• Title/Summary/Keyword: Dental error

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Effects of inter-implant distance on the accuracy of intraoral scanner: An in vitro study

  • Thanasrisuebwong, Prakan;Kulchotirat, Tharathip;Anunmana, Chuchai
    • The Journal of Advanced Prosthodontics
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    • v.13 no.2
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    • pp.107-116
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    • 2021
  • PURPOSE. Several studies focused on the accuracy of intra-oral scanners in implant dentistry, but the data of inter-implant distances were not widely mentioned. Therefore, this study aimed to evaluate the effect of distance between two implants on the surface distortion of scanned models generated by intra-oral scanners. MATERIALS AND METHODS. Three models with the distances between two fixed scan bodies of 7, 14, and 21 mm were fabricated and scanned with a highly precise D900L dental laboratory scanner as reference models. Fifteen scans were performed with TRIOS3 and CEREC Omnicam intra-oral scanners. Trueness, precision, and angle deviation of the test models were analyzed (α=.05). RESULTS. There was a significant difference among inter-implant distances in both intraoral scanners (P<.001). The error of trueness and precision increased with the increasing inter-implant length, while the angle deviation did not show the same trend. A significant difference in the angle deviation was found among the inter-implant distance. The greatest angle deviation was reported in the 14-mm group of both scanners (P<.05). In contrast, the lowest angle deviation in the 21-mm group of the TR scanner and the 7-mm of the CR scanner was reported (P<.001). CONCLUSION. The inter-implant distance affected the accuracy of intra-oral scanner. The error of trueness and precision increased along with the increasing distance between two implants. However, the distortions were not clinically significant. Regarding angle deviation, the clinically significant angle deviation may be possible when using intra-oral scanners in the partially edentulous arch.

Dental age estimation in Indonesian adults: An investigation of the maxillary canine pulp-to-tooth volume ratio using cone-beam computed tomography

  • Khamila Gayatri Anjani;Rizky Merdietio Boedi;Belly Sam;Fahmi Oscandar
    • Imaging Science in Dentistry
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    • v.53 no.3
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    • pp.221-227
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    • 2023
  • Purpose: This study was performed to develop a linear regression model using the pulp-to-tooth volume ratio (PTVR) ratio of the maxillary canine, assessed through cone-beam computed tomography (CBCT) images, to predict chronological age (CA) in Indonesian adults. Materials and Methods: A sample of 99 maxillary canines was collected from patients between 20 and 49.99 years old. These samples were obtained from CBCT scans taken at the Universitas Padjadjaran Dental Hospital in Indonesia between 2018 and 2022. Pulp volume (PV) and tooth volume (TV) were measured using ITK-SNAP, while PTVR was calculated from the PV/TV ratio. Using RStudio, a linear regression was performed to predict CA using PTVR. Additionally, correlation and observer agreement were assessed. Results: The PTVR method demonstrated excellent reproducibility, and a significant correlation was found between the PTVR of the maxillary canine and CA(r= -0.74, P<0.01). The linear regression analysis showed an R2 of 0.58, a root mean square error of 5.85, and a mean absolute error of 4.31. Conclusion: Linear regression using the PTVR can be effectively applied to predict CA in Indonesian adults between 20 and 49.99 years of age. As models of this type can be population-specific, recalibration for each population is encouraged. Additionally, future research should explore the use of other teeth, such as molars.

A study on the error of tooth size measurements (치아크기 계측오차에 관한 연구)

