Clinical Oral Investigations最新文献

{"title":"Resonance frequency analysis of dental implants in patients with vitamin D deficiency.","authors":"Vesile Elif Toy, Arife Sabancı","doi":"10.1007/s00784-024-06085-4","DOIUrl":"10.1007/s00784-024-06085-4","url":null,"abstract":"<p><strong>Objectives: </strong>Vitamin D deficiency may influence dental implant osseointegration unfavourably. The aim of this study was to compare dental implant stabilities of patients with different levels of vitamin D and investigate the effects of vitamin D supplementation.</p><p><strong>Materials and methods: </strong>One hundred and twenty-nine patients who underwent dental implantation were grouped regarding vitamin D levels and supplement use: Group A; vitamin D deficiency and supplement usage, Group B; insufficiency with supplement usage, Group C; insufficiency without supplements and Group D; vitamin D sufficiency. Resonance frequency analysis (RFA) measurements were performed at baseline and 3 months. Patients with vitamin D deficiency (Group A) and insufficiency (Group B) were prescribed supplements by specialists. Pearson correlation analysis was used to examine an association between vitamin D levels and implant stability.</p><p><strong>Results: </strong>Primary stability of Group D (76.34 ± 6.55) was significantly higher than Groups A, B and C at baseline (p < 0.05). At 3 months, Group C scored significantly lower than the other groups (p < 0.05). The results revealed a correlation between serum levels of vitamin D and RFA measurements at 3 months (p < 0.05).</p><p><strong>Conclusion: </strong>It was observed that high vitamin D levels influenced implant stabilities positively, as evidenced by higher Implant Stability Quotient values. Low levels of vitamin D may be associated with a decrease in implant stability.</p><p><strong>Statement of clinical relevance: </strong>Vitamin D, concerning its impact on bone metabolism, is currently of particular interest in implant dentistry. The lower stability scores in patients with vitamin D deficiency reinforce the recommendation of Vitamin D supplementation when treating those patients with dental implants.</p>","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":"28 12","pages":"682"},"PeriodicalIF":3.1,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of etching protocols on bond strength of universal adhesives applied to caries affected dentin: a systematic review and meta-analysis.","authors":"Muhammet Karadas, Fatih Bedir, Sezer Demirbuga","doi":"10.1007/s00784-024-06089-0","DOIUrl":"10.1007/s00784-024-06089-0","url":null,"abstract":"<p><strong>Objectives: </strong>This systematic review aimed to detect whether acid etching pretreatment would enhance the bond strength of universal adhesives (UAs) to caries-affected dentin before and after aging.</p><p><strong>Methodology: </strong>Two independent researchers reviewed materials published until August 2024 in five databases (Web of Science, PubMed, SciELO, Scopus, Science Direct, and Cochrane Library). The eligibility criteria contained in vitro studies that assessed the bond strength of UAs to caries-affected dentin using etch-and-rinse and self-etch modes, with or without aging. Statistical meta-analysis was performed using inverse variance method by the Review Manager program (p < 0.05).</p><p><strong>Results: </strong>In total, 26 studies were included in the quantitative analysis. Studies have mostly focused on mild UAs. The application of acid etching did not impact the bond strength of ultra-mild and mild UAs (p > 0.05). Aging considerably reduced the bond strength of mild UAs in etch-and-rinse or self-etch modes (p < 0.05). Bond strength to caries-affected dentin was considerably lower than that to sound dentin in both etching modes (p < 0.05).</p><p><strong>Conclusions: </strong>Pretreatment with phosphoric acid did not affect the bond strength of mild and ultra-mild UAs to caries-affected dentin. The aging process led to a decrease in the bond strength of mild UAs to caries-affected dentin, irrespective of the application strategy.</p>","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":"28 12","pages":"683"},"PeriodicalIF":3.1,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142779522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Randomized controlled trial evaluating the efficacy of the \"water on tray\" anesthesia technique compared to the Halsted technique.","authors":"Hadi Hosseini, Sadra Amirpour Haradasht, Amir Hossein Khazaei, Sepehr Parhizkar, Farnaz Dehabadi","doi":"10.1007/s00784-024-06082-7","DOIUrl":"10.1007/s00784-024-06082-7","url":null,"abstract":"<p><strong>Objective: </strong>With respect to the high failure rate of conventional IANB technique and other associated disadvantages, in this study we focused on an alternative called Water on Tray technique and assessed the efficiency of this method compared to the conventional technique.