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Influence of digital crown design software on morphology, occlusal characteristics, fracture force and marginal fit 数字冠设计软件对形态、咬合特性、断裂力和边缘配合的影响。
IF 6.3 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2026-01-01 Epub Date: 2025-09-13 DOI: 10.1016/j.dental.2025.09.003
Alexander Broll , Sebastian Hahnel , Markus Goldhacker , Jakob Rossel , Michael Schmidt , Martin Rosentritt

Objectives

The study evaluated the influence of digital design software on crown morphology, occlusal characteristics, fracture force, and marginal fit across varying preparation designs for an identical target tooth.

Methods

A resin-based tooth (tooth 36) was digitized, manufactured (n=8), individually prepared and re-digitized. Five design groups were established using conventional software proposals, technician designs, two AI-based software solutions, and natural tooth-based reference designs. All systems employed consistent parameters. Crown designs were digitally assessed using quantitative morphological and occlusal metrics in reference to the original tooth. Crowns were milled, marginal fit was measured via digital microscopy, and fracture resistance was determined after thermal cycling and mechanical loading.

Results

Morphological metrics revealed statistically significant deviations across groups, with the technician design achieving the best performance. Occlusal metrics showed high deviations in the positional accuracy of the contact points across all groups. Technician and AI-based designs exhibited comparable functional results. None of the design groups were able to achieve contact with all relevant antagonist teeth, due to high deviations in the mesiolingual cusp. Conventional software designs exhibited the lowest fracture forces. Significant improvements were achieved through technician intervention. Vertical marginal discrepancies remained comparable across groups.

Significance

Improved functional and morphological design combined with high fracture resistance can reduce the need for clinical adjustments, minimize wear, and enhance crown longevity. Digital design software significantly influences crown morphology, occlusal characteristics and fracture forces. Vertical marginal discrepancies remain similar. AI-driven approaches demonstrate comparability with technician designs in terms of fracture forces, functional performance, and marginal fit.
目的:本研究评估了数字设计软件对同一颗目标牙齿不同预备设计的冠形态、咬合特征、断裂力和边缘配合的影响。方法:对树脂基牙(36号牙)进行数字化、制作(8颗)、单独制备和再数字化。采用常规软件方案、技术人员设计、两种基于人工智能的软件方案和基于天然牙齿的参考设计建立了5个设计组。所有系统采用一致的参数。根据原始牙齿的定量形态学和咬合指标对冠设计进行数字化评估。铣削冠,通过数码显微镜测量边缘配合,并在热循环和机械加载后测定抗断裂能力。结果:形态学指标显示组间差异有统计学意义,技师设计达到最佳性能。咬合指标显示,在所有组的接触点的位置精度高偏差。技师和基于人工智能的设计显示出类似的功能结果。由于中舌尖的高度偏差,没有一个设计组能够与所有相关的拮抗剂牙齿接触。传统的软件设计显示出最低的破裂力。通过技术人员的干预,取得了显著的改善。垂直边际差异在各组间保持可比性。意义:改良的功能和形态设计结合高抗骨折性可以减少临床调整的需要,最大限度地减少磨损,延长冠的使用寿命。数字设计软件显著影响冠形态、咬合特性和断裂力。垂直边际差异保持相似。人工智能驱动的方法在压裂力、功能性能和边际拟合方面与技术设计具有可比性。
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引用次数: 0
Gas diffusion-mediated single-sided in situ gradient mineralized silk fibroin membrane for enhanced guided bone regeneration 气体扩散介导的单面原位梯度矿化丝素膜促进骨再生。
IF 6.3 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2026-01-01 Epub Date: 2025-09-26 DOI: 10.1016/j.dental.2025.09.017
Zhao Li , Ying Kong , Qun Zhang , Jing Han , Kezheng Chen , Baojin Ma
Traditional guided bone regeneration (GBR) membranes face challenges in balancing mechanical strength, bioactivity, and osteoconductivity for effective periodontal bone regeneration. While collagen-based GBR membranes dominate clinical use, the weak mechanical properties and lack of osteoinductive capacity limit regeneration efficacy. Here, we presented a gas diffusion-mediated single-sided mineralization strategy to fabricate silk fibroin (SF)-based GBR membranes with dual barrier/osteoinductive functions. SF was dissolved in formic acid with Ca2 + and, optionally, other bioactive metal ions (BMIs, such as Sr2+, Cu2+, or Mg2+), and a colloid was formed after the evaporation of formic acid. Followed by gradient mineralization under CO2/NH3 atmosphere and β-sheet induction via ethanol treatment, SF-Ca/X (X refers to other BMIs) membranes were prepared. Mineralized SF membranes featured a dense, mineral-free side for mechanical support and barrier, and an osteoinductive side by releasing BMIs. Interestingly, the calcium phosphate layer formed on the mineralized side, and the phase of CaCO3 changed from calcite to vaterite, which helps phosphate mineralization. In vitro results demonstrated that the SF-Ca/Sr membrane enhanced osteogenic differentiation by upregulating BMP2/SMAD1 expression. In a rat mandibular defect model, the SF-Ca/Sr membrane significantly promotes new bone regeneration and collagen formation. Overall, this gas diffusion-mediated single-sided gradient mineralization approach integrates barrier properties with localized bioactivity, allowing for the required barrier/osteoinduction functions in the GBR process in one membrane.
传统的引导骨再生(GBR)膜在平衡机械强度、生物活性和骨导电性方面面临挑战。虽然胶原基GBR膜在临床应用中占主导地位,但其力学性能弱,缺乏骨诱导能力,限制了其再生效果。在这里,我们提出了一种气体扩散介导的单侧矿化策略来制造具有双重屏障/骨诱导功能的丝素(SF)基GBR膜。SF与Ca2 +以及可选的其他生物活性金属离子(bmi,如Sr2+, Cu2+或Mg2+)一起溶解在甲酸中,甲酸蒸发后形成胶体。然后在CO2/NH3气氛下梯度矿化,乙醇诱导β-薄片,制备了SF-Ca/X (X为其他bmi)膜。矿化的SF膜具有致密、无矿物质的一面,用于机械支持和屏障,以及通过释放bmi来诱导骨。有趣的是,矿化侧形成磷酸钙层,CaCO3相由方解石变为水晶石,有利于磷矿化。体外实验结果表明,SF-Ca/Sr膜通过上调BMP2/SMAD1的表达来促进成骨分化。在大鼠下颌缺损模型中,SF-Ca/Sr膜显著促进新骨再生和胶原形成。总的来说,这种气体扩散介导的单面梯度矿化方法结合了屏障特性和局部生物活性,允许在一个膜中实现GBR过程中所需的屏障/骨诱导功能。
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引用次数: 0
The effect of food-simulating liquids on the mechanical properties of lithium aluminosilicate glass-ceramics 食物模拟液体对铝硅酸盐锂微晶玻璃力学性能的影响。
IF 6.3 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2026-01-01 Epub Date: 2025-09-27 DOI: 10.1016/j.dental.2025.09.015
Hanan Al-Johani , Ashraf Al-Amoudi , Adolfo Di Fiore , Yu Zhang

