Implementation of CAD/CAM program in a nonface-to-face classroom environment due to the COVID-19 pandemic

PURPOSE/OBJECTIVES

This study aimed to evaluate a nonface-to-face crown designing module in a preclinical dental course.

METHODS

Free dental planning software (Blue Sky Plan) was installed on the personal computers of dental college students, and a #46 full veneer crown designing practice was performed individually. An online survey was conducted on the computers' specification and main usage of the students, the practice process, and results. Statistical analysis was conducted to analyze the association between variables, such as "operating system," "central processing unit ," "number of cores," "random-access memory (RAM)," "graphic card," and task performance.

RESULTS

Of the D2 students, 75.4% (52 of 69) responded to the survey. Overall, 96% of the respondents used their computers, and all respondents had no problem running the program. Most of the students marked their level of computer literacy as intermediate and had purchased the computers for the purpose of performing light work. The most common specifications of the computer were Intel i5, quad core, 8 GB RAM, and Windows 10. Students had little experience with computer-aided design/computer-aided manufacturing before the class. The relationship between computer specifications and task performance was not statistically significant.

CONCLUSIONS

Overall, students with intermediate-level computer literacy used computers with less than the recommended specifications of the program; however, they were able to run the program and individually proceed with modules to submit results. Using an individually available crown designing program can provide an opportunity to diversify curricula and broaden students' perspectives even under circumstances like the COVID-19 pandemic that limits intimate face-to face classes.

The teaching of geriatric dentistry in South Korean dental schools

OBJECTIVE

The purpose of this study was to investigate the curriculum of geriatric dentistry for undergraduates in Korean dental schools.

BACKGROUND

For development purposes, it was necessary to compare geriatric dentistry education programmes in South Korea to programmes in the United States and Europe.

METHODS

The most recent curriculum and related information on geriatric dentistry at the undergraduate level in all 11 dental schools in South Korea were collected by both official letter and e-mail. A symposium for gathering expert opinions to improve geriatric dentistry education in South Korea was also held. The collected data were analysed, and the expert opinions at the symposium were summarised.

RESULTS

Six of 11 schools had a didactic course as compulsory and three schools as elective. The course was usually conducted as a form of integrated lectures, and the level of standardisation of lecture content was very low. There were no topics for older people who cannot access dental clinics due to functional frailty or disability. No dental school-affiliated hospitals had an independent department for geriatric dentistry. No schools provided clinical teaching for geriatric dentistry. There were no outreach programmes for geriatric dentistry.

CONCLUSIONS

The educational curriculum for geriatric dentistry in South Korea was insufficient to cope with social and demographic changes. Curriculum content should include clinical practice education and needs to be focused on frail and dependent older adult patients. An essential educational curriculum and core competency for geriatric dentistry should be prepared.

A pilot study using machine learning methods about factors influencing prognosis of dental implants

PURPOSE

This study tried to find the most significant factors predicting implant prognosis using machine learning methods.

MATERIALS AND METHODS

The data used in this study was based on a systematic search of chart files at Seoul National University Bundang Hospital for one year. In this period, oral and maxillofacial surgeons inserted 667 implants in 198 patients after consultation with a prosthodontist. The traditional statistical methods were inappropriate in this study, which analyzed the data of a small sample size to find a factor affecting the prognosis. The machine learning methods were used in this study, since these methods have analyzing power for a small sample size and are able to find a new factor that has been unknown to have an effect on the result. A decision tree model and a support vector machine were used for the analysis.

RESULTS

The results identified mesio-distal position of the inserted implant as the most significant factor determining its prognosis. Both of the machine learning methods, the decision tree model and support vector machine, yielded the similar results.

CONCLUSION

Dental clinicians should be careful in locating implants in the patient's mouths, especially mesio-distally, to minimize the negative complications against implant survival.

Effect of the amount of thickness reduction on color and translucency of dental monolithic zirconia ceramics

PURPOSE

This study investigated the effect of amount of thickness reduction on color and translucency of dental monolithic zirconia ceramics.

