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Zhang J, Fan L, Xie C, Li J, Zhang Y, Yu H. A digital workflow for layering composite resin restorations by using 3-dimensionally printed templates to replicate the contralateral tooth accurately and rapidly. J Prosthet Dent 2024; 131:774-780. [PMID: 35513919 DOI: 10.1016/j.prosdent.2022.03.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2022] [Revised: 03/02/2022] [Accepted: 03/03/2022] [Indexed: 02/08/2023]
Abstract
This article described a digital workflow for layering composite resin restorations by using a digital software program and 3-dimensionally printed templates. To mimic the appearance of the natural tooth, the computer-aided design was used to copy the shape of the contralateral tooth. Three-dimensionally printed templates to replicate the contralateral tooth accurately and rapidly can help dentists build different layers of dentin and enamel composite resin, achieving layered esthetic outcomes. This workflow provides an efficient and accurate procedure, reduces chairside time, and simplifies the application of the technically sensitive composite resin layering technique.
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Affiliation(s)
- Junjing Zhang
- Graduate student, Department of Dental Technology, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China
| | - Lin Fan
- Graduate student, State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Disease, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China
| | - Chenyang Xie
- Graduate student, Department of Dental Technology, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China
| | - Junying Li
- Research Fellow and Clinical Lecturer, Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Mich
| | - Yuqiang Zhang
- Graduate student, Department of Dental Technology, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China
| | - Haiyang Yu
- Professor, State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Disease, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China.
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2
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Nogueira-Reis F, Morgan N, Suryani IR, Tabchoury CPM, Jacobs R. Full virtual patient generated by artificial intelligence-driven integrated segmentation of craniomaxillofacial structures from CBCT images. J Dent 2024; 141:104829. [PMID: 38163456 DOI: 10.1016/j.jdent.2023.104829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2023] [Revised: 12/13/2023] [Accepted: 12/29/2023] [Indexed: 01/03/2024] Open
Abstract
OBJECTIVES To assess the performance, time-efficiency, and consistency of a convolutional neural network (CNN) based automated approach for integrated segmentation of craniomaxillofacial structures compared with semi-automated method for creating a virtual patient using cone beam computed tomography (CBCT) scans. METHODS Thirty CBCT scans were selected. Six craniomaxillofacial structures, encompassing the maxillofacial complex bones, maxillary sinus, dentition, mandible, mandibular canal, and pharyngeal airway space, were segmented on these scans using semi-automated and composite of previously validated CNN-based automated segmentation techniques for individual structures. A qualitative assessment of the automated segmentation revealed the need for minor refinements, which were manually corrected. These refined segmentations served as a reference for comparing semi-automated and automated integrated segmentations. RESULTS The majority of minor adjustments with the automated approach involved under-segmentation of sinus mucosal thickening and regions with reduced bone thickness within the maxillofacial complex. The automated and the semi-automated approaches required an average time of 1.1 min and 48.4 min, respectively. The automated method demonstrated a greater degree of similarity (99.6 %) to the reference than the semi-automated approach (88.3 %). The standard deviation values for all metrics with the automated approach were low, indicating a high consistency. CONCLUSIONS The CNN-driven integrated segmentation approach proved to be accurate, time-efficient, and consistent for creating a CBCT-derived virtual patient through simultaneous segmentation of craniomaxillofacial structures. CLINICAL RELEVANCE The creation of a virtual orofacial patient using an automated approach could potentially transform personalized digital workflows. This advancement could be particularly beneficial for treatment planning in a variety of dental and maxillofacial specialties.
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Affiliation(s)
- Fernanda Nogueira-Reis
- OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven Department of Oral & Maxillofacial Surgery, University Hospitals Leuven, KU Leuven Kapucijnenvoer 7, Leuven 3000, Belgium; Department of Oral Diagnosis, Division of Oral Radiology, Piracicaba Dental School, University of Campinas (UNICAMP), Av. Limeira 901, Piracicaba, São Paulo 13414‑903, Brazil
| | - Nermin Morgan
- OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven Department of Oral & Maxillofacial Surgery, University Hospitals Leuven, KU Leuven Kapucijnenvoer 7, Leuven 3000, Belgium; Department of Oral Medicine, Faculty of Dentistry, Mansoura University, Mansoura, Dakahlia 35516, Egypt
| | - Isti Rahayu Suryani
- OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven Department of Oral & Maxillofacial Surgery, University Hospitals Leuven, KU Leuven Kapucijnenvoer 7, Leuven 3000, Belgium; Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - Cinthia Pereira Machado Tabchoury
- Department of Biosciences, Division of Biochemistry, Piracicaba Dental School, University of Campinas (UNICAMP), Av. Limeira 901, Piracicaba, São Paulo 13414‑903, Brazil
| | - Reinhilde Jacobs
- OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven Department of Oral & Maxillofacial Surgery, University Hospitals Leuven, KU Leuven Kapucijnenvoer 7, Leuven 3000, Belgium; Department of Dental Medicine, Karolinska Institutet, Box 4064, Huddinge, Stockholm 141 04, Sweden.
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3
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Raffone C, Gianfreda F, Antonacci D, Pompeo MG, Bollero P, Canullo L. Chairside virtual patient protocol. Part 3: In vitro accuracy of a digital facebow. J Dent 2023; 137:104622. [PMID: 37453655 DOI: 10.1016/j.jdent.2023.104622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2022] [Revised: 06/09/2023] [Accepted: 07/12/2023] [Indexed: 07/18/2023] Open
Abstract
OBJECTIVES The present study aimed to investigate the trueness and precision of an intraoral transfer element (IOTE) designed for matching intraoral and facial scans. METHODS A mannequin head with a maxillary model in position was used. Cone beam computed tomography (CBCT) was used to construct the master model (MM). A digital impression of the maxillary arch was taken using an intraoral scanner, and the IOTE was used to record the maxillary arch position. Twenty facial scans with and twenty without the IOTE in place were performed with a handheld device (Ipad Pro, Apple) using a dedicated software. Digital mounting was performed to build a scan model (SM). Using software for data processing, the three-dimensional deviation between the MM and SM at the central left incisor (#9#), and the left and right first molars (#3#, #14#) was calculated as trueness and linear deviation precision. . Angular deviation was also calculated at the occlusal plane. RESULTS The linear deviation trueness at #9#, #3# and #14# was 0.3 ± 0.12 mm, 1.07 ± 0.28 mm, and 0.18 ± 0.34 mm, respectively, whereas the precision was 1.17 ± 0.4 mm, 0.43 ± 0.12 mm, and 0.64 ± 0.28 mm, respectively. Trueness of the angular deviation at the occlusal plane was 2.17 ± 0.46°, whereas the angular deviation precision was 0.64 ± 0.28°. CONCLUSIONS Based on in vitro findings the proposed IOTE design is accurate and suitable for clinical use. CLINICAL SIGNIFICANCE Direct virtual mounting is a reliable technique in vitro; however, in vivo tests are required.
