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Fully digital workflow for retrofitting a new crown to an existing removable partial denture 为现有可移动局部义齿安装新冠的全数字化工作流程。
IF 4.3 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-02-01 DOI: 10.1016/j.prosdent.2023.02.020
Alexandru E. Petre DDS, MS, PhD , Andrei Macris DDS, PhD , Tudor C. Spinu DDS, PhD , Andreea M. Smarandache DDS, PhD
A fully digital technique for retrofitting a new crown to a removable partial denture (RPD) is presented. The conventional crown preparation was followed by intraoral scanning of the preparation, the antagonists, and the occlusal relationship and by scanning the RPD both in situ and outside the oral cavity. All the standard tessellation language (STL) files were indexed in a design software program, and the new crown was designed. After conventional dynamic adaptation against the antagonist teeth in the software program, the existing RPD was designated as the antagonist cast, and a second regular static adaptation was performed. This straightforward approach produced a crown which fit the occlusal rest and reciprocating arm without sending the existing prosthesis to the dental laboratory.
介绍了一种全数字技术用于可摘局部义齿(RPD)的新冠修复。常规冠预备后,在口腔内扫描预备物、拮抗剂和咬合关系,并在口腔内和口腔外扫描RPD。在设计软件程序中检索所有标准镶嵌语言(STL)文件,设计出新冠。在软件程序中对拮抗剂牙进行常规动态适配后,将现有RPD指定为拮抗剂铸型,并进行第二次常规静态适配。这种直接的方法产生了一个适合咬合支架和往复式臂的冠,而不需要将现有的假体送到牙科实验室。
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引用次数: 0
Effect of prerestorative short-term clear aligner therapy in restorative treatment planning 恢复性短期清除矫正剂治疗在恢复性治疗计划中的作用。
IF 4.3 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-02-01 DOI: 10.1016/j.prosdent.2023.02.024
Bora Korkut DDS, PhD , Tuna Unal DDS, PhD , Naci Murat PhD , Mutlu Özcan DMD, PhD

Statement of problem

One of the major challenges in restorative dentistry is to provide optimal esthetics in a minimally invasive way. The optimization of dental esthetics and function is directly related to the position and alignment of the anterior teeth, but whether prerestorative clear aligner therapy will enhance esthetics and minimize restorative needs is unclear.

Purpose

The purpose of this clinical study was to evaluate the effect of prerestorative maxillary and mandibular second premolar to second premolar clear aligner therapy in minimizing the need for restorative treatment.

Material and methods

Fifty adult patients treated with clear aligners (Invisalign Go; Align Technology) were included in this study. Previously generated 3-dimensional orthodontic simulations and clinical photographs in the ClinCheck/6.0 software program were used. Three restorative treatment plans for each participant were generated for initial (no aligners), Express (after using 7 aligners), and Lite Packages (after using 20 aligners) by 2 blinded restorative dentistry instructors. The maxillary and mandibular teeth in the smile-line (to the second premolars) were included. Assessment criteria were the estimated number of restorations, restoration surfaces and preparations and incisal edge inclusion, and the need for gingival leveling. The Friedman test and Cochran Q test were used for statistical analyses (α=.05).

Results

A strong positive correlation was found between the 2 instructors (P<.001). Estimated number of restorations (10 [3 to 16]a) decreased significantly for Express (6 [0 to 14]b) and Lite Packages (4 [0 to 8]c) (P<.001). The estimated number of restoration surfaces (28.5 [9 to 48]a) decreased significantly for Express (15 [0 to 42]b) and Lite Packages (9.5 [0 to 24]c) (P<.001). While the estimated number of teeth to be prepared for recontouring (7 [0 to 16]a) was significantly less for Express (3 [0 to 10]b) and Lite Packages (0 [0 to 4]c) (P<.001), the incisal edge inclusion (10 [3 to 16]a) was significantly less for Express (6 [0 to 14]b) and Lite Packages (4 [0 to 8]c) (P<.001). The need for gingival leveling (26 [52%]a) decreased significantly for Express (20 [40%]a) and Lite Packages (7 [14%]b) (P<.001).

Conclusions

Prerestorative short-term clear aligner therapy might conserve tooth structure and reduce the number of restorations. The application of the Invisalign Lite Package was more effective than the Invisalign Express Package for second premolar to second premolar alignment.
问题陈述:修复牙科的主要挑战之一是以微创的方式提供最佳的美学。牙齿的美观和功能的优化直接关系到前牙的位置和排列,但修复前的清晰排列器治疗是否会提高美观和减少修复需求尚不清楚。目的:本临床研究的目的是评估上颌和下颌第二前磨牙对第二前磨牙清除矫正器治疗在减少修复治疗需求方面的效果。材料和方法:50例成人患者使用透明矫正器(Invisalign Go;Align Technology)被纳入本研究。使用ClinCheck/6.0软件程序先前生成的三维正畸模拟和临床照片。由2位盲法牙科修复指导员为每位参与者生成初始(无矫正器)、快速(使用7个矫正器后)和生活包(使用20个矫正器后)三个修复治疗计划。包括微笑线上的上颌和下颌牙齿(到第二前磨牙)。评估标准为预估修复体数量、修复体表面和准备、切牙边缘夹杂、牙龈平整的需要。采用Friedman检验和Cochran Q检验进行统计学分析(α= 0.05)。结果:之间有很强的正相关关系被发现2教师(Pa)为表达显著下降(6[0到14]b)和Lite包(4 c [0 - 8]) (Pa)显著降低表达(15 [0 42]b)和Lite包(9.5 [0 - 24]c) (Pa)大大减少了表达(3 b(0到10))和Lite包(0 (0 - 4)c) (Pa)大大减少了表达(6[0到14]b)和Lite包(4 c [0 - 8]) (Pa)为表达显著下降(20[40%])和Lite包(7[14%]结论:修复前短期清除对准器治疗可保存牙齿结构,减少修复次数。使用Invisalign Lite Package比使用Invisalign Express Package对第二前磨牙对第二前磨牙的对准效果更好。
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引用次数: 0
The Essentials
IF 4.3 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-02-01 DOI: 10.1016/S0022-3913(25)00018-6
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引用次数: 0
Effect of intraoral polishing on the surface property, phase change, and color stainability of monolithic zirconia.
IF 4.3 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-02-01 DOI: 10.1016/j.prosdent.2024.12.025
Buket Karalar, Okan Karalar, Nuran Yanıkoğlu