MATERIALS AND METHODS

One-hundred sixty-five monolithic zirconia specimens (16.3 mm × 16.3 mm × 2.0 mm) were divided into 5 groups (Group I to V) according to the number of A2-coloring liquid applications. Each group was then divided into 11 subgroups by reducing the thickness up to 1.0 mm in 0.1-mm increments (Subgroup 0 to 10, n=3). Colors and spectral distributions were measured according to CIELAB on a reflection spectrophotometer. All measurements were performed on five different areas of each specimen. Color difference (ΔE^*_ab) and translucency parameter (TP) were calculated. Data were analyzed using one-way ANOVA and multiple comparison Scheffé test (α=.05).

RESULTS

There were significant differences in CIE L^* between Subgroup 0 and other subgroups in all groups. CIE a^* increased (0.52<R²<0.73), while CIE b^* decreased (0.00<R²<0.74) in all groups with increasing thickness reduction. Perceptible color differences (ΔE^*_ab>3.7) were obtained between Subgroup 0 and other subgroups. TP values generally increased as the thickness reduction increased in all groups (R²>0.89, P<.001).

CONCLUSION

Increasing thickness reduction reduces lightness and increases a reddish, bluish appearance, and translucency of monolithic zirconia ceramics.

Prosthetic reconstruction with an obturator using swing-lock attachment for a patient underwent maxillectomy: A clinical report

Patients who underwent resection of maxilla due to benign or malignant tumor, or accident will have defect in palatal area. They get retention, support and stability from remaining tissues which are hardly optimal. The advantage of swing-lock attachment design is having multiple contacts on labial and lingual side of the abutment teeth by retentive strut and palatal bracing component. Because the force is distributed equally to abutment teeth, abutment teeth of poor prognosis can be benefited from it. It is also more advantageous to cover soft tissue defects which are hard to reach with conventional prosthesis. A 56-year-old female patient who had undergone a maxillectomy due to malignant melanoma complaining of loose and unstable surgical obturator. Surveyed crowns were placed on #12, 26, and 27. Teeth #11, 21, 22, and 23 had lingual rest seat and #24 had mesial rest seat to improve stability and support of the obturator. This clinical report presents the prosthetic management of a patient treated with obturator on the maxilla using swing-lock attachment to the remaining teeth.

Biomechanical three-dimensional finite element analysis of monolithic zirconia crown with different cement type

PURPOSE

The objective of this study was to evaluate the influence of various cement types on the stress distribution in monolithic zirconia crowns under maximum bite force using the finite element analysis.

MATERIALS AND METHODS

The models of the prepared #46 crown (deep chamfer margin) were scanned and solid models composed of the monolithic zirconia crown, cement layer, and prepared tooth were produced using the computer-aided design technology and were subsequently translated into 3-dimensional finite element models. Four models were prepared according to different cement types (zinc phosphate, polycarboxylate, glass ionomer, and resin). A load of 700 N was applied vertically on the crowns (8 loading points). Maximum principal stress was determined.

RESULTS

Zinc phosphate cement had a greater stress concentration in the cement layer, while polycarboxylate cement had a greater stress concentration on the distal surface of the monolithic zirconia crown and abutment tooth. Resin cement and glass ionomer cement showed similar patterns, but resin cement showed a lower stress distribution on the lingual and mesial surface of the cement layer.

CONCLUSION

The test results indicate that the use of different luting agents that have various elastic moduli has an impact on the stress distribution of the monolithic zirconia crowns, cement layers, and abutment tooth. Resin cement is recommended for the luting agent of the monolithic zirconia crowns.

The influence of various core designs on stress distribution in the veneered zirconia crown: a finite element analysis study

PURPOSE

The purpose of this study was to evaluate various core designs on stress distribution within zirconia crowns.

MATERIALS AND METHODS

Three-dimensional finite element models, representing mandibular molars, comprising a prepared tooth, cement layer, zirconia core, and veneer porcelain were designed by computer software. The shoulder (1 mm in width) variations in core were incremental increases of 1 mm, 2 mm and 3 mm in proximal and lingual height, and buccal height respectively. To simulate masticatory force, loads of 280 N were applied from three directions (vertical, at a 45° angle, and horizontal). To simulate maximum bite force, a load of 700 N was applied vertically to the crowns. Maximum principal stress (MPS) was determined for each model, loading condition, and position.

