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Validation of a novel tool for automated tooth modelling by fusion of CBCT-derived roots with the respective IOS-derived crowns 通过cbct衍生牙根与各自的ios衍生冠融合,验证一种新型自动牙齿建模工具。
IF 4.8 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-02-01 DOI: 10.1016/j.jdent.2024.105546
Benedetta Baldini , Dhanaporn Papasratorn , Fernanda Bulhões Fagundes , Rocharles Cavalcante Fontenele , Reinhilde Jacobs

Objectives

To validate a novel artificial intelligence (AI)-based tool for automated tooth modelling by fusing cone beam computed tomography (CBCT)-derived roots with corresponding intraoral scanner (IOS)-derived crowns.

Methods

A retrospective dataset of 30 patients, comprising 30 CBCT scans and 55 IOS dental arches, was used to evaluate the fusion model at full arch and single tooth levels. AI-fused models were compared with CBCT tooth segmentation using point-to-point surface distances—reported as median surface distance (MSD), root mean square distance (RMSD), and Hausdorff distance (HD)— alongside visual assessments. Qualitative assessment included visual inspection of CBCT multiplanar views. The automated fused model was also compared to expert-manual fusions for single tooth analysis in terms of accuracy, time efficiency, and consistency.

Results

AI-based fusion evaluation showed mean values of MSD, RMSD, and HD of 4 μm, 114 μm, and 940 μm for full arch; 5 μm, 104 μm, and 503 μm for single tooth analysis. Qualitative assessment showed discrepancies between fused tooth outline and CBCT tooth margin lower than 1 voxel for 59% of cases. AI-based fusion showed high similarity with expert-manual fusions with median MSD, RMSD, and HD values of 28 μm, 104 μm, and 576 μm, respectively. However, AI-based fusion was 32 times faster than manual fusion. Considering the time required for manual fusion, intra-observer agreement was high (ICC 0.93), while inter-observer agreement was moderate (ICC 0.48).

Conclusion

The AI-based CBCT/IOS fusion demonstrated clinically acceptable accuracy, efficiency, and consistency, offering substantial time savings and robust performance across different patients and imaging devices.

Clinical significance

Manual CBCT/IOS fusion performed by experts is effective but labor-intensive and time-consuming. AI algorithms show a remarkable ability to minimize human variability, resulting in more reliable and efficient fusion. This capability demonstrates the potential to provide a more personalized, precise and standardized approach for treatment planning and dental procedures.
目的:验证一种新的基于人工智能(AI)的自动牙齿建模工具,该工具将锥形束计算机断层扫描(CBCT)衍生的牙根与相应的口内扫描仪(IOS)衍生的牙冠融合在一起。方法:采用30例患者的回顾性数据集,包括30个CBCT扫描和55个IOS牙弓,评估全牙弓和单牙水平的融合模型。将人工智能融合模型与CBCT牙齿分割进行比较,使用点对点表面距离-报告为中位数表面距离(MSD),均方根距离(RMSD)和Hausdorff距离(HD)-以及视觉评估。定性评价包括CBCT多平面视觉检查。在准确性、时间效率和一致性方面,还将自动融合模型与专家-手动融合进行了单齿分析。结果:人工智能融合评估显示全弓的MSD、RMSD和HD均值分别为4 μm、114 μm和940 μm;5 μm, 104 μm和503 μm用于单齿分析。定性评估显示59%的病例融合牙轮廓与CBCT牙缘差异小于1体素。人工智能融合与专家-手工融合具有较高的相似性,平均MSD、RMSD和HD值分别为28 μm、104 μm和576 μm。然而,基于人工智能的融合比人工融合快32倍。考虑到人工融合所需的时间,观察者内部的一致性很高(ICC 0.93),而观察者之间的一致性中等(ICC 0.48)。结论:基于人工智能的CBCT/IOS融合显示出临床可接受的准确性、效率和一致性,在不同的患者和成像设备上提供了大量的时间节省和强大的性能。临床意义:专家手工CBCT/IOS融合有效,但费时费力。人工智能算法显示出将人类可变性降至最低的卓越能力,从而实现更可靠、更有效的融合。这种能力显示了为治疗计划和牙科程序提供更加个性化、精确和标准化方法的潜力。
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引用次数: 0
Load-bearing capacity of screw-retained fixed dental prostheses made of monolithic zirconia on different abutment designs and abutment-free implant connection 不同基台设计及无基台种植体连接方式下单片氧化锆螺钉保留固定义齿的承载能力。
IF 4.8 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-02-01 DOI: 10.1016/j.jdent.2025.105561
Tobias Schäfer , Kiren J Mätzener , Ronald E Jung , Mutlu Özcan , Jenni Hjerppe

Objectives

A new abutment-free implant connection allows for direct screwing of FDPs on implants to avoid complications caused by cement rests or screw loosening, which may affect to screw torque and load distribution. The objective of this study was to test the initial (Fi) and final failure (Ff) loads and torque changes of abutment-free monolithic zirconia CAD-CAM fixed dental prostheses (FDPs) compared to titanium FDPs on different abutment designs.

