maintenance and structural damage in implant components of different diameters subjected to a fatigue challenge.: Methods: Thirty 10-mm-long, morse taper connection, titanium dental implants and their corresponding one- ... ...

    Abstract Objectives: To evaluate torque maintenance and structural damage in implant components of different diameters subjected to a fatigue challenge.
    Methods: Thirty 10-mm-long, morse taper connection, titanium dental implants and their corresponding one-piece abutments were divided into three groups (n = 10) according to implant diameter: 4.3 mm (I4.3), 3.5 mm (I3.5), and 2.9 mm (I2.9). The implants were placed into a load-bearing fixture simulating bone tissue (modified G10), and the abutments were screwed into the implants to a final torque of 20 Ncm for the I4.3 and I3.5 and 15 Ncm for I2.9. The torque was secured by a digital torque meter. Cone-beam computed tomography (CBCT) scans were acquired and post-processed (e-Vol DX software) for all implant/abutment sets before and after subjecting them to fatigue in 37 °C distilled water (2 million cycles, constant load and frequency). The removal torque was measured using the same digital torque meter to calculate the difference in torque before and after fatigue.
    Results: I2.9 showed substantial structural deformation compared with the other implant diameters (I3.5 and I4.3). However, the experimental groups did not show statistical differences for abutment loosening.
    Significance: Implants smaller than 3.5 mm in diameter have a higher probability of structural deformation than standard-diameter implants. The association between tomographic scans and e-Vol DX software showed satisfactory consistency with the direct assessment using the digital torque meter, offering an additional tool to evaluate implant component loosening and structural deformations.
    MeSH term(s) Dental Implants ; Dental Implant-Abutment Design ; Torque ; Dental Abutments ; Dental Stress Analysis
    Chemical Substances Dental Implants
    Language English
    Publishing date 2024-01-04
    Publishing country England
    Document type Journal Article
    ZDB-ID 605995-8
    ISSN 1879-0097 ; 0109-5641
    ISSN (online) 1879-0097
    ISSN 0109-5641
    DOI 10.1016/j.dental.2023.12.014
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: A conservative full-mouth ceramic rehabilitation for a severely worn dentition.

    Badalotti, Gustavo / Lenz, Ulysses / Balen, Pedro Leonardo / de Oliveira, Gabriel Rodrigues / Bacchi, Ataís

    The international journal of esthetic dentistry

    2023  Volume 18, Issue 4, Page(s) 366–376

    Abstract: There is a constantly growing prevalence of tooth wear in dentistry. The present case report describes a rehabilitation through ceramic restorations of a severely worn dentition based on a conservative intervention, adequate restorative material ... ...

    Abstract There is a constantly growing prevalence of tooth wear in dentistry. The present case report describes a rehabilitation through ceramic restorations of a severely worn dentition based on a conservative intervention, adequate restorative material selection, and adhesive bonding strategies. A 36-year-old patient with a mainly esthetic complaint presented with signs of tooth wear caused by erosion and attrition. Preparations were performed guided by the diagnostic planning. The full-mouth rehabilitation, combined with the correction of the vertical dimension of occlusion, was split into quadrants, and lithium disilicate partial restorations were fabricated. The proposed rehabilitation was based on the maximal preservation of the remaining tooth structure and the adequate selection of restorative materials and adhesive bonding strategies.
    MeSH term(s) Humans ; Adult ; Dentition ; Mouth Rehabilitation/methods ; Esthetics, Dental ; Dental Cements ; Ceramics/chemistry ; Tooth Wear/rehabilitation ; Dental Materials
    Chemical Substances Dental Cements ; Dental Materials
    Language English
    Publishing date 2023-10-09
    Publishing country Germany
    Document type Case Reports ; Journal Article
    ISSN 2198-591X
    ISSN 2198-591X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Hydrogen peroxide as an auxiliary treatment for COVID-19 in Brazil: a randomized double-blind clinical trial.

    Domênico, Marielle Bazzo Di / Collares, Kauê / Santos, Renan Brandenburg Dos / Lenz, Ulysses / Antunes, Vinícius Picoli / Godinho, Vinicius Webber / Cesca, Henrique / Ponciano, Thales Henrique Jincziwski / Corazza, Pedro Henrique

    Epidemiology and health

    2021  Volume 43, Page(s) e2021051

    Abstract: Objectives: This study evaluated the effectiveness of hydrogen peroxide (H2O2) as mouthwash and nasal spray on symptom relief in coronavirus disease 2019 (COVID-19) patients.: Methods: Patients positive for severe acute respiratory syndrome ... ...

