JOURNAL OF DENTISTRY牙科杂志
JOURNAL OF DENTISTRY(英文缩写 J DENT),ISSN 0300-5712,eISSN 1879-176X,中文译名:牙科杂志 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-09-27 至 2026-09-27，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 4.991 | Q1 |
| 2022 | 4.400 | Q1 |
| 2023 | 4.800 | Q1 |
| 2024 | 5.500 | Q1 |
| 2025 | 5.800 | Q1 |
JOURNAL OF DENTISTRY 最新收录文献
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1. 3D-printed versus conventionally fabricated complete dentures: Time-efficiency and cost-effectiveness analysis.
PMID:日期:2026-12-01To compare the cost, time-efficiency, and cost-effectiveness of conventional complete dentures (CDs) and 3D-printed dentures (DDs). Twenty-three edentulous patients (mean age: 65.96± 8.74) participated in this clinic study. Each participant received two complete dentures fabricated using conventional 5-visit workflow (CD), and a 3-visit digital technique (DD). Clinical and laboratory times were recorded for all fabrication steps, including impressions, jaw relations, try-in, insertion and denture processing. Cost analysis was conducted from the provider perspective and included material costs based on purchase prices and labor costs estimated from recorded procedure times and the corresponding reference fee schedules for clinicians and dental technicians. Cost-effectiveness was assessed using overall patient satisfaction and Oral-Health-related Quality of Life (OHRQoL) as effectiveness indicators to calculate the incremental cost-effectiveness ratio (ICER). Costs of conventional dentures (429.40 (421.44-439.73)) were statistically higher (P < 0.001) compared to denture fabricated using digital workflow (276.94 (269.79-287.92)). Patient overall satisfaction and OHRQoL did not differ between the techniques (P > 0.05). The digital dentures required significantly reduced clinical (90.50 min vs. 179.68 min; P < 0.001) and laboratory (150.85 min vs. 562.98 min; P < 0.001) times, respectively. Monte Carlo simulations indicated the digital workflow was more cost-efficient and cost-effective, since CD had lower NMB and negative ICER for all analyses. In a university setting, DDs are a resource-efficient option that optimizes clinical and laboratory time by significantly reducing the overall costs. Therefore, this approach may be a cost-effective strategy with economic advantages, while maintaining patient-reported outcomes comparable to those achieved with CDs. 3D-printed complete dentures substantially reduce clinical and laboratory time, lower overall costs, and offer a cost-effective alternative to conventional dentures without compromising patient satisfaction or oral-health-related quality of life. REBEC - 2c96zr3.
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2. Clinical outcomes of zirconia dental restorations: A systematic review and meta-analysis.
PMID:日期:2026-12-01To evaluate the survival and success rates of zirconia dental restorations (ZDRs) and their complications. Electronic searches of PubMed, Cochrane, Embase and Web of Science were conducted up to January 1, 2026. Clinical studies with at least 1-year follow-up evaluating zirconia dental restorations in natural teeth were included. Survival rates, success rates, and biological and mechanical complications were analyzed. Risk of bias was assessed using RoB 2, Newcastle-Ottawa Scale (NOS), and Joanna Briggs Institute tools (JBI). Certainty of evidence was evaluated using the GRADE approach. Sixty-six studies published between 2008 and 2025 were included. Pooled survival rates ranged from 92.9% to 98.7% up to 10 years for single crowns (SCs), 77.6% over 10 to 13 years for fixed dental prostheses (FPDs), 97.4% for resin-bonded FPDs (RBFPDs) over 10 to 15 years, from 50.0% to 52.6% over 9 to 13 years for conventional cantilever FPDs (CFPDs) and 89.0% for inlay-retained FPDs (IRFPDs) over 10 years. Pooled success rates were 46.1% for SCs over 10 years, 40.1% for FDPs over 10 to 13 years, 84.3% for RBDPDs over 10 to 15 years, 12.5% to 22.6% for CFPDs over 9 to 13 years and 70.3% for IRFPDs over 10 years. Biological and mechanical complication rates were 12.1% and 53.9% for SCs at 10 years, 19.4% and 46.7% for FPDs