Modern Patient-Centered Dental Care

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Dentistry, Oral Surgery and Oral Medicine".

Deadline for manuscript submissions: 25 October 2024 | Viewed by 2656

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Guest Editor
Department of Head and Neck and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Faculty of Medicine, Tel-Aviv University, Tel Aviv 6139001, Israel
Interests: digital dentistry; implantology; prosthodontics; removable partial prosthesis; implants' immediate loading
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Special Issue Information

Dear Colleagues,

In recent years, there has been a dynamic development of dental care due to the introduction of novel dental implants. The digital revolution, which also found its way into dentistry, has resulted in improved clinical workflows and approaches for new treatments, such as bone regeneration.

All such innovations in the field of oral health are aimed to improve patient-centered dental care and promote their overall wellbeing.

The aim of this Special Issue is to disseminate knowledge on the recent and innovative clinical means/approaches being developed to improve dental treatments.

Prof. Dr. Eitan Mijiritsky
Guest Editor

Manuscript Submission Information

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Keywords

  • dental implants
  • digital dentistry
  • patient satisfaction
  • innovative clinical dental approaches

Published Papers (3 papers)

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Research

14 pages, 5890 KiB  
Article
Accuracy of Digital Orthodontic Treatment Planning: Assessing Aligner-Directed Tooth Movements and Exploring Inherent Intramaxillary Side Effects
by Ludger Keilig, Anna Fittgen, Helen Schneider, Rafet Sifa, Jörg Schwarze, Christoph Bourauel and Anna Konermann
J. Clin. Med. 2024, 13(8), 2298; https://0-doi-org.brum.beds.ac.uk/10.3390/jcm13082298 - 16 Apr 2024
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Abstract
Background: The attainment of precise posterior occlusion alignment necessitates a deeper understanding of the clinical efficacy of aligner therapy. This study aims to determine whether the treatment goals defined in the virtual planning of aligner therapy are effectively implemented in clinical practice, with [...] Read more.
Background: The attainment of precise posterior occlusion alignment necessitates a deeper understanding of the clinical efficacy of aligner therapy. This study aims to determine whether the treatment goals defined in the virtual planning of aligner therapy are effectively implemented in clinical practice, with a particular focus on the influence of distalization distances on potential vertical side effects. Methods: In this retrospective, non-interventional investigation, a cohort of 20 individuals undergoing Invisalign® treatment was examined. Pre- and post-treatment maxillary clinical and ClinCheck® casts were superimposed utilizing a surface–surface matching algorithm on palatal folds, median palatine raphe, and unmoved teeth as the stable references. The effectivity of planned versus clinical movements was evaluated. Groupings were based on distalization distances, planned vertical movements, and Class II elastic prescription. Statistics were performed with a two-sample t-test and p-value < 0.05. Results: Clinically achieved distalization was significantly lower than virtually planned distalization, regardless of additional vertical movements, where a lack of implementation was contingent upon the extent of distalization, with no mitigating effects observed with the application of Class II elastics. Intriguingly, no adverse vertical side effects were noted; however, the intended intrusions or extrusions, as per the therapeutic plans, remained unattainable regardless of the magnitude of distalization. Conclusions: These findings underscore the imperative for future investigations to delve deeper into the intricacies surrounding translational mesio-distal and vertical movements, thereby enhancing predictability within orthodontic practice. To facilitate successful clinical implementation of vertical and translational movements via aligners, the incorporation of sliders emerges as a promising strategy for bolstering anchorage reinforcement. Full article
(This article belongs to the Special Issue Modern Patient-Centered Dental Care)
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16 pages, 3234 KiB  
Article
Influence of Cementation Mode and Ferrule Design on the Fatigue Resistance of Monolithic Zirconia Endocrowns
by Milan Stoilov, Tobias Boehmer, Lea Stoilov, Helmut Stark, Michael Marder, Norbert Enkling and Dominik Kraus
