Dentistry Commons^™

A Comparative Study On The Accuracy And Reliability Of Artificial Intelligent Lateral Cephalogram Tracing Programs, Stuart Mills

Graduate Theses, Dissertations, and Problem Reports (ETD)

Objective: To compare the accuracy and reliability of two commercially available Artificial Intelligent (AI) cephalogram tracing software programs to doctor traced cephalograms.

Materials and Methods: A sample of 100 pretreatment cephalograms were analyzed with AI based software programs, Angel Aligner iCeph and WebCeph, then compared to images traced by an orthodontist using Dolphin Imaging. Of the 100 samples, 50 were skeletally Class I and 50 were skeletally Class II. For each cephalogram produced, the American Board of Orthodontics 11 measurements were acquired from each of the three tracing programs. One way analysis of variance (ANOVA) followed by Tukey’s HSD test …

Comparative Analysis Of Safety, Accuracy, Comprehensiveness, And Organization In Endodontic Patient Education Material: American Association Of Endodontics (Aae) Vs. Ai-Generated Content., Fabiola M. Salgado Reyes

Graduate Theses, Dissertations, and Problem Reports (ETD)

Comparative Analysis of Safety, Accuracy, Comprehensiveness, and Organization in Endodontic Patient Education Material: American Association of Endodontics (AAE) vs. AI-Generated Content. Fabiola Salgado Reyes, DMD Introduction: With patients increasingly using AI chatbots like ChatGPT4o and Copilot, it is essential to assess whether these tools can effectively support patient understanding of complex endodontic procedures. AI-generated responses may occasionally provide inaccurate, unsafe, disorganized, or content that is not comprehended. The purpose of this study is to examine if dental experts and patients can determine if patient education materials (PEMS) were 1) generated by AI; 2) medically safe; 3) accurate; 4) can be …

A Comparison Of Endodontic Root-End Filling Techniques: A Micro-Computed Tomography (Micro-Ct) Analysis Part Ii, Andrew M. Marra

Graduate Theses, Dissertations, and Problem Reports (ETD)

Abstract

A COMPARISON OF ENDODONTIC ROOT-END FILLING TECHNIQUES: A MICRO-COMPUTED TOMOGRAPHY ANALYSIS

Andrew Marra, D.D.S.

Introduction: Researchers have compared many endodontic root-end filling techniques for porosity, though few have used a micro-computed tomography analysis for comparisons. The purpose of this study was to evaluate total porosity volume of three different bio-ceramics filling materials with two techniques--hand compaction versus hand/ultrasonic compaction at an ultrasonic setting of 5% using Micro-CT Analysis.

Methods: Seventy-two human single canaled extracted teeth were selected for the study. All were subjected to orthograde endodontic treatment followed by root tip resection at 3-mm from the apex …

Smear Layer Removal By Irrigation Adjuncts: A Scanning Electron Microscopy Study, Triet D. Vuong

Theses and Dissertations

Purpose: This study aimed to compare the intracanal smear layer removal ability of two adjunctive irrigation modalities: the AdvErL EVO laser, the GentleWave^® Procedure, and their combination, after minimally invasive canal instrumentation.

Methods: Forty molars were accessed, the mesiobuccal canals of maxillary and mandibular molars were prepared up to apical size 25.04 using rotary instrumentation, then irrigated using: conventional needle irrigation (CNI), laser-assisted irrigation (LAI), the GentleWave^® Procedure (GWP), and LAI followed by GWP (LAI+GWP). The teeth were then decoronated and split longitudinally. One-half of each root was selected for preparation and analysis under scanning electron microscope. Blinded …

How Can We Go Far Together In Healthcare Education And Training?, Nader Nadershahi

Journal of the American College of Dentists

“If you want to go fast, go alone. If you want to go far, go together.” This African proverb highlights the importance of collaboration and cooperation to achieve long-term success and impact. This sentiment applies to many aspects of life, and it certainly applies to our reflection on the importance of breaking down the silos that have developed in healthcare. Our healthcare system has been siloed in all aspects, including delivery models, payment systems, education, and training.

