Journal of dentistry最新文献

{"title":"Artificial Intelligence for Osteoporosis Detection on Panoramic Radiography: A Systematic Review and Meta Analysis.","authors":"Nikoo Ghasemi, Rata Rokhshad, Qonche Zare, Parnian Shobeiri, Falk Schwendicke","doi":"10.1016/j.jdent.2025.105650","DOIUrl":"https://doi.org/10.1016/j.jdent.2025.105650","url":null,"abstract":"<p><strong>Introduction: </strong>Osteoporosis is a disease characterized by low bone mineral density and an increased risk of fractures. In dentistry, mandibular bone morphology, assessed for example on panoramic images, has been employed to detect osteoporosis. Artificial intelligence (AI) can aid in diagnosing bone diseases from radiographs. We aimed to systematically review, synthesize and appraise the available evidence supporting AI in detecting osteoporosis on panoramic radiographs.</p><p><strong>Data: </strong>Studies that used AI to detect osteoporosis on dental panoramic images were included.</p><p><strong>Sources: </strong>On April 8, 2023, a first comprehensive search of electronic databases was conducted, including PubMed, Scopus, Embase, IEEE, arXiv, and Google Scholar (grey literature). This search was subsequently updated on October 6, 2024.</p><p><strong>Study selection: </strong>The Quality Assessment and Diagnostic Accuracy Tool-2 was employed to determine the risk of bias in the studies. Quantitative analyses involved meta-analyses of diagnostic accuracy measures, including sensitivity and specificity, yielding Diagnostic Odds Ratios (DOR) and synthesized positive likelihood ratios (LR+). The certainty of evidence was assessed using the Grading of Recommendations Assessment, Development, and Evaluation system.</p><p><strong>Results: </strong>A total of 24 studies were included. Accuracy ranged from 50% to 99%, sensitivity from 50% to 100%, and specificity from 38% to 100%. A minority of studies (n=10) had a low risk of bias in all domains, while the majority (n=18) showed low risk of applicability concerns. Pooled sensitivity was 87.92% and specificity 81.93%. DOR was 32.99, and L+ 4.87. Meta-regression analysis indicated that sample size had only a marginal impact on heterogeneity (R² = 0.078, p = 0.052), suggesting other study-level factors may contribute to variability. Egger's test suggested potential small-study effects (p < 0.001), indicating a risk of publication bias.</p><p><strong>Conclusion: </strong>AI, particularly deep learning, showed high diagnostic accuracy in detecting osteoporosis on panoramic radiographs. The results indicate a strong potential for AI to enhance osteoporosis screening in dental settings. However, significant heterogeneity across studies and potential small-study effects highlight the need for further validation, standardization, and larger, well-powered studies to improve model generalizability.</p><p><strong>Clinical significance: </strong>The application of AI in analyzing panoramic radiographs could transform osteoporosis screening in routine dental practice by providing early and accurate diagnosis. This has the potential to integrate osteoporosis detection seamlessly into dental workflows, improving patient outcomes and enabling timely referrals for medical intervention. Addressing issues of model validation and comparability is critical to translating these findings into widespread cli","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":" ","pages":"105650"},"PeriodicalIF":4.8,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143515860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Caries prevention effects of nano silver fluoride sustained release orthodontic elastomerics in dental microcosm biofilms","authors":"Jun-Hyuk Choi ,&nbsp;Eun-Song Lee ,&nbsp;Hoi-In Jung ,&nbsp;Baek-Il Kim","doi":"10.1016/j.jdent.2025.105649","DOIUrl":"10.1016/j.jdent.2025.105649","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate the clinical applicability of nano silver fluoride sustained release orthodontic elastomerics (NSF-RE) by investigating its effects on inhibiting biofilm formation and enamel demineralization using dental microcosm biofilms.</div></div><div><h3>Methods</h3><div>Two types of 23 % NSF coating solutions were prepared depending on the presence or absence of the plasticizer (polyethylene glycol [PEG] 6000: NSF-EP and NSF-E); the elastomerics were dip-coated individually with these. Biofilms were allowed to form on bovine enamel specimens with the elastomerics. Biofilm maturity (red/green ratio) was measured. After 7 days, biofilm thickness, live/dead cell ratio, and cell viability were evaluated. Microbiome taxonomic profiling was conducted on days 3 and 7. Mineral loss beneath the biofilm was quantified from fluorescence loss (ΔF) and ΔF_max values obtained. Demineralization at varying distances from the specimen center was evaluated based on the difference in ΔF between the control and experimental groups.