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Illuminant metamerism between natural teeth and zirconia restorations evaluated with a chromatic adaptation transform 用色度适应变换评估天然牙齿和氧化锆修复体之间的照度偏色。
IF 4.3 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.prosdent.2023.07.035
Sascha Hein MDT , Stephen Westland PhD

Statement of problem

Little is known about the effect of illuminant metamerism between natural teeth and zirconia restorations, despite their increasing clinical popularity.

Purpose

The purpose of this in vitro study was to compare illuminant metamerism between pairs of natural teeth and layered zirconia restorations and pairs of natural teeth and monolithic zirconia restorations under 10 different illuminants and analyze their metameric potential.

Material and methods

Spectral reflectance factors were obtained from 10 pairs of extracted natural teeth and layered zirconia restorations and 28 pairs of extracted natural teeth and monolithic multilayer zirconia restorations. Each pair showed a color match that was within the visual threshold for clinical acceptability (CIEDE2000≤1.8). A special index of metamerism for the change of illuminant (Milm) was calculated from the CIEDE2000 color difference equation. Descriptive statistics and the one-sample t test were used to analyze the results for the Milm and for both groups of layered and monolithic zirconia restorations (α=.05).

Results

Layered zirconia restorations reached a mean ±standard deviation value for Milm=0.3 ±0.2 and Milm=0.5 ±0.4 for monolithic zirconia restorations (P<.01).

Conclusions

The effect of illuminant metamerism between natural teeth and zirconia crowns was weak and generally within the clinical acceptability limit.
问题陈述:尽管氧化锆修复体在临床上越来越受欢迎,但人们对天然牙和氧化锆修复体之间的光源变色效应知之甚少。目的:本体外研究的目的是比较天然牙和分层氧化锆修复体之间以及天然牙和单层氧化锆修复体之间在 10 种不同光源下的光源变色效应,并分析其变色潜力:从 10 对拔出的天然牙和分层氧化锆修复体以及 28 对拔出的天然牙和整体多层氧化锆修复体中获得光谱反射系数。每对牙齿的颜色匹配度都在临床可接受的视觉阈值范围内(CIEDE2000≤1.8)。根据 CIEDE2000 色差方程计算出了光源变化的特殊同色异谱指数 (Milm)。使用描述性统计和单样本 t 检验分析 Milm 以及分层氧化锆修复体和单片氧化锆修复体两组的结果(α=.05):分层氧化锆修复体的平均值(±标准偏差)为 Milm=0.3 ±0.2,而整体氧化锆修复体的平均值(±标准偏差)为 Milm=0.5 ±0.4(PConclusions):天然牙和氧化锆冠之间的照度偏差影响较弱,一般在临床可接受范围内。
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引用次数: 0
A comparative evaluation of the diagnostic accuracy of an infrared sensor device with standard mounting procedure in completely edentulous patients: A pilot clinical study 红外线传感器装置与标准安装程序对完全无牙颌患者诊断准确性的比较评估:试点临床研究。
IF 4.3 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.prosdent.2022.11.014
Aryen Kaushik BDS, MDS , Taranjeet Kaur BDS, MDS , Shashidhara Hebbal Shadaksharappa BDS, MDS , Pooja Rani BDS, MDS , Shikha Sharma BDS , Harsh Vardhan Sinha BDS, MDS

Statement of problem

The conventional diagnostic mounting procedure in completely edentulous patients is time-consuming and increases the laboratory workload. Alternatives like optical scanners and jaw tracking devices have been documented but have their own shortcomings.

Purpose

The purpose of this pilot clinical study was to assess the suitability of an infrared sensor scan device in procuring the diagnostic data parameters for completely edentulous patients.

Material and methods

Twelve completely edentulous participants were enrolled in the study. For each, the distance between the arches was measured by 2 clinical techniques at 3 common reference points, M1, M2, M3, for the maxillary arch and m1, m2, m3 for the mandibular arch. The control group measurements were recorded by using a standard diagnostic mounting procedure on a semi-adjustable articulator, and the experimental group measurements were recorded by using an infrared sensor scan device. To convert the analog infrared sensor output into digital data, the Arduino ADC software program was used. The data from both study groups were statistically compared by using the independent t test (α=.05).

