Journal of dentistry最新文献

{"title":"Air polishing as an adjunct to or replacement for conventional instrumentation in non-surgical peri-implantitis treatment: a systematic review and meta-analysis.","authors":"Porawit Kamnoedboon, Erblina Thaqi, Dusit Nantanapiboon, Murali Srinivasan","doi":"10.1016/j.jdent.2026.107125","DOIUrl":"https://doi.org/10.1016/j.jdent.2026.107125","url":null,"abstract":"<p><strong>Objectives: </strong>To address the focus question: in adults with peri-implantitis, does air polishing, used as an adjunct to or a replacement for non-surgical instrumentation, improve disease resolution and probing pocket depth (PPD) compared with instrumentation alone?</p><p><strong>Data and sources: </strong>MEDLINE (PubMed), Web of Science, Scopus, EMBASE and the Cochrane Central Register of Controlled Trials (CENTRAL) were searched from inception to 15 July 2026.</p><p><strong>Methods: </strong>Randomized and non-randomized comparative studies were eligible if the case definition required bleeding and/or suppuration on probing and radiographic bone loss. PPD and bleeding on probing (BOP) were pooled in a random-effects model with therapeutic role as a pre-specified subgroup, using Hartung-Knapp-Sidik-Jonkman intervals and adjustment for clustering of implants within patients. Other outcomes were synthesized without meta-analysis (SWiM), and certainty was rated with GRADE.</p><p><strong>Results: </strong>Fourteen studies were included, ten in the meta-analysis. At six months, the mean difference in PPD change was -0.03 mm (95% CI -0.38 to 0.31) for adjunctive and +0.04 mm (95% CI -0.52 to 0.59) for replacement use, with no subgroup difference (p = 0.78) and negligible heterogeneity (I² = 3.4%). No significant differences were found at other timepoints or for BOP. Certainty was low for adjunctive PPD change and very low for all other outcomes.</p><p><strong>Conclusions: </strong>Low to very low certainty evidence does not show a clinically meaningful PPD benefit when air polishing is added to conventional instrumentation. For its use as a replacement, the evidence is too imprecise to establish superiority, equivalence or inferiority.</p><p><strong>Clinical significance: </strong>Adding air polishing to non-surgical peri-implantitis therapy has not been shown to improve outcomes beyond conventional instrumentation, and evidence on its use as a replacement is inconclusive. Given the low certainty of the evidence, well-designed trials with standardized endpoints are needed before firm recommendations can be made. PROSPERO Registration: CRD42023447967.</p>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":" ","pages":"107125"},"PeriodicalIF":5.8,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149228170","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":"Zygomatic Implant Fixed Rehabilitation: A Systematic Review and Narrative Synthesis.","authors":"Anisha Rodrigues, Samer Abi Nader, Balendra Pratap Singh, Saadat Atsu, Elham Emami","doi":"10.1016/j.jdent.2026.107122","DOIUrl":"https://doi.org/10.1016/j.jdent.2026.107122","url":null,"abstract":"<p><strong>Objective: </strong>To summarise outcomes of zygomatic implant (ZI) fixed rehabilitation in comparison to alternative fixed implant-supported approaches for the rehabilitation of the atrophic edentulous maxilla.</p><p><strong>Methods: </strong>A comprehensive literature search was conducted in MEDLINE, Web of Science, EMBASE and other relevant databases. Eligibility included studies comparing fixed implant-supported techniques in adults with atrophic edentulous maxilla. The primary outcome was patient satisfaction. Secondary outcomes were oral health-related quality of life (OHRQoL) and disease-oriented outcomes. Risk of bias was assessed using the Revised Cochrane Risk-of-Bias tool and ROBINS-I, and certainty of evidence, using GRADE. Findings were synthesized narratively.</p><p><strong>Results: </strong>The search yielded 3,092 citations, of which five RCTs and one observational study were included in the review. Compared with All-on-4, greater satisfaction with ZI was reported in one study, while another found no statistically significant differences across most domains, except with surgery, which favoured All-on-4. Patients with ZI reported better OHRQoL than those with All-on-4 (SMD=3.02, 95% CI: 2.37,3.66). For implant failure, one RCT reported more failures with bone augmentation than ZI, whereas a retrospective study found no significant difference. For biological complications, one RCT favoured bone augmentation (OR=0.18, 95% CI:0.05,0.61), whereas the retrospective study found no difference. The certainty of evidence ranged from low to very low.