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Complete mouth rehabilitation in a patient with condylar fracture malunion: A clinical report 一名髁突骨折愈合不良患者的全口康复治疗:临床报告
IF 4.3 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.prosdent.2023.12.023
Sang-Ah Lee DDS, MSD , Chan-Ho Park DDS, MSD , Kyung-Ho Ko DDS, MSD, PhD , Chan-Jin Park DDS, MSD, PhD , Lee-Ra Cho DDS, MSD, PhD
Mandibular condyle fracture malunion and tooth loss can cause functional and esthetic problems. A patient with restricted mouth opening associated with muscle atrophy required prosthetic rehabilitation. Since the remaining teeth had a poor prognosis and the patient had difficulty adapting to the interim denture, complete mouth rehabilitation with implants was chosen. The implants were placed by using nerve lateralization and an autogenous bone graft. Prosthetic rehabilitation combines digital diagnosis and conventional prosthetic restorations. The definitive prosthesis was fabricated to ensure adequate oral hygiene and functional adaptation of the orofacial structures. Treatment resulted in stable masticatory function, occlusion, and esthetics and restored the function of the atrophied lips and restricted mouth opening.
下颌骨髁状突骨折错位和牙齿脱落会导致功能和美观问题。一名患者因肌肉萎缩导致张口受限,需要进行修复性康复治疗。由于剩余牙齿的预后较差,且患者难以适应临时义齿,因此选择了种植体进行全口修复。种植体是通过神经侧位和自体骨移植植入的。义齿修复结合了数字化诊断和传统义齿修复。为确保口腔卫生和颌面部结构的功能适应,制作了最终修复体。治疗后,咀嚼功能、咬合和美观都得到了稳定,萎缩的嘴唇和受限的张口功能也得到了恢复。
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引用次数: 0
Bibliometric assessment in implant-retained overdenture articles: Mapping citation and journal impact factor trends 种植体固位义齿文章的文献计量学评估:绘制引文和期刊影响因子趋势图。
IF 4.3 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.prosdent.2022.11.002
Guilherme Almeida Borges DDS, MSc , Caroline Dini DDS, MSc , Mariana Marinho Davino de Medeiros DDS, MSc , Renata Cunha Matheus Rodrigues Garcia DDS, MSc, PhD , Valentim Adelino Ricardo Barão DDS, MSc, PhD , Marcelo Ferraz Mesquita DDS, MSc, PhD

Statement of problem

Implant-retained overdentures are a recognized treatment option. However, a comprehensive assessment of all articles on implant-retained overdentures to identify publication standards such as mean citation and the Journal Citation Reports (JCR) impact factor is lacking.

Purpose

The purpose of this bibliometric assessment was to evaluate the association of mean citation and JCR impact factor with bibliometric parameters in articles on implant-retained overdentures.

Material and methods

Articles reporting randomized controlled clinical trials (RCTs) and nonrandomized controlled clinical trials (N-RCTs); case reports and series; retrospective studies; and in silico, in vitro, or systematic reviews in 6 databases were included. Data were extracted, and 2 multiple Poisson regressions analyses were applied (α=.05). The dependent variables were mean citation and JCR impact factor, which were evaluated to identify their association with bibliometric parameters by using prevalence ratio (PR) values.

Results

A total of 1369 articles published from 1986 to 2021 were included. The data revealed a high mean citation and high JCR impact factor for RCT, N-RCT, retrospective, and in vitro studies (P<.05). In silico studies presented a high mean citation (P<.001). Senior researchers with a high h-index were more likely to have a high mean citation and publications with a high JCR impact factor (P<.001). Also, senior authors associated with an international network were more likely to have a high mean citation (P=.001). High-income countries had more studies with a high mean citation and JCR impact factor (P<.05). Higher JCR impact factors were associated with articles evaluating only the maxilla or mandible (P<.05). The topics “implant setting” and “macrodesign” were associated with a high mean citation (P<.05).