RESULTS

In the maximum bite force simulation test, the MPSs on all crowns observed around the shoulder region and loading points. The compressive stresses were located in the shoulder region of the veneer-zirconia interface and at the occlusal region. In the test simulating masticatory force, the MPS was concentrated around the loading points, and the compressive stresses were located at the 3 mm height lingual shoulder region, when the load was applied horizontally. MPS increased in the shoulder region as the shoulder height increased.

CONCLUSION

This study suggested that reinforced shoulder play an essential role in the success of the zirconia restoration, and veneer fracture due to occlusal loading can be prevented by proper core design, such as shoulder.

Implant-supported overdenture with prefabricated bar attachment system in mandibular edentulous patient

Implant-supported overdenture is a reliable treatment option for the patients with edentulous mandible when they have difficulty in using complete dentures. Several options have been used for implant-supported overdenture attachments. Among these, bar attachment system has greater retention and better maintainability than others. SFI-Bar® is prefabricated and can be adjustable at chairside. Therefore, laboratory procedures such as soldering and welding are unnecessary, which leads to fewer errors and lower costs. A 67-year-old female patient presented, complaining of mobility of lower anterior teeth with old denture. She had been wearing complete denture in the maxilla and removable partial denture in the mandible with severe bone loss. After extracting the teeth, two implants were placed in front of mental foramen, and SFI-Bar® was connected. A tube bar was seated to two adapters through large ball joints and fixation screws, connecting each implant. The length of the tube bar was adjusted according to inter-implant distance. Then, a female part was attached to the bar beneath the new denture. This clinical report describes two-implant-supported overdenture using the SFI-Bar® system in a mandibular edentulous patient.

Comparison of polymer-based temporary crown and fixed partial denture materials by diametral tensile strength

PURPOSE

The purpose of this study was to investigate the diametral tensile strength of polymer-based temporary crown and fixed partial denture (FPD) materials, and the change of the diametral tensile strength with time.

MATERIAL AND METHODS

One monomethacrylate-based temporary crown and FPD material (Trim) and three dimethacrylate-based ones (Protemp 3 Garant, Temphase, Luxtemp) were investigated. 20 specimens (ø 4 mm × 6 mm) were fabricated and randomly divided into two groups (Group I: Immediately, Group II: 1 hour) according to the measurement time after completion of mixing. Universal Testing Machine was used to load the specimens at a cross-head speed of 0.5 mm/min. The data were analyzed using one-way ANOVA, the multiple comparison Scheffe test and independent sample t test (α = 0.05).

RESULTS

Trim showed severe permanent deformation without an obvious fracture during loading at both times. There were statistically significant differences among the dimethacrylate-based materials. The dimethacrylate-based materials presented an increase in strength from 5 minutes to 1 hour and were as follows: Protemp 3 Garant (23.16 - 37.6 MPa), Temphase (22.27 - 28.08 MPa), Luxatemp (14.46 - 20.59 MPa). Protemp 3 Garant showed the highest value.

CONCLUSION

The dimethacrylate-based temporary materials tested were stronger in diametral tensile strength than the monomethacrylate-based one. The diametral tensile strength of the materials investigated increased with time.

Characteristics of DOC concentration with storm density flows in a stratified dam reservoir

Among natural organic matter (NOM) defined as the complex matrix of organic materials abundant in natural waters, a gradual accumulation of recalcitrant organic matter (ROM) has been observed in impounded water bodies such as a lake or dam reservoir in spite of extensive efforts made to curtail organic pollutant loadings generated in their catchment areas. This paper aims to identify the effect of diffuse pollution resulting from allochthonous organic matters on the temporal and spatial characteristics of organic matters in a stratified dam reservoir, Daecheong Dam, using both intensive observation and CE-QUAL-W2 model simulation. With the limitation of observation data in terms of organic matters of inflow waters from boundary tributaries and impounded water in the reservoir, organic matter was represented by organic carbon including labile particular organic carbon (LPOC), refractory organic carbon (RPOC), labile dissolved organic carbon (LDOC), and refractory organic carbon (RDOC). Both autochthonous and allochthonous origins of organic carbon were considered in the modeling of eutrophication of the reservoir water using CE-QUAL-W2. The result of simulation during the period from 2001 to 2005 was observed to be a gradual accumulation of particular organic carbon (POC). It is clear that the model calculation results enable the explanation of the internal and external movement of constituents in the reservoir. In particular turbidity and NOM were well related in the upper region of the reservoir according to flow distance, gradually changing to dissolved form of organic matter, DOC affected organic matter concentration of reservoir water quality compared to turbidity.

