Clinical and Experimental Dental Research最新文献

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Effects of Music and Aromatherapy on Blood Pressure and Heart Rate Among Endodontic Patients: A Randomized Clinical Trial 音乐和芳香疗法对牙髓患者血压和心率的影响:一项随机临床试验
IF 1.7
Clinical and Experimental Dental Research Pub Date : 2025-06-11 DOI: 10.1002/cre2.70156
Seyed Amir Mousavi, Fateme Nasiri, Melika Sadat Araghbidi Kashani, Ali Ghazalgoo, Pedram Iranmanesh, Soheil Shahbazi
{"title":"Effects of Music and Aromatherapy on Blood Pressure and Heart Rate Among Endodontic Patients: A Randomized Clinical Trial","authors":"Seyed Amir Mousavi,&nbsp;Fateme Nasiri,&nbsp;Melika Sadat Araghbidi Kashani,&nbsp;Ali Ghazalgoo,&nbsp;Pedram Iranmanesh,&nbsp;Soheil Shahbazi","doi":"10.1002/cre2.70156","DOIUrl":"https://doi.org/10.1002/cre2.70156","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Music and aromatherapy are recognized as noninvasive methods for promoting relaxation. Endodontic treatment is often perceived as a stressful procedure in dental settings. This study aimed to assess the effects of these interventions on blood pressure and heart rate among patients undergoing root canal therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Material and Methods</h3>\u0000 \u0000 <p>In this single-blind, parallel-group, randomized clinical trial, 72 adult patients diagnosed with irreversible pulpitis and normal periapical conditions were referred to a dental school for endodontic treatment. Participants were randomly assigned to one of four groups: (1) control group, (2) music group (participants listened to tracks of Stefano Crespan Shantam, tuned to 432 Hz), (3) aromatherapy group (participants were exposed to five drops of lavender oil via a humidifier), and (4) combined music and aromatherapy group. Blood pressure and heart rate were measured before and after the intervention. Data were analyzed using SPSS software and one-way ANOVA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Although systolic and diastolic blood pressure, as well as heart rate, decreased in the intervention groups, there were no statistically significant differences compared to the control group (<i>p</i> &gt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Music and aromatherapy did not produce statistically significant reductions in blood pressure and heart rate among endodontic patients. Alternative methods should be explored to manage patient anxiety better.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>The present trial was registered in the Registry of Clinical Trials (IRCT20191228045910N1), available at https://www.irct.ir/trial/46195.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10203,"journal":{"name":"Clinical and Experimental Dental Research","volume":"11 3","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cre2.70156","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144256099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Randomized Crossover Trial Assessing Plaque Regrowth Dynamics in Adults With Use of an Oscillating-Rotating Electric Toothbrush Versus a Manual Toothbrush Measured by Digital Plaque Image Analysis 一项随机交叉试验,评估使用摆动旋转电动牙刷和使用数字牙菌斑图像分析测量的手动牙刷的成人牙菌斑再生动力学
IF 1.7
Clinical and Experimental Dental Research Pub Date : 2025-06-11 DOI: 10.1002/cre2.70158
Priscila Ferrari Peron, Ralf Adam, Julie Grender, Uta Mesples, Phyllis Hoke, Mike Rubush, Mary Kay Anastasia, Christina Erbe
{"title":"A Randomized Crossover Trial Assessing Plaque Regrowth Dynamics in Adults With Use of an Oscillating-Rotating Electric Toothbrush Versus a Manual Toothbrush Measured by Digital Plaque Image Analysis","authors":"Priscila Ferrari Peron,&nbsp;Ralf Adam,&nbsp;Julie Grender,&nbsp;Uta Mesples,&nbsp;Phyllis Hoke,&nbsp;Mike Rubush,&nbsp;Mary Kay Anastasia,&nbsp;Christina Erbe","doi":"10.1002/cre2.70158","DOIUrl":"https://doi.org/10.1002/cre2.70158","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This randomized crossover trial involving adult participants with ≥ 10% plaque coverage on anterior teeth compared dental plaque regrowth dynamics between an oscillating-rotating (O-R) electric toothbrush and a manual toothbrush using Digital Plaque Imaging Analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Material and Methods</h3>\u0000 \u0000 <p>Thirty-four participants were randomized to one of 4 treatment sequences, each having four 8-day treatment periods. Participants brushed twice daily with the assigned toothbrush. Morning and afternoon plaque were evaluated on Days 1, 3, and 8. The primary variable was afternoon percent plaque coverage, using repeated measures analysis from Days 1, 3, and 8.