Aim: Chatbot Generative Pre‐trained Transformer (ChatGPT) is a generative artificial intelligence (AI) software based on large language models (LLMs), designed to simulate human conversations and generate novel content based on the training data it has been exposed to. The aim of this study was to evaluate the consistency and accuracy of ChatGPT‐generated answers to clinical questions in endodontics, compared to answers provided by human experts.Methodology: Ninety‐one dichotomous (yes/no) questions were designed and categorized into three levels of difficulty. Twenty questions were randomly selected from each difficulty level. Sixty answers were generated by ChatGPT for each question. Two endodontic experts independently answered the 60 questions. Statistical analysis was performed using the SPSS program to calculate the consistency and accuracy of the answers generated by ChatGPT compared to the experts. Confidence intervals (95%) and standard deviations were used to estimate variability.Results: The answers generated by ChatGPT showed high consistency (85.44%). No significant differences in consistency were found based on question difficulty. In terms of answer accuracy, ChatGPT achieved an average accuracy of 57.33%. However, significant differences in accuracy were observed based on question difficulty, with lower accuracy for easier questions.Conclusions: Currently, ChatGPT is not capable of replacing dentists in clinical decision‐making. As ChatGPT's performance improves through deep learning, it is expected to become more useful and effective in the field of endodontics. However, careful attention and ongoing evaluation are needed to ensure its accuracy, reliability and safety in endodontics.
In recent years, there has been an increase in the incidence of dental wear; thus, an early diagnosis is important. Conventional methods of diagnosis are based primarily on the visual abilities of the dentist, and therefore the use of new technologies for the detection of dental wear may be very useful. The aim of the study was to analyze the sensitivity and specificity of the intraoral scanner for measuring dental wear, as well as to evaluate patients’ satisfaction with the use of the scanner. The study was conducted with 46 volunteers who underwent three intraoral analyses: a first baseline scanning, a second scanning after 6 months and a final scanning after one year performed by four operators divided into two groups. One of the operators performed the visual analysis of dental wear, and the other performed the analysis using the intraoral scanner 3M™ True Definition intraoral scanner (ESPE, Seefeld, Germany). The data obtained from the intraoral scanner showed levels of specificity and sensitivity that enable the intraoral scanner to be used as a diagnostic tool in the assessment of tooth wear. The participants also showed a high degree of satisfaction with the scanner as a communication tool.
Objectives: The objective of this cross-sectional study was to evaluate the vertical bone gain achieved after the sinus lift procedure with beta-tricalcium phosphate (β-TCP) used as a bone substitute and simultaneous implant placement. Methods: One hundred and twenty-eight sinus lift procedures (utilizing a synthetic ceramic containing 99.9% tricalcium phosphate as a bone substitute) and simultaneous implant placements were performed on 119 patients. The lateral window approach surgical protocol for maxillary sinus lift was performed on the patients. The implants were evaluated using cone-beam computed tomography (CBCT) at 6 months following placement. The vertical bone gain was considered a primary variable, while implant length, diameter, and location were considered secondary variables. Results: The ANOVA results showed no statistical difference in vertical bone gain with implant parameters like implant length, width, and position. Pearsons correlation revealed a statistically significant positive correlation with vertical bone gain and implant length and diameter. A further multivariate linear regression analysis was performed and it observed statistically significant associations between the variables in the study after adjusting for confounding factors. Conclusions: This study concluded that there was vertical bone gain with the usage of β-TCP in maxillary sinus lift surgical procedure with immediate implant placement and that implant variables like length and diameter had a significant influence on the average bone gain values. The implant position did not have a statistically significant influence but there was considerable variation in the bone gain between first, second premolar, and molar regions.
Background and Objectives: Implant stability in vivo is contingent on multiple factors, such as bone structure, instrument positioning and implant surface modifications, implant diameter, and implant length. Resonance-frequency analysis is considered a non-invasive, reliable, predictable, and objective method by which to evaluate implant stability, due to its correlation with bone-to-implant contact. The purpose of this study was to evaluate the effect of implant length on the primary and secondary stability of single-implant crown rehabilitations, as measured by resonance-frequency analysis at different times. Materials and Methods: Implants of 10 and 11.5 mm were placed, and the resonance frequency was measured at the time of surgery (T0), as well as at 3 (T1), 6 (T2), and 12 (T3) months post-surgery. Results: A total of 559 implants were placed in 195 patients. Significant differences were observed when comparing the implant stability quotient (ISQ) values at T1, with values for 10-mm implants being greater than those for 11.5-mm implants (p = 0.035). These differences were also observed when comparing ISQ values for buccal and lingual areas. At T0, T2, and T3, no significant differences in ISQ values were observed. The use of 10-mm implants in the anterior maxilla yielded significantly greater values at T0 (p = 0.018) and T1 (p = 0.031) when compared with 11.5-mm implants. Significant differences in measurements were observed only for buccal areas (p = 0.005; p = 0.018). When comparing the sample lengths and sex, women with 11.5-mm implants showed significantly lower results than those with 10-mm implants (p < 0.001). Conclusions: There is a direct relationship between implants of a smaller length and greater ISQ values, with this relationship being most evident in the maxilla and in women.
Dental wear arises from mechanical (attrition or abrasion) and chemical (erosion) factors. Despite its prevalence and clinical significance, accurately measuring and understanding its causes remain challenging in everyday practice. This one-year study with 39 participants involved comprehensive examinations and full-arch intraoral scans at the start and after 12 months. Volume loss exceeding 100 µ on each tooth’s surfaces (buccal, lingual/palatine and incisal/occlusal) was measured by comparing three-dimensional scans from both time points. This study also assessed factors such as abrasion and erosion through clinical exams and questionnaires. There were no significant differences in dental wear in participants with sleep bruxism. However, noticeable wear occurred in the front teeth of those with waking bruxism and joint-related symptoms. Increased wear was associated with frequent consumption of acidic drinks, regular swimming, dry mouth, nocturnal drooling and heartburn, while no significant wear was found in patients with reflux. The used methodology proved effective in accurately assessing the progression of dental wear, which is important as many patients may initially be asymptomatic. The variability observed in dental wear patterns underscores the need to develop specific software applications that allow immediate and efficient comparison of wear areas based on extensive analysis of patient databases.
23 June 2017 in @tic revista d'innovació educativa
A descriptive exploratory study was performed at the Universidad Europea in Madrid with a sample of 22 professors of dentistry with a distinguished career in simulation. A community of practice of was created for collaborative learning using the Simondont® Dental Trainer, a dental training simulator developed by Moog and the Academic Centre for Dentistry Amsterdam (ACTA) that combines haptic and virtual reality interfaces. A post-experimental questionnaire was administered to assess the performance of the Simondont® and to determine whether or not the professors would be willing to incorporate it into their curriculum. IBM SPSS Statistics V21.0 software was used for the data analysis and statistics of mean, standard deviation and correlation of the results. Tables and box plots were developed applying Kolmogorov-Smirnov and Kruskal-Wallis tests, with a level of significance of ?=0.05. The results indicated that the educational contributions of the Simodont® exceeded its technical features. In addition, an inverse relationship was described between the variables Age and Ease of use of the simulator. It became apparent that the use of state-of-the-art technology begins to decrease as teaching age increases. This indicated the need to train faculty in the use of the technology and in the introduction of innovative teaching methods to make the best use of the basic and additional opportunities the simulator offers.