</p><p><strong>Conclusion: </strong>The findings suggest that ZI may improve OHRQoL compared to the All-on-4 technique. The evidence also suggests fewer implant failures with ZI, but higher biological complications compared with bone augmentation. However, the confidence in the summary results is currently limited for all outcomes.</p><p><strong>Clinical significance: </strong>Although zygomatic implants could improve the patients' quality of life compared with the All-on-4 technique, with lower implant failures as compared with the bone augmentation technique, the overall certainty of evidence was low to very low. These results, alongside the limitations in the collated evidence, may guide clinicians and patients in informed, shared decision-making for the rehabilitation of the edentulous atrophic maxilla.</p>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":" ","pages":"107122"},"PeriodicalIF":5.8,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149224226","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":"A deep-learning system for dental plaque quantification from disclosed intraoral photographs, validation against clinical plaque scoring.","authors":"Eduarda Freitas de Andrade, Karolina Felisberto, Robert Lucas Bonifácio Correia, Jamil Awad Shibli, Mohamed A Hassan","doi":"10.1016/j.jdent.2026.107124","DOIUrl":"https://doi.org/10.1016/j.jdent.2026.107124","url":null,"abstract":"<p><strong>Objectives: </strong>To determine whether buccal plaque coverage measured automatically from disclosed intraoral photographs agrees with the Turesky-modified Quigley-Hein plaque index (T-QHPI) scored by calibrated dentists.</p><p><strong>Methods: </strong>Twenty adults were photographed in one frontal and two lateral views after 48 hours without oral hygiene, and a calibrated dentist, blind to the model, scored the T-QHPI on the same teeth. Two U-Net (ResNet-34) models, one per view, were trained under participant-level five-fold cross-validation, and coverage was the stained percentage of each outlined buccal crown. Coverage was compared with the clinical grade by Spearman's ρ and, after conversion to T-QHPI grades under index-definition and calibrated thresholds, by weighted κ; participant means by Pearson's r, the intraclass correlation coefficient ICC(2,1) and Bland-Altman analysis.</p><p><strong>Results: </strong>438 teeth were compared with the clinical grade. Segmentation Dice was 0.88 in both views. Coverage ranked teeth with the clinical index at ρ = 0.856 (95% CI 0.821 to 0.877). After calibration, weighted κ was 0.812 (0.766 to 0.844) against 0.791 (0.710 to 0.853) between two examiners, and agreement within one grade was 96.8%. Participant means correlated at r = 0.930, with ICC(2,1) 0.916.</p><p><strong>Conclusions: </strong>Automated buccal plaque coverage from disclosed photographs agreed with the T-QHPI scored by a calibrated examiner, and after threshold calibration the agreement did not differ from that between two examiners.</p><p><strong>Clinical significance: </strong>Automated plaque grading from disclosed photographs could serve as an auxiliary tool, a second opinion that supports, rather than replaces, the clinician's plaque scoring, pending external validation.</p>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":" ","pages":"107124"},"PeriodicalIF":5.8,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149224211","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":"Fit accuracy of inlay-retained fixed partial dentures fabricated using additive and subtractive manufacturing techniques.","authors":"İzim Türker Kader, Simge Dagistan, Elif Nur Köroğlu, Berkman Albayrak","doi":"10.1016/j.jdent.2026.107123","DOIUrl":"https://doi.org/10.1016/j.jdent.2026.107123","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the effect of additive and subtractive manufacturing workflows on the fit accuracy of inlay-retained fixed partial dentures (IRFPDs) using three-dimensional (3D) analysis.