Dental Materials Commons^™

Operation Bite Block, Jennifer Aline Robles, Laura Marie Strobbe, William Pearce Graham, Annabelle Katherine Thalken

Mechanical Engineering

Current dental bite blocks, or mouth props, are typically manufactured in fixed sizes, and often result in patient discomfort, reduced procedural efficiency, and the need for dental offices to maintain multiple product sizes. This project sought to design, prototype, and validate an adjustable dental bite block capable of accommodating a wide range of patient mouth openings while maintaining comfort, structural integrity, sterilizability, and operator usability. Working in collaboration with Dr. Alan Latta, a practicing dentist in San Luis Obispo, the design process incorporated stakeholder feedback, patent and market research, engineering analysis, and iterative prototyping to develop a solution that addresses …

Endodontic Access Through Zirconia Crowns: A Comparative Evaluation Of 3d Guided Versus Free-Handed Techniques, Maryam Alrughaib

Theses and Dissertations

Objective:

Accessing canals through full-coverage zirconia crowns is challenging and may increase the risk of misdirection, excessive dentin removal, and prolonged chair time. Guided endodontic access has been proposed to improve efficiency and precision. This study compared the accuracy and time efficiency of guided versus free-hand endodontic access through zirconia restorations. The hypothesis was that guided access would enhance canal localization precision and significantly reduce access time.

Methods:

Thirty-two extracted maxillary premolars were restored with 1-mm–reduced monolithic zirconia crowns (3Y-TZP, Katana HTML, Kuraray, Japan) and mounted in Modupro models. Teeth were assigned to two groups (n = 16 each): guided …

Understanding Age-Related Differences In Dentists' Perceptions Of Fluoride Use In The Midwest, Alexander S. Becker

Theses/Capstones/Creative Projects

This study examined age-related differences in dentists’ perceptions of fluoride use, effectiveness, and risks. Eight Midwest dentists (four early-career, four experienced) participated in interviews with demographic, quantitative, and open-ended questions. While all recognized fluoride’s importance, younger dentists emphasized its benefits and utilized it more themselves than older dentists, two of whom expressed concerns about fluoride exposure and fluorosis, a hypomineralization disorder that occurs during enamel development (Berg et al., 2011). One dentist cited potential neurological risks, including effects on the pineal gland and links to Alzheimer’s Disease. Despite these differences, all but one viewed fluoride as a cost-effective preventive measure …

Evaluation Of Blending Ability Of Single-Shade Composite Relating To Different Cavity Depths And Abrasive Wear From Toothbrushing, Nattaporn Verayangkura

Chulalongkorn University Theses and Dissertations (Chula ETD)

Materials and Method: Eighty extracted human premolars were used for the shade‑matching evaluation. The materials tested in this study were Omnichroma (OC), Vittra APS Unique (VU), Charisma Diamond One (CD), and Filtek Z350 XT (FZ, control). The initial tooth shade was determined using a dental spectrophotometer and the reference color parameters (L, C, and H) were recorded with a laboratory spectrophotometer. A 4‑mm‑diameter cylindrical cavity was prepared in each tooth at restoration depths of either 1 mm or 2 mm. The prepared teeth in each restoration depth group were further divided into four subgroups based on the resin composite material …

Increasing Oral Health In A Midwest Elementary School: Quality Improvement Project, Dee Young

Doctor of Nursing Practice Projects

Marginalized communities experience barriers to accessing oral healthcare in the United States (US). Due to this, many children are left to use the emergency department (ED) for dental care. The purpose of this Doctor of Nursing Practice (DNP) project was to improve oral health services access in children at one suburban Midwest elementary school. The objectives of this project were: a) to improve the efficiency of students registering in Fall 2023 to access available oral health exam services, b) to increase the number of students who receive an oral health exam compared to the number in the previous school year. …

Establishing An Objective, Quantifiable Method For Detecting Erosive Tooth Wear, Camille Kita

Biological Sciences Undergraduate Honors Theses

This study aims to monitor and evaluate erosive tooth wear (ETW) by measurement of enamel surface thickness and texture in a clinical setting. The objective approach is fundamentally different from the standard subjective visual assessment that professionals in the dental field using the Basic Erosive Wear Evaluation (BEWE) method.