Methods

Three-unit screw-retained FDPs (n = 50) on two implants (n = 100) were divided into groups (n = 10) based on the implant-abutment connection and material of the supra-structure: (1) abutment-free monolithic CAD-CAM zirconia FDP (Abut-free-Zr), (2) abutment-free veneered titanium FDPs (Abut-free-Ti), (3) monolithic zirconia FDPs with titanium base abutments (Zr-Ti-Base), (4) monolithic zirconia FDPs on multi-unit abutments (Zr-MU), (5) veneered titanium FDP on multi-unit abutments (Ti-MU). All specimens were subjected to thermo-mechanical aging (1′200’000 Cycles, 49 N, 1.67 Hz, 5º to 50º C, dwelling time 120 s). Torque of the screws was measured, and static loading was performed. Data were tested using ANOVA and Tukey's tests (p < 0.05).

Results

After thermo-mechanical aging, all screws showed reduced torque, Ti-MU significantly more reduction compared to Abut-Free-Ti (p = 0.0021). Titanium groups showed significantly lower Fi (N) values (171.4–230 vs 1272–1358,) due to veneering porcelain fractures (p = 0.0001) and significantly higher Ff (N) (2922 –3029 N vs. 1272–1358) values than zirconia groups (p < 0.0001).

Conclusions

Three-unit abutment-free monolithic zirconia FPDs showed similar failure loads compared to other zirconia groups, while the titanium groups exhibited superior final failure loads. Different abutment designs did not seem to affect the failure loads.

Clinical Significance

The specific design of the novel implant interface allows for the fabrication of implant supported FDPs with personalized design directly on implant level without abutments. The monolithic zirconia FDPs on abutment-free implant connection can be used with good confidence since they exhibit similar mechanical stability as monolithic zirconia FDPs on titanium-base or multi-unit abutments.
目的:一种新的无基台种植体连接允许将fdp直接螺钉固定在种植体上,以避免水泥休息或螺钉松动引起的并发症,这些并发症可能影响螺钉扭矩和负载分布。本研究的目的是测试不同基台设计下,无基台的整体氧化锆CAD-CAM固定牙体(FDPs)与钛固定牙体(FDPs)的初始(Fi)和最终失效(Ff)载荷和扭矩变化。方法:将2个种植体(n=100)上的3单元螺钉保留FDP (n=50)根据种植体-基牙连接方式和上部结构材料分为组(n=10):(1)无基牙单片CAD-CAM氧化锆FDP(无基牙zr),(2)无基牙贴面钛FDP(无基牙ti),(3)钛基基单片氧化锆FDP (Zr-Ti-Base),(4)多单元基牙单片氧化锆FDP (Zr-MU),(5)多单元基牙贴面钛FDP (Ti-MU)。所有试件进行热-机械老化(1’20’000 Cycles, 49N, 1.67 Hz, 5º~ 50ºC,停留时间120 s),测量螺钉扭矩,并进行静加载。使用方差分析和Tukey检验对数据进行检验(结果:热机械老化后,所有螺钉均显示扭矩减小,Ti-MU比Abut-Free-Ti明显减小(p=0.0021)。由于贴面瓷断裂,钛组的Fi (N)值显著低于氧化锆组(p=0.0001) (171.4-230 vs 1272-1358), Ff (N)值显著高于氧化锆组(2922 -3029 N vs 1272-1358) (p结论:三单元无基台整体氧化锆FPDs的破坏载荷与其他氧化锆组相似,而钛组表现出更强的最终破坏载荷。不同的桥台设计似乎对破坏荷载没有影响。临床意义:新型种植体界面的特殊设计允许直接在种植体水平上制造具有个性化设计的种植体支持的fdp,而无需基台。单片氧化锆FDPs与单片氧化锆FDPs在钛基基或多单元基台上具有相似的机械稳定性,因此可以放心地使用无基台种植体连接。
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引用次数: 0
Accuracy of digital and conventional implant impressions in edentulous jaws: A clinical comparative study 无牙颌数字与传统种植印模的准确性:临床比较研究。
IF 4.8 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-02-01 DOI: 10.1016/j.jdent.2025.105559
A. Kernen-Gintaute , M. Akulauskas , F. Kernen , N.U. Zitzmann , B.C. Spies , F. Burkhardt

Objectives

This clinical study aimed to evaluate the accuracy of digital and conventional implant impressions in a fully edentulous maxilla and mandible.

Methods

A 53-year-old edentulous patient with four maxillary and two mandibular implants was selected. Ten intraoral scans (IOS) and a conventional impression per jaw were taken. Clinically verified upper and lower plaster models were digitized using both optical (reference data, n = 10 per model) and tactile laboratory scanner (n = 10 per model). Accuracy was evaluated by comparing the precision and linear/angular deviations of the implants with the reference data. Statistical analyses were conducted using Student's t-test and Kruskal–Wallis test (α = 0.05).