</div></div><div><h3>Results</h3><div>The NSF-EP (elastomerics treated with NSF coating containing PEG) had a 6.7 % significantly lower R/G ratio from day 3 and a 36.1 % thinner biofilm compared to the negative control with uncoated elastomerics. In the NSF-EP group, cell viability assessments indicated reductions in total and aciduric bacterial counts by 9.4 % and 13.0 %, respectively. NSF-EP also had the lowest relative abundance of five caries-related bacteria. Additionally, NSF-EP significantly increased ΔF and ΔF_max by 34.8 % and 38.7 %, respectively, indicating reduced mineral loss. Demineralization did not differ according to distance from the elastomerics.</div></div><div><h3>Conclusion</h3><div>NSF-RE significantly reduces biofilm formation and demineralization, offering a promising caries prevention strategy in orthodontic patients.</div></div><div><h3>Clinical significance</h3><div>By inhibiting both biofilm formation and demineralization, NSF-RE provides a dual-function approach that may effectively prevent dental caries in orthodontic patients.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"156 ","pages":"Article 105649"},"PeriodicalIF":4.8,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143501871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial intelligence in dentistry: Exploring emerging applications and future prospects","authors":"Sang J. Lee ,&nbsp;Jessica Poon ,&nbsp;Apissada Jindarojanakul ,&nbsp;Chu-Chi Huang ,&nbsp;Oliver Viera ,&nbsp;Chan W. Cheong ,&nbsp;Jason D. Lee","doi":"10.1016/j.jdent.2025.105648","DOIUrl":"10.1016/j.jdent.2025.105648","url":null,"abstract":"<div><h3>Objectives</h3><div>This narrative review aimed to explore the evolution and advancements of artificial intelligence technologies, highlighting their transformative impact on healthcare, education, and specific aspects within dentistry as a field.</div></div><div><h3>Data and sources</h3><div>Subtopics within artificial intelligence technologies in dentistry were identified and divided among four reviewers. Electronic searches were performed with search terms that included: artificial intelligence, technologies, healthcare, education, dentistry, restorative, prosthodontics, periodontics, endodontics, oral surgery, oral pathology, oral medicine, implant dentistry, dental education, dental patient care, dental practice management, and combinations of the keywords.</div></div><div><h3>Study</h3><div>selection: A total of 120 articles were included for review that evaluated the use of artificial intelligence technologies within the healthcare and dental field. No formal evidence-based quality assessment was performed due to the narrative nature of this review. The conducted search was limited to the English language with no other further restrictions.</div></div><div><h3>Results</h3><div>The significance and applications of artificial intelligence technologies on the areas of dental education, dental patient care, and dental practice management were reviewed, along with the existing limitations and future directions of artificial intelligence in dentistry as whole. Current artificial intelligence technologies have shown promising efforts to bridge the gap between theoretical knowledge and clinical practice in dental education, as well as improved diagnostic information gathering and clinical decision-making abilities in patient care throughout various dental specialties. The integration of artificial intelligence into patient administration aspects have enabled practices to develop more efficient management workflows.</div></div><div><h3>Conclusions</h3><div>Despite the limitations that exist, the integration of artificial intelligence into the dental profession comes with numerous benefits that will continue to evolve each day. While the challenges and ethical considerations, mainly concerns about data privacy, are areas that need to be further addressed, the future of artificial intelligence in dentistry looks promising, with ongoing research aimed at overcoming current limitations and expanding artificial intelligence technologies.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"155 ","pages":"Article 105648"},"PeriodicalIF":4.8,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143492237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Screening for dental pain using an automated face coding (AFC) software","authors":"Angela Stillhart ,&nbsp;Rahel Häfliger ,&nbsp;Lisa Takeshita ,&nbsp;Bernd Stadlinger ,&nbsp;Claudio Rodrigues Leles ,&nbsp;Murali Srinivasan","doi":"10.1016/j.jdent.2025.105647","DOIUrl":"10.1016/j.jdent.2025.105647","url":null,"abstract":"<div><h3>Objectives</h3><div>This observational study evaluated the effectiveness of an Automated Face Coding (AFC) software in identifying facial expressions related to dental pain.