Congenital craniofacial deformities in children are conditions with varying degrees of severity between minor and severe, they can be present at birth, but they can also be detected during the child's development. Material and methods. In the period 2014-2021, 57 children (29 boys and 28 girls), average age 9,1 ± 2,4 months, with craniofacial deformities from different medical centers in the Republic of Moldova were examined polysystemically. In this sense, we evaluated the state of the masseter, temporal and tongue muscles by electromyography with surface electrodes to determine the quality of their muscle activity. Recordings of the bioelectrical activity of muscle activity during exercise were performed using a Nihon Kohden portable electromyograph (Japan). Results. The balance dysfunction of the neuromuscular system in these children, as a neuro-physiological sign of pathological muscular weakness in the sucking reflex activity, is highlighted in 87.7% of cases by a marked asymmetry (p<0.001) of the tongue and masseter muscles activity and, respectively less highlighted (p<0.05) of the anterior temporal. Discussion. Thus, the EMG pattern evaluation highlights a decrease in the average amplitude of the action potentials (mV) mainly for the tongue, mm. masseters and temporalis on the left side, associated with an increase in the potential (ms) average duration from both the affected and the contralateral muscles, thus reflecting the reduction in their contraction capacity and the quality decrease in the act of sucking and mastication, predominantly on the left, in the child with congenital craniofacial deformities and disorders of the sucking reflex in infants. Conclusions. The neurophysiological examination highlights various forms of muscle function abnormalities in children with craniofacial deformities, which require multifunctional and multidisciplinary recovery.
{"title":"The neurophysiology aspect of congenital craniofacial deformities in children","authors":"S. Railean","doi":"10.37897/rjs.2022.4.2","DOIUrl":"https://doi.org/10.37897/rjs.2022.4.2","url":null,"abstract":"Congenital craniofacial deformities in children are conditions with varying degrees of severity between minor and severe, they can be present at birth, but they can also be detected during the child's development. Material and methods. In the period 2014-2021, 57 children (29 boys and 28 girls), average age 9,1 ± 2,4 months, with craniofacial deformities from different medical centers in the Republic of Moldova were examined polysystemically. In this sense, we evaluated the state of the masseter, temporal and tongue muscles by electromyography with surface electrodes to determine the quality of their muscle activity. Recordings of the bioelectrical activity of muscle activity during exercise were performed using a Nihon Kohden portable electromyograph (Japan). Results. The balance dysfunction of the neuromuscular system in these children, as a neuro-physiological sign of pathological muscular weakness in the sucking reflex activity, is highlighted in 87.7% of cases by a marked asymmetry (p<0.001) of the tongue and masseter muscles activity and, respectively less highlighted (p<0.05) of the anterior temporal. Discussion. Thus, the EMG pattern evaluation highlights a decrease in the average amplitude of the action potentials (mV) mainly for the tongue, mm. masseters and temporalis on the left side, associated with an increase in the potential (ms) average duration from both the affected and the contralateral muscles, thus reflecting the reduction in their contraction capacity and the quality decrease in the act of sucking and mastication, predominantly on the left, in the child with congenital craniofacial deformities and disorders of the sucking reflex in infants. Conclusions. The neurophysiological examination highlights various forms of muscle function abnormalities in children with craniofacial deformities, which require multifunctional and multidisciplinary recovery.","PeriodicalId":33514,"journal":{"name":"Revista Romana de Stomatologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43208265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Burning mouth syndrome (BMS) is a chronic disease of the oral mucosa characterized by persistent oral pain and no clinical lesions or abnormal biological investigations. This paper reports one case of BMS and discusses the main features of this disease's clinical and therapeutic management. A 60 years old female patient had burning sensation on the left lateral border of the tongue for 2.5 years. Local and systemic investigations found no abnormalities. The therapy included local and general medication and the symptoms were remitted. This case report highlights the heterogeneity of BMS, the associated comorbidities, and the evolution of symptoms from diagnosis to cure.