Results

In the maxilla, the most significant linear deviations exceeding the 100 µm threshold were found with IOS between implants 1–4. In the mandible, all linear deviations remained below 55 µm. Angular deviations between implants after IOS ranged from 0.01° to 0.40° in the mandible and <0.01° to 1.86° in the maxilla. After tactile scanning, linear deviations did not exceed 100 µm threshold (except in one distance) and angular deviations ranged from 0.04° to 0.54° (mandible) and <0.01° to 2.50° (maxilla). The optical scanner demonstrated significantly higher precision (p < 0.001) compared to the IOS and tactile scanner.

Conclusions

Given the significant deviations observed, especially in the maxilla, the optical scanner following conventional impressions remained the preferred method for fully edentulous cases due to its superior accuracy.

Clinical significance

IOS could be a viable alternative particularly for shorter distances in the edentulous jaw, although the clinical implications of these deviations need to be investigated in future studies.
目的:本临床研究旨在评估数字和传统种植印模在全无牙颌和下颌骨的准确性。方法:选择1例53岁无牙患者,上颌种植体4颗,下颌骨种植体2颗。进行了10次口腔内扫描(IOS)和每颌常规印模。使用光学(参考数据,每个模型n = 10)和触觉实验室扫描仪(每个模型n = 10)对临床验证的上下石膏模型进行数字化。通过与参考数据比较种植体的精度和线性/角度偏差来评估准确性。统计学分析采用Student’st检验和Kruskal-Wallis检验(α = 0.05)。结果:在上颌骨,种植体1-4之间的IOS线性偏差超过100µm阈值最为显著。在下颌骨,所有线性偏差保持在55µm以下。结论:由于观察到明显的偏差,特别是在上颌,常规印模后的光学扫描仪由于其优越的精度仍然是全无牙病例的首选方法。临床意义:尽管这些偏差的临床意义需要在未来的研究中进行调查,但IOS可能是一种可行的替代方法,特别是对于无牙颌的较短距离。
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引用次数: 0
Association between non-carious cervical lesions, dentin hypersensitivity and anxiety in young adults: A cross-sectional study 年轻人非龋齿性宫颈病变、牙本质过敏和焦虑之间的关系:一项横断面研究。
IF 4.8 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-02-01 DOI: 10.1016/j.jdent.2025.105563
Roberto Zimmer , Gustavo Frainer Barbosa , Fernando Freitas Portella , Paulo Vinícius Soares , Eduardo Galia Reston

Objectives

To investigate the prevalence and factors associated with dentin hypersensitivity (DH) and non-carious cervical lesions (NCCLs).

Methods

The analytical cross-sectional study included 157 participants aged between 18 and 45 years, who were clinically examined and answered a questionnaire related to their lifestyle and daily habits (diet, parafunctional habits, temporomandibular disorders, general and oral health) and the Beck Anxiety Inventory. A descriptive analysis of the prevalence of DH and NCCL was performed, both at the individual level and considering the distribution among the teeth. Poisson regression models were used to investigate factors associated with hypersensitivity.

Results

The prevalence of DH and NCCL was 84.7 % and 49.7 %, respectively. The use of whitening toothpaste and brushing teeth immediately after meals were related to the presence of at least one tooth with DH, while the NCCL and anxiety factors were related to the presence of DH in both at least one tooth and more than four teeth per individual. On the other hand, individuals who used soft and extra soft toothbrushes, as well as those who had knowledge about oral health, had a lower prevalence of DH.

Conclusions

DH and NCCL have a high prevalence in the population and are associated with each other and with the individual's lifestyle and habits.

