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  1. Article ; Online: Pre-doctoral dental students' knowledge, training, perceptions, and attitudes regarding obesity and treatments: A survey study.

    Biary, Tamara / Finkelman, Mathew / Tassabehji, Nadine M

    Journal of dental education

    2024  Volume 88, Issue 6, Page(s) 832–839

    Abstract: Objective: The aims of this study were to assess first-year predoctoral dental students' knowledge, training, perceptions, and attitudes on obesity and to compare knowledge, perceptions, and attitudes before and after attending an educational ... ...

    Abstract Objective: The aims of this study were to assess first-year predoctoral dental students' knowledge, training, perceptions, and attitudes on obesity and to compare knowledge, perceptions, and attitudes before and after attending an educational presentation.
    Methods: A presentation explaining the impact of obesity and its treatments on oral health was developed and presented to first-year predoctoral dental students (D1's) in the Doctor of Dental Medicine program. Before ("pre") and after ("post") the presentation, attending students were given the opportunity to take an anonymous and voluntary survey. Questions on the survey covered topics on knowledge, training, perceptions, and attitudes about obesity.
    Results: Thirty-four of the 213 students in the course (response rate = 16.0%) attended the presentation and completed both the pre- and post-surveys. Most participating students reported receiving 0-5 h of education on obesity since starting their dental education. Regarding pre-survey answers to knowledge-based items, the percentage of students answering, "strongly agree" (representing the greatest knowledge level) ranged from 5.9% to 61.8% across items. Significant improvements from pre- to post-survey were observed for all knowledge-based items except a statement that obesity is associated with serious medical conditions. Significant improvements were also found for perception-based items asking about accommodations for patients and the importance of assessing dietary habits. Additionally, at post-survey, students reported significantly less discomfort asking about dietary habits and weight loss medications.
    Conclusion: Dental curricula policy makers and developers should consider the incorporation of obesity and its treatments, with nutrition experts teaching the content.
    MeSH term(s) Humans ; Obesity/therapy ; Obesity/psychology ; Students, Dental/psychology ; Students, Dental/statistics & numerical data ; Health Knowledge, Attitudes, Practice ; Education, Dental ; Attitude of Health Personnel ; Surveys and Questionnaires ; Female ; Male
    Language English
    Publishing date 2024-02-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 410579-5
    ISSN 1930-7837 ; 0022-0337
    ISSN (online) 1930-7837
    ISSN 0022-0337
    DOI 10.1002/jdd.13481
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Attention-deficit hyperactivity disorder and psychostimulant use in patients seeking dental care-Associations with common orofacial pain complaints.

    Malacarne, Alberto / Jain, Shruti / Barouxis, Lena / Walterscheid, Bailey / Finkelman, Matthew

    Journal of oral rehabilitation

    2024  Volume 51, Issue 6, Page(s) 947–953

    Abstract: Background: Dental medicine should expand its scope to properly assess medical and psychosocial factors that might have an impact on patients' oral health. Based on previous literature and clinical experience, attention-deficit/hyperactivity disorder ... ...