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The O-R toothbrush produced lower mean plaque levels versus the manual toothbrush for all endpoints (<i>p</i> ≤ 0.001). The benefit for the O-R toothbrush increased over time, demonstrating 16.4% (<i>p</i> = 0.001) and 28.1% (<i>p</i> &lt; 0.001) lower afternoon plaque levels on Days 1 and 8, respectively, compared to the manual brush. Trends were similar for morning plaque. Repeated measures analyses showed a 21.2% reduction in overall afternoon plaque and a 23.5% reduction in overall morning plaque for the O-R brush versus the manual brush (<i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The O-R toothbrush controlled plaque regrowth better than a manual toothbrush and should be considered to reduce plaque-related diseases as part of a generalized prophylaxis and treatment plan.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>ISRCTN Registry: ISRCTN 28649560.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10203,"journal":{"name":"Clinical and Experimental Dental Research","volume":"11 3","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cre2.70158","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144264394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Optimizing Osseodensification Drilling for Dental Implant Placement: An In Vitro Study 优化牙种植体骨密度钻孔:一项体外研究
IF 1.7
Clinical and Experimental Dental Research Pub Date : 2025-06-11 DOI: 10.1002/cre2.70155
Xingru Tao, Jie Yang, Tai Ma, Ming Chen, Qinglong An, Dedong Yu
{"title":"Optimizing Osseodensification Drilling for Dental Implant Placement: An In Vitro Study","authors":"Xingru Tao,&nbsp;Jie Yang,&nbsp;Tai Ma,&nbsp;Ming Chen,&nbsp;Qinglong An,&nbsp;Dedong Yu","doi":"10.1002/cre2.70155","DOIUrl":"https://doi.org/10.1002/cre2.70155","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aims to optimize the parameters of osseodensification drilling (OD) to improve the primary stability of dental implants in low-density bone.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Material and Methods</h3>\u0000 \u0000 <p>Polyurethane foam blocks (PFB) of 0.160 g/cm<sup>3</sup> were used to simulate low-density bone (Type IV bone). Two drills, i.e., bone level tapered drills and Densah drills, were used in conventional drilling (CD) and OD, respectively. Drilling was performed on a DMU machine, varying spin speed, feed per tooth, and irrigation with or without 4°C saline. Thrust force, temperature, and entrance characteristics of implant sites in CD and OD were compared. The primary stability of implants was assessed via insertion torque (IT), removal torque (RT), and implant stability quotient (ISQ).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>OD demonstrated higher thrust force than CD with maximum values at 300 rpm (2.99 ± 0.22 N vs. 2.77 ± 0.17 N, <i>p</i> &lt; 0.01). Temperature elevation was lower in OD than that in CD under irrigation (3.35°C vs. 4.67°C). Despite comparable ISQ values (CD: 46.71 ± 8.56 vs OD: 47.08 ± 5.95, <i>p</i> = 0.86), OD achieved higher IT (11.73 ± 0.45 N·m vs. 7.77 ± 0.21 N·m, <i>p</i> &lt; 0.001) and higher RT (9.28 ± 0.45 N·m vs. 6.65 ± 0.19 N·m, <i>p</i> &lt; 0.001). Morphological analysis revealed fewer defects (tears/potholes) in OD than CD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>OD drills may avoid iatrogenic damage of the morphology of implant sites and enhance primary stability in Type IV bone at 1500 rpm and 0.04 mm/z with irrigation to prevent thermal damage. OD also outweights CD in increased bone density, thrust force, and torque.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Implications</h3>\u0000 \u0000 <p>For Type IV alveolar bone, OD at 1500 rpm and 0.04 mm/z is recommended for improving he primary stability of dental implants. Sufficient irrigation is crucial in both CD and OD for circumventing the thermal damage to bone.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10203,"journal":{"name":"Clinical and Experimental Dental Research","volume":"11 3","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cre2.70155","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144256097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Marginal Gap of Pre-Cemented Endocrowns: A Systematic Review of Measurement Methods and the Influence of Fabrication Method and Crown Material 预粘接内冠边缘间隙:测量方法及制作方法和冠材影响的系统综述
