Objective
To compare and assess the reproducibility of 3 methods for registration of maxillary digital dental models in patients with anterior open bite.
Settings and sample population
Digital dental ...models of 16 children with an anterior open bite in the mixed dentition were obtained before (T1) and after 12 months of treatment with bonded spurs (T2).
Methods
Landmarks were placed on all T2 models and 3 registration methods (R1, R2 and R3) were independently performed by 2 observers. R1 was based on 10 landmarks placed on posterior teeth. R2 was based on 5 landmarks on the palate (2 anterior, 2 posterior and 1 central). R3 used regions of interest around the 5 palatal landmarks used in R2. The differences between the registration methods were calculated by comparing the mean differences and standard deviations between the corresponding x, y and z coordinates of 6 corresponding landmarks in the T2 registered models. Repeated measures analysis of variance followed by post‐hoc Bonferroni tests were used for comparisons (P < .05). The agreement between methods and the intra and interobserver reproducibility were assessed with Bland‐Altman tests and intraclass correlation coefficients (ICC).
Results
Comparisons of R2 with R3 methods showed greater agreement, mean differences ≤0.50 mm for all landmarks, than comparisons of R1 with R2, and R1 with R3, mean differences >0.50 mm for most of the y and z coordinates (P < .05). The R1 and R3 methods presented excellent intra and interobserver reproducibility and R2 method had moderate interobserver reproducibility.
Conclusions
Longitudinal assessments of open bite treatment using digital dental models could consider the posterior teeth and/or the palate as references. The R1 and R3 methods showed adequate reproducibility and yield different quantitative results. The choice will depend on the posterior teeth changes and dental models’ characteristics.
: The ever more complex modern dental education requires permanent adaptation to expanding medical knowledge and new advancements in digital technologies as well as intensification of ...interdisciplinary collaboration. Our study presents a newly developed computerized method allowing virtual case simulation on modular digital dental models and 3D-printing of the obtained digital models; additionally, undergraduate dental students' opinion on the advanced method is investigated in this paper.
: Based on the digitalization of didactic dental models, the proposed method generates modular digital dental models that can be easily converted into different types of partial edentulism scenarios, thus allowing the development of a digital library. Three-dimensionally printed simulated dental models can subsequently be manufactured based on the previously obtained digital models. The opinion of a group of undergraduate dental students (
= 205) on the proposed method was assessed via a questionnaire, administered as a Google form, sent via email.
: The modular digital models allow students to perform repeated virtual simulations of any possible partial edentulism cases, to project 3D virtual treatment plans and to observe the subtle differences between diverse teeth preparations; the resulting 3D-printed models could be used in students' practical training. The proposed method received positive feedback from the undergraduate students.
: The advanced method is adequate for dental students' training, enabling the gradual design of modular digital dental models with partial edentulism, from simple to complex cases, and the hands-on training on corresponding 3D-printed dental models.
Because there is a paucity of clear-cut evidence regarding which materials and techniques are most accurate for complete-arch, multiple-implant impressions, the current study sought to analyze the ...data and draw useful conclusions based on the evidence for application in clinical practice.
Relevant studies published between 1990 and December 2012 were included in the review. The articles were located through PubMed and manually through reviewing references in the literature. Papers examining implant impression accuracy in completely edentulous arches (three or more implants) were included. Clinical case reports, technique articles, abstracts, and review papers were excluded.
One of the 34 studies selected for evaluation was clinical; the remaining 33 were in vitro investigations. Ten studies compared polyvinyl siloxane (PVS) and polyether (PE); eight found that these were statistically equal in terms of impression accuracy. The splint effect was examined by 24 studies; 10 failed to observe any differences between splinted and nonsplinted impressions, whereas 7 (> 25%) showed that the splinted technique was better than the nonsplinted technique. Thirteen studies investigated the differences between pickup and transfer impression techniques; six favored pickup over transfer, and five found insignificant differences between the techniques. The effect of nonparallel implants on edentulous multiple-implant impression accuracy was examined by only two studies. Significant differences in accuracy were observed for 15 degrees of angulation.
