180 results match your criteria: "Kois Center[Affiliation]"

Objective: The purpose of the present study was to assess the influence of color temperature and illuminance of ambient light on the accuracy of different intraoral scanners (IOSs) in complete-arch implant scans.

Methods: An edentulous model with six implants and scan bodies was digitized by using a laboratory scanner (DW-7-140; Dental Wings) to obtain a reference mesh. Fifteen scans were performed employing two intraoral scanners (Trios 4;3Shape A/S and i700; Medit Co) at two illuminances (500 and 1000 lux) and three color temperatures (3200, 4400, and 5600 K).

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Fabrication of facially guided CAD-CAM complete dentures: A dental technique.

J Prosthet Dent

November 2023

Private practice, Valladolid, Spain, Kois Center, Seattle, Wash; Guest Professor, Department of Dentistry, University of Barcelona, L´Hospitalet de Llobregat, Barcelona, Spain; Guest Professor, Department of Dentistry, International University of Catalunya, San Cugat del Valles, Barcelona, Spain; and Clinical Instructor, Kois Center, Seattle, Wash.

An alternative protocol is presented to design computer-aided design and computer-aided manufacturing (CAD-CAM) complete dentures and overdentures using a facially guided digital design. The facially guided design protocol with CAD-CAM facilitated communication between the clinician and dental laboratory technician. A monolithic denture and overdenture were fabricated guided by preliminary dentures with 3-dimensionally (3D) printed denture bases and milled wax teeth.

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Purpose: The purpose of the present clinical study was to compare the Ricketts and Steiner cephalometric analysis obtained by two experienced orthodontists and artificial intelligence (AI)-based software program and measure the orthodontist variability.

Materials And Methods: A total of 50 lateral cephalometric radiographs from 50 patients were obtained. Two groups were created depending on the operator performing the cephalometric analysis: orthodontists (Orthod group) and an AI software program (AI group).

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The reverse impression method involves the extraoral digitalization of the interim implant-supported prostheses and intraoral digitalization of antagonist arch and maxillomandibular relationship. This technique allows the fabrication of implant-supported prostheses by using a complete-digital workflow. The scan analogs make the reverse impression method feasible.

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Purpose: To compare the effect of different pre-cementation surface treatments and bonding protocols on the retention force of additively manufactured (AM) implant-supported interim crowns.

Material And Methods: A total of 50 AM interim crowns (Temporary CB resin) were cemented on implant abutments. Five groups (n = 10) were established based on the different surface pre-treatments performed in the intaglio surface of the specimens: no surface pre-treatment (Group C or control), air-abraded with 50-μm aluminium oxide particles (Group AP) air-abraded with 50-μm aluminium oxide particles followed by the application of silane (Group AMP), silane (Group MP), and air-abraded with 30 μm silica-coated aluminum oxide particles followed by the application of silane (Group CMP).

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Effect of scan powder and scanning technology on measured deviations of complete-arch implant supported frameworks digitized with industrial and intraoral scanners.

J Dent

November 2023

Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland; Department of Restorative, Preventive and Pediatric Dentistry, School of Dental Medicine, University of Bern, Bern, Switzerland; Division of Restorative and Prosthetic Dentistry, The Ohio State University College of Dentistry, Columbus, Ohio, USA.

Objectives: To evaluate the suitability of intraoral scanners (IOSs) to analyze the fabrication trueness of titanium complete-arch implant-supported frameworks by comparing with an industrial-grade scanner and investigate how anti-reflective scan powder affects measured deviations.

Methods: Ten titanium complete-arch implant-supported frameworks were milled from a reference standard tessellation language (STL) file. An industrial-grade blue light scanner (ATOS Core 80 (AT)) and three IOSs (Primescan (PS), TRIOS T3 (T3), and TRIOS T4 (T4)) with (PS-P, T3-P, and T4-P) or without (PS, T3, and T4) anti-reflective scan powder application were used to generate test STL (TSTL) files of the frameworks.

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Discrepancies in the occlusal devices designed by an experienced dental laboratory technician and by 2 artificial intelligence-based automatic programs.

J Prosthet Dent

October 2023

Affiliate Assistant Professor, Graduate Prosthodontics, Department of Restorative Dentistry, School of Dentistry, University of Washington, Seattle, Wash; Faculty and Director, Research and Digital Dentistry, Kois Center, Seattle, Wash; Adjunct Professor, Department of Prosthodontics, School of Dental Medicine, Tufts University, Boston, Mass.. Electronic address:

Statement Of Problem: Artificial intelligence (AI) models have been developed for different applications, including the automatic design of occlusal devices; however, the design discrepancies of an experienced dental laboratory technician and these AI automatic programs remain unknown.