Conclusions

The publication trends suggest a high mean citation and a high JCR impact factor for clinical designs (RCT, N-RCT, retrospective) and in vitro studies. The same pattern was also displayed for researchers with a high h-index and located in high-income countries.
问题陈述:种植体固位覆盖义齿是一种公认的治疗方法。目的:本文献计量学评估的目的是评估种植体固位覆盖义齿文章的平均引用率和 JCR 影响因子与文献计量学参数之间的关联:纳入了6个数据库中报道随机对照临床试验(RCTs)和非随机对照临床试验(N-RCTs)、病例报告和系列研究、回顾性研究以及硅学、体外或系统综述的文章。提取数据后,进行了两次多重泊松回归分析(α=.05)。因变量为平均引用率和JCR影响因子,通过使用流行率(PR)值对其进行评估,以确定它们与文献计量学参数之间的关联:结果:共纳入了 1986 年至 2021 年间发表的 1369 篇文章。数据显示,RCT、N-RCT、回顾性研究和体外研究的平均引用率和JCR影响因子较高:发表趋势表明,临床设计(RCT、N-RCT、回顾性研究)和体外研究的平均引用率和 JCR 影响因子较高。h指数高且位于高收入国家的研究人员也呈现出同样的模式。
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引用次数: 0
Surface roughness, wear, and abrasiveness of printed and milled occlusal veneers after thermomechanical aging 热机械老化后印刷和研磨咬合贴面的表面粗糙度、磨损和磨蚀性。
IF 4.3 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.prosdent.2024.07.012
Noha Morsy DDS, MSD, PhD , Mohammed El Kateb DDS, MSD, PhD , Mona Mohamed Ghoneim DDS, MSD, PhD , Ahmed A. Holiel DDS, MSD, PhD
<div><h3>Statement of problem</h3><div>Occlusal veneers are a conservative method of reestablishing vertical dimensions of occlusion (VDO) for worn teeth. A restorative material used for occlusal veneers should have a smooth surface, adequate wear resistance, and low abrasiveness to the antagonists, as total wear of occlusal veneers and their antagonists determines the stability of the reestablished VDO. Studies on roughness, wear, and abrasiveness of occlusal veneers are scarce.</div></div><div><h3>Purpose</h3><div>The purpose of this in vitro study was to assess the surface roughness, wear, and abrasiveness of printed and milled occlusal veneers after thermomechanical aging against natural cusps and restorative materials.</div></div><div><h3>Material and methods</h3><div>Forty-eight extracted mandibular first molars were prepared for occlusal veneers and scanned with an intraoral scanner. The scans were exported to a computer-aided design program to design the occlusal veneers in 3 groups (n=16) according to the restorative material: group IP: milled lithium disilicate; group EN: milled hybrid ceramic (Vita Enamic), group VA: printed hybrid ceramic (Varseosmile Crown plus). The occlusal veneers in each group were bonded to their corresponding abutments and subjected to 250 000 mechanical cycles and a simultaneous 1000 thermal cycles in a mastication simulator. During thermomechanical aging, half of the specimens of each study group (n=8) were opposed by natural cusps (antagonist C) and the other half by antagonist cusps fabricated from the same restorative material as the occlusal veneers (antagonist R). The wear of the occlusal veneers and their antagonists was assessed with a 3-dimensional processing software program. The surface roughness of the veneers was assessed with a contact profilometer. The results were statistically analyzed with a 2-way ANOVA followed by the post hoc Tukey HSD test (α=.05).</div></div><div><h3>Results</h3><div>The 2-way ANOVA indicated a significant effect for the material and the antagonist on surface roughness, wear, and abrasiveness (<em>P</em><.05). When opposed by antagonist C, VA showed significantly higher surface roughness than IP and EN (<em>P</em><.001). VA had significantly higher surface wear followed by EN and IP (<em>P</em><.001). IP caused significantly higher wear to antagonist C than EN and VA (<em>P</em><.001). In addition, IP had significantly higher total wear (combined wear of veneers and their antagonists) followed by VA and EN (<em>P</em><.001). When opposed by antagonist R, no significant difference was found among the 3 materials for surface roughness (<em>P</em>=.08), material wear (<em>P</em>=.12), opposing wear (<em>P</em>=.11), or total wear (<em>P</em>=.11).</div></div><div><h3>Conclusions</h3><div>Both material and antagonist had a significant effect on surface roughness and occlusal stability when occlusal veneers were fabricated to restore VDO. VA had significantly mo
问题陈述:咬合贴面是一种为磨损的牙齿重建咬合垂直度(VDO)的保守方法。用于咬合贴面的修复材料应具有光滑的表面、足够的耐磨性以及对拮抗剂的低磨损性,因为咬合贴面及其拮抗剂的总磨损量决定了重建的 VDO 的稳定性。关于咬合贴面的粗糙度、磨损和磨蚀性的研究很少。目的:这项体外研究的目的是评估印刷和研磨咬合贴面在热机械老化后与天然尖牙和修复材料的表面粗糙度、磨损和磨蚀性:对 48 颗拔出的下颌第一磨牙进行咬合贴面准备,并使用口内扫描仪进行扫描。将扫描结果输出到计算机辅助设计程序,根据修复材料的不同将咬合贴面分为3组(n=16):IP组:研磨二硅酸锂;EN组:研磨混合陶瓷(Vita Enamic);VA组:印刷混合陶瓷(Varseosmile Crown plus)。每组的咬合贴面都粘接在相应的基台上,并在咀嚼模拟器中进行 250 000 次机械循环和 1000 次热循环。在热机械老化过程中,每个研究组的一半试样(n=8)与天然尖牙(拮抗剂 C)相对应,另一半试样与拮抗剂尖牙相对应,拮抗剂尖牙由与咬合贴面相同的修复材料制成(拮抗剂 R)。使用三维处理软件程序评估咬合贴面及其拮抗剂的磨损情况。贴面的表面粗糙度用接触式轮廓仪进行评估。结果采用 2 方方差分析进行统计分析,然后进行事后 Tukey HSD 检验(α=.05):双向方差分析表明,材料和拮抗剂对表面粗糙度、磨损和磨蚀性(PConclusions:在制作咬合贴面修复 VDO 时,材料和拮抗剂对表面粗糙度和咬合稳定性都有显著影响。当与天然尖牙相对时,VA的表面粗糙度和磨损程度明显高于EN和IP。IP 对天然尖牙的磨损程度明显高于 EN 和 VA。当与同一种材料相对时,三种测试材料显示出相似的粗糙度、磨损度和磨蚀度。
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引用次数: 0
Monolithic zirconia as a valid alternative to metal-ceramic for implant-supported single crowns in the posterior region: A systematic review and meta-analysis of randomized controlled trials 单晶氧化锆作为后牙区种植体支持单冠的金属陶瓷有效替代物:随机对照试验的系统回顾和荟萃分析。
IF 4.3 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.prosdent.2023.05.006
Péter Tajti DMD , Eleonora Solyom DMD , László Márk Czumbel DMD , Bence Szabó MSc , Réka Fazekas DMD, PhD , Orsolya Németh DMD, MDSc, PhD , Péter Hermann DMD, MSc, PhD , Gábor Gerber DMD, PhD , Péter Hegyi MD, PhD , Krisztina Mikulás DMD, PhD

Statement of problem

Technical complication rates of standard metal-ceramic implant-supported posterior restorations are relatively high. Whether monolithic zirconia crowns represent a more successful alternative is unclear.

Purpose

The purpose of this systematic review and meta-analysis was to compare the clinical outcomes of posterior monolithic zirconia and metal-ceramic implant-supported single crowns.

Material and methods

A search was conducted in MEDLINE, Scopus, Embase, Web of Science, and CENTRAL databases for randomized controlled trials up to April 2023 with a follow-up time of at least 1 year. Restoration and implant survival and failure rates, marginal bone loss (MBL), bleeding on probing (BOP), and technical complications were analyzed by 2 reviewers. Statistical analyses were conducted using the R-statistics software program. The risk of bias was assessed by the Cochrane Risk of Bias Tool 2 (RoB 2), and the certainty of evidence by the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach.

Results

A total of 11 out of 2030 records were identified by title and abstract, and 4 records were included after full-text analysis. The statistical analysis revealed no significant difference in MBL (MD –0.11, 95% CI: [–0.25; 0.03]), BOP (OR 0.66, 95% CI: [0.25; 1.77]), or implant failure (OR 1.30, 95% CI: [0.24; 7.08]). Monolithic zirconia presented significantly less chipping over 1 year (OR 0.17, 95% CI: [0.03; 0.99]). The chipping rate was 0% for monolithic zirconia and 7.61% for metal-ceramic. Based on a narrative review, the restoration survival rate was 97.5% in the monolithic zirconia group and 99.1% in the metal-ceramic group.