IF 1.7
Clinical and Experimental Dental Research Pub Date : 2025-05-26 DOI: 10.1002/cre2.70152
James Dudley, Taseef Hasan Farook
{"title":"Marginal Gap of Pre-Cemented Endocrowns: A Systematic Review of Measurement Methods and the Influence of Fabrication Method and Crown Material","authors":"James Dudley,&nbsp;Taseef Hasan Farook","doi":"10.1002/cre2.70152","DOIUrl":"https://doi.org/10.1002/cre2.70152","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objective&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The aim of this systematic review was to analyze the existing literature on the methods used for in vitro marginal gap measurement of pre-cemented endocrowns and determine whether the fabrication method and material used influenced the marginal gap.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Materials and Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Systematic screening was conducted until January 2025 using EBSCO Host, Scopus, PubMed, and Web of Science databases. This systematic review followed PRISMA guidelines, including in vitro studies on marginal gaps in single-unit pre-cemented endodontic crowns while excluding in vivo and virtual assessments, and studies analyzing preformed and implant-supported crown assessments. The quality of the selected studies was evaluated using the Joanna Briggs Critical Appraisal Checklist. Welch's &lt;i&gt;t&lt;/i&gt;-test and ANOVA were used to analyze differences in marginal gaps across the included variables.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Twenty-eight studies were included for analysis. The mean marginal gap for endocrowns across all included studies was 82.75 ± 33.10 µm. Endocrowns fabricated on maxillary teeth demonstrated a mean marginal gap of 77.01 ± 25.46 µm compared with 85.05 ± 36.04 µm for mandibular teeth (&lt;i&gt;t&lt;/i&gt; = −0.66, &lt;i&gt;p&lt;/i&gt; = 0.513). Endocrowns fabricated using computer-aided design/computer-aided manufacturing (CAD/CAM) (86.65 ± 38.14 µm) had significantly smaller marginal gaps compared with those produced using conventional impressions (109.37 ± 30.05 µm) (&lt;i&gt;t&lt;/i&gt; = 2.746, &lt;i&gt;p&lt;/i&gt; = 0.038). Seven measurement methods were reported, with significant differences observed in marginal gap values across the different methods (&lt;i&gt;F&lt;/i&gt; = 4.61, &lt;i&gt;p&lt;/i&gt; = 0.013). Impression replica and stereomicroscopy were the most used marginal gap methods, used collectively in 19 (68%) of the included 28 studies. Impression replica (95.49 ± 31.57 µm) and stereomicroscopy (63.69 ± 26.81 µm) methods produced significantly different marginal gap measurements (&lt;i&gt;p&lt;/i&gt; = 0.003). There were no significant differences in marginal gap between endocrown materials (&lt;i&gt;p&lt;/i&gt; = 0.122), with marginal gaps ranging from 60.93 ± 26.66 µm in the less explored polymer-infiltrated ceramic to 95.21 ± 34.07 µm in the more frequently studied zirconia. Lithium disilicate remained the most heavily researched material with a pooled marginal gap of 84.04 ± 32.91 µm across all included studies.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The choice of measurement technique significantly influenced the reported marginal gap value","PeriodicalId":10203,"journal":{"name":"Clinical and Experimental Dental Research","volume":"11 3","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cre2.70152","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144135711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Systematic Reviews Comparing Direct and Indirect Restorations: An Umbrella Review That Examines Restoration Type and Confidence in Results 比较直接和间接修复的系统评价:检查修复类型和结果信心的总括性评价
IF 1.7
Clinical and Experimental Dental Research Pub Date : 2025-05-26 DOI: 10.1002/cre2.70149
Mona Kimmel, Clovis Mariano Faggion Jr.