</div></div><div><h3>Methods</h3><div>Fifty-seven participants (49.8 ± 17.1 years) with symptoms of dental pain were recruited. Participants self-reported their pain using a Visual Analog Scale (VAS) score and their faces were filmed using a smartphone. The video clips were exported to an AFC software, which analyzed the facial expressions. The analysis focused on detecting changes in facial expressions and emotional states. The analysis was performed at two timepoints, at baseline (on the first visit), and at post treatment recall when pain was alleviated (self-reported). Non-parametric tests were used for statistical analysis (<em>p</em> &lt; 0.05).</div></div><div><h3>Results</h3><div>Significant reduction in pain levels was observed between the first visit and at the post treatment recall visit (mean VAS: baseline = 5.65 ± 2.08, recall = 0.40 ± 0.80; <em>p</em> &lt; 0.001). No significant gender differences were observed in pain scores (<em>p</em> &gt; 0.05). Significant differences in facial expressions between the two time points was not detected by the software (<em>p</em> &gt; 0.05). Emotional parameters remained stable.</div></div><div><h3>Conclusion</h3><div>The findings of this study concluded that the current capability of the AFC software to detect changes in facial expressions specific to pain alleviation is limited, even though it can provide detailed analysis of facial muscle movements. Further research is needed to enhance the software's sensitivity to pain-related expressions and explore its integration with other diagnostic tools for improved patient care and treatment outcomes.</div></div><div><h3>Clinical Significance Statement</h3><div>The study explored the potential of AFC software in analyzing facial expressions for applications in screening and diagnosis of dental problems especially in non-communicative geriatric patients. While effective in monitoring facial movements, the software's current limitations in detecting pain-specific changes underscore the need for further advancements.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"155 ","pages":"Article 105647"},"PeriodicalIF":4.8,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143492239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Red biofluorescence revealed by dental bleaching in discolored pits and fissures of occlusal caries","authors":"Hyung-Suk Lee ,&nbsp;Eun-Song Lee ,&nbsp;Hoi-In Jung ,&nbsp;Baek-Il Kim","doi":"10.1016/j.jdent.2025.105646","DOIUrl":"10.1016/j.jdent.2025.105646","url":null,"abstract":"<div><h3>Objective</h3><div>Distinguishing between cariogenic and noncariogenic discoloration is crucial to avoid unnecessary removal of dental tissue. This study aimed to investigate the efficacy of biofluorescence bleaching (BF-bleaching) for identifying cariogenic discoloration in human teeth with naturally discolored pits and fissures.</div></div><div><h3>Methods</h3><div>Sixty-nine extracted human permanent teeth with discolored pits and fissures associated with suspected occlusal caries were included. A dental bleaching agent (15% H₂O₂, BeauTis 15 whitening gel, Osstempharma, Seoul, Republic of Korea) was applied in 5-minute intervals for 20 mins. Pit and fissure sites (<em>n</em> = 197) were classified as noncariogenic discoloration (NCD) or cariogenic discoloration (CD) based on histological findings. CD was further divided by the presence of red biofluorescence before bleaching as masked and exposed CD. Biofluorescence was quantified using red biofluorescence intensity (Δ<em>R</em>) and hue angle (<em>h</em>°). Their diagnostic performance was also assessed, including sensitivity, specificity, and the area under the receiver operating characteristic curve (AUC).</div></div><div><h3>Results</h3><div>Prebleaching Δ<em>R</em> values were significantly lower in the NCD and masked CD groups (<em>p</em> &lt; 0.001). Δ<em>R</em> in masked CD increased by 15% after 5 mins (<em>p</em> &lt; 0.001), becoming similar to those in exposed CD. Δ<em>R</em> in NCD and exposed CD showed no significant changes at any time point. The <em>h</em>° value of masked CD decreased by 2.05°, shifting from orange to red after 20 mins. In contrast, the <em>h</em>° of NCD group remained stable within the orange hue range. After 5 mins, Δ<em>R</em> sensitivity increased from 0.79 to 0.90, and <em>h</em>° AUC improved from 0.69 to 0.93.