Twenty-nine hyposalivation and three control subjects were used in this longitudinal study, for a total of 597 samples (only 577 teeth were eligible for surface texture analysis) evaluated in a longitudinal study including both baseline and 12 month follow up surfaces. Each participant’s buccal surface of the tooth was first analyzed …

Mathematical Modeling For Dental Decay Prevention In Children And Adolescents, Mahdiyeh Soltaninejad

Dissertations

The high prevalence of dental caries among children and adolescents, especially those from lower socio-economic backgrounds, is a significant nationwide health concern. Early prevention, such as dental sealants and fluoride varnish (FV), is essential, but access to this care remains limited and disparate. In this research, a national dataset is utilized to assess sealants' reach and effectiveness in preventing tooth decay, particularly focusing on 2nd molars that emerge during early adolescence, a current gap in the knowledge base. FV is recommended to be delivered during medical well-child visits to children who are not seeing a dentist. Challenges and facilitators in …

The Comparison Of Learning Outcome Between Implant Placement Training With Xguide Vs Iris100 Navigation In Different Anatomical Situations, Supichaya Thanasanpaiboon

Chulalongkorn University Theses and Dissertations (Chula ETD)

This study aimed to evaluate the learning outcomes, accuracy, efficiency, and user perceptions of two dynamic navigation systems, X-Guide and IRIS-100, in implant placement training for novice dentists across varying anatomical complexities.Fourteen novice dentists were initially recruited, with 12 completing the full training program. Participants underwent implant placement training on models representing straightforward and advanced cases using two training sequences: X-Guide followed by IRIS-100, and IRIS-100 followed by X-Guide. Accuracy was assessed by measuring angular, coronal, and apical deviations, as well as operation time, across pre-test, post-test 1, and post-test 2 phases using the freehand technique, followed by repeated measures …

Inflammatory Responses Of Peri-Implant Crevicular Fluid On Different Dental Implant Abutment Materials After 6-Months Functional Loading: A Randomized Clinical Controlled Trial, Penkamol Wongrattanapasson

Chulalongkorn University Theses and Dissertations (Chula ETD)

Different abutment materials induce different immune responses in peri-implant soft tissues. Previous study showed that Ti base abutments without loading demonstrated comparable soft tissue-reaction to titanium abutments (Sampatanukul et al., 2018). Inflammatory responses after functional loading had not been elucidated in the previous study. This study investigates the inflammatory responses of peri-implant crevicular fluid around two abutment materials; titanium and titanium base (Ti base) after 6-months functional loading and identifies suitable abutment material which can induce stable inflammatory response in the peri-implant soft tissue. Sixteen implants of either Neodent or Straumann single implants were placed in sixteen patients in anterior …

The Effect Of Surface Treatments And Coffee Thermocycling On Color Stability And Translucency Of Cad-Cam Polychromatic High-Translucent Zirconia Compared With Lithium Disilicate Glass Ceramic, Ratchaphat Khomprang

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objectives: To evaluate effects of surface treatments on the color stability (ΔE) and translucency parameter (TP) of Gradient Multilayered yttria-stabilized Zirconia (GMZ), Ultra-translucent multilayered Zirconia (UTML) and lithium disilicate glass ceramic (LD) under coffee thermocycling. Methods: 27 samples from each material were classified into 3 groups (polished, glazed, and glazed+pumice). A dental spectrophotometer was utilized to measure the color coordinates before and after thermocycling. The color and translucency differences (ΔE and ΔTP) measurements were determined using the CIELAB formula, and their corresponding 50%:50% perceptibility and acceptability thresholds (PT and AT) were used for analysis. One-way ANOVA and Two-way ANOVA was …

Oral Health-Related Quality Of Life, Patient’S Satisfaction And The Clinical Performance Of Anterior Ceramic Veneers Criteria In 10 Years Clinical Cross-Section Study, Thitiorn Panayong

