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Future Prospects and Challenges in Additive Manufacturing for Complete Dentures: A Narrative Review 全口义齿增材制造的未来前景与挑战:综述
Pub Date : 2023-12-26 DOI: 10.3390/oral4010003
M. Dimitrova, Angelina Vlahova, Yavor Kalachev, Rada Kazakova, S. Capodiferro
The utilization of computer-assisted design and computer-assisted manufacturing (CAD/CAM) techniques in the creation of complete dentures (CDs) has piqued the interest of many people. This article seeks to provide a comprehensive, critical, and objective analysis of the current knowledge of CDs and related technology. The aim of this study is to assess existing literature concerning 3D-printed complete dentures, covering aspects like innovative biomaterials, manufacturing methods and processes, workflow, and clinical effectiveness. The design of the current study included an initial review of 172 titles, an appraisal of abstracts, and finally a selection of articles for rigorous textual analysis. Inconsistencies discovered throughout the selection process were amicably resolved through discourse, culminating in the identification of 65 items. The publications retrieved from a thorough search of the PubMed, Scopus, and Embase databases spanned the years 1994 to 2023. Contemporary digital technology provides evident advantages, but its successful incorporation necessitates meticulous preparation. In the realm of dental healthcare, the digital workflow showcases versatility and a range of applications.
计算机辅助设计和计算机辅助制造(CAD/CAM)技术在全口义齿(CD)制作中的应用引起了许多人的兴趣。本文旨在对目前有关全口义齿和相关技术的知识进行全面、批判和客观的分析。本研究旨在评估有关 3D 打印全口义齿的现有文献,涵盖创新生物材料、制造方法和流程、工作流程和临床效果等方面。本研究的设计包括对 172 篇标题进行初步审查,对摘要进行评估,最后选择文章进行严格的文本分析。在整个筛选过程中发现的不一致之处通过讨论得到了友好的解决,最终确定了 65 个项目。通过对 PubMed、Scopus 和 Embase 数据库的全面搜索,检索到的出版物时间跨度为 1994 年至 2023 年。当代数字技术的优势显而易见,但要成功应用数字技术,还需要精心准备。在牙科保健领域,数字化工作流程展示了其多功能性和广泛的应用范围。
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引用次数: 0
Zirconia Implants: A Mapping Review 氧化锆假体:绘图回顾
Pub Date : 2023-12-25 DOI: 10.3390/oral4010002
S. Sadowsky
The advent of zirconia ceramics with excellent mechanical, biomechanical, and optical properties has made them attractive metal-free substitutes for titanium implants. Both animal and human studies have documented shortcomings with titanium implants. A mapping review of the current literature on three iterations of zirconia implant designs has been challenging due to heterogeneous success data and limited follow-up. Zirconia implants hold promise for a new generation of dental implants, but technical developments are needed for design and material enhancements that will need to be validated by long-term rigorous studies.
氧化锆陶瓷具有出色的机械、生物力学和光学特性,其出现使氧化锆陶瓷成为钛植入物的无金属替代品,具有很大的吸引力。动物和人体研究都记录了钛植入物的缺点。由于成功数据不尽相同且随访有限,对氧化锆植入体设计的三次迭代的现有文献进行映射审查具有挑战性。氧化锆种植体有望成为新一代的牙科种植体,但在设计和材料改进方面还需要技术发展,这需要通过长期严格的研究来验证。
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引用次数: 0
The Use of Fine Arts to Enhance Visualization and Describing Skills in a First-Year Dental Anatomy Course: A Qualitative Study 在一年级口腔解剖学课程中利用美术提高视觉化和描述技能:定性研究
Pub Date : 2023-12-21 DOI: 10.3390/oral4010001
G. Siddanna, Bradley Smith, Andrea Mantesso, V. Ramaswamy, Tracy de Peralta, Elisabeta Karl
(1) Background: In this qualitative study, we investigated the implementation of an art-based observation workshop as a tool to improve visualization and interpretation skills in a cohort of first-year dental students (N = 109) in a dental anatomy course. (2) Methods: The art workshop was held once for a total of 60 min in the pre-clinical simulation laboratory, which is the regular teaching setting for the dental anatomy course. Visualization and interpretation skills were assessed before (pre-test) and after the art-based observation workshop (post-test). The pre- and post-tests contained five images that guided students to describe dental anatomy images. The pre- and post-test had different but similar images. Dental students accessed the pre- and post-tests on CANVAS and recorded their answers. After that, the audio recording files were analyzed and compared to determine the frequency of use of dental anatomy-specific nomenclature while answering the pre- and post-test. (3) Results: Our results demonstrate that students used dental anatomy-specific nomenclature more frequently after the intervention. (4) Conclusions: we have concluded that students’ use of dental anatomy nomenclature in the first-year dental anatomy curriculum is enhanced following an art-based intervention in a regular dental simulation laboratory.
