Evaluation of shear bond strength of labial veneers after sandblasting/micro-abrasion of prepared teeth by aluminum oxide particles. An in-vitro study.

Objectives: To explore the feasibility and effectiveness of using sandblasting with aluminum oxide particles to improve the shear bond strength of labial veneer restorations in dentistry. Materials and Methods: A sample size of 50 extracted teeth was divided into five groups, with each group containing ten teeth (n = 10) subject to different treatment protocols. Group 1the control group, underwent conventional surface treatment for labial veneer restorations, including the application of phosphoric acid etchant and bonding protocols. Groups 2 and 3 underwent micro-abrasion using aluminum oxide particles alone for durations of 30 and 45 s, respectively. Groups 4 and 5 experienced a combined approach of micro-abrasion for 30 and 45 s, respectively, followed by conventional surface treatment. The shear bond strength test was performed on each specimen. The resulting modes of failure and surface characteristics were then examined under a digital microscope.The data was analyzed statistically using a one-way analysis of variance (ANOVA) and a post hoc test. Results: Significant differences were observed in shear bond strength among the five groups (p < 0.05). The group that underwent conventional + 45-second micro-abrasion treatment exhibited the highest mean shear bond strength (25.69 MPa), while the conventional (controlled) group had the lowest (9.01 MPa). Conclusion: Fusing sandblasting and aluminum oxide particles could improve the bond strength of labial veneer restorations. Yet, more research is needed to refine this technique for practical application. This includes a broad array of cement types, particle sizes, and clinical situations to ensure the long-term success of veneer restorations.

Occlusal splints-types and effectiveness in temporomandibular disorder management.

Background: Occlusal splints are routinely used in dental offices to diagnose and treat abnormalities of the masticatory system. There are different occlusal splints, each of which can address various conditions. They may treat individuals with temporomandibular disorders (TMDs) and bruxism or be used for occlusal stabilization and dentition wear reduction. Methods: The literature in the National Library of Medicine's Medline Database was reviewed using the Mesh terms 'occlusal splints' AND 'Temporomandibular Disorders. Conclusion: Occlusal splints can treat a wide variety of TMDs. They can treat bruxism, headaches, postural imbalances related to TMDs, and decreased vertical dimension of occlusion (VDO). However, there is no clear evidence that occlusal splints are superior to physiotherapy in treating TMDs. In the long-term follow-up, they were equally effective as other therapies.