Objectives

To evaluate the impact of simulated aging with food-simulating liquids (FSLs) on the Martens hardness, indentation depth, flexural strength, and reliability of lithium aluminosilicate glass-ceramics.

Methods

Sixty square plates (12 ×12 ×1.5 mm) were prepared from a machinable fully crystallized lithium aluminosilicate glass-ceramic (Cerec Tessera, CT), then randomly allotted to four FSL groups: artificial saliva (CT-AS), citric acid (CT-CA), ethanol (CT-ET), or heptane (CT-HP). Martens hardness (HM) and indentation depth (ID) data were obtained using a hardness tester. Biaxial flexural strength (σ) was determined using the ball-on-three-balls apparatus in a universal testing machine. Weibull analysis was used to determine the characteristic strength (σ0) and reliability (m̂U). Data for HM and σ were analysed by one-way ANOVA, Tukey’s HSD, and Pearson correlations (α = 0.05).

Results

FSL type had a significant effect on HM (p < 0.001, ηp2 = 0.889), ID (p < 0.001, ηp2 = 0.879), and σ (p < 0.001, ηp2 = 0.623). Minimal differences were observed between the effects of artificial saliva and heptane on HM (p = 0.914), whereas citric acid (p < 0.001) and ethanol (p = 0.001) showed significantly different effects. The highest σ0 and m̂U values were found in CT-AS (σ0 = 319.26 MPa, m̂U = 10.79), while the lowest were observed in CT-CA. A positive correlation was confirmed between HM and σ (p < 0.001, r = 0.731).