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Affiliation(s)
| | - Francesco Gianfreda
- Department of Industrial Engineering, University of Rome "Tor Vergata", Rome 00133, Italy
| | | | | | - Patrizio Bollero
- Department of System Medicine, University of Rome "Tor Vergata", Rome 00133, Italy
| | - Luigi Canullo
- Department of Surgical Sciences, University of Genova, Genoa, Italy
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4
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Iwamoto M, Atsuta W, Kaneko Y, Ito J, Kanno T, Murakami T, Tanaka J. Investigating the implant position reproducibility of optical impressions obtained using an intraoral scanner and 3D-printed models fabricated using an intraoral scanner. Int J Implant Dent 2023; 9:14. [PMID: 37341929 DOI: 10.1186/s40729-023-00481-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2022] [Accepted: 05/26/2023] [Indexed: 06/22/2023] Open
Abstract
PURPOSE This study aims to examine the effect of the size of the intraoral scanning area on implant position reproducibility and compare the implant position reproducibility of plaster models fabricated using the silicone impression technique, the digital model of an intraoral scanner, and three-dimensional (3D)-printed models fabricated using an intraoral scanner. METHODS Scanbodies were attached to an edentulous model with six implants (master model) and were scanned using a dental laboratory scanner to obtain basic data. The plaster model was fabricated using the open-tray method (IMPM; n = 5). The master model was then scanned in various implant areas using an intraoral scanner to obtain data (IOSM; n = 5); the scanning data of six scanbodies were used to fabricate the 3D-printed models (3DPM; n = 5) using a 3D printer. Scanbodies were attached to the implant analogs of the IMPM and 3DPM models and data were obtained using a dental laboratory scanner. The basic data and IMPM, IOSM, and 3DPM data were superimposed to calculate the concordance rate of the scanbodies. RESULTS The concordance rate of intraoral scanning decreased as the number of scanbodies increased. Significant differences were observed between the IMPM and IOSM data, and between the IOSM and 3DPM data; however, the IMPM and 3DPM data did not differ significantly. CONCLUSIONS The implant position reproducibility of the intraoral scanner decreased with an increase in the scanning area. However, ISOM and 3DPM may provide higher implant position reproducibility than plaster models fabricated using IMPM.
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Affiliation(s)
- Maya Iwamoto
- Clinical Implant Society of Japan, 1-43-9, Komagome, Toshima-ku, Tokyo, 170-0003, Japan
| | - Wataru Atsuta
- Clinical Implant Society of Japan, 1-43-9, Komagome, Toshima-ku, Tokyo, 170-0003, Japan
| | - Yasuhide Kaneko
- Clinical Implant Society of Japan, 1-43-9, Komagome, Toshima-ku, Tokyo, 170-0003, Japan
| | - Junnosuke Ito
- Clinical Implant Society of Japan, 1-43-9, Komagome, Toshima-ku, Tokyo, 170-0003, Japan
| | - Takeshi Kanno
- Clinical Implant Society of Japan, 1-43-9, Komagome, Toshima-ku, Tokyo, 170-0003, Japan
| | - Takahiro Murakami
- Clinical Implant Society of Japan, 1-43-9, Komagome, Toshima-ku, Tokyo, 170-0003, Japan.
| | - Jyoji Tanaka
- Clinical Implant Society of Japan, 1-43-9, Komagome, Toshima-ku, Tokyo, 170-0003, Japan
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5
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Morgan N, Meeus J, Shujaat S, Cortellini S, Bornstein MM, Jacobs R. CBCT for Diagnostics, Treatment Planning and Monitoring of Sinus Floor Elevation Procedures. Diagnostics (Basel) 2023; 13:diagnostics13101684. [PMID: 37238169 DOI: 10.3390/diagnostics13101684] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2023] [Revised: 05/05/2023] [Accepted: 05/06/2023] [Indexed: 05/28/2023] Open
Abstract
Sinus floor elevation (SFE) is a standard surgical technique used to compensate for alveolar bone resorption in the posterior maxilla. Such a surgical procedure requires radiographic imaging pre- and postoperatively for diagnosis, treatment planning, and outcome assessment. Cone beam computed tomography (CBCT) has become a well-established imaging modality in the dentomaxillofacial region. The following narrative review is aimed to provide clinicians with an overview of the role of three-dimensional (3D) CBCT imaging for diagnostics, treatment planning, and postoperative monitoring of SFE procedures. CBCT imaging prior to SFE provides surgeons with a more detailed view of the surgical site, allows for the detection of potential pathologies three-dimensionally, and helps to virtually plan the procedure more precisely while reducing patient morbidity. In addition, it serves as a useful follow-up tool for assessing sinus and bone graft changes. Meanwhile, using CBCT imaging has to be standardized and justified based on the recognized diagnostic imaging guidelines, taking into account both the technical and clinical considerations. Future studies are recommended to incorporate artificial intelligence-based solutions for automating and standardizing the diagnostic and decision-making process in the context of SFE procedures to further improve the standards of patient care.
