Simultaneous fabrication of implant restorations and occlusal devices - enhanced efficiency due to digital workflow
Hybrid abutment crowns (HACs) have gained increased attention due to the time and cost efficiency as well as their reliability for restoring single-tooth implants in the posterior region. This article presents a digital approach to restore single-tooth gaps with implantsupported HACs in combination with a simultaneous occlusal device therapy within four appointments combining implant surgery with prosthetic and functional therapy. 3D implant planning, guided surgery, PEEK customized healing abutments, intraoral scanning, and movement registration of the lower jaw function were applied together to achieve the predictable result.
Digital workflow for a customized 3D-printed palatal stent to protect donor site of connective tissue grafting
Connective tissue grafting (CTG) remains the gold standard method for soft tissue augmentation in periodontal therapy. However, donor site morbidity is a challenge since patient discomfort is frequently reported due to prolonged healing time with pain, inflammation, bleeding and sometimes even infection. Current techniques try to avoid complications relying on collagen membranes, platelet-rich fibrin (PRF), and palatal stents. This report introduces a digital workflow to fabricate 3D printed palatal stents individualized on virtual patients using an implant planning software program. The 3D-printed palatal stent is suggested to be more comfortable and effective to achieve a better patient-reported outcome related to CTG postoperative comfort.
Effects of an increased vertical dimension of occlusion on facial soft tissue height
Adjustments to the vertical dimension of occlusion (VDO) are frequently required in full-mouth rehabilitations. This study evaluated the effect of increased VDO on soft tissue height using three-dimensional (3D) facial scanning.
Safety and performance of the first supervised automated dental robot to perform minimally invasive tooth prep for laminate veneers
In this prospective clinical study, the safety and performance of the Lupin Robotic System in tooth preparation for veneer procedures in adult patients have been investigated.
Radiopaque marker impression and 3D Boolean inversion for metal artifact-distorted same-day implant planning: a digital workflow
The present article describes a dental implant planning workflow to solve the CBCT artifact problem. The technique uses a radiopaque 3D-printed tray to take impressions and complete data alignment of the dental arches where implants are planned. From the impressions, 3D Boolean inversion is performed to obtain the surface mesh of teeth and virtually remove the undercut of dentition mesh before an implant surgical guide is designed. The trueness and precision of 3D alignment are then compared with the original radiographic template alignment using the double-scan method. In the present study, the results showed that this method could improve alignment trueness and allow for the elimination of radiographic template making, reducing patient visits and making possible a same-day guided implant surgery.
An investigation of the diagnostic value of computerized axiograph to evaluate dynamic function of temporomandibular joint in patients with disc displacements
The application of paraclinical diagnosis in temporomandibular joint (TMJ) has always been a controversial topic due to the lack of universally accepted standards. Compared to medical imaging that provides TMJ structural analysis, axiography involve functional recording of condylar movement. The purpose of this study is to explore the diagnostic value of computerized axiography for patients with temporomandibular joint disc displacement.
Preliminary insights into dental student satisfaction in flipped-classroom seminars enhanced by artificial intelligence-generated podcasts: a comparative study
To evaluate the perceived usefulness of a flipped-classroom model that integrated podcasts generated using an artificial intelligence (AI) tool in undergraduate dental education.
Effect of antagonist arch on precision and trueness of digital maxillomandibular relation in partially edentulous cases using five different intraoral scanners
The study evaluated the trueness and precision of maxillomandibular relation records in intraoral scans of partially edentulous cases using dentate and edentulous arch antagonists.
Effect of Thermal Aging on Glass Matrix Ceramic and Resin Matrix Ceramic CAD/CAM Blocks: Flexural Strength and Vicker's Microhardness Assessment
This study aimed to evaluate and compare the flexural strength, elastic modulus, and Vicker's microhardness values of glass matrix ceramic and resin matrix ceramic CAD/CAM blocks, and to examine the differences after thermal aging.
Digital implant prosthetics: patient-individual PEEK healing abutments - a case report
Implantology is becoming increasingly digital, opening up new therapy options to achieve preferably predictable and complication-free results. One key parameter for success seems to be stable and fixed soft tissue around the implant as well as the prosthodontic supply. The concept presented in this article aims for an anatoform and stable emergence profile around implants in a digital workflow applying individual polyetheretherketone (PEEK) healing abutments.
Accuracy and Efficiency of Artificial Intelligence and Manual Virtual Segmentation for Generation of 3D Printed Tooth Replicas
The primary aim of this in vitro study was to compare methods for generating 3D-printed replicas through virtual segmentation, utilizing artificial intelligence (AI) or manual processes, by assessing accuracy in terms of volumetric and linear discrepancies. The secondary aims were the assessment of time efficiency with both segmentation methods, and the effect of post-processing on 3D-printed replicas.
Dynamic Navigation System Accuracy in Orthodontic Miniscrew Insertion in the Palatine Vault: A Prospective Single- Arm Clinical Study
The aim of this study was to evaluate the accuracy of Dynamic Navigation (DN) in miniscrew insertion in the palatine vault by comparing the deviation between planned and placed miniscrew positions. The secondary outcome was to evaluate the correlation between the number of miniscrews inserted and both the accuracy variables and the duration of interventions.
Assessment of the effectiveness of intraoral scanning in patients with maxillary defects: a clinical study
To evaluate the accuracy of the intraoral scanner (IOS) for obtaining digital scans of maxillary defects and adjacent tissues to fabricate obturator prosthesis.
Dentistry, knowledge, and science - what data do we need in everyday dental practice?
CAD/CAM post and core for telescopic crowns after fracture
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.
Retrospective Evaluation of the 'crown-guide': An Innovative Approach for Guided Immediate Implant Placement and Restoration
The aim of this study was to retrospectively evaluate whether the use of the Crown-Guide - a prefabricated provisional restoration which is incorporated into a surgical pilot guide - results in a predictable esthetic outcome in patients undergoing immediate implant placement.
Preparation Design and Milling Unit Impact on CAD/CAM Endocrown Fit
The study evaluated the impact of tooth preparation design and chairside milling unit on the internal adaptation and marginal fit of CAD/CAM fabricated endocrowns.
Artificial Intelligence in Panoramic Radiography Interpretation: A Glimpse into the State-of-the-Art Radiologic Examination Method
Panoramic radiography is a frequently utilized imaging technique in standard dental examinations and provides many advantages. In this context, studies have been conducted to develop tools to assist physicians in clinical practice by using deep learning models to interpret panoramic radiography images. However, studies in the existing literature have generally addressed these conditions separately and studies that develop a multiclass diagnostic charting model that can detect and segment all these conditions are very limited. Therefore, the aim of this study to develop a deep learning model that can accurately evaluate and segment various dental issues and anatomical structures in panoramic radiographs obtained from different radiography devices and settings.
Reliability of Measuring Mandibular Movement and Condylar Position Using an Optical Jaw Registration System
The aim of this study was to evaluate the reliability of a digital jaw registration system for measuring mandibular movement and condylar position.
Digital occlusion and occlusion analysis - a positioning Digitale
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.