Statement of problem: How glazing and polishing affects the phase change and color stainability of monolithic zirconia restorations is unclear.

Purpose: The purpose of this in vitro study was to investigate the phase changes and color stainability of monolithic zirconia after applying polishing systems and storage in different solutions.

Material and methods: Sixty Ø15×1.2 ±0.01-mm disks of 2 monolithic zirconia materials (Katana, GC Initial Zircon) were prepared, glazed, and assigned to 3 groups: A control group with no additional treatment after glaze; and 2 groups in which the glaze layer was removed and the surfaces polished using 2 different polishing systems (OptraFine and Ceramiste Shofu). One specimen from each group was examined under a scanning electron microscope. All specimens were kept in solution (coffee and cola) for 28 days. Color differences were calculated using CIEDE 2000 (ΔE00), and phase change was analyzed with an X-ray diffractometer. Data were analyzed with ANOVA and Tukey post hoc tests (α=.05).

Results: Material type had a significant effect on phase change (P=.012), and the ΔE00 values were significantly different between monolithic zirconia materials (P=.027). Katana had higher XM values than GC, while GC had higher ΔE00 values than Katana.

Conclusions: Cola and coffee changed the color of zirconia materials. Although glaze was the most successful process, intraoral zirconia polishing kits also provided acceptable surface properties.

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引用次数: 0
Does the use of conventional complete dentures influence taste perception? A systematic review 使用传统的全口义齿会影响味觉吗?系统回顾。
IF 4.3 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-02-01 DOI: 10.1016/j.prosdent.2023.02.018
Maria Eduarda Lemos Avelino DDS , Taciana Emília Leite Vila-Nova DDS, MSc , Rayanna Thayse Florêncio Costa DDS, MSc , Eduardo Piza Pellizzer DDS, MSc, PhD , Belmiro Cavalcanti do Egito Vasconcelos DDS, MSc, PhD , Sandra Lúcia Dantas Moraes DDS, MSc, PhD

Statement of problem

Although conventional complete dentures are widely used, a systematic review of their influence on wearers' taste perception is lacking.

Purpose

The purpose of this systematic review was to determine whether conventional complete dentures influence the taste perception of edentulous patients.

Material and methods

This systematic review was registered in the International Prospective Register of Systematic Reviews (PROSPERO) (CRD42022341567), and the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) were followed. The guiding question was: “Does the use of complete dentures influence the taste perception of edentulous patients?” Two reviewers searched articles in the PubMed/MEDLINE, Scopus, Cochrane Library, and https://clinicaltrials.gov databases up to June 2022. The risk of bias in each study was assessed using the risk of bias in nonrandomized studies of interventions and the risk of bias based on the Cochrane risk of bias tool for randomized trials. The certainty of evidence was assessed using grading of recommendations, assessment, development, and evaluation (GRADE).

Results

A total of 883 articles were found with the search, and 7 were included in this review. Various changes in taste perception were identified in some of these studies.

