Technology, Dental

技术,牙科
  • 文章类型: Journal Article
    数字技术已经成为牙科植入的变革性工具,深刻地提高了多个方面的准确性和有效性,如诊断,术前治疗计划,外科手术,和恢复交付。射线照相数据和口内数据的多重集成,有时通过虚拟计划软件使用面部扫描数据或电子脸弓,能够对硬软组织和未来修复的位置进行全面的三维可视化,导致诊断精度提高。在虚拟手术设计中,假体布置和个体解剖细节的结合使得关键程序的虚拟执行(例如,植入物放置,扩展应用程序,等。)通过分析横截面图像和三维表面模型的重建。经过验证,包括模板在内的数字技术的利用,导航,组合技术,植入机器人实现了将虚拟治疗计划无缝转移到实际手术部位,最终导致增强的手术结果和高度改进的准确性。在修复交付中,数字印模技术,阴影匹配,假体制造有了进步,实现无缝数字数据转换和临床医生和技术人员之间的有效沟通。与临床医学相比,牙科种植中的人工智能(AI)技术主要集中在诊断和预测上。人工智能支持的术前计划和手术仍处于发展阶段,由于临床病例的复杂性和伦理考虑,从而限制了广泛采用。
    Digital technology has emerged as a transformative tool in dental implantation, profoundly enhancing accuracy and effectiveness across multiple facets, such as diagnosis, preoperative treatment planning, surgical procedures, and restoration delivery. The multiple integration of radiographic data and intraoral data, sometimes with facial scan data or electronic facebow through virtual planning software, enables comprehensive 3-dimensional visualization of the hard and soft tissue and the position of future restoration, resulting in heightened diagnostic precision. In virtual surgery design, the incorporation of both prosthetic arrangement and individual anatomical details enables the virtual execution of critical procedures (e.g., implant placement, extended applications, etc.) through analysis of cross-sectional images and the reconstruction of 3-dimensional surface models. After verification, the utilization of digital technology including templates, navigation, combined techniques, and implant robots achieved seamless transfer of the virtual treatment plan to the actual surgical sites, ultimately leading to enhanced surgical outcomes with highly improved accuracy. In restoration delivery, digital techniques for impression, shade matching, and prosthesis fabrication have advanced, enabling seamless digital data conversion and efficient communication among clinicians and technicians. Compared with clinical medicine, artificial intelligence (AI) technology in dental implantology primarily focuses on diagnosis and prediction. AI-supported preoperative planning and surgery remain in developmental phases, impeded by the complexity of clinical cases and ethical considerations, thereby constraining widespread adoption.
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  • 文章类型: Journal Article
    目的:本系统综述和荟萃分析的目的是比较制造方法的影响(常规,减法,和添加剂程序)和制造三项式(技术,打印机,和材料组合)在钴铬(Co-Cr)牙齿支撑框架的边缘和内部配合上。
    方法:在五个数据库中进行了电子系统评价:MEDLINE/PubMed,Embase,科学世界,科克伦,还有Scopus.包括报告牙齿支撑的Co-Cr增材制造(AM)框架的边缘和内部差异的研究。两位作者通过应用JoannaBriggs研究所准实验研究关键评估清单独立完成了研究的质量评估。为解决缺乏共识的问题,咨询了第三位审查员。
    结果:总共包含了31篇文章,并根据评估方法进行了分类:制造准确性,双重或三重扫描方法,立体显微镜,光学坐标测量机,microCT,轮廓仪,和硅胶复制品。创建了六个子组:3D系统,Bego,概念激光,EOS,Kulzer,还有Sisma.由于异质性和可用数据有限,只有硅胶复制组被考虑进行荟萃分析.荟萃分析显示平均边际差异为91.09μm(I2=95%,P<.001)在常规组中,77.48μm(I2=99%,P<.001)在铣削组中,和82.92μm(I2=98%,P<.001)在打印组中。此外,平均内部差异为111.29μm(I2=94%,P<.001)在常规铸造组中获得,121.96μm(I2=100%,P<.001)在铣削组中,和121.25μm(I2=99%,P<.001)在打印组中。
    结论:制造方法和选择性激光熔化(SLM)金属制造三态并不影响Co-Cr框架的边缘和内部差异,用于制造牙齿支撑的修复体。
    OBJECTIVE: The purpose of this systematic review and meta-analysis was to compare the influence of fabrication method (conventional, subtractive, and additive procedures) and manufacturing trinomial (technology, printer, and material combination) on the marginal and internal fit of cobaltchromium (Co-Cr) tooth-supported frameworks.