Results

No significant difference in variation was found between the mean measurements of the device and diagnostic mounting (P>.05). The maximum variation recorded by the experimental device was 1.7 mm, whereas the minimum variation was 0.8 mm (mean 1.25 mm).

Conclusions

The use of precisely calibrated infrared sensors may be a cost-effective option for diagnostic mounting.
问题陈述:传统的全口无牙患者安装诊断程序既耗时又增加了实验室的工作量。目的:本试验性临床研究的目的是评估红外传感器扫描设备在获取完全无牙颌患者诊断数据参数方面的适用性:材料和方法:12 名完全无牙颌患者参加了研究。上颌牙弓 M1、M2、M3 和下颌牙弓 m1、m2、m3 这 3 个共同参考点的牙弓间距分别由两种临床技术进行测量。对照组的测量是通过在半可调铰接器上使用标准诊断安装程序记录的,而实验组的测量是通过使用红外线传感器扫描装置记录的。为了将模拟红外传感器输出转换成数字数据,使用了 Arduino ADC 软件程序。通过独立 t 检验(α=.05)对两个研究组的数据进行统计比较:结果:实验装置和诊断安装的平均测量值之间没有发现明显的差异(P>.05)。实验装置记录的最大变化为 1.7 毫米,最小变化为 0.8 毫米(平均 1.25 毫米):结论:使用精确校准的红外传感器可能是诊断安装的一种经济有效的选择。
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引用次数: 0
Fabrication of a CAD-CAM combination matrix for trial restorations: A dental technique 为试制修复体制作 CAD-CAM 组合基质:牙科技术
IF 4.3 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.prosdent.2022.10.017
Lucas Queiroz Caponi DDS, MSc , Eduardo de Lima Flor DDS, MSc , Carla Vidal-Ponsoda DDS, MSc , Oscar Figueras-Alvarez DDS, PhD , Miguel Roig MD, DMD, PhD
The trial restoration increases outcome predictability in restorative treatments, enhances communication among specialists and patients, and guides tooth preparations. It should reproduce the planned design precisely because many decisions will be made based on the transferred design. Traditionally, a diagnostic waxing design is transferred to the mouth with a flexible silicone matrix. However, a rigid matrix would ensure an accurate transfer of the planned design by avoiding the deformation of the silicone index. A step-by-step technique for fabricating a computer-aided design and computer-aided manufactured (CAD-CAM) rigid matrix relined with polyvinyl siloxane material to fabricate a trial restoration is presented. The technique ensures accurate detail reproduction and dimensional stability, avoiding deformation and ensuring a predictable transfer of the planned design.
试戴修复体提高了修复治疗结果的可预测性,加强了专家和患者之间的沟通,并为牙体预备提供指导。它应该精确地再现计划的设计,因为许多决定都是根据转移的设计做出的。传统的做法是用柔性硅胶基质将诊断蜡型设计转移到口腔中。然而,刚性基质可以避免硅胶指数的变形,从而确保计划设计的准确转移。本文介绍了一种逐步制作计算机辅助设计和计算机辅助制造(CAD-CAM)刚性基质的技术,该技术使用聚乙烯硅氧烷材料重新衬垫,以制作试戴修复体。该技术可确保精确的细节再现和尺寸稳定性,避免变形并确保可预测地转移规划设计。
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引用次数: 0
Evaluation of zirconia crowns restoring endodontically treated posterior teeth with 2 finish line designs and 2 occlusal reduction schemes: A randomized clinical trial 采用 2 种完成线设计和 2 种咬合缩小方案修复牙髓治疗后牙的氧化锆冠的评估:随机临床试验。
IF 4.3 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.prosdent.2022.10.004
Alaa El-Ashkar BDS, PhD , Omnia Nabil BDS, PhD , Maha Taymour BDS, PhD , Adel El-Tannir BDS, MSD

Statement of problem

Preparation design has been linked to restoration survival, and the finish line geometry, such as a deep chamfer or shoulder, has been linked to marginal integrity. However, limited data are available for restoration success with the feather-edge finish line when used with monolithic zirconia crowns with different occlusal reduction schemes.