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objectives: The purpose of this study was to evaluate the clinical performance of ceramic veneers after 9-10 years, assess oral health-related quality of life and patient’s satisfaction, and examine the associations between them. Materials and Methods: 30 patients who treated with ceramic veneers aged 9 to 10 years were recalled for a clinical examination. Each participant completed a questionnaire on satisfaction and oral health-related quality of life, using the Oral Impact on Daily Performance (OIDP) scale. The Chi-square or Fisher Exact test was used to assess associations between tooth position and professional evaluations of veneer success and individual items. Consistency …

Esthetic Evaluation Of Implant Restoration In Esthetic Zone: A Long-Term Follow-Up, Harit Muangmore

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objective: This study aimed to evaluate the correlation between esthetic outcomes of single-tooth implant restorations (STIRs) in the anterior maxilla, assessed by the Pink Esthetic Score (PES), White Esthetic Score (WES), and the newly introduced Esthetic Sustainable Criteria (ESC), over two follow-up periods: 5 years and 10 years. Materials and Methods: A cross-sectional retrospective study was conducted involving 22 patients treated with STIRs at the Faculty of Dentistry, Chulalongkorn University, from January 2009 to December 2024. Patient demographics, treatment protocols, and follow-up assessments were collected at both 5 and 10 years. PES and WES were utilized to evaluate esthetic outcomes, …

Implant Overdenture Abutment Loosening Under Hyperbaric Conditions, Zana Jamal Al-Saloum

Graduate Theses, Dissertations, and Problem Reports (ETD)

Objectives: To investigate the effect of various hyperbaric air pressures on the loosening of LOCATOR® (ZEST Anchors, LLC, Escondido, CA USA) overdenture abutments.

The pressure conditions tested are meant to simulate scuba diving conditions in edentulous patients that are restored with implant-retained tissue-supported overdentures. Another sub-goal of this study is to determine whether or not there is a difference in LOCATOR® loosening when the sample is exposed to six cycles/dives as opposed to one cycle/dive.

Methods: 36 ZimVie Tapered Screw Vent Implants with a 3.5mm diameter implant platform, and a 2.5mm diameter (and 1.5mm deep) internal hexagon were …

Clinical Outcomes Of Primary Anterior Esthetic Crowns In Pediatric Dentistry, Jenan Alahmad

Theses and Dissertations

Clinical Outcomes of Primary Anterior Esthetic Crowns in Pediatric Dentistry - A Prospective Cohort Study

By: Jenan Alahmad, BDS

A thesis submitted in partial fulfillment of the requirements for the degree of Master of Science in Dentistry at Virginia Commonwealth University.

Virginia Commonwealth University, 2024

Thesis Advisor: Parthasarathy Madurantakam, DDS, MDS, PhD

Department of Pediatric Dentistry

BODY

Purpose: This prospective cohort study aimed to compare the effectiveness of restoring maxillary anterior teeth in children (aged 3-6 years) with three different materials: Zirconia Crowns (ZC), Resin Composite Crowns (RC), and Pre-veneered Stainless-Steel Crowns (PVSSC). The study aims to assess the Oral …

A Preliminary Report Of A Randomized Controlled Clinical Trial Comparing Ferric Sulfate With Zin Oxide Eugenol And Non-Eugenol Based Material For Pulpotomy In Primary Molar Teeth, Sarah Balal

Theses and Dissertations

Purpose: This study aimed to evaluate the effect of eugenol and non-eugenol-based Zinc Oxide Eugenol (ZOE) cements on primary tooth pulpotomies where Ferric Sulfate (FS) is used as a medicament.

Methods: Children aged 3-7 years with dental caries in their primary molars that have clinical and radiographic diagnosis of reversible pulpitis and undergoing dental treatment under Oral Conscious Sedation (OCS) or General Anesthesia (GA) were recruited. Children were randomly assigned to receive either FS and ZOE (IRM) or FS and non-eugenol based (CAVIT). The outcomes were assessed based on failure rates of the materials separately for clinical or radiographic evidence …

The Creation Of An Innovative Oral Health Assessment Survey, Purna Patel

Electronic Theses, Projects, and Dissertations

Background Oral health is an important factor to maintain overall health and well-being, such as students’ knowledge, attitude, and practice. Currently, there is a limited amount of research related to oral health awareness in college students.