Most of the evidence supports PVS and PE as the most accurate impression materials for edentulous multiple-implant situations, with no clear advantage of either. Conflicting evidence exists regarding the most accurate impression technique (splinted/nonsplinted, pickup/transfer), and no clear recommendation can be made. Inadequate research exists regarding several other factors that might affect edentulous implant impression accuracy. There is a lack of clinical research to support in vitro findings.
Introduction The center of resistance is considered the most important reference point for tooth movement. It is often stated that forces through this point will result in tooth translation. The ...purpose of this article is to report the results of numeric experiments testing the hypothesis that centers of resistance do not exist in space as 3-dimensional points, primarily because of the geometric asymmetry of the periodontal ligament. As an alternative theory, we propose that, for an arbitrary tooth, translation references can be determined by 2-dimensional projection intersections of 3-dimensional axes of resistance. Methods Finite element analyses were conducted on a maxillary first molar model to determine the position of the axes of rotation generated by 3-dimensional couples. Translation tests were performed to compare tooth movement by using different combinations of axes of resistance as references. Results The couple-generated axes of rotation did not intersect in 3 dimensions; therefore, they do not determine a 3-dimensional center of resistance. Translation was obtained by using projection intersections of the 2 axes of resistance perpendicular to the force direction. Conclusions Three-dimensional axes of resistance, or their 2-dimensional projection intersections, should be used to plan movement of an arbitrary tooth. Clinical approximations to a small 3-dimensional “center of resistance volume” might be adequate in nearly symmetric periodontal ligament cases.
To assess the effect of disinfectant (Cavicide) with benzethon chloramine and isopropanol as main active ingredients disinfectant on dental impression accuracy.
The effect of Cavicide on three ...impression materials (alginate, polyether and vinylpolysiloxane) were assessed using a standard model. The standard model was digitized by an extraoral scanner (IScan D103i, Imetric). For each kind of impression materials, thirty impressions were taken following the manufactures' instruction in the same conditions. Subsequently, the impressions were randomly divided into three groups, with ten impressions in each group. After the impression taking was completed, the three groups underwent pure water rinse for 1 min (blank control, BC), 2% glutaraldehyde solution immersion disinfection for 30 min (glutaraldehyde, GD), and Cavicide solution spray disinfection for 5 min (Cavicide, CC), respectively. All the impressions were digitized by the extraoral scanner (IScan D103i, Imetric) after disinfection and exported to a dedic
Abstract Statement of problem Digital scanning is increasingly used in prosthodontics. Three-dimensional (3D) evaluations that compare the repeatability of the blue-light scanner with that of the ...white-light scanner are required. Purpose The purpose of this in vitro study was to evaluate the repeatability of conventional impressions of abutment teeth digitized with white- and blue-light scanners and compare the findings for different types of abutment teeth. Material and methods Impressions of the canine, premolar, and molar abutment teeth were made and repeatedly scanned with each scanner type to obtain 5 sets of 3D data for each tooth. Point clouds were compared, and error sizes per tooth and scanner type were measured (n=10). One-way ANOVA with Tukey honest significant differences multiple comparison and independent t tests were performed to evaluate repeatability (α=.05). Results Repeatability (mean ±SD) of the white- and blue-light scanners for canine, premolar, and molar teeth was statistically significant (means: P =.001, P <.001, P <.001; ±SD: P <.001, P <.001, P =.003). Means of discrepancies with the white-light scanner ( P <.001) were 5.8 μm for the canine, 5.9 μm for the premolar, and 8.6 μm for the molar teeth and 4.4 μm, 2.9 μm, and 3.2 μm, respectively, with the blue-light scanner ( P <.001). Corresponding SDs of discrepancies with the white-light scanner ( P <.001) were 15.9 μm for the canine, 23.2 μm for the premolar, and 14.6 μm for the molar teeth and 9.8 μm, 10.6 μm, and 11.2 μm, respectively, with the blue-light scanner ( P =.73). Conclusions On evaluation of the digitized abutment tooth impressions, the blue-light scanner exhibited greater repeatability than the white-light scanner.