Conclusions

Monolithic zirconia showed favorable short-term survival rates and had significantly less chipping over 1 year. Regarding MBL, BOP, and failure rates, both restoration types presented similar results at the 1-year follow-up.
问题陈述:标准金属陶瓷种植体支持的后部修复体的技术并发症发生率相对较高。目的:本系统综述和荟萃分析的目的是比较后部整体氧化锆冠和金属陶瓷种植体支持单冠的临床效果:在 MEDLINE、Scopus、Embase、Web of Science 和 CENTRAL 数据库中搜索了截至 2023 年 4 月、随访时间至少 1 年的随机对照试验。修复体和种植体的存活率和失败率、边缘骨损失(MBL)、探诊出血(BOP)和技术并发症由两名审稿人进行分析。统计分析使用 R 统计软件程序进行。采用 Cochrane Risk of Bias Tool 2(RoB 2)评估偏倚风险,并采用建议、评估、发展和评价分级法(GRADE)评估证据的确定性:在 2030 条记录中,共有 11 条记录通过标题和摘要被识别,4 条记录在全文分析后被纳入。统计分析显示,MBL(MD -0.11,95% CI:[-0.25; 0.03])、BOP(OR 0.66,95% CI:[0.25; 1.77])或种植体失败(OR 1.30,95% CI:[0.24; 7.08])无明显差异。整体氧化锆在一年内的崩裂率明显较低(OR 0.17,95% CI:[0.03; 0.99])。整体氧化锆的崩裂率为 0%,金属陶瓷的崩裂率为 7.61%。根据叙述性回顾,整体氧化锆组的修复体存活率为 97.5%,金属陶瓷组为 99.1%:结论:整体氧化锆显示出良好的短期存活率,1 年内崩瓷现象明显减少。在 MBL、BOP 和失败率方面,两种修复体在 1 年的随访中表现出相似的结果。
{"title":"Monolithic zirconia as a valid alternative to metal-ceramic for implant-supported single crowns in the posterior region: A systematic review and meta-analysis of randomized controlled trials","authors":"Péter Tajti DMD ,&nbsp;Eleonora Solyom DMD ,&nbsp;László Márk Czumbel DMD ,&nbsp;Bence Szabó MSc ,&nbsp;Réka Fazekas DMD, PhD ,&nbsp;Orsolya Németh DMD, MDSc, PhD ,&nbsp;Péter Hermann DMD, MSc, PhD ,&nbsp;Gábor Gerber DMD, PhD ,&nbsp;Péter Hegyi MD, PhD ,&nbsp;Krisztina Mikulás DMD, PhD","doi":"10.1016/j.prosdent.2023.05.006","DOIUrl":"10.1016/j.prosdent.2023.05.006","url":null,"abstract":"<div><h3>Statement of problem</h3><div>Technical complication rates of standard metal-ceramic implant-supported posterior restorations are relatively high. Whether monolithic zirconia crowns represent a more successful alternative is unclear.</div></div><div><h3>Purpose</h3><div>The purpose of this systematic review and meta-analysis was to compare the clinical outcomes of posterior monolithic zirconia and metal-ceramic implant-supported single crowns.</div></div><div><h3>Material and methods</h3><div>A search was conducted in MEDLINE, Scopus, Embase, Web of Science, and CENTRAL databases for randomized controlled trials up to April 2023 with a follow-up time of at least 1 year. Restoration and implant survival and failure rates, marginal bone loss (MBL), bleeding on probing (BOP), and technical complications were analyzed by 2 reviewers. Statistical analyses were conducted using the R-statistics software program. The risk of bias was assessed by the Cochrane Risk of Bias Tool 2 (RoB 2), and the certainty of evidence by the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach.</div></div><div><h3>Results</h3><div>A total of 11 out of 2030 records were identified by title and abstract, and 4 records were included after full-text analysis. The statistical analysis revealed no significant difference in MBL (MD –0.11, 95% CI: [–0.25; 0.03]), BOP (OR 0.66, 95% CI: [0.25; 1.77]), or implant failure (OR 1.30, 95% CI: [0.24; 7.08]). Monolithic zirconia presented significantly less chipping over 1 year (OR 0.17, 95% CI: [0.03; 0.99]). The chipping rate was 0% for monolithic zirconia and 7.61% for metal-ceramic. Based on a narrative review, the restoration survival rate was 97.5% in the monolithic zirconia group and 99.1% in the metal-ceramic group.</div></div><div><h3>Conclusions</h3><div>Monolithic zirconia showed favorable short-term survival rates and had significantly less chipping over 1 year. Regarding MBL, BOP, and failure rates, both restoration types presented similar results at the 1-year follow-up.</div></div>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":"132 5","pages":"Pages 881-889"},"PeriodicalIF":4.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9677298","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
Differences in maxillomandibular relationship recorded at centric relation when using a conventional method, four intraoral scanners, and a jaw tracking system: A clinical study 使用传统方法、四种口内扫描仪和颌骨跟踪系统记录的上下颌骨中心关系的差异: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.2022.12.007
Marta Revilla-León DDS, MSD, PhD , Rubén Agustín-Panadero DMD, PhD , Jonathan M. Zeitler , Abdul B. Barmak MD, MSc, EdD , Burak Yilmaz DDS, PhD , John C. Kois DMD, MSD , Jorge Alonso Pérez-Barquero DDS
<div><h3>Statement of problem</h3><div><span>Digital systems including intraoral scanners (IOSs) and optical jaw tracking systems can be used to acquire the maxillomandibular relationship at the </span>centric relation (CR). However, the discrepancy of the maxillomandibular relationship recorded at the CR position when using digital methods remains uncertain.</div></div><div><h3>Purpose</h3><div>The purpose of this clinical study was to compare the accuracy of the maxillomandibular relationship recorded at the CR position using a conventional procedure, 4 different IOSs, and an optical jaw tracking system.</div></div><div><h3>Material and methods</h3><div>A completely dentate volunteer was selected. A Kois deprogrammer (KD) was fabricated. Six groups were created based on the technique used to obtain diagnostic casts and record the maxillomandibular relationship at the CR position: conventional procedures (CNV group), 4 IOS groups: TRIOS4 (TRIOS4 group), iTero Element 5D (iTero group), i700 wireless (i700 group), Primescan (Primescan group), and a jaw tracking system (Modjaw) (Modjaw group) (n=10). In the CNV group, conventional diagnostic stone casts were obtained. A facebow record was used to mount the maxillary cast on an articulator<span> (Panadent). The KD was used to obtain a CR record for mounting the mandibular cast, and the mounted casts were digitized by using a scanner (T710) to acquire the reference scans. In the TRIOS group, intraoral scans were obtained and duplicated 10 times. The KD was used to obtain a bilateral virtual occlusal record at the CR position. To acquire the specimens of the iTero, i700, and Primescan groups, the procedures in the TRIOS4 group were followed, but with the corresponding IOS. In the Modjaw group, the KD was used to record and export the maxillomandibular relationship at the CR position. Articulated virtual casts of each group were exported. Thirty-six interlandmark linear measurements were computed on both the reference and experimental scans. The distances obtained on the reference scan were used to calculate the discrepancies with the distances obtained on each experimental scan. The data were analyzed by using 1-way ANOVA followed by the pairwise comparison Tukey tests (α=.05).</span></div></div><div><h3>Results</h3><div>The trueness and precision of the maxillomandibular relationship record were significantly affected by the technique used (<em>P</em><.001). The maxillomandibular relationship trueness values from high to low were iTero (0.14 ±0.09 mm), followed by the Modjaw (0.20 ±0.04 mm) and the TRIOS4 (0.22 ±0.09 mm) groups. However, the iTero, Modjaw, and TRIOS4 groups were not significantly different from each other (<em>P</em>>.05). The i700 group obtained the lowest trueness and precision values (0.40 ±0.22 mm) of all groups tested, followed by the Primescan grop (0.26±0.13 mm); however, the i700 and Primescan groups had significantly lower trueness and precision than only the iTero gro
问题陈述:包括口内扫描仪(IOS)和光学下颌跟踪系统在内的数字化系统可用于获取中心关系(CR)处的上颌下颌关系。目的:本临床研究的目的是比较使用传统程序、4种不同的口内扫描仪和光学颌追踪系统记录的CR位置上颌颌关系的准确性:材料: 选定一名完全无牙的志愿者。材料和方法:选取一名全口无牙的志愿者,制作了一个 Kois 去程器(KD)。根据获得诊断铸模和记录 CR 位置上颌下颌关系的技术分为六组:传统程序组(CNV 组)、4 个 IOS 组(TRIOS4 组)、4 个 IOS 组(TRIOS4 组)、4 个 IOS 组(TRIOS4 组):TRIOS4(TRIOS4组)、iTero Element 5D(iTero组)、i700无线(i700组)、Primescan(Primescan组)和下颌跟踪系统(Modjaw)(Modjaw组)(n=10)。在 CNV 组中,获得了传统的诊断性结石模型。使用面弓记录仪将上颌石膏安装在关节器(Panadent)上。在安装下颌石膏时,使用 KD 获取 CR 记录,并使用扫描仪 (T710) 获取参考扫描,将安装好的石膏数字化。在 TRIOS 组中,口内扫描被采集并重复 10 次。使用 KD 获取 CR 位置的双侧虚拟咬合记录。iTero、i700 和 Primescan 组的样本采集程序与 TRIOS4 组相同,但使用了相应的 IOS。在Modjaw组中,使用KD记录并输出CR位置的上下颌关系。导出了每组的关节虚拟模型。在参考扫描和实验扫描上计算了 36 个地标间线性测量值。参考扫描获得的距离用于计算与每次实验扫描获得的距离之间的差异。数据分析采用单因素方差分析,然后进行配对比较 Tukey 检验(α=.05):结果:上下颌关系记录的真实度和精确度受所用技术的显著影响(P.05)。在所有测试组中,i700 组获得的真实度和精确度值最低(0.40 ±0.22 mm),其次是 Primescan grop(0.26±0.13 mm);然而,i700 组和 Primescan 组的真实度和精确度显著低于 iTero 组(PConclusions:在 CR 位置记录的上下颌骨关系的真实度和精确度受测试的不同数字技术的影响。