Conclusions

The use of conventional complete dentures can influence the perception of the 4 primary tastes (sweet, salty, sour, and bitter) of edentulous patients, which may negatively interfere with the perception of flavor.
问题陈述:尽管传统的全口假牙被广泛使用,但缺乏对其对佩戴者味觉感知影响的系统回顾。目的:本系统综述的目的是确定常规全口义齿是否影响无牙患者的味觉。材料和方法:本系统评价已在国际前瞻性系统评价登记册(PROSPERO)注册(CRD42022341567),并遵循系统评价和荟萃分析首选报告项目(PRISMA)指南。指导问题是:“使用全口假牙会影响无牙患者的味觉吗?”两位审稿人在PubMed/MEDLINE、Scopus、Cochrane Library和https://clinicaltrials.gov数据库中检索了截至2022年6月的文章。采用非随机干预研究的偏倚风险和基于Cochrane随机试验偏倚风险工具的偏倚风险来评估每项研究的偏倚风险。采用推荐、评估、发展和评价(GRADE)分级法评估证据的确定性。结果:共检索到883篇文献,其中7篇被纳入本综述。在其中一些研究中发现了味觉的各种变化。结论:常规全口义齿的使用会影响无牙患者对甜、咸、酸、苦4种主要味觉的感知,并可能对风味的感知产生负面干扰。
{"title":"Does the use of conventional complete dentures influence taste perception? A systematic review","authors":"Maria Eduarda Lemos Avelino DDS ,&nbsp;Taciana Emília Leite Vila-Nova DDS, MSc ,&nbsp;Rayanna Thayse Florêncio Costa DDS, MSc ,&nbsp;Eduardo Piza Pellizzer DDS, MSc, PhD ,&nbsp;Belmiro Cavalcanti do Egito Vasconcelos DDS, MSc, PhD ,&nbsp;Sandra Lúcia Dantas Moraes DDS, MSc, PhD","doi":"10.1016/j.prosdent.2023.02.018","DOIUrl":"10.1016/j.prosdent.2023.02.018","url":null,"abstract":"<div><h3>Statement of problem</h3><div><span>Although conventional complete dentures<span> are widely used, a systematic review of their influence on wearers' </span></span>taste perception is lacking.</div></div><div><h3>Purpose</h3><div><span>The purpose of this systematic review was to determine whether conventional complete dentures influence the taste perception of </span>edentulous patients.</div></div><div><h3>Material and methods</h3><div><span>This systematic review was registered in the International Prospective Register of Systematic Reviews (PROSPERO) (CRD42022341567), and the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) were followed. The guiding question was: “Does the use of complete dentures influence the taste perception of edentulous patients?” Two reviewers searched articles in the PubMed/MEDLINE, Scopus, Cochrane Library, and </span><span><span>https://clinicaltrials.gov</span><svg><path></path></svg></span> databases up to June 2022. The risk of bias in each study was assessed using the risk of bias in nonrandomized studies of interventions and the risk of bias based on the Cochrane risk of bias tool for randomized trials. The certainty of evidence was assessed using grading of recommendations, assessment, development, and evaluation (GRADE).</div></div><div><h3>Results</h3><div>A total of 883 articles were found with the search, and 7 were included in this review. Various changes in taste perception were identified in some of these studies.</div></div><div><h3>Conclusions</h3><div>The use of conventional complete dentures can influence the perception of the 4 primary tastes (sweet, salty, sour, and bitter) of edentulous patients, which may negatively interfere with the perception of flavor.</div></div>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":"133 2","pages":"Pages 438-444"},"PeriodicalIF":4.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9169233","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
Antimicrobial effects of nano titanium dioxide and disinfectants on maxillofacial silicones 纳米二氧化钛和消毒剂对颌面部有机硅的抗菌作用。
IF 4.3 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-02-01 DOI: 10.1016/j.prosdent.2023.03.001
Pinar Cevik DDS, PhD , Gulcin Akca MD, PhD , Neset Volkan Asar DDS, PhD , Emine Avci MD , Sudarat Kiat-amnuay DDS, MS , Burak Yilmaz DDS, PhD

Statement of problem

Deficient hygiene of maxillofacial prostheses can be a source of infection, and various disinfectants, including nano-oxides, have been suggested for the disinfection of silicone prostheses. While maxillofacial silicones involving nano-oxides at different sizes and concentrations have been evaluated in terms of their mechanical and physical properties, reports are lacking on the antimicrobial effect of nano titanium dioxide (TiO2) incorporated into maxillofacial silicones contaminated by different biofilms.

Purpose

The purpose of this in vitro study was to evaluate the antimicrobial effects of 6 different disinfectants and nano TiO2 incorporation into maxillofacial silicone contaminated with Staphylococcus aureus, Escherichia coli, and Candida albicans biofilms.

Material and methods

A total of 258 silicone specimens (129 pure silicones and 129 nano TiO2-incorporated silicones) were fabricated. Specimens in each silicone group (with or without nano TiO2) were divided into 7 disinfectant groups (control, 0.2% chlorhexidine gluconate, 4% chlorhexidine gluconate, 1% sodium hypochlorite, neutral soap, 100% white vinegar, and effervescent) in each biofilm group. Contaminated specimens were disinfected, and the suspension of each specimen was incubated at 37 °C for 24 hours. Proliferated colonies were recorded in colony-forming units per mL (CFU/mL). The differences in microbial levels among specimens were evaluated to test the effect of the type of silicone and the disinfectant (α=.05).

Results

Significant difference was found among disinfectants regardless of the silicone type (P<.05). Nano TiO2 incorporation showed an antimicrobial effect on S aureus, E coli, and C albicans biofilms. Nano TiO2 incorporated silicone cleaned with 4% chlorhexidine gluconate had statistically less C albicans than pure silicone. Using white vinegar or 4% chlorhexidine gluconate led to no E coli on either silicone. Nano TiO2 incorporated silicone cleaned with effervescent had fewer S aureus or C albicans biofilms.

