Journal Description
Dentistry Journal
Dentistry Journal
is an international, peer-reviewed, open access journal on dentistry published monthly online by MDPI.
- Open Access— free for readers, with article processing charges (APC) paid by authors or their institutions.
- High Visibility: indexed within Scopus, ESCI (Web of Science), PubMed, PMC, and other databases.
- Journal Rank: JCR - Q2 (Dentistry, Oral Surgery and Medicine) / CiteScore - Q2 (General Dentistry)
- Rapid Publication: manuscripts are peer-reviewed and a first decision is provided to authors approximately 26.2 days after submission; acceptance to publication is undertaken in 3.6 days (median values for papers published in this journal in the second half of 2024).
- Recognition of Reviewers: reviewers who provide timely, thorough peer-review reports receive vouchers entitling them to a discount on the APC of their next publication in any MDPI journal, in appreciation of the work done.
Impact Factor:
2.5 (2023)
Latest Articles
General Dentists and Dental Specialists’ Knowledge of Treatment, Diagnosis, Referral, and Risk Factors of Obstructive Sleep Apnea: A Systematic Review
Dent. J. 2025, 13(5), 187; https://doi.org/10.3390/dj13050187 - 24 Apr 2025
Abstract
Objectives: This systematic review aimed to evaluate general dentists and dental specialists’ knowledge regarding obstructive sleep apnea (OSA) diagnosis, referral, risk factors, and treatment. Methods: A systematic search of databases, including Web of Science, PubMed, and ProQuest, was conducted for studies published up
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Objectives: This systematic review aimed to evaluate general dentists and dental specialists’ knowledge regarding obstructive sleep apnea (OSA) diagnosis, referral, risk factors, and treatment. Methods: A systematic search of databases, including Web of Science, PubMed, and ProQuest, was conducted for studies published up to 25 September 2023, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Inclusion criteria included cross-sectional studies that assessed the knowledge of general dentists or dental specialists. A quality assessment was performed using the Newcastle–Ottawa Quality Assessment Scale. Results: The seven included studies demonstrated varied knowledge levels among respondents regarding polysomnography as the gold standard for diagnosing OSA, with percentages ranging from 40.18% to 90%. While recognition of craniofacial structure as a risk factor for OSA was consistently high, knowledge about body weight as a risk factor varied. Additionally, the understanding of continuous positive airway pressure as the standard treatment showed discrepancies across the studies. Conclusions: Given that some of the included articles displayed a moderate to high risk of bias, the results highlight the varying levels of OSA knowledge among dentists and specialists across the studies. This indicates a potential need for targeted educational programs to improve their understanding and management of OSA.
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(This article belongs to the Section Dental Education)
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Open AccessReview
Culture and Behaviour Management of Children in the Dental Clinic: A Scoping Review
by
Adebola Oluyemisi Ehizele, Love Bukola Ayamolowo, Adeyinka Ishola and Moréniké Oluwátóyìn Foláyan
Dent. J. 2025, 13(5), 186; https://doi.org/10.3390/dj13050186 - 24 Apr 2025
Abstract
Cultural norms, beliefs, and practices influence parental expectations, children’s responses, and the acceptance of behaviour management techniques (BMTs) in paediatric dentistry. Despite this, the existing guidelines often adopt a standardized approach, overlooking critical cultural differences. This scoping review maps the links between culture
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Cultural norms, beliefs, and practices influence parental expectations, children’s responses, and the acceptance of behaviour management techniques (BMTs) in paediatric dentistry. Despite this, the existing guidelines often adopt a standardized approach, overlooking critical cultural differences. This scoping review maps the links between culture and behaviour management strategies in paediatric dental settings. A scoping review following PRISMA guidelines was conducted across PubMed, Cochrane Library, Web of Science, Google Scholar, and hand-searched sources from the inception of the databases to 31 January 2025. A total of 671 studies were identified, with 15 meeting the inclusion criteria. Data on the key findings were inductively analyzed to assess cultural influences on parental acceptance, child behavior, and communication. The findings show that non-invasive BMTs such as TellShow–Do and positive reinforcement were the most accepted across cultures, while passive and active restraints were least accepted, especially in Western populations. Parental preferences varied; Jordanian parents were more accepting of passive restraint than German parents, while general anaesthesia was preferred in Bahrain. Cultural norms shaped communication styles—Latino families emphasized warm interpersonal interactions, whereas Pakistani families exhibited limited parental involvement due to language barriers. Black and Hispanic Medicaid-enrolled mothers in the U.S. reported lower satisfaction with pain management, highlighting disparities in culturally competent care. In conclusion, cultural factors significantly influence paediatric behaviour management in dental clinics. Integrating cultural competence into practice can enhance communication, improve patient compliance, and promote equitable care. Further research is needed, particularly in Africa and South America, to inform globally inclusive behaviour management guidelines.