</div></div><div><h3>Conclusion</h3><div>Bleaching of pits and fissures exhibiting caries-related discoloration effectively removes the overlying stains, revealing the lesion's underlying red biofluorescence. Thus, BF-bleaching can be a useful method for the objective diagnosis and monitoring of cariogenic discoloration.</div></div><div><h3>Clinical significance</h3><div>Using BF-bleaching for accurate evaluation of CD will help provide minimally invasive preventive and treatment options.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"156 ","pages":"Article 105646"},"PeriodicalIF":4.8,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143476631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systematic review and meta-analysis on prevalence and risk factors for gingival recession","authors":"Felix Marschner ,&nbsp;Clemens Lechte ,&nbsp;Philipp Kanzow ,&nbsp;Valentina Hraský ,&nbsp;Wolfgang Pfister","doi":"10.1016/j.jdent.2025.105645","DOIUrl":"10.1016/j.jdent.2025.105645","url":null,"abstract":"<div><h3>Objectives</h3><div>Gingival recession is a common mucogingival condition. The aim of this systematic review and meta-analysis was to assess the prevalence of gingival recession and identify associated risk factors in the general population.</div></div><div><h3>Study selection</h3><div>Observational studies reporting prevalence and risk factors for gingival recession published since 2000 were included. Methodological quality was assessed using the modified Newcastle-Ottawa scale for cross-sectional studies. Random-effect meta-analyses were conducted for the prevalence (%) of gingival recession at different cut-off scores (≥1 mm, ≥3 mm, and ≥5 mm) and odds ratios (OR) of identified risk factors.</div></div><div><h3>Sources</h3><div>MEDLINE, Embase, Scopus, and Web of Science were systematically searched in November 2024. Additionally, a hand search was performed. The study was registered in PROSPERO (CRD42024516816).</div></div><div><h3>Data</h3><div>21 sources, reporting on 22 studies were included in this systematic review. Most of the included studies represented a low risk of bias. Overall, estimated prevalence of gingival recession was 81.1 % (95 %-CI: 73.9–86.7) for ≥1 mm, 48.4 % (95 %-CI: 39.7–57.2) for ≥3 mm, and 16.2 % (95 %-CI: 9.1–27.4) for ≥5 mm. Risk factors were structured into domains. Meta-analyses revealed male gender (p_adj.&lt;0.001; OR=1.52, 95 %-CI: 1.36–1.69), smoking (p_adj.=0.003; OR=1.84, 95 %-CI: 1.33–2.53), alcohol consumption (p_adj.&lt;0.001; OR=2.04, 95 %-CI: 1.51–2.75), dental plaque (p_adj.&lt;0.001; OR=4.26, 95 %-CI: 2.91–6.24), presence of a high frenulum (p_adj.&lt;0.001; OR=4.58, 95 %-CI: 2.58–8.11), occlusal trauma (p_adj.=0.003; OR=3.20, 95 %-CI: 1.74–5.87), periodontitis (p_adj.&lt;0.001; OR=9.90, 95 %-CI: 4.15–23.60), and history of periodontal treatment (p_adj.&lt;0.001; OR=1.86, 95 %-CI: 1.33–2.58) to be significantly associated with gingival recession.</div></div><div><h3>Conclusions</h3><div>Observational studies indicated that gingival recession is a highly prevalent condition associated with a variety of risk factors.</div></div><div><h3>Clinical significance</h3><div>Gingival recession is associated with periodontal conditions like periodontitis, high frenulum, and modifiable factors such as smoking, alcohol consumption, and occlusal trauma. Clinicians should primarily focus on identifying these risk factors and implementing preventive strategies.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"155 ","pages":"Article 105645"},"PeriodicalIF":4.8,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of NaOCl application prior to resin infiltrant or fluoride-containing resin varnish in the treatment of white spot lesions: An in vitro study","authors":"Aybike Manav Özen ,&nbsp;Bengü Doğu Kaya ,&nbsp;Pınar Yılmaz Atalı ,&nbsp;Cafer Türkmen","doi":"10.1016/j.jdent.2025.105641","DOIUrl":"10.1016/j.jdent.2025.105641","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this in vitro study is to investigate the effect of NaOCl (5.25 %) prior to resin infiltration and resin varnish on microhardness, surface roughness, and DIAGNOdent Pen values in the treatment of white spot lesions (WSLs).</div></div><div><h3>Methods</h3><div>The artificial initial caries lesions were created in 160 human enamel samples. The demineralizated samples were divided into five groups: resin infiltration (ICON; DMG, Hamburg, Germany), NaOCl + ICON, resin varnish (Clinpro XT; 3M ESPE, Seefeld, Germany), NaOCl + Clinpro XT, and a negative control group. Enamel samples that underwent thermocycling aging were subjected to 5.000 cycles between 5–55 °C (<em>N</em> = 32, <em>n</em> = 16 for aging subgroups). Surface roughness (Ra), Vicker's microhardness (VHN), and DIAGNOdent Pen (Kavo, Biberach, Germany) (DDP) values were recorded at the baseline, after demineralization, after treatment, and after the thermal aging stages. The micro-CT analysis, microleakage, and Scanning Electron Microscope images were evaluated after treatment procedures and thermal aging. Robust ANOVA, Pearson's chi-square, and McNemar tests were used for statistical analysis. The significance level was <em>p</em> &lt; 0.05.