{"title":"A novel digital way to measure the vertical and horizontal dimensions of the supra-crestal peri-implant soft tissues.","authors":"Serge Szmukler-Moncler, Ariel Savion, Rasmus Sperber, Roni Kolerman, Florian Beuer","doi":"10.3290/j.ijcd.b5638066","DOIUrl":"https://doi.org/10.3290/j.ijcd.b5638066","url":null,"abstract":"<p><strong>Aim: </strong>To report on a novel digital superimposition workflow that enables measuring the supra-crestal peri-implant soft tissue dimensions all along implant treatment and afterwards.</p><p><strong>Materials and methods: </strong>A preoperative CBCT and intra-oral scans (IOS) are successively taken before surgery, at the end of the healing period, at prosthesis delivery, and over time; they are digitally superposed on a dedicated software. Then, the stereolithography files (STL) of the healing abutment, of the prosthetic abutment and the crown are successively merged into the superposition set of IOSs.</p><p><strong>Result: </strong>The workflow protocol of merging successively the STL of each item into the superposition set of IOSs enables capturing the dimensions of the height and width of the supra-crestal soft tissues, at every level of the healing abutment, the prosthetic abutment and the crown. In addition, it allows measuring the vertical distance that the crown exerts pressure on the gingiva and the thickness of the papillae at every level of the abutment.</p><p><strong>Conclusion: </strong>This novel digital superimposition workflow provides a straightforward method of measuring the vertical and horizontal dimensions of the supra-crestal peri-implant soft tissues, including the papillae, at each stage of the implant treatment process. It allows investigating a certain number of soft tissue variables that were previously inaccessible to clinical research. It should help enhancing our comprehension of the peri-implant soft tissue dynamics.</p>","PeriodicalId":48666,"journal":{"name":"International Journal of Computerized Dentistry","volume":"0 0","pages":"0"},"PeriodicalIF":1.8,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Patients' Perspective On The Inclusion Of Intraoral Scanners In Routine Examination: A Clinical Perception Study.","authors":"İsmail Serhat Sadikoğlu, Melin Balci","doi":"10.3290/j.ijcd.b5628817","DOIUrl":"https://doi.org/10.3290/j.ijcd.b5628817","url":null,"abstract":"<p><strong>Purpose: </strong>Is to investigate how integrating intraoral scanners in routine oral diagnosis affects patient-clinician communication, patient perceptions and preferences, offering valuable insights into the patient experience and utility of intraoral scanners in clinical practice.</p><p><strong>Materials and methods: </strong>A restorative dentistry specialist conducted intraoral examination on 300 patients, initially using conventional techniques and X-rays, followed by a 3D scanner (ITero®element, Align Technologies, San Jose, California, USA). The patient's existing oral issues and treatment plan were initially expressed verbally, and then repeated using a 3D scan. Subsequently, the patients were requested to respond to an 11-question survey, aimed at assessing both modes of examination and communication. Statistical analysis using SPSS v.22 software included employing the Wilcoxon test to compare the patients' experiences on the same topic before and after the examination with the intraoral scanners, considering significance at p<0.05.</p><p><strong>Results: </strong>Majority (38%) of participants aged 25-35. Gender split was 52% female, 48% male. Patients statistically found it more comprehensible to visualize existing oral issues through 3D scans than through verbal explanation (p=0.000). Also, patients understood oral hygiene recommendations better when explained via 3D scanning by dentists (p=,000). The vast majority of the participants (94%) indicated that being examined with an intraoral scanner motivated them for treatment, while 6% remained undecided. A hundred percent of the participants stated that 3D scanners should be included in the routine oral examination.</p><p><strong>Conclusion: </strong>Intraoral 3D scans enhance patient understanding and communication during oral examination and participants show high preference. However, more research needed to replace conventional diagnostic methods.</p>","PeriodicalId":48666,"journal":{"name":"International Journal of Computerized Dentistry","volume":"0 0","pages":"0"},"PeriodicalIF":1.8,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Analysis of the Application Value of Dynamic Navigation Guidance in Oral Implantation.","authors":"Zhuo Wang","doi":"10.3290/j.ijcd.b5594243","DOIUrl":"10.3290/j.ijcd.b5594243","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the application of dynamic navigation guidance technology in different implantation scenarios, and to provide a scientific basis for the innovation and advancement of implantation techniques.</p><p><strong>Methods: </strong>Fifteen cases of patients with malocclusions admitted between January 2021 and February 2023 were selected as the study subjects. All patients underwent dynamic navigation-guided oral implantation interventions. CBCT scans were taken after implantation surgery to record deviations of implantation points, including implantation point deviation, endpoint deviation, and angle deviation.