</p><p><strong>Materials and methods: </strong>This single-blind, single center randomized controlled trial was carried out among 90 individuals referred to the dental clinic of the International Branch of Guilan University of Medical Sciences (IB-GUMS) from November to December of 2017. The patients were randomly assigned into two groups. Injection pain was assessed using Numeric Rating Scale (NRS) and patients were asked to report any tingling sensation on the lip and tongue on the side of injection. Electric pulp test (EPT) and the stick test were also performed. If no numbness was report within 15 min, the injection was deemed unsuccessful. SPSS software version 25 was used with the significance level of p < 0.05.</p><p><strong>Results: </strong>The WOT technique demonstrated a significantly higher success rate of achieving adequate anesthesia on the first attempt (p < 0.05). Additionally, the WOT technique exhibited other significant advantages, including no instances of positive aspiration, rapid onset of action coupled with lingual nerve block, and reduced pain during injection.</p><p><strong>Conclusion: </strong>The Water on Tray is a favorable technique to achieve inferior alveolar nerve block due to its ease and high success rate compared to the conventional technique.</p><p><strong>Clinical relevance: </strong>This technique allows dentists to achieve a higher success rate with inferior alveolar nerve blocks and reduce injection pain in patients.</p>","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":"28 12","pages":"680"},"PeriodicalIF":3.1,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of the reduction in the exposure time to at-home bleaching gel on color change and tooth sensitivity: A systematic review and meta-analysis.","authors":"Priscila Borges Gobbo de Melo, Letícia Vasconcelos Silva Souza, Lucianne Cople Maia, Guido Artemio Marañón-Vásquez, Matheus Kury, Vanessa Cavalli","doi":"10.1007/s00784-024-06036-z","DOIUrl":"10.1007/s00784-024-06036-z","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effect of reducing exposure time to at-home bleaching gel on color change and tooth sensitivity.</p><p><strong>Materials and methods: </strong>The search was carried out using PubMed, Scopus, Web of Science, EMBASE, LILACS, Cochrane. Randomized clinical trials (RCTs) were included involving adult patients who have never undergone bleaching treatment before (P), subjected to bleaching with a reduced exposure time to the at-home bleaching agent (I) compared to those who used it for the time indicated by the manufacturer (C), to evaluate the effects on color change and tooth sensitivity (O). The Cochrane guidelines for the Risk of Bias Assessment Tool (RoB 2.0) and GRADE were used to assess risk of bias and quality of evidence, respectively.</p><p><strong>Results: </strong>Using at-home bleaching gel for the period recommended by the manufacturer resulted in significantly higher ΔE_ab and ΔWI_D values and better subjective color change (ΔSGU-Classical), regardless of the evaluation time. Regarding the post-bleaching evaluation, no significant differences were found for ΔE₀₀ immediately after bleaching or ΔSGU (Bleached) at any time. Reducing the time of use significantly decreased tooth sensitivity events.</p><p><strong>Conclusions: </strong>Reducing exposure time to at-home bleaching gel reduces tooth sensitivity events; however, most of the parameters that assess color change indicate using at-home bleaching gel for the time recommended by the manufacturer.</p><p><strong>Clinical significance: </strong>Reducing exposure time to at-home bleaching gel should be applied with caution in clinical practice. Although the evidence suggests a reduction in tooth sensitivity events, bleaching effectiveness was significantly higher after using the bleaching gel for the time indicated by the manufacturer.</p>","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":"28 12","pages":"679"},"PeriodicalIF":3.1,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safety and accuracy assessment of static computer assisted localized piezoelectric alveolar decortication: an in vitro study.","authors":"María Lara-Muros, Octavi Camps-Font, Javi Vilarrasa, Jordi Vilarrasa, Javier Mir-Mari, Rui Figueiredo, Eduard Valmaseda-Castellón","doi":"10.1007/s00784-024-05920-y","DOIUrl":"10.1007/s00784-024-05920-y","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the safety and accuracy of static computer assisted corticotomy surgery (sCACS) in comparison with freehand piezocision.