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(This article belongs to the Special Issue Preventive Dental Care, Chairside and Beyond)
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Open AccessCase Report
Immediate Implants in Extraction Sockets with Deficient Buccal Walls in the Maxillary Aesthetic Zone
by
Sorin Boeriu, Timothy Hottel, Cris Chirla and Phillip Chirla
Dent. J. 2025, 13(5), 185; https://doi.org/10.3390/dj13050185 - 24 Apr 2025
Abstract
Background: Immediate implant placement in fresh extraction sockets has become an accepted treatment in dentistry as a predictable procedure to restore failing teeth. One prerequisite for this immediate procedure in the anterior maxillary region is an intact facial wall. Unfortunately, the presence of
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Background: Immediate implant placement in fresh extraction sockets has become an accepted treatment in dentistry as a predictable procedure to restore failing teeth. One prerequisite for this immediate procedure in the anterior maxillary region is an intact facial wall. Unfortunately, the presence of fenestrations and dehiscences is very common. These defects occur due to the pathology responsible for the extraction of the teeth. Traditionally, hard and soft tissue grafting is necessary to repair these large bony defects before implant placement. However, there are many defects with facial wall deficiencies. Methods: This report reflects procedures used to provide successful functional outcomes using grafting techniques in conjunction with immediate implant placement in defective sockets. This clinical research study followed a qualitative methodology, and the results are based on observational outcomes of four patient surgical implant procedures. Each patient received the same protocol in an attempt to reach similar results. Results: Proper diagnosis, treatment planning, and clinical skills are key factors in achieving predictable results. With each of these four patients, the clinical soft tissue outcomes revealed that the midfacial gingival margin had minimal or no recession at two years with minimal pocket depths less than 3 mm. Conclusions: Although the procedure presented in this article has yet to be clinically validated, it is an available technique that can be used in the hands of an experienced practitioner and can provide excellent results for the patient.
Full article
(This article belongs to the Special Issue Dentistry in the 21st Century: Challenges and Opportunities)
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Open AccessArticle
Mandibular Kinematics on an Orthodontic Population Assessed with an Optical Jaw Tracking System: A Comparative Study
by
Joana Silva, Ariana Azevedo, Eugénio Martins, Alberto Canabez, Domingo Martin and Conchita Martin
Dent. J. 2025, 13(5), 184; https://doi.org/10.3390/dj13050184 - 23 Apr 2025
Abstract
Objective: To evaluate mandibular kinematics in an orthodontic population using the Modjaw® optical jaw tracking system. Materials and methods: A total of 154 orthodontic patients underwent mandibular kinematic analysis using the Modjaw® system. ANB values determined skeletal classification, while
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Objective: To evaluate mandibular kinematics in an orthodontic population using the Modjaw® optical jaw tracking system. Materials and methods: A total of 154 orthodontic patients underwent mandibular kinematic analysis using the Modjaw® system. ANB values determined skeletal classification, while dental classification was assessed on digital casts. The Modjaw® records were taken as instructed by the manufacturer, and data collected from the readings included the discrepancy between centric occlusion and maximum intercuspation, maximum opening, Bennett angles, and sagittal condylar guidance. The presence or absence of temporomandibular disorders was determined by the DC-TMD questionnaires. Non-parametric tests and Spearman correlations were applied for the statistical analysis. Results: Significant differences in mandibular kinematics were observed between skeletal classes, particularly in CO-MI discrepancies, Bennett angles, and maximum opening (p < 0.05). TMD symptoms were associated with higher absolute CO-MI discrepancies but did not significantly alter other kinematic parameters. Weak correlations were found between sagittal condylar guidance and anterior guidance variables. Conclusions: Mandibular kinematics differ by skeletal classification, with Class III patients demonstrating distinct patterns. While TMD symptoms impact CO-MI discrepancies, overall mandibular dynamics remain consistent.
Full article
(This article belongs to the Special Issue Orthodontics and New Technologies: 2nd Edition)
Open AccessReview
Micro- and Macroabrasion in the Esthetic Zone: A Narrative Review and Case Study
by
Jose Villalobos-Tinoco, Carlos A. Jurado, Silvia Rojas-Rueda, Nechama S. Citrin, Staley Colvert, Jose Luis Gutierrez-Quintero and Salwa Mekled
Dent. J. 2025, 13(5), 183; https://doi.org/10.3390/dj13050183 - 23 Apr 2025
Abstract
Background: Micro- and macroabrasion represent a minimally invasive treatment approach for stained teeth in the esthetic zone. Diagnosing the type of stain is crucial for selecting the appropriate treatment approach. These clinical procedures involve several meticulous steps that may be confusing for less
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Background: Micro- and macroabrasion represent a minimally invasive treatment approach for stained teeth in the esthetic zone. Diagnosing the type of stain is crucial for selecting the appropriate treatment approach. These clinical procedures involve several meticulous steps that may be confusing for less experienced clinicians. Methods: The objective of this article is to provide an updated review of the literature on the clinical procedures for micro- and macroabrasion and to present a clinical case in which a minimally invasive macroabrasion procedure was applied to treat a female patient seeking to remove stains from her anterior teeth. Preliminary reviews were conducted of existing case reports and reviews evaluating the clinical procedures and outcomes of micro- and macroabrasion. Results: A review of the literature reveals minor differences in how stains on anterior teeth are addressed. Depending on the depth of the stain, microabrasion is typically used for superficial stains, while macroabrasion is employed for deeper stains. Clinicians often combine micro- or macroabrasion with tooth whitening procedures. Literature reviews agree that micro- and macroabrasion techniques are effective minimally invasive approaches that yield high esthetic results. The case study demonstrated each clinical step of microabrasion, achieving results that fully satisfied the patient’s esthetic demands. Conclusions: Micro- and macroabrasion can be effective and minimally invasive methods for treating stained anterior teeth. Superficial stains can be treated with microabrasion, while deeper stains may require macroabrasion. In some clinical scenarios, tooth whitening can also be combined with these treatments.