Clinical significance

Individuals with signs of anxiety had a higher prevalence of DH, while individuals with knowledge about the etiological factors had a lower prevalence of the disease.
目的:探讨牙本质过敏(DH)和非龋齿性宫颈病变(ncls)的患病率及其相关因素。方法:分析性横断面研究纳入157名年龄在18至45岁之间的参与者,对他们进行临床检查,并回答与他们的生活方式和日常习惯(饮食、功能习惯、颞下颌疾病、一般和口腔健康)和贝克焦虑量表相关的问卷。对DH和NCCL的患病率进行了描述性分析,既考虑到个人水平,也考虑到牙齿之间的分布。使用泊松回归模型研究与过敏相关的因素。结果:DH和NCCL的患病率分别为84.7%和49.7%。使用美白牙膏和饭后立即刷牙与至少一颗牙齿存在DH有关,而NCCL和焦虑因素与每个人至少一颗牙齿或超过四颗牙齿存在DH有关。另一方面,使用软质和超软质牙刷的人,以及有口腔健康知识的人,患卫生署的比率较低。结论:DH和NCCL在人群中患病率较高,两者之间存在一定的相关性,且与个体的生活方式和习惯有关。临床意义:有焦虑症状的个体DH患病率较高,而了解其病因的个体DH患病率较低。
{"title":"Association between non-carious cervical lesions, dentin hypersensitivity and anxiety in young adults: A cross-sectional study","authors":"Roberto Zimmer ,&nbsp;Gustavo Frainer Barbosa ,&nbsp;Fernando Freitas Portella ,&nbsp;Paulo Vinícius Soares ,&nbsp;Eduardo Galia Reston","doi":"10.1016/j.jdent.2025.105563","DOIUrl":"10.1016/j.jdent.2025.105563","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate the prevalence and factors associated with dentin hypersensitivity (DH) and non-carious cervical lesions (NCCLs).</div></div><div><h3>Methods</h3><div>The analytical cross-sectional study included 157 participants aged between 18 and 45 years, who were clinically examined and answered a questionnaire related to their lifestyle and daily habits (diet, parafunctional habits, temporomandibular disorders, general and oral health) and the Beck Anxiety Inventory. A descriptive analysis of the prevalence of DH and NCCL was performed, both at the individual level and considering the distribution among the teeth. Poisson regression models were used to investigate factors associated with hypersensitivity.</div></div><div><h3>Results</h3><div>The prevalence of DH and NCCL was 84.7 % and 49.7 %, respectively. The use of whitening toothpaste and brushing teeth immediately after meals were related to the presence of at least one tooth with DH, while the NCCL and anxiety factors were related to the presence of DH in both at least one tooth and more than four teeth per individual. On the other hand, individuals who used soft and extra soft toothbrushes, as well as those who had knowledge about oral health, had a lower prevalence of DH.</div></div><div><h3>Conclusions</h3><div>DH and NCCL have a high prevalence in the population and are associated with each other and with the individual's lifestyle and habits.</div></div><div><h3>Clinical significance</h3><div>Individuals with signs of anxiety had a higher prevalence of DH, while individuals with knowledge about the etiological factors had a lower prevalence of the disease.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"153 ","pages":"Article 105563"},"PeriodicalIF":4.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142965505","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}
引用次数: 0
Feasibility, trueness and precision of intraoral scanners in digitizing maxillectomy defects with exposed zygomatic implants in situ: An in vitro 3D comparative study 口腔内扫描仪在颌骨切除缺损外露颧骨原位数字化中的可行性、准确性和精确性:体外三维对比研究。
IF 4.8 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-02-01 DOI: 10.1016/j.jdent.2025.105557
Mahmoud E. Elbashti , Adrien Naveau , Benedikt Spies , Anna-Lena Hillebrecht , Samir Abou-Ayash , Martin Schimmel , Juan López-Quiles , Pedro Molinero-Mourelle

Objectives

To in-vitro evaluate the feasibility and accuracy (trueness and precision) of various intraoral scanners (IOS) to digitize maxillectomy defect models with exposed zygomatic implants in situ.

Material and Methods

Six partially edentulous and edentulous maxillectomy defect models with 2 zygomatic implants each were obtained. References scans were obatined by using a laboratory scanner (inEos X5; Dentsply Sirona). Three IOS, Trios 3, Trios 4 (3Shape A/S), and Primescan (Dentsply Sirona) were used first to digitize the entire model including implants and then to only scan the exposed part of zygomatic implants. The feasibility was assessed by evaluating the intraoral scanner's ability to accurately capture the maxillectomy defects and zygomatic implants, compared to a reference standard. Trueness and precision were evaluated using software's global best-fit alignment (GOM Inspect, GOM GmbH). Multifactorial analysis of variance (ANOVA) was used to compare the mean 3D deviation according to different scanners, groups, and model types. The significance level used in the analyses was 5 % (α=0.05).

Results

All scanners showed adequate feasibility to scan the entire maxillectomy defects and exposed implants regardless of the structural complexity. The results of trueness showed that Primescan has the smallest 3D deviations (0.0252 mm) followed by Trios 4 (0,0275 mm), and then Trios 3 (0.0318 mm) (p < 0.001). The results of precision showed that Primescan had the smallest 3D deviations (0.0026 mm) followed by Trios 3 (0,0080 mm), and then Trios 4 (0,0097 mm) (p < 0.001).

Conclusion

Intraoral scanners differ in feasibility, trueness and accuracy of all scans, with Primescan providing the best combination of feasibility, trueness and accuracy, followed by Trios 4 and Trios 3.

