This study identified the most accurate model for predicting longitudinal craniofacial growth in a Japanese population using statistical methods and machine learning. Longitudinal lateral cephalometric radiographs were collected from 59 children (27 boys and 32 girls) with no history of orthodontic treatment. Multiple regression analysis, least absolute shrinkage and selection operator, radial basis function network, multilayer perceptron, and gradient-boosted decision tree were used. The independent variables included 26 coordinated values of skeletal landmarks, 13 linear skeletal parameters, and 17 angular skeletal parameters in children ages 6 to 12 years. The dependent variables were the values of the 26 coordinated skeletal landmarks, 13 skeletal linear parameters, and 17 skeletal angular parameters at 13 years of age. The difference between the predicted and actual measured values was calculated using the root-mean-square error. The prediction model for craniofacial growth using the least absolute shrinkage and selection operator had the smallest average error for all values of skeletal landmarks, linear parameters, and angular parameters. The highest prediction accuracies when predicting skeletal linear and angular parameters for 13-year-olds were 97.87% and 94.45%, respectively. This model incorporates several independent variables and is useful for future orthodontic treatment because it can predict individual growth.

In patients with mandibular asymmetry, the volume of the mandible divided by the mandibular median plane is significantly larger on the non-deviated (N-Dev) side than on the deviated (Dev) side. However, it has been reported that there is no significant difference between the volumes of the N-Dev and Dev sides when the mandibular ramus and body are divided. The purpose of this study was to investigate which region is responsible for the volume difference between the N-Dev and Dev sides. Cone Beam Computed Tomography (CBCT) images of patients with mandibular asymmetry were analyzed by measuring the volume, and linear analysis of the mandibular body, ramus, and condyle on the N-Dev and Dev side was performed. In this study, CBCT images of 37 patients (8 Japanese, 16 Korean, and 13 Egyptian) aged ≥ 18 years with mandibular asymmetry (men: 20, women: 17) were used to evaluate mandibular asymmetry. In patients with mandibular asymmetry, the N-Dev side showed significantly larger values than the Dev side for both volume and linear condyle, ramus, and mandibular body measurements. These results do not differ according to sex or ethnicity. Therefore, it is suggested that the N-Dev side of mandibular asymmetry is large without any regional specificity in pathophysiology.

Chin morphology is visually impactful and significantly influences harmonious facial appearance. Therefore, it is important to know the morphological characteristics of the chin in relation to gender and skeletal pattern when performing an orthodontic and surgical orthognathic treatment. This study aimed to examine the relationship between chin size, skeletal pattern, age, gender, and ethnicity. In this study, cone-beam computed tomography images of 208 participants (males: 90, females: 118; 63 Koreans and 145 Egyptians), aged 18 years and older, were used to evaluate the size of the chin in linear dimension, volume, and skeletal pattern. The larger the vertical skeletal pattern, the larger the chin volume and the smaller the width (p < 0.01). In the anteroposterior skeletal pattern, Class III showed a larger volume than that of Class II and Class I (p < 0.01). There was no significant association between age and any of the chin-related measurements. Regarding gender, all measurements of chins were larger for men than for women (p < 0.01). In terms of ethnicity, Koreans had larger chin volumes than Egyptians p < 0.01). Chin volume was related to population, sex, anteroposterior skeletal pattern, and vertical skeletal pattern, indicating the combined effects of various factors.

Using 3D technologies such as virtual reality (VR) and augmented reality (AR), has intensified nowadays. The mainstream AR devices in use today are head-mounted displays (HMDs), which, due to specification limitations, may not perform to their full potential within a distance of 1.0 m. The spatial reality display (SRD) is another system that facilitates stereoscopic vision by the naked eye. The recommended working distance is 30.0~75.0 cm. It is crucial to evaluate the observation accuracy within 1.0 m for each device in the medical context. Here, 3D-CG models were created from dental models, and the observation errors of 3D-CG models displayed within 1.0 m by HMD and SRD were verified. The measurement error results showed that the HMD model yielded more significant results than the control model (Model) under some conditions, while the SRD model had the same measurement accuracy as the Model. The measured errors were 0.29~1.92 mm for HMD and 0.02~0.59 mm for SRD. The visual analog scale scores for distinctness were significantly higher for SRD than for HMD. Three-dimensionality did not show any relationship with measurement error. In conclusion, there is a specification limitation for using HMDs within 1.0 m, as shown by the measured values. In the future, it will be essential to consider the characteristics of each device in selecting the use of AR devices. Here, we evaluated the accuracies of 3D-CG models displayed in space using two different systems of AR devices.

This study aimed to clarify the relationship between the mandibular posterior anatomic limit (MPAL) and skeletal anteroposterior and vertical skeletal patterns, with consideration of factors that may be related. In total, 230 people were included: 49 Japanese, 122 Egyptian, and 59 Korean people. The MPAL was measured at 0, 2, 4, and 6 mm from the root furcation along the sagittal and cuspal lines at the distance from the distal root of the mandibular right second molar to the mandibular cortex of the lingual bone. Eight different MPALs were evaluated using multiple regression analysis with explanatory variables for anteroposterior and vertical skeletal patterns and qualitative variables for age, sex, population, the presence of third molars, number of roots, presence of C-shaped roots, and Angle malocclusion classification. The MPAL was significantly larger as the mandibular plane angle decreased. The MPAL near the root apex was significantly larger as the A-nasion-point B angle increased, and the MPAL near the root apex measured at the cuspal line was significantly larger for C-type roots. The present study showed that a C-shaped root affected the MPAL in addition to the anteroposterior and vertical skeletal patterns.

Objective: To compare the bond strength of two types of resin cement to that of additive manufacturing (AM) or cast cobalt-chromium (Co-Cr) alloys. Materials and methods: Two types of resin luting cement, composite resin and methyl methacrylate (MMA), were bonded to AM or cast Co-Cr alloys, and shear bond tests were performed after seven days of storage in distilled water at 37 degrees C. Co-Cr alloy adhesive elements AM to the enamel surface of the labial aspect of a bovine mandibular central incisor crown were bonded with two types of resin luting cement and subjected to 1,000 cycles of storage in water for one day and 28 days or thermal cycling, followed by shear bonding tests. Residual cement on the metal and enamel surfaces after the bonding tests was evaluated using an optical microscope. The normality of the results was evaluated using statistical software Statcel4, analysis of variance, or Kruskal-Wallis test, depending on normality, and multiple comparison tests were performed using the Tukey-Kramer or Steel-Dwass tests. Results: After one day, the shear bond strength (SBS) was 25.9 MPa for Panavia V5 (PV; Kuraray Noritake Dental Corporation, Niigata, Japan) and 23.5 MPa for Super-Bond (SB; Sun Medical Corporation, Shiga, Japan), with no significant difference between the two cement types (P > 0.05). After 28 days, the SBS decreased to 4.1 MPa for PV and 6.7 MPa for SB, showing a significant difference between the two cements (P < 0.05). Following 1,000 thermal cycles, the SBS was 2.0 MPa for PV and 5.6 MPa for SB, with SB exhibiting a significantly higher value (P < 0.05). The adhesive strength was significantly lower after 28 days of storage and thermal cycling compared to after one day of storage (P < 0.05). The Co-Cr alloy exhibited more residual cement on the enamel surface due to interfacial fracture with the resin cement. The Co-Cr alloy showed more residual cement on the enamel surface due to interfacial fracture with the resin cement. Conclusion: MMA-based resin cement showed optimal bond strength and may be suitable for clinical use in computer-aided design (CAD)/computer-aided manufacturing (CAM) orthodontic appliances.