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Purpose: To explore the clinical application of one‐piece polyetheretherketone (PEEK) removable partial dentures (RPDs) fabricated using a novel digital workflow and to evaluate their weights and fits in vivo and patient satisfaction. Materials and Methods: Fifteen cases with posterior partially edentulous situations were selected, and each patient received two types of RPDs, including a novel digital workflow (test group) and a conventional workflow (control group). For the test group, one‐piece RPDs were designed through three‐dimensional (3D) methods by scanning stone casts and fabricated by milling PEEK discs. Each RPD was weighed. The gaps between the oral tissue and RPDs in each group were duplicated using a polyvinylsiloxane (PVS) replica and measured by 3D analysis. A visual analog scale (VAS) was used to evaluate the patient's satisfaction. Paired t‐tests were used to compare the differences in the weight, the gaps of each RPD, and VAS values between the two groups. One‐way analysis of variance tests was used to compare the differences in the gap among different components in each group. Results: The RPD in the test group weighed less than that in the control group (p < 0.01). No statistically significant differences in the gaps of denture bases and rests (p > 0.05) were found between the two groups, but the gaps of major connectors in the test group were significantly smaller than in the control group (p < 0.05). The VAS scores for comfortableness and masticatory efficiency were not significantly different between the two groups (p > 0.05) but the scores for the aesthetic appearance of the clasps in the test group were significantly higher than that in the control group (p < 0.05). Conclusions: One‐piece PEEK RPDs manufactured using a novel digital workflow weighed less than conventional RPDs and exhibited a clinically acceptable internal fit. Although the aesthetic appearance of the PEEK clasps was superior to the control, there is still room for improvement. [ABSTRACT FROM AUTHOR]

Objective: This study aimed to present three indicators that represent the proximal contact area gap change under intercuspal occlusion and to see if and how these indicators influence food impaction with tight proximal contact. Materials and Methods: Ninety volunteers were recruited for bite force measurement and intraoral scanning. Three‐dimensional surface data and buccal bite data were obtained for 60 impacted and 60 non‐impacted teeth. The scanning data were imported into the Geomagic Studio 2013 to measure three indicators, which included the gap change maximum (Δdm, μm), the buccolingual position of Δdm (P), and the gap expanded buccolingual range (S, mm). The difference between two groups of three indicators and their relationship with food impaction with tight proximal contact were analyzed by the t test, the Pearson chi‐squared test, the nonparametric Mann–Whitney U test, and the binary logistic regression analysis (a = 0.05). Results: All indicators (Δdm, P, and S) were statistically different (p < 0.001, p = 0.002, and p < 0.001) in the impacted and non‐impacted groups. Food impaction with tight proximal contact was affected by Δdm and S (p < 0.001, p = 0.039), but not by P (p = 0.409). Conclusion: The excessive increase of the gap change maximum and the gap expanded buccolingual range under bite force promoted the occurrence of food impaction with tight proximal contact. Clinical Significance: The use of intraoral scanning to measure the characteristics of the proximal contact area gap change under bite force may help to deepen our understanding of the pathogenesis of food impaction with tight proximal contact. Importantly it can provide a reference basis for individualizing and quantifying occlusal adjustment treatment. [ABSTRACT FROM AUTHOR]

Objectives: This study aimed to develop a structured light scanning system with a planar mirror to enhance the digital full‐arch implant impression accuracy and to compare it with photogrammetry and intraoral scanner methods. Materials and Methods: An edentulous maxillary stone cast with six scan bodies was scanned as the reference model using a laboratory scanner. Three scanning modalities were compared (n = 10): (1) self‐developed structured light scanning with a mirror (SSLS); (2) intraoral scanner (IOS); and (3) photogrammetry system (PG). The scanners were stopped for 1 min after each scan. Six scan bodies were analysed within each scan model. Linear deviations between the scan bodies (1–2, 1–3, 1–4, 1–5, and 1–6) and 3D mucosal deviations were established. The overall deviation was calculated as the mean of all linear deviations. "Trueness" represented the discrepancy between the test and reference files, while "precision" denoted the consistency among the test files. Kruskal–Wallis and Mann–Whitney U tests were used for statistical analyses. Results: Significant overall linear discrepancies were noted among the SSLS, PG, and IOS groups (p <.001). SSLS showed the best overall trueness and precision (6.6, 5.7 μm), followed by PG (58.4, 6.8 μm) and IOS (214.6, 329.1 μm). For the 3D mucosal deviation, the trueness (p <.001) and precision (p <.001) of the SSLS group were significantly better than those of the IOS group. Conclusions: The SSLS exhibited higher accuracy in determining the implant positions than the PG and IOS. Additionally, it demonstrated better accuracy in capturing the mucosa than IOS. [ABSTRACT FROM AUTHOR]

