{"title":"Surgical removal of a torus palatinus","authors":"Valérie Schmidt, Silvio Valdec","doi":"10.61872/sdj-2023-10-02","DOIUrl":"10.61872/sdj-2023-10-02","url":null,"abstract":"<p><p>The torus palatinus (TP) is a benign exostosis in the area of the sutura palatina media. It consists mainly of dense cortical bone with little trabecular bone and an overlying mucosa with little blood supply. Recent findings associate the occurrence of TP with bruxism, environmental factors and genetic factors. TP rarely causes symptoms, so treatment is only necessary in selected cases. Chronic trauma, impaired chewing function or compromise of the prosthetic restoration are the most common indications for surgical removal.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"133 10","pages":"676-677"},"PeriodicalIF":0.0,"publicationDate":"2023-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41118664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alexander Fuchs, Tina Trachsel, Roland Weiger, Florin Eggmann
{"title":"ChatGPT's performance in dentistry and allergy-immunology assessments: a comparative study.","authors":"Alexander Fuchs, Tina Trachsel, Roland Weiger, Florin Eggmann","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Large language models (LLMs) such as ChatGPT have potential applications in healthcare, including dentistry. Priming, the practice of providing LLMs with initial, relevant information, is an approach to improve their output quality. This study aimed to evaluate the performance of ChatGPT 3 and ChatGPT 4 on self-assessment questions for dentistry, through the Swiss Federal Licensing Examination in Dental Medicine (SFLEDM), and allergy and clinical immunology, through the European Examination in Allergy and Clinical Immunology (EEAACI). The second objective was to assess the impact of priming on ChatGPT's performance. The SFLEDM and EEAACI multiple-choice questions from the University of Bern's Institute for Medical Education platform were administered to both ChatGPT versions, with and without priming. Performance was analyzed based on correct responses. The statistical analysis included Wilcoxon rank sum tests (α=0.05). The average accuracy rates in the SFLEDM and EEAACI assessments were 63.3% and 79.3%, respectively. Both ChatGPT versions performed better on EEAACI than SFLEDM, with ChatGPT 4 outperforming ChatGPT 3 across all tests. ChatGPT 3's performance exhibited a significant improvement with priming for both EEAACI (p=0.017) and SFLEDM (p=0.024) assessments. For ChatGPT 4, the priming effect was significant only in the SFLEDM assessment (p=0.038). The performance disparity between SFLEDM and EEAACI assessments underscores ChatGPT's varying proficiency across different medical domains, likely tied to the nature and amount of training data available in each field. Priming can be a tool for enhancing output, especially in earlier LLMs. Advancements from ChatGPT 3 to 4 highlight the rapid developments in LLM technology. Yet, their use in critical fields such as healthcare must remain cautious owing to LLMs' inherent limitations and risks.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"134 5","pages":"None"},"PeriodicalIF":0.0,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41136922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alexander Fuchs, Tina Trachsel, Roland Weiger, Florin Eggmann
{"title":"ChatGPT's performance in dentistry and allergyimmunology assessments: a comparative study.","authors":"Alexander Fuchs, Tina Trachsel, Roland Weiger, Florin Eggmann","doi":"10.61872/sdj-2024-06-01","DOIUrl":"https://doi.org/10.61872/sdj-2024-06-01","url":null,"abstract":"<p><p>Large language models (LLMs) such as ChatGPT have potential applications in healthcare, including dentistry. Priming, the practice of providing LLMs with initial, relevant information, is an approach to improve their output quality. This study aimed to evaluate the performance of ChatGPT 3 and ChatGPT 4 on self-assessment questions for dentistry, through the Swiss Federal Licensing Examination in Dental Medicine (SFLEDM), and allergy and clinical immunology, through the European Examination in Allergy and Clinical Immunology (EEAACI). The second objective was to assess the impact of priming on ChatGPT's performance. The SFLEDM and EEAACI multiple-choice questions from the University of Bern's Institute for Medical Education platform were administered to both ChatGPT versions, with and without priming. Performance was analyzed