Conclusions

The tested disinfectants and nano TiO2 incorporation into silicone were effective against most of the microorganisms used in this study.
问题陈述:颌面假体的卫生缺陷可能是感染的一个来源,各种消毒剂,包括纳米氧化物,已被建议用于硅胶假体的消毒。虽然已经对不同粒径和浓度的纳米氧化物在颌面有机硅的力学和物理性能进行了评价,但关于纳米二氧化钛(TiO2)掺入不同生物膜污染的颌面有机硅的抗菌效果的报道还很缺乏。目的:研究6种不同消毒剂及纳米TiO2掺入被金黄色葡萄球菌、大肠杆菌和白色念珠菌污染的颌面部硅胶生物膜的抑菌效果。材料与方法:共制备了258个有机硅样品,其中129个为纯有机硅,129个为纳米二氧化钛有机硅。将硅胶组(含或不含纳米TiO2)标本分为7个消毒组(对照、0.2%葡萄糖酸氯己定、4%葡萄糖酸氯己定、1%次氯酸钠、中性肥皂、100%白醋、泡泡剂)。将污染标本消毒,每个标本的悬浮液在37℃下孵育24小时。以每mL的菌落形成单位(CFU/mL)记录增殖菌落。评价不同样品微生物水平的差异,以检验有机硅类型和消毒剂的影响(α= 0.05)。结果:不同硅胶类型的消毒剂对金黄色葡萄球菌、大肠杆菌和白色念珠菌生物膜的抑菌效果存在显著差异(P2掺入对金黄色葡萄球菌、大肠杆菌和白色念珠菌生物膜的抑菌效果显著)。用4%葡萄糖酸氯己定清洗纳米二氧化钛有机硅,其白色念珠菌比纯有机硅少。使用白醋或4%的葡萄糖酸氯己定时,硅胶上都没有大肠杆菌。纳米二氧化钛掺杂的有机硅经泡腾清洗后,金黄色葡萄球菌或白色念珠菌生物膜较少。结论:所测试的消毒剂和纳米二氧化钛掺入有机硅对本研究中使用的大多数微生物都有效。
{"title":"Antimicrobial effects of nano titanium dioxide and disinfectants on maxillofacial silicones","authors":"Pinar Cevik DDS, PhD ,&nbsp;Gulcin Akca MD, PhD ,&nbsp;Neset Volkan Asar DDS, PhD ,&nbsp;Emine Avci MD ,&nbsp;Sudarat Kiat-amnuay DDS, MS ,&nbsp;Burak Yilmaz DDS, PhD","doi":"10.1016/j.prosdent.2023.03.001","DOIUrl":"10.1016/j.prosdent.2023.03.001","url":null,"abstract":"<div><h3>Statement of problem</h3><div><span><span><span>Deficient hygiene of maxillofacial prostheses can be a source of infection, and various </span>disinfectants, including nano-oxides, have been suggested for the disinfection of silicone prostheses. While maxillofacial </span>silicones involving nano-oxides at different sizes and concentrations have been evaluated in terms of their mechanical and physical properties, reports are lacking on the antimicrobial effect of nano titanium dioxide (TiO</span><sub>2</sub><span>) incorporated into maxillofacial silicones contaminated by different biofilms.</span></div></div><div><h3>Purpose</h3><div><span>The purpose of this in vitro study was to evaluate the antimicrobial effects of 6 different disinfectants and nano TiO</span><sub>2</sub> incorporation into maxillofacial silicone contaminated with <span><span>Staphylococcus aureus</span><em>, Escherichia coli</em></span>, and <span><em>Candida albicans</em></span> biofilms.</div></div><div><h3>Material and methods</h3><div>A total of 258 silicone specimens (129 pure silicones and 129 nano TiO<sub>2</sub>-incorporated silicones) were fabricated. Specimens in each silicone group (with or without nano TiO<sub>2</sub><span>) were divided into 7 disinfectant groups (control, 0.2% chlorhexidine gluconate<span><span>, 4% chlorhexidine gluconate, 1% sodium hypochlorite, neutral soap, 100% white </span>vinegar, and effervescent) in each biofilm group. Contaminated specimens were disinfected, and the suspension of each specimen was incubated at 37 °C for 24 hours. Proliferated colonies were recorded in colony-forming units per mL (CFU/mL). The differences in microbial levels among specimens were evaluated to test the effect of the type of silicone and the disinfectant (α=.05).</span></span></div></div><div><h3>Results</h3><div>Significant difference was found among disinfectants regardless of the silicone type (<em>P</em>&lt;.05). Nano TiO<sub>2</sub> incorporation showed an antimicrobial effect on <em>S aureus</em>, <em>E coli</em>, and <em>C albicans</em> biofilms. Nano TiO<sub>2</sub> incorporated silicone cleaned with 4% chlorhexidine gluconate had statistically less <em>C albicans</em><span> than pure silicone. Using white vinegar or 4% chlorhexidine gluconate led to no </span><em>E coli</em> on either silicone. Nano TiO<sub>2</sub> incorporated silicone cleaned with effervescent had fewer <em>S aureus</em> or <em>C albicans</em> biofilms.</div></div><div><h3>Conclusions</h3><div>The tested disinfectants and nano TiO<sub>2</sub> incorporation into silicone were effective against most of the microorganisms used in this study.</div></div>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":"133 2","pages":"Pages 608-614"},"PeriodicalIF":4.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9248490","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
Accuracy of static computer-aided implant surgery (S-CAIS) using CAD-CAM surgical templates fabricated from different additive manufacturing technologies 使用不同增材制造技术制作的CAD-CAM手术模板的静态计算机辅助植入手术(S-CAIS)的准确性。
IF 4.3 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-02-01 DOI: 10.1016/j.prosdent.2023.03.025
Anshu Bathija BDS, MS , Panos Papaspyridakos DDS, MS, PhD , Matthew Finkelman PhD , Yongjeong Kim DDS , Kiho Kang DDS, MS , Andre B. De Souza DMD, MSc

Statement of problem

Different 3D printers are available for guided implant surgery, but studies that evaluate their source of errors and their cost-effectiveness are lacking.

Purpose

The purpose of this in vitro study was to compare the accuracy of different 3-dimensional (3D) printed surgical templates made using different additive manufacturing technologies and to evaluate the effect of implant location on the accuracy of fully guided implant placement.