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(This article belongs to the Special Issue Endodontics and Restorative Sciences: 2nd Edition)
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Open AccessFeature PaperArticle
The Outcome of Old-School Indirect Pulp Capping over 40 Years: A Practice-Based Retrospective Evaluation
by
Roland Frankenberger, Andreas Koch, Lina Plohmann, Benedicta Beck-Broichsitter and Stephan Becker
Dent. J. 2025, 13(5), 182; https://doi.org/10.3390/dj13050182 - 22 Apr 2025
Abstract
(1) Background: The aim of this in vitro study was to evaluate the success of indirect pulp capping (IPC) procedures over a period of 40 years. (2) Methods: The investigation of 1412 dental records included 159 patients with 366 IPC teeth having been
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(1) Background: The aim of this in vitro study was to evaluate the success of indirect pulp capping (IPC) procedures over a period of 40 years. (2) Methods: The investigation of 1412 dental records included 159 patients with 366 IPC teeth having been treated from 1969 to 1980. The teeth revealed caries within the inner third of dentin, were symptom-free, and showed no pulp exposure. The caries were excavated thoroughly and teeth with accidentally exposed pulp were excluded. Zinc–oxide–eugenol was used for the IPC procedures. The posterior teeth were restored with amalgam, and the anterior teeth received direct resin composite fillings. The gathered parameters with possible influences on survival rates were age, gender, tooth locations/positions, dates of vital therapy, the number of filled surfaces, types of primary restoration material, successional treatments on each tooth, and the last dates of surveillance. Data collection and statistical analysis were performed using Excel sheets and DataTab. Significant differences among groups were computed by cox regression analysis and the significance level was set at p = 0.05. Kaplan–Meier curves were utilized to illustrate the survival rates. (3) Results: Treatment success was measured by the maintenance of vitality beyond 365 days. The loss of vitality within 365 days was determined as treatment failure. Treatment outcomes were assessed after different time periods (1 and 6 months; 1, 2, 5, 10, 20, and 40 years). Pulp vitality dropped from 95% after 3 months to 32% after 40 years. Cavity size had a significant influence on the survival of pulp, but tooth position did not; however, third molars at least initially showed a better outcome. Beyond the 1-year recall, no differences for the evaluated parameters were present. (4) Conclusions: IPC showed excellent long-term success rates, revealing a 1.7% annual failure rate after 40 years of clinical service. Larger defects suffer more pulp damage in the long run.
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(This article belongs to the Special Issue Feature Papers in Restorative Dentistry, Endodontology and Traumatology)
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Open AccessArticle
The Effect of Low-Level Laser Therapy to Reduce Pain Caused by Orthodontic Separators: A Randomized, Double-Blind Placebo-Controlled, Split-Mouth Study
by
Alireza Khandan Dezfully, Márió Gajdács, Aliz Eperke Pató, Krisztina Kárpáti and Melinda Madléna
Dent. J. 2025, 13(5), 181; https://doi.org/10.3390/dj13050181 - 22 Apr 2025
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Background: During the initiation of routine orthodontic treatment with fixed appliances, placing elastic separators (ESs) may lead to the patient experiencing considerable pain. Earlier studies evaluating the effects of low-level laser therapy (LLLT) on reducing pain caused by orthodontic ESs have reported contradictory
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Background: During the initiation of routine orthodontic treatment with fixed appliances, placing elastic separators (ESs) may lead to the patient experiencing considerable pain. Earlier studies evaluating the effects of low-level laser therapy (LLLT) on reducing pain caused by orthodontic ESs have reported contradictory results. The aim of our study was to evaluate the effect of a single application of LLLT on the experience of pain following ES placement. Methods: A double-blind, placebo-controlled randomized controlled trial was performed—with implementation of the split-mouth technique—where n = 33 volunteers (12 male and 21 female; aged between 19 and 36 years) were enrolled. ESs were placed at the mesial and distal surfaces of the first permanent molars in the upper or lower jaws. Jaws were divided into two quadrants; the treatment group received LLLT (using a GaAlAs diode laser, at a 980 nm wavelength, with 100 mW producing 6 J of energy; continuous wave), while the other quadrant served as the placebo side receiving a similar treatment, but without laser irradiation, immediately after separation. A questionnaire with a visual analogue scale (VAS; 0–100) was used for the assessment of pain (spontaneous pain and pain on mastication) scored for each first permanent molar directly after separation and after 6, 24, 48 and 72 h of both laser and placebo treatment application. Results: Mean VAS values were lower, but not significantly different, between the treatment vs. placebo groups for spontaneous pain at either measurement point (p > 0.05). Mean VAS values were significantly lower in the treatment groups for pain on mastication at the 6 (9.29 ± 12.65 vs. 19.07 ± 20.99; p = 0.025), 24 (21.96 ± 21.11 vs. 37.19 ± 26.35; p = 0.012) and 48 h (28.01 ± 21.40 vs. 42.60 ± 26.29; p = 0.016) measurement points. The analgetic effect of LLLT was most effective after 6 h, both in the resting position (−49% decrease) and during mastication (−51% decrease). Conclusions: A single application of LLLT with 6 J of energy may have beneficial effects on reducing the pain caused by orthodontic ESs used at the initiation of treatment with fixed appliances, especially during mastication, after 6–48 h following the separation procedure. Trial registration: clinicaltrials.gov ID NCT06816537 (date of registration: 7 February 2025, retrospectively registered).
