Sarah K Sonnenschein, Ti-Sun Kim, Alexander-Nicolaus Spies, Philipp Ziegler, Maurice Ruetters, Marcia Spindler, Christopher Büsch, Sinclair Awounvo, Antonio Ciardo
{"title":"Remote assessment of dental records by using intraoral scan-based digital 3D models in an elderly patient population: an exploratory study.","authors":"Sarah K Sonnenschein, Ti-Sun Kim, Alexander-Nicolaus Spies, Philipp Ziegler, Maurice Ruetters, Marcia Spindler, Christopher Büsch, Sinclair Awounvo, Antonio Ciardo","doi":"10.3290/j.ijcd.b4784787","DOIUrl":"10.3290/j.ijcd.b4784787","url":null,"abstract":"<p><strong>Aim: </strong>To assess the agreement rates of dental records derived from intraoral scan-based digital 3D models (3DM) and 3DM plus panoramic radiographs (3DM+PAN-X) compared with clinical findings.</p><p><strong>Materials and methods: </strong>Based on the 3DM/3DM+PAN-X of 50 patients undergoing supportive periodontal therapy (SPT), 10 remote raters (inexperienced in using intraoral scanners [IOSs] or 3DM) assessed for each site of the dental scheme (32 sites) whether a tooth was missing (M), filled (F), restoration- and caries-free (H), replaced by an implant (I), or decayed (D). Remote records were compared with the clinical reference record of each patient at tooth level. The clinical records were assessed by an experienced dentist who supplemented the clinical findings with information from available radiographs and the patient records to define the clinical reference record.</p><p><strong>Results: </strong>The agreement rates for 3DM/3DM+PAN-X at tooth level were: M: 93%/94%, F: 84%/88%, H: 92%/92%, I: 65%/96%, D: 29%/29%. The overall agreement rate (odds ratio [OR]) was 88% for the 3DM-based dental records (14,093 of 16,000 entries true), and 91% for 3DM+PAN-X (14,499 of 16,000 entries true). Using 3DM for dental record assessment, posterior teeth had higher odds of correct findings compared with anterior teeth (maxillary jaw OR = 2.34, mandibular jaw OR = 1.27).</p><p><strong>Conclusions: </strong>The remote detection of healthy, missing, and filled teeth as well as implants by raters inexperienced in using IOSs or 3DM showed a high agreement rate with the clinical findings. The additional evaluation of PAN-X increased the agreement rate significantly for implants. Thus, the remote assessment of dental records using 3DM+PAN-X had a high accuracy when applied in SPT patients with low caries activity.</p>","PeriodicalId":48666,"journal":{"name":"International Journal of Computerized Dentistry","volume":"0 0","pages":"21-34"},"PeriodicalIF":2.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138812887","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":"Dentistry, knowledge, and science - what data do we need in everyday dental practice?","authors":"Florian Beuer","doi":"10.3290/j.ijcd.b6120402","DOIUrl":"https://doi.org/10.3290/j.ijcd.b6120402","url":null,"abstract":"","PeriodicalId":48666,"journal":{"name":"International Journal of Computerized Dentistry","volume":"28 1","pages":"3-5"},"PeriodicalIF":1.8,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774627","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}
Bernd Stadlinger, Kristof Grunert, Robert W Sumner
{"title":"The perception of depth and form in fine arts, video games, and medicine.","authors":"Bernd Stadlinger, Kristof Grunert, Robert W Sumner","doi":"10.3290/j.ijcd.b4870553","DOIUrl":"10.3290/j.ijcd.b4870553","url":null,"abstract":"<p><p>Medical imaging technology has greatly improved over the last 40 years. A good example of this is the improved 3D reconstruction capabilities of computed tomography (CT), which enable photorealistic reconstructions. This technological advancement has also taken place in the computer industry, and the development of modern graphics cards has fueled progress in video games. In art, many of the techniques used to improve three-dimensionality have been known for centuries. At first sight, these fields seem unrelated, but there is actually considerable confluence. The present article focuses on three areas: fine arts, video games, and medical imaging. The art section illustrates different drawing techniques used to create three-dimensionality. The video games section shows the development of video games from the 1980s to the present day. Finally, the medical imaging section focuses on the first 3D radiography reconstructions in the 1980s and the improvements to the present day. Contemporary video games and 3D reconstructions of CT scans enable photorealistic impressions of 3D anatomical structures. An important factor is shadow casting and light, which has been known in fine arts for centuries. The effect on the observer of photorealistic 3D reconstructions in video games and in medical imaging can largely be explained by the knowledge of 3D techniques used in drawings and paintings.</p>","PeriodicalId":48666,"journal":{"name":"International Journal of Computerized Dentistry","volume":"0 0","pages":"71-76"},"PeriodicalIF":2.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139479566","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}