Public health research often concerns relationships between exposures and correlated count outcomes. When counts exhibit more 0s than expected under Poisson sampling, the zero-inflated Poisson (ZIP) ...model with random effects may be used. However, the latent class formulation of the ZIP model can make marginal inference on the population sampled challenging. The paper presents a marginalized ZIP model with random effects to model directly the mean of the mixture distribution consisting of 'susceptible' individuals and excess 0s, providing straightforward inference for overall exposure effects. Simulations evaluate finite sample properties, and the new methods are applied to a motivational interviewing-based safer sex intervention trial, designed to reduce the number of unprotected sexual acts, to illustrate the new methods.
The purpose of this study is to evaluate the influence of implant scanbody (ISB) material and operator on scanning fluency and polygonal mesh numbers of a confocal microscopy intraoral scanning ...(IOS). An edentulous maxillary master model with 6 implant analogues was assembled. Thereafter 3 ISBs featured with same geometry but different materials (polyetheretherketone (PK), titanium (T) and PK with a titanium base (PKT)) were produce and scanned according to a randomized sequence by three different operators. The confocal microscopy IOS resulted in 45 STL test files that were processed to a dedicate software to obtain the request data. The overall analysis of fluency (imm/sec) showed the following results: mean 11.997 imm/sec, SD 2.355. The multivariate analysis showed statistical significance of material (p<.0001) and operator (p<.0001) influence. The univariate analysis referred to polygonal mesh numbers expressed the following results: mean 30327.8, SD 2432.5. The multivariate analysis stressed how there is a related effect to materials (p<.0001) and operator (p=0.0205). PKT represented the material with the best results for both. Analyzing the overall distribution histogram for scanning fluency, the IOS device seems to work with higher frequency at level of 13 imm/sec. The distribution of the measurements in the reference histograms showed an effect related to both variables referring to scanning fluency as well as to polygonal mesh numbers. Operator can be considered as a random effect; regarding the materials, the difference between PKT and PK can be related to the different base material. The dissimilar optical properties of T justify the different behavior.
The aim of this study was to compare the clinical accuracy of digital and conventional dental implant impressions. Two types of implant impressions were made for each case, namely a conventional ...open-tray impression and a digital implant impression (DII) using a Trios IOS. Master casts were scanned using a D800 laboratory scanner and STL files were retrieved from conventional and digital workflows to be exported for comparison. The distance between center points, angulation, rotation, vertical shift, and surface mismatch of the scan bodies were evaluated and compared between conventional and digital impression techniques. Comparing digital and conventional impression techniques the following factors showed statistically significant differences: distance (73.7±75 μm), angulation (0.42±0.3°), and surface mismatch of scan bodies. The difference in conventional and digital impression techniques as regards to angulation and distance between the implants were associated with distance, angle, and vertical shift differences in scan. The mismatch of the scanned surface of scan bodies was twice higher for the intraoral scanner group. Clinicians should therefore control the implant suprastructures clinically and also using casts (e.g. printed casts) when a digital scan is planned.
Abstract The ability to assess the effects of an implant on bone remodeling is of particular importance to prosthesis placement planning and associated treatment assurance. Prediction of on-going ...bone responses will enable us to improve the performance of a restoration. Although the bone remodeling for long bones had been extensively studied, there have been relatively few reports for dental scenarios despite its increasing significance with more and more dental implant placements. This paper aimed to develop a systematic protocol to assess mandibular bone remodeling induced by dental implantation, which extends the remodeling algorithms established for the long bones into dental settings. In this study, a 3D model for a segment of a human mandible was generated from in vivo CT scan images, together with a titanium implant embedded to the mandible. The results examined the changes in bone density and stiffness as a result of bone remodeling over a period of 48 months. Resonance frequency analysis was also performed to relate natural frequencies to bone remodeling. The density contours are qualitatively compared with clinical follow-up X-ray images, thereby providing validity for the bone remodeling algorithm presented in dental bone analysis.
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