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Open AccessReview
True Allergies to Articaine: A 25-Year Analysis
by
Frank Halling, Andreas Neff and Axel Meisgeier
Dent. J. 2025, 13(5), 180; https://doi.org/10.3390/dj13050180 - 22 Apr 2025
Abstract
Background: Although allergic reactions to amide local anesthetics (LA) are rare, it is important for medical professionals to be aware of their potential occurrence. Despite the fact that articaine is one of the most commonly used LA in dentistry, a survey of
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Background: Although allergic reactions to amide local anesthetics (LA) are rare, it is important for medical professionals to be aware of their potential occurrence. Despite the fact that articaine is one of the most commonly used LA in dentistry, a survey of documented cases of allergies to articaine is absent from the literature. The objective of this review was to ascertain how often true allergies to articaine, verified by standard allergological procedures, have been reported over the last 25 years. Methods: A comprehensive review of the literature from 1 January 2000 to 31 December 2024 was conducted using the PubMed-MEDLINE database. The search was limited to articles investigating suspected allergy to articaine. The search strategy encompassed indexing terms, keywords, and free-text words, complemented by an extensive manual search. The final determination was based on the application of skin and/or challenge tests as the gold standard for identifying articaine as the causative agent. Results: During the investigation period, 10 case reports and six case series, encompassing 29 patients with a confirmed true allergy to articaine, were identified. The age of the patients ranged from 8 to 65 years, with a median age of 34 years. Of these patients, 20 were diagnosed with an immediate type I allergy, while 5 patients exhibited a delayed type IV allergy. In four cases the specific type of allergy was not mentioned. In the majority of cases an intradermal test (IDT) was employed to ascertain the specific type of allergy. Cross-reactivity with other amide LA was reported in three cases. Conclusions: True allergies to articaine are exceedingly rare. Investigation strategies should include a combination of a thorough clinical history and a standardized allergological procedure entailing skin tests and challenge. Only a comprehensive approach ensures the accurate identification of affected patients and facilitates the selection of a tolerated LA.
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Open AccessReview
Biomaterials for Guided Tissue Regeneration and Guided Bone Regeneration: A Review
by
Nathália Dantas Duarte, Paula Buzo Frigério, Gloria Estefania Amaya Chica, Roberta Okamoto, Rogério Leone Buchaim, Daniela Vieira Buchaim, Michel Reis Messora and João Paulo Mardegan Issa
Dent. J. 2025, 13(4), 179; https://doi.org/10.3390/dj13040179 - 21 Apr 2025
Abstract
This review aims to provide an overview of the types of membranes, bone substitutes, and mucosal substitutes used for GTR and GBR and briefly explores recent innovations for tissue regeneration and their future perspectives. Since this is a narrative review, no systematic search,
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This review aims to provide an overview of the types of membranes, bone substitutes, and mucosal substitutes used for GTR and GBR and briefly explores recent innovations for tissue regeneration and their future perspectives. Since this is a narrative review, no systematic search, meta-analysis, or statistical analysis was conducted. Using biomaterials for GTR and GBR provides a reduction in postoperative morbidity, as it contributes to less invasive clinical procedures, serving as an alternative to autogenous grafts. Moreover, randomized clinical trials (RCTs) and systematic reviews are essential for the evaluation of new biomaterials. These studies provide more robust evidence and help guide clinical practice in the selection of safer and more effective biomaterials, allowing for the personalization of treatment protocols for each patient.
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(This article belongs to the Special Issue Innovations and Challenges in Dental Implantology)
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Open AccessReview
Effects of Vitamin D, Melatonin, and Omega-3 Fatty Acids on Periodontal Health: A Narrative Review
by
Dora Dragičević Tomičić, Nikolina Lešić, Ivana Škrlec, Larissa Steigmann, Kristina Tseneva, Martina Čalušić Šarac, Tin Crnić, Igor Tomičić, Željka Perić Kačarević and Marija Čandrlić
Dent. J. 2025, 13(4), 178; https://doi.org/10.3390/dj13040178 - 20 Apr 2025
Abstract
Periodontitis is a chronic inflammatory disease characterized by the destruction of tooth-supporting structures, influenced by immune system dysregulation, oxidative stress, and imbalances in bone metabolism. Given its multifactorial pathogenesis, bioactive compounds such as vitamin D, melatonin, and omega-3 fatty acids have emerged as
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Periodontitis is a chronic inflammatory disease characterized by the destruction of tooth-supporting structures, influenced by immune system dysregulation, oxidative stress, and imbalances in bone metabolism. Given its multifactorial pathogenesis, bioactive compounds such as vitamin D, melatonin, and omega-3 fatty acids have emerged as potential adjuncts to periodontal therapy due to their immunomodulatory, anti-inflammatory, and antioxidative properties. This narrative review explores the role of these three supplements in periodontal health, their potential in synergistic effects, and existing research gaps, providing a foundation for future studies on their clinical applications. Vitamin D is essential for calcium homeostasis, bone remodeling, and immune function. It modulates both innate and adaptive immune responses, enhancing antimicrobial peptide production and reducing inflammatory cytokine expression. Omega-3 fatty acids reduce the production of pro-inflammatory eicosanoids while promoting the synthesis of pro-resolving lipid mediators, contributing to bone preservation and immune balance. Melatonin, known for its antioxidant and osteogenic properties, supports bone remodeling by stimulating osteoblast proliferation and inhibiting osteoclast activity, while also regulating circadian rhythms, which may influence oral health. Although these bioactive compounds show promising effects in preclinical and clinical studies, significant knowledge gaps remain regarding optimal dosages, long-term efficacy, combined use, and standardized treatment protocols. Further clinical trials are necessary to elucidate their therapeutic value in periodontal disease management, especially those focused on their potential synergistic mechanisms. Understanding their synergistic mechanisms may open new avenues for adjunctive strategies in periodontal therapy.