Wafaa Ibrahim Ibrahim, Ahmed Ashraf, Dina Mohamed Elawady
{"title":"3D printing/additive manufacturing of single-implant overdentures. A randomized controlled clinical trial.","authors":"Wafaa Ibrahim Ibrahim, Ahmed Ashraf, Dina Mohamed Elawady","doi":"10.3290/j.ijcd.b4870843","DOIUrl":"10.3290/j.ijcd.b4870843","url":null,"abstract":"<p><strong>Aim: </strong>Mandibular single-implant overdenture is a well-established treatment modality for the management of completely edentulous patients. The use of CAD/CAM printing technology to fabricate complete dentures and overdentures is burgeoning. The present randomized controlled clinical trial (RCT) aimed to clinically evaluate 3D-printed single-implant overdentures and compare their outcomes with those of overdentures fabricated using conventional techniques.</p><p><strong>Materials and methods: </strong>An RCT was designed. Twenty-eight participants were randomly allocated into two equal groups. Participants in the control group received conventionally fabricated single-implant overdentures, while those in the intervention group received digital light processing-printed single-implant overdentures. An evaluation was conducted to assess implant survival and success rates as well as overdenture survival and success, along with the measurement of maximum bite force (MBF) over a 1-year follow-up period. Data were collected and subjected to statistical analysis. Statistical significance was determined using a two-sided P value with a threshold of less than 0.05.</p><p><strong>Results: </strong>The 3D-printed group had higher implant survival (100%) and success (92.8%) rates compared with the conventional group (85.7% survival, 85.7% success). Overdenture survival and success rates were 100% in the 3D-printed group and 78.6% in the conventional group. Both groups showed a significant increase in MBF at the 3-, 6-, and 12-month follow-ups (P 0.001). The 3D-printed group demonstrated a statistically significant improvement in MBF compared with the conventional group (P 0.001).</p><p><strong>Conclusions: </strong>3D-printed mandibular single-implant overdentures may represent an alternative to conventionally fabricated ones.</p>","PeriodicalId":48666,"journal":{"name":"International Journal of Computerized Dentistry","volume":"0 0","pages":"57-70"},"PeriodicalIF":2.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139479553","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":"Insights into the digitalization of dental practices: A cross-sectional pilot study in Hesse.","authors":"Maximiliane Amelie Schlenz, Nelly Schulz-Weidner, Max Olbrich, Darlene Buchmann, Bernd Wöstmann","doi":"10.3290/j.ijcd.b4494409","DOIUrl":"10.3290/j.ijcd.b4494409","url":null,"abstract":"<p><strong>Aim: </strong>Although many fields of dentistry allow digital processes today, analog procedures are still widely used. The present cross-sectional pilot study aimed to provide insights into the digitalization of dental practices using the example of Hesse.</p><p><strong>Materials and methods: </strong>Between April and June 2022, 4840 active practicing dentists registered by the State Dental Association of Hesse were invited via email to fill out an online questionnaire regarding their technical requirements in dental practice, dental treatment procedures, and attitude toward digitalization in dentistry. Demographic questions were asked. Besides descriptive statistics, correlations were analyzed (P 0.05).</p><p><strong>Results: </strong>Questionnaires of 937 dentists (279 females, 410 males, 4 inter/diverse, 244 no answers; mean age of 51.4 ± 10.4 years) were examined, representing a response rate of 19.36%. In the area of practice administration and dental radiography, the majority of the dentists surveyed were already working digitally, which is predominantly assessed as a positive development. One third of the respondents stated that they already used an intraoral scanner for dental treatments, but for indications mainly limited to minor restorations. However, many dentists rated the use of social media accounts and telemedicine rather negatively.</p><p><strong>Conclusion: </strong>Within the limitations of this cross-sectional pilot study, it was shown that many dental treatments were still being performed by analog processes. However, 60% of the participants planned the digitalization of their dental practices within the next 5 years, which indicated a clear shift from analog to digital dentistry.</p>","PeriodicalId":48666,"journal":{"name":"International Journal of Computerized Dentistry","volume":"0 0","pages":"9-19"},"PeriodicalIF":2.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41216663","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}
Jonas Adrian Helmut Vogler, Kay-Arne Walther, Peter Rehmann, Bernd Wöstmann