    METHODS: An electronic systematic review was performed in five data bases: MEDLINE/PubMed, Embase, World of Science, Cochrane, and Scopus. Studies that reported the marginal and internal discrepancies of tooth-supported Co-Cr additive manufacturing (AM) frameworks were included. Two authors independently completed the quality assessment of the studies by applying the Joanna Briggs Institute Critical Appraisal Checklist for Quasi-Experimental Studies. A third examiner was consulted to resolve lack of consensus.
    RESULTS: A total of 31 articles were included and classified based on the evaluation method: manufacturing accuracy, the dual- or triple-scan method, stereomicroscope, optical coordinate measurement machine, microCT, profilometer, and silicone replica. Six subgroups were created: 3D Systems, Bego, Concept Laser, EOS, Kulzer, and Sisma. Due to the heterogeneity and limited data available, only the silicone replica group was considered for meta-analysis. The metaanalysis showed a mean marginal discrepancy of 91.09 μm (I2 = 95%, P < .001) in the conventional group, 77.48 μm (I2 = 99%, P < .001) in the milling group, and 82.92 μm (I2 = 98%, P < .001) in the printing group. Additionally, a mean internal discrepancy of 111.29 μm (I2 = 94%, P < .001) was obtained in the conventional casting group, 121.96 μm (I2 = 100%, P < .001) in the milling group, and 121.25 μm (I2 = 99%, P < .001) in the printing group.
    CONCLUSIONS: Manufacturing method and selective laser melting (SLM) metal manufacturing trinomial did not impact the marginal and internal discrepancies of Co-Cr frameworks for the fabrication of tooth-supported restorations.
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  • 文章类型: Journal Article
    增材制造(AM),也被称为3D打印,正在各种牙科学科中获得蓬勃发展的兴趣。这项技术的进口不仅源于其制造不同零件的能力,还源于其提供的定制和生产复杂设计的解决方案,而这些解决方案是其他方法无法提供的-所有这些都是为了增强临床治疗替代方案。有广泛的AM机械和材料可供选择,本综述的目的是为读者和临床医生提供决策工具,为给定的应用程序选择合适的技术,并成功地将AM集成到数字工作流程中。
    Additive manufacturing (AM), also known as 3D printing, is gaining burgeoning interest among various dental disciplines. The import of this technology stems not only from its ability to fabricate different parts but from the solutions it provides for the customization and production of complex designs that other methods cannot offer-all to the end of enhancing clinical treatment alternatives. There is a wide range of AM machinery and materials available to choose from, and the goal of this review is to provide readers and clinicians with a decision tool for selecting the appropriate technology for a given application and to successfully integrate AM into the digital workflow.