Significance

Fully crystallized machinable lithium aluminosilicates exhibited adequate hardness and flexural strength after accelerated aging in artificial saliva; conversely, prolonged exposure to acidic FSLs jeopardized their mechanical properties.
目的:评价食品模拟液(FSLs)模拟老化对铝硅酸锂微晶玻璃的马氏硬度、压痕深度、抗弯强度和可靠性的影响。方法:用可切削的全结晶铝硅酸盐锂玻璃陶瓷(Cerec Tessera, CT)制备60块方形板(12 ×12 ×1.5 mm),然后随机分为4个FSL组:人工唾液(CT- as)、柠檬酸(CT- ca)、乙醇(CT- et)和正丁烷(CT- hp)。使用硬度计获得马氏硬度(HM)和压痕深度(ID)数据。双轴抗折强度(σ)是在万能试验机上用球对三球仪测定的。采用威布尔分析确定了特征强度(σ0)和可靠度(m × U)。HM和σ数据采用单因素方差分析、Tukey’s HSD和Pearson相关分析(α = 0.05)。结果:FSL类型对HM (p p2 = 0.889)、ID (p p2 = 0.879)、σ (p p2 = 0.623)有显著影响。人工唾液和庚烷对HM的影响差异最小(p = 0.914),而柠檬酸对CT-AS的影响差异最小(p 0和m³U值)(σ0 = 319.26 MPa, m³U = 10.79),对CT-CA的影响最小。HM与σ (p )呈正相关。意义在于:在人工唾液中加速老化后,完全结晶的可切削铝酸锂具有足够的硬度和抗弯强度,相反,长时间暴露于酸性铝酸锂中会损害其力学性能。
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引用次数: 0
Topological features of lithium disilicate glass-ceramics uncovered through materials informatics 材料信息学揭示的二硅酸锂微晶玻璃的拓扑特征。
IF 6.3 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2026-01-01 Epub Date: 2025-09-12 DOI: 10.1016/j.dental.2025.09.004
Satoshi Yamaguchi , Hefei Li , Naoya Funayama , Tomoki Kohno , Satoshi Imazato

Objective

The aim of this study was to inversely predict the topological features underlying SEM images from arbitrary biaxial flexural strengths of glass-ceramics by Materials Informatics (MI) approach.

Methods

The scanning electron microscopic (SEM) image and in vitro biaxial flexural strength of 10 commercially available/experimental glass-ceramics were collected. The total of 200 SEM images were prepared as input data. Topological features underlying the SEM images were extracted using persistent homology analysis and compressed using principal component analysis. Gaussian mixture regression was employed to develop a machine learning model for predicting biaxial flexural strength based on the topological features. Arbitrary biaxial flexural strengths (390, 411, 442, 478, 515, 564, 597, 610, and 640 MPa) were defined, and an inverse analysis was conducted with the constructed machine learning model to overlay topological features onto SEM images.

Results

The topological features were compressed into 18 principal components. The machine learning model was selected and optimized based on the Bayesian Information Criterion. Using the constructed machine learning model, the biaxial flexural strengths were predicted with a test score of 72 % (Root Mean Squared Error: 53.5, Mean Absolute Error: 40.3). From the arbitrary biaxial flexural strengths, topological features were inversely predicted and overlaid onto SEM images.

Conclusion

The inverse analysis established in this study successfully predicted the topological features on SEM images of glass-ceramics from the biaxial flexural strengths. The MI approach with the inverse analysis promises to make the process to develop glassceramics more time-efficient than the conventional in vitro approach
目的:本研究的目的是利用材料信息学(MI)方法从任意双轴弯曲强度的微晶玻璃的SEM图像中反向预测拓扑特征。方法:收集10种市售/实验微晶玻璃的扫描电镜(SEM)图像和体外双轴抗折强度。总共准备了200张SEM图像作为输入数据。利用持续同源性分析提取SEM图像的拓扑特征,并利用主成分分析对其进行压缩。采用高斯混合回归建立了基于拓扑特征的双轴弯曲强度预测机器学习模型。定义任意双轴抗折强度(390、411、442、478、515、564、597、610和640 MPa),并利用构建的机器学习模型进行逆分析,将拓扑特征叠加到SEM图像上。结果:拓扑特征被压缩为18个主成分。基于贝叶斯信息准则选择并优化机器学习模型。使用构建的机器学习模型,预测双轴抗折强度,测试分数为72 %(均方根误差:53.5,平均绝对误差:40.3)。从任意双轴弯曲强度,拓扑特征被反向预测和覆盖到扫描电镜图像。结论:本研究建立的逆分析方法成功地从双轴抗折强度预测了微晶玻璃SEM图像的拓扑特征。具有逆分析的MI方法有望使开发玻璃陶瓷的过程比传统的体外方法更省时。
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引用次数: 0
Impact of ceria-yttria pigmentation on the mechanical performance and esthetics of zirconia dental restorations 氧化锆-氧化钇色素沉积对氧化锆牙体修复体力学性能和美观的影响。
IF 6.3 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2026-01-01 Epub Date: 2025-10-06 DOI: 10.1016/j.dental.2025.09.014
Sivaranjani Gali , Akshay Arjun , Suhasini Gururaja

Background

An optimum combination of esthetics and mechanical properties is expected of all-ceramic restorations. Consequently, various pigmentation techniques of zirconia have been recommended to enhance the aesthetic results without compromising their long-term survival.

