Journal of dentistry最新文献

{"title":"Feasibility of atraumatic extractions with surgical lasers: A pilot study in porcine jaws","authors":"Rodwan K. Ibrahim ,&nbsp;Brendan B. Louis ,&nbsp;Madelyn Ritter ,&nbsp;Ridham Varsani ,&nbsp;Samir Nammour ,&nbsp;Praveen R. Arany","doi":"10.1016/j.jdent.2025.106107","DOIUrl":"10.1016/j.jdent.2025.106107","url":null,"abstract":"<div><h3>Objectives</h3><div>The positive increases in human lifespan have resulted in an increasing incidence of chronic diseases in the geriatric population. Elderly patients, especially females, often present with brittle jaw bones due to osteoporosis that have significantly increased risk of fractures during routine tooth extractions. The aim of this study was to examine the feasibility of utilizing surgical dental lasers to achieve minimally invasive, atraumatic tooth extraction.</div></div><div><h3>Methods</h3><div>In this study we utilized 64 porcine premolars (16 per group) and examined the feasibility of using Er,Cr:YSGG (8 W, 20 Hz), CO₂ (3 to 6 W, super-pulsed), and diode (8 W, CW) lasers with air-water cooling to assist with tooth extractions. Mucoperiosteal flaps were raised following a vertical release incision, and laser tips were aligned parallel to the cementum surface. Tooth mobility and extraction force were assessed using the Miller Mobility Index, digital and thermal imaging, and force transducers. Histological analysis was performed to evaluate tissue changes.</div></div><div><h3>Results</h3><div>We noted laser ablation of surrounding tissues enabled Grade 2 mobility with the Er,Cr:YSGG and CO₂ lasers enabling extractions with lower manual force (16 and 11 N respectively), while the diode laser could only achieve Grade 1 mobility (28 N). Minimal charring of alveolar bone was seen with the Er,Cr:YSGG laser, while the CO₂ and Diode lasers displayed most prominent charring.</div></div><div><h3>Conclusions</h3><div>Together, these results suggest that laser-assisted extractions in vulnerable patients could improve overall quality of care.</div></div><div><h3>Clinical Significance</h3><div>Laser-assisted tooth extraction can provide a potent atraumatic approach in geriatric populations with high risk of jaw fractures and complications from osteoporosis or osteonecrosis. This approach represents a minimally invasive approach for routine extractions resulting in less pain and discomfort, and improved healing and overall patient experience.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"163 ","pages":"Article 106107"},"PeriodicalIF":5.5,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069689","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":"Reliability and validity of the quality of life with implant prostheses in China: A tool for assessing quality of life among implant-prostheses wearers","authors":"Jun Zhang ,&nbsp;Fanjun Kong ,&nbsp;Weiren Wang ,&nbsp;Xu Wang ,&nbsp;Lulu Yuan","doi":"10.1016/j.jdent.2025.106106","DOIUrl":"10.1016/j.jdent.2025.106106","url":null,"abstract":"<div><h3>Objectives</h3><div>The demand for dental implants is increasing in China; however, there is currently no validated assessment tool tailored to the oral health-related quality of life among this population. This study aimed to translate the Quality of Life with Implant Prostheses scale (QoLIP-10) into Chinese and evaluate its psychometric properties, including validity and reliability.</div></div><div><h3>Methods</h3><div>The QoLIP-10 was translated into Chinese using the Brislin translation model. A total of 202 implant-prosthesis wearers were recruited between August 2022 and July 2023 in China. Psychometric evaluation included exploratory factor analysis (EFA), confirmatory factor analysis (CFA), criterion validity, content validity, internal consistency (Cronbach’s α), split-half reliability, and test-retest reliability.</div></div><div><h3>Results</h3><div>The Chinese version of QoLIP-10 was successfully adapted to align with China’s cultural context. EFA extracted two factors, explaining 68.04 % of the cumulative variance. CFA demonstrated good model fit (χ²/df = 1.600, RMSEA = 0.077, CFI = 0.981, IFI = 0.982, TLI = 0.972). Criterion validity yielded a correlation coefficient of 0.386. Content validity indices were strong, with item-level (I-CVI) and scale-level (S-CVI) values ranging from 0.80 to 1.00 and 0.96, respectively. Internal consistency was excellent (total Cronbach’s α = 0.871; subscales: 0.896 and 0.910). Split-half reliability was 0.716, and test-retest reliability (2-week interval) was 0.875.