{"title":"Burning mouth syndrome. A case report from diagnosis to cure","authors":"I. Parlatescu, Ș. Tovaru, I. Gheorghiu, P. Perlea","doi":"10.37897/rjs.2022.4.4","DOIUrl":"https://doi.org/10.37897/rjs.2022.4.4","url":null,"abstract":"Burning mouth syndrome (BMS) is a chronic disease of the oral mucosa characterized by persistent oral pain and no clinical lesions or abnormal biological investigations. This paper reports one case of BMS and discusses the main features of this disease's clinical and therapeutic management. A 60 years old female patient had burning sensation on the left lateral border of the tongue for 2.5 years. Local and systemic investigations found no abnormalities. The therapy included local and general medication and the symptoms were remitted. This case report highlights the heterogeneity of BMS, the associated comorbidities, and the evolution of symptoms from diagnosis to cure.","PeriodicalId":33514,"journal":{"name":"Revista Romana de Stomatologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48415763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Cioban, Ș. Petruțiu, Daniela Cornelia Condor, W. A. Uriciuc
Premalignant lesions of the oral cavity encompass a broad range of pathology and are often comorbid in a variety of patient populations. Prompt diagnosis and management of these lesions are essential to prevent patient morbidity and mortality. The purpose of this article is to summarize and review the evaluation, screening and early detection of premalignant lesions of the oral cavity and to highlight the role of the dental team in recognizing and treating patients with these conditions, that may progress to oral cancer. In addition, a review of a non-invasive detection technique that is currently being marketed to aid general dentists and other healthcare providers for early diagnosis of potential cancerous lesions is presented. Although many studies have assessed the diagnostic accuracy of autofluorescence in oral potentially malignant disorders (OPMDs), there has been a paucity of such information in high-risk populations.
{"title":"The use of autofluorescence for screening and early detection of oral potentially malignant disorders – A narrative review","authors":"C. Cioban, Ș. Petruțiu, Daniela Cornelia Condor, W. A. Uriciuc","doi":"10.37897/rjs.2022.4.5","DOIUrl":"https://doi.org/10.37897/rjs.2022.4.5","url":null,"abstract":"Premalignant lesions of the oral cavity encompass a broad range of pathology and are often comorbid in a variety of patient populations. Prompt diagnosis and management of these lesions are essential to prevent patient morbidity and mortality. The purpose of this article is to summarize and review the evaluation, screening and early detection of premalignant lesions of the oral cavity and to highlight the role of the dental team in recognizing and treating patients with these conditions, that may progress to oral cancer. In addition, a review of a non-invasive detection technique that is currently being marketed to aid general dentists and other healthcare providers for early diagnosis of potential cancerous lesions is presented. Although many studies have assessed the diagnostic accuracy of autofluorescence in oral potentially malignant disorders (OPMDs), there has been a paucity of such information in high-risk populations.","PeriodicalId":33514,"journal":{"name":"Revista Romana de Stomatologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44874461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The loss of teeth leads to disorders of the maxillofacial system, primarily causing bone atrophy, which by its destructive and morphological changes, affects the topographic features of the mandibular canal(s), causing a vector of restrictions in planning the rehabilitation of such patients. To clarify these features, we conducted a study with the analysis of 2,457 3D digital images and a detailed morphometric study of 136 CT scans with the creation of 3D reconstruction models of the mandibular canal(s). The identified anatomical variants and their systematization led to the aim to develop an informative anatomical and topographic classification of the mandibular canal with bone atrophy caused by the loss of the masticatory teeth for implementation in daily clinical practice. In the body of the lower jaw, with a preserved dentition, the most common manifestations of the variant anatomy are bifid branches of the mandibular canal and, less often – trifid modifications that have a clear X-ray visualization. Also, additional independent canals with separate exit foramina on the outer surface of the chin area are diagnosed. However, their visualization is lost in the jaw with bone atrophy, leaving a reference point for the main trunk of the canal. The results obtained confirm the expediency of creating an anatomical and topographic classification as an effective diagnostic tool to solve the problems of reconstructive, minimally invasive surgery presented in this paper.
