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Huang HY, Yang YT, Chuang CC, Shen YK, Chen MH, Lin WC. Evaluation of the clinical application of personalized 3D printing and CAD/CAM resin crowns to replace stainless steel crowns in paediatric dentistry. Int J Paediatr Dent 2024. [PMID: 38570933 DOI: 10.1111/ipd.13182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/12/2023] [Revised: 11/23/2023] [Accepted: 01/04/2024] [Indexed: 04/05/2024]
Abstract
BACKGROUND Children with dental caries are treated with stainless steel metal crowns (SSC), but the aesthetics and precision still need to be improved. Currently, both 3D-printed resin crowns (PRC) and computer-aided design/computer-aided manufacture (CAD/CAM) resin crowns (CRC) meet the clinical requirements for crown applications in terms of strength, production time, cost, and aesthetics. AIM This study replaced SSC with customized resin crowns by 3D printing and CAD/CAM. DESIGN In this study, PRC, CRC, and SSC were used for incisor and molar restorations, and 60 crowns were made with 10 for each group. The fabrication efficiency, surface characteristics, marginal fit, and stability of the two different crowns were evaluated. RESULTS PRC and CRC show superior color and surface characteristics, though production times are longer (5.3-12.4 times and 3.3-9.1 times, respectively) than for SSC (p < .05). They, however, can be completed within 80 min. Edge gaps for PRC and CRC are significantly lower (13.0-19.2 times and 13.0-13.7 times) than for SSC (p < .05). All materials exhibit good stability. CONCLUSION The 3D-PRCs and CAD/CAM resin crowns may replace SSCs as a potential choice for clinical child caries.
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Affiliation(s)
- Huei-Yu Huang
- Department of Pediatric Dentistry, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan
- School of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei City, Taiwan
| | - Ya-Ting Yang
- Department of Pediatric Dentistry, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan
| | - Chun-Chao Chuang
- Department of Medical Imaging and Radiological Sciences, Chung Shan Medical University, Taichung, Taiwan
- Chung Shan Medical University Hospital, Taichung, Taiwan
| | - Yung-Kang Shen
- School of Dental Technology, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan
| | - Mu-Hsiung Chen
- Department of Dentistry, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Wei-Chun Lin
- School of Dental Technology, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan
- Center for Tooth Bank and Dental Stem Cell Technology, Taipei Medical University, Taipei, Taiwan
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Zikria B, Hafezi-Nejad N, Patten I, Johnson A, Haj-Mirzaian A, Wilckens JH, Ficke JR, Demehri S. Image-Guided Chondrocyte Harvesting for Autologous Chondrocyte Implantation: Initial Feasibility Study with Human Cadaver and Pilot Clinical Experience. JB JS Open Access 2019; 4:e0039. [PMID: 31334460 PMCID: PMC6613850 DOI: 10.2106/jbjs.oa.18.00039] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
Background: Autologous chondrocyte implantation (ACI), a promising modality for repairing full-thickness cartilage defects, requires 2 consecutive arthroscopic procedures for chondrocyte harvesting and implantation. In the present study, we assessed the feasibility and efficacy of image-guided chondrocyte harvesting as an alternative to arthroscopic biopsy. Methods: We induced full-thickness cartilage defects in 10 human cadaveric knees. Computed tomographic arthrography (CTA) was performed following the intra-articular administration of Omnipaque 350 to measure the diameters of the induced cartilage defects. Subsequently, 2 independent operators conducted CTA-guided chondrocyte harvesting (from the medial and lateral trochlear ridges) in each knee. The time for chondrocyte harvesting, accuracy (distance between the predefined target on CTA and the final insertion site of the needle), and number of needle readjustments were recorded. In the institutional review board-approved clinical study, informed consent was obtained and chondrocyte harvesting was performed both with use of a conventional arthroscopic biopsy method and with use of a needle through an arthroscopy access site in 10 subjects for whom ACI was indicated. The samples were processed and cultured blindly, and the quantity and quality of the samples were determined. Results: CTA measurements of full-thickness cartilage defects showed high to perfect absolute agreement and consistency when compared with direct measurements (overall interclass correlation coefficient, 0.933 to 0.983; p < 0.05). For both operators, image-guided chondrocyte harvesting from the lateral ridge was more accurate (p = 0.007 and 0.040) and faster (p = 0.056 and 0.014) in comparison with harvesting from the medial ridge. In the clinical study, no significant difference was observed for the growth index of samples between the needle-harvest and conventional methods (p = 0.897). Conclusions: CTA can be used for precise measurement of full-thickness cartilage defects. Image-guided chondrocyte harvesting is a viable alternative to traditional arthroscopic biopsy for ACI. Clinical Relevance: We recognize the current pivotal role of arthroscopic biopsy, as a part of ACI, for chondrocyte harvesting as well as for delineating the nature of the lesion. However, on the basis of our results, image-guided chondrocyte retrieval may obviate the need for arthroscopic biopsy in some patients in the future.