based on correct responses. The statistical analysis included Wilcoxon rank sum tests (alpha=0.05). The average accuracy rates in the SFLEDM and EEAACI assessments were 63.3% and 79.3%, respectively. Both ChatGPT versions performed better on EEAACI than SFLEDM, with ChatGPT 4 outperforming ChatGPT 3 across all tests. ChatGPT 3's performance exhibited a significant improvement with priming for both EEAACI (p=0.017) and SFLEDM (p=0.024) assessments. For ChatGPT 4, the priming effect was significant only in the SFLEDM assessment (p=0.038). The performance disparity between SFLEDM and EEAACI assessments underscores ChatGPT's varying proficiency across different medical domains, likely tied to the nature and amount of training data available in each field. Priming can be a tool for enhancing output, especially in earlier LLMs. Advancements from ChatGPT 3 to 4 highlight the rapid developments in LLM technology. Yet, their use in critical fields such as healthcare must remain cautious owing to LLMs' inherent limitations and risks.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"134 2","pages":"1-17"},"PeriodicalIF":0.0,"publicationDate":"2023-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A 3-year Retrospective Analysis of Dento-Alveolar Injuries at the University Children's Hospital Zurich (2018-2020).","authors":"Claudio Schmid, Christelle Fongaufier, Blend Hamza, Tobias Höhn, Georg Staubli, Bernd Stadlinger","doi":"10.61872/sdj-2024-03-01","DOIUrl":"10.61872/sdj-2024-03-01","url":null,"abstract":"<p><p>Children and adolescents are vulnerable to dental trauma due to their active lifestyles, lack of coordination, and inexperience in recognizing potentially dangerous situations. Early recognition and proper management of dental trauma is crucial in order to minimize the risk of complications and ensure optimal outcomes. The aim of this study was to perform a retrospective analysis of all dento-alveolar injuries in children and adolescents who were treated at the University Children's Hospital Zurich from 2018-2020 by the resident physicians of the Centre of Dental Medicine of the University of Zurich. All information concerning age and sex distribution, seasonal and weekly variations, as well as aetiology, types of trauma and co-affected structures in the head and neck area from 389 patients was analysed. For data extraction, a parameterised Excel list was created, enabling a continuous data collection. In the study, 65% of the patients were male and 35% female. The average patient age was 7 years and 4 months. The highest frequency of trauma occurred in mixed dentition (49%), followed by deciduous dentition (36%) and permanent dentition (15%). Most of the accidents occurred in the second quarter of the year, especially in the month of May slightly more injuries were reported. The most common injuries were increased tooth mobility (40%) and tooth fractures without pulp exposure (34%). Less frequent were tooth fractures with pulp exposure (12%), lateral dislocations (29%), avulsions (21%), intrusions (8%), extrusions (6%) and root fractures (4%). As in many studies the upper central incisors were most often affected. Main causes of dental trauma were falls, especially by bike (18%) or scooter (14%). Soft tissue injuries or fractures, in the area of the head and neck occurred in 59% and 10% of the cases simultaneously accompanied by dento-alveolar trauma.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"134 2","pages":"18-35"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10223842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A retrospective analysis of patients suffering from halitosis over a 17-year period.","authors":"Cindy Hauenstein, Virginia Ortiz, Andreas Filippi","doi":"10.61872/sdj-2024-04-01","DOIUrl":"10.61872/sdj-2024-04-01","url":null,"abstract":"<p><p>Halitosis is a socially avoided topic with an increasing worldwide prevalence. This study aimed to investigate the correlation between the different forms of halitosis and factors such as: gender, smoking, stress, and oral hygiene. We analysed data from patients registered at the Center of Salivary Diagnostics, Hyposalivation and Halitosis at the University Center for Dental Medicine Basel over a 17-year period, using both subjective and objective approaches to determine the presence of halitosis. The data was statistically analysed using chi-squared and Wilcoxon rank-sum tests. Although halitosis is of multifactorial origin, an oral cause was found in 3 out