Methodology

Infiltrate solutions of ceria-yttria were prepared by mixing their precursors in various concentrations. Pre-sintered zirconia samples were soaked in the infiltrate solutions and sintered according to the manufacturer’s instructions. Phase analysis, microstructure using scanning electron microscopy, flexural strength, fatigue, CIE Lab, translucency parameter, surface roughness, and aging resistance of infiltrated zirconia were evaluated.

Results

Phase analysis confirmed the presence of the tetragonal phase of zirconia, and the microstructure revealed increased grain size. The flexural strength of infiltrated zirconia ranged from 248 MPa to 512 MPa, and the fatigue limit was lower than control zirconia with reduced surface roughness. The monoclinic content before and after aging was not detectable in the infiltrated samples. The CIE Lab values of the infiltrated samples showed a trend of decreasing lightness, accompanied by higher delta E values, with minimal change in translucency.

Conclusions

Ceria-yttria infiltrated zirconia exhibited reasonable flexural strength and fatigue performance, with improved aging resistance, and color suitable for anterior and low-stress-bearing monolithic restorations.
背景:美学和机械性能的最佳组合被期望全陶瓷修复。因此,各种氧化锆着色技术已被推荐,以提高美观的结果,而不影响其长期生存。方法:用不同浓度的前驱体混合制备铈钇的浸润溶液。预烧结的氧化锆样品浸泡在渗透溶液中,并按照制造商的说明进行烧结。对渗透氧化锆的物相分析、扫描电镜显微结构、抗弯强度、疲劳强度、CIE Lab、半透明参数、表面粗糙度和抗老化性能进行了评价。结果:相分析证实了氧化锆的四方相存在,显微组织显示晶粒尺寸增大。浸渍氧化锆的抗折强度在248 ~ 512 MPa之间,疲劳极限低于对照氧化锆,表面粗糙度降低。浸渍样品在时效前后均未检测到单斜晶含量。浸渍样品的CIE Lab值显示出亮度下降的趋势,同时δ E值升高,半透明变化最小。结论:氧化铈-氧化钇浸润氧化锆具有合理的抗弯强度和疲劳性能,具有较好的抗老化性能,颜色适合于前路和低应力单体修复。
{"title":"Impact of ceria-yttria pigmentation on the mechanical performance and esthetics of zirconia dental restorations","authors":"Sivaranjani Gali ,&nbsp;Akshay Arjun ,&nbsp;Suhasini Gururaja","doi":"10.1016/j.dental.2025.09.014","DOIUrl":"10.1016/j.dental.2025.09.014","url":null,"abstract":"<div><h3>Background</h3><div>An optimum combination of esthetics and mechanical properties is expected of all-ceramic restorations. Consequently, various pigmentation techniques of zirconia have been recommended to enhance the aesthetic results without compromising their long-term survival<strong>.</strong></div></div><div><h3>Methodology</h3><div>Infiltrate solutions of ceria-yttria were prepared by mixing their precursors in various concentrations. Pre-sintered zirconia samples were soaked in the infiltrate solutions and sintered according to the manufacturer’s instructions. Phase analysis, microstructure using scanning electron microscopy, flexural strength, fatigue, CIE Lab, translucency parameter, surface roughness, and aging resistance of infiltrated zirconia were evaluated.</div></div><div><h3>Results</h3><div>Phase analysis confirmed the presence of the tetragonal phase of zirconia, and the microstructure revealed increased grain size. The flexural strength of infiltrated zirconia ranged from 248 MPa to 512 MPa, and the fatigue limit was lower than control zirconia with reduced surface roughness. The monoclinic content before and after aging was not detectable in the infiltrated samples. The CIE Lab values of the infiltrated samples showed a trend of decreasing lightness, accompanied by higher delta E values, with minimal change in translucency.</div></div><div><h3>Conclusions</h3><div>Ceria-yttria infiltrated zirconia exhibited reasonable flexural strength and fatigue performance, with improved aging resistance, and color suitable for anterior and low-stress-bearing monolithic restorations.</div></div>","PeriodicalId":298,"journal":{"name":"Dental Materials","volume":"42 1","pages":"Pages 145-156"},"PeriodicalIF":6.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145243349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
LSTM-based prediction of wear in 3D-printed restorative materials under various methods 基于lstm的3d打印修复材料磨损预测方法
IF 6.3 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2026-01-01 Epub Date: 2025-09-24 DOI: 10.1016/j.dental.2025.09.012
Anastasiia Grymak , Alexander Hui Xiang Yang , Kai Chun Li , Sunyoung Ma

Objectives

This study aimed to develop and validate a machine learning-based predictive model for forecasting wear loss in additively manufactured (AM) dental resin materials using Long Short-Term Memory (LSTM) recurrent neural networks.