Nonlinear regression approach to evaluate nutrient delivery coefficient

Implementation of the Korean Total Maximum Daily Load Act calls for new tools to quantify nutrient losses from diffuse sources at a river basin district scale. In this study, it was elucidated that the nonlinear regression model (NRM) reduces the uncertainty of the boundary conditions of the water quality model. The NRM was proposed to analyse the delivery coefficients of surface waters and retention coefficients of pollutants. Delivery coefficient of pollution load was considered as a function of two variables: the watershed form ratio, S(f), which is a measurable geomorphologic variable and the retention coefficient, phi, which is an empirical constant representing the basin-wide retarding capacity of pollutant wash-off. This model was applied on the Geum River, one of the major basins in South Korea. The QUAL2E was used to simulate stream water quality using NRM. In this paper, we elucidate the possibility to use a nonlinear regression model for delivery and retention of nutrients in a drainage basin characterized as both data-rich and data-poor, and the magnitude of the nutrient loads and sources has been uncertain for a long time.

GIS-based influence analysis of geomorphological properties on pollutant wash-off in agricultural area

This study improves the estimation of the self-purification coefficient for runoff analysis of pollution load using geomorphological factors. Formerly, the assimilative capacity, K, was estimated using a single geomorphological factor, Horton's form ratio, St. Here, K was divided into two factors, namely, a watershed self-purification coefficient (K) and a watershed form ratio (S(f)). The watershed form ratio, S(f), is the equivalent stream density and is considered an index of accessibility of the pollution load to the water body. Even though Sf had shown a clear reciprocal relationship with K, in agricultural areas, there is a limitation that the K, estimated by using an S(f) only can't reflect the variability of land coverage characteristics and/or land use. In this study, a new geo-characteristic index (GCI), S(R), which is composed of Sf and weighted flow accumulation ratio (F(r)), is suggested. GIS and remote sensing technique were used to calculate S(f) and F(r). Interestingly, a clear reciprocal relationship exists between K and S(R), and this relationship seems to be stronger for agricultural areas, as urbanized areas have easier wash off due to the sewer network or paved surfaces.

Estimation of urban runoff and water quality using remote sensing and artificial intelligence

Water quality and quantity of runoff are strongly dependent on the landuse and landcover (LULC) criteria. In this study, we developed a more improved parameter estimation procedure for the environmental model using remote sensing (RS) and artificial intelligence (AI) techniques. Landsat TM multi-band (7bands) and Korea Multi-Purpose Satellite (KOMPSAT) panchromatic data were selected for input data processing. We employed two kinds of artificial intelligence techniques, RBF-NN (radial-basis-function neural network) and ANN (artificial neural network), to classify LULC of the study area. A bootstrap resampling method, a statistical technique, was employed to generate the confidence intervals and distribution of the unit load. SWMM was used to simulate the urban runoff and water quality and applied to the study watershed. The condition of urban flow and non-point contaminations was simulated with rainfall-runoff and measured water quality data. The estimated total runoff, peak time, and pollutant generation varied considerably according to the classification accuracy and percentile unit load applied. The proposed procedure would efficiently be applied to water quality and runoff simulation in a rapidly changing urban area.

Improvement of pre- and post-processing environments of the dynamic two-dimensional reservoir model CE-QUAL-W2 based on GIS

An Environmental Information System (EIS) coupled with a Geographic Information System (GIS) and water quality models is developed to improve the pre- and post-data processing function of CE-QUAL-W2. Since the accuracy of the geometric data in terms of a diverse water body has a great effect on the water quality variables such as the velocity, kinetic reactions, the horizontal and vertical momentum, to prepare the bathymetry information has been considered a difficult issue for modellers who intend to use the model. For identifying Cross Section and Profile Information (CSPI), which precisely contains hydraulic features and geographical configuration of a waterway, the automated CSPI extraction program has been developed using Avenue Language of the PC Arc/view package. The program consists of three major steps: (1) getting the digital depth map of a waterway using GIS techniques; (2) creating a CSPI data set of segments in each branch using the program for CE-QUAL-W2 bathymetry input; (3) selecting the optimal set of bathymetry input by which the calculated water volume meets the observed volume of the water body. Through those approaches, it is clear that the model simulation results in terms of water quality as well as reservoir hydraulics rely upon the accuracy of bathymetry information.