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(This article belongs to the Special Issue Feature Review Papers in Dentistry)
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Open AccessArticle
Effect of a Recombinant Human Basic Fibroblast Growth Factor 2 (rhFGF-2)-Impregnated Atelocollagen Sponge on Vertical Guided Bone Regeneration in a Rat Calvarial Model
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Keisuke Kogure, Akira Hasuike, Risa Kurachi, Yasuyuki Igarashi, Masataka Idesawa and Shuichi Sato
Dent. J. 2025, 13(4), 177; https://doi.org/10.3390/dj13040177 - 20 Apr 2025
Abstract
Background/Objectives: Achieving a sufficient volume of augmented bone, particularly for vertical bone regeneration, remains challenging. This study investigated the use of basic fibroblast growth factor 2 (FGF-2) to promote bone augmentation beyond the skeletal envelope in the rat calvarium. Methods: Seven
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Background/Objectives: Achieving a sufficient volume of augmented bone, particularly for vertical bone regeneration, remains challenging. This study investigated the use of basic fibroblast growth factor 2 (FGF-2) to promote bone augmentation beyond the skeletal envelope in the rat calvarium. Methods: Seven rats were included in the study, with bilateral experimental sites in the calvarium. Two plastic caps were placed in the calvarium, containing either 0.3% FGF-2 with an atelocollagen sponge or an atelocollagen sponge alone as a control. Bone augmentation within the plastic caps was evaluated using micro-computed tomography (micro-CT) scans and histological sections. Micro-CT measurements, including bone volume measurements, were obtained at 1 week to 12 weeks after surgery. At 12 weeks, the area and height of the newly formed bone were evaluated using histological sections. Results: Starting at 8 weeks after surgery, the volume of the newly formed bone in the 0.3% FGF-2 group was significantly greater than that in the control group. At 12 weeks, histomorphometric analyses revealed that the area and height of the newly augmented bone were 35.6% and 41.9%, respectively, in the FGF-2 group, compared with 9.1% and 13.4%, respectively, in the control group. Conclusions: The inclusion of 0.3% FGF-2 in atelocollagen sponge enhanced vertical bone augmentation beyond the skeletal envelope in the rat calvarium. These findings have potential applications for improving bone regeneration outcomes in dental implant procedures.
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(This article belongs to the Special Issue Bone Augmentation in Dentistry)
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Open AccessArticle
Mandibular Asymmetry Index and Dental Occlusion in Patients with Temporomandibular Disorders Treated with Occlusal Splint
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Sergio Paduano, Raffaella Grimaldi, Ludovica Nucci, Mario Fordellone, Rossana P. Rotolo, Vincenzo Grassia and Fabrizia d’Apuzzo
Dent. J. 2025, 13(4), 176; https://doi.org/10.3390/dj13040176 - 20 Apr 2025
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Objectives: To evaluate any changes in condylar and mandibular ramus height and dental malocclusion in adult patients with temporomandibular disorders (TMDs) diagnosed with DC/TMD criteria after treatment with an upper occlusal splint. Methods: This retrospective observational study included 48 adult patients with TMDs
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Objectives: To evaluate any changes in condylar and mandibular ramus height and dental malocclusion in adult patients with temporomandibular disorders (TMDs) diagnosed with DC/TMD criteria after treatment with an upper occlusal splint. Methods: This retrospective observational study included 48 adult patients with TMDs treated with an occlusal splint in the upper arch for about 12 months. For each patient, panoramic dental X-rays were analyzed using the Habets method to calculate the asymmetry index between the condyles and mandibular branches before and after treatment. The digital dental models were also studied at T0 and T1 to define the occlusal sagittal molar relationship and the posterior dental crossbite. The statistical analysis was performed using the Shapiro–Wilk normality tests, Student t-tests, or Wilcoxon tests using the R studio software (released version 4.3.3). Results: Condylar height showed a statistically significant difference (p = 0.022) and reduced condylar asymmetry between T0 and T1. The measurement of the condylar branch showed a statistical significance (p = 0.037), revealing an improvement of the mandibular symmetry in the vertical direction after treatment. Moreover, at T0, posterior dental crossbite was found in 37.5% of patients, specifically, bilateral in 12.5%, while unilateral crossbite in 22.9% on the right and 2.1% on the left side, and Class I malocclusion was found in the main part of the sample (72.9%). Conclusions: Patients with TMDs diagnosed according to DC/TMD and treated with an upper stabilization occlusal splint in the case of symptoms of masticatory muscle dysfunction showed a symmetrization in the mandibular ramus and condyle pre- and post-treatment (T0-T1). At the same time, no clinical differences were found in the occlusal characteristics.