Materials and Methods

Wear data were collected from three wear testing methods: Ball-on-Disc (BoD), Block-on-Ring (BoR), and Reciprocation (Recip), using three different AM resin materials under varying loads (49 N, 70 N) and surface treatments (polished, glazed). The LSTM model was trained on standardized time-series wear data using both Leave-One-Material-Out (LOMO) and Leave-One-Group-Out (LOGO) cross-validation strategies. Prediction windows were assessed at 10 %, 20 %, and 30 % of total wear sequences, simulating early-stage prediction of long-term wear progression. Model performance was evaluated using RMSE (Root-Mean-Square Error), MSE (Mean-Square Error), and MAE (Mean-Average Error).

Results

The autoregressive LSTM forecasting approach accurately predicted wear progression across all testing methods, with prediction accuracies ranging between 82 % and 97 % depending on method and dataset, the models explaining approximately 82–97 % of the wear variability (depending on method and dataset). Predictions initiated at 10 % showed high cross-validation accuracy, while test set generalization improved when prediction started at 30 %. Optimal model performance was achieved using a 50-point input window and step size. The model demonstrated robustness in handling the inherent variability of experimental wear data across multiple AM materials and test conditions.

Significance

This study demonstrates the feasibility of applying LSTM models for early and accurate prediction of wear progression in AM dental materials, offering potential for reducing physical testing duration and enhancing data-driven material evaluation frameworks for clinical applications.
目的:本研究旨在开发并验证基于机器学习的预测模型,该模型使用长短期记忆(LSTM)递归神经网络预测增材制造(AM)牙科树脂材料的磨损。材料和方法:使用三种不同的AM树脂材料,在不同的载荷(49 N, 70 N)和表面处理(抛光,上釉)下,通过三种磨损测试方法:球对盘(BoD),块对环(BoR)和往复(Recip)收集磨损数据。LSTM模型在标准化的时间序列磨损数据上进行训练,使用丢下一种材料(LOMO)和丢下一种组(LOGO)交叉验证策略。预测窗口分别为总磨损序列的10 %、20 %和30 %,模拟长期磨损进程的早期预测。采用均方根误差(RMSE)、均方误差(MSE)和平均误差(MAE)对模型性能进行评估。结果:自回归LSTM预测方法准确地预测了所有测试方法的磨损进展,根据方法和数据集的不同,预测精度在82 %和97 %之间,模型解释了大约82-97 %的磨损变异性(取决于方法和数据集)。以10 %开始的预测显示出较高的交叉验证准确性,而当预测以30 %开始时,测试集泛化得到改善。使用50点输入窗口和步长实现了最佳模型性能。该模型在处理多种增材制造材料和测试条件下实验磨损数据的固有变异性方面表现出鲁棒性。意义:本研究证明了应用LSTM模型早期准确预测AM牙科材料磨损进展的可行性,为缩短物理测试时间和增强临床应用的数据驱动材料评估框架提供了潜力。
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引用次数: 0
Predicting restoration failures in primary and permanent teeth – A machine learning approach 预测乳牙和恒牙修复失败-一种机器学习方法。
IF 6.3 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2026-01-01 Epub Date: 2025-09-25 DOI: 10.1016/j.dental.2025.09.009
Vitor Henrique Digmayer Romero , Eduardo Trota Chaves , Shankeeth Vinayahalingam , Helena Silveira Schuch , Xiongjie Chen , Yunpeng Li , Falk Schwendicke , Mariana Minatel Braga , Daniela Prócida Raggio , Cácia Signori , Raiza Dias Freitas , Fausto Medeiros Mendes , Marie-Charlotte Huysmans , Maximiliano Sérgio Cenci

Objective

Machine learning (ML) predictive models promise to handle complex data and deliver accurate predictions in the medical field. The aim of this study was to develop ML predictive models for posterior dental restorations failures in both primary and permanent teeth.

Methods

Data from two clinical datasets were used in this study, encompassing a Randomized Controlled Trial (RCT) for permanent teeth (CaCIA Trial) and a corresponding RCT for primary teeth (CARDEC 3). Models were developed using five different algorithms—Decision Tree, Random Forest, XGBoost, CatBoost and Neural Network—ensuring thorough cross-validation and calibration for predictive reliability. Clinical variables related to patients and teeth were considered as predictors. Model performances were assessed using accuracy, precision, recall, F1-score and ROC AUC, alongside SHAP plots for interpretability.