of 4 patients. Men showed higher values of volatile sulfur compounds (VSC) (p = 0.002) indicative of halitosis than women, while women displayed better oral hygiene (p < 0.001), yet were twice as likely to suffer from halitophobia than males. Patients with higher tongue coating scores (p < 0.001) and periodontitis (p < 0.001) had higher levels of VSC, contributing to bad breath, whereas patients with symptoms such as stress (p = 0.81) or smoking (p = 0.28) did not reveal significantly altered measurements. This study sheds light on the complex and multifactorial nature of halitosis over a long period of time. It further underlines the importance of individualized treatment strategies, given halitosis' multifactorial nature, in order to contribute to the patients' treatment needs.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"134 3","pages":"36-51"},"PeriodicalIF":0.0,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10223840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Significance of chronic opioid medication for dental treatment","authors":"Peter Felleiter, Kerstin Gabriel Felleiter","doi":"10.61872/sdj-2023-09-02","DOIUrl":"10.61872/sdj-2023-09-02","url":null,"abstract":"<p><p>The number of patients undergoing chronic opioid therapy has steadily increased in Switzerland in recent years. Impatience, anxiety and inadequate care play a significant role in the care of some of these clients. It is advisable to actively liaise with the patient's somatic and psychiatric co-treaters in order to achieve better coordination, e.g. through active support from a caregiver. It is little known that chronic opioid use prolongs the onset time of local anaesthetics and reduces their duration of action by half. Knowledge of and attention to the altered kinetics of local anaesthesia leads to increased satisfaction among patients and practitioners alike. The efficacy of non-opioid analgesics is not impaired.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"133 9","pages":"585-587"},"PeriodicalIF":0.0,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10159102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Swiss dental journalPub Date : 2023-07-10Epub Date: 2023-03-02DOI: 10.61872/sdj-2023-07-08-02
R Peter Shellis, Michele E Barbour, David M Parker, Martin Addy, Adrian Lussi
{"title":"Effects of Calcium and Phosphate on Dissolution of Enamel, Dentin and Hydroxyapatite in Citric Acid.","authors":"R Peter Shellis, Michele E Barbour, David M Parker, Martin Addy, Adrian Lussi","doi":"10.61872/sdj-2023-07-08-02","DOIUrl":"10.61872/sdj-2023-07-08-02","url":null,"abstract":"<p><p>The aim was to evaluate the effect of dissolved calcium and phosphate on dissolution rate of enamel, dentin and compressed hydroxyapatite (HA) in citric acid solution as a function of pH. At pH 2.5, dissolution rate of enamel increased significantly by 6% in 20 mmol/L added calcium but, otherwise, dissolution rates of neither enamel, dentin nor HA were significantly affected by 10 or 20 mmol/L calcium. However, enamel dissolution rate was reduced by > 50 mmol/L calcium. At pH 3.25 and 4.0, 10-20 mmol/L calcium inhibited dissolution of enamel by 29-100% and HA by 65-75% but did not affect dentin dissolution. Phosphate (10 or 20 mmol/L) did not inhibit dissolution of enamel, dentin or HA at any pH, but there were increases in dissolution rate of all three substrates at pH 2.5 and, in one test with dentine (at 20 mmol/L phosphate), at pH 3.25. The results suggest that calcium addition to soft drinks and other acidic products such as medications may reduce erosivity against enamel, provided that pH is not too low; that phosphate would not reduce erosivity against enamel; and that neither calcium nor phosphate at these concentrations would reduce erosivity against dentin.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"133 7-8","pages":"432-438"},"PeriodicalIF":0.0,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10109244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Swiss dental journalPub Date : 2023-07-10Epub Date: 2023-03-02DOI: 10.61872/sdj-2023-07-08-01
Adrian Lussi, Brigitte Megert, R Peter Shellis