From Tricare To Medicaid: Dental Insurance Disparities Among U.S. Veterans And Active Duty Service Members, Madeline K. Mcnutt Ms

Honors Undergraduate Theses

Oral health plays a critical role in systemic well-being, yet dental care access in the United States remains deeply unequal, particularly among low-income and historically marginalized populations. Among those significantly affected are military veterans, who frequently experience barriers to oral healthcare due to eligibility restrictions within the Department of Veterans Affairs (VA) system. This study offers a comparative analysis of dental insurance satisfaction between recipients of Medicaid and the TRICARE Active Duty Dental Program (ADDP), two federally funded programs that reflect the divide between civilian and military healthcare access. While TRICARE ADDP provides comprehensive and uniform coverage for Active Duty …

The Impact Of Smoking Cessation On Clinical Outcomes Of Stage I/Stage Ii, Grade A/Grade B Periodontitis Patients In Periodontal Maintenance Phase: A 2-Year Longitudinal Study, Santosh R Patil, Shikhar Daniel, Aysha Jebin A

International Arab Journal of Dentistry

Objectives: The objective of this study is to investigate the influence of smoking cessation interventions on periodontal outcomes in individuals who have successfully abstained from smoking for a minimum of six months following non-surgical periodontal therapy.

Methods: A total of 122 participants, based on inclusion & exclusion criteria, were divided into a smoking cessation group (n=61) and a control group (n=61). Demographic characteristics, smoking history, and baseline oral health parameters were assessed in these patients. Over a 2-year follow-up period, changes in probing depth and alveolar bone loss were measured, statistically analysis were performed using SPSS software.

Results …

Multiple Implant Placements With Simultaneous Soft Tissue Augmentation Using A Volume-Stable Collagen Matrix Compared To Autogenous Connective Tissue Graft: A Clinical And Histological Pilot Study, Jamil Boulos, Abdel-Rahman Kassir, Gabriel Menassa, Nada Naaman

International Arab Journal of Dentistry

Introduction: The use of soft tissue grafts has been a key component in periodontal and implant surgeries for the past five decades, aiming to increase the width of keratinized tissue and soft tissue volume.

Objectives: This study evaluates the efficacy of a three-dimensional volume-stable collagen matrix (VCMX) compared to subepithelial connective tissue grafts (SCTG) in increasing soft tissue thickness and volume during multiple implant placements.

Methods: A randomized controlled clinical trial was conducted with four patients and eight implants. Patients were allocated to the SCTG or VCMX group, with soft tissue augmentation performed simultaneously with implant placement. …

Three-Dimensional Analysis Of Dental Arch Form In Relation To The Vertical Facial Pattern In Class I Patients: A Cross-Sectional Study, Ahmad Ghassan Droubi, Islam Gad, Aly Osman

International Arab Journal of Dentistry

Introduction: Understanding the relationship between dental arch form and vertical facial pattern is crucial in orthodontic diagnosis and treatment planning. Variations in vertical facial morphology can influence dental arch form, which in turn impacts the effectiveness and stability of orthodontic interventions.

Objectives: The study explores the associations between dental arch form with the different vertical facial patterns, including hyperdivergent, normodivergent, and hypodivergent patterns in skeletal Class I patients.

Methods: A cross-sectional observational design was employed to examine a sample of 48 patients with skeletal Class I seeking orthodontic treatment; of which 24 males and 24 females. Each …

Evaluation Of The Accuracy Of The Niti K-Files And Gutta-Percha Cones In Gauging The Apical Foramen Using The Scanning Electron Microscope: An In Vitro Study, Marie-Louise Slim, Roula El Hachem, Lara Nasr, Romy Zouein, Rami Mhanna, Mia Karam, Issam Khalil

International Arab Journal of Dentistry

Objectives: The aim of this study was to compare the accuracy of apical gauging using NiTi K-files and gutta-percha cones and determine the level of agreement between the two methods using a Scanning Electron Microscope (SEM).

Methods: 75 circular and straight canals of mandibular first premolars were used. Canals were shaped using the R-Motion system (RM; FKG Dentaire, La Chaux-de-Fonds, Switzerland) and gauged using NiTi K-Files and gutta-percha cones matching the shaping instrument. Diameters measured on SEM images were used as the reference standard.

Results: There was a statistically significant difference in the prediction of apical diameter …

A Two-Stage Radiographic Study Of The Prevalence Of Anomalies Associated With Tooth Number, Vellore Kannan Gopinath, Diaa Elderini, Reem Salama, Sangeetha Narasimhan, Vinayak Kamath, Shishir Shetty

International Arab Journal of Dentistry

Introduction: Dental anomalies (DA) are a group of dental developmental disturbances which appear during tooth formation manifesting themselves as an alteration in tooth number, shape, and size. Dental anomalies of number include hypodontia, mesiodens, supernumerary tooth, and odontoma.