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Affiliation(s)
- Nermin Morgan
- OMFS IMPATH Research Group, Department of Imaging & Pathology, Faculty of Medicine, KU Leuven, 3000 Leuven, Belgium
- Department of Oral Medicine, Faculty of Dentistry, Mansoura University, Mansoura 35516, Egypt
| | - Jan Meeus
- Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Campus Sint-Rafael, 3000 Leuven, Belgium
| | - Sohaib Shujaat
- OMFS IMPATH Research Group, Department of Imaging & Pathology, Faculty of Medicine, KU Leuven, 3000 Leuven, Belgium
- Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Campus Sint-Rafael, 3000 Leuven, Belgium
- King Abdullah International Medical Research Center, Department of Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs, Riyadh 11426, Saudi Arabia
| | - Simone Cortellini
- Department of Oral Health Sciences, Section of Periodontology, KU Leuven, 3000 Leuven, Belgium
- Department of Dentistry, University Hospitals Leuven, KU Leuven, 3000 Leuven, Belgium
| | - Michael M Bornstein
- Department of Oral Health & Medicine, University Center for Dental Medicine Basel UZB, University of Basel, 4058 Basel, Switzerland
| | - Reinhilde Jacobs
- OMFS IMPATH Research Group, Department of Imaging & Pathology, Faculty of Medicine, KU Leuven, 3000 Leuven, Belgium
- Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Campus Sint-Rafael, 3000 Leuven, Belgium
- Department of Dental Medicine, Karolinska Institute, 141 04 Huddinge, Sweden
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6
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Dulla FA, Couso-Queiruga E, Chappuis V, Yilmaz B, Abou-Ayash S, Raabe C. Influence of alveolar ridge morphology and guide-hole design on the accuracy of static Computer-Assisted Implant Surgery with two implant macro-designs: An in vitro study. J Dent 2023; 130:104426. [PMID: 36652971 DOI: 10.1016/j.jdent.2023.104426] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2022] [Revised: 01/05/2023] [Accepted: 01/14/2023] [Indexed: 01/16/2023] Open
Abstract
OBJECTIVES The primary aim of this in vitro study was to evaluate the influence of alveolar ridge morphologies on the accuracy of static Computer-Assisted Implant Surgery (sCAIS). The secondary aims were to evaluate the influence of guide-hole design and implant macro-design on the accuracy of the final implant position. METHODS Eighteen standardized partially edentulous maxillary models with two different types of alveolar ridge morphologies were used. Each model was scanned via cone beam computer tomography prior to implant placement and scanned with a laboratory scanner prior to and following implant placement using sCAIS. The postsurgical scans were superimposed on the initial treatment planning position to measure the deviations between planned and postsurgical implant positions. RESULTS Seventy-two implants were equally distributed to the study groups. Implants placed in healed alveolar ridges showed significantly lower mean deviations at the crest (0.36 ± 0.17 mm), apex (0.69 ± 0.36 mm), and angular deviation (1.86 ± 0.99°), compared to implants placed in fresh extraction sites (0.80 ± 0.29 mm, 1.61 ± 0.59 mm, and 4.33 ± 1.87°; all p<0.0001). Implants placed with a sleeveless guide-hole design demonstrated significantly lower apical (1.02 ± 0.66 mm) and angular (2.72 ± 1.93°) deviations compared to those placed with manufacturer's sleeves (1.27 ± 0.67 mm; p = 0.01, and 3.46 ± 1.9°; p = 0.02). Deep-threaded tapered bone level implants exhibited significantly lower deviations at the crest (0.49 ± 0.28 mm), apex (0.97 ± 0.63 mm), and angular deviations (2.63 ± 1.85°) compared to shallow-threaded parallel-walled bone level implants (0.67 ± 0.34 mm; p = 0.0005, 1.32 ± 0.67 mm; p = 0.003, and 3.56 ± 1.93°; p = 0.01). CONCLUSIONS The accuracy of the final implant position with sCAIS is determined by the morphology of the alveolar ridge, the design of the guide holes, and the macrodesign of the implant. CLINICAL SIGNIFICANCE Higher accuracy in the final implant position was observed with implants placed in healed alveolar ridge morphologies, in implants with deep-threaded tapered macro-design, and when sleeveless surgical guide holes were used.
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Affiliation(s)
- Fabrice Alain Dulla
- Department of Oral Surgery and Stomatology; School of Dental Medicine, University of Bern, Switzerland
| | - Emilio Couso-Queiruga
- ITI Scholar, Department of Oral Surgery and Stomatology; School of Dental Medicine, University of Bern, Switzerland
| | - Vivianne Chappuis
- Chair, Department of Oral Surgery and Stomatology; School of Dental Medicine, University of Bern, Switzerland
| | - Burak Yilmaz
- Faculty member, Department of Reconstructive Dentistry and Gerodontology; School of Dental Medicine, University of Bern, Switzerland; Department of Restorative, Preventive and Pediatric Dentistry, School of Dental Medicine, University of Bern, Bern, Switzerland; Division of Restorative and Prosthetic Dentistry, The Ohio State University College of Dentistry, Columbus, OH, USA
| | - Samir Abou-Ayash
- Deputy Department Chair, Department of Reconstructive Dentistry and Gerodontology; School of Dental Medicine, University of Bern, Switzerland
| | - Clemens Raabe
- Senior Lecturer, Department of Oral Surgery and Stomatology; School of Dental Medicine, University of Bern, Switzerland.
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7
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Hartshorn JE, Nair RU. Dental innovations which will influence the oral health care of baby boomers. SPECIAL CARE IN DENTISTRY 2023; 43:359-369. [PMID: 36782274 DOI: 10.1111/scd.12835] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Revised: 01/13/2023] [Accepted: 01/27/2023] [Indexed: 02/15/2023]
Abstract
From the widespread use of smartphones and tablets to the multitude of applications available, older adults are showing an interest in utilizing technology to maintain their independence and to improve their quality of life. As technology continues to advance and be incorporated into many day-to-day activities, the baby boom generation will see these changes affecting the way they access and utilize dental services. Innovative toothbrushes and chemotherapeutics are continuing to be developed and utilized by many older adults. Within the dental office, older adults are seeing greater application of technology in every day dental procedures. These include the use of teledentistry, artificial intelligence (AI), innovative restorative materials, digitization of fixed and removable prosthodontics, cone beam computed tomography (CBCT) scans to guide dental implant placement and endodontic procedures. There is also new technology to aid in cancer detection and shielding during cancer treatment. Improved communication between the medical and dental fields has become increasingly necessary to facilitate effective patient care and a few innovative healthcare systems have begun to consolidate these services. Overall, the baby boom generation will continue to see dental innovations that will change the way they experience everyday life and dental services.
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Affiliation(s)
- Jennifer E Hartshorn
- Department of Preventive and Community Dentistry, The University of Iowa College of Dentistry and Dental Clinics, Iowa City, Iowa, USA
| | - Rohit U Nair
- Department of Preventive and Community Dentistry, The University of Iowa College of Dentistry and Dental Clinics, Iowa City, Iowa, USA
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8
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Abstract
The impact of lifestyle factors has been increasingly studied and discussed in oral healthcare. Positive lifestyle factors are important in maintaining oral health or controlling disease, but they are not easy to adopt over the long term. Along with public health initiatives within communities and groups, there is a role for behavior change interventions delivered in dental practice settings to improve the periodontal health of individuals. Behavior management is now seen as a part of both prevention and therapy of periodontal diseases. This article summarizes the evidence on behavioral strategies for periodontal health to inform and assist oral healthcare professionals in implementing behavior change in their practice. In addition, strategies for education and training in communication and behavior change techniques are considered.