</div></div><div><h3>Conclusion</h3><div>The Chinese QoLIP-10 shows promising psychometric properties and potential cultural adaptability in this initial cross-sectional validation, providing a validated tool for assessing quality of life in Chinese implant-prosthesis wearers. Its two-factor structure effectively captures both functional and psychosocial impacts of treatment.</div></div><div><h3>Clinical Significance</h3><div>This culturally adapted instrument enables efficient clinical assessment of patient-reported outcomes, addressing a critical gap in China's growing implant dentistry practice. Its brevity (10 items) and reliability make it particularly suitable for routine monitoring in busy clinical settings.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"162 ","pages":"Article 106106"},"PeriodicalIF":5.5,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145064699","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":"In silico and in vitro characterization of GH12, an innovative peptide for dental pulp regeneration","authors":"Lisa Reiniche ,&nbsp;Marjorie Faure ,&nbsp;Marianne Leveque ,&nbsp;Cédric Orelle ,&nbsp;Audrey Ziverec ,&nbsp;Jean-Christophe Farges ,&nbsp;François Virard ,&nbsp;Jean-Daniel Malcor ,&nbsp;Mourad Bekhouche ,&nbsp;Maxime Ducret","doi":"10.1016/j.jdent.2025.106105","DOIUrl":"10.1016/j.jdent.2025.106105","url":null,"abstract":"<div><h3>Objective</h3><div>To characterize the mechanism of action of GH12 and to assess its cytotoxicity on dental pulp mesenchymal stem cells (DP-MSCs).</div></div><div><h3>Methods</h3><div>GH12 mechanism of action was characterized using <em>in silico</em> predictions and lipid bilayer liposome assays. GH12 cytotoxicity was assessed in 2D culture using DP-MSCs through Live/Dead assay and lysosome staining after 2, 4, and 6 h of incubation. Finally, GH12 cytotoxicity was assessed in a fibrin-based 3D hydrogel after 48 h.</div></div><div><h3>Results</h3><div><em>In silico</em> predictions suggested a trimeric or tetrameric pore-forming mechanism for GH12, and its capacity to destabilize membranes was further validated by liposome permeabilization assays. In 2D cultures, GH12 significantly decreased DP-MSCs viability and increased lysosomal staining at 50 µg/mL after 2, 4, and 6 h (<em>p</em> &lt; 0.05). In the 3D model, GH12 did not exhibit a significant effect on DP-MSCs viability (92 % at 50 µg/mL after 48 h; <em>p</em> = 0.18).</div></div><div><h3>Conclusion</h3><div><em>In silico</em> predictions suggested that GH12 may adopt trimeric or tetrameric assemblies consistent with a pore-forming mechanism. While cytotoxicity and cellular stress were observed in 2D cultures of DP-MSCs, no toxicity was detected in the fibrin-based 3D model.</div></div><div><h3>Clinical Relevance</h3><div>These findings support the potential integration of the promising antimicrobial peptide GH12 into advanced regenerative endodontic models, paving the way for further preclinical investigations and its eventual translation into clinical applications.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"163 ","pages":"Article 106105"},"PeriodicalIF":5.5,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058449","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":"Corrigendum to \"Flavonoids modulate regenerative-related cellular events in LPS-challenged dental pulp cells\" [Journal of Dentistry 151 (2025) 105424].","authors":"Igor Paulino Mendes Soares, Caroline Anselmi, Rafael Antonio de Oliveira Ribeiro, Rafaella Lara Maia Mota, Maria Luiza Barucci Araújo Pires, Lídia de Oliveira Fernandes, Carlos Alberto de Souza Costa, Josimeri Hebling","doi":"10.1016/j.jdent.2025.106089","DOIUrl":"https://doi.org/10.1016/j.jdent.2025.106089","url":null,"abstract":"","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":" ","pages":"106089"},"PeriodicalIF":5.5,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145054198","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":"Impact of plant-based resins and alcohol-free cleaning solutions on the dimensional stability of additively manufactured dental casts","authors":"Mustafa Borga Donmez ,&nbsp;Isabelle Kaspari ,&nbsp;Münir Demirel ,&nbsp;Çiğdem Kahveci ,&nbsp;Burak Yilmaz","doi":"10.1016/j.jdent.2025.106101","DOIUrl":"10.1016/j.jdent.2025.106101","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to evaluate the dimensional stability of additively manufactured dentate casts over one month by comparing plant-based dental cast resins and alcohol-free cleaning solutions to a conventional resin and isopropyl alcohol (IPA).