Purpose

The purpose of this randomized clinical trial was to evaluate the clinical performance of 2 finish line designs (feather-edge and rounded shoulder) in relation to 2 occlusal designs (flat and planar) in endodontically treated teeth restored with monolithic zirconia crowns.

Material and methods

Sixty-six complete-coverage monolithic zirconia crowns were provided for posterior endodontically treated teeth. The participants were divided into 3 groups based on the preparation design: the control group (PS) had a planar occlusal scheme with a rounded shoulder finish line; the first intervention group (FF) had a flat occlusal scheme with a feather-edge finish line; and the second intervention group (FS) had a flat occlusal scheme with a rounded shoulder finish line. The crowns were designed with the exocad software program and milled with a 5-axis machine. After cementation, clinical performance in terms of marginal adaptation, marginal discoloration, fracture, and secondary caries was evaluated by using the modified United States Public Health Service (USPHS) criteria. The gingival index score system was used to evaluate the gingival response. The scores were recorded immediately after cementation and at 3 subsequent follow-up visits every 3 months for 1 year. The chi-squared test was used in all comparisons of outcomes and follow-up durations (α=.05).

Results

In terms of marginal adaptations, the control group (PS) demonstrated the best marginal adaptation scores during follow-up visits, followed by intervention 2 (FS), and lastly, intervention 1 (FF), which was scored mostly with Bravo. At the third follow-up visit, the intervention 1 (FF) group reported the most gingival responses of all groups. No significant difference among the groups was found in terms of marginal discoloration, fracture, or secondary caries at any of the follow-up visits. Each group received a perfect Alfa score of 100% on all 3 follow-up assessments.

Conclusions

In this 1-year randomized clinical trial, all evaluated preparation schemes and corresponding crowns were clinically successful. The clinical performance of monolithic zirconia crowns of the novel preparation design (FF) was successful in terms of marginal adaption, fracture, secondary caries, and marginal discoloration.
问题陈述:预备设计与修复体的存活率有关,完成线的几何形状(如深倒角或肩部)与边缘完整性有关。目的:本随机临床试验的目的是评估两种完成线设计(羽状边缘和圆肩)与两种咬合设计(平面和平面)的临床表现:为根管治疗后牙提供 66 个全覆盖整体氧化锆冠。根据预备设计将参与者分为三组:对照组(PS)采用平面咬合方案,肩部饰线为圆形;第一干预组(FF)采用平面咬合方案,饰线为羽状边缘;第二干预组(FS)采用平面咬合方案,肩部饰线为圆形。牙冠使用 exocad 软件程序设计,并使用五轴机床铣削。粘接后,采用美国公共卫生署(USPHS)的修改标准对边缘适应性、边缘变色、折断和继发龋等方面的临床表现进行了评估。牙龈指数评分系统用于评估牙龈反应。粘接后立即记录评分,随后每 3 个月随访一次,为期 1 年。所有结果和随访时间的比较均采用卡方检验(α=.05):在边际适应方面,对照组(PS)在随访期间的边际适应得分最高,其次是干预 2(FS),最后是干预 1(FF),后者的得分主要是 Bravo。在第三次随访时,干预 1(FF)组的牙龈反应是所有组中最明显的。在任何一次随访中,各组在边缘变色、断裂或继发龋方面均未发现明显差异。在所有 3 次随访评估中,每组的 Alfa 评分均为 100%:在这项为期一年的随机临床试验中,所有评估过的预备方案和相应的牙冠在临床上都是成功的。采用新型预备设计(FF)的整体氧化锆牙冠在边缘适应性、断裂、继发龋和边缘变色方面的临床表现都很成功。
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引用次数: 0
Letter to the Editor regarding, “Clinical benefits of immediate dentin sealing: A systematic review and meta-analysis” by Alghuali et al 致编辑的信,内容涉及 Alghuali 等人撰写的 "即刻封闭牙本质的临床益处:系统综述和荟萃分析 "的信函。
IF 4.3 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.prosdent.2024.07.024
Mudit K. Yadav DDS, Richard G. Stevenson DDS, Karanjot S. Gill DDS, Anirudha Agnihotry DDS
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引用次数: 0
Sponsoring Organizations and Liaisons 赞助组织和联络人
IF 4.3 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/S0022-3913(24)00662-0
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引用次数: 0
Computerized optical scanning of ears: An in vitro evaluation with an intraoral scanner 计算机光学扫描耳朵:使用口内扫描仪进行体外评估。
IF 4.3 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.prosdent.2022.11.010
Mariko Hattori DDS, PhD , Sebastian B.M. Patzelt DMD, MSc, PD Dr med dent habil (PhD equiv.) , Sandra Stadler DMD , Ralf J. Kohal DMD, Prof Dr med dent habil (PhD equiv.) , Kirstin Vach PhD , Mahmoud E. Elbashti BDS, MSc, PhD , Yuka I. Sumita DDS, PhD