</div></div><div><h3>Results</h3><div>The main effect of both group and stage was statistically significant for DDP, Ra, VHN, and micro-CT values. All treatment procedures improved the demineralized enamel compared to the negative control group (<em>p</em> &lt; 0.001). The application of NaOCl (5.25 %) before resin infiltration increased microhardness but also in roughness. The resin-infiltrated groups showed less microleakage than the resin-varnish-treated groups (<em>p</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>The application of NaOCl prior to resin infiltration or resin varnish did not result in any important alterations in the examined parameter values.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"156 ","pages":"Article 105641"},"PeriodicalIF":4.8,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143476613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The application of a fasting-mimicking diet in periodontitis. A feasibility study","authors":"Giuseppe Mainas ,&nbsp;Ipek Ozgu ,&nbsp;Aysegul Sari ,&nbsp;Manlio Vinciguerra ,&nbsp;Mark Ide ,&nbsp;Buse Bayraktar Ayakta ,&nbsp;Kemal Ustun ,&nbsp;Luigi Nibali","doi":"10.1016/j.jdent.2025.105644","DOIUrl":"10.1016/j.jdent.2025.105644","url":null,"abstract":"<div><h3>Objectives</h3><div>The aim of this study was to test the feasibility of a fasting-mimicking diet on the systemic and periodontal response following non-surgical periodontal therapy.</div></div><div><h3>Methods</h3><div>Twenty patients with periodontitis were randomised to receive steps 1 and 2 of periodontal treatment alone (following their normal diet) or with an adjunctive 5-day course of fasting-mimicking diet (FMD). Blood and gingival crevicular fluid (GCF) samples were collected to study the levels of several inflammatory biomarkers, along with clinical parameters and patients-reported outcome measurements (PROMs). All patients were followed up at day-1, day-7 and 3 months post-treatment, and food diaries were completed to assess their compliance.</div></div><div><h3>Results</h3><div>Nineteen patients completed the 3-months follow-up. Only minimal adverse events including nausea, fatigue, weakness and dizziness were reported in the test group, with no differences in PROMs between groups. Test patients exhibited a non-statistically significant 3-months serum hs-CRP reduction of 0.20 ± 0.30 mg/l compared with 0.11 ± 0.52 mg/l in controls (<em>p</em> = 0.632) and a trend for lower GCF levels of MMP-8, IL-6 and IL-1β post-treatment compared with controls.</div></div><div><h3>Conclusions</h3><div>This study suggests that one cycle of adjunctive FMD is feasible and may modulate the inflammatory response post-non-surgical periodontal therapy. Larger studies are needed to test this hypothesis. (clinicaltrials.gov ID: NCT05684627).</div></div><div><h3>Clinical relevance</h3><div>For the first time, a 5-days cycle of FMD as an adjunct to non-surgical periodontal therapy was assessed in Turkish individuals with periodontitis stages III-IV. The findings showed that FMD is feasible and may reduce inflammatory markers one day post-treatment.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"156 ","pages":"Article 105644"},"PeriodicalIF":4.8,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143472544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral health practitioners’ knowledge, perceptions, and practices relating to e-cigarettes","authors":"Michelle I Jongenelis ,&nbsp;Nidhi Saraswat ,&nbsp;Tami Yap ,&nbsp;Runze Li","doi":"10.1016/j.jdent.2025.105640","DOIUrl":"10.1016/j.jdent.2025.105640","url":null,"abstract":"<div><h3>Objectives</h3><div>Despite the oral health risks associated with e-cigarette use (i.e., vaping) and the importance of cessation, research exploring the experiences and views of oral health practitioners in relation to e-cigarettes and delivering cessation counselling is limited. This study investigated oral health practitioners’ (i) experiences with the oral health effects of e-cigarette use, (ii) knowledge and perceptions of e-cigarettes, and (iii) confidence in providing cessation advice to patients. We also explored desired support and preferences for training and education related to e-cigarettes.