</p><p><strong>Methods: </strong>Standardized inlay preparations were performed on typodont mandibular second premolar and molar abutments, and digital models were obtained. IRFPDs were designed using CAD software and fabricated using two additive manufacturing (AM) workflows-stereolithography (AM-SLA) and digital light processing (AM-DLP)-and one subtractive manufacturing (SM) workflow (SM-CS) (n = 15 per group). Fit accuracy was evaluated using a triple-scan protocol based on three standard tessellation language (STL) datasets. The datasets were aligned using best-fit alignment procedures in 3D metrology software (Geomagic Control X). Internal and marginal deviations were quantified using root mean square (RMS) and average gap values. Between-specimen variability in fit measurements was assessed among independently fabricated restorations within each group. Statistical analyses were performed using one-way ANOVA or Kruskal-Wallis tests followed by post hoc comparisons (α = 0.05).</p><p><strong>Results: </strong>Significant differences in trueness were observed among the groups (P < 0.05). The AM-SLA group showed significantly lower internal deviations than the AM-DLP and SM-CS groups, with no significant difference between the latter two. For marginal trueness, SM-CS showed higher RMS values than both AM groups, while AM-SLA showed lower average gap values than SM-CS. Variability in internal fit differed significantly, with AM-DLP showing greater variability than AM-SLA (P < 0.05), whereas variability in marginal fit did not differ significantly among the groups (P > 0.05).</p><p><strong>Conclusions: </strong>The tested manufacturing workflows influenced the fit accuracy of IRFPDs, particularly internal trueness and variability in internal fit. The AM-SLA workflow demonstrated superior internal fit under the investigated material and processing conditions, while variability in marginal fit was comparable among the groups.</p><p><strong>Clinical significance: </strong>Under the investigated material and processing conditions, the AM-SLA workflow demonstrated superior internal trueness and lower variability in internal fit for inlay-retained fixed partial dentures, potentially supporting more consistent internal adaptation in minimally invasive restorative treatments.</p>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":" ","pages":"107123"},"PeriodicalIF":5.8,"publicationDate":"2026-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149220350","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":"A unified Child Perceptions Questionnaire for Brazilian children aged 5-14 years: validation and psychometric evaluation.","authors":"Sara Cristina Barbosa Aquino, Jéssica Madeira Bittencourt, Fabiana Vargas-Ferreira, Micena Roberta Miranda Alves E Silva, Saul Martins de Paiva, Paulo Antônio Martins-Júnior, Raquel Gonçalves Vieira-Andrade","doi":"10.1016/j.jdent.2026.107118","DOIUrl":"https://doi.org/10.1016/j.jdent.2026.107118","url":null,"abstract":"<p><strong>Objective: </strong>To develop and validate a unified Brazilian version of the Child Perceptions Questionnaire for children and adolescents aged 5-14 years (CPQ_5-14).</p><p><strong>Materials and methods: </strong>The unified CPQ_5-14 was developed based on common and age-specific items from the CPQ_8-10 and CPQ_11-14. A sample of 200 children aged 5-14 years and their parents/caregivers was recruited to evaluate the instrument's psychometric properties. Exploratory and confirmatory factor analyses were performed to assess factorial structure and dimensionality. Reliability was evaluated using internal consistency (Cronbach's alpha and McDonald's omega) and test-retest reliability (intraclass correlation coefficient). Convergent and discriminant validity were also assessed.</p><p><strong>Results: </strong>The instrument demonstrated good internal consistency (McDonald's omega = 0.93; Cronbach's alpha = 0.84) and high test-retest reliability (intraclass correlation coefficient = 0.838). Positive correlations were observed between total scores and global ratings (r = 0.384; r = 0.557), supporting convergent validity. Discriminant validity was confirmed by significant differences between children with and without dental caries (p = 0.002). Parallel analysis and unidimensionality indices (UniCo = 0.963; ECV = 0.873; MIREAL = 0.191) supported a unidimensional structure. The bifactor model indicated that the unidimensional model provided a better fit than the four-factor model.</p><p><strong>Conclusion: </strong>The unified CPQ_5-14 is a valid and reliable instrument for assessing oral health-related quality of life in Brazilian children and adolescents.</p><p><strong>Clinical significance: </strong>The instrument enables the assessment of the impact of oral health conditions, dental treatments, and health promotion strategies on OHRQoL in Brazilian children aged 5-14 years using a unified measure.