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  • 文章类型: Journal Article
    牙齿和微笑的视觉吸引力显着影响他人对个人的看法以及他们的自我形象和信心。牙科美学的主观性,患者和牙科专业人员之间差异很大,使数字微笑设计工具对于创造自然和个性化的美学至关重要。当代数字方法和工作流程涵盖所有临床阶段,从诊断到创造与患者面部特征一致的微笑,以及修复的完成。数字技术不仅简化了治疗计划,微笑设计,以及修复体的创建,但也使不同的牙科专家和牙科实验室技术人员之间能够进行有效和及时的合作,加强患者整体护理。介绍了当代数字工具在跨学科美学治疗中的使用,强调高倍率对精度的作用,植入物放置,最小的侵入性,和临床有效性。
    The visual appeal of teeth and smiles significantly influences both how others perceive individuals and their self-image and confidence. The subjective nature of dental esthetics, varying greatly among patients and dental professionals, has made digital smile design tools essential for creating natural and personalized esthetics. Contemporary digital methods and workflows encompass all clinical phases, from diagnosis to the creation of a smile aligned with the patient\'s facial features, and the completion of the restoratives. Digital technologies not only streamline treatment planning, smile designing, and the creation of restorations but also enable effective and time-efficient collaboration among different dental specialists and dental laboratory technicians, enhancing overall patient care. The use of contemporary digital tools in interdisciplinary esthetic treatments is presented, underscoring the role of high magnification for precision, implant placement, minimal invasiveness, and clinical effectiveness.
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  • 文章类型: Journal Article
    背景:用于口内和全景成像以及锥束计算机断层扫描的数字X射线摄影技术的进步为牙科护理行业的诊断能力的提高开辟了道路。在这篇文章中,作者提供了4种有希望的新兴技术的信息。
    方法:作者的特点如下:使用卷积神经网络的深度学习形式的人工智能,牙科磁共振成像,静态口腔内断层合成,以及基于碳纳米管技术和多光谱成像的第二代锥形束计算机断层扫描源。作者回顾并总结了这些技术的文章。
    结果:这些新兴技术的历史和背景以及它们的发展以及对牙科诊断成像实践的潜在影响进行了预览。作者得出结论,随着这些系统的成熟,这些新兴技术有可能对牙科实践产生重大影响。影响程度很可能会有所不同,人工智能是最有影响力的。
    结论:读者了解这些新兴技术及其对未来实践的潜在影响,向他们提供基于采用一种或多种这些技术的决策的信息。本文中回顾的4种技术具有改善牙科影像学诊断的潜力,从而导致更好的患者护理和提高专业满意度。
    BACKGROUND: Advances in digital radiography for both intraoral and panoramic imaging and cone-beam computed tomography have led the way to an increase in diagnostic capabilities for the dental care profession. In this article, the authors provide information on 4 emerging technologies with promise.
    METHODS: The authors feature the following: artificial intelligence in the form of deep learning using convolutional neural networks, dental magnetic resonance imaging, stationary intraoral tomosynthesis, and second-generation cone-beam computed tomography sources based on carbon nanotube technology and multispectral imaging. The authors review and summarize articles featuring these technologies.
    RESULTS: The history and background of these emerging technologies are previewed along with their development and potential impact on the practice of dental diagnostic imaging. The authors conclude that these emerging technologies have the potential to have a substantial influence on the practice of dentistry as these systems mature. The degree of influence most likely will vary, with artificial intelligence being the most influential of the 4.
    CONCLUSIONS: The readers are informed about these emerging technologies and the potential effects on their practice going forward, giving them information on which to base decisions on adopting 1 or more of these technologies. The 4 technologies reviewed in this article have the potential to improve imaging diagnostics in dentistry thereby leading to better patient care and heightened professional satisfaction.