{"title":"Differences in maxillomandibular relationship recorded at centric relation when using a conventional method, four intraoral scanners, and a jaw tracking system: A clinical study","authors":"Marta Revilla-León DDS, MSD, PhD ,&nbsp;Rubén Agustín-Panadero DMD, PhD ,&nbsp;Jonathan M. Zeitler ,&nbsp;Abdul B. Barmak MD, MSc, EdD ,&nbsp;Burak Yilmaz DDS, PhD ,&nbsp;John C. Kois DMD, MSD ,&nbsp;Jorge Alonso Pérez-Barquero DDS","doi":"10.1016/j.prosdent.2022.12.007","DOIUrl":"10.1016/j.prosdent.2022.12.007","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Statement of problem&lt;/h3&gt;&lt;div&gt;&lt;span&gt;Digital systems including intraoral scanners (IOSs) and optical jaw tracking systems can be used to acquire the maxillomandibular relationship at the &lt;/span&gt;centric relation (CR). However, the discrepancy of the maxillomandibular relationship recorded at the CR position when using digital methods remains uncertain.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Purpose&lt;/h3&gt;&lt;div&gt;The purpose of this clinical study was to compare the accuracy of the maxillomandibular relationship recorded at the CR position using a conventional procedure, 4 different IOSs, and an optical jaw tracking system.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Material and methods&lt;/h3&gt;&lt;div&gt;A completely dentate volunteer was selected. A Kois deprogrammer (KD) was fabricated. Six groups were created based on the technique used to obtain diagnostic casts and record the maxillomandibular relationship at the CR position: conventional procedures (CNV group), 4 IOS groups: TRIOS4 (TRIOS4 group), iTero Element 5D (iTero group), i700 wireless (i700 group), Primescan (Primescan group), and a jaw tracking system (Modjaw) (Modjaw group) (n=10). In the CNV group, conventional diagnostic stone casts were obtained. A facebow record was used to mount the maxillary cast on an articulator&lt;span&gt; (Panadent). The KD was used to obtain a CR record for mounting the mandibular cast, and the mounted casts were digitized by using a scanner (T710) to acquire the reference scans. In the TRIOS group, intraoral scans were obtained and duplicated 10 times. The KD was used to obtain a bilateral virtual occlusal record at the CR position. To acquire the specimens of the iTero, i700, and Primescan groups, the procedures in the TRIOS4 group were followed, but with the corresponding IOS. In the Modjaw group, the KD was used to record and export the maxillomandibular relationship at the CR position. Articulated virtual casts of each group were exported. Thirty-six interlandmark linear measurements were computed on both the reference and experimental scans. The distances obtained on the reference scan were used to calculate the discrepancies with the distances obtained on each experimental scan. The data were analyzed by using 1-way ANOVA followed by the pairwise comparison Tukey tests (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 trueness and precision of the maxillomandibular relationship record were significantly affected by the technique used (&lt;em&gt;P&lt;/em&gt;&lt;.001). The maxillomandibular relationship trueness values from high to low were iTero (0.14 ±0.09 mm), followed by the Modjaw (0.20 ±0.04 mm) and the TRIOS4 (0.22 ±0.09 mm) groups. However, the iTero, Modjaw, and TRIOS4 groups were not significantly different from each other (&lt;em&gt;P&lt;/em&gt;&gt;.05). The i700 group obtained the lowest trueness and precision values (0.40 ±0.22 mm) of all groups tested, followed by the Primescan grop (0.26±0.13 mm); however, the i700 and Primescan groups had significantly lower trueness and precision than only the iTero gro","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":"132 5","pages":"Pages 964-972"},"PeriodicalIF":4.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10567398","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
Use of 3-dimensional imaging and manufacturing for bilateral auricular prostheses: A case series of six patients with congenital auricular defects 使用三维成像和制造双侧耳廓假体:六名先天性耳廓缺损患者的病例系列。
IF 4.3 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.prosdent.2022.09.022
Muhanad M. Hatamleh BSc, MPhil, MSc, PhD , Heba Mohammad Hatamlah BSc, MSc, PhD , Amjad Nuseir MD
The prosthetic reconstruction of unilateral ear deformity is a straightforward procedure which relies on copying the details, position, and symmetry of the existing contralateral ear. However, reconstructing bilaterally missing ears is challenging. The use of 3-dimensional (3D) technology in the prosthetic reconstruction of the bilaterally missing ears of 6 patients is described. The deformity site was created directly by segmenting the patient’s digital scan or indirectly via a desktop scanner. Adequate bone quantity and quality for implant retention and optimal implant locations were also identified virtually. The use of 3D technologies has made it more straightforward to accomplish ear symmetry, as well as to validate the orientation and location of the ears reliably with the minimum subjectivity. The printed ears were matched in shape, surface texture, and anatomy. The skin color was straightforward to record and store so that it could be reproduced at a future time. Overall, the digital manufacture of the ears was controlled, consistent, and reproducible.
单侧耳朵畸形的修复重建是一种简单易行的手术,它需要复制对侧耳朵的细节、位置和对称性。然而,重建双侧缺失的耳朵却极具挑战性。本文介绍了三维(3D)技术在 6 名患者双侧缺失耳朵修复重建中的应用。畸形部位是通过对患者的数字扫描直接分割或通过台式扫描仪间接创建的。此外,还通过虚拟方式确定了植入物固定所需的足够骨量和骨质以及最佳植入位置。三维技术的使用使耳朵的对称性更容易实现,并能以最小的主观因素可靠地验证耳朵的方向和位置。打印出来的耳朵在形状、表面纹理和解剖结构上都是匹配的。皮肤颜色可以直接记录和存储,以便将来复制。总之,耳朵的数字化制造是可控的、一致的和可复制的。
{"title":"Use of 3-dimensional imaging and manufacturing for bilateral auricular prostheses: A case series of six patients with congenital auricular defects","authors":"Muhanad M. Hatamleh BSc, MPhil, MSc, PhD ,&nbsp;Heba Mohammad Hatamlah BSc, MSc, PhD ,&nbsp;Amjad Nuseir MD","doi":"10.1016/j.prosdent.2022.09.022","DOIUrl":"10.1016/j.prosdent.2022.09.022","url":null,"abstract":"<div><div>The prosthetic reconstruction of unilateral ear deformity<span> is a straightforward procedure which relies on copying the details, position, and symmetry of the existing contralateral<span> ear. However, reconstructing bilaterally missing ears is challenging. The use of 3-dimensional (3D) technology in the prosthetic reconstruction of the bilaterally missing ears of 6 patients is described. The deformity site was created directly by segmenting the patient’s digital scan or indirectly via a desktop scanner. Adequate bone quantity and quality for implant retention and optimal implant locations were also identified virtually. The use of 3D technologies has made it more straightforward to accomplish ear symmetry, as well as to validate the orientation and location of the ears reliably with the minimum subjectivity. The printed ears were matched in shape, surface texture, and anatomy. The skin color was straightforward to record and store so that it could be reproduced at a future time. Overall, the digital manufacture of the ears was controlled, consistent, and reproducible.</span></span></div></div>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":"132 5","pages":"Pages 1076-1081"},"PeriodicalIF":4.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40718969","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
Evaluation of the biomechanics of Aramany class I obturators of different designs using numerical and experimental methods. Part I: Retention and associated stress 使用数值和实验方法评估不同设计的阿拉曼尼 I 类闭锁器的生物力学。第一部分:滞留和相关应力。
IF 4.3 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.prosdent.2024.07.011
Mohammed A. Mousa BDSc, MFDs, MDSc, PhD , Adam Husein BDS, GradDipClinDent, DClinDent (Prosthodontics) , Mohamed I. El-Anwar BSc, MSc, PhD , Norwahida Yusoff BSc, MSc, PhD , Johari Yap Abdullah B.S. & I.T., GradDip ICT, MSc, PhD (Craniofacial Biology)