</div></div><div><h3>Methods</h3><div>The standard tessellation language (STL) file of a maxillary dentate model was used to fabricate 60 casts from three plant-based resins (Plant-based resin gray, AC; Soy-based resin, EX; FotoDent biobased model, FD) and one conventional resin (KM, KeyModel Ultra Ivory) (<em>N</em> = 15). The casts were cleaned using either isopropyl alcohol (IPA), methyl ether solvent (MES), or a water-based solution (<em>n</em> = 5). All casts were digitized one day post-fabrication and weekly thereafter for one month (T0–T4). The master STL and cast scans were imported into a metrology-grade software program for deviation analysis. Dimensional deviations were analyzed using a generalized linear model (α = 0.05).</div></div><div><h3>Results</h3><div>Across tested cleaning solutions and storage durations, KM casts mostly had the lowest and EX casts mostly had the highest deviations (<em>P</em> &lt; 0.001). IPA mostly led to lower and the water-based solution mostly led to higher deviations (<em>P</em> ≤ 0.045). Storage duration significantly affected AC casts and those cleaned with MES, with mostly higher deviations at T0 (<em>P</em> ≤ 0.018). IPA-cleaned casts mostly showed lower deviations across time points (<em>P</em> ≤ 0.043).</div></div><div><h3>Conclusions</h3><div>KM and FD resins demonstrated greater dimensional stability than AC and EX resins. IPA cleaning preserved dimensional stability most effectively, followed by MES. Storage duration had minimal impact on casts’ dimensional stability.</div></div><div><h3>Clinical significance</h3><div>Regardless of the cleaning solutions used in this study, tested plant-based resins, particularly the corn-based formulation, may serve as ecologically sustainable alternatives to conventional resin for diagnostic and orthodontic casts, maintaining one-month dimensional stability. Additionally, alcohol-free cleaning solutions may enhance the environmental sustainability of casts fabricated from conventional resin.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"162 ","pages":"Article 106101"},"PeriodicalIF":5.5,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145054212","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":"Clinical effectiveness of the prefabricated thermoplastic retainers using the virtual bracket removal technique: An in vivo study","authors":"Jiarun Fu,&nbsp;Yipeng Wang,&nbsp;Yikai He,&nbsp;Yongwen Guo,&nbsp;Xianglong Han,&nbsp;Ding Bai,&nbsp;Peiqi Wang,&nbsp;Chaoran Xue","doi":"10.1016/j.jdent.2025.106104","DOIUrl":"10.1016/j.jdent.2025.106104","url":null,"abstract":"<div><h3>Objectives</h3><div>To introduce an experience- and research-based approach for fabricating thermoplastic retainers through the virtual bracket removal (VBR) technique (VBR retainers) and evaluate their retention effectiveness compared to conventional retainers using a novel multi-dimensional measurement framework.</div></div><div><h3>Methods</h3><div>Thirty-eight patients completing fixed orthodontic treatment were randomized to receive VBR retainers (the VBR group) or retainers constructed on stone models (the conventional group), respectively. Retention effectiveness over six months was evaluated via (1) surface deviations represented by root mean square (RMS); (2) arch form changes in width/length; (3) tooth movements in six dimensions. Outcomes were compared between groups and against clinical acceptable limits (CALs; 0.3 mm for RMS, 0.5 mm for arch form changes, and 0.5 mm/2° for linear/angular tooth movements). Statistical analyses included <em>t</em>-tests for normally distributed data and Wilcoxon signed-rank tests or Mann-Whitney U tests for non-normally distributed data, with statistical significance set at α = 0.05.