Clinical Significance

Scanning maxillectomy defects with various exposed zygomatic implants can be feasible and accurate using intraoral scanners (Trios 3, Trios 4, and Primescan). The use of intraoral scanners for implant-prosthetic rehabilitation of maxillectomy defect can be a feasible alternative that can improve and simplify the workflow.
目的:体外评价各种口腔内扫描仪(IOS)对外露颧骨原位植入颌骨切除缺损模型数字化的可行性和准确性(真实度和精密度)。材料与方法:建立部分无牙和无牙上颌切除缺损模型各6个,各2个颧骨种植体。使用实验室扫描仪(inEos X5;Dentsply Sirona)。首先使用Trios 3、Trios 4 (3Shape A/S)和Primescan (Dentsply Sirona)三个IOS对包括假体在内的整个模型进行数字化,然后只扫描颧骨假体的暴露部分。与参考标准相比,通过评估口腔内扫描仪准确捕获上颌切除缺陷和颧骨植入物的能力来评估可行性。使用软件的全局最佳拟合校准(GOM Inspect, GOM GmbH)评估准确性和精度。采用多因素方差分析(ANOVA)比较不同扫描仪、分组和模型类型的平均3D偏差。分析中显著性水平为5% (α=0.05)。结果:所有的扫描仪都显示出足够的可行性,可以扫描整个上颌切除缺陷和暴露的种植体,而不考虑结构的复杂性。准确性结果显示,Primescan的三维偏差最小(0.0252 mm),其次是Trios 4 (0.0275 mm),最后是Trios 3 (0.0318 mm) (p < 0.001)。精度结果显示,Primescan的三维偏差最小(0.0026 mm),其次是Trios 3 (0.0080 mm),最后是Trios 4 (0.0097 mm) (p < 0.001)。结论:各种口腔内扫描仪的可行性、真确性和准确性存在差异,其中Primescan的可行性、真确性和准确性组合最佳,其次是Trios 4和Trios 3。临床意义:使用口腔内扫描仪(Trios 3, Trios 4, Primescan)扫描各种外露颧骨种植体的上颌骨切除缺陷是可行和准确的。口腔内扫描仪用于上颌切除缺陷的种植修复是一种可行的替代方案,可以改善和简化工作流程。
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引用次数: 0
Effect of manufacturing trinomial and restoration thickness on the fabrication trueness, fit, and margin quality of additively manufactured resin-based ultrathin laminate veneers.
IF 4.8 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-02-01 DOI: 10.1016/j.jdent.2025.105606
Münir Demirel, Mustafa Borga Donmez, Gülce Çakmak, Doğu Ömür Dede, Sebastian Hinz, Burak Yilmaz

Objective: To evaluate the effect of the manufacturing trinomial (manufacturing technology, three-dimensional printer, and material) and restoration thickness on the fabrication trueness, fit, and margin quality of additively manufactured resin-based ultrathin laminate veneers (LVs) by comparing to those produced subtractively.

Methods: Reference LVs were designed from the scan files of two identical maxillary central incisor typodonts prepared for 0.3 mm and 0.5 mm LVs. LVs were manufactured additively with resins of different compositions, either using a tilting stereolithography (Irix Max [AM-IX] and Irix Plus [AM-IP]) or a digital light processing printer (VarseoSmile Crown Plus [AM-VS] and Tera Harz TC- 80DP [AM-GR]), and subtractively (Tetric CAD [SM-TC]) (n=10). All LVs were digitized to evaluate their fabrication trueness and fit. The margin quality was assessed through visual examination. The trueness and fit data were analyzed with two-way analysis of variance and Tukey tests, while the chi-squared test was used to evaluate the margin quality (α = 0.05).

Results: The interaction between the main factors and the manufacturing trinomial affected the fabrication trueness and fit, while restoration thickness affected the fit of tested LVs (P ≤ 0.001). AM-IP mostly had the lowest deviations, followed by AM-IX, and mostly had the lowest gaps (P ≤ 0.037). Thinner LVs had lower gaps (P < 0.001). Tested LVs mostly had slightly rough margins with small defects.

Conclusions: LVs fabricated with the tilting stereolithography printer mostly had higher trueness. Using AM-IP or fabricating 0.3 mm LVs improved the fit. Nevertheless, all tested LVs had clinically acceptable fit.

Clinical significance: Ultrathin laminate veneers fabricated with the manufacturing trinomial involving tested tilting stereolithography printer and resins may require less clinical adjustments. In addition, one of the resins (AM-IP) within this manufacturing trinomial or fabricating 0.3 mm laminate veneers may improve the fit.

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引用次数: 0
Tooth loss explains income inequalities in dementia 牙齿脱落解释了痴呆症患者的收入不平等。
IF 4.8 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-02-01 DOI: 10.1016/j.jdent.2024.105518
Satomi Shimada, Yusuke Matsuyama, Jun Aida

Objectives

Socioeconomic inequalities in oral health and dementia exist worldwide. This study investigated the mediating effects of tooth loss on the association between income and dementia.

Methods

This study used data from the Japan Gerontological Evaluation Study, which targeted people aged ≥65 years. The explanatory variable was equivalent income in 2010. The outcome variable was dementia incidence between 2010 and 2022. Cox proportional hazard regression was used to examine the association between income and dementia incidence, adjusting for confounders. We performed causal mediation analyses to evaluate the extent to which the number of natural teeth mediates the association.

Results

Among the 21,306 participants, the mean age was 73.4 years, and 53.5 % were females. The cumulative incidence of dementia was 19.7 % for people with higher incomes and 24.0 % for those with lower incomes. People with lower incomes had fewer teeth (the prevalence of having ≥20 teeth: 42.2 % in higher incomes and 31.1 % in lower incomes). Lower income was associated with dementia after adjusting for confounders (Hazard ratio (HR) [95 % confidence interval (CI)]: 1.18 [1.10; 1.26]), which was partially attenuated by controlling for the number of teeth (HR [95 % CI]: 1.17 [1.09; 1.25]). Causal mediation analysis demonstrated that the proportion mediated by the number of teeth was 6.6 %.