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Open AccessArticle
Micro-Computed Tomography Analysis of Reciprocating Systems in Three-Dimensional Models of Mandibular Premolars with Two Canals
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María Medina-Gil, Ana Martín-Díaz, Natalia Navarrete, José Aranguren, P. S. Ortolani-Seltenerich, Giulia Malvicini, Gaya C. S. Vieira and Alejandro R. Pérez
Dent. J. 2025, 13(4), 175; https://doi.org/10.3390/dj13040175 - 19 Apr 2025
Abstract
Objective: This study investigated the shaping efficiency of four reciprocating systems—WaveOne Gold, Reciproc Blue, Excalibur, and One Reci—in three dimensional (3D) resin models of natural mandibular premolar teeth with two canals. Methods: Forty 3D-printed mandibular premolars (Vertucci configuration type V) were divided into
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Objective: This study investigated the shaping efficiency of four reciprocating systems—WaveOne Gold, Reciproc Blue, Excalibur, and One Reci—in three dimensional (3D) resin models of natural mandibular premolar teeth with two canals. Methods: Forty 3D-printed mandibular premolars (Vertucci configuration type V) were divided into four groups, each of which was assigned one of the reciprocating systems. According to the manufacturer’s protocols, each canal was prepared, with pre- and post-instrumentation micro computed tomography (micro-CT) scans evaluating canal volume, surface area, percentage of unprepared canal walls, and resin reduction in the pericervical area. Instrumentation time and screw-in sensation were recorded as qualitative performance indicators. Statistical analysis was performed using one-way ANOVA and chi-square tests with a significance of (p < 0.05). Results: All systems increased canal volume and surface area, primarily in the apical third, with Reciproc Blue and One Reci achieving the largest volume. WaveOne Gold had the highest percentage of unprepared walls (27.03%) and Reciproc Blue the lowest (19.65%), though these differences were not statistically significant (p > 0.05). Reciproc Blue caused the highest pericervical resin loss (22.24%), significantly higher than Excalibur (15.09%) and One Reci (15.17%) (p = 0.035). Reciproc Blue exhibited the highest incidence of screw-in sensation (70%), while WaveOne Gold achieved the shortest instrumentation time (86.7 s), although neither variable showed statistical significance. Conclusions: All systems effectively shaped complex canal anatomies, with Reciproc Blue demonstrating the highest dentin removal and WaveOne Gold proving the most time efficient. Clinically, these findings suggest that instrument selection should balance shaping efficiency with dentin preservation. Minimizing unprepared areas and preserving pericervical dentin are essential for enhancing disinfection and reducing the risk of root fractures, ultimately contributing to the long-term success of endodontic treatment.
Full article
(This article belongs to the Special Issue Dentistry in the 21st Century: Challenges and Opportunities)
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Open AccessArticle
Evaluation of Quality of Record-Keeping and Root Canal Therapy Performed by Two Predoctoral Cohorts
by
Wei Chun Yeoh, Chun Giok Koay, Genevieve Yuiin Sze Kong, Emilyn Wenqi Gan, Rikan Libat, Muneer Gohar Babar and Abhishek Parolia
Dent. J. 2025, 13(4), 174; https://doi.org/10.3390/dj13040174 - 19 Apr 2025
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Objectives: A retrospective clinical audit was carried out to evaluate and compare the quality of record-keeping (QRK) and quality of root canal therapy (QRCT) performed by 4th-year and 5th-year predoctoral students. Methods: Electronic records and periapical radiographs of 702 root canal treated teeth
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Objectives: A retrospective clinical audit was carried out to evaluate and compare the quality of record-keeping (QRK) and quality of root canal therapy (QRCT) performed by 4th-year and 5th-year predoctoral students. Methods: Electronic records and periapical radiographs of 702 root canal treated teeth performed by 4th-year and 5th-year predoctoral students from July 2018 to December 2021 were evaluated in compliance with standard European Society of Endodontology (ESE) and American Association of Endodontists (AAE) guidelines. Associations between the QRK and the QRCT were statistically analysed using the chi-square test (p < 0.05). Results: Overall acceptability of the QRK and the QRCT was 72.08% and 50.57%, respectively. The reference point of working length was the most common criterion not recorded (33.91%). No significant difference was observed in the QRK between 4th-year (76.05%) and 5th-year (69.70%) students (p = 0.226), as well as the QRCT between 4th-year (51.33%) and 5th-year (50.11%) students (p = 0.755). Acceptable root canal fillings were significantly higher in anterior teeth (57.48%) than in posterior teeth (47.54%) (p = 0.015). Satisfactory QRK was significantly associated with satisfactory QRCT (p = 0.046). Conclusions: Both predoctoral cohorts showed no difference in QRK and QRCT. However, QRK was better than QRCT. Comprehensive and accurate record-keeping positively impacted the QRCT.
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Open AccessArticle
Color and Translucency Compatibility Among Various Resin-Based Composites and Layering Strategies
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Elena Bianca Varvara, Cristina Gasparik, Javier Ruiz-López, Alexandra Iulia Aghiorghiesei, Bogdan Culic and Diana Dudea
Dent. J. 2025, 13(4), 173; https://doi.org/10.3390/dj13040173 - 18 Apr 2025
Abstract
(1) Background: Natural-looking dental restorations require careful selection of the restorative material, with color and translucency characteristics similar to the natural dental structures. (2) Objectives: This research aimed to evaluate if there is compatibility regarding the color and translucency between different commercial RBCs
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(1) Background: Natural-looking dental restorations require careful selection of the restorative material, with color and translucency characteristics similar to the natural dental structures. (2) Objectives: This research aimed to evaluate if there is compatibility regarding the color and translucency between different commercial RBCs in different layering recipes. (3) Methods: Sixty 1 mm thick disk specimens were produced from three different RBCs: ESS (Essentia-GC), BEG (Brilliant Ever Glow-Coltene), and IPS (IPS Empress Direct-Ivoclar Vivadent). Three different opacities and translucencies (enamel, dentin, and opaque shades) from each system were used in four recipes (R1-enamel, R2-dentin, R3-enamel and dentin, R4-enamel, dentin, and opaque) to obtain single-, double-, and triple-layered samples, respecting the anatomical layering technique. CIE L*, a*, b*, C*, h0 coordinates were recorded, and the relative translucency parameter (RTP00) was calculated. Further, the color differences (ΔE00) and the difference in translucencies ΔRTP00 were analyzed between the materials and between the layered recipes. (4) Results: The CIE L* and h° color coordinates and RTP00 showed significant differences among all three RBCs for all four recipes (p < 0.001). The decreasing order of translucency for each recipe was R1: ESS > BEG > IPS, R2 and R3: BEG > IPS > ESS, R4: BEG > ESS > IPS. Important differences were found in color and translucency among the recipes for each of the three RBCs tested (p < 0.001). The decreasing order of translucency for the tested RBCs was ESS: R1 > R3 > R4 > R2, BEG and IPS: R1 > R3 > R2 > R4. (5) Conclusions: No significant compatibility was observed in color and translucency among different layering recipes of the same composite materials nor between similar layering recipes when using different composites. The color differences between materials were more significant than the differences in translucency for each recipe.
