Recent Advances in Dental Practice

A special issue of Journal of Personalized Medicine (ISSN 2075-4426). This special issue belongs to the section "Methodology, Drug and Device Discovery".

Deadline for manuscript submissions: closed (10 March 2024) | Viewed by 10971

Special Issue Editors


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Guest Editor
Department of Orthodontics, University of Münster, 48149 Münster, Germany
Interests: virtual treatment planning; digital dentistry

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Guest Editor Assistant
Department of Orthodontics, University of Münster, Albert-Schweitzer-Campus 1, 48149 Münster, Germany
Interests: virtual treatment planning

Special Issue Information

Dear Colleagues,

The next level of reliability and efficiency of digital processes in dentistry needs to be put to the scientific test. Optical impression taking using state-of-the-art scanning techniques, as the linchpin of digitization, has a decisive impact on productivity and growth. Are patient engagement and shorter treatment time with higher esthetics in line with personalized medicine? Do multi-platform systems deliver on their promise of predictable and long-term treatment outcomes? Are plug-and-play solutions in the practice still future-proof, or is support from remote teams the new game-changer? Let us answer these questions together with well-founded scientific studies. Clinical as well as laboratory research is most welcome. I look forward to your contributions.

Prof. Dr. Thomas Stamm
Guest Editor

Dr. Jonas Q. Schmid
Guest Editor Assistant 

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Keywords

  • digital dentistry
  • digital impression
  • intraoral scanner
  • CBCT
  • virtual surgical planning
  • 3D printing
  • 4D printing
  • dental applications
  • clear aligner

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Published Papers (5 papers)