</p><p><strong>Materials and methods: </strong>A randomized in vitro study was conducted. A total of 260 interradicular corticotomies were performed in 20 identical printed models. sCACS was performed in half of the models, while the rest underwent freehand localized decortication. Accuracy was measured in the three spatial axes by overlapping the digital planning with a previous cone-beam computed tomography (CBCT) scan of the patient and a postoperative CBCT of the models. Safety was determined as the number of damaged root surfaces. Descriptive and bivariate analyses were performed.</p><p><strong>Results: </strong>Freehand corticotomies increased the likelihood of iatrogenic root damage 2.21-fold (95%CI: 1.30 to 3.77; p = 0.004). Both groups showed some degree of deviation compared to digital planning. Nevertheless, the accuracy of sCACS was significantly greater in sagittal (B = -0.21 mm, 95%CI: -0.29 to -0.12; p < 0.001), axial (B = -0.32 mm, 95%CI: -0.48 to -0.18; p < 0.001) and angular deviation (B = -2.02º; 95%CI: -2.37 to -1.66; p < 0.001) compared to freehand surgery, with the exception of depth.</p><p><strong>Conclusions: </strong>The precision and safety of sCACS are greater than the freehand technique.</p><p><strong>Clinical relevance: </strong>Corticotomies are performed in crowded areas where there is usually space limitation. Clinicians should consider the systematic use of surgical guides, since minimal deviations can cause iatrogenic root damage in areas where malocclusions are present.</p>","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":"28 12","pages":"674"},"PeriodicalIF":3.1,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11609119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of biocompatibility of epoxy resin and bioceramic-based root canal sealers.","authors":"Ahmet Demirhan Uygun, Serkan Şen, Sefa Çelik","doi":"10.1007/s00784-024-06071-w","DOIUrl":"10.1007/s00784-024-06071-w","url":null,"abstract":"<p><strong>Objectives: </strong>The purpose of this study is to compare the cytotoxicity of 2 bioceramic-based (Bioserra and AH Plus Bioceramic (Bio)) and 2 epoxy resin-based (Sealart and AH Plus) root canal sealers on the Saos-2 cell line.</p><p><strong>Methods: </strong>The cytotoxicity of the root canal sealers was determined using the MTT metabolic activity assay. The mRNA expression levels of Bcl-2, Beclin1, Cas-3, IL-6, LC3, MMP-9 and TNF-α genes were assessed by quantitative reverse transcription-polymerase chain reaction (qRT-PCR) and the expression of Beclin1 and LC3 proteins were assessed using western blot (WB) method. The canal sealers' total antioxidant status (TAS), total oxidant status (TOS), and oxidative stress index (OSI) were measured using photometric kits.</p><p><strong>Results: </strong>AH Plus Bio significantly increased metabolic activity compared to the 2 resin-containing sealers, but there was no difference with Bioserra. Sealart was clearly the most cytotoxic group. QRT-PCR analysis revealed that the mRNA expressions of Bcl-2, Beclin1, Cas-3, IL-6, LC3, and MMP-9 in the Bioserra group, Bcl-2, Cas-3, and IL-6 in the Sealart group, Beclin1, Cas-3, IL-6, and MMP-9 in the AH Plus group, and Bcl2 in the AH Plus Bio group were stimulated. The OSI results showed no significant difference between the root canal sealer groups.</p><p><strong>Conclusions: </strong>In the study, the best biocompatibility results in MTT, qRT-PCR, WB and OSI were in the AH Plus Bio group. Although Bioserra, the study's other bioceramic paste, was found to be biocompatible according to MTT and OSI measurements, it increased the expression of all genes in qRT-PCR except for TNF-α, and also increased LC3 protein levels in WB.</p><p><strong>Clinical relevance: </strong>Since periradicular tissues can be directly affected by the materials used in root canal treatment, the sealers with high biocompatibility are being developed. In vitro studies examining the biocompatibility of newly produced root canal sealers are guiding for clinical success.</p>","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":"28 12","pages":"673"},"PeriodicalIF":3.1,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Insights into the variations in microbial community structure during the development of periodontitis and its pathogenesis.","authors":"Junlin He, Yefei Liu, Hongzhen Xu, Xiaolin Wei, Meihua Chen","doi":"10.1007/s00784-024-06074-7","DOIUrl":"10.1007/s00784-024-06074-7","url":null,"abstract":"<p><strong>Objective: </strong>To characterize the subgingival microbiota in subjects with stage I/II periodontitis (moderate periodontitis, MP), stage III/IV periodontitis (severe periodontitis, SP), and periodontal health (PH) at the same probing depth (PD) (shallow ≤ 3 mm, moderate 4-6 mm, or deep ≥ 7 mm), and to investigate the changes associated with probing depth progression.