Objective The purpose of the study was to define the importance of oral health and investigate college students’ understanding related to oral health. Moreover, research shows how students are protecting their oral hygiene.

Results: The outcomes revealed the college student's awareness and understanding of oral health. According to the survey questions, students believe that dental health is a significant aspect of overall health management. …

A Comparison Of Crestal Bone Loss Between Healing Abutment And Customized Abutment; 6 Months Clinical Observation, Adison Jirasuwannakul

Chulalongkorn University Theses and Dissertations (Chula ETD)

Adison Jirasuwannakul : A Comparison of crestal bone loss between healing abutment and customized abutment ; 6 months clinical observation. Advisor: Associate Professor Pravej Serichetaphongse, D.D.S., M.S . Co-advisor: Asst. Prof. Wareerat Chengprapakorn,, D.D.S., Ph.D. Objective : To compare the effect on marginal bone loss between using healing abutment and customized abutment (Definite abutment). Material and method : Thirdtyfour patients who required a single posterior implant-supported prosthesis were randomly divided into two groups which were healing abutment group (Control group)and customized titanium abutment group(Test group). Patients received one dental implant between 4.0 and 5.0 mm. diameter (Dentium Superline, Dentium, Seoul, …

Comparison Of Removal Torques Among Different Abutments In Single Implant Crowns After Cyclic Loading: An In Vitro Study, Suppanut Jongsiri

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objectives: To evaluate the effect of different restoration designs on the removal torque loss of implant-supported maxillary first premolar crowns after cyclic loading and to measure the impact of cyclic loading on removal torque. Materials and Methods: Thirty-two dental implants (4.0*10 mm), embedded in resin blocks and their abutments, were divided into 4 groups (n=8) based on restoration design: screwmentable group, 2 cement-retained groups: cemented with adhesive resin cement (Panavia V5) or provisional cement (RelyX Temp NE), and screw-retained one-piece titanium group. Monolithic zirconia crowns were fabricated and cemented in the first three groups. Their removal torques were recorded using …

Comparison Of Learning Curve In Novice And Experienced Operators Between Anterior And Posterior Implant Placement Using Dynamic Computer Assisted-Surgical Implant Placement: Randomized Controlled Trials, Pitsinee Kundaechanont

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objectives: To observe the equivalence of learning curve between anterior and posterior implant placement and between novice and experienced operators using dynamic computer assisted-surgical implant placement (CAIS) with type-III bone model simulated maxilla. Materials and Methods: Eight participants, including four novices and four experienced operators, were randomly assigned in blocks to either anterior or posterior placement group. Prior to the experiment, participants underwent video-training. Each participant performed four single implant placements per session with a 7±1 days wash-out period, totaling five attempts. The operating time, coronal, depth, and angle deviations in each attempt were recorded and analyzed by a blind …

The Effect Of Water Sorption And Solubility On Surface Properties Of Cad/Cam Materials, Chatchalanya Wansudon

Chulalongkorn University Theses and Dissertations (Chula ETD)

The objective of this research was to examine sorption, solubility, and surface properties of three widely used CAD/CAM materials: resin composite (Cerasmart; CS), polymer-infiltrated ceramic network (Vita Enamic; VE) and lithium disilicate glass ceramic (IPS e.max CAD; LS). 45 rectangular-shaped specimens were prepared and immersed in deionized water for varying durations. These specimens were then subjected to evaluate their water sorption, solubility, surface roughness, and surface hardness. The results showed that immersion time significantly impacted water sorption of the tested materials (P.05). The 2-way ANCOVA revealed that water immersions had significant effects on surface hardness among tested CAD/CAM blocks (P.05). …