{"title":"Anatomical and topographic classification of the mandibular canal with bone atrophy caused by the loss of the masticatory teeth","authors":"A. Oshurko, Ihor Yuriiovych Oliinyk, N. Kuzniak","doi":"10.37897/rjs.2022.4.1","DOIUrl":"https://doi.org/10.37897/rjs.2022.4.1","url":null,"abstract":"The loss of teeth leads to disorders of the maxillofacial system, primarily causing bone atrophy, which by its destructive and morphological changes, affects the topographic features of the mandibular canal(s), causing a vector of restrictions in planning the rehabilitation of such patients. To clarify these features, we conducted a study with the analysis of 2,457 3D digital images and a detailed morphometric study of 136 CT scans with the creation of 3D reconstruction models of the mandibular canal(s). The identified anatomical variants and their systematization led to the aim to develop an informative anatomical and topographic classification of the mandibular canal with bone atrophy caused by the loss of the masticatory teeth for implementation in daily clinical practice. In the body of the lower jaw, with a preserved dentition, the most common manifestations of the variant anatomy are bifid branches of the mandibular canal and, less often – trifid modifications that have a clear X-ray visualization. Also, additional independent canals with separate exit foramina on the outer surface of the chin area are diagnosed. However, their visualization is lost in the jaw with bone atrophy, leaving a reference point for the main trunk of the canal. The results obtained confirm the expediency of creating an anatomical and topographic classification as an effective diagnostic tool to solve the problems of reconstructive, minimally invasive surgery presented in this paper.","PeriodicalId":33514,"journal":{"name":"Revista Romana de Stomatologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43274325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sorana Mureșanu, M. Hedeșiu, C. Dinu, R. Roman, O. Almășan
Objectives. This systematic review aimed at assessing the therapeutic efficacy of computer-assisted or digitally constructed occlusal splints in comparison to conventional splint treatment for temporomandibular disorders or bruxism. Material and methods. The study was prospectively registered in the Open Science Framework. Four electronic databases, PubMed, Embase, Web of Science, and Scopus, were searched comprehensively. The following keywords were employed: “3D-printed”, “additive manufacture”, “computer-aided design/computer-aided manufacturing”, “temporomandibular joint”, “temporomandibular joint dysfunction”, “bruxism”, “disc displacement”, “temporo-mandibular disorder”, “splint’, “oral splint”, “occlusal splint”, “occlusal device”, “bite splint”, “occlusal appliance”. Two risk of bias evaluation instruments were used to assess the quality of the included studies. Outcomes. Following the application of the search strategy, a total of 557 publications were identified in the electronic databases. Seven eligible articles were finally included in the analysis. Six publications (85.7%) compared digitally manufactured occlusal splints to conventionally created splints, while one examined if the use of a facebow influences the performance of digital splints. Visual assessment scores or numerical rating scales of pain, optical axiography, tooth wear, and bruxism frequency were reported as outcomes. Conclusions. Computer aided design occlusal splints provide equivalent outcomes to traditional splints. Some generated superior results, mainly probable as a result of the virtual articulator's greater precision and the splint materials' material qualities.