Results

In the primary teeth dataset, all models demonstrated acceptable performance with AUC values around 0.67–0.75 and a balanced trade-off between precision and recall. In contrast, the models applied to permanent teeth yielded less predictive ability, with AUC values ranging from 0.53 to 0.62.

Conclusion

Our results highlight how ML approaches effectively process intricate, multi-dimensional data related to restoration longevity, successfully integrating variables across patient characteristics, tooth properties, and diagnostic assessments within a unified analytical framework. Though promising as analytical tools, clinical implementation requires further validation with expanded, heterogeneous datasets to improve robustness and accuracy.

Clinical significance

Machine-learning models that predict the risk of posterior restoration failure—using routinely collected patient, tooth, and diagnostic data—may help dentists tailor recall intervals, prioritize preventive or reparative care, and allocate chair time more efficiently.
目的:机器学习(ML)预测模型有望在医疗领域处理复杂数据并提供准确的预测。本研究的目的是为乳牙和恒牙的后牙修复失败建立ML预测模型。方法:本研究使用来自两个临床数据集的数据,包括一项恒牙随机对照试验(CaCIA Trial)和一项乳牙随机对照试验(CARDEC 3)。模型使用五种不同的算法(决策树、随机森林、XGBoost、CatBoost和神经网络)开发,确保了预测可靠性的彻底交叉验证和校准。与患者和牙齿相关的临床变量被认为是预测因子。使用准确性、精密度、召回率、f1评分和ROC AUC以及SHAP图来评估模型的性能。结果:在乳牙数据集中,所有模型都表现出可接受的性能,AUC值在0.67-0.75之间,并且在精度和召回率之间取得了平衡。相比之下,应用于恒牙的模型的预测能力较差,AUC值在0.53至0.62之间。结论:我们的研究结果突出了机器学习方法如何有效地处理与修复寿命相关的复杂多维数据,并在统一的分析框架内成功整合患者特征、牙齿特性和诊断评估等变量。虽然作为分析工具很有希望,但临床应用需要进一步验证扩展的异构数据集,以提高鲁棒性和准确性。临床意义:预测后牙修复失败风险的机器学习模型-使用常规收集的患者,牙齿和诊断数据-可以帮助牙医调整回忆间隔,优先考虑预防性或修复性护理,并更有效地分配椅子时间。
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引用次数: 0
Polyacrylic acid/citrate/amorphous calcium phosphate complex for dentin remineralization and bond durability 聚丙烯酸/柠檬酸盐/无定形磷酸钙复合物用于牙本质再矿化和粘合耐久性。
IF 6.3 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2026-01-01 Epub Date: 2025-09-25 DOI: 10.1016/j.dental.2025.09.016
Yinying Chen , Xinyu Yang , Suqin Zhang , Hanjiao Wang , Haifeng Xie , Chen Chen

Objective

Dentin bionic remineralization is an effective strategy for enhancing the stability of the resin-dentin bonding interface. Conventional biomimetic mineralization methods still face limitations such as restricted applicability and low mineralization efficiency. Citrate, present at high levels in biological mineralized tissues, plays a significant role in biomineralization. This study prepared polyacrylic acid/citrate/amorphous calcium phosphate complexes (PAA-Cit-ACP) and investigated its ability to promote biomimetic mineralization and improve the stability of the resin-dentin bonding interface.

Methods

Four types of PAA-Cit-ACP complexes, each doped with different contents of citrate (PAA-Cit-ACP-0.5, PAA-Cit-ACP-1, PAA-Cit-ACP-2, and PAA-Cit-ACP-5), were synthesized and characterized. Molecular dynamics simulation was used to clarify the mechanism behind the formation of the PAA-Cit-ACP complexes. Single-layer recombinant collagen fibers and demineralized dentin slices were constructed as mineralization models to validate the mineralization potential of PAA-Cit-ACP. Nanoleakage and in situ zymography were used to evaluate the effect of PAA-Cit-ACP on the durability of resin dentin bonding.

Results

Each group of PAA-Cit-ACP manifested as negatively charged, amorphous spherical nanoparticles with good biocompatibility. After treatment with PAA-Cit-ACP, both single-layer recombinant collagen fibers and demineralized dentin slices demonstrated rapid mineralization, and the resin-dentin bonding interface showed reduced nanoleakage and MMP activity, with PAA-Cit-ACP-1 and PAA-Cit-ACP-2 showing better effectiveness.