Conclusions

Our study found that tooth loss partially mediated the association between income and dementia. Preventing tooth loss appears to reduce inequalities in dementia among older people.

Clinical significance

Tooth loss has mediating effects on the association between income and dementia. Strategies for maintaining natural teeth seem effective in reducing the socioeconomic inequalities of dementia.
目的:世界范围内存在口腔健康和痴呆方面的社会经济不平等。本研究探讨了牙齿脱落在收入与痴呆之间的中介作用。方法:本研究采用日本老年学评价研究的数据,研究对象为年龄≥65岁的人群。解释变量是2010年的等效收入。结果变量是2010年至2022年间的痴呆发病率。Cox比例风险回归用于检查收入与痴呆发病率之间的关系,并对混杂因素进行了调整。我们进行了因果中介分析,以评估天然牙齿的数量在多大程度上介导了这种关联。结果:在21,306名参与者中,平均年龄为73.4岁,53.5%为女性。老年痴呆症的累积发病率在高收入人群中为19.7%,在低收入人群中为24.0%。收入较低的人牙齿较少(牙齿≥20颗的患病率:高收入人群占42.2%,低收入人群占31.1%)。调整混杂因素后,低收入与痴呆相关(风险比[95%可信区间[CI]: 1.18 [1.10;1.26]),通过控制牙齿数量可以部分减弱(相对危险度[95% CI]: 1.17 [1.09;1.25])。因果中介分析表明,牙数介导的比例为6.6%。结论:我们的研究发现,牙齿脱落部分介导了收入与痴呆之间的关联。预防牙齿脱落似乎可以减少老年人痴呆症的不平等现象。临床意义:牙齿脱落在收入与痴呆的关系中起中介作用。维持天然牙齿的策略似乎在减少痴呆症的社会经济不平等方面有效。
{"title":"Tooth loss explains income inequalities in dementia","authors":"Satomi Shimada,&nbsp;Yusuke Matsuyama,&nbsp;Jun Aida","doi":"10.1016/j.jdent.2024.105518","DOIUrl":"10.1016/j.jdent.2024.105518","url":null,"abstract":"<div><h3>Objectives</h3><div>Socioeconomic inequalities in oral health and dementia exist worldwide. This study investigated the mediating effects of tooth loss on the association between income and dementia.</div></div><div><h3>Methods</h3><div>This study used data from the Japan Gerontological Evaluation Study, which targeted people aged ≥65 years. The explanatory variable was equivalent income in 2010. The outcome variable was dementia incidence between 2010 and 2022. Cox proportional hazard regression was used to examine the association between income and dementia incidence, adjusting for confounders. We performed causal mediation analyses to evaluate the extent to which the number of natural teeth mediates the association.</div></div><div><h3>Results</h3><div>Among the 21,306 participants, the mean age was 73.4 years, and 53.5 % were females. The cumulative incidence of dementia was 19.7 % for people with higher incomes and 24.0 % for those with lower incomes. People with lower incomes had fewer teeth (the prevalence of having ≥20 teeth: 42.2 % in higher incomes and 31.1 % in lower incomes). Lower income was associated with dementia after adjusting for confounders (Hazard ratio (HR) [95 % confidence interval (CI)]: 1.18 [1.10; 1.26]), which was partially attenuated by controlling for the number of teeth (HR [95 % CI]: 1.17 [1.09; 1.25]). Causal mediation analysis demonstrated that the proportion mediated by the number of teeth was 6.6 %.</div></div><div><h3>Conclusions</h3><div>Our study found that tooth loss partially mediated the association between income and dementia. Preventing tooth loss appears to reduce inequalities in dementia among older people.</div></div><div><h3>Clinical significance</h3><div>Tooth loss has mediating effects on the association between income and dementia. Strategies for maintaining natural teeth seem effective in reducing the socioeconomic inequalities of dementia.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"153 ","pages":"Article 105518"},"PeriodicalIF":4.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142800952","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}
引用次数: 0
Indexing status of orthodontic research published in presumed predatory journals: A bibliometric study 在假定的掠夺性期刊上发表的正畸研究的索引状况:一项文献计量学研究。
IF 4.8 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-02-01 DOI: 10.1016/j.jdent.2024.105464
Michael P Maroulakos , Dalya Al-Moghrabi , Isabel Fleischmann , Nikolaos Pandis , Padhraig S Fleming

Objectives

To examine the indexing status of presumed predatory orthodontic publications within established scientific databases.

Methods

Six electronic databases were searched to identify English language orthodontic articles published in 2022. Equal numbers of articles from legitimate (n = 159) and suspect or predatory journals (n = 159) were considered. Data regarding journal, article and author characteristics were obtained. The indexing status of the publications in PubMed, Ovid, Embase, Web of Science, Scopus and EBSCOhost was evaluated. The total number of databases that the article was indexed in, level of evidence, origin of first author and research funding were recorded. Univariable ordinal regression analyses were performed to explore potential association between article legitimacy and indexing status.