</p><p><strong>Results: </strong>Dynamic navigation guidance effectively improves the reliability and stability of implantation in oral implant patients. CBCT effectively evaluated the state of the patient's periodontal implant, analyzed the state of the patient's lesion area, and improved the quality of implant intervention through CBCT guidance. The implantation point deviation was (0.407±0.193) mm, the endpoint deviation was (0.492±0.201) mm, and the implant angle deviation was (2.162±0.283)°. There was no significant difference in implantation point deviation in the anterior and posterior parts of the upper and lower jaws after intervention (P>0.05). However, there were significant differences in endpoint deviation and implant angle deviation among the anterior and posterior parts of the upper and lower jaws (P<0.05).</p><p><strong>Conclusion: </strong>Dynamic navigation guidance effectively improves the reliability and stability of implantation in oral implant patients. However, there is relatively greater endpoint deviation and implant angle deviation in the posterior part of the upper jaw.</p>","PeriodicalId":48666,"journal":{"name":"International Journal of Computerized Dentistry","volume":"0 0","pages":"0"},"PeriodicalIF":1.8,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141635058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Thaw Thaw Win, Hang-Nga Mai, Shilpa Rana, Hyeong-Seob Kim, Ahran Pae, Seoung-Jin Hong, Younghoo Lee, Du-Hyeong Lee
{"title":"User experience of and satisfaction with computer-aided design software when designing dental prostheses: A multicenter survey study.","authors":"Thaw Thaw Win, Hang-Nga Mai, Shilpa Rana, Hyeong-Seob Kim, Ahran Pae, Seoung-Jin Hong, Younghoo Lee, Du-Hyeong Lee","doi":"10.3290/j.ijcd.b5582929","DOIUrl":"10.3290/j.ijcd.b5582929","url":null,"abstract":"<p><strong>Aim: </strong>The current study aimed to compare the responses and satisfaction reported by users with varying levels of experience when using different types of computer-aided design (CAD) software programs to design crowns.</p><p><strong>Materials and methods: </strong>A questionnaire was used to evaluate user responses to five domains (software visibility, 3Dscanned data preparation, crown design and adjustment, finish line registration, and overall experience) of various CAD software programs. The study included 50 undergraduate dental students (inexperienced group) and 50 dentists or dental technicians from two hospitals (experienced group). The participants used four different CAD software programs (Meshmixer, Exocad, BlueSkyPlan, and Dentbird) to design crowns and recorded the features using the questionnaire. Statistical analyses included one-way and two-way analysis of variance (ANOVA) tests to compare scores and verify the interaction between user response and experience.</p><p><strong>Result: </strong>User evaluation scores in the domains of software visibility and 3D-scanned data preparation varied between software programs (P < 0.001), with Exocad being favored by the experienced group. When evaluating crown design and finish line registration, Dentbird and Exocad scored significantly higher than the other software in both groups as they offered automation of the process using deep learning (P < 0.001). Two-way ANOVA showed that prior experience of using CAD significantly affected the users' responses to all queries (P < 0.001).</p><p><strong>Conclusion: </strong>User response and satisfaction varied with the type of CAD software used to design dental prostheses, with prior experience of using CAD playing a significant role. Automation of design functions can enhance user satisfaction with the software.</p>","PeriodicalId":48666,"journal":{"name":"International Journal of Computerized Dentistry","volume":"0 0","pages":"0"},"PeriodicalIF":1.8,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141621209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Diego Fernando López, Adrián David Fernández Osorio
{"title":"Volumetric differences in the temporomandibular joint in patients with condylar hyperplasia in active and passive state, SPECT/CT study.","authors":"Diego Fernando López, Adrián David Fernández Osorio","doi":"10.3290/j.ijcd.b5582925","DOIUrl":"10.3290/j.ijcd.b5582925","url":null,"abstract":"<p><strong>Aim: </strong>Condylar hyperplasia (CH) is a progressive and deforming disease that modifies anatomy of the temporomandibular joint (TMJ) structures. This study aims to correlate the metabolic bone activity of the condyle measured by SPECT with the volumetry anatomic information from the condyle, fossa and joint space provided by CT images, in patients with CH in active and inactive forms.</p><p><strong>Materials and methods: </strong>A cross-sectional comparative study was performed with a set of 116 images from healthy and diagnosed CH patients to compare volumetric measures of the TMJ. Images were acquired through a bone tissue mask using a three-dimensional DICOM reconstruction for SPECT/CT and CBCT images and the Threshold option for segmentation with standardized values for each tissue on the HU scale.