scholarly journals Transitional Era: from analogical to digital workflow in oral rehabilitation: a case report

Author(s):  
Adrielly ZAVOLSKI ◽  
Francielly GRANVILLE ◽  
Marcos Cezar POMINI ◽  
Fabio Brasil de OLIVEIRA ◽  
Lidia Olga Bach PINHEIRO ◽  
...  

ABSTRACT Digital dentistry is a ubiquitous phenomenon nowadays but it requires access to technologies and learning curve. To aid digital workflow implementation, digital steps can be progressively incorporated in conventional workflows. We aimed to demonstrate a multidisciplinary oral rehabilitation performed mixing conventional procedures with digital open-source software programs and low-cost devices. A 46-year-old female patient had photographs, intraoral scans, and cone-beam computed tomography obtained and used in combination with conventional clinical exams to develop a treatment plan. Power point software was used for digital smile planing and Horos for digital implant planning. The digital dataset were used to guide conventional clinical procedures (scaling and root planning, gingivoplasty, in-office tooth bleaching, fiber-post restoration, implant and bone graft placement, teeth preparation, and protheses design and milling). The inclusion of digital steps in the conventional workflow enabled the performance of rehabilitation procedures with reduced clinical time and increased predictability, favoring the overall workflow and the communication among the different dental specialties. A mixed workflow can progressively lead to an exclusively digital workflow as technologies become accessible and learning curve is coped.

2020 ◽  
Vol 8 (9) ◽  
pp. 1244-1250
Author(s):  
Suresh S. Kamble ◽  
◽  
Ajit S. Jankar ◽  
Vidya A. Vaybase ◽  
Suraj Sonawane ◽  
...  

New devices are continuously introduced in the clinic and the dental laboratory. The first phase of the digital workflow is to obtain an image with the help of intra-oral scanner. These devices are replacing conventional impressions techniques with the digital scanners. Impressions which are recorded using scanners are more accurate as compared to conventional technique. Intra-oral scanners are time efficient, decrease the patient\'s discomfort and make clinical procedures easier. Over the last few years, there has been new advances in dental scanners for comprehension of computerized work process. Presently in market there are several brands of the scanners with better features to obtain digital impressions, to record the accurate Data in comfortable working time for the dentist and patient. Therefore, it is convenient to analyze the most used IOS systems based on the available scientific data.


2021 ◽  
Vol 15 (2) ◽  
pp. 115-121
Author(s):  
Victor Haruo Matsubara ◽  
Amit Prem Gurbuxani ◽  
Sammy Francis ◽  
Robert J Childs

The replacement of missing teeth utilizing dental implants and digital dental technologies has gained significant popularity in daily clinical practice over the last decade. Partially dentate patients present more anatomical references to guide the implant position and prosthetic reconstruction as compared to completely edentulous arches. Therefore, the management of edentulous maxilla using implant digital dentistry represents a challenging clinical situation where a thorough treatment plan is paramount to achieve a final prosthetic result that meets both functional and esthetic requirements. This case report discusses the oral rehabilitation of an edentulous maxilla and partially dentate mandible using a digital workflow for both the surgical and prosthetic phases of the implant therapy. Protocols for clinical assessment, treatment planning, and restorative management are described to provide a predictable and prosthetic-driven treatment for implant-supported prostheses.


Author(s):  
Mohammed Asim ◽  
Piyush Agrawal ◽  
Mohd Tariq ◽  
Basem Alamri

Under partial shading conditions (PSC), most traditional maximum power point tracking (MPPT) techniques may not adopt GP (global peak). These strategies also often take a considerable amount of time to reach a full power point (MPP). Such obstacles can be eliminated by the use of metaheuristic strategies. This paper shows, in partial shading conditions, the MPPT technique for the photovoltaic system using the Bat Algorithm (BA). Simulations have been performed in the MATLAB ®/Simulink setting to verify the efficacy of the proposed method. In MPPT applications, the results of the simulations emphasize the precision of the proposed technique. The algorithm is also simple and efficient, on a low-cost microcontroller, it could be implemented. Hardwar in loop (HIL) validation is performed, with a Typhoon HIL 402 setup.