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Research

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10 pages, 3184 KiB  
Article
Influence of Augmented Reality Appliances on Tooth Preparation Designs—An In Vitro Study
by Cristina Obispo, Teresa Gragera, Giovanni Giovannini, Álvaro Zubizarreta-Macho and Juan Manuel Aragoneses Lamas
J. Pers. Med. 2024, 14(1), 37; https://doi.org/10.3390/jpm14010037 - 28 Dec 2023
Cited by 2 | Viewed by 1377
Abstract
The aim of this work was to analyze and compare the tooth structure removal between a free-hand preparation technique and a computer-aided preparation technique using an augmented reality appliance for complete-crowns preparation designs and “root mean square” (RMS) alignment value. Ten upper teeth [...] Read more.
The aim of this work was to analyze and compare the tooth structure removal between a free-hand preparation technique and a computer-aided preparation technique using an augmented reality appliance for complete-crowns preparation designs and “root mean square” (RMS) alignment value. Ten upper teeth representatives of all dental sectors were selected from a generic model library as “Standard Tessellation Language” (STL-1) digital files and 3D-printed in an anatomically based acrylic resin experimental model. Then these were randomly assigned to the following tooth preparation techniques: Group A: free-hand preparation technique (n = 5) (FHT) and Group B: computer-aided preparation technique using an augmented reality appliance (n = 5) (AR). Experimental models were submitted to a digital impression through an intraoral scan and (STL-2) uploaded into a reverse engineering morphometric software to measure the volumetric reduction in the planned and performed tooth structure (mm3) and RMS using the Student’s t-test and the Mann–Whitney non-parametric test. Statistically significant differences were observed between the volumetric reduction in the planned and performed tooth structure (mm3) of the AR and FHT study groups (p = 0.0001). Moreover, statistically significant differences were observed between the RMS of the planned and performed tooth preparations in both the AR and FHT study groups (p = 0.0005). The augmented reality appliance provides a more conservative and predictable complete-crowns preparation design than the free-hand preparation technique. Full article
(This article belongs to the Special Issue Recent Advances in Dental Practice)
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14 pages, 2784 KiB  
Article
A New Digital Method to Quantify the Effects Produced by Carriere Motion Appliance
by Aldara Rosalía Nercellas Rodríguez, Pedro Colino Gallardo, Álvaro Zubizarreta-Macho, Carlos Colino Paniagua, Alfonso Alvarado Lorenzo and Alberto Albaladejo Martínez
J. Pers. Med. 2023, 13(5), 859; https://doi.org/10.3390/jpm13050859 - 20 May 2023
Cited by 2 | Viewed by 2152
Abstract
The aim of this study was to analyze a novel digital technique to quantify the distal tooth displacement and derotation angle produced by the Carriere Motion Appliance (CMA). Twenty-one patients with a class II molar and canine relationship underwent orthodontic treatment with CMA. [...] Read more.
The aim of this study was to analyze a novel digital technique to quantify the distal tooth displacement and derotation angle produced by the Carriere Motion Appliance (CMA). Twenty-one patients with a class II molar and canine relationship underwent orthodontic treatment with CMA. All patients were exposed before (STL1) and after the CMA placement (STL2), submitted to a digital impression, and afterwards, data were uploaded to specific cephalometric software to allow automatic mesh network alignment of the STL digital files. Subsequently, the distal tooth displacement of the upper canines and first upper molars, as well as the derotation angle of the first upper molars were analyzed using the Pearson correlation coefficient (ρ). Repeatability and reproducibility were analyzed using Gage R&R statistical analysis. An increase in canine displacement was correlated with an increase in contralateral canine displacement (ρ = 0.759; p < 0.000). An increase in canine displacement was correlated with an increase in molar displacement (ρ = 0.715; p < 0.001). An increase in upper first molar displacement was correlated with an increase in the contralateral upper first molar displacement (ρ = 0.609; p < 0.003) and the canine displacement (ρ = 0.728; p < 0.001). The distal tooth displacement showed a repeatability of 0.62% and reproducibility of 7.49%, and the derotation angle showed a repeatability of 0.30% and reproducibility of 0.12%. The novel digital measurement technique is a reproducible, repeatable, and accurate method for quantifying the distal tooth displacement of the upper canine and first upper molar, as well as the derotation angle of the first upper molars after using CMA. Full article
(This article belongs to the Special Issue Recent Advances in Dental Practice)
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11 pages, 2929 KiB  
Article
Accuracy of Conventional and Digital Impressions for Full-Arch Implant-Supported Prostheses: An In Vitro Study
by Noemie Drancourt, Chantal Auduc, Aymeric Mouget, Jean Mouminoux, Pascal Auroy, Jean-Luc Veyrune, Nada El Osta and Emmanuel Nicolas
J. Pers. Med. 2023, 13(5), 832; https://doi.org/10.3390/jpm13050832 - 15 May 2023
Cited by 11 | Viewed by 2381
Abstract
Both conventional and digital impressions aim to record the spatial position of implants in the dental arches. However, there is still a lack of data to justify the use of intraoral scanning over conventional impressions for full-arch implant-supported prostheses. The objective of the [...] Read more.
Both conventional and digital impressions aim to record the spatial position of implants in the dental arches. However, there is still a lack of data to justify the use of intraoral scanning over conventional impressions for full-arch implant-supported prostheses. The objective of the in vitro study was to compare the trueness and precision of conventional and digital impressions obtained with four intra-oral scanners: Trios 4 from 3Shape®, Primescan from Dentsply Sirona®, CS3600 from Carestream® and i500 from Medit®. This study focused on the impression of an edentulous maxilla in which five implants were placed for implant-supported complete prosthesis. The digital models were superimposed on a digital reference model using dimensional control and metrology software. Angular and distance deviations from the digital reference model were calculated to assess trueness. Dispersion of the values around their mean for each impression was also calculated for precision. The mean distance deviation in absolute value and the direction of the distance deviation were smaller for conventional impressions (p-value < 0.001). The I-500 had the best results regarding angular measurements, followed by Trios 4 and CS3600 (p < 0.001). The conventional and I-500 digital impressions showed the lowest dispersion of values around the mean (p-value < 0.001). Within the limitations of our study, our results revealed that the conventional impression was more accurate than the digital impression, but further clinical studies are needed to confirm these findings. Full article
(This article belongs to the Special Issue Recent Advances in Dental Practice)
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15 pages, 3406 KiB  
Article
Non-Surgical Transversal Dentoalveolar Compensation with Completely Customized Lingual Appliances versus Surgically Assisted Rapid Palatal Expansion in Adults—Tipping or Translation in Posterior Crossbite Correction?
by Jonas Q. Schmid, Elena Gerberding, Ariane Hohoff, Johannes Kleinheinz, Thomas Stamm and Claudius Middelberg
J. Pers. Med. 2023, 13(5), 807; https://doi.org/10.3390/jpm13050807 - 9 May 2023
Cited by 3 | Viewed by 1721
Abstract
The aim of this study was to investigate buccolingual tooth movements (tipping/translation) in surgical and nonsurgical posterior crossbite correction. A total of 43 patients (f/m 19/24; mean age 27.6 ± 9.5 years) treated with surgically assisted rapid palatal expansion (SARPE) and 38 patients [...] Read more.
The aim of this study was to investigate buccolingual tooth movements (tipping/translation) in surgical and nonsurgical posterior crossbite correction. A total of 43 patients (f/m 19/24; mean age 27.6 ± 9.5 years) treated with surgically assisted rapid palatal expansion (SARPE) and 38 patients (f/m 25/13; mean age 30.4 ± 12.9 years) treated with dentoalveolar compensation using completely customized lingual appliances (DC-CCLA) were retrospectively included. Inclination was measured on digital models at canines (C), second premolars (P2), first molars (M1), and second molars (M2) before (T0) and after (T1) crossbite correction. There was no statistically significant difference (p > 0.05) in absolute buccolingual inclination change between both groups, except for the upper C (p < 0.05), which were more tipped in the surgical group. Translation, i.e., bodily tooth movements that cannot be explained by pure uncontrolled tipping, could be observed with SARPE in the maxilla and with DC-CCLA in both jaws. Dentoalveolar transversal compensation with completely customized lingual appliances does not cause greater buccolingual tipping compared to SARPE. Full article
(This article belongs to the Special Issue Recent Advances in Dental Practice)
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Review