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Affiliation(s)
- Jean E. Suvan
- Unit of PeriodontologyEastman Dental Institute, University College London (UCL)LondonUK
| | - Maja Sabalic
- Unit of PeriodontologyEastman Dental Institute, University College London (UCL)LondonUK
| | - Mário R. Araújo
- Department of Dental HygieneEscola Superior de Saúde de PortalegrePortalegrePortugal
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9
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Hodásová Ľ, Morena AG, Tzanov T, Fargas G, Llanes L, Alemán C, Armelin E. 3D-Printed Polymer-Infiltrated Ceramic Network with Antibacterial Biobased Silver Nanoparticles. ACS APPLIED BIO MATERIALS 2022; 5:4803-4813. [PMID: 36166595 PMCID: PMC9923783 DOI: 10.1021/acsabm.2c00509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
This work aimed at the antimicrobial functionalization of 3D-printed polymer-infiltrated biomimetic ceramic networks (PICN). The antimicrobial properties of the polymer-ceramic composites were achieved by coating them with human- and environmentally safe silver nanoparticles trapped in a phenolated lignin matrix (Ag@PL NPs). Lignin was enzymatically phenolated and used as a biobased reducing agent to obtain stable Ag@PL NPs, which were then formulated in a silane (γ-MPS) solution and deposited to the PICN surface. The presence of the NPs and their proper attachment to the surface were analyzed with spectroscopic methods (FTIR and Raman) and X-ray photoelectron spectroscopy (XPS). Homogeneous distribution of 13.4 ± 3.2 nm NPs was observed in the transmission electron microscopy (TEM) images. The functionalized samples were tested against Gram-positive (Staphylococcus aureus) and Gram-negative (Pseudomonas aeruginosa) bacteria, validating their antimicrobial efficiency in 24 h. The bacterial reduction of S. aureus was 90% in comparison with the pristine surface of PICN. To confirm that the Ag-functionalized PICN scaffold is a safe material to be used in the biomedical field, its biocompatibility was demonstrated with human fibroblast (BJ-5ta) and keratinocyte (HaCaT) cells, which was higher than 80% in both cell lines.
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Affiliation(s)
- Ľudmila Hodásová
- Departament
d’Enginyeria Química, IMEM-BRT, EEBE, Universitat Politécnica de Catalunya, C/Eduard Maristany, 10-14, Ed. I,
2nd Floor, 08019 Barcelona, Spain,Barcelona
Research Center in Multiscale Science and Engineering, Universitat Politécnica de Catalunya, C/Eduard Maristany, 10-14, Basement
S-1, 08019 Barcelona, Spain,Departament
de Ciéncia i Enginyeria de Materials, CIEFMA, EEBE, Universitat Politécnica de Catalunya, Campus Diagonal Besòs, C/Eduard
Maristany, 10-14, Building I, 1st Floor, 08019 Barcelona, Spain
| | - A. Gala Morena
- Grup
de Biotecnologia Molecular i Industrial, Department of Chemical Engineering, Universitat Politécnica de Catalunya, Terrassa 08222, Spain
| | - Tzanko Tzanov
- Grup
de Biotecnologia Molecular i Industrial, Department of Chemical Engineering, Universitat Politécnica de Catalunya, Terrassa 08222, Spain
| | - Gemma Fargas
- Barcelona
Research Center in Multiscale Science and Engineering, Universitat Politécnica de Catalunya, C/Eduard Maristany, 10-14, Basement
S-1, 08019 Barcelona, Spain,Departament
de Ciéncia i Enginyeria de Materials, CIEFMA, EEBE, Universitat Politécnica de Catalunya, Campus Diagonal Besòs, C/Eduard
Maristany, 10-14, Building I, 1st Floor, 08019 Barcelona, Spain
| | - Luis Llanes
- Barcelona
Research Center in Multiscale Science and Engineering, Universitat Politécnica de Catalunya, C/Eduard Maristany, 10-14, Basement
S-1, 08019 Barcelona, Spain,Departament
de Ciéncia i Enginyeria de Materials, CIEFMA, EEBE, Universitat Politécnica de Catalunya, Campus Diagonal Besòs, C/Eduard
Maristany, 10-14, Building I, 1st Floor, 08019 Barcelona, Spain
| | - Carlos Alemán
- Departament
d’Enginyeria Química, IMEM-BRT, EEBE, Universitat Politécnica de Catalunya, C/Eduard Maristany, 10-14, Ed. I,
2nd Floor, 08019 Barcelona, Spain,Barcelona
Research Center in Multiscale Science and Engineering, Universitat Politécnica de Catalunya, C/Eduard Maristany, 10-14, Basement
S-1, 08019 Barcelona, Spain,Institute
for Bioengineering of Catalonia (IBEC), The Barcelona Institute of
Science and Technology, Baldiri Reixac 10-12, 08028 Barcelona, Spain
| | - Elaine Armelin
- Departament
d’Enginyeria Química, IMEM-BRT, EEBE, Universitat Politécnica de Catalunya, C/Eduard Maristany, 10-14, Ed. I,
2nd Floor, 08019 Barcelona, Spain,Barcelona
Research Center in Multiscale Science and Engineering, Universitat Politécnica de Catalunya, C/Eduard Maristany, 10-14, Basement
S-1, 08019 Barcelona, Spain,
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10
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Zhang L, Shen L, Zhang L, Zhang C, Wang H. Dynamic 3D images fusion of the temporomandibular joints: A novel technique. J Dent 2022; 126:104286. [PMID: 36096297 DOI: 10.1016/j.jdent.2022.104286] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2021] [Revised: 09/07/2022] [Accepted: 09/09/2022] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVES To demonstrate a procedure for fusing images from cone-beam computed tomography (CBCT), magnetic resonance imaging (MRI) and optical positioning tracking system to dynamically evaluate the relative motion of the temporomandibular joint (TMJ) for the diagnosis of temporomandibular disorders (TMD). METHODS CBCT data was collected from a patient wearing a fixation device with markers in the intercuspal position. The patient's mandibular movements were recorded using an optical positioning tracking system. The CBCT data were imported into a virtual simulation system to reproduce the mandibular movement. Five jaw positions were selected for 3D printing of the occlusal plate that the patient wore to undergo MRI. MRI scans were registered with the CBCT image for fusion and reconstruction. RESULTS The anatomical structures of the articular fossa, articular disc, and condyle were clearly displayed in the CBCT-MRI fused images. The spatial posture and relative position of the fossa-disc-condyle during mandibular movement could be reproduced dynamically using the 3D reconstruction model. CONCLUSIONS This method can visually display mandibular motion trajectories and the relative TMJ positions. Virtual reproduction provides a comprehensive understanding of the articular disc's morphology and position in different states from a 3D perspective. CLINICAL SIGNIFICANCE This method can be used in clinical studies of TMJ as an adjunct to the 3D dynamic diagnosis and assessment for complex patients with TMD and provide relevant data for doctors.
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Affiliation(s)
- Lu Zhang
- Department of Orthodontics, Tianjin Stomatological Hospital, School of Medicine, Nankai University, Tianjin 300041, China; Tianjin Key Laboratory of Oral and Maxillofacial Function Reconstruction, Tianjin 300041, China
| | - Lin Shen
- College of Artificial Intelligence, Nankai University, Tianjin 300350, China; Institute of Intelligence Technology and Robotic Systems, Shenzhen Research Institute of Nankai University, Shenzhen 518081, China
| | - Linkun Zhang
- Department of Orthodontics, Tianjin Stomatological Hospital, School of Medicine, Nankai University, Tianjin 300041, China; Tianjin Key Laboratory of Oral and Maxillofacial Function Reconstruction, Tianjin 300041, China
| | - Chunxiang Zhang
- Department of Orthodontics, Tianjin Stomatological Hospital, School of Medicine, Nankai University, Tianjin 300041, China; Tianjin Key Laboratory of Oral and Maxillofacial Function Reconstruction, Tianjin 300041, China
| | - Hongpeng Wang
- College of Artificial Intelligence, Nankai University, Tianjin 300350, China; Central Laboratory, Tianjin Stomatological Hospital, School of Medicine, Nankai University, Tianjin 300041, China; Tianjin Key Laboratory of Oral and Maxillofacial Function Reconstruction, Tianjin 300041, China; Institute of Intelligence Technology and Robotic Systems, Shenzhen Research Institute of Nankai University, Shenzhen 518081, China.