Material and methods

Fifty partially edentulous maxillary typodonts with edentulous sites in the right second premolar (SP), right lateral incisor (LI), left central incisor (CI), and left first molar (FM) locations were scanned and printed from the standard tessellation language (STL) datasets. The study compared 5 groups for the fabrication of implant surgical templates: Varseo S–Bego (Bego), Polyjet–Stratasys (Poly), Low Force Stereolithography–FormLabs (LFS), P30+–Straumann (P30), and M2–Carbon (M2). After fully guided implant placement, the typodont was scanned, and the 3D implant positions were compared with the master model by superimposing the STL files. Descriptive statistics were calculated for groups and subgroups, and comparisons among the groups and subgroups were conducted via 2-way mixed analysis of variance, Tukey honest significant difference, and post hoc Bonferroni tests (α=.05).

Results

The results were site specific and not consistent within each group. For angle deviation, the within-group analysis for P30 demonstrated significantly lower values for implants positioned at site SP (1.4 ±0.8 degrees) than for sites LI (2.3 ±0.7 degrees; P=.001) and CI (2.3 ±0.8 degrees; P=.007). For 3D offset at base for implant CI, LFS was significantly higher than Bego (P=.002), Poly (P=.035), or M2 (P=.001); P30 was also significantly higher than Bego (P=.014) and M2 (P=.006). LFS had a significantly higher 3D offset at the tip than Bego (P=.001) and M2 (P=.022) for implant CI.

Conclusions

The choice of 3D printer seemed to influence fully guided implant surgery in terms of the final implant position compared with initial implant planning. However, although statistically significant differences were present across groups, all additive manufacturing technologies were within clinically acceptable values.
问题陈述:不同的3D打印机可用于引导植入手术,但缺乏评估其错误来源和成本效益的研究。目的:本体外研究的目的是比较使用不同增材制造技术制作的不同3D打印手术模板的准确性,并评估种植体位置对完全引导种植体放置准确性的影响。材料和方法:从标准镶嵌语言(STL)数据集中扫描并打印50例部分无牙的上颌排印牙,其无牙位置分别为右侧第二前磨牙(SP)、右侧侧切牙(LI)、左侧中切牙(CI)和左侧第一磨牙(FM)。本研究比较了5组种植体手术模板的制作方法:Varseo S-Bego (Bego)、Polyjet-Stratasys (Poly)、Low Force sterethography - formlabs (LFS)、P30+-Straumann (P30)和M2- carbon (M2)。在完全引导种植体放置后,扫描打印体,通过叠加STL文件将三维种植体位置与主模型进行比较。各组和亚组进行描述性统计,各组和亚组间比较采用双向混合方差分析、Tukey诚实显著性差异和事后Bonferroni检验(α= 0.05)。结果:结果有部位特异性,各组结果不一致。对于角度偏差,组内分析显示,放置在SP位点的P30值(1.4±0.8度)明显低于放置在LI位点的P30值(2.3±0.7度);P=.001), CI(2.3±0.8度;P = .007)。对于种植体CI基部的3D偏移,LFS显著高于Bego (P= 0.002), Poly (P= 0.035)或M2 (P= 0.001);P30也显著高于Bego (P= 0.014)和M2 (P= 0.006)。对于种植体CI, LFS的尖端3D偏移量明显高于Bego (P=.001)和M2 (P=.022)。结论:与初始种植计划相比,3D打印机的选择似乎影响了完全引导种植手术的最终种植位置。然而,尽管各组之间存在统计学上的显著差异,但所有增材制造技术都在临床可接受的范围内。
{"title":"Accuracy of static computer-aided implant surgery (S-CAIS) using CAD-CAM surgical templates fabricated from different additive manufacturing technologies","authors":"Anshu Bathija BDS, MS ,&nbsp;Panos Papaspyridakos DDS, MS, PhD ,&nbsp;Matthew Finkelman PhD ,&nbsp;Yongjeong Kim DDS ,&nbsp;Kiho Kang DDS, MS ,&nbsp;Andre B. De Souza DMD, MSc","doi":"10.1016/j.prosdent.2023.03.025","DOIUrl":"10.1016/j.prosdent.2023.03.025","url":null,"abstract":"<div><h3>Statement of problem</h3><div>Different 3D printers are available for guided implant surgery, but studies that evaluate their source of errors and their cost-effectiveness are lacking.</div></div><div><h3>Purpose</h3><div>The purpose of this in vitro study was to compare the accuracy of different 3-dimensional (3D) printed surgical templates<span> made using different additive manufacturing technologies and to evaluate the effect of implant location on the accuracy of fully guided implant placement.</span></div></div><div><h3>Material and methods</h3><div><span><span>Fifty partially edentulous maxillary typodonts with edentulous sites in the right second premolar (SP), right </span>lateral incisor<span> (LI), left central incisor (CI), and left </span></span>first molar (FM) locations were scanned and printed from the standard tessellation language (STL) datasets. The study compared 5 groups for the fabrication of implant surgical templates: Varseo S–Bego (Bego), Polyjet–Stratasys (Poly), Low Force Stereolithography–FormLabs (LFS), P30+–Straumann (P30), and M2–Carbon (M2). After fully guided implant placement, the typodont was scanned, and the 3D implant positions were compared with the master model by superimposing the STL files. Descriptive statistics were calculated for groups and subgroups, and comparisons among the groups and subgroups were conducted via 2-way mixed analysis of variance, Tukey honest significant difference, and post hoc Bonferroni tests (α=.05).</div></div><div><h3>Results</h3><div>The results were site specific and not consistent within each group. For angle deviation, the within-group analysis for P30 demonstrated significantly lower values for implants positioned at site SP (1.4 ±0.8 degrees) than for sites LI (2.3 ±0.7 degrees; <em>P</em>=.001) and CI (2.3 ±0.8 degrees; <em>P</em>=.007). For 3D offset at base for implant CI, LFS was significantly higher than Bego (<em>P</em>=.002), Poly (<em>P</em>=.035), or M2 (<em>P</em>=.001); P30 was also significantly higher than Bego (<em>P</em>=.014) and M2 (<em>P</em>=.006). LFS had a significantly higher 3D offset at the tip than Bego (<em>P</em>=.001) and M2 (<em>P</em>=.022) for implant CI.</div></div><div><h3>Conclusions</h3><div>The choice of 3D printer seemed to influence fully guided implant surgery in terms of the final implant position compared with initial implant planning. However, although statistically significant differences were present across groups, all additive manufacturing technologies were within clinically acceptable values.</div></div>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":"133 2","pages":"Pages 524-529"},"PeriodicalIF":4.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9373840","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
Role of gender and age in influencing dentist perceptions of effective leadership capabilities 性别和年龄对牙医有效领导能力认知的影响。
IF 4.3 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-02-01 DOI: 10.1016/j.prosdent.2023.04.011
Elizabeth O. Carr RDH, DHA , Neil I. Park DMD , Jason A. Griggs PhD , Sreenivas Koka DDS, MS, PhD, MBA