</div></div><div><h3>Results</h3><div>No significant inter-group differences were observed in RMS values or arch form changes, with all values significantly below CALs (<em>P</em> &lt; 0.05). While most tooth movements showed no inter-group differences, the VBR group exhibited statistically significantly greater torque variations in upper canines (0.71 ± 0.91° vs. 0.40 ± 0.77°, <em>P</em> &lt; 0.05), mesiodistal/occlusogingival translations in lower incisors (0.10 ± 0.19 mm vs. 0.06 ± 0.09 mm/0.26 ± 0.38 mm vs. 0.12 ± 0.25 mm, <em>P</em> &lt; 0.05), and angulation/mesiodistal translations in lower posterior teeth (0.69 ± 0.95° vs. 0.49 ± 0.70°/0.11 ± 0.29 mm vs. 0.09 ± 0.16 mm, <em>P</em> &lt; 0.05). Despite these statistical differences, all tooth movements remained significantly lower than CALs (<em>P</em> &lt; 0.05). The VBR approach significantly reduced patient visit duration (7.91 ± 1.19 min vs. 64.98 ± 4.85 min, <em>P</em> &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>VBR retainers demonstrate comparable retention effectiveness to conventionally fabricated retainers over six months and significantly reduce chairside time.</div></div><div><h3>Clinical Significance</h3><div>The proposed criteria for VBR retainer fabrication offer practical suggestions for clinical and laboratory workflows. The findings from a multi-dimensional measurement framework support VBR retainers as an effective, efficient, and time-saving approach for orthodontic retention in routine clinical practice.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"163 ","pages":"Article 106104"},"PeriodicalIF":5.5,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145054249","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":"Digital transformation in dentistry: Patterns of use among clinicians in Germany and Switzerland","authors":"Florian Kernen ,&nbsp;Jan-Philipp Meurer ,&nbsp;Juliane Orth ,&nbsp;Katja Nelson ,&nbsp;Kirstin Vach ,&nbsp;Nicola Ursula Zitzmann ,&nbsp;Benedikt Christopher Spies ,&nbsp;Aiste Kernen-Gintaute","doi":"10.1016/j.jdent.2025.106099","DOIUrl":"10.1016/j.jdent.2025.106099","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to assess the adoption of digital workflows among dental practitioners in Germany and Switzerland, considering demographic factors such as practice type or location, specialist area, and age.</div></div><div><h3>Methods</h3><div>A cross-sectional online survey with 34 questions was conducted between May 2022 and March 2024 to investigate the extent of digital technology adoption among dental practitioners. A total of 1290 completed questionnaires were analyzed. Data were analyzed descriptively and with logistic regression (including Scheffé’s correction) using STATA 17.0 (α = 0.05).</div></div><div><h3>Results</h3><div>Results showed that 22 % of surgical, 44 % of general, and 45 % of orthodontic practitioners had implemented digital workflows. Adoption rates were higher in larger cities and group practices. Younger dentists (digital natives) exhibited a greater tendency to use digital technologies than older practitioners. Computer-aided manufacturing (CAM) systems were widely utilized in-house (55 % among digitized general dentists and 38 % among orthodontists), while use of face scanners was less common (3–9 %).</div></div><div><h3>Conclusions</h3><div>The findings indicate that digitalization is more prevalent in larger, urban, and group practices, likely due to infrastructure, financial resources, and patient demand. The study highlights an increasing trend toward digital integration in Germany and Switzerland.</div></div><div><h3>Clinical significance</h3><div>Understanding trends in digital integration is important for optimizing digital education and supporting the adoption of digital workflows in dentistry.