  • Sim, Eun-Ju;Hwang, Hyeon-Shik;Moon, Jai-Dong
    • The korean journal of orthodontics
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    • v.29 no.4 s.75
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    • pp.491-501
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    • 1999
  • Precise and accurate measuring of tooth size is essential procedure in orthodontic diagnosis. The purpose of this study was to evaluate the reproducibility and accuracy of tooth size measurements with regard to tooth and investigator. Five investigators measured the size of one side of teeth, from central incisor to first molar, on 20 sets of casts that show a moderate degree of crowding. Mesio-distal width was measured with digital vernier calipers in each tooth and this procedure was repeated three times at two weeks interval. To obtain a standard measurement for each tooth, dental casts were cut into individual tooth, and its width was measured with micrometer. The difference between the measurement from dental cast and the standard measurement was defined as the measurement error. Through various statistical analyses, following results were obtained. 1. The reproducibility did not show significant differences with regard to tooth or investigator. 2. The measurement error showed some difference with regard to tooth and investigator. 3. The magnitude of the measurement error showed increasing tendency from anterior to posterior teeth with maximum value in the first molar. 4. While the measurements obtained on study casts generally showed smaller number compared to standard measurements, the direction of the difference showed variability according to tooth or investigator. 5. The measurement errors did not show significant correlations with the degree of crowding. The results of the present study indicate that the possibility of tooth size measurement error should be taken into consideration when diagnosing an orthodontic case.

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Comparison of the observer reliability of cranial anatomic landmarks based on cephalometric radiograph and three-dimensional computed tomography scans (삼차원 전산화단층촬영사진과 측모두부 방사선규격사진의 계측자에 따른 계측오차에 대한 비교분석)

  • Kim, Jae-Young;Lee, Dong-Keun;Lee, Sang-Han
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.36 no.4
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    • pp.262-269
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    • 2010
  • Introduction: Accurate diagnosis and treatment planning are very important for orthognathic surgery. A small error in diagnosis can cause postoperative functional and esthetic problems. Pre-existing 2-dimensional (D) chephalogram analysis has a high likelihood of error due to its intrinsic and extrinsic problems. A cephalogram can also be inaccurate due to the limited anatomic points, superimposition of the image, and the considerable time and effort required. Recently, an improvement in technology and popularization of computed tomography (CT) provides patients with 3-D computer based cephalometric analysis, which complements traditional analysis in many ways. However, the results are affected by the experience and the subject of the investigator. Materials and Methods: The effects of the sources human error in 2-D cephalogram analysis and 3-D computerized tomography cephalometric analysis were compared using Simplant CMF program. From 2008 Jan to 2009 June, patients who had undergone CT, cephalo AP, lat were investigated. Results: 1. In the 3 D and 2 D images, 10 out of 93 variables (10.4%) and 11 out 44 variables (25%), respectively, showed a significant difference. 2. Landmarks that showed a significant difference in the 2 D image were the points frequently superimposed anatomically. 3. Go Po Orb landmarks, which showed a significant difference in the 3 D images, were found to be the artificial points for analysis in the 2 D image, and in the current definition, these points cannot be used for reproducibility in the 3 D image. Conclusion: Generally, 3-D CT images provide more precise identification of the traditional cephalometric landmark. Greater variability of certain landmarks in the mediolateral direction is probably related to the inadequate definition of the landmarks in the third dimension.

A Study on Clinical Feasibility and Practical Strategies for Dental Hygiene Process (ADPIE) (치위생과정(ADPIE)의 임상적용 가능성과 실천방안 모색)

  • Lee, Joo-Young;Han, Gyeong-Soon
    • Journal of dental hygiene science
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    • v.14 no.4
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    • pp.433-441
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    • 2014
  • This study was aimed to analyze factors affecting intention on clinical application by task autonomy of dental hygienists, expected effect and obstructive factor on clinical application of assessment, dental hygiene diagnosis, planning, implementation, and evaluation (ADPIE). Meanwhile, it proved mediating effects of "attitude toward ADPIE" when it came to "intention on clinical application". The data was collected from 237 dental personnel in capital region from March 28, 2014 to May 2, 2014. To analyze the suitability of a theoretical model and hypothesis testing, SPSS 21.0 and AMOS 18.0 program were used. The theoretical model was accepted as it resulted in ${\chi}^2=421.67$ while showing goodness of fit index=0.858, comparative fit index=0.915, Tucker-Lewis index=0.896, root mean square residual=0.039, and root mean square error of approximation=0.099. The result showed "task autonomy of dental hygienists (${\beta}=0.398$, p<0.05)" and "expected effect on ADPIE (${\beta}=0.363$, p<0.01)" had a positive effect on "attitude toward ADPIE". Also, "attitude toward ADPIE" had a positive effect on "intention on clinical application". In addition, "task autonomy of dental hygienists" and "expected effect on ADPIE" had an indirect influence on "intention on clinical application" via such intermediary as "attitude toward ADPIE". According to the above results, the task autonomy of dental hygienists, expected effect on ADPIE, and attitude toward ADPIE were confirmed to be significant factors when it came to the intention on its clinical application. Therefore in order to settle ADPIE in the clinical practice, improvement of task autonomy for dental hygienists as well as their expectation and attitude on ADPIE must be promoted.