Statement of problem

Making conventional facial impressions can be uncomfortable for the patient and complicated for the prosthodontist. Using facial scanners to digitize faces is an alternative approach. However, the initial costs of the equipment have prevented their widespread use in dental practice, and the accuracy of ear scanning is unclear.

Purpose

The purpose of this in vitro study was to investigate the accuracy of a widely used intraoral scanner for digitizing an ear model.

Material and methods

For reference, a silicone model of an ear was scanned with an industrial scanner. Then, the model was scanned 5 times with an intraoral scanner. Five conventional impressions of the model were made with a hydrocolloid impression material and poured with dental stone. The stone casts were then digitized with a desktop scanner. The data sets acquired with the 3 approaches were analyzed by using a 3-dimensional (3D) evaluation software program. Trueness and precision values were calculated for each approach. Linear mixed models with random intercepts were fitted to each sample to evaluate the effects of the impression method on mean deviations (α=.05).

Results

Mean ±standard deviation trueness and precision values were 0.097 ±0.012 mm and 0.033 ±0.015 mm, respectively, for the digital scan, and 0.092 ±0.022 mm and 0.081 ±0.024 mm for the conventional impression, showing a significantly lower deviation in precision for the digital approach (P<.001).

Conclusions

The feasibility of digitizing an ear efficiently by using the investigated intraoral scanner was demonstrated, and similar trueness and significantly better precision values were achieved than when using conventional impressions. These promising results suggest the need for clinical investigations.
问题陈述:制作传统的面部印模可能会让患者感到不舒服,对修复医生来说也很复杂。使用面部扫描仪对面部进行数字化是一种替代方法。目的:这项体外研究的目的是调查广泛使用的口内扫描仪对耳朵模型进行数字化的准确性:材料:作为参考,使用工业扫描仪对硅胶耳部模型进行扫描。然后,使用口内扫描仪对该模型进行 5 次扫描。用水胶体印模材料对模型进行 5 次常规印模,然后用牙科石块浇注。然后用台式扫描仪对牙石铸模进行数字化处理。使用三维(3D)评估软件程序对这三种方法获得的数据集进行分析。计算了每种方法的真实度和精确度值。对每个样本进行随机截距线性混合模型拟合,以评估压印方法对平均偏差的影响(α=.05):结果:数字扫描的真实度和精确度平均值(±标准偏差)分别为 0.097 ±0.012 毫米和 0.033 ±0.015 毫米,传统印模的真实度和精确度平均值分别为 0.092 ±0.022 毫米和 0.081 ±0.024 毫米,显示数字方法的精确度偏差显著较低(PC结论:数字扫描耳廓的可行性与传统印模的精确度偏差有关:使用所研究的口内扫描仪对耳朵进行有效数字化的可行性得到了证实,与使用传统印模相比,获得了相似的真实度和明显更高的精度值。这些令人鼓舞的结果表明有必要进行临床研究。
{"title":"Computerized optical scanning of ears: An in vitro evaluation with an intraoral scanner","authors":"Mariko Hattori DDS, PhD ,&nbsp;Sebastian B.M. Patzelt DMD, MSc, PD Dr med dent habil (PhD equiv.) ,&nbsp;Sandra Stadler DMD ,&nbsp;Ralf J. Kohal DMD, Prof Dr med dent habil (PhD equiv.) ,&nbsp;Kirstin Vach PhD ,&nbsp;Mahmoud E. Elbashti BDS, MSc, PhD ,&nbsp;Yuka I. Sumita DDS, PhD","doi":"10.1016/j.prosdent.2022.11.010","DOIUrl":"10.1016/j.prosdent.2022.11.010","url":null,"abstract":"<div><h3>Statement of problem</h3><div>Making conventional facial impressions can be uncomfortable for the patient and complicated for the prosthodontist. Using facial scanners to digitize faces is an alternative approach. However, the initial costs of the equipment have prevented their widespread use in dental practice, and the accuracy of ear scanning is unclear.</div></div><div><h3>Purpose</h3><div>The purpose of this in vitro study was to investigate the accuracy of a widely used intraoral scanner for digitizing an ear model.