(1)背景:在这项定性研究中,我们调查了以艺术为基础的观察工作坊的实施情况,该工作坊是在口腔解剖学课程中提高口腔医学一年级学生(109人)的视觉化和解释技能的一种工具。(2)方法:艺术工作坊在临床前模拟实验室举行一次,共 60 分钟,该实验室是牙科解剖课程的常规教学场所。在以艺术为基础的观察工作坊之前(前测)和之后(后测),对视觉和解释技能进行了评估。前测和后测包含五张图片,引导学生描述牙科解剖图片。前测和后测的图像不同但相似。牙科学生在 CANVAS 上进行前测和后测,并记录他们的答案。之后,对录音文件进行分析和比较,以确定学生在回答前测和后测时使用牙科解剖专用术语的频率。(3) 结果:我们的结果表明,干预后学生使用口腔解剖学专用术语的频率提高了。(4)结论:我们得出结论,在常规口腔模拟实验室中进行基于艺术的干预后,学生在一年级口腔解剖学课程中对口腔解剖学术语的使用得到了提高。
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引用次数: 0
Idiopathic Mandibular Osteosclerosis: A Case of Complex Diagnosis 特发性下颌骨硬化症:一个诊断复杂的病例
Pub Date : 2023-12-11 DOI: 10.3390/oral3040046
Alexandre Perez, Avigaïl Mamane, Tommaso Lombardi
The purpose of this study is to report a case of idiopathic osteosclerosis of the mandible and to discuss the differential diagnosis of this lesion. A 17-year-old female was referred to the University Hospital of Geneva by her orthodontist following the fortuitous finding of a radio-opaque lesion in the right posterior mandible at the apex of tooth 44. Intraoral clinical examination revealed no abnormalities of the oral mucosa. Tooth 44 was asymptomatic and reacted positively to the sensitivity test. The orthopantomogram revealed a well-defined unilocular radiodense lesion, surrounded by a thin radiolucent border, measuring 10 × 33 mm, located in the IV quadrant, related to the apex of tooth 44. Differential diagnoses mainly included cementoblastoma, focal cemento-osseous dysplasia, ossifying fibroma, condensing osteitis and idiopathic osteosclerosis. The biopsy material allowed a diagnosis of idiopathic osteosclerosis. The proposed treatment was therefore a “wait and see” approach. After 2 years of follow-up, the patient was asymptomatic, and healing was complete without any neurosensory complications. Our case underlines the differential diagnosis complexity of radio-opaque lesions associated with teeth.
本研究旨在报告一例下颌骨特发性骨硬化症病例,并讨论该病变的鉴别诊断。一名 17 岁的女性在右侧下颌骨后部第 44 号牙齿顶点处偶然发现放射性不透明病变,随后由其正畸医生转诊至日内瓦大学医院。口腔内临床检查未发现口腔粘膜异常。第 44 号牙齿无症状,对灵敏度测试呈阳性反应。口腔正侧位图显示,位于第 IV象限,与第 44颗牙齿的顶点有关,有一个轮廓清晰的单眼放射状病变,周围有一圈薄薄的放射状边界,大小为 10 × 33 毫米。鉴别诊断主要包括骨水泥母细胞瘤、局灶性骨水泥骨发育不良、骨化性纤维瘤、冷凝性骨炎和特发性骨硬化症。活检材料可诊断为特发性骨硬化症。因此,建议采取 "静观其变 "的治疗方法。经过两年的随访,患者已无症状,伤口完全愈合,未出现任何神经感觉并发症。我们的病例强调了与牙齿相关的放射性不透明病变的鉴别诊断复杂性。
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引用次数: 0
Skeletal Anchorage in Treating Skeletal Class II Malocclusion in Growing Patients Using the Herbst Appliance 使用 Herbst矫治器治疗成长期患者的骨骼Ⅱ类错颌畸形时的骨骼锚固问题
Pub Date : 2023-11-27 DOI: 10.3390/oral3040044
Antonio Manni, Stefano Pera, Giorgio Gastaldi, Andrea Boggio, Mauro Cozzani
Skeletal Class II is a common malocclusion affecting the Caucasian population and characterized, in most cases, by a convex profile and mandibular retrusion. Therefore, the treatment plan often requires the use of functional appliances to promote mandibular advancement. In particular, the Herbst appliance is recommended because of its efficiency and minimal need for compliance. However, in addition to skeletal favorable effects, undesired dental compensations could prematurely reduce the overjet needed for a proper orthopedic outcome. The combination of this appliance with skeletal anchorage and elastic ligatures in the lower or both, in the upper and the lower arch, enables effective control of unfavorable tooth movements, improving the therapeutic potential of such a treatment. These improvements have significantly shifted the main focus on facial aesthetics rather than dental occlusion, with the creation of innovative treatment protocols and a new diagnostic approach to Class II malocclusion.