Results

The majority of studies in predatory journals were found in non-specialized journals (79.6 %). Scopus was the most porous database, indexing over half of predatory and suspect articles (56 %). In Web of Science (Core collection), the distribution of articles across different indexing categories varied (SCIE; 16.4 %, ESCI; 30.2 %). In contrast, only 8.2 % of these articles appeared in Medline. Articles in legitimate journals tended to have higher level of evidence and were indexed in more databases in comparison to predatory/suspect publications (OR = 1.5; 95 % CI: 1.37–1.64; p < 0.01). The origin of the first author was a significant predictor for journal legitimacy (p < 0.001).

Conclusion

A high proportion of orthodontic publications appear in presumed predatory and suspect journals which are in turn often indexed in trustworthy databases. Medline was the least susceptible to predatory publications, while Scopus and ESCI were more prone.

Clinical significance

Predatory and suspect journals are increasingly prevalent with increasing prominence being afforded by their penetration through recognized databases.
目的研究假定的掠夺性正畸出版物的频率和特征。我们还旨在评估已建立的科学数据库中是否存在此类出版物:搜索了六个电子数据库,以确定 2022 年发表的英语正畸文章。合法期刊(159 篇)和可疑或掠夺性期刊(159 篇)的文章数量相等。我们获得了有关期刊、文章和作者特征的数据。评估了出版物在 PubMed、Ovid、Embase、Web of Science、Scopus 和 EBSCOhost 中的索引情况。记录了文章被收录的数据库总数、证据级别、第一作者来源和研究经费。我们进行了单变量序数回归分析,以探讨文章的合法性与收录情况之间的潜在关联:大部分掠夺性期刊上的研究都发表在非专业期刊上(79.6%)。Scopus 是漏洞最多的数据库,一半以上的掠夺性文章和可疑文章(56%)被 Scopus 索引。在 Web of Science(核心库)中,不同索引类别的文章分布各不相同(SCIE:16.4%;ESCI:30.2%)。相比之下,只有 8.2% 的文章出现在 Medline 中。与掠夺性/可疑性出版物相比,合法期刊上的文章往往具有更高的证据级别,并被更多的数据库收录(OR=1.5;95% CI:1.37-1.64;p结论:很大比例的正畸出版物出现在被认为是掠夺性和可疑的期刊上,而这些期刊通常又被可信的数据库收录。Medline最不容易受到掠夺性出版物的影响,而Web of Science和Scopus则更容易受到影响:临床意义:随着掠夺性期刊和可疑期刊向公认数据库的渗透,这些期刊越来越普遍。我们能够发现相关趋势。
{"title":"Indexing status of orthodontic research published in presumed predatory journals: A bibliometric study","authors":"Michael P Maroulakos ,&nbsp;Dalya Al-Moghrabi ,&nbsp;Isabel Fleischmann ,&nbsp;Nikolaos Pandis ,&nbsp;Padhraig S Fleming","doi":"10.1016/j.jdent.2024.105464","DOIUrl":"10.1016/j.jdent.2024.105464","url":null,"abstract":"<div><h3>Objectives</h3><div>To examine the indexing status of presumed predatory orthodontic publications within established scientific databases.</div></div><div><h3>Methods</h3><div>Six electronic databases were searched to identify English language orthodontic articles published in 2022. Equal numbers of articles from legitimate (<em>n</em> = 159) and suspect or predatory journals (<em>n</em> = 159) were considered. Data regarding journal, article and author characteristics were obtained. The indexing status of the publications in PubMed, Ovid, Embase, Web of Science, Scopus and EBSCOhost was evaluated. The total number of databases that the article was indexed in, level of evidence, origin of first author and research funding were recorded. Univariable ordinal regression analyses were performed to explore potential association between article legitimacy and indexing status.</div></div><div><h3>Results</h3><div>The majority of studies in predatory journals were found in non-specialized journals (79.6 %). Scopus was the most porous database, indexing over half of predatory and suspect articles (56 %). In Web of Science (Core collection), the distribution of articles across different indexing categories varied (SCIE; 16.4 %, ESCI; 30.2 %). In contrast, only 8.2 % of these articles appeared in Medline. Articles in legitimate journals tended to have higher level of evidence and were indexed in more databases in comparison to predatory/suspect publications (OR = 1.5; 95 % CI: 1.37–1.64; <em>p</em> &lt; 0.01). The origin of the first author was a significant predictor for journal legitimacy (<em>p</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>A high proportion of orthodontic publications appear in presumed predatory and suspect journals which are in turn often indexed in trustworthy databases. Medline was the least susceptible to predatory publications, while Scopus and ESCI were more prone.</div></div><div><h3>Clinical significance</h3><div>Predatory and suspect journals are increasingly prevalent with increasing prominence being afforded by their penetration through recognized databases.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"153 ","pages":"Article 105464"},"PeriodicalIF":4.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142639014","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}
引用次数: 0
Dental resin for periodontal and tooth root regeneration via metformin to enhance osteogenic and cementogenic differentiation of human periodontal ligament stem cells 二甲双胍用于牙周和牙根再生的牙树脂促进人牙周韧带干细胞成骨和骨质分化。
IF 4.8 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-02-01 DOI: 10.1016/j.jdent.2024.105507
Kan Yu , Minjia Zhu , Zixiang Dai , Qinrou Zhang , Le Xiao , Xinyi Li , Jialiang Dai , Zihan Jia , Jingyi Li , Yuxing Bai , Ke Zhang

Objectives

This study developed a novel dental resin incorporating metformin to repair root caries and periodontitis defects. The objectives were to: (1) Develop a novel dental resin with metformin release to fulfill the clinical requirements for mechanical properties; and (2) investigate the metformin release pattern and the effects on osteogenic and cementogenic differentiation of human periodontal ligament stem cells (hPDLSCs).