</p>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":" ","pages":"107118"},"PeriodicalIF":5.8,"publicationDate":"2026-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149220397","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":"Repair versus Replacement of Defective Composite Restorations: Teaching in Dental Schools in Canada.","authors":"Umer Daood, Normaliza Ab Malik, Preena Sidhu, Ayesha Masood, Taras Konanec, Arzu Tezvergil, Mohammed Nadeem Bijle, Zeeshan Sheikh, Nairn H F Wilson, Christopher D Lynch, Haider Ali Waeli, Igor R Blum","doi":"10.1016/j.jdent.2026.107119","DOIUrl":"https://doi.org/10.1016/j.jdent.2026.107119","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this paper is to report the outcome of an investigation of the teaching of repair versus replacement in the management of defective composite restorations in dental schools in Canada.</p><p><strong>Materials and methods: </strong>The investigation was a cross-sectional study, using a validated questionnaire. The questionnaire sought information on both preclinical and clinical instruction, number and duration of modules, logistics of teaching, clinical requirements and teaching challenges. The data was collected and entered in an MS Excel spreadsheet. The results were collated and analysed.</p><p><strong>Results: </strong>A survey of all 10 Canadian dental schools revealed a 100% response rate, with all schools confirming they perform composite restoration repairs to extend clinical service. Currently, 70% of schools teach repair techniques in undergraduate clinical training, and 20% plan to introduce such techniques within five years. Furthermore, 100% of schools noted patient willingness to accept repairs. While 70% view repair as a definitive treatment, others see it as temporary (10%) or transitional (20%). Primary reasons for teaching repairs include tooth preservation, pulp protection, marginal defects, and secondary caries. For procedures, 70% teach rubber dam isolation, and 70% use diamond-finishing instruments. Most schools (60%) do not teach bevelling or review repaired restorations, while 60% utilise phosphoric acid etching, adhesive bonding, and nano-filled composites.</p><p><strong>Conclusion: </strong>Undergraduate dental students at most Canadian dental schools are taught repair as an alternative to replacement in the management of defective composite resin restorations. Arrangements to harmonise the teaching of composite repair across Canada and beyond would greatly benefit patients and students nationally and internationally.</p><p><strong>Clinical significance: </strong>Teaching composite restoration repair supports minimally invasive dentistry by promoting preservation of sound tooth structure and reducing unnecessary restoration replacement. Greater harmonisation of undergraduate teaching across Canadian dental schools could enhance consistency in clinical practice and improve long-term patient care.</p>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":" ","pages":"107119"},"PeriodicalIF":5.8,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216223","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":"Extraoral relocation of implant scanbody geometries: An in vitro comparison of two workflows for complete-arch implant position transfer.","authors":"Gennaro Ruggiero, Roberto Sorrentino, Francesco Guido Mangano, Jaafar Mouhyi, Fernando Zarone","doi":"10.1016/j.jdent.2026.107114","DOIUrl":"https://doi.org/10.1016/j.jdent.2026.107114","url":null,"abstract":"<p><strong>Objectives: </strong>To compare the metrological performance of an integrated extraoral GeoXact scanbody workflow (GXE; GeoXact® extraoral kit, Biotec srl, Vicenza, Italy) with a conventional intraoral implant scanbody workflow (ISB; Osstem TSIII, 4.8-mm platform; Osstem Implant Ltd., Busan, Republic of Korea) for complete-arch implant position transfer.</p><p><strong>Methods: </strong>A maxillary edentulous cast containing 6 digital laboratory analogs (TSMDLA, Osstem Implant Ltd., Busan, Republic of Korea) was scanned 15 times per workflow with one intraoral scanner (Primescan 2; Sirona Dental, Bensheim, Germany). Each experimental scan was compared with a workflow-specific structured-light reference after CAD-library replacement. The prespecified primary outcome was scan-averaged detrended translational magnitude; key secondary outcomes were global mean surface deviation and scan-averaged detrended angular deviation. Site-level and interimplant analyses were exploratory.