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(This article belongs to the Special Issue State of the Art in Dental Restoration)
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Open AccessReview
Electrolytic Cleaning of Dental Implants: A Scoping Review of Clinical Studies
by
Anastasia Klein, Giulio Rasperini, Reinhard Gruber, Oleh Andrukhov and Xiaohui Rausch-Fan
Dent. J. 2025, 13(4), 172; https://doi.org/10.3390/dj13040172 - 18 Apr 2025
Abstract
Background/Objectives: This literature review aims to systematically analyze the efficacy of electrolytic cleaning for treating peri-implantitis, including its impact on disease resolution, re-osseointegration of treated implants, and peri-implantitis recurrence. It also compares various study and treatment protocols used in the selected papers. Methods:
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Background/Objectives: This literature review aims to systematically analyze the efficacy of electrolytic cleaning for treating peri-implantitis, including its impact on disease resolution, re-osseointegration of treated implants, and peri-implantitis recurrence. It also compares various study and treatment protocols used in the selected papers. Methods: A comprehensive search was conducted in MEDLINE (via PubMed) and the Cochrane Central Register of Controlled Trials using the keywords “electrolytic cleaning implant” or “GalvoSurge”. Studies published until 31 December 2024 were considered for inclusion. Results: Out of 141 articles retrieved, four publications were selected for the review. These studies were analyzed for implant type, number, evaluation methods, observation periods, surgical procedures, and additional treatments. Disease resolution was reported in one study, while peri-implantitis recurred in the remaining studies. However, re-osseointegration of treated implants was observed in all selected papers. Conclusions: Due to the limited and heterogeneous nature of the studies, it is difficult to draw definitive conclusions about the effectiveness of electrolytic cleaning as a treatment for peri-implantitis. To ensure consistent trial outcomes and improve predictability, clear clinical guidelines and surgical protocols for electrolytic decontamination are essential.
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(This article belongs to the Special Issue Oral Implantology and Rehabilitation)
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Open AccessArticle
Oral Health-Related Quality of Life in Children at a Pediatric Emergency Dental Service During the Start of COVID-19
by
Ali Al Ibraheem, Clara Dürsch and Katrin Bekes
Dent. J. 2025, 13(4), 171; https://doi.org/10.3390/dj13040171 - 18 Apr 2025
Abstract
Background/Objectives: Oral health-related quality of life (OHRQoL) has become increasingly significant in dentistry. By incorporating patient perspectives through questionnaires alongside objective diagnoses, the understanding of diseases is enhanced. This study examines OHRQoL during the early COVID-19 pandemic in children aged 0–10 who visited
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Background/Objectives: Oral health-related quality of life (OHRQoL) has become increasingly significant in dentistry. By incorporating patient perspectives through questionnaires alongside objective diagnoses, the understanding of diseases is enhanced. This study examines OHRQoL during the early COVID-19 pandemic in children aged 0–10 who visited the Emergency unit of Pediatric Dentistry at the Medical University of Vienna from March to May 2020, focusing on the impact of COVID-19 restrictions on various social and health aspects. The study aimed to assess OHRQoL in children during the early weeks of the COVID-19 pandemic and correlate it with other health and social conditions. Materials and Methods: Children (up to 10 years) and their parents visiting the Emergency Unit of the department completed OHRQoL questionnaires. In children aged 0–6, their parents answered the Early Childhood Oral Health Impact Scale questionnaire (ECOHIS), while 7–10-year-olds completed the Child Perception Questionnaire (CPQ) by themselves. Summary scores and associations between oral and general health subdomains were analyzed. Results: Both the ECOHIS and CPQ groups showed high general summary scores, indicating decreased OHRQoL (ECOHIS 12.22 [±8.68] and CPQ 18.36 [±12.35]). The highest scores were in the “oral symptoms” domain, mainly due to “toothache”. Significant correlations were observed between “general health” and “oral health” with the “family section” in the ECOHIS group and between “oral health” and “oral symptoms” with “emotional well-being” in the CPQ group. Conclusions: During the pandemic, both age groups experienced decreased OHRQoL. Family background influenced oral health (ECOHIS), while oral symptoms and emotional well-being correlated with oral health (CPQ). Further research is needed to understand pandemic-related factors affecting OHRQoL and develop preventive strategies.
Full article
(This article belongs to the Special Issue Current Advances in Pediatric Odontology)
Open AccessReview
Dental Splints and Sport Performance: A Review of the Current Literature
by
Cornelia Popovici, Ioana Roxana Bordea, Alessio Danilo Inchingolo, Francesco Inchingolo, Angelo Michele Inchingolo, Gianna Dipalma and Ana Lucia Muntean
Dent. J. 2025, 13(4), 170; https://doi.org/10.3390/dj13040170 - 18 Apr 2025
Abstract
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Background/Objectives: Lately, there has been a greater focus on the function of the dento-mandibular apparatus, specifically on the location of the jaw and occlusion. Given the new potential insights, the current study aimed to comprehensively analyze the published literature on the use
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Background/Objectives: Lately, there has been a greater focus on the function of the dento-mandibular apparatus, specifically on the location of the jaw and occlusion. Given the new potential insights, the current study aimed to comprehensively analyze the published literature on the use of occlusal splints and their effects on exercise performance. Methods: A search was conducted on PubMed, Scopus, and Web of Science for papers published between 2014 and 2024. Starting from the 128 identified records, 28 were finally included for review. Results: The extensive literature review revealed significant diversity in the experimental conditions, suggesting that the occlusal splints may enhance exercise performance and support dental health. Conclusions: The present study highlights the growing interest in occlusal splints research and its impact on sport and exercise science. Mouthguards or occlusal splints should continue to be worn in sports with a considerable risk of orofacial injury. Regardless of how they affect performance, mouthguards or occlusal splints are crucial for athletes in many sports to prevent oral and dental injuries.