An Convergence Study of the Factors Affecting the Knowledge Level of Dental Health Insurance for Some Dental Workers (일부 치과 종사자의 치과 건강보험의 지식수준에 미치는 요인에 대한 융합연구)

  • Lee, Sun-Mi;Son, Hwa-Kyung
    • Journal of the Korea Convergence Society
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    • v.12 no.10
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    • pp.137-144
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    • 2021
  • The purpose of this study is to analyze the factors affecting the education experience, education needs, and knowledge level of calculation criteria for dental workers. It was conducted on dental workers in Daegu and Gyeongbuk province and an online survey was conducted using Google Survey. We used frequency analysis, crossover analysis, and ANOVA analysis method to find out general characteristic, education experience, education needs, and knowledge level according to education experience and education needs of candidates. As a result of in the knowledge level survey of dental health insurance, there were high rates of incorrect answers to the calculation criteria when the claim program automatically processes it or notifies you through an error window. The level of knowledge of candidates who are experienced, on a claim, and with experience in dental insurance training in the last six months was high. In conclusion, it seems that accurate and correct insurance claims are possible when the dental workers are familiar with the calculation criteria changed through regular dental health insurance education. We look forward to this study providing basic data in preparation of education system for professional dental insurance claims for dental workers.

Prediction accuracy of incisal points in determining occlusal plane of digital complete dentures

  • Kenta Kashiwazaki;Yuriko Komagamine;Sahaprom Namano;Ji-Man Park;Maiko Iwaki;Shunsuke Minakuchi;Manabu, Kanazawa
    • The Journal of Advanced Prosthodontics
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    • v.15 no.6
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    • pp.281-289
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    • 2023
  • PURPOSE. This study aimed to predict the positional coordinates of incisor points from the scan data of conventional complete dentures and verify their accuracy. MATERIALS AND METHODS. The standard triangulated language (STL) data of the scanned 100 pairs of complete upper and lower dentures were imported into the computer-aided design software from which the position coordinates of the points corresponding to each landmark of the jaw were obtained. The x, y, and z coordinates of the incisor point (XP, YP, and ZP) were obtained from the maxillary and mandibular landmark coordinates using regression or calculation formulas, and the accuracy was verified to determine the deviation between the measured and predicted coordinate values. YP was obtained in two ways using the hamularincisive-papilla plane (HIP) and facial measurements. Multiple regression analysis was used to predict ZP. The root mean squared error (RMSE) values were used to verify the accuracy of the XP and YP. The RMSE value was obtained after crossvalidation using the remaining 30 cases of denture STL data to verify the accuracy of ZP. RESULTS. The RMSE was 2.22 for predicting XP. When predicting YP, the RMSE of the method using the HIP plane and facial measurements was 3.18 and 0.73, respectively. Cross-validation revealed the RMSE to be 1.53. CONCLUSION. YP and ZP could be predicted from anatomical landmarks of the maxillary and mandibular edentulous jaw, suggesting that YP could be predicted with better accuracy with the addition of the position of the lower border of the upper lip.

Influence of implant misplacement on the success of the final prosthesis: Subjective evaluation by a prosthodontist of dental implants placed by an oral and maxillofacial surgeon (임프란트 식립오류가 최종 보철물의 성공에 미치는 영향: 구강악안면외과의사에 의해 식립된 치과임프란트에 대한 보철의사의 주관적 평가)