</div></div><div><h3>Methods</h3><div>A cross-sectional online survey was completed by 192 oral health practitioners (e.g., dentists, oral health therapists) working in Australia. The survey measured experiences with patient e-cigarette use, perceptions of e-cigarettes, confidence providing patients with cessation advice, and needs and preferences for practitioner training.</div></div><div><h3>Results</h3><div>There was near universal concern (<em>n</em> = 184, 96 %) regarding the effects of e-cigarette use on oral health. Two-thirds of respondents (<em>n</em> = 122, 65 %) rated their level of knowledge about e-cigarette use and detecting oral health damage from e-cigarette use as low. Only 29 % (<em>n</em> = 56) of respondents believed they had sufficient knowledge to provide advice and support to patients who use e-cigarettes. Interest in education related to e-cigarettes was high, with 98 % (<em>n</em> = 188) of respondents expressing an interest in completing an education module designed specifically for oral health practitioners.</div></div><div><h3>Conclusions</h3><div>A clear opportunity to improve vaping-related knowledge among oral health practitioners was identified. Providing oral health practitioners with evidence-based education about e-cigarettes and training in the delivery of appropriate cessation support is critical to increasing practitioner knowledge and confidence.</div></div><div><h3>Clinical Significance Statement</h3><div>Despite the oral health risks associated with e-cigarette use and the importance of cessation, few oral health practitioners report feeling well-supported in their efforts to manage e-cigarette use in their patients. The development of vaping-related resources, clinical guidelines, or training activities for oral health practitioners is urgently needed to facilitate evidence-based discussions with patients.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"155 ","pages":"Article 105640"},"PeriodicalIF":4.8,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trueness and precision of a handheld, a desktop and a mobile 3D face scanning system: An in vitro study","authors":"Philippe Nuytens ,&nbsp;Gennaro Ruggiero ,&nbsp;Stefan Vandeweghe ,&nbsp;Rani D'haese","doi":"10.1016/j.jdent.2025.105639","DOIUrl":"10.1016/j.jdent.2025.105639","url":null,"abstract":"<div><h3>Objective</h3><div>This in vitro study investigated the trueness and precision of three different face scanning systems: a handheld, a desktop and a mobile 3D face scanning system.</div></div><div><h3>Material and methods</h3><div>Fourteen landmarks were placed on a mannequin head, and sixteen inter-landmark distances were measured using a digital vernier caliper, repeated 20 times over 80 days. Three 3D face scanning systems were evaluated: a handheld (Metismile; Shining 3D Tech Co., Hangzhou, China), a desktop (RAYFace v2.0; Ray Co., Ltd., Gyeonggi-do, Korea), and a mobile application (Heges, Simon Marinek) on a smart device (iPad Pro X, Apple Inc., Cupertino, CA). Sixty facial scans were analyzed using metrology software (Geomagic Control X), and inter-landmark distances were compared to anthropometric measurements. Trueness was determined by absolute linear deviation and analyzed using one-way ANOVA, with Bonferroni and Tamhane tests for significant variance. Precision was compared to anthropometric measurements and analyzed using Kruskall-Wallis test.</div></div><div><h3>Results</h3><div>3D analysis showed that the handheld scanner had the highest trueness (0.18 ± 0.15 mm) and precision (0.22 ± 0.04 mm). The desktop scanner had a trueness of 0.35 ± 0.26 mm and precision of 0.61 ± 0.18 mm, while the mobile scan application had a trueness of 0.54 ± 0.34 mm and precision of 0.47 ± 0.12 mm. All systems showed the highest trueness for vertical measurements compared to horizontal measurements. In the lower face, the precision was higher than anthropometric measurements for all 3D face scanning systems.</div></div><div><h3>Conclusions</h3><div>The handheld scanner demonstrated the highest trueness and its precision surpassed anthropometric measurements. The desktop scanner outperformed the mobile scan application in trueness but not in precision.</div></div><div><h3>Clinical significance</h3><div>The handheld, the desktop and the mobile face scanning system showed clinically acceptable trueness (&lt; 0.6 mm) and could be used for virtual facebow transfer. All 3D face scanning systems in the present study demonstrated superior precision in the lower face compared to anthropometric measurements.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"155 ","pages":"Article 105639"},"PeriodicalIF":4.8,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143464292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}