Statement of the problem

The characteristics of effective leaders in dentistry are unknown, especially as they relate to the perceptions of attributes associated with emotional intelligence.

Purpose

The purpose of this study was to survey dentists about their perceptions of the relative importance of emotional intelligence domains in effective leadership and in effective leaders with whom they have worked and to determine whether the differences were based on gender and age.

Material and methods

A survey was sent to a list of over 50 000 dentists. The survey asked respondents to rate important qualities found in effective leaders in general and to identify important qualities found in the most effective leaders with whom they had worked or by whom they had been mentored. Additionally, demographic information such as the age and gender of the participants was captured in the survey. Descriptive statistics were created and statistical differences (α=.05) between genders were determined.

Results

A total of 256 respondents completed the survey. Self-management and relationship management were perceived to be more important than social awareness or self-awareness. Adaptability was the highest ranked personal competence skill, while conflict management was perceived as the least important personal competence skill. The social competence skills of empathy, organizational awareness, influence, and inspirational leadership were similarly ranked as highly important. When asked to identify the most important leadership skill of previous leaders, respondents noted that conflict management was most important and emotional self-awareness was least important. Women viewed the attributes of adaptability, organizational awareness, and conflict management as more important. Men viewed achievement orientation and coaching or mentoring as more important attributes of leaders. When answers were stratified for age group responses, younger respondents valued relationship management and adaptability, and whether their leader valued and exhibited conflict management more than older respondents. Older respondents were more likely to respond “yes” to valuing self-management and to whether their leader valued and exhibited inspirational leadership.

Conclusions

Different genders and different age groups view leadership skills in effective leaders differently. The results of this study indicate that women may need different leadership skills to lead colleagues of different ages.
问题陈述:有效的牙科领导者的特征是未知的,特别是当它们与情绪智力相关的属性的感知相关时。目的:本研究的目的是调查牙医对情商领域在有效领导和与他们共事的有效领导中的相对重要性的看法,并确定这种差异是否基于性别和年龄。材料和方法:对5万多名牙医进行了调查。该调查要求受访者对有效领导者的重要品质进行评分,并找出与他们共事或受其指导的最有效领导者的重要品质。此外,调查还收集了参与者的年龄和性别等人口统计信息。建立描述性统计,确定性别间的统计学差异(α= 0.05)。结果:共有256名受访者完成了调查。自我管理和关系管理被认为比社会意识或自我意识更重要。适应能力是排名最高的个人能力技能,而冲突管理被认为是最不重要的个人能力技能。同理心、组织意识、影响力和鼓舞性领导等社会能力技能同样被列为非常重要的技能。当被问及前任领导人最重要的领导技能时,受访者指出,冲突管理是最重要的,情感自我意识是最不重要的。女性认为适应能力、组织意识和冲突管理能力更重要。男性认为成就导向和指导或指导是领导者更重要的特质。当回答按年龄组分层时,年轻的受访者更重视关系管理和适应性,以及他们的领导是否比年长的受访者更重视和表现出冲突管理。年龄较大的受访者更有可能在重视自我管理和他们的领导是否重视并表现出鼓舞人心的领导方面回答“是”。结论:不同性别、不同年龄层对有效领导者领导技能的看法不同。本研究的结果表明,女性领导不同年龄的同事可能需要不同的领导技能。
{"title":"Role of gender and age in influencing dentist perceptions of effective leadership capabilities","authors":"Elizabeth O. Carr RDH, DHA ,&nbsp;Neil I. Park DMD ,&nbsp;Jason A. Griggs PhD ,&nbsp;Sreenivas Koka DDS, MS, PhD, MBA","doi":"10.1016/j.prosdent.2023.04.011","DOIUrl":"10.1016/j.prosdent.2023.04.011","url":null,"abstract":"<div><h3>Statement of the problem</h3><div>The characteristics of effective leaders in dentistry are unknown, especially as they relate to the perceptions of attributes associated with emotional intelligence.</div></div><div><h3>Purpose</h3><div>The purpose of this study was to survey dentists about their perceptions of the relative importance of emotional intelligence domains in effective leadership and in effective leaders with whom they have worked and to determine whether the differences were based on gender and age.</div></div><div><h3>Material and methods</h3><div>A survey was sent to a list of over 50 000 dentists. The survey asked respondents to rate important qualities found in effective leaders in general and to identify important qualities found in the most effective leaders with whom they had worked or by whom they had been mentored. Additionally, demographic information such as the age and gender of the participants was captured in the survey. Descriptive statistics were created and statistical differences (α=.05) between genders were determined.</div></div><div><h3>Results</h3><div><span>A total of 256 respondents completed the survey. Self-management and relationship management were perceived to be more important than social awareness or self-awareness. Adaptability was the highest ranked personal competence skill, while conflict management was perceived as the least important personal competence skill. The social competence skills of empathy, organizational awareness, influence, and inspirational leadership were similarly ranked as highly important. When asked to identify the most important leadership skill of previous leaders, respondents noted that conflict management was most important and emotional self-awareness was least important. Women viewed the attributes of adaptability, organizational awareness, and conflict management as more important. Men viewed </span>achievement orientation and coaching or mentoring as more important attributes of leaders. When answers were stratified for age group responses, younger respondents valued relationship management and adaptability, and whether their leader valued and exhibited conflict management more than older respondents. Older respondents were more likely to respond “yes” to valuing self-management and to whether their leader valued and exhibited inspirational leadership.</div></div><div><h3>Conclusions</h3><div>Different genders and different age groups view leadership skills in effective leaders differently. The results of this study indicate that women may need different leadership skills to lead colleagues of different ages.</div></div>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":"133 2","pages":"Pages 498-504"},"PeriodicalIF":4.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9557288","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
Influence of the ambient color lighting on the accuracy of complete arch implant scans recorded by using two intraoral scanners 环境色光对使用两台口内扫描仪记录的全牙弓种植体扫描精度的影响。
IF 4.3 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-02-01 DOI: 10.1016/j.prosdent.2024.03.030
Gastón Ochoa-López DDS, MSD , Marta Revilla-León DDS, MSD, PhD , Miguel Gómez-Polo DDS, PhD