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11
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Chang KW. Interdisciplinary treatment in the digital era. APOS TRENDS IN ORTHODONTICS 2022. [DOI: 10.25259/apos_126_2022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
In the digital era today, there are various new technologies could be applied to improve our collaboration and achieve a satisfied treatment outcome. While taking advantage of CAD/CAM technology, the traditional workflow can be simplified, altered, or reversed. Interdisciplinary treatment in the digital era is full of imagination and creativity!
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12
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Leonardi RM. 3D Imaging Advancements and New Technologies in Clinical and Scientific Dental and Orthodontic Fields. J Clin Med 2022; 11:jcm11082200. [PMID: 35456293 PMCID: PMC9031999 DOI: 10.3390/jcm11082200] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Accepted: 04/12/2022] [Indexed: 02/01/2023] Open
Affiliation(s)
- Rosalia Maria Leonardi
- Department of Medical-Surgical Specialties-Section of Orthodontics, School of Dentistry, University of Catania, Policlinico Universitario "G. Rodolico- San Marco", Via Santa Sofia 78, 95123 Catania, Italy
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13
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Jha S, Balachandran R, Sharma S, Kumar V, Chawla A, Logani A. A novel approach to repositioning and stabilization of a luxated tooth with displacement using a 3D printed guide. J Endod 2022; 48:936-942. [DOI: 10.1016/j.joen.2022.03.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2022] [Revised: 03/28/2022] [Accepted: 03/31/2022] [Indexed: 11/30/2022]
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14
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García-Martínez I, Zarauz C, Morejón-Márquez B, Ferreiroa A, Pradíes G. Influence of customized over-scan body rings on the intraoral scanning effectiveness of a multiple implant edentulous mandibular model. J Dent 2022; 122:104095. [PMID: 35301081 DOI: 10.1016/j.jdent.2022.104095] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2021] [Revised: 03/11/2022] [Accepted: 03/13/2022] [Indexed: 10/18/2022] Open
Affiliation(s)
- Irene García-Martínez
- Research Fellow, Department of Buccofacial Prostheses, Faculty of Dentistry, Complutense University of Madrid, Pza. Ramón y Cajal, s/n, 28040 Madrid, Spain
| | - Cristina Zarauz
- Research and Teaching Fellow, Division of Fixed Prosthodontics and Biomaterials, Clinic of Dental Medicine, University of Geneva, Rue Michel-Servet 1, 1211 Genève 4, Switzerland.
| | - Belén Morejón-Márquez
- Research Fellow, Department of Buccofacial Prostheses, Faculty of Dentistry, Complutense University of Madrid, Pza. Ramón y Cajal, s/n, 28040 Madrid, Spain
| | - Alberto Ferreiroa
- Assistant Professor, Department of Buccofacial Prostheses, Faculty of Dentistry, Complutense University of Madrid, Pza. Ramón y Cajal, s/n, 28040 Madrid, Spain
| | - Guillermo Pradíes
- Professor and Associate Dean, Department of Buccofacial Prostheses, Faculty of Dentistry, Complutense University of Madrid, Pza. Ramón y Cajal, s/n, 28040 Madrid, Spain
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15
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Kamburoğlu K, Samunahmetoğlu E, Eratam N, Sönmez G, Karahan S. Clinical comparison of intraoral CMOS and PSP detectors in terms of time efficiency, patient comfort, and subjective image quality. Imaging Sci Dent 2022; 52:93-101. [PMID: 35387105 PMCID: PMC8967495 DOI: 10.5624/isd.20210241] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2021] [Revised: 12/13/2021] [Accepted: 12/29/2021] [Indexed: 11/18/2022] Open
Affiliation(s)
- Kıvanç Kamburoğlu
- Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Ankara University, Ankara, Turkey
| | - Erçin Samunahmetoğlu
- Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Ankara University, Ankara, Turkey
| | - Nejlan Eratam
- Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Ankara University, Ankara, Turkey
| | - Gül Sönmez
- Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Adakent University, Mersin, Turkey
| | - Sevilay Karahan
- Department of Biostatistics, Faculty of Medicine, Hacettepe University, Ankara, Turkey
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16
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Touati R, Sailer I, Marchand L, Ducret M, Strasding M. Communication tools and patient satisfaction: A scoping review. J ESTHET RESTOR DENT 2021; 34:104-116. [PMID: 34953109 PMCID: PMC9305134 DOI: 10.1111/jerd.12854] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2021] [Revised: 12/02/2021] [Accepted: 12/03/2021] [Indexed: 12/30/2022]
Abstract
Objective This scoping review aimed to present an overview of the literature on communication tools in esthetic dentistry. A variety of communication tools have been proposed to include patients in the shared decision‐making (SDM) workflow. Only little is known about implementing communication tools in dentistry and their impact on patient communication and patient satisfaction. A systematic literature search was performed in Medline, Embase, Cochrane, and World of Science to identify if communication tools have an impact on patient satisfaction. Material and Methods The search included studies from January 1, 2000 to March 3, 2020 published in English, focusing on patient communication tools and patient satisfaction in esthetic dentistry. Results Out of 6678 records, 53 full‐texts were examined. Ten studies were included. Data of the included studies were extracted systematically and subsequently analyzed. All studies found that patient communication utilizing specific communication tools positively impacted either patient satisfaction, patient‐dentist relationship, information retention, treatment acceptance, quality of care or treatment outcome. Conclusions Additional communication tools besides conventional verbal communication are able to enhance patient satisfaction, improve quality of care and establish a better patient‐dentist relationship. It seems essential to further develop standardized communication tools for SDM in dental medicine, which will allow the comparison of research on this topic. Clinical significance This scoping review shows the importance of patient involvement in the decision‐making process for improved patient satisfaction with esthetic dental treatments. With an increased implementation of communication tools, patient satisfaction and SDM may further improve in the future.
