{"title":"Letter to the Editor regarding \"Computer guided root tip extraction and implant placement: A clinical report\".","authors":"Dan-Ni Wu, Wen-Tao Zhang","doi":"10.1016/j.prosdent.2024.06.034","DOIUrl":"https://doi.org/10.1016/j.prosdent.2024.06.034","url":null,"abstract":"","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755258","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}
Goth Siu, James L Sheets, Cortino Sukotjo, Alvin G Wee, Judy Chia-Chun Yuan
{"title":"Validity and reliability of a proposed anterior implant esthetic index (AIEI).","authors":"Goth Siu, James L Sheets, Cortino Sukotjo, Alvin G Wee, Judy Chia-Chun Yuan","doi":"10.1016/j.prosdent.2024.10.027","DOIUrl":"https://doi.org/10.1016/j.prosdent.2024.10.027","url":null,"abstract":"<p><strong>Statement of problem: </strong>Patient satisfaction and esthetic acceptance are important factors in predicting the success of implant therapy in the anterior maxilla. A standardized esthetic index to evaluate implant esthetic outcomes is still lacking.</p><p><strong>Purpose: </strong>The purposes of this study were to describe the newly developed images that correlate to the pink esthetic score and white esthetic score (PES/WES) for improved standardized documentation and to evaluate the validity and reliability of the proposed anterior implant esthetic index (AIEI) with patient satisfaction scores.</p><p><strong>Material and methods: </strong>A photograph deemed ideal (perfect score of 2) using the PES/WES criteria was acquired and digitally altered to represent scores of 1 (minor discrepancy) and 0 (major discrepancy) according to the PES/WES guidelines. A pilot study enrolled prosthodontists and periodontists to review and verify the representations. A 29-question survey was developed and distributed to 33 participants on a tablet computer to evaluate the photographs. The participants were asked about their satisfaction level with the photographs on a visual analog scale from 0 to 100. Data were extracted, and ANOVA was used to compare mean satisfaction scores. Post hoc Tukey tests were used to analyze the differences within each variable (α=.05).</p><p><strong>Results: </strong>Standardized sets of 14 altered PES and 14 altered WES photographs were generated. The interrater reliability (n=5) of the pilot study showed moderate agreement with κ=0.453 (95% CI: 0.431-0.476) for all and individual scores. Based on the patient survey, 5 of the 14 factors of the PES/WES showed no significant difference and were eliminated when constructing the index. Using scores and percentages, the anterior implant esthetic index was developed for scores of 0, 1, and 2 for each of the remaining 9 criteria. The maximum score for the index was 20 points.</p><p><strong>Conclusions: </strong>Photographic representation of each criterion within the PES/WES standardized the patient's ability to evaluate anterior implant esthetics. An anterior implant esthetic index was developed, and a moderate interrater reliability agreement and good validation with patient satisfaction scores were obtained.</p>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755261","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":"Letter to the Editor regarding, \"An up to thirty-year retrospective study on the success and survival of single unit and splinted implant-supported crowns in a dental school setting\".","authors":"Pitchaipillai Sankar Ganesh, Naji Naseef Pathoor, Rajesh Kanna Gopal","doi":"10.1016/j.prosdent.2024.10.040","DOIUrl":"https://doi.org/10.1016/j.prosdent.2024.10.040","url":null,"abstract":"","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142750749","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":"Response to the Letter to the Editor regarding, \"Computer guided root tip extraction and implant placement: A clinical report\".","authors":"Min Jeong, David H Kwon, Sang J Lee","doi":"10.1016/j.prosdent.2024.11.003","DOIUrl":"https://doi.org/10.1016/j.prosdent.2024.11.003","url":null,"abstract":"","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142750793","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}
Isabella Sarzynski, Juliana Pfeffer, Anthony Nowakowski, Igor Pesun
{"title":"Response to Letter to the Editor regarding, \"An up to thirty-year retrospective study on the success and survival of single unit and splinted implant supported crowns in a dental school setting\".","authors":"Isabella Sarzynski, Juliana Pfeffer, Anthony Nowakowski, Igor Pesun","doi":"10.1016/j.prosdent.2024.11.006","DOIUrl":"https://doi.org/10.1016/j.prosdent.2024.11.006","url":null,"abstract":"","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142750848","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}
Ahmed Yaseen Alqutaibi, Radhwan S Algabri, Abdulrahman S Alamri, Lujain S Alhazmi, Slwan M Almadani, Abdulrahman M Alturkistani, Abdulaziz G Almutairi