{"title":"The erosive effect of various drinks, foods, stimulants, medications and mouthwashes on human tooth enamel.","authors":"Adrian Lussi, Brigitte Megert, R Peter Shellis","doi":"10.61872/sdj-2023-07-08-01","DOIUrl":"10.61872/sdj-2023-07-08-01","url":null,"abstract":"<p><p>Two forms of non-carious dental disorder - erosive tooth hard tissue loss and dental erosion - have been increasingly observed in recent years. Dental erosion is the chemical loss of dental hard substances caused by exposure to acids not derived from oral bacteria. Mechanical forces from, for example, the tongue, the cheeks or toothbrushing, increase loss of partly-demineralized tooth surfaces and the cumulative loss of dental hard tissue is defined as erosive tooth wear (ETW). Dental hard tissue losses which occur because of very frequent acid exposure, such as through increased vomiting, but without mechanical stress, are also assigned to tooth erosion. Without prior softening, practically no loss of enamel takes place due to abrasion with the modern Western diet. The present work is a continuation of earlier work. A total of 226 beverages, food, stimulants as well as medicines and mouthwashes were tested for their erosive potential on premolars and deciduous molars covered with a human pellicle. The influence of temperature, phosphate and calcium was also investigated in additional experiments. The change in hardness before and after immersion in the respective test substance was measured and the erosive potential was classified. For each test product, we determined pH and other properties which were possibly related to erosive potential. There were considerable and sometimes surprising differences between the tested products. The addition of phosphate did not influence the erosive potential of the liquids, but calcium did. A modified erosion scheme is presented, which incorporates these and other new findings.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"133 7-8","pages":"440-455"},"PeriodicalIF":0.0,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10109245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Swiss dental journalPub Date : 2023-06-12Epub Date: 2023-02-20DOI: 10.61872/sdj-2023-06-01
Janine Chan, Filippi Filippi, Cornelia Filippi
{"title":"Clinical guidance for maintaining oral hygiene in patients undergoing chemotherapy or radiation therapy: a scoping review.","authors":"Janine Chan, Filippi Filippi, Cornelia Filippi","doi":"10.61872/sdj-2023-06-01","DOIUrl":"10.61872/sdj-2023-06-01","url":null,"abstract":"<p><p>The aim of this scoping review was to identify clinical guidance for maintaining oral hygiene in patients undergoing chemotherapy, radiation therapy, or both. Electronic searches were conducted in PubMed, Embase, Cochrane Library, and Google Scholar for articles published between January 2000 and May 2020. Systematic reviews, meta-analyses, clinical trials, case series, and expert consensus reports were considered eligible for inclusion. The SIGN Guideline system was used to evaluate the level evidence and the grade of recommendations. A total of 53 studies met the eligibility criteria. The results showed the presence of recommendation for oral care in three domains: management of oral mucositis, prevention and control of radiation caries, and management of xerostomia. However, most of the included studies had low levels of evidence. The review provides recommendations for healthcare professionals caring for patients undergoing chemotherapy, radiation therapy, or both, but a standard oral care protocol could not be established owing to a paucity of evidence-based data.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"133 6","pages":"368-379"},"PeriodicalIF":0.0,"publicationDate":"2023-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9579129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michael M Bornstein, Martina Schriber, Thomas Menter
{"title":"Oral retention and extravasation mucoceles of the minor salivary glands - more common than you might think!","authors":"Michael M Bornstein, Martina Schriber, Thomas Menter","doi":"10.61872/sdj-2023-06-02","DOIUrl":"10.61872/sdj-2023-06-02","url":null,"abstract":"<p><p>Oral mucoceles are cystic changes in the minor salivary glands caused by traumatic damage to the salivary gland ducts or their obstruction with subsequent salivary congestion. In extravasation mucocele, saliva leaks from the ruptured duct into the surrounding tissue and causes a local inflammatory reaction. Thus, histopathologically, granulation tissue is seen around the salivary fluid, but no epithelial lining.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"133 6","pages":"382-383"},"PeriodicalIF":0.0,"publicationDate":"2023-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9660333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}