Objectives: To evaluate the prevalence and distribution of dental anomalies associated with tooth number in the radiographic archives of University Dental Hospital Sharjah, United Arab Emirates (UAE).

Methods: Retrospective evaluation of 2000 Orthopantomogram (OPG) images were taken between January 2015 to December 2022. The OPG showing dental anomalies of number were further investigated for the availability of Cone Beam …

Evaluation Of The Effect Of 3 Bonding Protocols On The Micro-Tensile Bond Strength Of Self-Adhesive Composite To Enamel And Dentin, Mohamad Yaman, Louis Hardan, George Najjar, Cynthia Kassis

International Arab Journal of Dentistry

Objectives: To investigate the micro tensile bond strength (µTBS) of self-adhesive bulk-fill composite (Surefil One) to enamel and dentin bonded without bonding agent, with an additional phosphoric acid etch, and with the use of a bonding agent in etch and rinse mode.

Methods: 90 sound extracted wisdom teeth were used in this study. Surefil One (Dentsply Sirona, Konstanz, Germany), Prime&Bond Universal (Dentsply Sirona, Konstanz, Germany) and Detrey Conditioner 36 Etch Gel (Dentsply Sirona, Konstanz, Germany) were tested. Teeth were divided in 6 groups of 15 teeth, according to tooth substrate (enamel and dentin) and bonding protocols (no bonding …

Evaluation Of Microtensile Bond Strength Of Composite Under Three Aging Conditions: A Comparative In Vitro Study, Fadi Hammoud, Louis Hardan, Maryse Nassif, Tala El Ghoul, Georges Najjar, Cynthia Kassis

International Arab Journal of Dentistry

Objectives: To investigate the effects of different in-vitro artificial aging protocols on the micro tensile bond strength (µTBS) of composite restorations applied to dentin.

Methods: A total of 88 teeth were prepared on dentin and divided into three distinct aging conditions and a control group : G1) Control group with no aging (n=22); G2) Thermal Cycling (Thermocycling) involving 10,000 cycles between 5°C and 55°C, with a dwell time of 20 seconds (n=22); G3) Mechanical Loading (Cyclic loading) with a 50 N load, a frequency of 1.5 Hz, and 10,000 cycles (n=22); G4) Combined Thermo-mechanical cyclic loading (TMCL) using …

Color Stability Of Conventional, 3d-Printed, And Milled Denture Teeth After Immersion In Coloring Agents: An In Vitro Study, Dany Nassif, Nancy Chemaly, Rim Bourgi, Carole Abi-Ghosn, Louis Hardan, Jihad Fakhouri

International Arab Journal of Dentistry

Objectives: This study investigates the color stability of denture teeth made from different materials when subjected to various staining solutions.

Methods: Forty-five A1 shade upper central incisors were divided into three groups: prefabricated, 3D printed, and milled denture teeth (N=45). Each group was further divided into three subgroups, with teeth immersed in coffee, wine, and artificial saliva for up to 120 days (n=5). ∆E values for color change were measured using an Optishade colorimeter.

Results: The type of teeth, type of solution, and immersion time had a significant effect on color stability (p < 0.001). Interactions between the three variables were all significant (p < 0.001). Conventional denture teeth showed slight color changes with saliva (ΔE = 1.256 by day 120), moderate changes with wine (ΔE = 2.893), and more significant changes with coffee (ΔE = 5.208). Milled denture teeth exhibited no color changes with saliva, noticeable changes with wine (ΔE = 5.359), and moderate changes with coffee (ΔE = 3.137). 3D printed denture teeth showed no color changes with saliva, but increased changes with wine (ΔE = 2.533) and highly significant changes with coffee (ΔE = 10.546). Coffee consistently caused the highest ΔE values, especially in 3D printed teeth.

Conclusions: The study …

Surgical Symphony: Tackling Large Periapical Cysts With Precision, Paridhi Agrawal, Manoj Chandak, Pooja Agrawal, Nitin Bhola, Rajnikant Kambala, Samiha Khan, Aayushi Pakhale, Jay Bhopatkar, Tejas Suryawanshi, Palak Hirani

International Arab Journal of Dentistry

This case report details the comprehensive treatment of a large radicular cyst in a 48-yearold male with a five-year history of swelling and pus discharge in the upper anterior jaw. Clinical and radiographic examinations, including CBCT, revealed a significant periapical lesion involving multiple teeth. The multidimensional treatment began with meticulous endodontic therapy for teeth 12, 11, 21, and 22, followed by Platelet-rich fibrin (PRF) application to enhance healing. Surgical cystic enucleation was performed under local anesthesia, involving flap elevation and cyst removal, confirmed by biopsy as a radicular cyst. Apicoectomy and retrograde filling with mineral trioxide aggregate (MTA) were executed. …