目标。本系统综述旨在评估计算机辅助或数字构建的咬合夹板与传统夹板治疗颞下颌关节紊乱或磨牙症的疗效。材料和方法。该研究前瞻性地登记在开放科学框架中。对PubMed、Embase、Web of Science和Scopus四个电子数据库进行了综合检索。采用以下关键词：“3D打印”、“增材制造”、“计算机辅助设计/计算机辅助制造”、，“咬合矫治器”。使用两种偏倚风险评估工具来评估纳入研究的质量。结果。在采用搜索战略后，电子数据库中共发现557份出版物。七篇符合条件的文章最终被纳入分析。六份出版物（85.7%）将数字制造的咬合夹板与传统制造的夹板进行了比较，其中一份研究了面弓的使用是否会影响数字夹板的性能。结果报告了疼痛、光学轴位成像、牙齿磨损和磨牙症频率的视觉评估分数或数字评定量表。结论。计算机辅助设计咬合夹板提供了与传统夹板相同的效果。一些产生了优越的结果，主要可能是由于虚拟咬合架的更高精度和夹板材料的材料质量。
{"title":"Digital occlusal splints for temporomandibular joint disorders: a systematic review","authors":"Sorana Mureșanu, M. Hedeșiu, C. Dinu, R. Roman, O. Almășan","doi":"10.37897/rjs.2022.3.1","DOIUrl":"https://doi.org/10.37897/rjs.2022.3.1","url":null,"abstract":"Objectives. This systematic review aimed at assessing the therapeutic efficacy of computer-assisted or digitally constructed occlusal splints in comparison to conventional splint treatment for temporomandibular disorders or bruxism. Material and methods. The study was prospectively registered in the Open Science Framework. Four electronic databases, PubMed, Embase, Web of Science, and Scopus, were searched comprehensively. The following keywords were employed: “3D-printed”, “additive manufacture”, “computer-aided design/computer-aided manufacturing”, “temporomandibular joint”, “temporomandibular joint dysfunction”, “bruxism”, “disc displacement”, “temporo-mandibular disorder”, “splint’, “oral splint”, “occlusal splint”, “occlusal device”, “bite splint”, “occlusal appliance”. Two risk of bias evaluation instruments were used to assess the quality of the included studies. Outcomes. Following the application of the search strategy, a total of 557 publications were identified in the electronic databases. Seven eligible articles were finally included in the analysis. Six publications (85.7%) compared digitally manufactured occlusal splints to conventionally created splints, while one examined if the use of a facebow influences the performance of digital splints. Visual assessment scores or numerical rating scales of pain, optical axiography, tooth wear, and bruxism frequency were reported as outcomes. Conclusions. Computer aided design occlusal splints provide equivalent outcomes to traditional splints. Some generated superior results, mainly probable as a result of the virtual articulator's greater precision and the splint materials' material qualities.","PeriodicalId":33514,"journal":{"name":"Revista Romana de Stomatologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42309567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mirel Stoian-Albulescu, D. Ghergic, Costin Coman, R. Comăneanu, Oana Botoacǎ, D. Pătroi
Aim of the study was the comparative analysis of the experimental dilation of some materials used in the fabrication of physiognomic fixed prosthetic restorations. Material and methods. 3 biomaterials used in the fabrication of physiognomic fixed prosthetic restorations, pressed ceramic IPS e.max Press Ivoclar Vivadent, WhitePeaks Copra Smile (ZrO2, 600 MPa) and WhitePeaks Copra Supreme (ZrO2, 1100 MPa) were comparatively analyzed. The temperature increase was carried out from 20OC to 400OC, with the speed of 2 degrees/minute in a dilatometer. The repetition of the heating was done 2 times, with a 30-minute break between attempts. Results. The smallest expansion occurred for the e.max sample, followed by Zr600 and Zr1100. Conclusions. The present study demonstrated the production of a thermal expansion at the level of pressed ceramics and biomaterials based on zirconium dioxide upon experimental heating in the range of 20-400OC in dilatometer. Subjecting pressed ceramic or zirconium dioxide prosthetic restorations to high temperatures during the clinical-technical phases of occlusal processing/adaptation without adequate cooling may introduce residual thermal stresses into the material structure, which may subsequently lead to cracking of the prosthetic restorations under stress conditions determined by masticatory forces.