2019 ◽  
Vol 2 (S1) ◽  
Author(s):  
Jelenko Karpić ◽  
Ekanki Sharma ◽  
Tamer Khatib ◽  
Wilfried Elmenreich

Abstract The rising demand for sustainable energy requires to identify the sites for photovoltaic systems with the best performance. This paper tackles the question of feasibility of photovoltaic power plants at high altitude. A direct comparison between an alpine and an urban area site is conducted in the south of Austria. Two low-cost automatic photovoltaic power measurement devices with dual-axis sun tracking and maximum power point tracking are deployed at two test sites. The system periodically performs a scan over the southern semihemisphere and executes maximum power point adjustment in order to assess the performance for a given direction. The gathered data shows a higher photovoltaic power yield in the higher altitude test site. Furthermore, the high altitude photovoltaic power as a function of azimuth and elevation angle appears to be not only higher but also more flat than in lower altitudes. This indicates a lower power loss in case of deviation from the optimal solar angles. The results show that even on low-cost hardware a difference in photovoltaic power can be observed, even though in this experiment it amounts to less than 5% increase of peak power in higher altitudes. However, the measured peak powers on the mountain are more stable and therefore closer to a constant level than the heavily fluctuating peak power values at the low altitude site. Additionally, a slight shift in optimal elevation angles between altitudes can be observed, as the optimum angle turns out to be lower on the high altitude site. This angle shift could be caused by snow reflections on the mountainous test site.


1998 ◽  
Vol 4 (2) ◽  
pp. 95-100 ◽  
Author(s):  
M A Loane ◽  
R Corbett ◽  
S E Bloomer ◽  
D J Eedy ◽  
H E Gore ◽  
...  

Diagnostic accuracy and management recommendations of realtime teledermatology consultations using low-cost telemedicine equipment were evaluated. Patients were seen by a dermatologist over a video-link and a diagnosis and treatment plan were recorded. This was followed by a face-to-face consultation on the same day to confirm the earlier diagnosis and management plan. A total of 351 patients with 427 diagnoses participated. Sixty-seven per cent of the diagnoses made over the video-link agreed with the face-to-face diagnosis. Clinical management plans were recorded for 214 patients with 252 diagnoses. For this cohort, 44 of the patients were seen by the same dermatologist at both consultations, while 56 were seen by a different dermatologist. In 64 of cases the same management plan was recommended at both consultations; a sub-optimum treatment plan was recommended in 8 of cases; and in 9 of cases the video-link management plans were judged to be inappropriate. In 20 of cases the dermatologist was unable to recommend a suitable management plan by video-link. There were significant differences in the ability to recommend an optimum management plan by video-link when a different dermatologist made the reference management plan. The results indicate that a high proportion of dermatological conditions can be successfully managed by realtime teledermatology.


Author(s):  
Balin K.D. ◽  
Borisova E.G.

In dental practice, the most common outpatient operation is tooth extraction. As a result, dentition defects are formed with a corresponding violation of the chewing function [1]. Traditionally, chewing function has been restored by removable or non-removable dentures. In the modern world, due to the availability of medical dental services and the development of voluntary medical insurance, an increasing number of people choose dental intraosseous implantation as a method of secondary adentia rehabilitation. It is now generally accepted that dental implants represent the most physiological design for replacing dentition defects, in contrast to traditional removable and fixed dentures. The key to a successful treatment is a high-quality preliminary joint planning of surgeon and prostodontist, choice of the position and number of implants, and design of the final restorative structure. Today, the global trend in dentistry tends to be minimally invasive, atraumatic, accurate and solving the assigned medical problems in the shortest possible time. In recent years, digital dentistry and navigational surgery techniques have been successfully introduced into everyday dental practice. When choosing a treatment with the use of digital technologies, specialists use a surgical template and a digital prototype of the future orthopedic construction for strict adherence to the preliminary treatment plan.


2015 ◽  
Vol 785 ◽  
pp. 106-110
Author(s):  
M.N.M. Hussain ◽  
Ahmad Maliki Omar ◽  
Intan Rahayu Ibrahim ◽  
Kamarulazhar Daud

An identification system of multiple-input single-output (MISO) model is developed in controlling dsPIC microcontroller of positive output buck-boost (POBB) converters for module mismatch condition of photovoltaic (PV) system. In particular, the possibility of the scheme is to resolve the mismatch losses from the PV module either during shading or mismatch module occurrences. The MPPT algorithm is simplified by identification approach of indirect incorporated with a simple incremental direct method to form a combined direct and indirect (CoDId) algorithms. Irregular consumption of solar irradiation on a PV module shall step-up or step down the voltage regarding to the desired DC output voltage of POBB converter. This optimized algorithm will ensure that the PV module to kept at maximum power point (MPP), preventing power loss during module mismatch incident in PV module especially during partial shading condition. The simulation and laboratory results for PV module of polycrystalline Mitsubishi PV-AE125MF5N indicate that the proposed model and development of PV system architecture performs well, while the efficiency up to 97.7% at critical of low solar irradiance level. The controlling signal is based on low-cost embedded microcontroller of dsPIC30F Digital Signal Control (DSC).