    Abstract Objectives: This study evaluated the effectiveness of hydrogen peroxide (H2O2) as mouthwash and nasal spray on symptom relief in coronavirus disease 2019 (COVID-19) patients.
    Methods: Patients positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), who were treated in a hospital or at home, and patients' family members (not positive for SARS-CoV-2), were randomized into 2 groups: experimental (1% H2O2 for gargling, 0.5% H2O2 for nasal wash), and control. Patients gargled the solution 3 times a day, and applied the nasal spray twice a day, for a 7-day period. Family members received the same treatment as the treated COVID-19 patient. The researchers contacted patients every 2 days over an 8-day period. An average post-treatment interval of 8 days passed before testing family members.
    Results: The most frequent symptoms on day 0 were cough, loss of taste, and hyposmia; there were no significant differences between groups, independent of the period. The symptom of dyspnea presented a significant difference between days 2 and 4 (p<0.05). Among family members, 86.0% had no antibodies, 2.3% had antibodies, and 11.6% had active infections (4 in the experimental group and 6 in the control group). The most frequent adverse effects in the H2O2 group were a burning throat and nose.
    Conclusions: H2O2 was not effective for the relief of COVID-19 symptoms and was associated with reports of transient adverse effects.
    MeSH term(s) Brazil ; COVID-19 ; Double-Blind Method ; Humans ; Hydrogen Peroxide ; SARS-CoV-2 ; Treatment Outcome
    Chemical Substances Hydrogen Peroxide (BBX060AN9V)
    Language English
    Publishing date 2021-08-03
    Publishing country Korea (South)
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 2590698-7
    ISSN 2092-7193 ; 2092-7193
    ISSN (online) 2092-7193
    ISSN 2092-7193
    DOI 10.4178/epih.e2021051
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Effectiveness of hydrogen peroxide as auxiliary treatment for hospitalized COVID-19 patients in Brazil: preliminary results of a randomized double-blind clinical trial.

    Di Domênico, Marielle Bazzo / Cesca, Henrique / Ponciano, Thales Henrique Jincziwski / Dos Santos, Renan Brandenburg / Lenz, Ulysses / Antunes, Vinícius Picoli / Godinho, Vinicius Webber / Collares, Kauê / Corazza, Pedro Henrique

    Epidemiology and health

    2021  Volume 43, Page(s) e2021032

    Abstract: Objectives: To evaluate the effectiveness of hydrogen peroxide (H2O2) in the form of mouthwash and nasal spray as an auxiliary treatment for coronavirus disease 2019 (COVID-19).: Methods: Forty hospitalized patients who tested positive for severe ... ...

    Abstract Objectives: To evaluate the effectiveness of hydrogen peroxide (H2O2) in the form of mouthwash and nasal spray as an auxiliary treatment for coronavirus disease 2019 (COVID-19).
    Methods: Forty hospitalized patients who tested positive for severe acute respiratory syndrome coronavirus 2 using a reverse-transcription polymerase chain reaction test were evaluated. They were randomly divided into an experimental group (n= 20; gargling with 1.0% H2O2 and nasal wash with 0.5% H2O2) or a control group (n= 20). The solutions were used for 7 days and the patients were monitored every 2 days, for a total of 8 days. At check-ups, patients were asked about their symptoms and possible adverse effects of the solutions. The presence and severity (mild, moderate, or severe) of symptoms were recorded. Data were compared using the Student test and the Fisher exact test (α= 0.05).
    Results: There was no significant difference between the 2 groups in the length of hospital stay (p= 0.65). The most frequent symptom on day 0 was coughing (72.0% in the experimental group and 76.5% in the control group), which abated over time. There was no significant difference between the groups in the evaluated symptoms. Most (75.0%) of the patients in the experimental group presented a reduction in dyspnea between days 0 and 2. Few patients reported adverse effects from the use of the solutions.
    Conclusions: H2O2 as a mouthwash and nasal spray is safe to use. There is insufficient evidence to demonstrate that H2O2 is effective as an auxiliary treatment for hospitalized COVID-19 patients.
    MeSH term(s) Adult ; Anti-Infective Agents, Local/administration & dosage ; Brazil ; COVID-19/drug therapy ; COVID-19/virology ; Double-Blind Method ; Female ; Hospitalization ; Humans ; Hydrogen Peroxide/administration & dosage ; Male ; Middle Aged ; Mouthwashes/administration & dosage ; Nasal Sprays ; SARS-CoV-2 ; Severity of Illness Index ; Treatment Outcome
    Chemical Substances Anti-Infective Agents, Local ; Mouthwashes ; Nasal Sprays ; Hydrogen Peroxide (BBX060AN9V)
    Language English
    Publishing date 2021-05-01
    Publishing country Korea (South)
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 2590698-7
    ISSN 2092-7193 ; 2092-7193
    ISSN (online) 2092-7193
    ISSN 2092-7193
    DOI 10.4178/epih.e2021032
    Database MEDical Literature Analysis and Retrieval System OnLINE

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