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  • 文章类型: Journal Article
    目的:磨牙会产生大量的气溶胶颗粒。这项研究的目的是在现实世界的临床环境中定量评估使用加速手持件进行牙齿研磨产生的颗粒污染。
    方法:将所有磨牙的牙冠预处理为具有10mm均匀横截面直径和5mm高度的圆柱体。一种新颖的计算机辅助数控系统用于将进给速度固定在10mm/min,将磨削深度固定在30μm,并参数研究bur速度:以20Krpm的间隔从20,000(20K)到200,000(200K)的每分钟(rpm)。在关闭空调的情况下,在真实的牙科手术室中以每种速度设置一式三份进行5分钟的牙齿研磨,窗户关上了.三个在线实时粒子计数器(ORPC;TR-8301,同伦公司。)具有六个粒径通道(0.3、0.5、1.0、2.5、5.0和10.0µm)的位置(0.5m,1.0米,和1.5米)以评估颗粒产量。所有实验仪器都是远程控制的。使用描述性统计和非参数检验(Scheirer-Ray-Hare和Kruskal-Wallis/Dunn-Bonferroni检验,p<0.05)。
    结果:在所有条件下,研磨实验期间气溶胶颗粒产生的浓度水平均高于对照组,并随着任何位置的bur速度而增加(最大峰值,在200K和1m时达到5.59×107个颗粒/m3),条件之间的差异。我们注意到,与对照组相比,速度对不同通道中颗粒增量的影响在各个位置之间具有统计学意义(p<0.001)。对于120K时0.3µm颗粒增量的分布差异,位置的简单主要影响不显著(H=4.314,p=0.116),在180K时0.5µm(H=1.855,p=0.396),和5µm在40K(H=1.259,p=0.533),而在任何速度设置下其他尺寸颗粒的增量显示出显著差异(p<0.05)。在171个事后成对位置比较中,130显示显著差异(p<0.05),50米在0.5米和1.5米之间(0.5米-1.5米),在1.5m-1m和0.5m-1m中都有40。速度的简单主要影响对于任何采样位置的所有通道中颗粒增量的分布差异是显着的。在事后的速度成对比较中,有810个比较组,速度差异低于80K的倾向于表现出不显著的差异(p>0.05),但速度差高于140K的所有组均表现出显着差异(p<0.05)。
    结论:使用速度增加的机头产生了具有统计学意义的颗粒污染,但是每个实验条件的污染水平在30分钟内降低到基线,在低速(80K或更低)下产生的大多数直径大于1μm的颗粒倾向于在1m内沉降。
    结论:我们的研究表明,在80K以下和30分钟的休耕时间内使用增速机头可能会导致颗粒污染对健康的影响充分减少。
    Tooth grinding produces a significant amount of aerosol particles. The aim of this study was to quantitatively assess particle contamination produced from tooth grinding with a speed-increasing handpiece across a real-world clinical setting.
    All molar crowns were pretreated into cylinders with a uniform size. A novel computer-assisted numerical control system was used to parametrically study the bur speed: from 20,000 (20 K) to 200 K rpm at 20 K rpm intervals. 5-minute tooth grinding was performed in triplicate at each speed setting. Three online real-time particle counters (ORPC; TR-8301, TongrenCo.) were placed at 3 positions (0.5, 1, and 1.5 m) to evaluate particle production. All experimental instruments were controlled remotely. The data obtained were statistically analyzed using descriptive statistics and non-parametric tests (Scheirer-Ray-Hare and Kruskal-Wallis/ Dunn-Bonferroni tests, p < 0.05).
    The concentration level of aerosol particles production during the grinding experiment was elevated above the control group for all conditions, and increased with bur speed at any location (the maximum peak, reaching 5.59 × 107 particles/m3, at 200 K and 1 m), with differences between conditions. The effect of speed on the increment of particles across different channels compared to the control group was statistically significant among locations (p < 0.001).
    Statistically significant particle contamination was produced using a speed-increasing handpiece, but the contamination level for each experimental condition was reduced to baseline within 30 min, and most particles with a diameter greater than 1üm produced at low speeds (80 K or lower) tended to settle within 1 m.
    Our study suggested that the use of a speed-increasing handpiece below 80 K and 30 min of fallow time may lead to an adequate reduction in the health effects of particle contamination.