</p><p><strong>Materials and methods: </strong>100 subgingival plaque samples were collected from 50 subjects (16 MP, 17 SP and 17 PH), forming six groups: PHS (PH, shallow), MPS (MP, shallow), MPM (MP, moderate), SPS (SP, shallow), SPM (SP, moderate), and SPD (SP, deep). Samples were analyzed using high-throughput sequencing.</p><p><strong>Result: </strong>The subgingival microbiome showed significant differences associated with both PD and periodontitis stage (p < 0.05). With increasing PD, alpha diversity initially increased and then decreased. Pathogenic genera like Fusobacterium, Filifactor, and Porphyromonas increased, while health-associated genera like Streptococcus and Haemophilus decreased. At shallow sites, the PHS, MPS, and SPS groups showed similar community structure. At moderate and deep sites, the SPM and SPD groups exhibited significant differences in community structure compared to the MPM group, with the SPM and SPD groups showing decreased abundances of Actinomyces and increased abundances of Treponema. The microbial co-networks in the SPD and SPM groups exhibited greater complexity and connectivity and were more resilient to random microbial or node removal.</p><p><strong>Conclusions: </strong>The subgingival microbiome shows strong associations with PD and periodontitis stage.</p><p><strong>Clinical relevance: </strong>Once periodontitis progresses to stage III/IV, reconstructing a healthy subgingival microbiome may be challenging, emphasizing the importance of early prevention.</p>","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":"28 12","pages":"675"},"PeriodicalIF":3.1,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigation of the association between COX-2 polymorphisms and external apical root resorption in orthodontically treated patients.","authors":"Liz Helena Moraes Pinheiro, Guido Artemio Marañón-Vásquez, Leonardo Santos Antunes, Peter Proff, Eva Paddenbergb, Christian Kirschneck, Bianca Lopes Cavalcante-Leão, Flares Baratto-Filho, Erika Calvano Küchler, Lívia Azeredo Alves Antunes","doi":"10.1007/s00784-024-06064-9","DOIUrl":"10.1007/s00784-024-06064-9","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the association between single nucleotide polymorphisms (SNPs) in cyclooxygenase-2 (COX-2) and external apical root resorption (EARR) after orthodontic treatment.</p><p><strong>Materials and methods: </strong>This study analyzed the orthodontic records of patients from Regensburg University Hospital and two collaborating private practices. EARR was analyzed in the maxillary central incisors and first mandibular molars using pre- and post-treatment cephalometric and panoramic radiographs, respectively. Genomic DNA was obtained from salivary oral cells. Two SNPs in COX-2, rs5275 (3 prime untranslated region variant) and rs689466 (upstream transcript variant, downstream transcript variant), were genotyped using real-time Polymerase chain reaction (PCR). The linear regression models were fitted to assess the effects of the evaluated SNPs at a significance level of 5%.</p><p><strong>Results: </strong>A total of 143 biologically unrelated patients (mean age: 13.5 ± 4.5 years) were included in the study. The F-test showed that only the regression for EARR in the mandibular molars in the dominant model for rs5275 G allele had a good fit (F = 3.50, P = 0.034). The model showed that individuals carrying at least one G allele for rs5275 had a 17% increase in EARR in the molars compared to common AA homozygotes (exp(B) = 1.17; 95% CI: 1.04, 1.32; P = 0.010). Although an effect of the G allele (rs5275) was detected, this effect did not explain much of the variability in EARR (adjusted R² = 0.04).</p><p><strong>Conclusion: </strong>The results suggested that patients carrying the polymorphic form of the rs5275 were more likely to have EARR in the mandibular molars; therefore, COX-2 could have an effect on EARR.</p><p><strong>Clinical relevance: </strong>The knowledge of the genetic background concerning EARR after orthodontic treatment would aid in clinical practice to screen for associated genetic factors and potentially aid its prevention and management, considering that patients' genetic profiles would soon be available.