{"title":"Advancements of artificial intelligence algorithms in predicting dental implant prognosis from radiographic images: A systematic review.","authors":"Ahmed Yaseen Alqutaibi, Radhwan S Algabri, Abdulrahman S Alamri, Lujain S Alhazmi, Slwan M Almadani, Abdulrahman M Alturkistani, Abdulaziz G Almutairi","doi":"10.1016/j.prosdent.2024.10.036","DOIUrl":"https://doi.org/10.1016/j.prosdent.2024.10.036","url":null,"abstract":"<p><strong>Statement of problem: </strong>The ability of artificial intelligence (AI) to accurately forecast the prognosis of dental implants from radiographic images is unclear.</p><p><strong>Purpose: </strong>The purpose of this systematic review was to evaluate the efficacy of AI algorithms in predicting implant outcomes by focusing on key factors like peri-implantitis, implant stability, marginal bone levels, dental implant failure, implant success, and osseointegration.</p><p><strong>Material and methods: </strong>This systematic review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses of Diagnostic Test Accuracy (PRISMA-DTA) guidelines. The included studies focused on the radiographic data of patients with dental implants where AI algorithms were compared with expert judgment. A comprehensive search in 4 databases and a manual search were conducted. The quality and risk of bias were assessed using the Quality Assessment of Diagnostic Accuracy Studies 2 (QUADAS-2) tool.</p><p><strong>Results: </strong>Of 424 references, 13 eligible articles were included. These studies used different radiographic types and AI models. AI algorithms showed promising accuracy rates, reaching 99.8%. Sensitivity and specificity ranged from 67% to 95% and 78% to 100%, respectively. The studies indicated that AI models significantly reduce analysis time compared with manual methods.</p><p><strong>Conclusions: </strong>AI algorithms demonstrate promising accuracy in predicting dental implant prognosis, enhancing treatment planning, and early intervention. However, variations in AI models and methodologies highlight the need for further research.</p>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142750723","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}
Leela S Breitman, Tariq Alsahafi, Brandon Kofford, David A Felton, Soni Prasad
{"title":"Flexural strength and mode of failure of interim implant-supported fixed dental prostheses following different conversion techniques and structural reinforcement.","authors":"Leela S Breitman, Tariq Alsahafi, Brandon Kofford, David A Felton, Soni Prasad","doi":"10.1016/j.prosdent.2024.10.033","DOIUrl":"https://doi.org/10.1016/j.prosdent.2024.10.033","url":null,"abstract":"<p><strong>Statement of problem: </strong>Challenges persist with conventional polymethyl methacrylate (PMMA) prosthetic materials and conversion protocols for immediate implant-supported interim restorations. Advances, such as the use of fiber-reinforced composites (FRCs), and novel conversion protocols, such as the Smart Denture Conversion (SDC), may mitigate existing prosthetic complications, yet their impact on flexural strength and mode of failure remains unclear.</p><p><strong>Purpose: </strong>The purpose of this in vitro study was to better understand the effect of the conversion method and to characterize the relevance of reinforcing interim implant-supported fixed prosthetics with FRCs. The effect of SDC, compared with a conventional conversion (CC) protocol, and the influence of FRC polymer was assessed on prosthesis flexural strength and mode of failure.</p><p><strong>Material and methods: </strong>A total of 100 computer-aided design and computer-aided manufacturing (CAD-CAM) conversion matrices were divided into 4 groups: CC, SDC, SDC with FRC arch bar reinforcement (SDC-FRC bar), and SDC with FRC framework reinforcement (SDC-FRC framework). Flexural strength testing was conducted with a universal testing machine. Modes of failure were qualitatively analyzed. Statistical analysis was performed with 1-way ANOVA and the Tukey multiple comparison test (α=.05).</p><p><strong>Results: </strong>SDC and SDC-FRC bar specimens demonstrated flexural strength comparable with that of CC (P=.995 and P=.907, respectively), while FRC framework reinforcement significantly increased strength (P<.001). The SDC-FRC framework specimens exhibited the highest flexural strength (144.7 MPa).</p><p><strong>Conclusions: </strong>SDC offers a clinically convenient conversion technique with flexural strength comparable with that of conventional conversion methods. FRC framework reinforcement significantly enhances strength and reduces catastrophic prosthetic failure risk. These findings underscore the positive impact of reinforcement materials in interim implant-supported prosthesis fabrication.</p>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142739823","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}
Kanchan P Dholam, Girish Rao, Sandeep V Gurav, Gurkaran Preet Singh, Arati Shinde