2020 ◽  
Vol 22 (2) ◽  
pp. 146-150
Author(s):  
Mariana Lima da Costa Valente ◽  
Marcela Silva Costa ◽  
Paulo Marcos Bérgamo ◽  
Denise Tornavoi de Castro

Currently, aesthetics, and especially the smile, adds considerable social value. In this way, patients suffering from dental loss wish that their rehabilitation be performed quickly and safely. The aim of oral rehabilitation is to restore masticatory, phonetic, aesthetic and quality of life to the patient. The diagnostic step is one of the most important and relevant steps in establishing a correct treatment plan and, in this way, it is possible to obtain excellent results. The present study aimed to demonstrate the importance of diagnostic waxing in oral rehabilitation. Patient sought treatment at the Dental Prosthesis Specialization Course at Odonto School, due to complaints associated with aesthetics and function. To improve their quality of life, planning of case was carried out through diagnostic waxing and a prosthetic solution was proposed. At the end of treatment and during the follow-up of the case, the patient reported satisfaction and significant improvement in quality of life. It can be concluded that the diagnostic waxing presents customized solutions offering, through a previous study, an effective clinical resolution to the patient. Keywords: Mouth Rehabilitation. Dental Restoration, Temporary. Dental Restoration, Temporary. Resumo Atualmente, a estética, e em especial o sorriso, agregam um valor social considerável. Dessa forma, ao sofrerem a perda dental, os pacientes desejam que sua reabilitação seja realizada de forma rápida e segura. A reabilitação oral tem como objetivo devolver ao paciente a eficiência mastigatória, fonética, estética e a qualidade de vida. A etapa diagnóstica constitui um dos passos mais importantes e relevantes no estabelecimento de um correto planejamento do tratamento e, desta forma, torna-se possível obter resultados de excelência. O presente estudo teve como objetivo demonstrar a importância do enceramento diagnóstico na reabilitação oral. Paciente procurou tratamento no Curso de Especialização em Prótese Dentária da Odonto School, devido a queixas associadas a estética e função. Para melhorar sua qualidade de vida, foi realizado o planejamento do caso por meio do enceramento diagnóstico e uma solução protética foi proposta. Ao final do tratamento e durante o acompanhamento do caso, a paciente relatou satisfação e melhora significativa na qualidade de vida. Pode-se concluir que o enceramento diagnóstico apresenta soluções personalizadas oferecendo, por meio de estudo prévio, uma resolução clínica efetiva ao paciente. Palavras-chave: Reabilitação Bucal. Restauração Dentária Temporária. Prótese Dentária Temporária.


Author(s):  
Larissa Braga dos Santos ◽  
Adriano Relvas Barreira de Oliveira ◽  
Mauro Lefrançois ◽  
Marcos Venício Azevedo ◽  
Pablo Sotelo ◽  
...  

Digital planning of the prosthesis associated with surgical planning increased predictability, since surgical guides indicate the best place for implant installation, thus reducing the number of complications, and the CAD/CAM system provides predictability in the preparation of final restorations, according to the procedure previously planned. Our study reported a digital workflow used for the guided installation of two dental implants in regions 14 and 16, extraction of tooth 15 and installation of a fixed prothesis over implants. After anamnesis and clinical evaluation, intra- and extra-oral photographs of the patient were performed, molding the upper arch with polyvinylsiloxane (2-step putty/light-body technique) and requesting computed tomography. The plaster model obtained was sent to the laboratory and scanned. The generated file (STL) was used to create a diagnostic wax-up that was aligned to the tomography (in DICOM format), enabling the three-dimensional planning of the implants, which generated a partial printed surgical guide after approval of the dentist. After six months, the patient received the provisional fixed prosthesis printed in PMMA (polymethylmethacrylate) on an intermediate in PEEK (polyetheretherketone) aiming to condition an emergency profile to receive a definitive prosthesis two months later, with zirconia-milled infrastructure on a ti-base. The correct understanding of the operator about the steps of the digital workflow (diagnosis, prosthetic planning, surgical planning, guide preparation, temporary and final restorations) gives the operator improved predictability at the time of surgery as well as satisfactory aesthetic and functional result of definitive restorations.


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