</p>","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":"28 12","pages":"676"},"PeriodicalIF":3.1,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of painful temporomandibular disorders in individuals with post-traumatic headache attributed to mild traumatic brain injury.","authors":"Mohit Kothari, Lene Odgaard, Jørgen Feldbæk Nielsen, Simple Futarmal Kothari","doi":"10.1007/s00784-024-06086-3","DOIUrl":"10.1007/s00784-024-06086-3","url":null,"abstract":"<p><strong>Objectives: </strong>Studies assessing the presence of painful temporomandibular disorders (TMD) in post-traumatic headache (PTH) attributed to mild traumatic brain injury are lacking. We aimed to (1) measure the prevalence of painful TMD and assess its association with demographic and trauma-related factors in patients with PTH and (2) compare the headache characteristics and post-concussion burden between the PTH patients with and without painful TMD.</p><p><strong>Methods: </strong>This study embedded in a population-based epidemiologic cohort study (N = 2,832) assessed mild traumatic brain injury patients (18-60 years) 2-4 months after their trauma. PTH patients (n = 382) were identified and invited to fill out questionnaires assessing post-concussion symptoms and burden, headache characteristics, presence of painful TMD and demographics.</p><p><strong>Results: </strong>The prevalence of painful TMD was 22.5%. Living with a partner/spouse (OR = 0.31, 95% CI: 0.13-0.75, P = 0.010) and having a secondary education (OR = 0.28, 95% CI: 0.08-0.99, P = 0.048) was significantly associated with decreased risk of having painful TMD. PTH patients with painful TMD reported significantly higher headache intensity (P < 0.042), increased symptom burden (P = 0.007), reduced workability after trauma (P = 0.019) and were frequently on full-time sick leave compared to those without painful TMD.</p><p><strong>Conclusions: </strong>PTH patients had a high prevalence of painful TMD. Living with a partner/spouse and having a secondary education decreased the risk of having painful TMD. Patients with painful TMD were significantly heavily burdened compared to those without painful TMD.</p><p><strong>Clinical relevance: </strong>Presence of painful TMD in PTH patients may compromise the rehabilitation plan and complicate the management of these patients.</p>","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":"28 12","pages":"678"},"PeriodicalIF":3.1,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Deep caries detection using deep learning: from dataset acquisition to detection.","authors":"Amandeep Kaur, Divya Jyoti, Ankit Sharma, Dhiraj Yelam, Rajni Goyal, Amar Nath","doi":"10.1007/s00784-024-06068-5","DOIUrl":"10.1007/s00784-024-06068-5","url":null,"abstract":"<p><strong>Objectives: </strong>The study aims to address the global burden of dental caries, a highly prevalent disease affecting billions of individuals, including both children and adults. Recognizing the significant health challenges posed by untreated dental caries, particularly in low- and middle-income countries, our goal is to improve early-stage detection. Though effective, traditional diagnostic methods, such as bitewing radiography, have limitations in detecting early lesions. By leveraging Artificial Intelligence (AI), we aim to enhance the accuracy and efficiency of caries detection, offering a transformative approach to dental diagnostics.</p><p><strong>Materials and methods: </strong>This study proposes a novel deep learning-based approach for dental caries detection using the latest models, i.e., YOLOv7, YOLOv8, and YOLOv9. Trained on a dataset of over 3,200 images, the models address the shortcomings of existing detection methods and provide an automated solution to improve diagnostic accuracy.</p><p><strong>Results: </strong>The YOLOv7 model achieved a mean Average Precision (mAP) at 0.5 Intersection over Union (IoU) of 0.721, while YOLOv9 attained a mAP@50 IoU of 0.832. Notably, YOLOv8 outperformed both, with a mAP@0.5 of 0.982. This demonstrates robust detection capabilities across multiple categories, including caries,\" \"Deep Caries,\" and \"Exclusion.\"</p><p><strong>Conclusions: </strong>This high level of accuracy and efficiency highlights the potential of integrating AI-driven systems into clinical workflows, improving diagnostic capabilities, reducing healthcare costs, and contributing to better patient outcomes, especially in resource-constrained environments.</p><p><strong>Clinical relevance: </strong>Integrating these latest YOLO advanced AI models into dental diagnostics could transform the landscape of caries detection. Enhancing early-stage diagnosis accuracy can lead to more precise and cost-effective treatment strategies, with significant implications for improving patient outcomes, particularly in low-resource settings where traditional diagnostic capabilities are often limited.</p>","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":"28 12","pages":"677"},"PeriodicalIF":3.1,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}