</p><p><strong>Results: </strong>there are differences (p<0.01), with greater condylar volume on the affected side in patients with active CH compared to passive CH. The volume of the glenoid cavity shows no differences in either form of CH (p>0.05), however, there were differences for the volume of the joint space on the affected right side of hemimandibular elongation (HE) in the active form. The volume of the mandibular condyle on the affected side in CH cases were larger in HE cases in active and inactive form (p<0.01) compared to healthy patients. Similar results were presented for the glenoid cavity and joint space.</p><p><strong>Conclusions: </strong>Volumetric anatomical evaluation of TMJ structures, as well as information on condylar metabolic activity, can be obtained from SPECT/CT. The study shows a greater condylar volume on the affected side of the CH compared to the contralateral side, but there are more significant differences in the active than in the inactive form.</p>","PeriodicalId":48666,"journal":{"name":"International Journal of Computerized Dentistry","volume":"0 0","pages":"0"},"PeriodicalIF":1.8,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141621210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jae-Hoon Kim, Hyeonjong Lee, Sung-Ae Son, Seoung-Jin Hong, Jeong-Kil Park
{"title":"Evaluation of the intaglio surface trueness and fit of zirconia crowns fabricated using different machining strategies with a chairside CAD/CAM system.","authors":"Jae-Hoon Kim, Hyeonjong Lee, Sung-Ae Son, Seoung-Jin Hong, Jeong-Kil Park","doi":"10.3290/j.ijcd.b3840499","DOIUrl":"10.3290/j.ijcd.b3840499","url":null,"abstract":"<p><strong>Aim: </strong>The present study aimed to evaluate the intaglio surface trueness and fit of zirconia crowns depending on the different machining strategies used with the Cerec system.</p><p><strong>Materials and methods: </strong>Thirty duplicate tooth models for a single zirconia crown were randomly assigned to three groups (n = 10) according to the machining mode used for fabrication: grinding, wet milling, and dry milling. The scan data of the final crowns were compared with their design data to evaluate the intaglio surface trueness. The marginal and internal fit were evaluated using a cross-sectional method. The time required for the machining and sintering processes was measured for each group.</p><p><strong>Results: </strong>The wet-milling group showed better trueness (root mean square: 13.8 ± 1.0 μm) than the grinding and dry-milling groups (P < 0.001). The marginal gap was greater in the grinding group (58.6 ± 28.9 μm) than that in the wet- and dry-milling groups (P < 0.001). The dry-milling group required the shortest time for the manufacturing process.</p><p><strong>Conclusion: </strong>All machining modes fabricated crowns with a clinically acceptable trueness and fit. However, the dry-milling mode was advantageous for the chairside CAD/CAM system with respect to time efficiency.</p>","PeriodicalId":48666,"journal":{"name":"International Journal of Computerized Dentistry","volume":"0 0","pages":"191-198"},"PeriodicalIF":1.7,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9191534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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 zirconia and fiber posts with different lengths on the fracture strength of maxillary central incisors restored with zirconia crowns: an in vitro study.","authors":"Tetore Olloni, Teuta Pustina Krasniqui, Edit Xhajanka","doi":"10.3290/j.ijcd.b3963385","DOIUrl":"10.3290/j.ijcd.b3963385","url":null,"abstract":"<p><strong>Aim: </strong>Endodontically treated teeth are more susceptible to fractures than vital teeth because of significant coronal and radicular dentin loss during endodontic therapeutic procedures. The objective of the present in vitro study was to estimate and compare the influence of the post length and type on the fracture strength of endodontically treated maxillary central incisors.</p><p><strong>Materials and methods: </strong>Sixty extracted human maxillary central incisors were decoronated 2 mm above the cementoenamel junction. The teeth were selected and subjected to standard endodontic treatment, resulting in three groups with different preparation lengths: 5, 7.5, and 10 mm. Each group was randomly divided into two subgroups according to the post type: zirconia or fiber. After appropriate surface treatment, they were cemented with adhesive resin cement and restored with zirconia crowns. Thermocycling (5°C to 55°C, 60 s, 1500 cycles) was performed after cementing the zirconia crowns onto each tooth. Prepared samples were subjected to a compressive static load of 0.5 mm/min, at an angle of 130 degrees to the long axis of the roots, using a universal testing machine (Matest) at a crosshead speed of 0.5 mm/min, until fracture. The significance of the results was assessed using two-way analysis of variance (ANOVA) and the Tukey-Kramer test (α = 0.05).