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Affiliation(s)
- Romane Touati
- Faculty of Odontology, University Claude Bernard Lyon 1, University of Lyon, Lyon, France.,Hospices civils de Lyon, Service de Consultations et Traitement Dentaire, Lyon, France
| | - Irena Sailer
- Division of Fixed Prosthodontics and Biomaterials, University Clinic of Dental Medicine, University of Geneva, Geneva, Switzerland
| | - Laurent Marchand
- Division of Fixed Prosthodontics and Biomaterials, University Clinic of Dental Medicine, University of Geneva, Geneva, Switzerland
| | - Maxime Ducret
- Faculty of Odontology, University Claude Bernard Lyon 1, University of Lyon, Lyon, France.,Hospices civils de Lyon, Service de Consultations et Traitement Dentaire, Lyon, France
| | - Malin Strasding
- Division of Fixed Prosthodontics and Biomaterials, University Clinic of Dental Medicine, University of Geneva, Geneva, Switzerland
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17
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Shujaat S, Bornstein MM, Price JB, Jacobs R. Integration of imaging modalities in digital dental workflows - possibilities, limitations, and potential future developments. Dentomaxillofac Radiol 2021; 50:20210268. [PMID: 34520239 PMCID: PMC8474138 DOI: 10.1259/dmfr.20210268] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Abstract
The digital workflow process follows different steps for all dental specialties. However, the main ingredient for the diagnosis, treatment planning and follow-up workflow recipes is the imaging chain. The steps in the imaging chain usually include all or at least some of the following modalities: cone-beam computed tomographic data acquisition, segmentation of the cone-beam computed tomography image, intraoral scanning, facial three-dimensional soft tissue capture and superimposition of all the images for the creation of a virtual augmented model. As a relevant clinical problem, the accumulation of error at each step of the chain might negatively influence the final outcome. For an efficient digital workflow, it is important to be aware of the existing challenges within the imaging chain. Furthermore, artificial intelligence-based strategies need to be integrated in the future to make the workflow more simplified, accurate and efficient.
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Affiliation(s)
- Sohaib Shujaat
- Department of Imaging & Pathology, Faculty of Medicine, KU Leuven & Oral and Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium
| | - Michael M Bornstein
- Department of Oral Health & Medicine, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland
| | - Jeffery B Price
- Department of Oncology and Diagnostic Sciences, University of Maryland, School of Dentistry, Baltimore, Maryland, USA
| | - Reinhilde Jacobs
- Department of Imaging & Pathology, Faculty of Medicine, KU Leuven & Oral and Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium.,Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden
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18
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Caponi LQ, Flor E, Ortega-Martínez J, Figueras-Alvarez O. Protocol for Indirect Restoration Intraoral Scanning Under Dental Dam Isolation: A Dental Technique. J Prosthodont 2021; 30:725-728. [PMID: 34013629 DOI: 10.1111/jopr.13390] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/10/2021] [Indexed: 11/29/2022] Open
Abstract
This paper aims to describe an intraoral scanning protocol for indirect restorations utilizing dental dam isolation. This technique consists of the initial scan of both arches and their occlusion. Then, after necessary dental preparation is performed under isolation with a dental dam, intraoral scanning of preparations is performed, maintaining the dental dam in place. The proposed protocol shortens the operative time minimizing clinical factors that can affect the scan accuracy and maximizing preparation margins' visibility, ensuring a stress-free environment. This method can be applied for chair-side dentistry and conventional workflow for sending scans to the laboratory technician.
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Affiliation(s)
- Lucas Q Caponi
- Department of Restorative Dentistry, School of Dentistry, International University of Catalunya, Barcelona, Spain
| | - Eduardo Flor
- Department of Restorative Dentistry, School of Dentistry, International University of Catalunya, Barcelona, Spain
| | - Jorge Ortega-Martínez
- Department of Restorative Dentistry, School of Dentistry, International University of Catalunya, Barcelona, Spain
| | - Oscar Figueras-Alvarez
- Department of Restorative Dentistry, School of Dentistry, International University of Catalunya, Barcelona, Spain
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19
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Henarejos-Domingo V, Clavijo V, Blasi Á, Madeira S, Roig M. Digital scanning under rubber dam: An innovative method for making definitive impressions in fixed prosthodontics. J ESTHET RESTOR DENT 2021; 33:976-981. [PMID: 34008328 DOI: 10.1111/jerd.12787] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2021] [Accepted: 05/03/2021] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To provide a comprehensive protocol for final impressions making under rubber dam isolation by using an intraoral scanner. CLINICAL CONSIDERATION Impression making after tooth preparation with rubber dam isolation are impossible with conventional physical impressions, which are not with intraoral scanners. Digital technologies have disrupted dentistry in the last decades, bringing new, straightforward, and more time-efficient protocols for dental practice. CONCLUSIONS Taking in consideration the beneficial properties of scanning under rubber dam this protocol can be highly recommended for everyday use for making definitive intraoral scans for tooth-supported restorations. CLINICAL SIGNIFICANCE The described protocol offers the possibility to make a final impression in a stress-free environment, without blood or saliva, to obtain a better visualization and scanning of the finish line, and the potential of save time on definitive impression making.
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Affiliation(s)
- Víctor Henarejos-Domingo
- Private practice, Barcelona, Spain; and Assistant Professor, Department of Restorative Dentistry, School of Dentistry, International University of Catalunya, Barcelona, Spain
| | - Victor Clavijo
- Private practice, Indaiatuba, Brazil; and Visiting Professor, Advanced Program in Operative and Adhesive Dentistry, Division of Restorative Sciences, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, California, USA
| | - Álvaro Blasi
- Private practice, Barcelona, Spain; and Adjunct Assistant Professor, Department of Restorative Sciences, Dental College of Georgia at Augusta University, Augusta, Georgia, USA
| | - Sara Madeira
- Private practice, Barcelona, Spain; and Assistant Professor, Department of Integrated Dentistry Department, School of Dentistry, International University of Catalunya, Barcelona, Spain
| | - Miguel Roig
- Private practice, Barcelona, Spain; and Chairman and Professor, Department of Restorative Dentistry, School of Dentistry, International University of Catalunya, Barcelona, Spain
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20
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Coachman C, Bohner L, Jreige CS, Sesma N, Calamita M. Interdisciplinary guided dentistry, digital quality control, and the "copy-paste" concepts. J ESTHET RESTOR DENT 2021; 33:982-991. [PMID: 33899323 DOI: 10.1111/jerd.12736] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2020] [Revised: 03/13/2021] [Accepted: 04/10/2021] [Indexed: 11/26/2022]
Abstract
OBJECTIVE The aim of this report is to present an interdisciplinary approach with novel concepts to virtually plan and achieve esthetics and function. CLINICAL CONSIDERATIONS Despite the advancements in the digital workflow applied to restorative dentistry, the final outcomes are commonly not similar to initial planning. To overcome this major limitation, three concepts are proposed: guided dentistry, digital quality control and "copy-paste" dentistry. Guided dentistry consists of simulations in 3D software and also includes the manufacture of guides/appliances to assist dentists in all clinical steps. Digital quality control involves the use of intraoral scanners and 3D software to compare the real outcomes with the pre-operative simulations after every procedure. "Copy-paste" dentistry is a consequence of the previous two concepts. Using the capacity of the software to overlap files, the original project can be maintained and adapted to achieve results more comparable with the initial design. The proposed method associates facially driven treatment planning and periodontal and restorative procedures to perform the patient's dental rehabilitation. CONCLUSION Through a guided workflow and digital control of clinical steps, the final outcomes obtained were equivalent and closer to the initial design. CLINICAL SIGNIFICANCE In interdisciplinary cases, the treatment plan needs to address individual requirements and to coordinate sequential clinical stages. It is challenging to meet these demands in a conventional process. The proposed concepts engage technological resources to orientate the procedures and to provide assessment in each step. This approach enables the development of a complete and accurate functional-esthetic rehabilitation. Ultimately, the technique presented is reproducible and the results reflect the established plan.