</div></div><div><h3>Material and methods</h3><div>For reference, a silicone model of an ear was scanned with an industrial scanner. Then, the model was scanned 5 times with an intraoral scanner. Five conventional impressions of the model were made with a hydrocolloid impression material and poured with dental stone. The stone casts were then digitized with a desktop scanner. The data sets acquired with the 3 approaches were analyzed by using a 3-dimensional (3D) evaluation software program. Trueness and precision values were calculated for each approach. Linear mixed models with random intercepts were fitted to each sample to evaluate the effects of the impression method on mean deviations (α=.05).</div></div><div><h3>Results</h3><div>Mean ±standard deviation trueness and precision values were 0.097 ±0.012 mm and 0.033 ±0.015 mm, respectively, for the digital scan, and 0.092 ±0.022 mm and 0.081 ±0.024 mm for the conventional impression, showing a significantly lower deviation in precision for the digital approach (<em>P</em>&lt;.001).</div></div><div><h3>Conclusions</h3><div>The feasibility of digitizing an ear efficiently by using the investigated intraoral scanner was demonstrated, and similar trueness and significantly better precision values were achieved than when using conventional impressions. These promising results suggest the need for clinical investigations.</div></div>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":"132 5","pages":"Pages 1089.e1-1089.e5"},"PeriodicalIF":4.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10447296","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
Error analysis of stages involved in CBCT-guided implant placement with surgical guides when different printing technologies are used 使用不同的打印技术,对 CBCT 引导下使用手术导板植入种植体的各个阶段进行误差分析。
IF 4.3 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.prosdent.2022.11.018
Brandon Yeager DMD MS , Gülce Çakmak DDS PhD , Fengyun Zheng DDS, PhD , William Michael Johnston PhD , Burak Yilmaz DDS PhD
<div><h3>Statement of problem</h3><div>Digital light processing (DLP), continuous liquid interface printing (CLIP), and stereolithography (SLA) technologies enable 3-dimensional (3D) printing of surgical guides. However, how their accuracy compares and how accuracy may affect subsequent steps in guided surgery is unclear.</div></div><div><h3>Purpose</h3><div>The purpose of this in vitro study was to investigate the fabrication and seating accuracy of surgical guides printed by using DLP, SLA, and CLIP technologies and evaluate the positional deviation of the osteotomy site and placed implant compared with the digital implant plan.</div></div><div><h3>Material and methods</h3><div>Twenty-one polyurethane<span> models were divided into 3 groups and used to plan implants and design surgical guides. The guides were fabricated by using DLP, SLA, or CLIP 3D printers (n=7) and scanned, and the scan file was compared with the digital design file to analyze the fabrication accuracy at the intaglio and overall external surfaces using root mean square (RMS) values. The triple scan protocol was used to evaluate the seating accuracy of the guides on their respective models. Osteotomies were prepared on models by using the guides followed by a microcomputed tomography image of each osteotomy. The