{"title":"Systematic Reviews Comparing Direct and Indirect Restorations: An Umbrella Review That Examines Restoration Type and Confidence in Results","authors":"Mona Kimmel,&nbsp;Clovis Mariano Faggion Jr.","doi":"10.1002/cre2.70149","DOIUrl":"https://doi.org/10.1002/cre2.70149","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>There are two technologies for restoring individual structurally defective teeth. A direct restoration is applied chairside in one appointment, while an indirect restoration needs to be lab-produced before application. This umbrella review of previous English systematic reviews was conducted to determine if there was any difference between the two restoration types in adults regarding failure and the review methodological quality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>On November 7, 2023, three databases (PubMed, Web of Science, and Cochrane) were searched for systematic reviews comparing direct and indirect restorations. Two researchers independently selected the studies and extracted the information from the full texts of the articles. The methodological quality of the reviews was assessed with the measurement tool to assess systematic reviews (AMSTAR-2) checklist.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Initially, 436 articles were identified; after screening, a total of 20 systematic reviews were included. Overall, the reviews indicated that both restorations produced similar results. There was a preference for direct restoration of small defects and indirect restoration for teeth with fewer than two remaining walls. Direct restoration was more cost and production-efficient, but indirect restoration offered better long-term results for larger defects. The overall confidence in the systematic review results ranged from critically low to high.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Either restoration is a valid option for restoring damaged teeth. The success of the restoration depends on the patient, operator, remaining tooth structure, and restoration material. Because of the high heterogeneity of patients, teeth, and material factors, there is no recommendation on the restoration type.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10203,"journal":{"name":"Clinical and Experimental Dental Research","volume":"11 3","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cre2.70149","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144135712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gingival Stem Cell-Conditioned Media and Low-Level Laser Therapy Enhance Periodontal Ligament Stem Cells Function by Upregulating Wnt and TGF-β Pathway Components: An In Vitro Study 牙龈干细胞条件介质和低水平激光治疗通过上调Wnt和TGF-β通路成分增强牙周韧带干细胞功能的体外研究
IF 1.7
Clinical and Experimental Dental Research Pub Date : 2025-05-26 DOI: 10.1002/cre2.70151
Mohammed Y. Aljabri, Yaser A. Alhazmi, Salah A. Elsayyad, Shehabeldin M. Saber, Mohamed Shamel
{"title":"Gingival Stem Cell-Conditioned Media and Low-Level Laser Therapy Enhance Periodontal Ligament Stem Cells Function by Upregulating Wnt and TGF-β Pathway Components: An In Vitro Study","authors":"Mohammed Y. Aljabri,&nbsp;Yaser A. Alhazmi,&nbsp;Salah A. Elsayyad,&nbsp;Shehabeldin M. Saber,&nbsp;Mohamed Shamel","doi":"10.1002/cre2.70151","DOIUrl":"https://doi.org/10.1002/cre2.70151","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study investigated the synergistic effects of gingival stem cell conditioned media (GSC-CM) and low-level laser therapy (LLLT) on stimulating PDLSCs, explicitly focusing on the molecular basis of enhancing the Wnt and TGF-β signaling pathways.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Material and Methods</h3>\u0000 \u0000 <p>PDLSCs were isolated and GSC-CM were prepared and characterized. Five groups were utilized: control, osteogenic induction medium (positive control), GSC-CM, LLLT (980 nm, 1.5 J/cm²), and a combination of GSC-CM with LLLT. Cell viability was assessed using the MTT assay on Days 1, 2, and 3. Osteogenic differentiation of PDLSCs was assessed using mineralization assays employing Alizarin Red staining, and molecular analyses of osteogenic markers (<i>RUNX2, ALP, OCN</i>) and signaling-related genes (<i>CTNNβ1, TGFβ1</i>) conducted via RT‒PCR.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The findings revealed that the dual application of GSC-CM and LLLT significantly enhanced cell viability and osteogenic differentiation of PDLSCc compared to the effects of the individual treatment modalities. Moreover, the study revealed elevated expression levels of osteogenic markers across all the experimental groups, specially the combination group, which showed the highest levels. Significantly, the combination treatment group displayed superior outcomes in this regard. The results also suggest potential activation of Wnt/β-catenin and TGF-β signaling components.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study highlights the significant effects of using GSC-CM and LLLT to improve PDLSC survival and osteogenic differentiation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10203,"journal":{"name":"Clinical and Experimental Dental Research","volume":"11 3","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cre2.70151","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144135798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Computer-Assisted Implant Surgery: Patients' Experience and Perspectives 计算机辅助植入手术:患者的经验和观点
IF 1.7
Clinical and Experimental Dental Research Pub Date : 2025-05-26 DOI: 10.1002/cre2.70143
