A Life-Size Three-Dimensional Phantom for Periodontal Imaging Development and Treatment-Planning

Do dental students need sonography training? A prospective observational study

INTRODUCTION

Sonography is a key diagnostic tool in oral and maxillofacial surgery and complements other imaging methods such as computer tomography or X-rays. While X-ray courses are integral to dentistry students' training, ultrasound diagnostics have not been integrated into undergraduate and postgraduate training. This study investigates whether there is a demand for undergraduate sonography training among dental students.

METHODS

An online questionnaire was developed by a team of experts (dentistry, maxillofacial surgery, otorhinolaryngology, radiology, and didactics) based on the "Checklist for Reporting Results of Internet E-Surveys (Cherries)". Multiple items addressed several topics using dichotomous ("yes"/ "no"), free text, and 7-level Likert answering formats (1 = not at all; 7 = fully and entirely). These included "personal data", "previous experience", "demand for ultrasound diagnostics in an undergraduate degree program", "desired topics of ultrasound training", "teaching methods", and "study materials". Dentistry students completed the questionnaire in the winter semester of 2023/24. The questionnaire's validity was assessed using factor analysis, reliability testing (Cronbach's Alpha, KR-20), and item discrimination.

RESULTS

129 dental students participated (74% female). Many respondents (approx. 90%) were in higher semesters (6-10 semesters) and stated that they had not yet had any contact with ultrasound diagnostics (75%) and had not performed an ultrasound examination as yet (97%). The overall demand for ultrasound training was high (5.8 ± 1.3), particularly for the mandibular joint (6.3 ± 1.1), parotid gland (6.2 ± 1.0), submandibular gland, sublingual gland (6.1 ± 1.1), and floor of the mouth and tongue (5.9 ± 1.4) topics. Concerning the teaching methods and teaching materials, "practical training on a proband" (82%), and the use of "teaching scripts" (85%), "video instructions" (74%), "digital pathological experts" (66%), "e-learning" (62%), and "blended learning" (52%) were most desired. The questionnaire demonstrated high reliability (Cronbach's Alpha 0.93-0.95), strong factor structure (84% and 64% variance explained), and effective item discrimination.

CONCLUSION

The data suggest a demand for undergraduate ultrasound training in dentistry. A practice-oriented, digitally supported training should be developed and implemented.

CLINICAL TRIAL NUMBER

Not applicable.

Evaluating Micro-computed Tomography in Dental Implant Osseointegration: A Systematic Review and Meta-analysis

RATIONALE AND OBJECTIVES

The success of dental implants is heavily dependent on the implant's efficient integration with the surrounding bone, a process known as osseointegration. This integration is influenced by a range of individual characteristics of each patient, as well as the accuracy of diagnostic imaging techniques. Micro-computed tomography (micro-CT) is capable of capturing detailed three-dimensional images with high resolution. It may offer superior capabilities for assessing the connections between bones and implants compared to older techniques such as cone-beam computed tomography (CBCT) and intraoral radiography. This systematic review will discuss the uses of micro-CT in dental implant osseointegration, compare it to other radiography methods, and discuss it's effect on patients, especially those with previous history of periodontal disease.

MATERIALS AND METHODS

This research performed an extensive search across multiple databases, choosing papers based on specific criteria for inclusion and exclusion. The study focus was on using micro-CT to evaluate bone osseointegration. Meta-analyses were conducted to measure the impact of micro-CT on bone loss and the success rates of implants, while comparing various surgical procedures and depths of implantation. This systematic review is registered in PROSPERO with the registration number CRD42023482747.

RESULTS

The result of this study comprised 28 papers, incorporating a meta-analysis of 8. It emphasized the exceptional spatial resolution of micro-CT, which enables accurate assessments of bone volume and density, crucial factors for implant success. Micro-CT, when compared to CBCT and intraoral radiography, provides more comprehensive information, but it faces limitations due to its elevated expenses and radiation exposure. The analysis also indicated that micro-CT could be particularly advantageous in tailored therapy planning, particularly for patients with impaired conditions. Systemic factors like diabetes or periodontal disease can cause bone conditions.

CONCLUSION

Micro-CT is a highly advanced imaging technique that offers extensive information about dental implants, which is essential for evaluating osseointegration. Although micro-CT has several limitations, it has the capacity to improve clinical outcomes by providing more accurate diagnoses and tailored implant techniques. Subsequent investigations should focus on assessing its cost-effectiveness and establishing protocols to mitigate radiation exposure.