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"162 ","pages":"Article 106099"},"PeriodicalIF":5.5,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145054259","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 influence of peri-implant mucosal phenotype on marginal bone changes in single-tooth implants with direct restorations: a 36-month clinical trial","authors":"Norberto Quispe-López ,&nbsp;Cristina Gómez-Polo ,&nbsp;Javier Flores-Fraile ,&nbsp;Oscar Figueras-Álvarez ,&nbsp;Marta Muñoz-Bruguier ,&nbsp;Nansi López-Valverde ,&nbsp;Javier Montero","doi":"10.1016/j.jdent.2025.106100","DOIUrl":"10.1016/j.jdent.2025.106100","url":null,"abstract":"<div><h3>Objectives</h3><div><strong>:</strong> This clinical trial aimed to evaluate changes at the marginal bone level by analysing the influence of the peri‑implant mucosal phenotype on implants restored with direct screw-retained prostheses after a 3-year follow-up.</div></div><div><h3>Methods</h3><div>Fifty-one patients received 56 implants in the posterior part of the maxilla or mandible. The implants were placed equicrestally, 1 mm subcrestally (SC), or &gt; 1 mm SC, depending on the initial supracrestal tissue height (STH). After 3 months of non-submerged healing, screw-retained single-unit crowns were placed in direct connection with the implant shoulder. Clinical (STH, mucosal thickness, and keratinised mucosa width, KMW) and radiographic (marginal bone remodelling and marginal bone loss, MBR and MBL, respectively) data were recorded during the implant placement surgery (T0) and at the 3, 6, 12, and 36-month follow-ups (T1–T4). MBL was considered the main variable in this work.</div></div><div><h3>Results</h3><div>There was a significant reduction in the mean KMW (by 0.3 ± 0.7 mm) between the 12 and 36-month follow-up (<em>p</em> = .001). After 36 months, significant MBR had occurred between the T3 and T4 periods (0.15 ± 0.29 mm; <em>p</em> = .001), however there had also been some non-significant MBL. Implants with SC positioning &gt; 1 mm showed the highest MBR levels, while equicrestal implants showed the highest MBL. Multiple linear regression analysis indicated that MBR is driven chiefly by implant length, implant diameter and the implant’s apico-coronal position, whereas MBL depends mainly on KMW and implant diameter.</div></div><div><h3>Conclusions</h3><div>Implant crestal position, implant diameter, and keratinised mucosal width were the most important factors in marginal peri‑implant bone loss.</div></div><div><h3>Clinical significance</h3><div>The peri‑implant soft-tissue phenotype, specifically the KMW, seems to be the main protective factor against peri‑implant bone loss.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"163 ","pages":"Article 106100"},"PeriodicalIF":5.5,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145053714","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":"Clinical accuracy and responsiveness of 3D software for measuring facial dimensions at altered vertical dimensions","authors":"Koungjin Park ,&nbsp;Nareudee Limpuangthip ,&nbsp;Sung-Jin Kim ,&nbsp;In-Sung Luke Yeo ,&nbsp;Jae-Hyun Lee ,&nbsp;Murali Srinivasan","doi":"10.1016/j.jdent.2025.106103","DOIUrl":"10.1016/j.jdent.2025.106103","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate the accuracy of two 3D measurement software programs in measuring facial dimensions obtained from a stationary facial scanner, using clinical measurements as a reference, and assess the responsiveness to incremental vertical dimension (VD) alterations.</div></div><div><h3>Methods</h3><div>Soft tissue landmarks were marked on the faces of 20 healthy participants for both clinical and digital measurements. Vertical distances were measured starting at a baseline VD of 0 mm (maximum intercuspation), increasing in 2-mm increments up to 6 mm using resin blocks placed between the central incisors. Horizontal distances were measured only at baseline (0 mm). Clinical measurements were performed by two examiners using a digital vernier caliper. Digital measurements were performed using two 3D software programs: MeshLab (direct point-to-point connection) and Obi (discrete landmark selection method). Agreement between clinical and digital measurements was evaluated using repeated-measures ANOVA, generalized estimating equations, Bland–Altman analysis, and Passing–Bablok regression.