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Affiliation(s)
- Christian Coachman
- Department of Preventive and Restorative Sciences, University of Pennsylvania, Philadelphia, Pennsylvania, USA.,DSD Founder, Madrid, Spain
| | - Lauren Bohner
- Department of Oral and Maxillofacial Surgery, University Hospital Muenster, Muenster, Germany
| | - Camila Sales Jreige
- Department of Prosthodontics, University of São Paulo School of Dentistry, São Paulo, Brazil
| | - Newton Sesma
- Department of Prosthodontics, University of São Paulo School of Dentistry, São Paulo, Brazil
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21
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Esthetic treatment planning with digital animation of the smile dynamics: A technique to create a 4-dimensional virtual patient. J Prosthet Dent 2021; 128:130-138. [PMID: 33573832 DOI: 10.1016/j.prosdent.2020.10.015] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2020] [Revised: 10/25/2020] [Accepted: 10/26/2020] [Indexed: 11/22/2022]
Abstract
A method is presented for obtaining a virtual 4-dimensional patient that replicates the intended esthetic treatment. The process involves facial and intraoral scanning to acquire records and software manipulation to enable a virtual waxing of the smile. Once the digital design is complete, patient information can be merged to generate an animated video of the projected rehabilitation, displaying movement and smile dynamics. This strategy provides a noninvasive and reliable diagnostic tool for predicting clinical outcomes.
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22
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Tattan M, Chambrone L, González-Martín O, Avila-Ortiz G. Static computer-aided, partially guided, and free-handed implant placement: A systematic review and meta-analysis of randomized controlled trials. Clin Oral Implants Res 2020; 31:889-916. [PMID: 32654230 DOI: 10.1111/clr.13635] [Citation(s) in RCA: 38] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2019] [Revised: 06/25/2020] [Accepted: 06/28/2020] [Indexed: 12/30/2022]
Abstract
OBJECTIVE To analyze the outcomes of static computer-aided implant placement (sCAIP) compared to partially guided (PGIP) and free-handed (FHIP) implant placement. MATERIAL AND METHODS This study was registered in PROSPERO (CRD42019131397). A comprehensive literature search was performed by two independent examiners. Only randomized controlled trials (RCTs) were selected. Treatment modalities included sCAIP, PGIP, and FHIP. Data pertaining to the outcomes of interest were extracted. Random-effects meta-analyses were feasible for a subset of outcomes. RESULTS From an initial list of 2,870 records, fourteen articles for a total of ten RCTs were selected. Data from 7 of these studies allowed for the conduction of three meta-analyses comparing accuracy of implant placement across modalities. Survival rate up to 12 months post-loading was high (>98%) and comparable between treatments (low-quality evidence). No tangible differences in terms of patient perception of intra- or postoperative discomfort were observed (low-quality evidence). Quantitative analyses revealed significantly lower angular (MD = 4.41°, 95% CI 3.99-4.83, p < .00001), coronal (MD = 0.65 mm, 95% CI 0.50-0.79, p < .00001), and apical (MD = 1.13 mm, 95% CI 0.92-1.34, p < .00001) deviation values for sCAIP as compared to FHIP (8 studies, 383 patients, 878 implants, high-quality evidence). A similar discrepancy, in favor of sCAIP, was observed for angular deviation only as compared to PGIP (MD = 2.11°, 95% CI 1.06-3.16, p < .00001). CONCLUSIONS sCAIP is associated with superior accuracy compared to PGIP and FHIP.
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Affiliation(s)
- Mustafa Tattan
- Department of Periodontics, University of Iowa College of Dentistry, Iowa City, IA, USA
| | - Leandro Chambrone
- Department of Periodontics, University of Iowa College of Dentistry, Iowa City, IA, USA.,Ibirapuera University School of Dentistry, São Paulo, Brazil.,School of Dentistry, Universidad El Bosque, Bogotá, Colombia
| | - Oscar González-Martín
- Department of Periodontics, University of Iowa College of Dentistry, Iowa City, IA, USA.,Department of Periodontal Prosthesis, University of Pennsylvania School of Dental Medicine, Philadelphia, PA, USA.,Department of Periodontology, Complutense University of Madrid, Madrid, Spain
| | - Gustavo Avila-Ortiz
- Department of Periodontics, University of Iowa College of Dentistry, Iowa City, IA, USA
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23
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Spagnuolo G, Sorrentino R. The Role of Digital Devices in Dentistry: Clinical Trends and Scientific Evidences. J Clin Med 2020; 9:jcm9061692. [PMID: 32498277 PMCID: PMC7356564 DOI: 10.3390/jcm9061692] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2020] [Accepted: 05/24/2020] [Indexed: 11/16/2022] Open
Abstract
In recent years, digital technologies have significantlychanged the clinical approach to medicine and dentistry. Innovative operative techniques and restorative materials have paved the way to a significant active boost towards full digital workflows. Particularly, novel dental materials offer undeniable advantages such as optimal mechanical resistance, excellent esthetic and optical properties, and reliable accuracy and precision, widening the clinical scenario and allowing for innovative and less invasive restorative solutions.
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24
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Vandenberghe B. The crucial role of imaging in digital dentistry. Dent Mater 2020; 36:581-591. [PMID: 32299666 DOI: 10.1016/j.dental.2020.03.001] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2020] [Accepted: 03/09/2020] [Indexed: 10/24/2022]
Abstract
One of the recent trends in dentistry - and this in every field from the restorative to the orthodontic one- is the introduction of simplified completely digital workflows. Digital dentistry is supposed to allow dentists to work more efficiently, and this at higher precision, and with the possibility of all-in-one sessions using in-house computerized techniques. In this workflow, one of the major tools for simulating and transferring dental treatments is imaging. Both 3D low dose radiographic as well as optical imaging are playing crucial roles and have been overwhelming the market. Novel design platforms, compact and extremely fast milling and printing units are now also plentiful and rapidly being adopted in practice. Nevertheless, many of the steps in this digital dentistry process, no matter how simplified, present risks that can contribute to reduced precision and clinical difficulties. It is therefore the purpose of the article to briefly describe the role of imaging in this digital workflow, and where the pitfalls can be found that may lead to errors and imprecision.