</p><p><strong>Results: </strong>The ANOVA analysis indicated significant differences (P < 0.05) between the groups. The Tukey-Kramer test revealed no significant differences among the zirconia posts with lengths of 5 mm (26.5 N ± 13.4), 7.5 mm (25.2 N ± 13.9), and 10 mm (17.1 N ± 5.2). Also, in the fiber post group, there was no significant difference when the posts with lengths of 7.5 mm (13.4 N ± 11.0) were compared with those of 5 mm (6.9 N ± 4.6) and 10 mm (31.7 N ± 13.1). The 10-mm-long post displayed superior fracture strength, and the 5-mm-long post showed significantly lower mean values (P < 0.001).</p><p><strong>Conclusions: </strong>The fracture strength of zirconia posts (with lengths of 5 and 7.5 mm) was found to be significantly higher than that of fiber posts (with lengths of 5 and 7.5 mm). The 10-mm-long fiber post group demonstrated significantly higher fracture strength values, and the 5-mm-long fiber post group showed the lowest values for the force resulting in root fracture; these groups were significantly different from each other (P < 0.001). The fracture strength analysis with a universal testing machine is the only method that enables the estimation of the differences between zirconia and fiber posts with different lengths in endodontically treated teeth.</p>","PeriodicalId":48666,"journal":{"name":"International Journal of Computerized Dentistry","volume":"0 0","pages":"161-167"},"PeriodicalIF":1.7,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9476309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A novel algorithmic approach for automatic virtual articulation to avoid dynamic interferences in dental restoration designs.","authors":"Bianca Geiger, Albert Mehl","doi":"10.3290/j.ijcd.b4494379","DOIUrl":"10.3290/j.ijcd.b4494379","url":null,"abstract":"<p><strong>Aim: </strong>There is an ongoing debate about the benefits of the facebow and individual articulator settings in prosthodontics when compared with simpler methods. The present study aims to determine whether the implementation of novel algorithmic articulator concepts may be an alternative to avoid dynamic interference contacts during the design process of fixed posterior restorations, and to what extent the occlusal morphology of the restoration is affected.</p><p><strong>Materials and methods: </strong>From a chairside CAD database, a total of 50 clinical patient cases documenting 61 planned fixed restorations in the posterior tooth region were selected. A common CAD software program was used for the automated knowledge-based design process. When designing the restorations, functional concepts were applied, including the pure static occlusion, the average articulation, three different articulator settings as a control, and a combination of a broad range of articulation parameters (the full range dynamic articulation). The resulting dynamic contact points were compared both visually and metrically with a monitoring software program.</p><p><strong>Results: </strong>There is a highly significant difference in avoiding dynamic interference contacts when applying the full range dynamic articulation compared with the pure static occlusion (P < 0.001) and the average articulation (P < 0.001). Furthermore, the superimposition revealed that the surface of the restorations showed nearly no visual morphologic changes after virtually grinding-in the interpenetrating contact points.</p><p><strong>Conclusion: </strong>The full range dynamic articulation can be used for the design of small fixed posterior restorations to avoid most dynamic interference contacts without the need for determining individual parameters for each patient.</p>","PeriodicalId":48666,"journal":{"name":"International Journal of Computerized Dentistry","volume":"0 0","pages":"179-189"},"PeriodicalIF":1.7,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41216662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Muaiyed Mahmoud Buzayan, Oon Take Yeoh, Khalid Alsadaie, Indumathi Sivakumar
{"title":"Designing an occlusal appliance digital protocol using an open-source 3D modeling software program: a technical report.","authors":"Muaiyed Mahmoud Buzayan, Oon Take Yeoh, Khalid Alsadaie, Indumathi Sivakumar","doi":"10.3290/j.ijcd.b4174233","DOIUrl":"10.3290/j.ijcd.b4174233","url":null,"abstract":"<p><p>Occlusal splints are a commonly prescribed dental appliance for the management of bruxism or temporomandibular disorders. The use of digital dental technology facilitates the fabrication of this therapeutic device. The improvements in digital technology have helped in designing and producing occlusal splints that show better precision and accuracy as well as ease of manufacturing in terms of time and materials, in addition to the option of a simple and straightforward duplication process. The present technical report describes the digital workflow steps that need to be followed to design an occlusal device in a fully digital protocol. Scans of maxillary and mandibular models were acquired in centric relation, and a virtual 3D occlusal device was designed using a free, open-source 3D modeling software program.</p>","PeriodicalId":48666,"journal":{"name":"International Journal of Computerized Dentistry","volume":"0 0","pages":"199-205"},"PeriodicalIF":1.7,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10117003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}