Xin Hui Yeo, Lin Jing Uei, Man Yi, Kajorn Kungsadalpipob, Keskanya Subbalehka, Bilal Al-Nawas, Nikos Mattheos
{"title":"Computer-Assisted Implant Surgery: Patients' Experience and Perspectives","authors":"Xin Hui Yeo,&nbsp;Lin Jing Uei,&nbsp;Man Yi,&nbsp;Kajorn Kungsadalpipob,&nbsp;Keskanya Subbalehka,&nbsp;Bilal Al-Nawas,&nbsp;Nikos Mattheos","doi":"10.1002/cre2.70143","DOIUrl":"https://doi.org/10.1002/cre2.70143","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Although computer-assisted implant surgery (CAIS) has increased significantly the precision of dental implant placement, documentation of the impact of such technologies in the patient-reported experience and outcomes remains, however, limited. The aim of this white paper was to assess the impact of CAIS on key aspects of the patient experience, such as its potential benefits on (1) patients' understanding and engagement with implant surgery, (2) patient's confidence with treatment outcomes, (3) patients' preferences, (4) intra- and (5) Postoperative experience and (6) long-term patient-reported outcomes and oral health-related quality of life.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Material and Methods</h3>\u0000 \u0000 <p>A review of the literature compiled existing evidence from clinical studies up to November 2024, which was later discussed and synthesized with expert opinions and the best currently documented experience and practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>No evidence was found that CAIS improves patient engagement or confidence with treatment outcomes, while comparative studies showed no difference in the intra- and postoperative experience when CAIS is used. Impact of the cost of CAIS procedures on patients perceptions and preferences has also not been explored, with the majority of studies significantly subsidizing patient costs, in particular randomized trials. At the same time, studies that compare interventions cannot assess the overall benefits of a complex workflow such as immediacy or minimally invasive approaches, to which CAIS is an essential part.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Research on patient outcomes with CAIS might not fully reflect the potential of these technologies when limited to the level of the surgical intervention. Major anticipated benefits of CAIS for the patient such as the potential to reduce complexity and facilitate faster, safer and more predictable execution of digitally designed treatments, could be better approached in the future by studies aimed at assessing patient-reported outcomes from entire treatment workflows.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10203,"journal":{"name":"Clinical and Experimental Dental Research","volume":"11 3","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cre2.70143","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144135689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Artificial Intelligence and Hand Hygiene Accuracy: A New Era in Infection Control for Dental Practices 人工智能和手部卫生准确性:牙科诊所感染控制的新时代
IF 1.7
Clinical and Experimental Dental Research Pub Date : 2025-05-26 DOI: 10.1002/cre2.70150
Salwa A. Aldahlawi, Amr H. Almoallim, Ibtesam K. Afifi
{"title":"Artificial Intelligence and Hand Hygiene Accuracy: A New Era in Infection Control for Dental Practices","authors":"Salwa A. Aldahlawi,&nbsp;Amr H. Almoallim,&nbsp;Ibtesam K. Afifi","doi":"10.1002/cre2.70150","DOIUrl":"https://doi.org/10.1002/cre2.70150","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The study aimed to assess the efficacy of an artificial intelligence (AI) model in evaluating hand hygiene (HH) performance compared to infection control auditors in dental clinics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Material and Method</h3>\u0000 \u0000 <p>The AI model utilized a pretrained convolutional neural network (CNN) and was fine-tuned on a custom data set of videos showing dental students performing alcohol-based hand rub (ABHR) procedures. A total of 66 videos were recorded, with 33 used for training and 11 for validating the model. The remaining 22 videos were designated for testing and the AI- infection control auditors comparison experiment. Two infection control auditors assessed the HH performance videos using a standardized checklist. The model's performance was evaluated through precision, recall, and F1 score across various classes. The level of agreement between the auditors and the AI assessments was measured using Cohen's kappa, and the sensitivity and specificity of the AI were compared to those of the infection control auditors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The AI model has learned to differentiate between classes of hand movement, with an overall F1 score of 0.85. Results showed a 90.91% agreement rate between the AI model and infection control auditors in evaluating HH steps, with a sensitivity of 85.7% and specificity of 100% in identifying acceptable HH practices. Step 3 (back of fingers to opposing palm with fingers interlocked) was consistently identified as the most frequently missed step by both the AI model and the infection control auditors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The AI model assessment of HH performance closely matched auditors' evaluations, suggesting its reliability as a tool for evaluating and mentoring HH in dental clinics. Future research should explore the application of AI technology in different dental settings to further validate its feasibility and adaptability.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10203,"journal":{"name":"Clinical and Experimental Dental Research","volume":"11 3","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cre2.70150","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144135688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Medication Purchases Are Associated With the Number of Dental Treatments 药物购买与牙科治疗的次数有关