骨骼Ⅱ类是影响白种人的一种常见错颌畸形,大多数情况下,其特征是轮廓外凸和下颌后缩。因此,治疗方案通常需要使用功能性矫治器来促进下颌前突。特别推荐使用赫氏矫治器,因为它效率高,对依从性的要求最低。然而,除了对骨骼有利的效果外,不希望出现的牙齿代偿也会过早地减少矫形所需的上颌前突。将这种矫治器与下牙弓或上牙弓和下牙弓的骨骼固定器和弹性结扎器结合使用,可以有效控制不利的牙齿移动,提高这种治疗方法的治疗潜力。这些改进极大地改变了人们对面部美学而非牙齿咬合的关注,创造出了创新的治疗方案和 II 类错牙合畸形的新诊断方法。
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引用次数: 0
Role of Glutathione in Neutrophil Chemotaxis in Periodontitis 谷胱甘肽在牙周炎中性粒细胞趋化中的作用
Pub Date : 2023-11-23 DOI: 10.3390/oral3040043
Nurul Iman Binti Badlishah Sham, Melissa M. Grant
Periodontitis is a common non-communicable inflammatory disease that leads to the destruction of periodontal tissues and tooth loss. Initiated by the plaque biofilm, there is a strong innate immune response with an abundance of neutrophils in the periodontium of affected individuals. Previous reports have shown that the intracellular concentration of glutathione in peripheral blood neutrophils from periodontitis patients and the chemotactic ability of these cells are compromised. Furthermore, other studies have described that in oxidative stress conditions neutrophil chemotaxis is aberrant and causes the glutathionylation of F-actin, a key player in chemotaxis. In this study, the effects of glutathione-modulating compounds were assessed in neutrophils isolated from healthy donors, showing that the perturbation of glutathione homeostasis decreases the chemotaxis of neutrophils. Following this, the intracellular glutathione status and chemotactic ability of neutrophils isolated from periodontitis patients was compared to that of age- and sex-matched controls. A decrease in glutathione and chemotactic ability were confirmed. Finally, the proteome of these neutrophils was explored, demonstrating a change in the abundance of proteins involved in glutathione homeostasis. Together these data suggest that peripheral blood neutrophils from periodontitis patients are compromised in their ability to cope with oxidative stress and move.