    Abstract Background: Dental medicine should expand its scope to properly assess medical and psychosocial factors that might have an impact on patients' oral health. Based on previous literature and clinical experience, attention-deficit/hyperactivity disorder and psychostimulant medications might represent factors associated with orofacial pain symptoms.
    Objective: The aim of the study was to assess whether common orofacial pain complaints such as jaw pain, jaw clicking, teeth clenching and headaches are more prevalent in dental patients who have an ADHD diagnosis and/or use psychostimulant medications.
    Methods: Orofacial pain symptoms prevalence was compared among four groups from a sample of new patients seeking dental care at Tufts University School of Dental Medicine (n = 11 699) based on ADHD diagnosis and psychostimulants intake: G1: no ADHD, no stimulants; G2: yes ADHD, yes stimulants; G3: yes ADHD, no stimulants; G4: no ADHD, yes stimulants.
    Results: In multivariable logistic regression models adjusting for age, gender, tobacco use, and alcohol consumption, significant differences were found for clenching (p < .0001), jaw pain (p < .0001), and headache (p < .0001). Compared to G1, two groups (G2 and G4) exhibited significantly higher odds of clenching and headaches, whereas only G2 exhibited significantly higher odds of jaw pain.
    Conclusions: In comparison with patients without ADHD and not taking psychostimulants medications, dental patients using psychostimulants with and without ADHD diagnosis report headaches and teeth clenching more frequently, while jaw pain is reported more frequently only by those taking psychostimulants with an ADHD diagnosis. Further research is necessary to assess the nature of these associations and their clinical relevance.
    MeSH term(s) Humans ; Attention Deficit Disorder with Hyperactivity/drug therapy ; Male ; Female ; Facial Pain ; Central Nervous System Stimulants/therapeutic use ; Adult ; Prevalence ; Middle Aged ; Adolescent ; Young Adult ; Dental Care ; Headache
    Chemical Substances Central Nervous System Stimulants
    Language English
    Publishing date 2024-02-20
    Publishing country England
    Document type Journal Article
    ZDB-ID 187079-8
    ISSN 1365-2842 ; 0305-182X
    ISSN (online) 1365-2842
    ISSN 0305-182X
    DOI 10.1111/joor.13662
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Influence of scanning protocol on the accuracy of complete-arch digital implant scans: An in vitro study.

    Hamilton, Adam / Negreiros, William Matthew / Jain, Shruti / Finkelman, Matthew / Gallucci, German O

    Clinical oral implants research

    2024  Volume 35, Issue 6, Page(s) 641–651

    Abstract: Objective: This in-vitro study assessed the influence of two intraoral scanning (IOS) protocols on the accuracy (trueness and precision) of digital scans performed in edentulous arches.: Methods: Twenty-two abutment-level master casts of edentulous ... ...

    Abstract Objective: This in-vitro study assessed the influence of two intraoral scanning (IOS) protocols on the accuracy (trueness and precision) of digital scans performed in edentulous arches.
    Methods: Twenty-two abutment-level master casts of edentulous arches with at least four implants were scanned repeatedly five times, each with two different scanning protocols. Protocol A (IOS-A) consisted of scanning the edentulous arch before inserting the implant scan bodies, followed by their insertion and its subsequent digital acquisition. Protocol B (IOS-B) consisted of scanning the edentulous arch with the scan bodies inserted from the outset. A reference scan from each edentulous cast was obtained using a laboratory scanner. Trueness and precision were calculated using the spatial fit analysis, cross-arch distance, and virtual Sheffield test. Statistical analysis was performed using generalized estimating equations (GEEs). Statistical significance was set at α = .05.
    Results: In the spatial fit test, the precision of average 3D distances was 45 μm (±23 μm) with protocol IOS-A and 25 μm (±10 μm) for IOS-B (p < .001), and the trueness of average 3D distances was 44 μm (±24 μm) with protocol IOS-A and 24 μm (±7 μm) for IOS-B (p < .001). Cross-arch distance precision was 59 μm (±53 μm) for IOS-A and 41 μm (±43 μm) for IOS-B (p = .0035), and trueness was 64 μm (±47 μm) for IOS-A and 50 μm (±40 μm) for IOS-B (p = .0021). Virtual Sheffield precision was 286 μm (±198 μm) for IOS-A and 146 μm (±92 μm) for IOS-B (p < .001), and trueness was 228 μm (±171 μm) for IOS-A and 139 μm (±92 μm) for IOS-B (p < .001).
    Conclusions: The IOS-B protocol demonstrated significantly superior accuracy. Placement of scan bodies before scanning the edentulous arch is recommended to improve the accuracy of complete-arch intraoral scanning.
    MeSH term(s) Humans ; In Vitro Techniques ; Imaging, Three-Dimensional/methods ; Dental Implants ; Computer-Aided Design ; Jaw, Edentulous/diagnostic imaging ; Models, Dental ; Dental Arch/diagnostic imaging ; Dental Arch/anatomy & histology
    Chemical Substances Dental Implants
    Language English
    Publishing date 2024-04-03
    Publishing country Denmark
    Document type Journal Article
    ZDB-ID 1067626-0
    ISSN 1600-0501 ; 0905-7161
    ISSN (online) 1600-0501
    ISSN 0905-7161
    DOI 10.1111/clr.14259
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Accuracy of artificial intelligence-based segmentation of the mandibular canal in CBCT.