The Effect Of Universal Adhesives On Repairability Of Four Cad/Cam Blocks, Tanyaporn Treyasorasai

Chulalongkorn University Theses and Dissertations (Chula ETD)

This study aimed to assess the repairability among four CAD/CAM blocks repaired with different universal adhesives after aging. The CAD/CAM blocks evaluated were polymer infiltrated ceramic network (VE), zirconium-reinforced lithium silicate ceramic (VS), feldspathic ceramic (VM), and lithium disilicate ceramic (IE). Each original block was prepared to create 120 specimens. After 10,000 cycles of thermocycling, surface pretreatment of each specimen was carried out by grinding and etching with a 9% hydrofluoric acid. Subsequently, specimens were divided into three groups: Clearfil™ TRI-S BOND (CUB), Scotchbond Universal Plus® (SUP), and Monobond N® (MN). Resin composite was then applied. All samples underwent another …

Microleakage Of Class Ii Restoration Using Short-Fiber Reinforced Flowable Resin Composite, Parichat Panyawisitkul

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objective. With short-fiber reinforced resin composite (SFRC), improved mechanical strength and good workability could be achieved within a single material. However, there remains concerns related to microleakage, which could restrict the application of this material in certain clinical situations. Materials and Methods. Class II cavities were prepared in 80 premolars. Each group, consisting of 10 specimens, was restored with different materials: flowable bulk-fill SFRC (EverX Flow, EXF), bulk-fill SFRC (EverX Posterior, EXP), flowable bulk-fill (Tetric N-Flow, TNF), and conventional resin composite (Z350 XT, Z350). The specimens were divided into two subgroups: one underwent thermocycling of 20,000 cycles, while the other …

Effect Of Variations In Translucency Of Cad/Cam Lithium-Disilicate Ceramic And Abutment Color On Optical Color Of Veneer Restoration, Wichaya Likitnuruk

Chulalongkorn University Theses and Dissertations (Chula ETD)

This study aimed to evaluate the optical color of different translucencies of CAD/CAM lithium-disilicate ceramics on backgrounds with different values. Low translucency (LT) and medium translucency (MT) rectangular-shaped specimens (0.6 mm thickness, shade A1) were fabricated from IPS e.max CAD (EMC; Ivoclar Vivadent) and Amber Mill (AM; HASS). Six specimens of EMC-MT, EMC-LT, AM-MT, and AM-LT were fabricated, resulting in 24 specimens in total. The specimens were placed on six background colors (1M1(reference), 1M2, 2M2, 3M2, 4M2, and 5M2) made of light-cured resin composite (Vita VM LC Base Dentine, Vita Zahnfabrik) using glycerine as a medium. The CIE L*a*b* coordinates …

Influence Of Ceramic Translucency, Ceramic Thickness, And Shades Of Luting Resin Cement On Final Color Of Cad/Cam Lithium Disilicate Veneers, Ploypailin Radeesujalitkul

Chulalongkorn University Theses and Dissertations (Chula ETD)

Purpose. To evaluate the effect of ceramic translucency, ceramic thickness, and cement color on the final optical color of a CAD/CAM lithium disilicate ceramic. Methods. A total of 180 ceramic specimens were prepared into two thicknesses, 0.5 and 1.0 mm, from high translucency (HT), medium translucency (MT), and low translucency (LT) CAD/CAM lithium disilicate ceramics (IPS e.max CAD; Ivoclar Vivadent) in shade A1. Substrates were fabricated from resin composite in shade A3. Two shades of light-cure resin cement, neutral and light plus (Variolink Esthetic LC; Ivoclar Vivadent), were used for cementation, whereas glycerine was used for the control groups. CIE …

A Comparison Of Fracture Load After Mechanical Cyclic Loading Between 3 Different Materials And 2 Designs On Implant-Supported Crown : An In Vitro Study, Thanus Liwwattanakorn