{"title":"Comparative analysis of the experimental dilation of some materials used in the manufacture of physiognomic fixed prosthetic restorations","authors":"Mirel Stoian-Albulescu, D. Ghergic, Costin Coman, R. Comăneanu, Oana Botoacǎ, D. Pătroi","doi":"10.37897/rjs.2022.3.3","DOIUrl":"https://doi.org/10.37897/rjs.2022.3.3","url":null,"abstract":"Aim of the study was the comparative analysis of the experimental dilation of some materials used in the fabrication of physiognomic fixed prosthetic restorations. Material and methods. 3 biomaterials used in the fabrication of physiognomic fixed prosthetic restorations, pressed ceramic IPS e.max Press Ivoclar Vivadent, WhitePeaks Copra Smile (ZrO2, 600 MPa) and WhitePeaks Copra Supreme (ZrO2, 1100 MPa) were comparatively analyzed. The temperature increase was carried out from 20OC to 400OC, with the speed of 2 degrees/minute in a dilatometer. The repetition of the heating was done 2 times, with a 30-minute break between attempts. Results. The smallest expansion occurred for the e.max sample, followed by Zr600 and Zr1100. Conclusions. The present study demonstrated the production of a thermal expansion at the level of pressed ceramics and biomaterials based on zirconium dioxide upon experimental heating in the range of 20-400OC in dilatometer. Subjecting pressed ceramic or zirconium dioxide prosthetic restorations to high temperatures during the clinical-technical phases of occlusal processing/adaptation without adequate cooling may introduce residual thermal stresses into the material structure, which may subsequently lead to cracking of the prosthetic restorations under stress conditions determined by masticatory forces.","PeriodicalId":33514,"journal":{"name":"Revista Romana de Stomatologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43464514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. Gheorghiu, S. Scărlătescu, G. Nicola, A. Iliescu, I. Parlatescu, I. Suciu, P. Perlea
During dentition development stages, various defects of the dental structures can appear and can be in shape, number, position, structure. The latter primarily affect the aesthetic appearance, but also the other functions of the dentomaxillary system, when the severity of the lesions is important. Enamel hypoplasia in the frontal area of dental arches, with moderate extension of defects, can be easily treated with modern resin composite materials using adhesive technique, by direct restorations. In this way, the coronal morphological integrity and the harmonious dento-facial appearance are restored. Restorations for this type of dental lesions need to be carefully monitored and retreatment performed if necessary.
{"title":"Resin composites direct restoration of enamel structural defects – case report","authors":"I. Gheorghiu, S. Scărlătescu, G. Nicola, A. Iliescu, I. Parlatescu, I. Suciu, P. Perlea","doi":"10.37897/rjs.2022.3.4","DOIUrl":"https://doi.org/10.37897/rjs.2022.3.4","url":null,"abstract":"During dentition development stages, various defects of the dental structures can appear and can be in shape, number, position, structure. The latter primarily affect the aesthetic appearance, but also the other functions of the dentomaxillary system, when the severity of the lesions is important. Enamel hypoplasia in the frontal area of dental arches, with moderate extension of defects, can be easily treated with modern resin composite materials using adhesive technique, by direct restorations. In this way, the coronal morphological integrity and the harmonious dento-facial appearance are restored. Restorations for this type of dental lesions need to be carefully monitored and retreatment performed if necessary.","PeriodicalId":33514,"journal":{"name":"Revista Romana de Stomatologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41967798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
O. Almășan, R. Roman, Ioana-Claudia Moroșan, M. Hedeșiu
Psoriatic arthritis (PsA) of the temporomandibular joint (TMJ) is a rare type of inflammatory arthritis. We present a 21-year-old male diagnosed with psoriasis six years ago. Inflammatory autoimmune arthritis was diagnosed. TMJ involvement comprised arthralgia, degenerative joint disease, joint pain, limited range of jaw movements, and crepitus. Biomarkers revealed a C-reactive protein of 0.14 mg/L and seronegative inflammation with negative rheumatoid factor. At imaging important left condyle morphology derangements with erosions, decreased subchondral bone fat signal, condyle edema, osteophytes, and periosteal apposition, and loss of the normal disk position and morphology were present. The particularity of this case is given by the rapid onset of psoriasis arthritis with negative rheumatoid factor in a young male and juxta-articular new bone formation. The treatment plan comprised anti-inflammatory drugs, methotrexate, and folic acid, aimed for the general disease, and an occlusal splint, aiming for the relief of the TMJ symptoms.