Purpose: The purpose of this in vitro study was to compare the overall, intaglio, and occlusal surface discrepancies of the occlusal device designs completed by an experienced dental laboratory technician and two AI automatic design programs.

Material And Methods: Virtually articulated maxillary and mandibular diagnostic casts were obtained in a standard tessellation language (STL) file format.

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Article Synopsis
  • The article emphasizes the importance of careful treatment planning and teamwork between dental specialists for successful arch implant rehabilitation, highlighting the role of virtual technologies in this process.
  • It provides detailed recommendations across five key areas, including managing three-dimensional data, integrating virtual articulators, and optimizing surgical planning.
  • The conclusion stresses that virtual patient workflows can significantly improve efficiency and outcomes in esthetic implant rehabilitation, while also noting that this approach requires specialized knowledge and tools.
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Objectives: To describe a new classification for intraoral scans based on the scan extension and to introduce a decision guideline to choose the scan extension for fabricating tooth- and implant-supported fixed dental prostheses (FDPs).

Overview: Multiple operator- and patient-related factors have been identified that can decrease the scanning accuracy of intraoral scanners (IOSs), including scan extension. However, the decision criteria for selecting scan extension for fabricating tooth- and implant-supported restorations is unclear.

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Effect of print orientation, storage conditions, and storage time on intaglio surface accuracy of implant surgical guides fabricated by using a stereolithography technology.

J Prosthet Dent

September 2023

Affiliate Assistant Professor, Graduate Prosthodontics, Department of Restorative Dentistry, School of Dentistry, University of Washington, Seattle, Wash; Faculty and Director of Research and Digital Dentistry, Kois Center, Seattle, Wash; Adjunct Professor, Department of Prosthodontics, School of Dental Medicine, Tufts University, Boston, Mass.. Electronic address:

Statement Of Problem: The accuracy of printed implant surgical guides can be affected by different factors that negatively impact the planned implant position. How print orientation, storage time, and conditions influence manufacturing accuracy remains uncertain.

Purpose: The purpose of this in vitro study was to evaluate the influence of print orientation, storage conditions, and storage time on the intaglio surface accuracy of implant surgical guides manufactured by using a stereolithography (SLA) printer.

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Objective: To review the factors that influence the accuracy of the maxillomandibular relationship at maximum intercuspation (MIP) acquired by using intraoral scanners (IOSs).

Material And Methods: A systematic search was performed using five databases: MEDLINE/PubMed, Cochrane, Embase, World of Science, and Scopus. A manual search was also completed.

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Purpose: To evaluate the influence of implant scan body (ISB) design (height, diameter, geometry, material, and retention system) on the accuracy of digital implant scans.

Material And Methods: A literature search was completed in five databases: PubMed/Medline, Scopus, Embase, World of Science, and Cochrane. A manual search was also conducted.

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Redefining What Is Possible: Treating Function and Enhancing Esthetics Using a Risk Management System.

Compend Contin Educ Dent

September 2023

Clinical Instructor and Scientific Advisor, Kois Center, Seattle, Washington; Founder, Protea Dental Studio, Redmond, Washington.

The case presented involves a patient with a history of extensive dental treatment who had become exasperated with her increasingly uncomfortable bite. She also had concerns about the potential fracture or loss of anterior teeth. In managing her risk profile and esthetic concerns, the clinician utilized a systematic approach to diagnosis and treatment planning.

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Objective: The present manuscript describes a technique to virtually switch an implant scan body eliminating the need of obtaining a new intraoral implant digital scan.

Clinical Considerations: Implant scan bodies assist on transferring the 3-dimensional position of the implants into the virtual definitive implant cast. However, if a different implant part is desired during the designing procedures of the implant restoration such as selecting a different implant abutment of varying height, angulation, or manufacturer, a new intraoral implant digital scan with the specific implant scan body is required.

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Objective: Immediate implants and immediate alveolar sealing have been a widely utilized treatment with high predictability and biological advantages. The improvement in technology has made it possible to simplify clinical processes. The aim of the present report was to describe the complete digital workflow of the Biologically oriented preparation technique for immediate posterior implant, immediate provisionalization and fabrication of definitive implant crowns.

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Statement Of Problem: Fractured prosthetic implant screws cannot be removed in all patients, ultimately leading to the removal of the implant. Whether an intentionally shortened prosthetic implant screw (SPIS) can provide adequate retention is unclear.

Purpose: The purpose of this in vitro study was to evaluate the resistance to loosening of SPISs engaging the remaining coronal internal threads as a possible solution to maintaining both implant and restoration.

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Influence of the dental arch and number of cutting-off and rescanning mesh holes on the accuracy of implant scans in partially edentulous situations.