Methods

Resin specimens with different concentrations of metformin were fabricated. Metformin release was measured using high-performance liquid chromatography. Cellular growth and proliferation on resin were assessed. Alizarin red S staining and an alkaline phosphatase (ALP) activity were determined. Quantitative real-time reverse transcription PCR was employed to determine osteogenic and cementogenic differentiation.

Results

The resin with 7.5 % metformin had mechanical properties comparable to those of a commercial control, thus satisfying the clinical requirements (mean ± SD; n = 10). hPDLSCs showed robust growth and proliferation on resin. At 14 days, the number of hPDLSCs increased by four-fold (p > 0.1). ALP activity in the metformin group was 1.8 times higher than that of control (p < 0.05). At 21 days, the metformin group showed a significant increase in mineral synthesis. Metformin group had cementogenic and osteogenic differentiation values that were 2.5 and 2.3 times higher, respectively, than control without metformin (p < 0.05).

Significance

A metformin-resin was formulated that greatly promoted both cementogenic and osteogenic differentiation for the first time. This resin was mechanically strong and supported hPDLSC adhesion, growth and proliferation. This resin substantially enhanced hPDLSC osteogenic and cementogenic differentiation, yielding mineral synthesis of hPDLSCs more than 2-fold that of control without metformin. This new metformin-resin shows promise for the restoration of tooth root caries and the regeneration of periodontal tissues including alveolar bone and cementum.
目的:研制一种含二甲双胍的新型牙树脂,用于修复牙根龋和牙周炎缺损。目的:(1)研制一种具有二甲双胍释放的新型牙科树脂,以满足临床对力学性能的要求;(2)研究二甲双胍的释放模式及其对人牙周韧带干细胞(hPDLSCs)成骨和骨质分化的影响。方法:制备不同浓度二甲双胍树脂标本。采用高效液相色谱法测定二甲双胍释放量。观察细胞在树脂上的生长和增殖情况。测定茜素红S染色及碱性磷酸酶(ALP)活性。采用实时定量反转录PCR检测成骨分化和骨质分化。结果:含7.5%二甲双胍树脂的力学性能与市售对照相当,满足临床要求(mean±SD;n = 10)。hPDLSCs在树脂上表现出强劲的生长和增殖。在第14天,hPDLSCs的数量增加了4倍(p < 0.1)。二甲双胍组ALP活性是对照组的1.8倍(p < 0.05)。第21天,二甲双胍组矿物合成显著增加。二甲双胍组骨水泥和成骨分化值分别比未加二甲双胍组高2.5倍和2.3倍(p < 0.05)。意义:首次研制了一种二甲双胍树脂,可显著促进骨水泥和成骨分化。该树脂机械强度强,支持hPDLSC的粘附、生长和增殖。该树脂大大增强了hPDLSC成骨和骨质分化,产生的hPDLSC矿物合成是不含二甲双胍的对照组的2倍以上。这种新型二甲双胍树脂在牙根龋的修复和牙周组织包括牙槽骨和牙骨质的再生方面表现出了良好的前景。
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引用次数: 0
Corrigendum to “A feasibility study to recruit, retain and treat periodontitis in volunteers with mild dementia, whilst monitoring their cognition” [Journal of Dentistry, 150 (2024) 105355] “在轻度痴呆志愿者中招募、保留和治疗牙周炎的可行性研究,同时监测他们的认知”[Journal of Dentistry, 150(2024) 105355]的勘误表。
IF 4.8 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-02-01 DOI: 10.1016/j.jdent.2024.105537
Tanya L Cerajewska , Maria Davies , Shelley J Allen-Birt , Marta Swirski , Elizabeth J Coulthard , Nicola X West
{"title":"Corrigendum to “A feasibility study to recruit, retain and treat periodontitis in volunteers with mild dementia, whilst monitoring their cognition” [Journal of Dentistry, 150 (2024) 105355]","authors":"Tanya L Cerajewska ,&nbsp;Maria Davies ,&nbsp;Shelley J Allen-Birt ,&nbsp;Marta Swirski ,&nbsp;Elizabeth J Coulthard ,&nbsp;Nicola X West","doi":"10.1016/j.jdent.2024.105537","DOIUrl":"10.1016/j.jdent.2024.105537","url":null,"abstract":"","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"153 ","pages":"Article 105537"},"PeriodicalIF":4.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142894698","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}
引用次数: 0
期刊
Journal of dentistry
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