IF 1.7
Clinical and Experimental Dental Research Pub Date : 2025-05-23 DOI: 10.1002/cre2.70121
Freja Frankenhaeuser, Håkan Källmén, Jukka Meurman, Esa Korpi, Birgitta Söder
{"title":"Medication Purchases Are Associated With the Number of Dental Treatments","authors":"Freja Frankenhaeuser,&nbsp;Håkan Källmén,&nbsp;Jukka Meurman,&nbsp;Esa Korpi,&nbsp;Birgitta Söder","doi":"10.1002/cre2.70121","DOIUrl":"https://doi.org/10.1002/cre2.70121","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Little is known whether the number of systemic medications, indicating worsened general health, affects the number of dental appointments needed. The hypothesis is that patients purchasing more systemic medications would have an increased number of dental appointments and respective need for treatments than patients who do not purchase as many medications.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>Our cohort consists of 1495 participants from the Stockholm area, Sweden, initially examined in 1985. Using national population and patient registers (2005–2017), the association between the number of medication purchases and dental appointments was analyzed. The Anatomical Therapeutic Chemical Classification System for Medicines (ATC) was used. Descriptive statistics, chi-square tests, and logistic regressions were used with several covariates like gender and socioeconomic status.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Purchases above the median of all medications showed a statistically significant association with more dental appointments and respective treatments. Most of the ATC system's main drug categories were significantly associated with more dental appointments, even when adjusting for covariates. Purchases of medications from 32 different ATC subgroups were significantly associated with the number of dental appointments above the median.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>In the group of adult Swedes who were studied, it was found that increased purchasing of nearly all types of drugs was associated with an increased number of dental appointments between the study years 2005–2017.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10203,"journal":{"name":"Clinical and Experimental Dental Research","volume":"11 3","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cre2.70121","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144125954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
In Vitro Evaluation of Flexural Strength, Impact Strength, and Surface Microhardness of Vaccinium macrocarpon Reinforced Polymethyl Methacrylate Denture Base Resin 大碳酸钙增强聚甲基丙烯酸甲酯义齿基托树脂抗弯强度、冲击强度和表面显微硬度的体外评价
IF 1.7
Clinical and Experimental Dental Research Pub Date : 2025-05-19 DOI: 10.1002/cre2.70145
Anitha Kuttae Viswanathan, Rajkumar Krishnan
{"title":"In Vitro Evaluation of Flexural Strength, Impact Strength, and Surface Microhardness of Vaccinium macrocarpon Reinforced Polymethyl Methacrylate Denture Base Resin","authors":"Anitha Kuttae Viswanathan,&nbsp;Rajkumar Krishnan","doi":"10.1002/cre2.70145","DOIUrl":"https://doi.org/10.1002/cre2.70145","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The antimicrobial efficacy of cranberry (CA) against oral infections was well evidenced. Influence of cranberry on the mechanical properties of heat-activated polymethyl methacrylate (HA-PMMA) denture base resin (DBR) is unexplored till date and is significant for a better understanding of the reinforcement. This study aimed to evaluate the flexural strength (FS), impact strength (IS), and surface microhardness (VHN) of heat-cure PMMA DBR reinforced with varying concentrations of <i>Vaccinium macrocarpon</i> (cranberry) extract.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Material and Methods</h3>\u0000 \u0000 <p>A total of 150 samples were categorized into five groups (<i>n</i> = 10) by weight percentage of 0, 0.5, 1.0, 1.5, and 2.0 cranberry extract added into HA-PMMA polymer after the performance of antimicrobial efficacy testing of CA. Three-point bending test for FT, Izod impact testing for IS, and Vickers microhardness test were performed. Fractured sample surface was characterized by a high-resolution scanning electron microscope (HR-SEM). Raw data were statistically analyzed with one-way ANOVA and post hoc Bonferroni test.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A significant improvement in flexural strength of 76.88 ± 0.73 MPa, impact strength of 6.66 ± 0.24 kJ/m<sup>2</sup>, and microhardness of 18.44 ± 0.27 kg/mm<sup>2</sup> was observed at 2 wt.% (<i>p</i> &lt; 0.0001). Fractured surface topography showed dispersion of cranberry particles as a thin fibrous band intermeshed within resin matrix.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Addition of up to 2 wt.% cranberry improved the FS, IS, and VHN on comparison to 0 wt.% control HA-PMMA.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10203,"journal":{"name":"Clinical and Experimental Dental Research","volume":"11 3","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cre2.70145","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144085027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","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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