over 10 to 13 years, 50.0% and 37.5% for CFPDs at 9 years, 21.4% and 14.3% for IRFPDs at 3 years, and 3.3% and 8.0% for RBFPDs over 10 to 15 years. Restorations treated with airborne-particle abrasion (APA) combined with 10-methacryloyloxydecyl dihydrogen phosphate (MDP) achieved favorable short-term clinical outcomes, with pooled survival and success rates of 98.6% and 97.7% for SCs, and 98.1% and 70.1% for IRFPDs, respectively. The included studies were assessed as having low to moderate risk of bias using RoB 2, NOS, and JBI tools, but GRADE assessment yielded evidence of very low certainty. ZDRs generally demonstrated acceptable to excellent short- to long-term survival and success outcomes. Mid- to long-term clinical performance was varied according to restoration types. The RBFPDs had relatively low complication rates, followed by the SCs, the FPDs and the IRFPDs. CFPDs exhibited relatively low success rates and high complication rates. The predominant biological complications were secondary caries and pulpitis or apical periodontitis, while chipping and debonding were the most common mechanical complications. APA treatment followed by application of MDP is capable of producing favorable short-term clinical outcomes. ZDRs except for CFPDs could achieve favorable mid- to long-term clinical performance. CFPDs should be conducted with caution.
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3. Bleaching-induced enamel alterations: salivary recovery, methodological limitations, and insights from human in situ and in vivo studies. A scoping review.
PMID:日期:2026-12-01To map the available evidence on enamel morphological alterations and mineral dynamics following tooth bleaching, identify patterns of demineralization and remineralization, evaluate the reversibility of bleaching-induced changes, assess protective strategies, and explore methodological factors influencing the interpretation of enamel damage. A comprehensive search was conducted in PubMed/MEDLINE, Embase, Scopus, Cochrane Library, SciELO, Google Scholar, and Web of Science. Four independent reviewers screened studies according to predefined eligibility criteria. Only human in situ and in vivo studies were included. Data were synthesized into three chronological windows: immediate post-bleaching (up to 24 h), short-term recovery (>24 h to 14 days), and long-term follow-up (>14 days). Twenty-four studies were included (21 in situ and 3 in vivo). Surface and mineral assessments employed diverse methodologies, including microhardness testing, profilometry, SEM, AFM, Nano-CT, EDS, Raman spectroscopy, and ATR-IR spectroscopy. Evidence supports a biphasic response in which bleaching induces immediate superficial mineral depletion, increased roughness, and reduced microhardness, particularly with acidic formulations. However, these alterations appear largely reversible under physiological conditions. Human saliva emerged as a key factor promoting mineral recovery and restoration of enamel properties, with recovery typically occurring between 7 and 15 days after treatment. Bioactive additives further reduced initial alterations and enhanced recovery. Whitening dentifrices showed a less favorable profile due to their abrasive mechanism. Methodological factors, particularly enamel grinding and polishing, may contribute to overestimation of bleaching-induced damage. Current human evidence suggests that enamel alterations following tooth bleaching are predominantly transient and strongly influenced by salivary remineralization in the oral cavity. Future studies should prioritize biologically representative protocols and non-destructive analytical approaches. Human in situ and in vivo evidence suggests that enamel alterations associated with tooth bleaching are predominantly transient and largely reversed by salivary-mediated recovery. These findings support the clinical safety of contemporary bleaching protocols and highlight the potential benefits of bioactive strategies to accelerate enamel recovery during treatment.
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4. Artificial intelligence for dental caries detection: An umbrella review.