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    牙科技术学生是接受培训的牙科手术技术人员,经过培训,以帮助患者保持良好的口腔健康。因此,他们的口腔卫生预计是最佳的。
    确定牙科技术学生的口腔自我护理实践和牙科服务利用模式。
    这是一个描述性的,横断面研究,共109人。问卷分为三个部分。A区有关于社会人口统计的问题,B部分是关于自我报告的口腔卫生习惯,C部分是关于牙科服务利用模式。使用SPSS版本20.0进行统计分析。
    平均年龄为23.66岁;年龄范围为18-42岁。有20名男性和89名女性,95.41%的参与者使用牙刷和牙膏,而4.59%的人同时使用咀嚼棒和牙刷。22%采用水平/擦洗法刷牙,10.1%采用改良低音法,而5.0%的人不知道他们用哪种方法刷牙。81.3%的参与者以前曾拜访过牙医进行常规牙科检查,而10.71%的参与者曾因牙齿疼痛而拜访过牙医。
    牙科技术学生自我报告的口腔卫生实践值得称赞,然而,提倡进一步教育缩放和抛光的重要性。
    UNASSIGNED: Dental technology students are Dental surgery technicians under training, trained to assist patients maintain good oral health. Hence, their oral hygiene is expected to be optimal.
    UNASSIGNED: To determine the oral self-care practices and pattern of utilization of dental services among dental technology students.
    UNASSIGNED: This was a descriptive, cross-sectional study, consisting of 109 participants. The questionnaire had three sections. Section A had questions on sociodemographic, section B was on self-reported oral hygiene practices and section C was on pattern of dental service utilization. Statistical analysis was done using the SPSS version 20.0.
    UNASSIGNED: The mean age was 23.66 years; age range was 18 - 42 years. There were 20 males and 89 females, 95.41% of the participants used toothbrushes and paste, while 4.59% used both chewing sticks and toothbrushes. 22% used horizontal/scrub method of toothbrushing, 10.1% used modified bass method, whereas 5.0% do not know which method of toothbrushing they use. 81.3% of the participants had visited the dentist previously for routine dental check-up while 10.71% visited for dental pain.
    UNASSIGNED: The self-reported oral hygiene practice of the dental technology students is commendable, however, further education on the importance of scaling and polishing is advocated.
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  • 文章类型: Journal Article
    目标:这项横断面国家研究的主要目的是调查沙特阿拉伯本科牙科教育中数字牙科技术(DDT)的采用状况。第二个目标是探索牙科学校的资金来源纳入数字技术的影响。方法:向沙特阿拉伯27所牙科学校的假肢科学系主任分发了一份自编问卷。如果任何部门主席未能回应调查,联系了一名指定的全职教师填写表格。参与者被问及学校的部门,在课程中实施滴滴涕,实施水平,他们对促进者的看法和纳入滴滴涕的挑战。结果:在27所牙科学校(18所公立和8所私立)中,26人回答了问卷(回答率:96.3%)。答卷学校的地理分布如下:中部地区12所学校,6在西部地区,8在其他地区。17所学校使用电子软件保护和保存患者记录,而九所学校使用纸质图表。17所学校(64.4%)在其课程中实施了滴滴涕。未将滴滴涕纳入其本科课程的学校由于未被纳入课程(78%),缺乏专业知识(66%),未经培训的教职员工(44%),成本(33%)。结论:这项全国性研究表明,数字组件仍需要整合到沙特阿拉伯牙科学校的课程和患者护理治疗中。此外,资金来源与在当前课程中实施滴滴涕之间没有关联。因此,沙特牙科学校必须强调滴滴涕的实施和利用,以符合沙特2030年愿景,实现医疗保健数字化,并培养合格的牙医在数字牙科护理方面的研究生。
    Objective: The primary objective of this cross-sectional national study was to investigate the status of digital dental technology (DDT) adoption in Saudi Arabian undergraduate dental education. A secondary objective was to explore the impact of dental schools\' funding sources to incorporate digital technologies. Methods: A self-administered questionnaire was distributed to the chairpersons of prosthetic sciences departments of the 27 dental schools in Saudi Arabia. If any department chairman failed to respond to the survey, a designated full-time faculty member was contacted to fill out the form. The participants were asked about the school\'s sector, DDT implementation in the curriculum, implemented level, their perceptions of the facilitators and challenges for incorporating DDT. Results: Of the 27 dental schools (18 public and 8 private), 26 responded to the questionnaire (response rate: 96.3%). The geographic distribution of the respondent schools was as follows: 