</p><p><strong>Results: </strong>GXE showed lower detrended translational magnitude (96 ± 52 µm vs 210 ± 72 µm; P < .001), global mean surface deviation (8 ± 3 µm vs 18 ± 16 µm; P = .041), and detrended angular deviation (0.121 ± 0.059° vs 0.320 ± 0.045°; P < .001) than conventional ISBs.</p><p><strong>Conclusions: </strong>Under the tested in vitro conditions, the integrated GXE workflow showed lower global surface deviation and smaller detrended translational and angular deviations than conventional ISBs. These metrological findings provide a basis for further prosthetic-fit and clinical validation.</p><p><strong>Clinical significance: </strong>Under controlled in vitro conditions, the GXE workflow yielded lower global surface deviation and smaller relative translational and angular discrepancies than conventional ISBs.</p>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":" ","pages":"107114"},"PeriodicalIF":5.8,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216238","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":"Beyond Measuring Wear: Are We Measuring What Really Matters?","authors":"Felipe Somavilla Binotto, Luiza Freitas Brum Souza, Mutlu Özcan, Paula Benetti","doi":"10.1016/j.jdent.2026.107121","DOIUrl":"https://doi.org/10.1016/j.jdent.2026.107121","url":null,"abstract":"<p><strong>Introduction: </strong>Dental wear research remains methodologically heterogeneous, limiting comparison among studies and the correlation of laboratory findings and clinical performance.</p><p><strong>Methods: </strong>This Short Communication draws on landmark publications, recent methodological studies, international guidance, and clinical evidence to examine laboratory wear protocols, analytical workflows, and the challenges on interpreting the outcomes.</p><p><strong>Results: </strong>Different wear protocols reproduce distinct degradation mechanisms and may impact the wear patterns and materials performance. Digital measurement workflows introduce variability through wear outcomes acquisition, alignment, reference-area selection, and data processing. Research outcomes, such as vertical loss, volumetric loss, antagonist wear, and structural damage represent distinct dimensions of the wear process and should be interpreted carefully. International standards addresses specific wear mechanisms and testing approaches but does not provide a contemporary framework linking the research question, experimental model, measurement workflow, and intended practical inference. A single universal wear-testing protocol is therefore unlikely to be appropriate for all research questions.</p><p><strong>Conclusion: </strong>Experimental design should be aligned with the research question, ensuring that the selected degradation model, testing conditions, measurement methods, and outcomes appropriately support the intended interpretation. Studies should provide a clear rationale for the selected testing protocols and support the progressive validation of laboratory models through comparison with clinical evidence.</p><p><strong>Clinical significance: </strong>Advancing wear research requires greater methodological consistency and a clear understanding of what laboratory models can represent. The clinical relevance of laboratory findings depends on clearly defining the phenomenon under investigation, selecting appropriate outcomes, and recognizing the limits of extrapolating experimental results to clinical conditions.</p>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":" ","pages":"107121"},"PeriodicalIF":5.8,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216246","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":"AI-derived panoramic score and its association with major systemic diseases: A retrospective cross-sectional study.","authors":"Se Hoon Kahm, Dong Yub Ko, Jin Sun Choi, Jae-Hyun Lee, Seok-Hwan Cho, Su Young Lee","doi":"10.1016/j.jdent.2026.107104","DOIUrl":"https://doi.org/10.1016/j.jdent.2026.107104","url":null,"abstract":"<p><strong>Objectives: </strong>This study evaluated whether an AI-generated, panoramic radiograph-based score was associated with five selected systemic diseases.