PMID:日期:2026-12-01Artificial intelligence (AI) has been proposed as a tool to improve dental caries detection across imaging modalities; however, its clinical value remains uncertain. This umbrella review aimed to synthesize and critically appraise systematic reviews evaluating AI for caries detection and diagnosis. An umbrella review was conducted following PRIOR guidance (PROSPERO CRD420261340728). Searches were performed in MEDLINE, Embase, Scopus, Web of Science, and Google Scholar up to 15 March 2026. Methodological quality was assessed using AMSTAR 2, and overlap of primary studies was quantified using the corrected covered area (CCA). Seventeen systematic reviews were included, of which five reported diagnostic test accuracy meta-analyses using bivariate or HSROC models. Across these meta-analyses, pooled sensitivity ranged from 0.76 to 0.94 and specificity from 0.85 to 0.91. Most systems were based on deep learning models applied to bitewing radiographs and intraoral photographs. However, substantial heterogeneity was observed in imaging modalities, lesion thresholds, analytical tasks, and evaluation metrics. In addition, a high degree of overlap across reviews and recurrent methodological limitations, including reliance on retrospective datasets, limited external validation, and inconsistent reporting, substantially weaken the reliability of the evidence. Although AI models demonstrate high diagnostic performance under experimental conditions, current evidence does not support their use as stand-alone diagnostic tools. Their clinical applicability remains limited, and implementation should be restricted to decision-support contexts until robust prospective validation demonstrates meaningful impact on clinical decision-making and patient outcomes.
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5. Influence of endodontic access on the fracture resistance, retention and microleakage of full-coverage restorations in vitro: A systematic review and meta-analysis.
PMID:日期:2026-12-01Endodontic access through retained full-coverage restorations (FCRs) is a preferred option for patients because of its high cost-effectiveness. However, the clinical performance of FCRs after repaired access cavity remains insufficiently characterized. This systematic review investigates the effects of endodontic access cavity preparation through retained FCRs on fracture resistance, retention, and microleakage based on in vitro studies. A comprehensive search was performed in PubMed, Web of Science, and Scopus databases. Studies investigating the influence of endodontic access on the fracture resistance, retention, and microleakage of FCRs were included. Two independent reviewers conducted study selection, data extraction, and risk-of-bias assessment using the QUIN tool. Meta-analysis was employed to estimate fracture resistance and retention, with sensitivity analysis and subgroup evaluation also performed. Microleakage was summarized qualitatively. Twentythree studies were included: fracture resistance (n = 15), retention (n = 5), and microleakage (n = 3). Endodontic access significantly reduced fracture resistance for zirconia (p = 0.0002) and lithium disilicate (LD) restorations (p = 0.007), but not for resin-matrix ceramic (RMC) restorations (p = 0.25). Abutment tooth type contributed to heterogeneity within the LD and RMC subgroups. Retention was significantly reduced when access cavities were left unrepaired (p = 0.03), whereas appropriate repair protocols restored or enhanced retention relative to baseline. Accelerated aging increased microleakage in retained FCRs. Surface pretreatments and flowable resin liners tended to reduce microleakage, but findings were inconsistent. Endodontic access significantly reduces fracture resistance of zirconia and LD FCRs, whereas RMC restorations show no significant change. Appropriate repair protocols can restore or improve retention, potentially exceeding original values. Limited evidence suggests that effective sealing is achievable with appropriate materials. However, well-designed and in-vivo researches are needed to provide more detailed clinical guidance. When performing endodontic access through retained FCRs, reduced fracture resistance must be carefully considered for zirconia and LD restorations, while RMC restorations may be exempt from this concern. Loss of retention with access can be restored after repair. Surface pretreatment and flowable resin liners help decrease microleakage.
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6. Socioeconomic differences in the effectiveness of oral health programs for dental caries prevention in Europe: A systematic review and meta-analysis.