Statement of problem

Studies on the biomechanics of obturators in the currently used designs of Aramany class I defect are lacking. Also, modifications of the designs presently used in unilateral palatal defects are needed to produce a prosthesis with more retention and less stress on the abutments.

Purpose

The purpose of part I of this study was to differentiate among Aramany class I obturators of 4 designs regarding retention and associated stress using numerical and experimental methods.

Material and methods

Four finite element models and 36 different base obturators were fabricated and divided into 9 acrylic resin bases retained with Adams clasps and 9 linear, 9 tripodal, and 9 fully tripodal design obturators from casts obtained from a scanned skull. After modification, the prostheses were fabricated on the casts obtained from a 3-dimensionally printed cast. The retention was evaluated, and the data were collected and analyzed using a statistical software program (α=.05). The displacement and associated stress in the assorted casts were compared by using 5-N displacing force at 3 points using finite element analysis. The quantitative assessment was made by measuring the displacement and von Mises stress distribution on the prostheses and their supporting structures. The qualitative analysis was done by using a visual color mapping to depict stress location and intensity.

Results

No significant differences were found between fully tripodal (4.478 ±2.303 MPa) and tripodal obturators (4.478 ±2.286 MPa; P=.153), although fully tripodal showed more resistance to anterior displacement (4.522 ±0.979 and 3.553 ±1.58 MPa for fully tripodal and tripodal designs, respectively; P=.007), and tripodal obturators produced more resistance to middle displacement (5.441 ±1.778 and 2.784 ±0.432 MPa for tripodal and fully tripodal design respectively; P=.001). The fully tripodal obturator showed more retention (3.736 ±1.182 MPa) than the linear one (2.493 ±1.052 MPa; P=.001). The maxillary central incisor was the most stressed abutment, followed by the lateral incisor, while the second molar was the least.