{"title":"CAD/CAM post and core for telescopic crowns after fracture.","authors":"Jonas Adrian Helmut Vogler, Kay-Arne Walther, Peter Rehmann, Bernd Wöstmann","doi":"10.3290/j.ijcd.b6021437","DOIUrl":"10.3290/j.ijcd.b6021437","url":null,"abstract":"<p><strong>Aim: </strong>Fracture of abutment teeth with telescopic crown-retained removable partial dentures (TCDs) is a common cause of failure for this prosthetic restoration. In many cases, a telescopic crown (TC) can only be refitted after post and core (PC) treatment due to an insufficient retention surface. Furthermore, if the root canal has an elliptic cross-sectional area or the coronal defect is severe, customized cast post and cores (CPCs) are still the therapy of choice. Nevertheless, the disadvantage of CPCs is longer chair time due to the need for a second appointment for insertion. In addition, the mechanical properties of the alloy do not match with dentin, leading to a higher risk of root fracture. In such cases, CAD/CAM PCs fabricated in a fully digital chairside workflow can accelerate the treatment and decrease the risk of root fractures by using materials with matching mechanical properties.</p><p><strong>Materials and methods: </strong>The case series presented in this article includes 12 patients who were treated with TCDs and experienced abutment tooth fracture that required PC treatment to refit TCs. The post space preparation as well as the TCDs were scanned in less than 10 min for the fabrication of CAD/CAM PCs out of a fiber-reinforced CAD/CAM composite.</p><p><strong>Conclusions: </strong>With the presented fully digital chairside workflow, PC fabrication can be accelerated because a second appointment is not needed for customized PCs. The presented workflow might be an alternative to that for conventional PCs to refit TCs after abutment tooth fracture. The CAD/CAM-fabricated PC offers mechanical properties close to dentin and can be fabricated chairside in a short period of time.</p>","PeriodicalId":48666,"journal":{"name":"International Journal of Computerized Dentistry","volume":"28 1","pages":"77-87"},"PeriodicalIF":1.8,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774620","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}
Bernd Kordaß, Sebastian Ruge, Bruno Imhoff, Jan-Frederik Güth, Sven Reich, Maximiliane A Schlenz, Sybille Hugger, Alfons Hugger
{"title":"Digital occlusion and occlusion analysis - a positioning Digitale.","authors":"Bernd Kordaß, Sebastian Ruge, Bruno Imhoff, Jan-Frederik Güth, Sven Reich, Maximiliane A Schlenz, Sybille Hugger, Alfons Hugger","doi":"10.3290/j.ijcd.b6090944","DOIUrl":"https://doi.org/10.3290/j.ijcd.b6090944","url":null,"abstract":"<p><p>In view of the rapid developments in digital dentistry (such as digital workflow and CAD/CAM processes), questions arise regarding digital occlusion, including the possibilities of occlusal analysis. This raises questions about definitions and terminology: What do we mean when we talk about occlusion in the context of digitization, especially in the case of digital models, and what are the potentials of digital occlusal analysis? Initial thoughts on this important topic will be presented in preparation for an upcoming guideline.</p>","PeriodicalId":48666,"journal":{"name":"International Journal of Computerized Dentistry","volume":"0 0","pages":"0"},"PeriodicalIF":1.8,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722090","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}
Carmen Ulrike Schmid-Herrmann, Talisa Schwieder, Baerbel Kahl-Nieke, Till Koehne
{"title":"Positioning accuracy and post-treatment changes in the mandibular arch after insertion of a CAD/CAM titanium retainer.","authors":"Carmen Ulrike Schmid-Herrmann, Talisa Schwieder, Baerbel Kahl-Nieke, Till Koehne","doi":"10.3290/j.ijcd.b5951470","DOIUrl":"https://doi.org/10.3290/j.ijcd.b5951470","url":null,"abstract":"<p><strong>Aim: </strong>Fixed retention is the method of choice for permanent stabilization of the treatment outcome. In recent years, CAD/CAM techniques have been developed to produce retainers with high precision and tension-free fit. The aim of this retrospective study was to evaluate the suitability of a semi-industrial retainer manufacturing process (office-based construction, external laboratory manufacturing) in terms of positioning accuracy and post-treatment changes.</p><p><strong>Materials and methods: </strong>The accuracy of 41 retainers that were digitally designed and produced from a titanium plate by water jet cutting was analyzed. The patient received the retainer through fixation with dental flosses, without using a transfer tray. We compared the position in the mouth after insertion with the virtual setup using 3D software for superimposition. Intraoral scans of 25 CAD/CAM retainers and 25 0.0175" hand-bent retainers were evaluated after one year of usage. We measured the width between the canines, the angle between the lateral incisors, and the angle of contact between the canines and the lateral incisors.</p><p><strong>Results: </strong>The largest and significant positioning deviations occurred in the vertical position, whereas positional changes in the horizontal and sagittal were small. The CAD/CAM retainers and the hand-bent retainers showed similar and minimal post-treatment alterations, which were not statistically significant.