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Affiliation(s)
- Bart Vandenberghe
- Advimago, Center for Advanced Oral Imaging, Emile Clausstraat 42, 1050 Brussels, Belgium.
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25
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Favaretto M, Shaw D, De Clercq E, Joda T, Elger BS. Big Data and Digitalization in Dentistry: A Systematic Review of the Ethical Issues. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E2495. [PMID: 32268509 PMCID: PMC7177351 DOI: 10.3390/ijerph17072495] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/11/2020] [Revised: 04/03/2020] [Accepted: 04/04/2020] [Indexed: 12/19/2022]
Abstract
Big Data and Internet and Communication Technologies (ICT) are being increasingly implemented in the healthcare sector. Similarly, research in the field of dental medicine is exploring the potential beneficial uses of digital data both for dental practice and in research. As digitalization is raising numerous novel and unpredictable ethical challenges in the biomedical context, our purpose in this study is to map the debate on the currently discussed ethical issues in digital dentistry through a systematic review of the literature. Four databases (Web of Science, Pub Med, Scopus, and Cinahl) were systematically searched. The study results highlight how most of the issues discussed by the retrieved literature are in line with the ethical challenges that digital technologies are introducing in healthcare such as privacy, anonymity, security, and informed consent. In addition, image forgery aimed at scientific misconduct and insurance fraud was frequently reported, together with issues of online professionalism and commercial interests sought through digital means.
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Affiliation(s)
- Maddalena Favaretto
- Institute for Biomedical Ethics, University of Basel, 4056 Basel, Switzerland; (D.S.); (E.D.C.); (B.S.E.)
| | - David Shaw
- Institute for Biomedical Ethics, University of Basel, 4056 Basel, Switzerland; (D.S.); (E.D.C.); (B.S.E.)
| | - Eva De Clercq
- Institute for Biomedical Ethics, University of Basel, 4056 Basel, Switzerland; (D.S.); (E.D.C.); (B.S.E.)
| | - Tim Joda
- Department of Reconstructive Dentistry, University Center for Dental Medicine Basel, 4058 Basel, Switzerland;
| | - Bernice Simone Elger
- Institute for Biomedical Ethics, University of Basel, 4056 Basel, Switzerland; (D.S.); (E.D.C.); (B.S.E.)
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26
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Characterization of an anti-foaming and fast-setting gypsum for dental stone. Dent Mater 2019; 35:1728-1739. [DOI: 10.1016/j.dental.2019.08.110] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2019] [Revised: 07/18/2019] [Accepted: 08/31/2019] [Indexed: 11/19/2022]
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27
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Digital dentistry: The new state of the art - Is it disruptive or destructive? Dent Mater 2019; 36:9-24. [PMID: 31526522 DOI: 10.1016/j.dental.2019.08.103] [Citation(s) in RCA: 87] [Impact Index Per Article: 17.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2019] [Revised: 08/22/2019] [Accepted: 08/23/2019] [Indexed: 11/22/2022]
Abstract
OBJECTIVE Summarizing the new state of the art of digital dentistry, opens exploration of the type and extent of innovations and technological advances that have impacted - and improved - dentistry. The objective is to describe advances and innovations, the breadth of their impact, disruptions and advantages they produce, and opportunities created for material scientists. METHODS On-line data bases, web searches, and discussions with industry experts, clinicians, and dental researchers informed the content. Emphasis for inclusion was on most recent publications along with innovations presented at trade shows, in press releases, and discovered through discussions leading to web searches for new products. RESULTS Digital dentistry has caused disruption on many fronts, bringing new techniques, systems, and interactions that have improved dentistry. Innovation has spurred opportunities for material scientists' future research. SIGNIFICANCE With disruptions intrinsic in digital dentistry's new state of the art, patient experience has improved. More restoration options are available delivering longer lifetimes, and better esthetics. Fresh approaches are bringing greater efficiency and accuracy, capitalizing on the interest, capabilities, and skills of those involved. New ways for effective and efficient inter-professional and clinician-patient interactions have evolved. Data can be more efficiently mined for forensic and epidemiological uses. Students have fresh ways of learning. New, often unexpected, partnerships have formed bringing further disruption - and novel advantages. Yes, digital dentistry has been disruptive, but the abundance of positive outcomes argues strongly that it has not been destructive.
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28
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Cagna DR, Donovan TE, McKee JR, Eichmiller F, Metz JE, Albouy JP, Marzola R, Murphy KR, Troeltzsch M. Annual review of selected scientific literature: A report of the Committee on Scientific Investigation of the American Academy of Restorative Dentistry. J Prosthet Dent 2019; 122:198-269. [PMID: 31405523 DOI: 10.1016/j.prosdent.2019.05.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2019] [Accepted: 05/15/2019] [Indexed: 12/13/2022]
Abstract
This comprehensive review of the 2018 dental literature is provided to inform busy dentists about progress in the profession. Developed by the Committee on Scientific Investigation of the American Academy of Restorative Dentistry, each author brings discipline-specific expertise to one of the 8 sections of the report including (1) prosthodontics; (2) periodontics, alveolar bone, and peri-implant tissues; (3) implant dentistry; (4) dental materials and therapeutics; (5) occlusion and temporomandibular disorders; (6) sleep-related breathing disorders; (7) oral medicine and oral and maxillofacial surgery; and (8) dental caries and cariology. The report targets important information that will likely influence day-to-day treatment decisions. Each review is not intended to stand alone but to update interested readers so that they may visit source materials if greater detail is desired. As the profession continues its march toward evidence-based clinical decision-making, an already voluminous library of potentially valuable dental literature continues to grow. It is the intention of this review and its authors to provide assistance in navigating the extensive dental literature published in 2018. It is our hope that readers find this work useful in the clinical management of patients moving forward.
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Affiliation(s)
- David R Cagna
- Professor, Associate Dean, and Residency Director, Department of Prosthodontics, University of Tennessee Health Sciences Center, College of Dentistry, Memphis, Tenn.
| | - Terence E Donovan
- Professor and Head of Biomaterials, Department of Restorative Sciences, University of North Carolina School of Dentistry, Chapel Hill, NC
| | - James R McKee
- Private practice, Restorative Dentistry, Downers Grove, Ill
| | | | - James E Metz
- Private practice, Restorative Dentistry, Columbus, Ohio
| | - Jean-Pierre Albouy
- Assistant Professor, Department of Restorative Sciences, University of North Carolina School of Dentistry, Chapel Hill, NC
| | | | - Kevin R Murphy
- Associate Clinical Professor, Department of Periodontics, University of Maryland College of Dentistry, Baltimore, MD; Private practice, Periodontics and Prosthodontics, Baltimore, MD
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