Conclusions

Regarding retention, the fully tripodal obturator produces retention comparable with the tripodal and significantly more than the linear. Acrylic resin prostheses retained with Adams clasps may be similar to metal-based prostheses regarding retention and stress distribution on the supporting structures.
问题陈述:目前使用的阿拉曼尼 I 类缺损设计中,缺乏对钝器生物力学的研究。此外,还需要对目前用于单侧腭部缺损的设计进行修改,以制作出固位力更强、基台上应力更小的修复体。目的:本研究第一部分的目的是使用数值和实验方法,对 4 种设计的 Aramany I 类钝器的固位力和相关应力进行区分:根据扫描头骨获得的铸模,制作了四个有限元模型和 36 个不同的基托闭锁器,并将其分为 9 个用亚当斯扣固定的丙烯酸树脂基托和 9 个线性、9 个三脚架和 9 个完全三脚架设计的闭锁器。经过修改后,在三维打印的铸模上制作了假体。使用统计软件程序(α=.05)对固位情况进行了评估,并收集和分析了数据。通过有限元分析,在 3 个点上使用 5-N 的位移力,比较了各种铸型的位移和相关应力。定量评估是通过测量假体及其支撑结构的位移和 von Mises 应力分布进行的。定性分析则采用可视化彩色绘图来描述应力位置和强度:结果:完全三足式(4.478 ±2.303 MPa)和三足式闭锁器(4.478 ±2.286 MPa; P=0.153)之间没有发现明显差异,但完全三足式对前部位移的阻力更大(完全三足式为 4.522 ±0.979 MPa,三足式为 3.553 ±1.58 MPa)。58兆帕;P=.007),三脚架式闭锁器对中间位移的阻力更大(三脚架式和完全三脚架式分别为 5.441 ±1.778 和 2.784 ±0.432 兆帕;P=.001)。完全三足式闭锁器的固位力(3.736 ±1.182 MPa)高于直线式闭锁器(2.493 ±1.052 MPa; P=0.001)。上颌中切牙是受力最大的基台,其次是侧切牙,而第二磨牙受力最小:结论:就固位力而言,全三叉基台的固位力与三叉基台相当,明显高于线性基台。用亚当斯卡环固位的丙烯酸树脂修复体在固位力和支持结构上的应力分布方面可能与金属基修复体相似。
{"title":"Evaluation of the biomechanics of Aramany class I obturators of different designs using numerical and experimental methods. Part I: Retention and associated stress","authors":"Mohammed A. Mousa BDSc, MFDs, MDSc, PhD ,&nbsp;Adam Husein BDS, GradDipClinDent, DClinDent (Prosthodontics) ,&nbsp;Mohamed I. El-Anwar BSc, MSc, PhD ,&nbsp;Norwahida Yusoff BSc, MSc, PhD ,&nbsp;Johari Yap Abdullah B.S. & I.T., GradDip ICT, MSc, PhD (Craniofacial Biology)","doi":"10.1016/j.prosdent.2024.07.011","DOIUrl":"10.1016/j.prosdent.2024.07.011","url":null,"abstract":"<div><h3>Statement of problem</h3><div>Studies on the biomechanics of obturators in the currently used designs of Aramany class I defect are lacking. Also, modifications of the designs presently used in unilateral palatal defects are needed to produce a prosthesis with more retention and less stress on the abutments.</div></div><div><h3>Purpose</h3><div>The purpose of part I of this study was to differentiate among Aramany class I obturators of 4 designs regarding retention and associated stress using numerical and experimental methods.</div></div><div><h3>Material and methods</h3><div><span>Four finite element models and 36 different base obturators were fabricated and divided into 9 acrylic resin bases retained with Adams clasps and 9 linear, 9 tripodal, and 9 fully tripodal design obturators from casts obtained from a scanned skull. After modification, the prostheses were fabricated on the casts obtained from a 3-dimensionally printed cast. The retention was evaluated, and the data were collected and analyzed using a statistical software program (α=.05). The displacement and associated stress in the assorted casts were compared by using 5-N displacing force at 3 points using </span>finite element analysis. The quantitative assessment was made by measuring the displacement and von Mises stress distribution on the prostheses and their supporting structures. The qualitative analysis was done by using a visual color mapping to depict stress location and intensity.</div></div><div><h3>Results</h3><div>No significant differences were found between fully tripodal (4.478 ±2.303 MPa) and tripodal obturators (4.478 ±2.286 MPa; <em>P</em>=.153), although fully tripodal showed more resistance to anterior displacement (4.522 ±0.979 and 3.553 ±1.58 MPa for fully tripodal and tripodal designs, respectively; <em>P</em>=.007), and tripodal obturators produced more resistance to middle displacement (5.441 ±1.778 and 2.784 ±0.432 MPa for tripodal and fully tripodal design respectively; <em>P</em>=.001). The fully tripodal obturator showed more retention (3.736 ±1.182 MPa) than the linear one (2.493 ±1.052 MPa; <em>P</em><span><span><span>=.001). The maxillary central incisor was the most stressed abutment, followed by the </span>lateral incisor, while the </span>second molar was the least.</span></div></div><div><h3>Conclusions</h3><div>Regarding retention, the fully tripodal obturator produces retention comparable with the tripodal and significantly more than the linear. Acrylic resin prostheses retained with Adams clasps may be similar to metal-based prostheses regarding retention and stress distribution on the supporting structures.</div></div>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":"132 5","pages":"Pages 1088.e1-1088.e8"},"PeriodicalIF":4.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141759391","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
Response to Letter to the Editor regarding, “Clinical benefits of immediate dentin sealing: A systematic review and meta-analysis” by Alghuali et al 对 Alghuali 等人撰写的 "即刻封闭牙本质的临床益处:系统回顾和荟萃分析 "的回复。
IF 4.3 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.prosdent.2024.07.025
Mohammed Ahmed Alghauli MDSc, Ahmed Yaseen Alqutaibi PhD, Sary Borzangy PhD
{"title":"Response to Letter to the Editor regarding, “Clinical benefits of immediate dentin sealing: A systematic review and meta-analysis” by Alghuali et al","authors":"Mohammed Ahmed Alghauli MDSc,&nbsp;Ahmed Yaseen Alqutaibi PhD,&nbsp;Sary Borzangy PhD","doi":"10.1016/j.prosdent.2024.07.025","DOIUrl":"10.1016/j.prosdent.2024.07.025","url":null,"abstract":"","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":"132 5","pages":"Pages 1097-1099"},"PeriodicalIF":4.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141902041","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
Comparative analysis of polishing protocols on microhardness and surface roughness of occlusal device materials fabricated using microwave-polymerized acrylic or 3D printed resins. 对使用微波聚合丙烯酸树脂或三维打印树脂制造的咬合装置材料的微硬度和表面粗糙度的抛光方案进行比较分析。
IF 4.3 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.prosdent.2024.10.010
Thiago Carvalho de Sousa, Alexia Guimarães Ramos, Fernanda Cristina Pimentel Garcia, Rodrigo Antonio de Medeiros

Statement of problem: With advancements in digital technologies, the digital workflow has revolutionized the fabrication of occlusal devices through additive methods using 3-dimensional (3D) printing. However, an established protocol for polishing 3D printed occlusal devices is lacking, despite this step being crucial for minimizing surface porosity, material fatigue and preventing bacterial plaque accumulation, thereby contributing to device longevity.