Effects of land use and municipal wastewater treatment changes on stream water quality

This study was undertaken to analyze the quantitative impact of a municipal wastewater treatment operation on the long-term water quality changes in a tributary of the Han-river, Korea from 1994 to 1999. Changes of land use pattern in the study watershed are quantitatively analyzed on the basis of land use maps that were created by classifying Landsat TM images acquired in April 1994 and March 1999. During this period, the average increase of land use area in terms of residence, cultivation, and barren was 5.89, 0.13, and 0.12%, respectively, and the corresponding decrease in water and forest area was 0.21 and 0.16%. The annual average reductions of BOD, T-N, and T-P by the municipal wastewater treatment operation were about 89, 11 and 27%, respectively. Spatial analysis of the pollution discharge from watershed was undertaken using a geographic information system (GIS) based model. A clear reciprocal relationship was found between the basin-wide self-purification coefficient and the watershed form ratio excepting a catchment area with water drain facilities. Due to land use changes over the five year study period, water quality change in terms of BOD, T-N, and T-P were (+)1.04 mg l(-1) (corresponding to a 13.7% increase of pollution), (+)0.58 mgl(-1) (10.0% increase), and (-)0.01 mg l(-1) (1.6% decrease). On the other hand, the effect of water quality restoration assessed by outward appearance during the same period was about 67.6, 39, and 36.5%, respectively. Consequently, it is understood that total stream water quality recovery in terms of BOD, T-N, and T-P were 81.3, 49.0, and 38.1% respectively, and that this included a negative contribution resulting from increased land use and a positive contribution due to the wastewater treatment operation at Inchon.

Quantitative bioregeneration of granular activated carbon loaded with phenol and 2,4-dichlorophenol

Lignite based granular activated carbon of 20x30 mesh size was used to investigate the extent of bioregeneration of phenol and 2,4-DCP in a batch system. The adsorption isotherm fits very well with the Freundlich isotherm and it is apparent that 2,4-DCP is more adsorbable than phenol. The degree of reversible adsorption for phenol and 2,4-DCP were 32.9 and 10.6 %, respectively. The low percentages of their reversibility meant that the adsorption phenomena of both phenol and 2,4-DCP were not fully physicosorption. The microorganisms can regenerate 31.4% (21.2 mg g(-1)) of GAC loaded with phenol and 14.3% (24.8 mg g(-1)) of GAC loaded with 2,4-DCP over a period of 7-10 days. The bioregeneration of phenols closely followed the first order kinetics with the rate constant of 0.046 day(-1) at initial phenol concentration of 100 mg l(-1) and biomass concentration of 20 mg l(-1) MLVSS. The rate constant was 0.021 day(-1) at initial 2,4-DCP concentration of 200 mg l(-1) and 200 mg l(-1) MLVSS. In addition, the increasing in initial concentration of biomass in the solution shortened the time required to reach the asymptotic limit on the bioregeneration but rendered little impact on the bioregeneration percentage.

A modeling approach to bioregeneration of granular activated carbon loaded with phenol and 2,4-dichlorophenol

A predictive isotherm model was developed to evaluate the extent of bioregeneration of granular activated carbon loaded with phenol and 2,4-dichlorophenol (2,4-DCP). Two basic substrates (116 mg/L of phenol and 100 g/L 2,4-DCP) as single solute were prepared. The mixture of them was provided to bisolute system for assessing the competitive adsorption. The effect of by-products, which were generated during biodegradation of substrate and measured as COD, on bioregeneration in the bisolute was investigated. Freundlich adsorption parameters (Kads and 1/n) of 2,4-DCP were obviously higher than those of phenol in both single and bisolute. By-products in the bulk solution brought an adverse effect on adsorption capacity of GAC in all cases. By taking into account the by-product effect on adsorption, the Freundlich isotherms were used to formulate a predictive model of bioregeneration. Simulated results showed good consistency of observed results. Practical relevant of the proposed model for assessing of bioregeneration in the wastewater treatment was discussed by applying model to the BAC-SBR in the steady-state operation.