{"title":"A rare case of unilateral psoriatic arthritis of the left temporomandibular joint: MRI and CBCT findings","authors":"O. Almășan, R. Roman, Ioana-Claudia Moroșan, M. Hedeșiu","doi":"10.37897/rjs.2022.3.5","DOIUrl":"https://doi.org/10.37897/rjs.2022.3.5","url":null,"abstract":"Psoriatic arthritis (PsA) of the temporomandibular joint (TMJ) is a rare type of inflammatory arthritis. We present a 21-year-old male diagnosed with psoriasis six years ago. Inflammatory autoimmune arthritis was diagnosed. TMJ involvement comprised arthralgia, degenerative joint disease, joint pain, limited range of jaw movements, and crepitus. Biomarkers revealed a C-reactive protein of 0.14 mg/L and seronegative inflammation with negative rheumatoid factor. At imaging important left condyle morphology derangements with erosions, decreased subchondral bone fat signal, condyle edema, osteophytes, and periosteal apposition, and loss of the normal disk position and morphology were present. The particularity of this case is given by the rapid onset of psoriasis arthritis with negative rheumatoid factor in a young male and juxta-articular new bone formation. The treatment plan comprised anti-inflammatory drugs, methotrexate, and folic acid, aimed for the general disease, and an occlusal splint, aiming for the relief of the TMJ symptoms.","PeriodicalId":33514,"journal":{"name":"Revista Romana de Stomatologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48403542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Radu Chifor, Tudor Arsenescu, Laura Monica Dascalu (Rusu), A. Badea
Background. Early diagnosis and monitoring the evolution of the patients is required to be able to have effective preventive attitudes. An easy and cost-effective way of diagnosis is needed for this purpose. The aim of the study was to evaluate the AI level of use in dentistry diagnosis and the fields of its applicability especially for early diagnosis purposes. A secondary objective was to point out the measured performances for automated AI diagnosis by comparison with standard diagnosis procedures. Material and methods. A comprehensive electronic search was performed in November 2022 through PubMed, Scopus, and Web of Science databases. The following keywords were used to search the databases: (”Artificial Intelligence” OR ”neural network” OR ”Deep learning” OR “Machine learning”) AND (”Dentistry” OR “Dental medicine”) AND (” periodontal disease” OR ”periodontics” OR ”Carious lesions” OR ”oral cancer” OR ”restorative” or “early diagnosis”). The risk of bias (RoB) of the included studies was assessed using PROBAST tool. Results. A total of 334 publications were collected after searching the databases. For 218 remaining publications the title and the abstract were assessed. The reviewers agreed to continue with 69 studies for full text assessment. Because 49 studies had not completely fulfilled the inclusion criteria only 20 publications were included in the final analysis. AI automatic data processing for diagnostic purposes was implemented in the field of dental radiology, oral pathology, restorative dentistry, pedodontics, oncology, endodontics, and periodontics. Conclusion. AI based automatic diagnostic is a powerful and reliable tool that has a great future potential for different fields of dental medicine like periodontal disease, oral cancer, and carious lesions.
背景。早期诊断和监测患者的演变是必须的，才能有有效的预防态度。为此，需要一种简便、经济的诊断方法。本研究的目的是评估人工智能在牙科诊断中的应用水平及其在早期诊断中的应用领域。第二个目标是通过与标准诊断程序的比较，指出自动人工智能诊断的测量性能。材料和方法。2022年11月，通过PubMed、Scopus和Web of Science数据库进行了全面的电子搜索。使用以下关键词搜索数据库:(“人工智能”或“神经网络”或“深度学习”或“机器学习”)和(“牙科”或“牙科医学”)和(“牙周病”或“牙周病”或“龋齿病变”或“口腔癌”或“恢复性”或“早期诊断”)。采用PROBAST工具评估纳入研究的偏倚风险(RoB)。结果。检索数据库后，共收集到334份出版物。对其余218份出版物的标题和摘要进行了评估。审稿人同意继续对69项研究进行全文评估。由于49项研究没有完全符合纳入标准，最终分析中只纳入了20篇论文。用于诊断目的的人工智能自动数据处理在牙科放射学、口腔病理学、修复牙科、儿科学、肿瘤学、牙髓学和牙周病领域得到了实施。结论。基于人工智能的自动诊断是一种强大而可靠的工具，在牙周病、口腔癌、龋齿等牙科医学的不同领域具有巨大的未来潜力。
{"title":"Automated diagnosis using artificial intelligence a step forward for preventive dentistry: A systematic review","authors":"Radu Chifor, Tudor Arsenescu, Laura Monica Dascalu (Rusu), A. Badea","doi":"10.37897/rjs.2022.3.7","DOIUrl":"https://doi.org/10.37897/rjs.2022.3.7","url":null,"abstract":"Background. Early diagnosis and monitoring the evolution of the patients is required to be able to have effective preventive attitudes. An easy and cost-effective way of diagnosis is needed for this purpose. The aim of the study was to evaluate the AI level of use in dentistry diagnosis and the fields of its applicability especially for early diagnosis purposes. A secondary objective was to point out the measured performances for automated AI diagnosis by comparison with standard diagnosis procedures. Material and methods. A