</div></div><div><h3>Results</h3><div>Digital measurements yielded slightly greater distances compared to clinical measurements, with MeshLab consistently showing larger discrepancies than Obi. Nevertheless, measurements from both software programs remained within clinically acceptable limits. Higher beta-coefficient values were observed for vertical distances than for horizontal distances, particularly when measuring longer distances between points. Both digital methods effectively detected incremental changes in vertical distances, comparable to clinical measurements.</div></div><div><h3>Conclusions</h3><div>Stationary facial scanners combined with 3D measurement software provided clinically acceptable accuracy for linear facial measurements. The discrete landmark selection method showed slightly better precision compared to the direct point-to-point connection method, particularly for longer distances between facial landmarks.</div></div><div><h3>Clinical Significance</h3><div>Facial scans and associated measurement software provide reliable facial measurements for prosthetic rehabilitation, such as vertical dimension evaluation, within digital workflows. Subtle accuracy differences between software highlight the importance of careful selection and optimization to minimize errors impacting treatment outcomes and enhance clinical efficiency.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"162 ","pages":"Article 106103"},"PeriodicalIF":5.5,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145054266","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":"Determinants of patient regret following tooth extraction due to severe periodontal disease: A cross-sectional survey","authors":"So-Hae Oh ,&nbsp;Ji-Youn Hong ,&nbsp;Ji-Young Jung ,&nbsp;Kyung-A Ko ,&nbsp;Jung-Seok Lee ,&nbsp;Jae-Hong Lee","doi":"10.1016/j.jdent.2025.106097","DOIUrl":"10.1016/j.jdent.2025.106097","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to identify factors associated with patient regret following tooth extraction due to severe periodontal disease. The focus was on sociodemographic characteristics, oral health status, autonomy preferences, and patients’ experiences with tooth extraction, with the goal of informing the development of personalized decision-support strategies within a shared decision-making framework.</div></div><div><h3>Methods</h3><div>The final analysis included 722 patients who had undergone tooth extraction due to severe periodontal disease and had provided complete survey responses. Data included sociodemographic factors, oral health status (modified Adult Oral Health Standard Set), autonomy preferences in clinical decisions (modified Autonomy Preference Index), and patients’ experiences related to tooth extraction (modified Decision Regret Scale). Internal consistency was assessed using Cronbach’s alpha, and ordinary least squares regression was performed to identify significant predictors of regret.</div></div><div><h3>Results</h3><div>Regression analysis revealed significant associations between higher levels of regret and poorer self-reported oral health, stronger preferences for autonomy, inadequate pre-treatment information, and lower alignment between expected and actual treatment outcomes (<em>P</em> &lt; 0.05). Notably, the adequacy of clinician-provided information and expectation concordance demonstrated the strongest statistical associations with regret. Patients who reported stronger preferences for decisional autonomy also expressed greater regret, dissatisfaction, and perceived harm after treatment.</div></div><div><h3>Conclusions</h3><div>Patient regret following tooth extraction was notably influenced by pre-treatment communication, expectation management, autonomy preferences, and oral health status. These findings underscore the importance of individualized, preference-sensitive, and shared decision-making strategies in enhancing patient-centered care and reducing regret in irreversible dental procedures.</div></div><div><h3>Clinical significance</h3><div>Understanding the determinants of regret can guide clinicians in adopting personalized communication strategies, thereby improving patient satisfaction and reducing decisional regret in irreversible dental treatments.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"162 ","pages":"Article 106097"},"PeriodicalIF":5.5,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040275","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}