Purpose: The purpose of this in vitro study was to evaluate the impact of polishing systems on the surface roughness and Vickers microhardness of heat-polymerizing acrylic resin and 3D printing resins used for occlusal devices.

Material and methods: One hundred and twenty microwaved-polymerized acrylic resin and 3D printed resin specimens (40×40×3 mm) were divided into 12 groups (n=10) based on the type of resin and polishing protocol (Sealant, DhPro, Dhpro + Sealant, Trihawk, Trihawk + Sealant, and control). Surface roughness (Ra) and Vickers microhardness were tested. Additionally, 1 specimen per group underwent scanning electron microscopy before and after thermocycling (5000 cycles, 5 ºC and 55 ºC). Data analysis involved a 2-way ANOVA, 2-way repeated measured ANOVA, and Tukey's multiple comparison test (α=.05).

Results: The Trihawk polishing protocol yielded significantly higher microhardness and lower surface roughness values for both resins. After thermocycling, the acrylic resin maintained its surface roughness for the Trihawk, Trihawk + Sealant, and unpolished groups, but all groups showed decreased microhardness. The 3D printing resin exhibited increased surface roughness and reduced microhardness after thermocycling across all groups.

Conclusions: The polishing protocol affects the surface microhardness and roughness of 3D printing resins and microwave acrylic resins for occlusal devices. Polishing using the Trihawk polishing protocol demonstrated significantly smoother and harder surfaces for both resins tested.

问题陈述:随着数字技术的进步,通过使用三维(3D)打印的添加方法,数字工作流程彻底改变了咬合装置的制造。目的:本体外研究的目的是评估抛光系统对用于咬合装置的热聚合丙烯酸树脂和 3D 打印树脂的表面粗糙度和维氏硬度的影响:根据树脂类型和抛光方案(Sealant、DhPro、Dhpro + Sealant、Trihawk、Trihawk + Sealant和对照组)将120个微波聚合丙烯酸树脂和3D打印树脂试样(40×40×3 mm)分为12组(n=10)。对表面粗糙度(Ra)和维氏显微硬度进行了测试。此外,在热循环(5000 次,5 ºC 和 55 ºC)前后,每组各对一个试样进行扫描电子显微镜检查。数据分析包括双向方差分析、双向重复测量方差分析和 Tukey 多重比较检验(α=.05):Trihawk 抛光方案使两种树脂的显微硬度值明显提高,表面粗糙度值明显降低。热循环后,丙烯酸树脂的 Trihawk 组、Trihawk + 密封剂组和未抛光组都保持了其表面粗糙度,但所有组的显微硬度都有所下降。三维打印树脂在热循环后,所有组的表面粗糙度都有所增加,显微硬度都有所降低:抛光方案会影响用于咬合装置的 3D 打印树脂和微波丙烯酸树脂的表面显微硬度和粗糙度。使用 Trihawk 抛光方案进行抛光后,两种受测树脂的表面都明显更光滑、更坚硬。
{"title":"Comparative analysis of polishing protocols on microhardness and surface roughness of occlusal device materials fabricated using microwave-polymerized acrylic or 3D printed resins.","authors":"Thiago Carvalho de Sousa, Alexia Guimarães Ramos, Fernanda Cristina Pimentel Garcia, Rodrigo Antonio de Medeiros","doi":"10.1016/j.prosdent.2024.10.010","DOIUrl":"https://doi.org/10.1016/j.prosdent.2024.10.010","url":null,"abstract":"<p><strong>Statement of problem: </strong>With advancements in digital technologies, the digital workflow has revolutionized the fabrication of occlusal devices through additive methods using 3-dimensional (3D) printing. However, an established protocol for polishing 3D printed occlusal devices is lacking, despite this step being crucial for minimizing surface porosity, material fatigue and preventing bacterial plaque accumulation, thereby contributing to device longevity.</p><p><strong>Purpose: </strong>The purpose of this in vitro study was to evaluate the impact of polishing systems on the surface roughness and Vickers microhardness of heat-polymerizing acrylic resin and 3D printing resins used for occlusal devices.</p><p><strong>Material and methods: </strong>One hundred and twenty microwaved-polymerized acrylic resin and 3D printed resin specimens (40×40×3 mm) were divided into 12 groups (n=10) based on the type of resin and polishing protocol (Sealant, DhPro, Dhpro + Sealant, Trihawk, Trihawk + Sealant, and control). Surface roughness (Ra) and Vickers microhardness were tested. Additionally, 1 specimen per group underwent scanning electron microscopy before and after thermocycling (5000 cycles, 5 ºC and 55 ºC). Data analysis involved a 2-way ANOVA, 2-way repeated measured ANOVA, and Tukey's multiple comparison test (α=.05).</p><p><strong>Results: </strong>The Trihawk polishing protocol yielded significantly higher microhardness and lower surface roughness values for both resins. After thermocycling, the acrylic resin maintained its surface roughness for the Trihawk, Trihawk + Sealant, and unpolished groups, but all groups showed decreased microhardness. The 3D printing resin exhibited increased surface roughness and reduced microhardness after thermocycling across all groups.</p><p><strong>Conclusions: </strong>The polishing protocol affects the surface microhardness and roughness of 3D printing resins and microwave acrylic resins for occlusal devices. Polishing using the Trihawk polishing protocol demonstrated significantly smoother and harder surfaces for both resins tested.</p>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142564244","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
Which clinical and laboratory procedures should be used to fabricate digital complete dentures? A systematic review 制作数字化全口义齿应采用哪些临床和实验室程序?系统综述。
IF 4.3 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.prosdent.2023.07.027
Khaing Myat Thu BDS, DipDSc, PhD , Pedro Molinero-Mourelle Dr med dent, PhD , Andy Wai Kan Yeung BDS, PhD , Samir Abou-Ayash Prof, Dr med dent , Walter Yu Hang Lam BDS, MDS(Pros), AdvDipProsth, FHKAM, FCDSHK, MFDS (RCSEd), MFDS (RCPSG), FDS (RCSEd), FDS (RCPSG), MPros RCSEd, FRACDS

Statement of problem

Digital workflows for digital complete denture fabrication have a variety of clinical and laboratory procedures, but their outcomes and associated complications are currently unknown.