comprehensive electronic search was performed in November 2022 through PubMed, Scopus, and Web of Science databases. The following keywords were used to search the databases: (”Artificial Intelligence” OR ”neural network” OR ”Deep learning” OR “Machine learning”) AND (”Dentistry” OR “Dental medicine”) AND (” periodontal disease” OR ”periodontics” OR ”Carious lesions” OR ”oral cancer” OR ”restorative” or “early diagnosis”). The risk of bias (RoB) of the included studies was assessed using PROBAST tool. Results. A total of 334 publications were collected after searching the databases. For 218 remaining publications the title and the abstract were assessed. The reviewers agreed to continue with 69 studies for full text assessment. Because 49 studies had not completely fulfilled the inclusion criteria only 20 publications were included in the final analysis. AI automatic data processing for diagnostic purposes was implemented in the field of dental radiology, oral pathology, restorative dentistry, pedodontics, oncology, endodontics, and periodontics. Conclusion. AI based automatic diagnostic is a powerful and reliable tool that has a great future potential for different fields of dental medicine like periodontal disease, oral cancer, and carious lesions.","PeriodicalId":33514,"journal":{"name":"Revista Romana de Stomatologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42406908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The roughness of the dental implant surface will influence the behavior of osteoblastic cells regarding the spread, proliferation, differentiation and synthesis of proteins on the surface of titanium. Depending on its characteristics, roughness can be macro-, micro- and nano-roughness. Material and method. We achieved the obtaining of thin layers of biomaterials by the pulsed laser deposition method (PLD, Pulsed Laser Deposition) on the titanium samples and the deposition has been made by Spin coating method of a thin film based on hydroxyapatite, respectively hydroxyapatite-maleic copolymer, only on one side of the sample. Results. From a microscopic point of view, the qualities of bio-glass are remarkable. Thus, bio-glasses are amorphous materials and are successfully used as covering material for metallic and polymeric implants, to significantly increase their biocompatibility. Discussion. The biological properties of the materials for implants are of fundamental importance for the success of the treatments and they are reflected along with other characteristics of the implants, in the tissue reaction they cause under the conditions of their insertion in biological systems. Conclusion. Osseointegration could be impaired in people with diabetes, osteoporosis, with bone metabolism disorder where therapeutic success depends on the biomimetic and functional topography of the dental implant.
{"title":"Experimental analyses of surface treatment on titanium samples","authors":"Mihaela Ciobotaru (Maris), M. Mariș, K. Earar","doi":"10.37897/rjs.2022.3.2","DOIUrl":"https://doi.org/10.37897/rjs.2022.3.2","url":null,"abstract":"The roughness of the dental implant surface will influence the behavior of osteoblastic cells regarding the spread, proliferation, differentiation and synthesis of proteins on the surface of titanium. Depending on its characteristics, roughness can be macro-, micro- and nano-roughness. Material and method. We achieved the obtaining of thin layers of biomaterials by the pulsed laser deposition method (PLD, Pulsed Laser Deposition) on the titanium samples and the deposition has been made by Spin coating method of a thin film based on hydroxyapatite, respectively hydroxyapatite-maleic copolymer, only on one side of the sample. Results. From a microscopic point of view, the qualities of bio-glass are remarkable. Thus, bio-glasses are amorphous materials and are successfully used as covering material for metallic and polymeric implants, to significantly increase their biocompatibility. Discussion. The biological properties of the materials for implants are of fundamental importance for the success of the treatments and they are reflected along with other characteristics of the implants, in the tissue reaction they cause under the conditions of their insertion in biological systems. Conclusion. Osseointegration could be impaired in people with diabetes, osteoporosis, with bone metabolism disorder where therapeutic success depends on the biomimetic and functional topography of the dental implant.","PeriodicalId":33514,"journal":{"name":"Revista Romana de Stomatologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41966396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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