</p><p><strong>Methods: </strong>26,550 panoramic radiographs from two hospitals were analyzed using an AI model that detected teeth and implants and quantified alveolar bone loss. A radiograph-based score (0-100) was derived from missing teeth and weighted bone-loss severity. Associations with diabetes mellitus, hypertension, osteoporosis, ischemic heart disease, and hyperlipidemia were assessed using between-group comparisons, prevalence trends across score bins, and logistic regression adjusted for age, sex, and body mass index. Incremental discrimination over covariates alone was quantified using ΔAUC and the DeLong test.</p><p><strong>Results: </strong>Patients with each condition had lower scores than controls (all P<0.001), with the largest adjusted difference for diabetes mellitus (β=-6.25). Prevalence of all five conditions showed a decreasing trend across ascending score strata (Cochran-Armitage P<0.001), with the highest Q1-to-Q5 relative risk for ischemic heart disease (4.73). After adjustment, the score remained independently associated with all diseases (AUC, 0.74-0.80), with significant incremental discrimination for diabetes mellitus, hypertension, and hyperlipidemia (ΔAUC =0.0015-0.0154; DeLong P<0.0188) but not ischemic heart disease or osteoporosis.</p><p><strong>Conclusions: </strong>An AI-derived panoramic radiograph-based score was independently associated with five selected systemic diagnoses. Clinical significance An AI-derived score obtained from routinely acquired panoramic radiographs was independently associated with major systemic diseases. This automated, quantitative score may serve as an exploratory image-based index, supporting integrated management between dental and medical care.</p>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":" ","pages":"107104"},"PeriodicalIF":5.8,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216193","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":"Current and Emerging Trends in the Teaching of Direct Posterior Resin Composites in Indonesian Dental Schools: A Cross-Sectional Study.","authors":"Umer Daood, Normaliza Ab Malik, Preena Sidhu, Ike Dwi Maharti, Atik Ramadhani, Sahar Fatima, Nairn H F Wilson, Christopher D Lynch, Igor R Blum","doi":"10.1016/j.jdent.2026.107120","DOIUrl":"https://doi.org/10.1016/j.jdent.2026.107120","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the current and future teaching of posterior composite restorations in undergraduate curricula at dental schools in Indonesia.</p><p><strong>Materials and methods: </strong>A 23-item validated questionnaire including closed and open questions pertaining to the teaching of posterior composites was emailed to faculty members of all 38 dental schools in Indonesia. Responses were compiled on Excel and analysed.</p><p><strong>Results: </strong>The questionnaire response rate was 84%. All schools instructed placement of occlusal, and two, and three-surface occluso-proximal composite restorations in premolar and molar teeth. Nine dental schools (n=9; 28%) taught posterior composites first, whereas 13 schools (n=13; 41%) taught the use of dental amalgam first. Most dental schools (n=26; 81.25%) taught removal of residual caries, prior to placement of restorations. Most schools (n=10; 31%) taught rubber dam before the placement of composites. Students were taught use of clear matrix, sectional metal matrix systems (n=24; 75%), or use a circumferential metal system such as Tofflemire (n=20; 62%). Most institutions reported teaching Solventum composites (n=25; 78%). Twenty-eight dental schools (88%) taught the use of water cooling while finishing.</p><p><strong>Conclusion: </strong>Instruction in posterior composite restorations is well-established and growing in Indonesian dental schools. Differences in the teaching between dental schools in Indonesia and the teaching in dental schools in other countries and regions of the world should be the subject of review. It is anticipated that the teaching and limited use of dental amalgam by students in Indonesian dental schools will continue to be phased down.</p><p><strong>Clinical significance: </strong>Aligning Indonesian dental curricula with global trends in posterior resin composite instruction ensures that future practitioners master modern, minimally invasive restorative techniques. Standardised instructional frameworks are necessary to maximise material selection, improve technique-sensitive placement, and provide high-quality, tooth-preserving direct restorations as dental amalgam is gradually phased down.</p>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":" ","pages":"107120"},"PeriodicalIF":5.8,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216171","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}