J. Clin. Med. 2024, 13(4), 1165; https://0-doi-org.brum.beds.ac.uk/10.3390/jcm13041165 - 19 Feb 2024
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Abstract
Background: Classic endocrowns made of dental ceramics are considered a promising alternative to traditional post-endodontic restorations. The use of circular ferrules in endocrowns is a topic of controversial discussion. Therefore, the present study aims to evaluate the effect of ferrule design and [...] Read more.
Background: Classic endocrowns made of dental ceramics are considered a promising alternative to traditional post-endodontic restorations. The use of circular ferrules in endocrowns is a topic of controversial discussion. Therefore, the present study aims to evaluate the effect of ferrule design and cementation mode on the fatigue resistance of zirconia endocrowns. Methods: Eighty human molars were divided into four groups (n = 20): NFC (no-ferrule, conventional cementation), NFA (no-ferrule, adhesive luting), FC (ferrule, conventional cementation) and FA (ferrule, adhesive luting). Both the classic and the modified endocrown preparation with a two-millimeter ferrule design were carried out. Endocrowns were fabricated from zirconia using the CEREC system. After thermocycling, specimens were loaded according to the step-stress test up to 1500 N. Results: Failure rate was low; 88.8% of total specimens passed the step-stress test. Fractures were distributed between all groups; no significant differences in fatigue resistance were detected for preparation design and cementation mode. Conclusions: Endocrowns appear to be a promising concept for endodontically treated molars. Ferrule and also cementation mode have only a minor influence on fatigue resistance of zirconia endocrowns. However, at very high forces, the marginal area of the ferrule represents a weak point. Full article
(This article belongs to the Special Issue Modern Patient-Centered Dental Care)
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15 pages, 3789 KiB  
Article
Are Artificial Intelligence-Assisted Three-Dimensional Histological Reconstructions Reliable for the Assessment of Trabecular Microarchitecture?
by János Báskay, Dorottya Pénzes, Endre Kontsek, Adrián Pesti, András Kiss, Bruna Katherine Guimarães Carvalho, Miklós Szócska, Bence Tamás Szabó, Csaba Dobó-Nagy, Dániel Csete, Attila Mócsai, Orsolya Németh, Péter Pollner, Eitan Mijiritsky and Márton Kivovics
J. Clin. Med. 2024, 13(4), 1106; https://0-doi-org.brum.beds.ac.uk/10.3390/jcm13041106 - 15 Feb 2024
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Abstract
Objectives: This study aimed to create a three-dimensional histological reconstruction through the AI-assisted classification of tissues and the alignment of serial sections. The secondary aim was to evaluate if the novel technique for histological reconstruction accurately replicated the trabecular microarchitecture of bone. This [...] Read more.
Objectives: This study aimed to create a three-dimensional histological reconstruction through the AI-assisted classification of tissues and the alignment of serial sections. The secondary aim was to evaluate if the novel technique for histological reconstruction accurately replicated the trabecular microarchitecture of bone. This was performed by conducting micromorphometric measurements on the reconstruction and comparing the results obtained with those of microCT reconstructions. Methods: A bone biopsy sample was harvested upon re-entry following sinus floor augmentation. Following microCT scanning and histological processing, a modified version of the U-Net architecture was trained to categorize tissues on the sections. Detector-free local feature matching with transformers was used to create the histological reconstruction. The micromorphometric parameters were calculated using Bruker’s CTAn software (version 1.18.8.0, Bruker, Kontich, Belgium) for both histological and microCT datasets. Results: Correlation coefficients calculated between the micromorphometric parameters measured on the microCT and histological reconstruction suggest a strong linear relationship between the two with p-values of 0.777, 0.717, 0.705, 0.666, and 0.687 for BV/TV, BS/TV, Tb.Pf Tb.Th, and Tb.Sp, respectively. Bland–Altman and mountain plots suggest good agreement between BV/TV measurements on the two reconstruction methods. Conclusions: This novel method for three-dimensional histological reconstruction provides researchers with a tool that enables the assessment of accurate trabecular microarchitecture and histological information simultaneously. Full article
(This article belongs to the Special Issue Modern Patient-Centered Dental Care)
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