Impacts of agrochemical fertilizer on the aquatic environment of paddy fields in Vietnam

To evaluate the impacts of agrochemical fertilizer application on the aquatic environment of paddy fields in tropical regions, 7.04 ha of paddy field situated in northern Vietnam were selected as a study area. The fate of nutrient constituents was surveyed through a questionnaire as well as analytical observation. Taking the major environmental components of the paddy field into account, a mass-balance flow regarding fertilizing constituents such as nitrogen and phosphate was built up and used to estimate the contribution of fertilizer to paddy field water pollution. In the mass-flow analysis, the randomness of fertilizer used by local farmers is incorporated within the conventional input-output model. For the control volume of soil in 0-40 cm below paddy plot surface, the estimated average concentrations in soil were 1.8 ppm for inorganic nitrogen and 1.3 ppm for inorganic phosphate on the assumption of 50% non-excessive probability. From the reasonable consistency of the deduced concentrations of nutrients with observed ones, not only the mass balance of fertilizing substances but also the impacts of fertilizer on the paddy field aquatic environment in Vietnam could be understood. On the results from nutrient mass-balance analysis, it was found that 11.3-13.3 kg N/ha would percolate into the underground aquifer that is linked to surface channel flow in the vicinity of the paddy plots and affect the irrigation water quality. The nutrient portion in the materials harvested as grain and straw occupied 58% of total dosed nitrogen and 75.6% of total supplied phosphorous.

Catalytic wet air oxidation of p-nitrophenol (PNP) aqueous solution using multi-component heterogeneous catalysts

This study investigated the decomposition of high strength p-nitrophenol (PNP) of 2,000 mg/l (3,400 mg of COD/1,250 mg of TOC) by catalytic wet air oxidation. Multi-component heterogeneous catalysts were used as catalysts for this purpose. The study results using a batch reactor showed that catalyst "D" (Mn-Ce-Zr 22.4 g plus CuSO4 1.0 g; Mn-Ce-Zr-Cu [CuSO4]) was more effective (56-74%) than catalyst "A" (Mn-Ce-Zr 22.4 g) under the given conditions (O2 partial pressure of 1.0 MPa; temperature of 170-190 degrees C; 30 min of reaction time). The best result was obtained when 2 g of Mn-Ce-Zr-Cu [CuSO4] was used per 1L of PNP aqueous solution. COD and TOC removal efficiencies were 18% and 23% without catalysts during 20 min of reaction at 190 degrees C. They were improved to 79% and 71% with 2 g/L of Mn-Ce-Zr-Cu [CuSO4] under the same conditions. The ratio of BOD5/COD was measured to evaluate biodegradability. It was 0.05 without catalyst and increased to 0.33 with 2 g/L of Mn-Ce-Zr-Cu [CuSO4] for 20 min of reaction.

Water quality management planning zone development by introducing a GIS tool in Kathmandu valley, Nepal

This research was conducted to identify the critical pollution (BOD, TN, TP) areas and to develop the priority mitigation zone for the Bagmati River pollution in the Kathmandu valley, Nepal. A GIS tool was used to define and identify the critical pollution areas and sources. Pollution source information such as population, livestock, industry and land use were collected on the basis of the individual village boundary. The industrial, land use and living pollution were aggregated by the GIS overlay analysis capability to obtain the combined pollution load within the watershed. Priority areas for the mitigation of the pollution were defined considering the pollution loading rate, distance of stream from pollution source, and political, religious, and touristic values of the area. This research noticed that Kathmandu, Lalitpur and Bhaktapur municipalities are the major polluting areas and living beings are the major factors of Bagmati River pollution. Delivery ratio for the watershed was found to vary from 40-69% for BOD and nitrogen but the delivery of phosphorus was exceptionally high (92% at Gaurighat and 77% at Chovar) due to cremation activity of the Hindu religion on the riverbanks. Thus, the priority areas for the mitigation of the carbonaceous and nutrient source pollution were identified. At present the land use and industry impaired a very low contribution compared to the huge pollution load from the municipalities to the river system.