(1) Background: Various 3D printers are available for dental practice; however, a comprehensive accuracy evaluation method to effectively guide practitioners is lacking. This in vitro study aimed to propose an optimized method to evaluate the spatial trueness of a 3D-printed dental model made of photopolymer resin based on a special structurized dental model, and provide the preliminary evaluation results of six 3D printers. (2) Methods: A structurized dental model comprising several geometrical configurations was designed based on dental crown and arch measurement data reported in previous studies. Ninety-six feature sizes can be directly measured on this original model with minimized manual measurement errors. Six types of photo-curing 3D printers, including Objet30 Pro using the Polyjet technique, Projet 3510 HD Plus using the Multijet technique, Perfactory DDP and DLP 800d using the DLP technique, Form2 and Form3 using the SLA technique, and each printer's respective 3D-printable dental model materials, were used to fabricate one set of physical models each. Regarding the feature sizes of the simulated dental crowns and dental arches, linear measurements were recorded. The scanned digital models were compared with the design data, and 3D form errors (including overall 3D deviation; flatness, parallelism, and perpendicularity errors) were measured. (3) Results: The lowest overall 3D deviation, flatness, parallelism, and perpendicularity errors were noted for the models printed using the Objet30 Pro (overall value: 45 μm), Form3 (0.061 ± 0.019 mm), Objet30 Pro (0.138 ± 0.068°), and Projet 3510 HD Plus (0.095 ± 0.070°), respectively. In color difference maps, different deformation patterns were observed in the printed models. The feature size proved most accurate for the Objet30 Pro fabricated models (occlusal plane error: 0.02 ± 0.36%, occlusogingival direction error: −0.06 ± 0.09%). (4) Conclusions: The authors investigated a novel evaluation approach for the spatial trueness of a 3D-printed dental model made of photopolymer resin based on a structurized dental model. This method can objectively and comprehensively evaluate the spatial trueness of 3D-printed dental models and has a good repeatability and generalizability. [ABSTRACT FROM AUTHOR]

Purpose: To establish a recording method for edentulous jaw relations and to perform quantitative accuracy evaluation in vitro.Materials and Methods: Maxillary and mandibular edentulous arch models and complete dentures were mounted on an articulator, simulating protrusion (A), left and right laterotrusion (B and C), and small opening jaw relations (D), aided by metal foil wax record. Using the tracking system, 3D trajectories of targets were recorded from intercuspation to A, B, C, and D, then used to rehabilitate digital arch relations of A, B, C, and D in the test group. Axial model surfaces were pasted with six pairs of positioning cylinders. The center points of the bottom surfaces of the cylinders in A, B, C, and D were measured to rehabilitate digital arch relations in the control group. With the maxilla as the common area, arch relations of the test group were registered in the control group; 3D deviations of the mandible were calculated, and displacements in horizontal left/right, horizontal anterior/posterior, and vertical directions were analyzed.Results: 3D deviations of the mandible in A, B, C, and D were 131 ± 39 μm, 133 ± 44 μm, 120 ± 51 μm, and 112 ± 52 μm, respectively. Mean absolute values of displacements of the mandible were less than 200 μm.Conclusion: By using the optical jaw tracking system, the accuracy of jaw relation records as measured on an articulator was acceptable for clinical demand. Further investigations among patients are required to clinically verify the results of this study. [ABSTRACT FROM AUTHOR]

Periodontal tissue infection is a chronic destructive inflammatory disease caused by bacteria including anaerobes and facultative anaerobes. Traditional mechanical debridement and antibiotic treatments are not effective at removing biofilm from the root surface, resulting in recurrent disease. Antimicrobial photodynamic therapy (aPDT) is a promising bactericidal method, but it is limited by oxygen content. Here, an oxygen‐free cationic polymer (HQRB‐SS‐Dex) containing the photosensitizer rose bengal (RB) and dextran is proposed. It releases both 1O2 and HO•, and it exhibits strong antibacterial efficiency against periodontal pathogenic bacteria under irradiation. The positively charged quaternary ammonium polymer and dextran of HQRB‐SS‐Dex facilitate adherence to the bacterial surface and penetration of the bacterial biofilm to permit efficient use of reactive oxygen species. Disulfide bonds make the complex biodegradable, which improves biosafety. This work presents a unique branched cationic polymer for oxygen‐free aPDT, with potential application to the treatment of periodontal infection. [ABSTRACT FROM AUTHOR]

Simultaneous measurements of atmospheric volatile organic compounds (VOCs), conventional gases and meteorological parameters were performed at an urban site in Jinan, East China, in June 2021 to explore the formation and evolution mechanisms of summertime ozone (O3) pollution events. O3 Episode Ⅰ, O3 Episode II, and non-O3 episodes were identified based on the China Ambient Air Quality Standards and the differences in precursor concentrations. The O3 concentrations in Episode I and Episode II were 145.4 μg/m3 and 166.4 μg/m3, respectively, which were significantly higher than that in non-O3 episode (90 μg/m3). For O3 precursors, VOCs and NOx concentrations increased by 48% and 34% in Episode I, and decreased by 21% and 27% in Episode II compared to non-O3 episode days. The analysis of the m,p-xylene to ethylbenzene ratio (X/E) and OH exposure demonstrated that the aging of the air masses in Episode II was significantly higher than the other two episodes, and the differences could not be explained by localized photochemical consumption. Therefore, we speculate that the high O3 concentrations in Episode II were driven by the regional transport of O3 and its precursors. Backward trajectory simulations indicated that the air masses during Episode II were concentrated from the south. In contrast, the combination of high precursor concentrations and favorable meteorological conditions (high temperatures and low humidity) led to an excess of O3 in Episode I. Positive matrix factorization (PMF) model results indicated that increased emissions from combustion and gasoline vehicle exhausts contributed to the elevated concentrations of VOCs in Episode I, and solvent usage may be an important contributor to O3 formation. The results of this study emphasize the importance of strengthening regional joint control of O3 and its precursors with neighboring cities, especially in the south, which is crucial for Jinan to mitigate O3 pollution. [ABSTRACT FROM AUTHOR]