J Dent

October 2023

Affiliate Assistant Professor, Graduate Prosthodontics, Department of Restorative Dentistry, School of Dentistry, University of Washington, Seattle, WA; Faculty and Director of Research and Digital Dentistry, Kois Center, Seattle, WA; and Adjunct Professor, Department of Prosthodontics, School of Dental Medicine, Tufts University, Boston, MA USA.

Objectives: To evaluate the influence of the dental arch and cutting-off and rescanning procedures on the accuracy of complete-arch implant scans in partially edentulous arches.

Material And Methods: A maxillary and a mandibular partially edentulous typodont with implant abutment analogs placed in the right and left first molar and right central incisor sites were digitized to create reference models by using an industrial optical scanner (7 Series Desktop Scanner; Dentalwings). Two experimental groups were scanned using an intraoral scanner (IOS) (TRIOS 4; 3Shape A/S): the Maxillary group (Mx) and the Mandibular group (Mb).

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Purpose: To assess the influence of interdental spaces and scanning the palate on the accuracy of maxillary scans acquired using three intraoral scanners (IOSs).

Materials And Methods: A virtual completely dentate maxillary cast without interdental spaces was obtained and modified to create 1, 2, and 3 mm of interdental spacing between the anterior teeth. These three files (reference standard tessellation language files) were used to print three reference casts.

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Intraoral scanners: A necessity not a luxury.

J Prosthodont

December 2023

Department of Restorative Dentistry, School of Dentistry, University of Washington, Seattle, Washington, USA.

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Purpose: To evaluate accuracy, scanning time, and patient satisfaction of photogrammetry (PG) systems for recording the 3D position of dental implants.

Material And Methods: A literature search was completed in five databases: PubMed/Medline, Scopus, Embase, World of Science, and Cochrane. A manual search was also conducted.

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Intraoral digital implant scans: Parameters to improve accuracy.

J Prosthodont

December 2023

Department of Restorative Dentistry and Biomaterials Sciences, Harvard School of Dental Medicine, Boston, Massachusetts, USA.

Purpose: To report the means to maximize the predictability and accuracy of intraoral digital implant scans through the evaluation of operator and patient-related factors.

Materials And Methods: A search of published articles related to factors that can decrease the scanning accuracy of intraoral digital implant scans was completed in four data sources:MEDLINE, EMBASE, EBSCO, and Web of Science. All studies related to variables that can influence the accuracy of intraoral digital implant scans obtained by using intraoral scanners (IOSs) were considered.

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Dental literature has reported greater intraoral scanning accuracy when implant scan bodies (ISBs) are connected compared with non-connected methods. Initial intraoral digital implant scans are required for the fabrication of a custom framework to connect implant scan bodies (IOSFix; IOSFix Dental). This calibrated metal framework is used to acquire definitive intraoral implant scans.

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The purpose of this study was to propose the concept of software-based automated evaluation (SAE) of tooth preparation quality using computational geometric algorithms, and evaluate the feasibility of SAE in the assessment of abutment tooth preparation for single-unit anatomic contour crowns by comparing it with a human-based digitally assisted evaluation (DAE) by trained human evaluators. Thirty-five mandibular first molars were prepared for anatomical contour crown restoration by graduate students. Each prepared tooth was digitized and evaluated in terms of occlusal reduction and total occlusal convergence using SAE and DAE.

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Influence of fabrication method on the manufacturing accuracy and internal discrepancy of removable partial dentures: A systematic review and meta-analysis.

J Prosthet Dent

July 2023

Affiliate Assistant Professor, Graduate Prosthodontics, Department of Restorative Dentistry, School of Dentistry, University of Washington, Seattle, Wash Director of Research and Digital Dentistry, Kois Center, Seattle, Wash; and Adjunct Professor, Department of Prosthodontics, Tufts University, Boston, Mass.

Statement Of Problem: Removable partial dentures (RPDs) can be fabricated with conventional casting procedures or computer-aided design and computer-aided manufacturing (CAD-CAM) technologies; however, the manufacturing accuracy and internal discrepancy differences among these manufacturing methods remain uncertain.

Purpose: The purpose of this systematic review and meta-analysis was to assess the influence of the fabricating method (casting, milling, or additive manufacturing) on the accuracy and internal discrepancy of RPDs.

Material And Methods: An electronic search of the literature was performed in 6 databases: PubMed/Medline, Embase, Web of Science, Scopus, Cochrane, and Google Scholar.

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Objective: This article will explain and demonstrate the application of analog smile design techniques and concepts as a precursor for digital smile design implementation. The application of these techniques will be described with two case presentations that will demonstrate the incorporation of these analog methods into digital smile design programs.

Clinical Considerations: Digital smile design workflows can be more efficient and require less chair time but must be based on an understanding and application of basic smile design principles to apply the digital techniques successfully.

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