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objective: To compare the fracture resistance among ultra-translucent zirconia, lithium disilicate, and composite resin implant-supported maxillary premolar crowns with cement-retained or combined cement- and screw-retained designs after cyclic loading simulation. Materials and Methods: Forty-eight maxillary first premolar crowns and their abutments were attached on dental implants (ø4.0 x 10 mm) embedded in epoxy resin blocks. All specimens were equally divided into 6 groups (n=8) based on monolithic crown material (ultra-translucent zirconia (Z), lithium disilicate (L), and composite resin (C)) and restoration design (cement-retained and combined cement- and screw-retained). Each specimen was subjected to 500,000 cycles of cyclic loading. Subsequently, a …

Enhancing Dental Aligners With Direct 3d Printing Manufacturing, Erin Clark, Lauren Ickes, Tyler Madison

Williams Honors College, Honors Research Projects

Replacement of thermoforming with direct 3d printed aligners, molding appliances for dental and alveolar movement. Currently the process involved requires 3d printing models and plastic thermoforming, trimming and polishing to fabricate the end product. If possible a product that could be 3d printed that had stress retention, crack resistance, and stain resistance properties delivered in thickness between .030 and .040 inches.

The Comparison Of Learning Outcome Of Dental Implant Placement Training In Esthetic Zone Using Dynamic Navigation System Between Novice Dentists And Experience Dentists, Hatsapon Teparrukkul

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: The increasing importance of CAIS in the practice of implant dentistry calls for adequate education and training of clinicians, however little evidence is available to support educational strategies and best practice. Purpose: The aim of this study was to investigate the effectiveness of distributed training with d-CAIS in the accuracy of freehand implant placement by inexperienced operators. Materials and Methods: Six senior dental students without experience in implant placement and dynamic CAIS systems​ received simulation in free-hand implant surgery (5 implants), followed by distributed training in dynamic CAIS (6 implants). An assessment followed in freehand implant placement (5 implants). …

Quantification Of Dental Fissures Through Occlusal Topography Analysis, Duru Erkan

Biological Sciences Undergraduate Honors Theses

Narrow, deep, and elaborate dental fissures are widely believed to increase the predisposition of enamel to develop carious lesions as these surfaces are thought to be ideal for cariogenic bacteria to adhere to. Therefore, dentists prescribe sealants as a preventative measure for patients with such fissures to avoid tooth decay. Yet to date, there is no objective data supporting the notion that fissure morphology actually affects caries susceptibility, nor is there a quantifiable, clinically practical method to characterize fissure patterns expected to increase risk of caries disease.

In this study, three new methods to quantitatively characterize fissure pattern in mandibular …

The Observation Of Relative Occlusal Forces Of Posterior Implant-Supported Fixed Prostheses In Tooth-Borne And Distal End Circumstance By Using T-Scan System : A Prospective Study, Jinjudhapak Thongdee

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objectives: to assess the relative occlusal forces (ROF) of posterior implants in two different occlusion designs in tooth-borne and distal end circumstances over time using the T-scan system and to compare the marginal bone loss in those situations and designs over time. Material and methods: Twenty patients requiring single posterior or distal end implants were randomly assigned to two groups: Implant-protected occlusion (IPO) or load (LOAD). The ROFs were measured using a T-scan on five occasions. Custom-made jigs were used to collect periapical parallel x-rays. The implant platforms were used as a reference to assess marginal bone loss. Results: In …

A Comparison Of Shear Bond Strength On Human Dentin Using Acrylic Resin Cement And Self-Adhesive Resin Cements With The Use Of Universal Adhesives, Phatcha Maiwatana

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objective: To evaluate the shear bond strength of human dentin with two different phosphate-monomer containing self-adhesive resin cements, an acrylic resin cement, and the effect of universal adhesive pretreatment on human dentin. Materials and Methods: Fifty extracted human third molars with the superficial dentin exposure at the buccal side were prepared. Resin composite cylinders with 2.38 mm diameter were cemented with 5 groups of resin cements and universal adhesives: Rely X U200, Single Bond Universal Adhesive with Rely X U200, Panavia SA Luting Multi, Clearfil Tri-S Bond Universal Quick with Panavia SA Luting Multi, and Super Bond C&B. Then, the …