PMID:日期:2026-12-01The meta-analysis systematically summarized evidence on how socioeconomic status (SES), access to dental care, and oral health programs (OHP) affect caries prevalence and severity among children and adults in Europe. Four electronic databases (PubMed, Scopus, Cochrane Library and Embase) were systematically screened from 1947-2026, supplemented by cross-referencing and manual searches, without language restrictions. Study selection, data extraction and quality assessment were done in duplicate. Methodological quality was assessed using the NHLBI Study Quality Assessment Tools according to study design. Certainty of evidence was graded using GRADE Profiler 3.6. Mean differences (MD) were calculated for changes in DMFT, and odds ratios (OR) for the presence of dental caries in individuals using fixed-or random-effects models. Electronic searching identified 1800 articles; 23 studies were included in the review (>169,000 participants) and 14 in the meta-analyses (>88,000). Nine studies evaluated the effectiveness of OHP stratified by SES, and ten examined OHP in low-SES populations. Among low-SES individuals, participation in OHP was associated with a significantly lower increase in DMFT (MD[95% CI]=-0.63[-0.94;-0.31];very low certainty) and significantly lower odds of having dental caries (OR[95% CI]=0.61[0.52;0.73];very low) compared with non-participation. Among program participants, individuals with low SES showed a significantly greater increase in DMFT than those with high SES (MD[95% CI]=0.79[0.30;1.21];very low) and had significantly higher odds of having dental caries (OR[95% CI]= 2.88[1.97;4.22];very low). Participation in OHP may be associated with reducing dental caries in European populations, but benefits are unequally distributed and increase with higher SES. However, this conclusion is based on a limited number of well-conducted trials.
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7. Vertical distribution of accessory canals in different tooth types: A systematic review and meta-analysis.
7. 不同牙型中副根管的垂直分布：系统评价与荟萃分析PMID:日期:2026-12-01[中文摘要] 系统分析不同牙型中副根管的垂直分布并提出潜在的根端切除水平。副根管的比例分布（PD-AC）以1 mm为间隔，2 mm和3 mm内的累积比例（CP-AC和CP-AC），副根管孔至根尖或主根管孔的平均距离（MD-AF），以及二维横截面中副根管的检出率（PR-AC-2D）。对电子数据库进行了系统性检索，截止日期为2025年12月25日。该综述已在PROSPERO注册（CRD420251107855）。两名评价者独立进行研究筛选、数据提取，并使用AQUA工具进行偏倚风险评估。共纳入19项研究进行定性综合，其中11项提供了足够的数据进行荟萃分析。采用随机效应模型，并按牙型、副根管类型和国家进行亚组分析。在距根尖0-1 mm、1-2 mm、2-3 mm和3-4 mm范围内，分别有41.5%、34.3%、9.9%和4.4%的副根管分布。磨牙在2 mm内（90.0% vs. 72.4%）和3 mm内（96.9% vs. 87.5%）的比例均显著高于前牙。在根尖分支中，86.4%位于2 mm以内。合并的MD-AF为1.472 mm。PR-AC-2D从1 mm处的29.3%降至5 mm处的1.3%。所有研究均呈现中至高度偏倚风险。2 mm的根端切除水平对磨牙可能足够，而前牙可能需要更高的水平。需要进一步的随机对照试验。2 mm的切除可能足以暴露或去除磨牙中的大多数副根管，在保持治疗效果的同时可能保留更多牙根长度。在前牙中，在获得进一步证据之前，传统的3 mm切除仍然值得推荐。
[英文摘要] To systematically analyze the vertical distribution of accessory canals and propose potential root-end resection levels in different tooth types. Proportional distribution of accessory canals (PD-AC) in 1 mm intervals, cumulative proportions within 2 mm and 3 mm (CP-AC and CP-AC), mean distance from accessory foramen to root apex or main foramen (MD-AF), and prevalence of accessory canals in 2D cross-sections (PR-AC-2D). A systematic search of electronic databases was conducted through December 25, 2025. The review was registered in PROSPERO (CRD420251107855). Two reviewers independently performed study selection, data extraction, and risk of bias assessment using the AQUA tool. Nineteen studies were included for qualitative synthesis, of which eleven provided sufficient data for meta-analysis. A random-effects model was used, and subgroup analyses were stratified by tooth type, accessory canal type, and country. Within 0-1 mm, 1-2 mm, 2-3 mm, and 3-4 mm from the apex, 41.5%, 34.3%, 9.9%, and 4.4% of accessory canals were located, respectively. Molars had significantly higher proportions than anterior teeth both within 2 mm (90.0% vs. 72.4%) and 3 mm (96.9% vs. 87.5%). Of apical ramifications, 86.4% were within 2 mm. The pooled MD-AF was 1.472 mm. PR-AC-2D decreased from 29.3% at 1 mm to 1.3% at 5 mm. All studies presented moderate to high risk of bias. A 2 mm root-end resection level may be sufficient for molars, whereas anterior teeth may require a higher level. Further randomized controlled trials are needed. A 2 mm resection may adequately expose or remove most accessory canals in molars, potentially preserving more root length while maintaining treatment efficacy. In anterior teeth, a traditional 3 mm resection remains advisable until further evidence becomes available.