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Affiliation(s)
- Bashir Zikria
- Department of Orthopaedic Surgery (B.Z, I.P., A.J., J.H.W., and J.R.F.) and Russell H. Morgan Department of Radiology (N.H.N., A.H.M., and S.D.), Johns Hopkins University, Baltimore, Maryland
| | - Nima Hafezi-Nejad
- Department of Orthopaedic Surgery (B.Z, I.P., A.J., J.H.W., and J.R.F.) and Russell H. Morgan Department of Radiology (N.H.N., A.H.M., and S.D.), Johns Hopkins University, Baltimore, Maryland
| | - Ian Patten
- Department of Orthopaedic Surgery (B.Z, I.P., A.J., J.H.W., and J.R.F.) and Russell H. Morgan Department of Radiology (N.H.N., A.H.M., and S.D.), Johns Hopkins University, Baltimore, Maryland
| | - Alex Johnson
- Department of Orthopaedic Surgery (B.Z, I.P., A.J., J.H.W., and J.R.F.) and Russell H. Morgan Department of Radiology (N.H.N., A.H.M., and S.D.), Johns Hopkins University, Baltimore, Maryland
| | - Arya Haj-Mirzaian
- Department of Orthopaedic Surgery (B.Z, I.P., A.J., J.H.W., and J.R.F.) and Russell H. Morgan Department of Radiology (N.H.N., A.H.M., and S.D.), Johns Hopkins University, Baltimore, Maryland
| | - John H Wilckens
- Department of Orthopaedic Surgery (B.Z, I.P., A.J., J.H.W., and J.R.F.) and Russell H. Morgan Department of Radiology (N.H.N., A.H.M., and S.D.), Johns Hopkins University, Baltimore, Maryland
| | - James R Ficke
- Department of Orthopaedic Surgery (B.Z, I.P., A.J., J.H.W., and J.R.F.) and Russell H. Morgan Department of Radiology (N.H.N., A.H.M., and S.D.), Johns Hopkins University, Baltimore, Maryland
| | - Shadpour Demehri
- Department of Orthopaedic Surgery (B.Z, I.P., A.J., J.H.W., and J.R.F.) and Russell H. Morgan Department of Radiology (N.H.N., A.H.M., and S.D.), Johns Hopkins University, Baltimore, Maryland
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Mezlini‐Gharsallah H, Youssef R, Uk S, Laredo JD, Chappard C. Three-dimensional mapping of the joint space for the diagnosis of knee osteoarthritis based on high resolution computed tomography: Comparison with radiographic, outerbridge, and meniscal classifications. J Orthop Res 2018; 36:2380-2391. [PMID: 29663495 PMCID: PMC6175338 DOI: 10.1002/jor.24015] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/27/2017] [Accepted: 03/30/2018] [Indexed: 02/04/2023]
Abstract
One of the most important characteristic of knee osteoarthritis (OA) is the joint space (JS) width narrowing. Measurements are usually performed on two dimensional (2D) X-rays. We propose and validate a new method to assess the 3D joint space at the medial knee compartment using high resolution peripheral computed tomography images. A semi-automated method was developed to obtain a distance 3D map between femur an tibia with the following parameters: volume, minimum, maximum, mean, standard deviation, median, asymmetry, and entropy. We analyzed 71 knee specimens (mean age: 85 years), radiographs were performed for the Kellgren Lawrence (KL) score grading. In a subgroup of 41 specimens, the histopathological Outerbridge and meniscal classifications were performed and then cores were harvested from the tibial plateau in three different positions (posterior, central, and peripheral) and imaged at 10 µm of resolution to measure the cartilage thickness. Minimum, maximum, mean, and median were statistically lower and entropy higher between knee specimens classified as KL = 0 and KL = 3-4. Gr1 and 2 were statistically different from Gr3-4 for minimum, asymmetry, entropy using the Outerbridge classification and Gr1 was statistically different from Gr3-4 using the meniscal classification. Asymmetry, minimum, mean, median and entropy were significantly correlated with cartilage thickness. Parameters extracted from a 3D map of the medial joint space indicate local variations of JS and are related to local measurements of tibial cartilage thickness, and could be consequently useful to identify early OA. © 2018 The Authors. Journal of Orthopaedic Research® Published by Wiley Periodicals, Inc. on behalf of Orthopaedic Research Society. J Orthop Res 36:2380-2391, 2018.
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Affiliation(s)
- Houda Mezlini‐Gharsallah
- B2OA UMR 7052 CNRS Paris Diderot University10 Avenue de Verdun 75010 Paris,Sorbonne Paris CitéParisFrance
| | - Rabaa Youssef
- CEA Linklab Site El Ghazala Technopark 2088 Ariana TunisTunisia,COSIM, Carthage UniversityCarthageTunisia
| | - Stéphanie Uk
- B2OA UMR 7052 CNRS Paris Diderot University10 Avenue de Verdun 75010 Paris,Sorbonne Paris CitéParisFrance
| | - Jean D. Laredo
- B2OA UMR 7052 CNRS Paris Diderot University10 Avenue de Verdun 75010 Paris,Sorbonne Paris CitéParisFrance,Radiology Department Hospital Lariboisière2 Rue Ambroise Paré 75475 Paris Cédex 10, Sorbonne Paris CitéFrance
| | - Christine Chappard
- B2OA UMR 7052 CNRS Paris Diderot University10 Avenue de Verdun 75010 Paris,Sorbonne Paris CitéParisFrance
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