</p><p><strong>Conclusion: </strong>Semi-industrial CAD/CAM titanium retainers offer good positioning accuracy in the mandible even without a transfer tray. Increased deviations between planned and actual position only occur in the vertical plane. In addition, these retainers offer good retention properties with minimal posttreatment changes, making them suitable for permanent retention.</p>","PeriodicalId":48666,"journal":{"name":"International Journal of Computerized Dentistry","volume":"0 0","pages":"0"},"PeriodicalIF":1.8,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053970","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":"OccluSense: Reliability, influencing factors and limitations.","authors":"Plamena Schütze, Florian Beuer, Axel Bumann","doi":"10.3290/j.ijcd.b5951419","DOIUrl":"https://doi.org/10.3290/j.ijcd.b5951419","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to evaluate OccluSense's reliability against conventional articulating films in assessing static occlusion. The study also targets to identify possible limitations and influencing factors when using this device to asses static occlusion.</p><p><strong>Materials and methods: </strong>This experimental research utilized twenty epoxy resin typodont models representing various occlusal discrepancies. They were mounted in a CP Artex articulator, and static occlusion was assessed in maximum intercuspal position using shimstock foil as a gold standard. The digitally generated occlusograms by OccluSense were compared with conventional occlusal indicators, including 40 μm articulating paper (AP) and 12μm articulating foil (AF). Intrarater Reliability was assessed using Cohen's kappa coefficient (κ).</p><p><strong>Result: </strong>AP and AF showed high reliability, with κ values of 0.94 and 0.93 respectively, indicating almost perfect agreement with the gold standard. In contrast, OccluSense demonstrated an overall reliability of κ = 0.22, signifying fair agreement. Notably, significant discrepancies in κ values were observed among different malocclusions, with deep bite exhibiting the lowest reliability at κ = 0.02, representing poor agreement (P<0.05).</p><p><strong>Conclusion: </strong>OccluSense is less reliable compared to traditional methods, such as articulating paper, for assessing static occlusion. Its limitations are particularly evident in patients with deep bite, making it unsuitable as a standalone tool at the present time.</p>","PeriodicalId":48666,"journal":{"name":"International Journal of Computerized Dentistry","volume":"0 0","pages":"0"},"PeriodicalIF":1.8,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053967","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":"Effect of the abutment shape on soft tissue healing. A randomized clinical pilot study involving a digital superposition methodology.","authors":"Safwan Amer, Serge Szmukler-Moncler, Ariel Savion, Thilo Damaskos, Rasmus Sperber, Florian Beuer","doi":"10.3290/j.ijcd.b5951413","DOIUrl":"https://doi.org/10.3290/j.ijcd.b5951413","url":null,"abstract":"<p><strong>Aim: </strong>To compare the effect of the shape of the healing abutment, concave or straight, on the dimensions of the soft tissue after healing.</p><p><strong>Materials and methods: </strong>Patients needing implant therapy in the posterior area were treated with a 1-stage surgery protocol; concave (CONC) or straight (STR) healing abutments were randomly assigned after implant installation. Before surgery, a CBCT and an intra-oral scan were obtained (IOS#0); IOS#1 was taken after soft tissue healing. The CBCT, IOSs and STL of the abutments were merged; this allowed measuring the gained/lost gingival height (ΔH), the gingival width (GWAbut) and the emergence angles (ANG) of each group.</p><p><strong>Results: </strong>Twenty-seven implants (Ø 4.2 mm, SEVEN (MIS)) with 14 CONC and 13 STR healing abutments were available for analysis. ΔH of both groups did not differ statistically. The marginal gingiva of CONC either stayed within the abutment concavity (CONCin) or reached its straight portion beyond the concavity (CONCup). When GWAbut and ANG were measured without considering this feature, the differences between STR and CONC were not statistically significant. In contrast, once this feature was considered, the difference between the groups became statistically significant. For GWAbut, results were CONCup>STR>CONCin; for ANG it was STR≈CONCup>CONCin.</p><p><strong>Conclusion: </strong>Abutment shape did not affect the gingival height. Thickness of the gingiva at the concave abutment depended upon the position of the marginal gingiva, within or beyond the concavity. This exploratory pilot study might suggest that concave abutment height should be carefully chosen to ensure that the marginal gingiva reaches the level beyond the concavity.</p>","PeriodicalId":48666,"journal":{"name":"International Journal of Computerized Dentistry","volume":"0 0","pages":"0"},"PeriodicalIF":1.8,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053965","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}