牙周炎是一种常见的非传染性炎症疾病,会导致牙周组织破坏和牙齿脱落。牙周炎由牙菌斑生物膜引发,患者牙周存在大量中性粒细胞,从而产生强烈的先天性免疫反应。以前的报告显示,牙周炎患者外周血中性粒细胞中谷胱甘肽的细胞内浓度以及这些细胞的趋化能力都受到了影响。此外,其他研究也表明,在氧化应激条件下,中性粒细胞趋化性会发生异常,并导致趋化性的关键因素--F-肌动蛋白发生谷胱甘肽化。本研究评估了谷胱甘肽调节化合物对从健康供体中分离的中性粒细胞的影响,结果表明,谷胱甘肽平衡的扰动会降低中性粒细胞的趋化性。随后,将从牙周炎患者体内分离出的中性粒细胞的细胞内谷胱甘肽状态和趋化能力与年龄和性别匹配的对照组进行了比较。结果证实了谷胱甘肽和趋化能力的下降。最后,对这些中性粒细胞的蛋白质组进行了研究,结果表明参与谷胱甘肽平衡的蛋白质丰度发生了变化。这些数据共同表明,牙周炎患者外周血中性粒细胞应对氧化应激和移动的能力受到了损害。
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引用次数: 0
Dental Age Estimation Methods Tested in a Sample of the Pakistani Population: Cross-Sectional Study 在巴基斯坦人口样本中测试牙龄估计方法:横断面研究
Pub Date : 2023-11-20 DOI: 10.3390/oral3040042
Amber Khan, S. Mânica, Ademir Franco
Forensic dentistry is still an emerging field in Pakistan. The lack of scientific literature on the topic may lead to difficulties in situations where age estimation has a significant part such as in criminal and civil litigation. In mass disasters such as earthquakes and accidents, the correct investigation of the chronological age can be less troublesome if population-specific evidence is available. This is the rationale that justifies dedicated dental age estimation studies. This cross-sectional study aimed to test the time efficiency, validity and applicability of four dental age estimation methods: two invasive (Bang and Ramm and Lamendin) and two non-invasive (Kvaal and Cameriere) in an adult Pakistani population. A total of 37 teeth collected from a dental hospital in Islamabad, Pakistan, were used. Teeth included the central and lateral incisors, canines, and first and second premolars of males and females. Results were calculated using a Microsoft Office 2007 excel spreadsheet. Overall, Kvaal’s method mean absolute error between chronological and estimated ages (MAE: 12.33) showed the highest variation and Bang and Ramm showed more accurate results in comparison with other methods (MAE: 4.80). It was both time-efficient and practical to use. It can be stated that these were preliminary cross-sectional outcomes and that studies with larger samples are necessary.
在巴基斯坦,法医牙科仍是一个新兴领域。由于缺乏相关的科学文献,在刑事和民事诉讼等对年龄估计有重要影响的情况下,可能会遇到困难。在地震和事故等大规模灾害中,如果有特定人群的证据,对年代年龄的正确调查就不会那么麻烦。这就是专门进行牙科年龄估计研究的理由。这项横断面研究旨在测试四种牙科年龄估计方法的时间效率、有效性和适用性:两种侵入性方法(Bang 和 Ramm 以及 Lamendin)和两种非侵入性方法(Kvaal 和 Cameriere)。我们使用了从巴基斯坦伊斯兰堡一家牙科医院收集的 37 颗牙齿。牙齿包括男性和女性的中切牙、侧切牙、犬齿、第一和第二前臼齿。结果使用 Microsoft Office 2007 excel 电子表格进行计算。总体而言,Kvaal 法的年代年龄与估计年龄之间的平均绝对误差(MAE:12.33)显示出最大的差异,而 Bang 和 Ramm 法与其他方法相比显示出更精确的结果(MAE:4.80)。这种方法既省时又实用。可以说,这些只是初步的横断面结果,有必要对更大的样本进行研究。
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引用次数: 0
Improving Patient Experience through Meaningful Engagement: The Oral Health Patient’s Journey 通过有意义的参与改善患者体验:口腔健康患者的旅程
Pub Date : 2023-11-08 DOI: 10.3390/oral3040041
Shamiso Chakaipa, Sarah J. Prior, Sue Pearson, Pieter J. van Dam
Healthcare organisations around the world have embraced the valuable role that patient experience plays in the improvement of health care delivery. Engaging with patients is a vital component of understanding how to deliver safe, high-quality, respectful health care that is person-centred and efficient. In oral health services, patient experience is historically predominantly reported as challenging, which is most commonly associated with past traumatic experience with poor oral health treatment. Additionally, the high out-of-pocket costs associated with oral health treatment can mean that people disengage with these services, thereby worsening their oral health conditions. Consequently, oral health has an enormous task to reduce the negative perceptions and experiences. This demands innovative and subtle ways to navigate and address patient and service challenges. Exploring and acknowledging the myriad of historical challenges that exist for oral health patients and utilising these experiences to support change will ensure person-centred improvements are designed and implemented. Therefore, this perspective paper defines patient experience and proposes how oral health patient experience can be improved using the concept of meaningful engagement with a focus on the Australian context. We identified two important concepts that impact oral health patient experience and explored how these concepts may play a role in improving oral health services through improved patient experience. The first concept is person, patient, and user which focusses on general patient experience journey in a general health care setting. The second concept is preservice, current service, and post service which relates to an oral health patient’s experience journey in an oral health service setting. Our findings suggest that the practitioner–patient relationship and use of technology are central to patient engagement to improve patient experience.