  • Kim, Young-Kyun;Hwang, Jung-Won;Lee, Hyo-Jung;Yeo, In-Sung;Yun, Pil-Young
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.35 no.6
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    • pp.437-441
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    • 2009
  • Purpose: In many cases, the erroneous placement of a dental implant brings about undesirable results. Here, the effect of dental implant placement on the success of the final prosthesis was evaluated from the point of view of the prosthodontist. Materials and Methods: All surgical operations were performed by the same oral surgeon with the same surgical protocol and all prosthodontic procedures were performed by the same prosthodontist. The problems faced by the prosthodontist, their causes, and their effect on prosthesis success were identified. The success of the final prostheses was evaluated by the same prosthodontist. Results: Only 53% (238 implants in 105 patients) of dental implants were not associated with prosthodontic problems. Multiple implant placement (more than three implants) was associated more frequently with prosthodontic problems. Conclusions: The data indicate that the satisfactory construction of a prosthesis is highly dependent on the placement of the dental implant in the best possible position. It is strongly recommended that the oral surgeon and the prosthodontist engage in pre-operative discussions to establish a top-down treatment plan, as this will improve implant placement and ultimately the success of the prosthesis.

Resistance to sliding in orthodontics: misconception or method error? A systematic review and a proposal of a test protocol

  • Savoldi, Fabio;Papoutsi, Aggeliki;Dianiskova, Simona;Dalessandri, Domenico;Bonetti, Stefano;Tsoi, James K.H.;Matinlinna, Jukka P.;Paganelli, Corrado
    • The korean journal of orthodontics
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    • v.48 no.4
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    • pp.268-280
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    • 2018
  • Resistance to sliding (RS) between the bracket, wire, and ligature has been largely debated in orthodontics. Despite the extensive number of published studies, the lack of discussion of the methods used has led to little understanding of this phenomenon. The aim of this study was to discuss variables affecting RS in orthodontics and to suggest an operative protocol. The search included $PubMed^{(c)}$, $Medline^{(c)}$, and the Cochrane $Library^{(c)}$. References of full-text articles were manually analyzed. English-language articles published between January 2007 and January 2017 that performed an in vitro analysis of RS between the bracket, wire, and ligature were included. Study methods were analyzed based on the study design, description of materials, and experimental setup, and a protocol to standardize the testing methods was proposed. From 404 articles identified from the database search and 242 records selected from published references, 101 were eligible for the qualitative analysis, and six for the quantitative synthesis. One or more experimental parameters were incompatible and a meta-analysis was not performed. Major factors regarding the study design, materials, and experimental setup were not clearly described by most studies. The normal force, that is the force perpendicular to the sliding of the wire and one of the most relevant variable in RS, was not considered by most studies. Different variables were introduced, often acting as confounding factors. A protocol was suggested to standardize testing procedures and enhance the understanding of in vitro findings.

Comparative study of color reproducibility of zirconia using a dipping method and coating method (도포법 및 침전법을 이용한 지르코니아의 색조 재현성 비교 연구)

  • Lee, Hee-Jung;Kim, Jae-Hong;Kim, Woong-Chul;Kim, Ji-Hwan;Kim, Hae-Young
    • Journal of Technologic Dentistry
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    • v.35 no.3
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    • pp.185-192
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    • 2013
  • Purpose: The aim of this study was to compare with color reproducibility of the coating method and dipping method using a colour liquid. Methods: Two groups of square-shaped specimens ($10mm{\times}10mm$ in diameter, 1.5mm thickness) were prepared for analysis(n=15/group). The CM(Coating Method) group was fabricated as full zirconia specimens with the coating coloring method and Group DM(Dipping Method) was prepared as specimens of 0.7 mm-thick zirconia plate using the dipping coloring method and veneered with 0.8mm-thick porcelain. Color parameters were measured with ShadeEye $NCC^{(R)}$ spectrophotometer and color differences were calculated using the equation ${\Delta}E^*= \{({\Delta}L^*)^2+({\Delta}a^*)^2+({\Delta}b^*)^2\}^{1/2}$. Non-parametric statistical methods, the Mann-Whitney test, and the Kruskal-Wallis test were used to analyze the data. Type one error rate was set at 0.05. Results: Color difference values larger than 7 were observed between specimens with the coating method and the dipping method, which were detectable difference in a clinical setting. Conclusion: Cautious application of the coating coloring method in a clinical setting and further researches to standardize the coating method are needed.