Conservative Non-Surgical Endodontic Management Of A Large Cyst-Like Periapical Tunnel Lesion With 22-Month Cbct Follow-Up: A Case Report, Smriti Rohilla, Sameer Makkar, Sandeep Gupta

International Arab Journal of Dentistry

The present case report epitomises the successful non-surgical management of a large cyst-like periapical tunnel lesion of endodontic origin due to trauma using Lesion Sterilization and Tissue Repair technique. Endodontic orthograde treatment (and re-treatment) was performed in association with triple antibiotic paste as an intra-canal medication in a sixteen-year boy. Preoperative CBCT as well as at the 22 months CBCT followup were used to compare the evolution of the healing of the lesion. Accurate diagnosis in combination with non-surgical orthograde endodontic treatment can lead to can lead to complete healing of large lesions without any need of surgical intervention.

Patient-Related And Tooth-Related Factors As Predictors For Tooth Loss In Periodontitis Patients: A Systematic Review, Cleane Daraze, Carole Chakar, Abdelrahman Kassir, Charbel Anka, Jean-Marie Megarbane

International Arab Journal of Dentistry

Introduction: The treatment of periodontitis aims to prevent further disease progression, to minimize symptoms and perception of the disease, possibly to restore lost tissues and to support patients in maintaining a healthy periodontium. Management of chronic periodontal disease requires a combination of therapeutic modalities and a lifelong commitment to periodontal self-care.

Objectives: The aim of this study is to evaluate predictors for tooth loss in patients previously diagnosed with periodontitis. This systematic review covers studies of over 10 years of follow up.

Methods: Electronic literature search was conducted on 19/02/2024 by one author across several databases, including …

Comparative Evaluation Of Marginal And Internal Fit Of Zirconia Crown Designed Using Artificial Intelligence And Cad-Cam Software: A Systematic Review, Pritesh Gangde, Sweta Kale Pisulkar, Arushi Beri, Pritam Das

International Arab Journal of Dentistry

Introduction: The long-term performance of dental restorations depends on their internal and marginal fits. Improvements in the fit of restorations, especially zirconia crowns, have been investigated through the use of diverse materials, manufacturing processes, and impression techniques.

Objectives: The purpose of this review was to examine the internal and marginal fit of zirconia crowns made with CAD/CAM software with artificial intelligence (AI) software.

Methods: Using a combination of keywords and MeSH terms, the literature search was carried out across seven databases: PubMed, Scopus, Web of Science, Cochrane Library, Embase, ProQuest, and ScienceDirect from inception till 1st of …

Comparative Clinical Evaluation Of Healing Of Surgically Depigmented Gingiva By Application Of Human Placental Extract And Hyaluronic Acid, Hanaa Ibrahim Mostafa Sedeek, Islam Hussien Anwar Abdelfattah Kandil, Mohamed Mahmoud Anees, Mohammed Mostafa El Shennawi

Mansoura Journal of Dentistry

Objective The goal of the present research was to assess the outcomes of the adjunctive application of human placental extracts (HPE) and hyaluronic acid (HA) on the healing of gingival tissue following surgical depigmentation. Patients and methods Thirty patients complaining from gingival hyperpigmentation were divided to one positive control and two study (HA & HPE) groups. The three groups underwent surgical depigmentation by scraping and application of non-eugenol periodontal packs. In addition HA and HPE were applied after surgical depigmentation to the twice study sets respectively. Visual analog scale (VAS) was recorded at 24 & 72 hours, 10, 20 & …

Assessment Of Serum And Salivary Levels Of Synuclein-Γ As A Diagnostic Biomarker In Oral Squamous Cell Carcinoma Patients, Aya Yasser, Shadi Awny, Shaimaa R. Hendawy, Mohamed M. Anees

Mansoura Journal of Dentistry

Objective: The objective of the current study was to assess the serum and salivary levels of Synuclein-γ (SNCG) in Oral squamous cell carcinoma (OSCC) cases. Materials and Methods This study was conducted on 60 subjects (30 patients with OSCC and 30 subjects served as healthy controls (HCs)). Serum and salivary levels of Synuclein-γ using enzyme linked immunosorbent assay (ELISA) was determined for all participants and the study group was compared versus the healthy control. Results The serum and salivary levels of Synuclein-γ were significantly increased in cases with OSCC than in HCs p-values (