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8. Clinical performance of two lithium disilicate CAD/CAM materials in posterior Class II inlay restorations: A 48-month randomised split-mouth clinical trial.
PMID:日期:2026-12-01To compare the clinical performance of Amber Mill (AM) and IPS e.max CAD (EM) lithium disilicate computer-aided design/computer-aided manufacturing (CAD/CAM) materials in posterior Class II inlay restorations and characterise their baseline properties. Thirty-four adults received paired AM and EM posterior Class II inlays (68 restorations) in a triple-blind randomised split-mouth trial followed for 48 months. Restorations were evaluated at baseline and annually using revised World Dental Federation (FDI) criteria, with fracture and retention as the primary endpoint. Baseline characterisation included flexural strength, shear bond strength, translucency parameter, and scanning electron microscopy. McNemar, Wilcoxon signed-rank, Friedman, one-way analysis of variance, Tukey post hoc, and inter-rater agreement analyses were used. At 48 months, 18 paired participants were available for primary analysis. Failures occurred in 2 of 18 AM restorations and in 3 of 18 EM restorations, corresponding to success rates of 88.9% and 83.3%, respectively, with no significant between-material difference (McNemar p = 1.000). No catastrophic bulk ceramic fracture was observed. Secondary FDI scores remained mostly within the clinically acceptable range; marginal staining deteriorated over time in both groups (p < .001) without significant between-material differences. Baseline material testing showed significant material- and translucency-dependent differences in flexural strength, shear bond strength, and translucency. Within the limitations of the 48-month follow-up and the tested Class II inlay indication, AM showed clinical performance comparable to EM. Observed clinical complications were related to retention or marginal/interface behaviour. For posterior Class II lithium disilicate CAD/CAM inlays, medium-term complications were mainly retention/interface-related, suggesting adhesive-interface durability may be as important as baseline ceramic strength.
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9. Digitally guided transcrestal sinus floor elevation using collagenated synthetic hydroxyapatite or collagenated xenograft: Histologic and volumetric comparison.
PMID:日期:2026-12-01This study evaluated clinical, radiographic, and histological outcomes after digitally guided transcrestal maxillary sinus floor elevation using two bone substitutes: a composite of cross-linked collagen with synthetic hydroxyapatite (test) and a collagen-enriched bovine-derived bone substitute (control). In a prospective controlled trial, 26 patients with <5 mm residual bone height underwent digitally guided transcrestal sinus augmentation using test or control biomaterial, followed by staged implant placement after six months (T1). Bone cores were harvested during implant site preparation for histological analysis using a dedicated surgical guide. Radiographic volumetric and linear changes were evaluated on pre- and post-operative CBCT scans. Data were analyzed using Mann-Whitney U-test, Kruskal-Wallis, and Fisher's exact tests. At T1 both groups achieved significant graft volume gain with no intergroup difference. The test group showed a higher percentage of newly-formed bone (31.6 ± 21.6% vs. 18.2 ± 16.0%; p = 0.004) and lower residual graft (2.2 ± 6.3% vs. 6.2 ± 6.8%; p = 0.003). Inflammatory infiltration was lower in the test group (p < 0.001). Significant differences in residual graft distribution among biopsy regions were found only in the test group (p = 0.03). The cross-linked collagen/synthetic hydroxyapatite scaffold promoted greater bone regeneration with lower graft remnants than the collagen-enriched xenograft. The digital workflow was used to standardize surgical planning, guide crestal access, biopsy harvesting, and implant placement, supporting procedural consistency in the histological assessment. Both biomaterials supported bone regeneration after staged transcrestal sinus floor elevation. The synthetic hydroxyapatite scaffold showed more newly-formed bone and a lower percentage of area occupied by residual graft material at 6 months, but the clinical significance of these preliminary findings requires confirmation in larger randomized studies with long-term follow-up.