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Open AccessReview
Treatment Options for Unilateral Agenesis of the Maxillary Lateral Incisor Combined with Contralateral Microdontic or Peg-Shaped Lateral Incisor: A Systematic Review
by
Federica Bitonto, Alessio Verdecchia, Massimiliano Lombardo, Erica Lipani, Claudia Dettori and Enrico Spinas
Dent. J. 2025, 13(4), 169; https://doi.org/10.3390/dj13040169 - 17 Apr 2025
Abstract
Background: Managing unilateral maxillary lateral incisor agenesis (UMLIA) with an associated microdontic or peg-shaped contralateral incisor (Mi or Peg MLI) presents clinical and esthetic challenges. Deciding between orthodontic space opening (OSO) or closure (OSC) and whether to restore or extract the Mi or
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Background: Managing unilateral maxillary lateral incisor agenesis (UMLIA) with an associated microdontic or peg-shaped contralateral incisor (Mi or Peg MLI) presents clinical and esthetic challenges. Deciding between orthodontic space opening (OSO) or closure (OSC) and whether to restore or extract the Mi or Peg MLI are critical factors for achieving optimal treatment outcomes. Methods: A systematic review was conducted using a dual strategy across Scopus, Web of Science, Embase, PubMed, and Cochrane Central Register of Controlled Trials databases. The Cochrane RoB2 tool was used for randomized controlled trials (RCTs), the ACROBAT-NRSI tool for non-randomized studies, and the JBI Manual for case reports. High-quality case reports were included when the literature was limited. The GRADE (Grading of Recommendations, Assessment, Development, and Evaluation) tool evaluated the certainty of evidence, considering bias, inconsistency, indirectness, imprecision and other considerations. Results: Thirty-five studies met the inclusion criteria, assessing treatment modalities, esthetic outcomes, periodontal health, and occlusal and temporomandibular joint (TMJ) function. Both OSO and OSC demonstrated similar occlusal and TMJ outcomes, while slight differences in esthetic and periodontal results were noted between the two approaches. Direct composite and indirect ceramic restorations showed comparable effectiveness for reshaping the Mi or Peg MLI. Extraction combined with OSC contributed to improved smile symmetry. Conclusions: A personalized, multidisciplinary approach is essential for treating UMLIA with an Mi or Peg MLI. Both OSO and OSC are viable options, and the choice should be tailored to the patient’s specific clinical scenario, with attention to achieving the best esthetic and periodontal outcomes. Further research is needed to refine treatment protocols and support clinical decision-making.
Full article
(This article belongs to the Special Issue Orthodontics and New Technologies: 2nd Edition)
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Open AccessArticle
Calcium and Microhardness Quantification in Healthy and Fluorotic Dentin Conditioned with a Self-Etching System: An In Vitro Study
by
José Alejandro Rivera Gonzaga, Ana Josefina Monjarás Ávila, Louis Hardan, Norma Verónica Zavala Alonso, Carlos Enrique Cuevas Suárez, Nicolas Nassar, Ahmed A. Holiel, Naji Kharouf, Youssef Haikel and Rim Bourgi
Dent. J. 2025, 13(4), 168; https://doi.org/10.3390/dj13040168 - 17 Apr 2025
Abstract
Background: Dental fluorosis can affect the micromorphology of dentin, a fact that could present constraints relating to the structural, mechanical, and chemical stability of dentin when it is demineralized in operative maneuvers. Introduction: The aim of this article is to quantify the amount
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Background: Dental fluorosis can affect the micromorphology of dentin, a fact that could present constraints relating to the structural, mechanical, and chemical stability of dentin when it is demineralized in operative maneuvers. Introduction: The aim of this article is to quantify the amount of calcium and the microhardness of both a healthy and a fluorotic dentin through conditioning with a two-step self-etching system (Optibond Versa, Kerr, CA, USA). Methods: Dentin samples were obtained from healthy molars diagnosed with mild, moderate, and severe fluorosis. The amount of calcium was quantified utilizing an atomic absorption spectrophotometer. The hardness was evaluated using a Vickers durometer. Two dentin samples from each study group were examined using scanning electron microscopy (SEM). Results: A one-way analysis of variance (ANOVA) and Tukey–Kramer test were applied as post hoc tests for determining the differences in calcium values between the study groups and to show the difference in the hardnesses evaluated. The Student’s t-test was applied to related samples. The level of significance was set at p < 0.05. Statistically significant results were obtained for the amount of calcium and microhardness of the healthy dentin group. The SEM images demonstrated irregular etching patterns in the fluorotic dentin, indicating potential bonding challenges. Conclusion: In conclusion, there is a lower amount of calcium and a significant reduction in microhardness in healthy dentin when applying the self-etching system compared to fluorotic dentin. Fluorotic dentin is more resistant to demineralization, which may influence adhesive bonding strategies. Clinicians should consider adjusting conditioning protocols for optimal adhesion in fluorotic teeth.
Full article
(This article belongs to the Special Issue Restorative Dentistry: Emerging Trends and Personalized Treatment Strategies for Optimal Patient Care)
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