Significance

These findings suggest that PAA-Cit-ACP promotes rapid biomimetic remineralization, protecting exposed demineralized collagen fibrils from water- and MMPs-induced degradation, and improving the stability of the hybrid layer.
目的:牙本质仿生再矿化是提高树脂-牙本质结合界面稳定性的有效策略。传统的仿生矿化方法还存在适用性受限、矿化效率低等局限性。柠檬酸盐存在于生物矿化组织中,在生物矿化中起着重要作用。本研究制备了聚丙烯酸/柠檬酸盐/无定形磷酸钙配合物(PAA-Cit-ACP),并研究了其促进仿生矿化和提高树脂-牙本质结合界面稳定性的能力。方法:合成四种不同柠檬酸含量的PAA-Cit-ACP配合物(PAA-Cit-ACP-0.5、PAA-Cit-ACP-1、PAA-Cit-ACP-2、PAA-Cit-ACP-5)并进行表征。通过分子动力学模拟,阐明了PAA-Cit-ACP配合物形成的机理。构建单层重组胶原纤维和脱矿牙本质切片作为矿化模型,验证PAA-Cit-ACP的矿化潜力。采用纳米渗漏和原位酶谱法评价PAA-Cit-ACP对树脂牙本质粘接耐久性的影响。结果:各组PAA-Cit-ACP均表现为带负电荷的无定形球形纳米颗粒,具有良好的生物相容性。经PAA-Cit-ACP处理后,单层重组胶原纤维和脱矿牙本质切片均能快速矿化,树脂-牙本质结合界面纳米渗漏和MMP活性降低,其中PAA-Cit-ACP-1和PAA-Cit-ACP-2效果较好。意义:这些发现表明PAA-Cit-ACP促进快速仿生再矿化,保护暴露的脱矿胶原原纤维免受水和mmp诱导的降解,并提高杂交层的稳定性。
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引用次数: 0
Comparison between the dual-exponential and autocatalytic models to examine rapid photopolymerization kinetics of dental resins 双指数模型与自催化模型的比较研究牙科树脂的快速光聚合动力学。
IF 6.3 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2026-01-01 Epub Date: 2025-09-24 DOI: 10.1016/j.dental.2025.08.015
B.D. MacNeil , A.P. Gareau , J.A.G. Guarneri , R.B. Price , D. Labrie

Objectives

1) To investigate two empirical models used to characterize the polymerization kinetics of six resin-based composites (RBCs) and 2) the impact of the sampling rate on the time-varying degree of conversion (DC).

Methods

The DC of three sculptable and three flowable RBCs was recorded using attenuated total internal reflectance Fourier transform infrared spectroscopy at a collection rate of 13 DC/s. A multiple-diode light-curing unit delivered either an irradiance of 1.2 or 3 W/cm2. The RBC specimens were either 0.2 mm or 4 mm thick and were photocured at 32 ºC. Sampling rates as low as 0.2 DC/s were simulated by numerically interpolating the measured DC(t). The DC(t) obtained at different sampling rates was fitted to the dual-exponential and autocatalytic models.

Results

For all six RBCs, the fit of the autocatalytic model to the data resulted in the smallest mean squared errors. The lower simulated sampling rates did not represent the highly time-resolved DC collected at an irradiance of 3 W/cm2 and specimen thickness of 0.2 mm. For the DC simulated at a sampling rate of 0.2 DC/s using PowerFill and analyzed with the autocatalytic model, the maximum DC rate was 3.7 %/s, occurring at a time of 5 s after the start of photocuring. However, using a sampling rate of 13 DC/s, they were 64.5 %/s and 116 ms, respectively.

Significance

The autocatalytic model was found to better characterize the kinetics of RBC photopolymerization than the dual-exponential model. The data collection rate has a strong influence on the results.
目的:1)研究用于表征六种树脂基复合材料(rbc)聚合动力学的两种经验模型;2)采样率对时变转化率(DC)的影响。方法:采用衰减全内反射傅立叶变换红外光谱法,以13 DC/s的采集速率记录3种可雕刻红细胞和3种可流动红细胞的DC。多二极管光固化装置的辐照度为1.2或3 W/cm2。RBC标本厚度为0.2 mm或4 mm,在32℃下光固化。通过数值插值测量的DC(t)来模拟低至0.2 DC/s的采样率。在不同采样率下得到的DC(t)分别适用于双指数模型和自催化模型。结果:对于所有六种红细胞,自催化模型与数据的拟合产生最小的均方误差。较低的模拟采样率并不代表在辐照度为3 W/cm2和样品厚度为0.2 mm时收集的高时间分辨DC。使用PowerFill模拟采样速率为0.2 DC/s的直流,并使用自催化模型进行分析,最大直流速率为3.7 %/s,发生在光固化开始后的5 s。然而,当采样率为13 DC/s时,它们分别为64.5 %/s和116 ms。意义:发现自催化模型比双指数模型更能表征红细胞光聚合动力学。数据采集速率对结果有很大影响。
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引用次数: 0
Influence of fused deposition modeling parameters on the mechanical and thermal properties of 3D-printed PEEK dental endosseous implants 熔融沉积建模参数对3d打印PEEK牙内种植体力学和热性能的影响。
IF 6.3 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2026-01-01 Epub Date: 2025-09-25 DOI: 10.1016/j.dental.2025.09.013
Surendrasingh Y. Sonaye , Karim Elhattab , Luci R. Duncan , Sai R. Dharmavarapu , Vasudev Vivekanand Nayak , Erfan Noorbakhsh Noshahri , Nishitraj C. Sherigar , Josiah S. Owusu-Danquah , Lukasz Witek , Marco C. Bottino , Prabaha Sikder