Statement of problem

The influence of different ambient factors including lighting has been previously studied. However, the influence of ambient color lighting settings on intraoral scanning accuracy remains uncertain.

Purpose

The purpose of this in vitro study was to assess the influence of ambient color lighting on the accuracy of complete arch implant scans recorded by using 2 intraoral scanners (IOSs).

Material and methods

An edentulous maxillary cast with 6 implant scan bodies was digitized by using a laboratory scanner (DW-7–140) to obtain a reference file. Two groups were created based on the IOS tested: TRIOS 4 (IOS-1) and i700 (IOS-2). Seven subgroups were developed depending on the ambient color lighting (red, green, blue, yellow, cyan, magenta, and white) (n=15). Scanning accuracy was analyzed by using a metrology software program (Geomagic Control X). The Kruskal-Wallis, 1-way ANOVA, and pairwise comparisons were used to analyze the data (α=.05).

Results

Significant trueness and precision values were found across the groups (P<.05) and subgroups (P<.05). For IOS-1, blue ambient lighting obtained the best trueness (19.8 ±1.8 µm) (P<.05); in precision, white light (20.8 ±7.3 µm) and blue light (22.1 ±13.5) showed the best results (P<.05). For IOS-2, white light showed the best trueness (51.9 ±16.7 µm); the best precision was obtained under magenta (38.6 ±10.4 µm) and yellow light (52.6 ±24.0 µm) (P<.05).

Conclusions

The optimal ambient color lighting varied between the IOSs assessed. As the best condition for maximizing accuracy was not found, ambient color lighting must be individualized for the IOS system used.
{"title":"Influence of the ambient color lighting on the accuracy of complete arch implant scans recorded by using two intraoral scanners","authors":"Gastón Ochoa-López DDS, MSD ,&nbsp;Marta Revilla-León DDS, MSD, PhD ,&nbsp;Miguel Gómez-Polo DDS, PhD","doi":"10.1016/j.prosdent.2024.03.030","DOIUrl":"10.1016/j.prosdent.2024.03.030","url":null,"abstract":"<div><h3>Statement of problem</h3><div>The influence of different ambient factors including lighting has been previously studied. However, the influence of ambient color lighting settings on intraoral scanning accuracy remains uncertain.</div></div><div><h3>Purpose</h3><div>The purpose of this in vitro study was to assess the influence of ambient color lighting on the accuracy of complete arch implant scans recorded by using 2 intraoral scanners (IOSs).</div></div><div><h3>Material and methods</h3><div>An edentulous maxillary cast with 6 implant scan bodies was digitized by using a laboratory scanner (DW-7–140) to obtain a reference file. Two groups were created based on the IOS tested: TRIOS 4 (IOS-1) and i700 (IOS-2). Seven subgroups were developed depending on the ambient color lighting (red, green, blue, yellow, cyan, magenta, and white) (n=15). Scanning accuracy was analyzed by using a metrology software program (Geomagic Control X). The Kruskal-Wallis, 1-way ANOVA, and pairwise comparisons were used to analyze the data (α=.05).</div></div><div><h3>Results</h3><div>Significant trueness and precision values were found across the groups (<em>P</em>&lt;.05) and subgroups (<em>P</em>&lt;.05). For IOS-1, blue ambient lighting obtained the best trueness (19.8 ±1.8 µm) (<em>P</em>&lt;.05); in precision, white light (20.8 ±7.3 µm) and blue light (22.1 ±13.5) showed the best results (<em>P</em>&lt;.05). For IOS-2, white light showed the best trueness (51.9 ±16.7 µm); the best precision was obtained under magenta (38.6 ±10.4 µm) and yellow light (52.6 ±24.0 µm) (<em>P</em>&lt;.05).</div></div><div><h3>Conclusions</h3><div>The optimal ambient color lighting varied between the IOSs assessed. As the best condition for maximizing accuracy was not found, ambient color lighting must be individualized for the IOS system used.</div></div>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":"133 2","pages":"Pages 552-559"},"PeriodicalIF":4.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140778382","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
Effect of transcutaneous electrical nerve stimulation (TENS) on the electromyographic activity of human masticatory muscles in young people with normal occlusion 经皮神经电刺激(TENS)对咬合正常的年轻人咀嚼肌肌电活动的影响。
IF 4.3 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-02-01 DOI: 10.1016/j.prosdent.2024.03.022
Xingyu Wang MS , Hao Liu MS , Xiangting Zhang MS , Zhe Qu PhD , Jiaming Zhao PhD