12 schools in the central region, 6 in the western region, and 8 in other regions. Seventeen schools secure and preserve patients\' records using electronic software, whereas nine schools use paper charts. Seventeen schools (64,4%) implemented DDT in their curricula. The schools that did not incorporate DDT into their undergraduate curricula were due to not being included in the curriculum (78%), lack of expertise (66%), untrained faculty and staff (44%), and cost (33%). Conclusions: This national study showed that digital components still need to be integrated into Saudi Arabian dental schools\' curricula and patient care treatment. Additionally, there was no association between funding sources and the DDT implementation into the current curricula. Consequently, Saudi dental schools must emphasize the implementation and utilization of DDT to align with Saudi Vision 2030 for healthcare digitization and to graduate competent dentists in digital dental care.
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  • 文章类型: Journal Article
    背景:牙科技师是最重要的专职牙科保健专业人员之一,应定期全面审查牙科技术课程。这项研究旨在将马来西亚唯一现有的牙科技术学士(BDT)课程与其他知名大学提供的BDT课程进行比较,并绘制出异同,以及探讨未来的建议,并提出新的课程框架。
    方法:使用LaurieBrady的四阶段策略进行描述性分析。首先,可用的课程材料是从四个不同的机构收集的\'电子网页:AIMST(马来西亚),GU(澳大利亚),UO(新西兰)和CMU(英国),然后根据三个关键领域进行比较:课程内容,教学和学习策略和评估。在此之后,确定了各种课程之间的异同。然后提出了未来的建议和课程框架。
    结果:所有四所大学都同意BDT核心课程内容,强调基础科学,实验室材料,实践会议和研究项目。然而,每个课程或模块的学分权重在四个机构中有所不同,有些提供独特的科目,并实施不同的教学方法和评估。根据三个关键领域设计了一个简单的BDT课程框架,并提出了教学大纲,并探讨了未来的课程改进建议。
    结论:本研究确定了马来西亚BDT课程开发和改进的几个方面。拟议的框架可以作为马来西亚牙科学校设计全面牙科技术计划的指南。
    BACKGROUND: A dental technologist is one of the most essential allied dental health professionals and the dental technology curriculum should be comprehensively reviewed on a regular basis. This study aims to compare the only existing Bachelor of Dental Technology (BDT) curriculum in Malaysia with BDT programmes offered by other well-established universities, and map out the similarities and differences, as well as to explore future recommendations and propose a new curriculum framework.
    METHODS: A descriptive analysis was carried out using Laurie Brady\'s four-stage strategy. First, available curriculum materials were collected from four different institutions\' electronic webpage: AIMST (Malaysia), GU (Australia), UO (New Zealand) and CMU (United Kingdom), and then compared based on three key domains: curriculum contents, teaching and learning strategies and assessments. Following that, the similarities and differences between various curricula were identified. Future recommendations and a curriculum framework were then proposed.
    RESULTS: The core BDT curriculum content is concurred upon by all four universities, with an emphasis on basic sciences, laboratory materials, practical sessions and research projects. However, the credit weightage for each course or module varied across the four institutions, with some offering unique subjects and implementing different teaching methods and assessments. A simple BDT curriculum framework with a proposed syllabus was designed based on the three key domains and future recommendations for curriculum improvement were explored.
    CONCLUSIONS: The present study identified several areas for Malaysian BDT curriculum development and improvement. The proposed framework can be a guide for Malaysian dental schools in designing a comprehensive dental technology programme.
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