implants were placed through the guides, the scan bodies were tightened to implants, and the models were scanned to obtain the images of placed implant position. Osteotomy and placed implant images were used to calculate the entry point, apex, and long axis deviations from the planned implant position with a software program. A 2-way repeated-measures ANOVA of the RMS data was used to analyze printing and seating trueness, and homogeneity of variance analyses were used at each surface for precision. A 3-way repeated-measures ANOVA was used to analyze distance deviations over the stages (osteotomy and final implant) and locations studied, and a 2-way repeated-measures ANOVA was used for angular deviations. Homogeneity of variance analyses were performed for precision (α=.05).</span></div></div><div><h3>Results</h3><div>The 3D printer type significantly affected the trueness of the guide at the intaglio surface (<em>P</em><.001). SLA guides had the lowest mean RMS (59.04 μm) for intaglio surface, while CLIP had the highest mean RMS (117.14 μm). Guides from all 3D printers had low variability among measured deviations and therefore were similarly precise. The seating accuracy of SLA and DLP guides was not significantly different, but both had lower mean RMS values than CLIP (<em>P</em>=.003 for SLA, <em>P</em>=.014 for DLP). There were no significant interactions between the stage of surgery, the printer type, or the location of implant deviation (<em>P</em>=.734). Only the location of deviation (cervical versus apical) had a significant effect on distance deviations (<em>P</em><.001). The printer type, stage of surgery, and their interaction did not significantly
问题陈述:数字光处理(DLP)、连续液体界面打印(CLIP)和立体光刻(SLA)技术可实现手术导板的三维(3D)打印。目的:本体外研究旨在调查使用 DLP、SLA 和 CLIP 技术打印的手术导板的制作和就位精度,并评估截骨部位和植入种植体的位置偏差与数字种植计划的比较:将 21 个聚氨酯模型分为 3 组,用于规划种植体和设计手术导板。使用 DLP、SLA 或 CLIP 3D 打印机制作导板(n=7)并进行扫描,扫描文件与数字设计文件进行比较,使用均方根(RMS)值分析凹槽和整体外表面的制作精度。三重扫描方案用于评估导板在各自模型上的就位精度。使用导板在模型上准备截骨,然后对每个截骨进行微计算机断层扫描成像。通过导板植入种植体,将扫描体紧固到种植体上,然后扫描模型以获得植入种植体位置的图像。利用截骨和植入的种植体图像,通过软件程序计算出与计划植入位置的入口点、顶点和长轴偏差。使用RMS数据的双向重复测量方差分析来分析印刷和就位的真实性,并对每个表面的精度进行同质性方差分析。采用 3 向重复测量方差分析来分析研究阶段(截骨和最终种植)和位置的距离偏差,并采用 2 向重复测量方差分析来分析角度偏差。对精度进行了同质性方差分析(α=.05):结果:3D 打印机的类型对凹版表面的导轨真实度有明显影响(PConclusions.3D 打印机的类型对凹版表面的导轨真实度有明显影响):三维打印技术会影响打印精度。SLA 打印机的凹版表面真实度更高,而 CLIP 打印机的整体真实度更高。所有导轨的精度同样很高。SLA 和 DLP 打印机的导轨比 CLIP 打印机的导轨定位更准确。在顶点观察到的偏差较大;但是,截骨和最终种植体位置与数字计划位置没有明显差异。
{"title":"Error analysis of stages involved in CBCT-guided implant placement with surgical guides when different printing technologies are used","authors":"Brandon Yeager DMD MS ,&nbsp;Gülce Çakmak DDS PhD ,&nbsp;Fengyun Zheng DDS, PhD ,&nbsp;William Michael Johnston PhD ,&nbsp;Burak Yilmaz DDS PhD","doi":"10.1016/j.prosdent.2022.11.018","DOIUrl":"10.1016/j.prosdent.2022.11.018","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Statement of problem&lt;/h3&gt;&lt;div&gt;Digital light processing (DLP), continuous liquid interface printing (CLIP), and stereolithography (SLA) technologies enable 3-dimensional (3D) printing of surgical guides. However, how their accuracy compares and how accuracy may affect subsequent steps in guided surgery is unclear.