Purpose

The purpose of this systematic review was to evaluate the clinical and laboratory procedures for digital complete dentures, their outcomes, and associated complications.

Material and methods

Electronic literature searches were conducted on PubMed/Medline, Embase, and Web of Science for studies published from January 2000 to September 2022 and screened by 2 independent reviewers. Information on digital complete denture procedures, materials, their outcomes, and associated complications was extracted.

Results

Of 266 screened studies, 39 studies were included. While 26 assessed definitive complete dentures, 7 studies assessed denture bases, 2 assessed trial dentures, and 4 assessed the digital images only. Twenty-four studies used border molded impression technique, 3 studies used a facebow record, and 7 studies used gothic arch tracing. Only 13 studies performed trial denture placement. Twenty-one studies used milling, and 17 studies used 3D printing for denture fabrication. One study reported that the retention of maxillary denture bases fabricated from a border-molded impression (14.5 to 16.1 N) was statistically higher than the retention of those fabricated from intraoral scanning (6.2 to 6.6 N). The maximum occlusal force of digital complete denture wearers was similar across different fabrication procedures. When compared with the conventional workflow, digital complete dentures required statistically shorter clinical time with 205 to 233 minutes saved. Up to 37.5% of participants reported loss of retention and up to 31.3% required a denture remake. In general, ≥1 extra visit and 1 to 4 unscheduled follow-up visits were needed. The outcomes for patient satisfaction and oral health-related quality of life were similar between conventional, milled, and 3D printed complete dentures.

Conclusions

Making a border-molded impression is still preferred for better retention, and trial denture placement is still recommended to optimize the fabrication of definitive digital complete dentures.
问题陈述:数字化全口义齿制作的数字化工作流程有多种临床和实验室程序,但其结果和相关并发症目前尚不清楚。目的:本系统综述的目的是评估数字化全口义齿的临床和实验室程序、其结果和相关并发症:在 PubMed/Medline、Embase 和 Web of Science 上对 2000 年 1 月至 2022 年 9 月期间发表的研究进行电子文献检索,并由两名独立审稿人进行筛选。提取了有关数字化全口义齿的程序、材料、结果和相关并发症的信息:结果:在筛选出的 266 项研究中,有 39 项被纳入。其中 26 项研究评估了最终全口义齿,7 项研究评估了义齿基托,2 项研究评估了试用义齿,4 项研究仅评估了数字图像。24 项研究使用了边模印模技术,3 项研究使用了面弓记录,7 项研究使用了哥特式牙弓描记。只有 13 项研究进行了义齿试戴。21 项研究使用了铣削技术,17 项研究使用了 3D 打印技术制作义齿。一项研究报告称,根据边界成型印模制作的上颌义齿基托的固位力(14.5 至 16.1 N)在统计学上高于根据口内扫描制作的义齿基托的固位力(6.2 至 6.6 N)。数字全口义齿佩戴者的最大咬合力在不同的制作过程中相似。与传统工作流程相比,数字化全口义齿所需的临床时间明显缩短,节省了205至233分钟。多达 37.5% 的参与者报告了固位丧失,多达 31.3% 的参与者需要重新制作义齿。一般来说,需要≥1次额外就诊和1至4次计划外复诊。在患者满意度和口腔健康相关生活质量方面,传统全口义齿、铣制全口义齿和三维打印全口义齿的结果相似:结论:为获得更好的固位效果,制作边模印模仍是首选,并且仍建议进行义齿试戴,以优化最终数字全口义齿的制作。
{"title":"Which clinical and laboratory procedures should be used to fabricate digital complete dentures? A systematic review","authors":"Khaing Myat Thu BDS, DipDSc, PhD ,&nbsp;Pedro Molinero-Mourelle Dr med dent, PhD ,&nbsp;Andy Wai Kan Yeung BDS, PhD ,&nbsp;Samir Abou-Ayash Prof, Dr med dent ,&nbsp;Walter Yu Hang Lam BDS, MDS(Pros), AdvDipProsth, FHKAM, FCDSHK, MFDS (RCSEd), MFDS (RCPSG), FDS (RCSEd), FDS (RCPSG), MPros RCSEd, FRACDS","doi":"10.1016/j.prosdent.2023.07.027","DOIUrl":"10.1016/j.prosdent.2023.07.027","url":null,"abstract":"<div><h3>Statement of problem</h3><div>Digital workflows for digital complete denture fabrication have a variety of clinical and laboratory procedures, but their outcomes and associated complications are currently unknown.</div></div><div><h3>Purpose</h3><div>The purpose of this systematic review was to evaluate the clinical and laboratory procedures for digital complete dentures, their outcomes, and associated complications.</div></div><div><h3>Material and methods</h3><div>Electronic literature searches were conducted on PubMed/Medline, Embase, and Web of Science for studies published from January 2000 to September 2022 and screened by 2 independent reviewers. Information on digital complete denture procedures, materials, their outcomes, and associated complications was extracted.</div></div><div><h3>Results</h3><div>Of 266 screened studies, 39 studies were included. While 26 assessed definitive complete dentures, 7 studies assessed denture bases, 2 assessed trial dentures, and 4 assessed the digital images only. Twenty-four studies used border molded impression technique, 3 studies used a facebow record, and 7 studies used gothic arch tracing. Only 13 studies performed trial denture placement. Twenty-one studies used milling, and 17 studies used 3D printing for denture fabrication. One study reported that the retention of maxillary denture bases fabricated from a border-molded impression (14.5 to 16.1 N) was statistically higher than the retention of those fabricated from intraoral scanning (6.2 to 6.6 N). The maximum occlusal force of digital complete denture wearers was similar across different fabrication procedures. When compared with the conventional workflow, digital complete dentures required statistically shorter clinical time with 205 to 233 minutes saved. Up to 37.5% of participants reported loss of retention and up to 31.3% required a denture remake. In general, ≥1 extra visit and 1 to 4 unscheduled follow-up visits were needed. The outcomes for patient satisfaction and oral health-related quality of life were similar between conventional, milled, and 3D printed complete dentures.</div></div><div><h3>Conclusions</h3><div>Making a border-molded impression is still preferred for better retention, and trial denture placement is still recommended to optimize the fabrication of definitive digital complete dentures.</div></div>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":"132 5","pages":"Pages 922-938"},"PeriodicalIF":4.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10246736","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
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Journal of Prosthetic Dentistry
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