{"title":"Interdisciplinary approach to prosthetic rehabilitation of a bilateral maxillectomy with a free fibula flap and zygomatic implants in a childhood cancer survivor: A clinical report.","authors":"Kanchan P Dholam, Girish Rao, Sandeep V Gurav, Gurkaran Preet Singh, Arati Shinde","doi":"10.1016/j.prosdent.2024.09.028","DOIUrl":"https://doi.org/10.1016/j.prosdent.2024.09.028","url":null,"abstract":"<p><p>Rehabilitation of a bilateral maxillectomy defect is highly challenging. Reconstruction with a free-fibula flap provides optimal coverage and allows prosthetic rehabilitation with dental implant-retained prostheses. Deficient height of the fibula bone, especially in the pediatric population or in young adults, may complicate the rehabilitation process. This report describes an interdisciplinary approach to the rehabilitation of a bilateral maxillectomy defect in a childhood cancer survivor using an innovative modification of an existing protocol. Patient acceptance and the quality-of-life outcome were high after secondary placement of bilateral zygomatic and conventional implants in the fibula flap, providing excellent anchorage for a bar-LOCATOR overdenture prosthesis.</p>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142729575","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 sew-on iris technique for the fabrication of ocular prostheses.","authors":"Naphisa Ganokwalai, Cheewin Towithelertkul, Visaluk Punyawattananon, Theerathavaj Srithavaj","doi":"10.1016/j.prosdent.2024.10.016","DOIUrl":"https://doi.org/10.1016/j.prosdent.2024.10.016","url":null,"abstract":"<p><p>Patients with ocular defects often require custom ocular prostheses, which can alleviate esthetic concerns and enhance their overall quality of life. Various techniques such as iris painting and digital imaging have been introduced for fabricating an ocular prosthesis, although these techniques pose several limitations. A cost-effective method of fabricating a custom ocular prosthesis, utilizing easily accessible household materials such as sewing thread and cellulose acetate sheets, is described. The resulting ocular prostheses deliver predictable esthetic outcomes and have been successfully used for over a decade, resulting in favorable patient satisfaction.</p>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142729426","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}
Gene Park, Luiz Meirelles, Diogo Gouveia, Damian Lee, Wei-En Lu, Fernanda L Schumacher, Binnaz Leblebicioglu
{"title":"Accuracy of dental implant placement with CAD-CAM 3D printed and conventional thermoplastic surgical pilot guides: A clinical comparative trial.","authors":"Gene Park, Luiz Meirelles, Diogo Gouveia, Damian Lee, Wei-En Lu, Fernanda L Schumacher, Binnaz Leblebicioglu","doi":"10.1016/j.prosdent.2024.10.023","DOIUrl":"https://doi.org/10.1016/j.prosdent.2024.10.023","url":null,"abstract":"<p><strong>Statement of problem: </strong>Dental implant placement is routinely guided by using 2-dimensional radiographs and thermoplastic surgical guides (CTGs), which may lack accuracy. Three-dimensionally (3D) printed surgical guides (3DGs) have been recommended to improve accuracy. However, they require additional training on specific technology. The current knowledge on indications for CTGs and 3DGs is limited.</p><p><strong>Purpose: </strong>The purposes of this clinical comparative trial were to compare the accuracy of implant placement using a CTG or 3DG pilot surgical guide (3DGp) and to evaluate clinical outcomes related to the surgical procedure.</p><p><strong>Material and methods: </strong>Patients planned for a single implant were recruited and assigned to either the CTG or 3DGp group. The ideal implant position was determined through virtual treatment planning using intraoral digital scans and cone beam computed tomography (CBCT). Deviations were determined by superimposing the postsurgical digital scans and the virtually planned implant position. The Mann Whitney U Test was performed for each measure (α=.05). A linear regression model was performed to estimate and control for the effect of covariables.</p><p><strong>Results: </strong>Twenty participants were recruited (10 CTG and 10 3DGp). Mean initial ISQ values were 69 ±13 and 76 ±8 for the CTG and 3DGp group, respectively. There was no significant difference in primary (P=.15) or secondary (P=.383) stability between the CTG and 3DGp groups. Data revealed minimal deviations for both groups (P>.05). Bone type (P=.026) and secondary stability (P=.031) had a significant effect on angular deviation.</p><p><strong>Conclusions: </strong>CTG accuracy was similar to that of 3DGp. Reduced angular deviation was noted in the presence of softer bone type and higher secondary stability.</p>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142729499","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}