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Purpose&lt;/h3&gt;&lt;div&gt;The purpose of this in vitro study was to investigate the fabrication and seating accuracy of surgical guides printed by using DLP, SLA, and CLIP technologies and evaluate the positional deviation of the osteotomy site and placed implant compared with the digital implant plan.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Material and methods&lt;/h3&gt;&lt;div&gt;Twenty-one polyurethane&lt;span&gt; models were divided into 3 groups and used to plan implants and design surgical guides. The guides were fabricated by using DLP, SLA, or CLIP 3D printers (n=7) and scanned, and the scan file was compared with the digital design file to analyze the fabrication accuracy at the intaglio and overall external surfaces using root mean square (RMS) values. The triple scan protocol was used to evaluate the seating accuracy of the guides on their respective models. Osteotomies were prepared on models by using the guides followed by a microcomputed tomography image of each osteotomy. The implants were placed through the guides, the scan bodies were tightened to implants, and the models were scanned to obtain the images of placed implant position. Osteotomy and placed implant images were used to calculate the entry point, apex, and long axis deviations from the planned implant position with a software program. A 2-way repeated-measures ANOVA of the RMS data was used to analyze printing and seating trueness, and homogeneity of variance analyses were used at each surface for precision. A 3-way repeated-measures ANOVA was used to analyze distance deviations over the stages (osteotomy and final implant) and locations studied, and a 2-way repeated-measures ANOVA was used for angular deviations. Homogeneity of variance analyses were performed for precision (α=.05).&lt;/span&gt;&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The 3D printer type significantly affected the trueness of the guide at the intaglio surface (&lt;em&gt;P&lt;/em&gt;&lt;.001). SLA guides had the lowest mean RMS (59.04 μm) for intaglio surface, while CLIP had the highest mean RMS (117.14 μm). Guides from all 3D printers had low variability among measured deviations and therefore were similarly precise. The seating accuracy of SLA and DLP guides was not significantly different, but both had lower mean RMS values than CLIP (&lt;em&gt;P&lt;/em&gt;=.003 for SLA, &lt;em&gt;P&lt;/em&gt;=.014 for DLP). There were no significant interactions between the stage of surgery, the printer type, or the location of implant deviation (&lt;em&gt;P&lt;/em&gt;=.734). Only the location of deviation (cervical versus apical) had a significant effect on distance deviations (&lt;em&gt;P&lt;/em&gt;&lt;.001). The printer type, stage of surgery, and their interaction did not significantly ","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":"132 5","pages":"Pages 995-1004"},"PeriodicalIF":4.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10598821","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
A 32-month evaluation of lithium disilicate cantilever resin-bonded fixed dental prostheses to replace a missing maxillary incisor 对二硅酸锂悬臂树脂粘结固定义齿进行为期 32 个月的评估,以替代一颗缺失的上颌门牙。
IF 4.3 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.prosdent.2023.07.040
Joyce A. Jonker BSc , Gil Tirlet DDS, PhD , Alex Dagba DDS , Solène Marniquet DDS , Marinus Ouwerkerk MSc , Marco S. Cune DDS, PhD , Marco M.M. Gresnigt DMD, PhD