Statement of problem

Transcutaneous electrical nerve stimulation (TENS) has been used in several clinical areas. However, the effect of TENS on the masticatory muscles of young individuals with normal occlusion remains unclear.

Purpose

The purpose of the study was to assess the effect of TENS on the surface electromyographic (sEMG) activity of masticatory muscles in a young population with normal occlusion.

Material and methods

Twenty residents (5 men and 15 women, mean 24.27 ±2.59 years) of Dalian Stomatological Hospital were enrolled as the study participants. A trained operator collected the required information from the participants. The experiment was divided into 3 stages: pre-TENS acquisition, TENS application, and post-TENS acquisition. The pre-TENS stage was performed using surface electromyography (sEMG) (Myotronics Inc) to acquire the potential values of masticatory muscles in the following 3 states 5 times each: resting, intercuspal occlusion (ICO), and maximum voluntary clench (clenching). The potential values of the anterior of temporalis (TA), the masseter (MM), the sternocleidomastoid (SCM), and the anterior digastric (DA) muscles were collected in the resting state, and TA and MM were collected in the ICO and clenching states. During the TENS application phase, a TENS Unit device (J5 Myomonitor) (J5) was used on each participant for 45 minutes. The post-TENS acquisition phase involved the same procedure as the pre-TENS phase. The experimental data were recorded, and the normality of each group was analyzed using the Shapiro-Wilk test in a statistical software program (IBM SPSS Statistics, v26.0). The paired-sample t test was used to compare the differences in the mean values of sEMG and the asymmetry index (As); the independent-sample t test was used to compare the activity index (Ac) and torque index (To) (α=.05).

Results

Significant differences were observed in the mean potential values of TA, MM, LSCM, and RDA before and after TENS in the resting state and RTA, LMM, and RMM before and after TENS in the clenching state (P<.05). Moreover, although AsDA values showed a significant difference (P=.027) before and after TENS in the resting state, the differences in As values for the other muscles in the resting state were statistically similar. Furthermore, in each state, the mean values of Ac and To after TENS showed no significant differences before and after TENS (P>.05).

Conclusions

The resting EMG values of the TA and MM differed significantly before and after TENS. After TENS, the resting EMG activity decreased, whereas the functional EMG activity tended to increase.
问题陈述:经皮神经电刺激(TENS)已被用于多个临床领域。目的:本研究旨在评估经皮神经电刺激对正常咬合的年轻人咀嚼肌表面肌电图(sEMG)活动的影响:研究对象为大连市口腔医院的 20 名住院患者(5 男 15 女,平均 24.27 ± 2.59 岁)。由经过培训的操作员收集参与者所需的信息。实验分为三个阶段:TENS 前采集、TENS 应用和 TENS 后采集。TENS前阶段使用表面肌电图(sEMG)(Myotronics Inc)采集咀嚼肌在以下3种状态下的电位值,每种状态采集5次:静止、咬合(ICO)和最大自主咬合(clenching)。在静息状态下采集颞肌前部(TA)、咬肌(MM)、胸锁乳突肌(SCM)和掘腹肌前部(DA)的电位值,在 ICO 和紧握状态下采集 TA 和 MM 的电位值。在 TENS 应用阶段,对每位受试者使用 TENS 装置(J5 Myomonitor)(J5)45 分钟。TENS后采集阶段的程序与TENS前阶段相同。实验数据被记录下来,并通过统计软件程序(IBM SPSS Statistics, v26.0)中的 Shapiro-Wilk 检验分析了各组的正态性。采用配对样本 t 检验比较 sEMG 平均值和不对称指数(As)的差异;采用独立样本 t 检验比较活动指数(Ac)和扭矩指数(To)的差异(α=.05):在静息状态下,TENS前后TA、MM、LSCM和RDA的平均电位值有显著差异;在紧握状态下,TENS前后RTA、LMM和RMM的平均电位值有显著差异(静息状态下TENS前后PDA值有显著差异(P=.027),静息状态下其他肌肉的As值差异在统计学上相似)。此外,在每种状态下,TENS后的Ac和To的平均值在TENS前后无显著差异(P>.05):结论:TENS前后,TA和MM的静息EMG值差异显著。结论:TENS前后,TA和MM的静息肌电活动有明显差异,TENS后,静息肌电活动减少,而功能性肌电活动呈上升趋势。
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引用次数: 0
期刊
Journal of Prosthetic Dentistry
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