世界各地的医疗保健组织都接受了患者体验在改善医疗保健服务中发挥的宝贵作用。与患者接触是了解如何提供安全、高质量、尊重他人、以人为本和高效的卫生保健的重要组成部分。在口腔卫生服务方面,历来报告的患者经历主要是具有挑战性的,这最常与过去口腔卫生治疗不良的创伤经历有关。此外,与口腔健康治疗相关的高额自付费用可能意味着人们脱离这些服务,从而使他们的口腔健康状况恶化。因此,口腔卫生有一个巨大的任务,以减少负面的看法和经验。这需要创新和微妙的方式来引导和解决病人和服务方面的挑战。探索和承认口腔健康患者存在的无数历史挑战,并利用这些经验来支持变革,将确保设计和实施以人为本的改进。因此,这篇观点论文定义了患者体验,并提出了如何使用有意义的参与概念来改善口腔健康患者体验,重点关注澳大利亚的情况。我们确定了影响口腔健康患者体验的两个重要概念,并探讨了这些概念如何通过改善患者体验来改善口腔健康服务。第一个概念是“人、患者和用户”,关注的是一般医疗保健环境中的一般患者体验旅程。第二个概念是服务前、当前服务和服务后,这与口腔健康患者在口腔健康服务环境中的体验旅程有关。我们的研究结果表明,医患关系和技术的使用是患者参与改善患者体验的核心。
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引用次数: 0
Effects of Ceramic Translucency and Thickness on Polymerization of a Photosensitive Resin Cement 陶瓷半透明性和厚度对光敏树脂水泥聚合的影响
Pub Date : 2023-10-30 DOI: 10.3390/oral3040040
Abdullah Barazanchi, Jaafar Abduo, Yvonne Min-Joo Lee, Min-Suk Lee, Kai Chun Li
We investigated the effects of lithium disilicate ceramic thickness and translucency on the degree of polymerization of light-cured resin cement using the measure of hardness. Lithium disilicate specimens of three translucencies (low, medium and high) were prepared to four thicknesses (0.5, 1.0, 2.0 and 3.0 mm). A light-cured resin cement was cured through each of the ceramic specimens using a handheld curing light for 50 s. A 3D printed jig was used to achieve a uniform thickness of the resin cement. Directly cured resin cement was used as the control. Hardness was measured using nano-indentation to determine the degree of polymerization of the resin cement. Two-way ANOVA and Tukey post hoc tests were used to evaluate interaction between translucency and thickness. Hardness values from control specimens were assessed using the two-tailed t-test with the Bonferroni approach. The translucency of the specimens significantly influenced the hardness (p < 0.001), where a negative linear relationship between cement hardness and ceramic thickness was present for low translucency and high translucency. However, at a 0.5 mm thickness, all specimens showed similar hardness regardless of the translucency. The translucency of ceramics affected the hardness, and hence polymerization, of light-cure resin cement. However, the effect of increased thickness was a more significant factor.
采用硬度测量法研究了二硅酸锂陶瓷厚度和半透明度对光固化树脂水泥聚合度的影响。制备低、中、高三种透明度的二硅酸锂样品,分别制备0.5、1.0、2.0、3.0 mm四种厚度。光固化树脂水泥通过每个陶瓷样品使用手持式固化光固化50 s。使用3D打印夹具来实现树脂水泥的均匀厚度。以直接固化树脂水泥为对照。采用纳米压痕法测定硬度,以确定树脂水泥的聚合程度。采用双向方差分析和Tukey事后检验来评价透明度和厚度之间的相互作用。对照标本的硬度值采用Bonferroni方法进行双尾t检验。试样的半透明性显著影响硬度(p <0.001),在低半透明和高半透明情况下,水泥硬度和陶瓷厚度之间存在负线性关系。然而,在0.5 mm的厚度下,无论透明度如何,所有样品的硬度都相似。陶瓷的半透明性影响光固化树脂水泥的硬度,从而影响聚合。然而,厚度增加的影响是一个更显著的因素。
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引用次数: 0
Good Oral Health Can Prevent or Reduce the Severity of Oral Toxicities in Cancer Therapies 良好的口腔健康可以预防或减轻癌症治疗中口腔毒性的严重程度
Pub Date : 2023-10-12 DOI: 10.3390/oral3040039
Ourania Nicolatou-Galitis
The mouth is an important target of cancer therapies, while oral supportive oncology has emerged as a new field in dentistry [...]
口腔是癌症治疗的重要靶点,而口腔支持肿瘤学已成为牙科的一个新领域[…]
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引用次数: 0
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