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14 pages, 3474 KiB  
Review
The Power of Customized Clear Aligners in Closing Molar Edentulous Spaces: Clinical and Medico-Legal Considerations in a Scoping Review and Case Report
by Alessandra Putrino, Enrico Marinelli and Simona Zaami
J. Pers. Med. 2023, 13(9), 1389; https://doi.org/10.3390/jpm13091389 - 16 Sep 2023
Cited by 2 | Viewed by 2756
Abstract
Successful closure of edentulous spaces with clear aligners (CAs) is influenced by many factors. CAs are tailored orthodontic devices whose predictability may have relevant medico-legal implications. This study presents a scoping review about missing molar space closure (MMSC) with CAs and a clinical [...] Read more.
Successful closure of edentulous spaces with clear aligners (CAs) is influenced by many factors. CAs are tailored orthodontic devices whose predictability may have relevant medico-legal implications. This study presents a scoping review about missing molar space closure (MMSC) with CAs and a clinical case. This study aims to highlight the feasibility of molar space closure by mesialization with CAs without hybrid supports. Following PRISMA Sc-review guidelines, English-written randomized/non-randomized/observational clinical studies on PubMed, Scopus, Cochrane and Lilacs were searched. An 18-year-old patient, with upper and lower edentulous spaces due to the loss of two first molars, was rehabilitated with CAs (Sorridi®, Sorridi srl, Latina, Italy) without hybrid supports and attachments. The therapy was carried out over 10 months. Currently, there are no studies documenting MMSC by mesialization with only CAs. Existing articles document the closure of premolar or incisor spaces. The upper and lower left second molars replaced the missing first molars, and erupting third molars replaced adjacent teeth. The biomechanical effects in space closure with CAs related to extraction cases appear as priorities of clinical/medico-legal interest. Our case turns attention to this movement of CAs without attachments/hybrid supports, indicating that even such a complex treatment can be comfortable for patients and safely predictable for specialists. Full article
(This article belongs to the Special Issue Recent Advances in Dental Practice)
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