Objectives

This study aims to explore the application of Fused Deposition Modeling (FDM) as a 3D printing technique for developing endosseous Polyetheretherketone (PEEK) dental implants. Specifically, the primary aim of the study is to systematically investigate the effects of key FDM processing parameters, including thermal conditions, print speed, layer height, build orientation, and post-processing heat treatments, on the mechanical and thermal properties of PEEK implants. By conducting an in-depth analysis, this study aims to establish optimized processing guidelines for the reliable manufacturing of high-performance, clinically viable PEEK dental implants.

Methods

PEEK dental implants were fabricated using FDM with variations in thermal conditions (nozzle, bedplate, and chamber temperatures), print speed, layer height, build orientation, and post-print heat treatments. Mechanical testing (compression and fatigue), detailed thermal characterization using Differential Scanning Calorimetry (DSC), and fractographic analysis were performed. Finite Element Analysis (FEA) was also conducted to understand the implant's load-bearing performance.

Results

Nozzle temperature dictates implant resolution, while chamber temperature is a key determinant of implant crystallinity. Interestingly, for PEEK dental implants, all the FDM thermal processing conditions play a crucial role in influencing the part's thermal properties. Moreover, print speed plays an essential role in developing dimensionally accurate high-strength implants. Notably, the fractographic analysis of the failed implants revealed interesting multimodal fracture behavior specific to 3D-printed threaded implants. FEA demonstrates that the implants tend to buckle under load and break at the implant-abutment interface, consistent with experimental results. Furthermore, fatigue testing reveals that PEEK implants, fabricated at a specific build orientation with respect to the bedplate, suffice the Food and Drug Administration durability requirements.

Significance

These findings underscore the clinical potential of FDM-developed PEEK as a customizable, lightweight, and durable alternative to conventional metallic implants, paving the way for next-generation patient-specific lightweight dental implant solutions.
目的:探讨熔融沉积建模(FDM) 3D打印技术在聚醚醚酮(PEEK)牙种植体中的应用。具体来说,该研究的主要目的是系统地研究关键FDM加工参数,包括热条件、打印速度、层高度、构建方向和后处理热处理,对PEEK植入物的机械和热性能的影响。通过深入分析,本研究旨在为高性能、临床可行的PEEK牙种植体的可靠制造建立优化的加工指南。方法:在不同的热条件(喷嘴、床板和腔室温度)、打印速度、层高、构建方向和打印后热处理条件下,使用FDM制备PEEK牙种植体。进行了力学测试(压缩和疲劳),使用差示扫描量热法(DSC)进行了详细的热表征,并进行了断口分析。通过有限元分析(FEA)了解种植体的承载性能。结果:喷嘴温度决定种植体的分辨率,而腔温度是种植体结晶度的关键决定因素。有趣的是,对于PEEK牙种植体,所有FDM热加工条件对影响部件的热性能都起着至关重要的作用。此外,打印速度在开发尺寸精确的高强度植入物中起着至关重要的作用。值得注意的是,对失败植入物的断口分析揭示了3d打印螺纹植入物特有的多模态断裂行为。有限元分析结果表明,种植体在载荷作用下易发生屈曲,在种植体-基台界面处发生断裂,与实验结果一致。此外,疲劳测试表明,PEEK植入物在与床板相关的特定构建方向上制造,满足食品和药物管理局的耐久性要求。意义:这些发现强调了fdm开发的PEEK作为传统金属种植体的可定制、轻量化和耐用替代品的临床潜力,为下一代针对患者的轻量化牙科种植体解决方案铺平了道路。
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引用次数: 0
期刊
Dental Materials
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