Statement of problem

The absence of a tooth in the esthetic zone can cause emotional and social distress. The use of minimally invasive and visually pleasing lithium disilicate resin-bonded fixed dental prostheses (RBFDPs) may be a suitable option for replacing a missing maxillary incisor. However, the available literature on lithium disilicate cantilever RBFDPs is limited.

Purpose

This retrospective multicenter study assessed the survival and success rates of lithium disilicate anterior cantilever RBFDPs with an average follow-up period of 3 years up to 9 years.

Material and methods

RBFDPs delivered by 3 operators were clinically assessed for survival using a modified United States Public Health Service criteria list. The incidence density was determined for each criterion and operator. The standard error and 95% confidence interval were calculated for each incidence density difference (α=.05 for all analyses).

Results

A total of 108 RBFDPs were evaluated after a mean period of 32.45 months, ranging from 14 days to 111 months. None of the restorations exhibited failure, carious lesions, or fractures during the follow-up period. The primary reasons for reduced success rates were inflammation of the surrounding soft tissues and discoloration, with incidence densities of 0.074 and 0.057 per year, respectively. Significant differences were observed among RBFDPs from different operators for criteria that included adaptation, color match, marginal adaptation, polishability, surface staining, gingival health, and antagonist wear.

Conclusions

Cantilever lithium disilicate RBFDPs appear to be suitable for short-term restoration. RBFDPs exhibited visible changes after short-term follow-up. However, these changes did not result in failure.
问题陈述:在美学区域缺失一颗牙齿会造成情绪和社交方面的困扰。使用微创且美观的二硅酸锂树脂粘结固定义齿(RBFDP)可能是替代上颌切牙缺失的合适选择。目的:这项回顾性多中心研究评估了二硅酸锂前悬臂RBFDP的存活率和成功率,平均随访时间为3年至9年:采用修改后的美国公共卫生局标准清单,对由 3 名操作者实施的 RBFDP 的存活率进行临床评估。确定了每种标准和操作者的发病密度。计算了每个发病密度差异的标准误差和 95% 置信区间(所有分析中 α=.05 ):共对 108 个 RBFDP 进行了评估,平均时间为 32.45 个月,从 14 天到 111 个月不等。在随访期间,没有一个修复体出现失败、龋坏或骨折。成功率降低的主要原因是周围软组织发炎和变色,其发生密度分别为每年 0.074 次和 0.057 次。在适应性、颜色匹配、边缘适应性、抛光性、表面染色、牙龈健康和拮抗剂磨损等标准方面,不同操作者的 RBFDP 之间存在显著差异:悬臂二硅酸锂 RBFDP 似乎适合短期修复。RBFDP在短期随访后表现出明显的变化。但是,这些变化并没有导致修复失败。
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引用次数: 0
A technique for determining the midline using a facebow 使用面弓确定中线的技术。
IF 4.3 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.prosdent.2024.04.019
Andrew S. Ryser DDS , Jennifer Sabol DDS , Michael Chew DMD , Steven Handel DMD
This dental technique described assists the clinician with determining the maxillary midline and for the maxillary midline to coincide with the facial midline. This is accomplished during the acquisition of a facebow registration which is often utilized during prosthetic rehabilitation.
这项牙科技术有助于临床医生确定上颌中线,并使上颌中线与面部中线相吻合。这是在获取面弓登记时完成的,面弓登记通常在修复过程中使用。
{"title":"A technique for determining the midline using a facebow","authors":"Andrew S. Ryser DDS ,&nbsp;Jennifer Sabol DDS ,&nbsp;Michael Chew DMD ,&nbsp;Steven Handel DMD","doi":"10.1016/j.prosdent.2024.04.019","DOIUrl":"10.1016/j.prosdent.2024.04.019","url":null,"abstract":"<div><div>This dental technique described assists the clinician with determining the maxillary midline and for the maxillary midline to coincide with the facial midline. This is accomplished during the acquisition of a facebow registration which is often utilized during prosthetic rehabilitation.</div></div>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":"132 5","pages":"Pages 871.e1-871.e2"},"PeriodicalIF":4.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140908087","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
期刊
Journal of Prosthetic Dentistry
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