    Ntovas, Panagiotis / Marchand, Laurent / Finkelman, Matthew / Revilla-León, Marta / Att, Wael

    Clinical oral implants research

    2024  Volume 35, Issue 9, Page(s) 1163–1171

    Abstract: Objectives: To investigate the accuracy of artificial intelligence (AI)-based segmentation of the mandibular canal, compared to the conventional manual tracing, implementing implant planning software.: Materials and methods: Localization of the ... ...

    Abstract Objectives: To investigate the accuracy of artificial intelligence (AI)-based segmentation of the mandibular canal, compared to the conventional manual tracing, implementing implant planning software.
    Materials and methods: Localization of the mandibular canals was performed for 104 randomly selected patients. A localization was performed by three experienced clinicians in order to serve as control. Five tracings were performed: One from a clinician with a moderate experience with a manual tracing (I
    Results: The discrepancy among the models of the mandibular canals, between the experienced clinicians and each investigated method ranged from 0.21 to 7.65 mm with a mean of 3.5 mm RMS error. The analysis of each separate mandibular canal's section revealed that mean RMS error was higher in the posterior and anterior loop compared to the middle section. Regarding time efficiency, tracing by experienced users required more time compared to AI-driven segmentation.
    Conclusions: The experience of the clinician had a significant influence on the accuracy of mandibular canal's localization. An AI-driven segmentation of the mandibular canal constitutes a time-efficient and reliable procedure for pre-operative implant planning. Nevertheless, AI-based segmentation results should always be verified, as a subsequent manual refinement of the initial segmentation may be required to avoid clinical significant errors.
    MeSH term(s) Humans ; Mandible/diagnostic imaging ; Mandible/anatomy & histology ; Artificial Intelligence ; Cone-Beam Computed Tomography/methods ; Female ; Male ; Adult ; Middle Aged
    Language English
    Publishing date 2024-06-07
    Publishing country Denmark
    Document type Journal Article
    ZDB-ID 1067626-0
    ISSN 1600-0501 ; 0905-7161
    ISSN (online) 1600-0501
    ISSN 0905-7161
    DOI 10.1111/clr.14307
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Accuracy of manual and artificial intelligence-based superimposition of cone-beam computed tomography with digital scan data, utilizing an implant planning software: A randomized clinical study.

    Ntovas, Panagiotis / Marchand, Laurent / Finkelman, Matthew / Revilla-León, Marta / Att, Wael

    Clinical oral implants research

    2024  Volume 35, Issue 10, Page(s) 1262–1272

    Abstract: Objectives: To investigate the accuracy of conventional and automatic artificial intelligence (AI)-based registration of cone-beam computed tomography (CBCT) with intraoral scans and to evaluate the impact of user's experience, restoration artifact, ... ...

    Abstract Objectives: To investigate the accuracy of conventional and automatic artificial intelligence (AI)-based registration of cone-beam computed tomography (CBCT) with intraoral scans and to evaluate the impact of user's experience, restoration artifact, number of missing teeth, and free-ended edentulous area.
    Materials and methods: Three initial registrations were performed for each of the 150 randomly selected patients, in an implant planning software: one from an experienced user, one from an inexperienced operator, and one from a randomly selected post-graduate student of implant dentistry. Six more registrations were performed for each dataset by the experienced clinician: implementing a manual or an automatic refinement, selecting 3 small or 3 large in-diameter surface areas and using multiple small or multiple large in-diameter surface areas. Finally, an automatic AI-driven registration was performed, using the AI tools that were integrated into the utilized implant planning software. The accuracy between each type of registration was measured using linear measurements between anatomical landmarks in metrology software.
    Results: Fully automatic-based AI registration was not significantly different from the conventional methods tested for patients without restorations. In the presence of multiple restoration artifacts, user's experience was important for an accurate registration. Registrations' accuracy was affected by the number of free-ended edentulous areas, but not by the absolute number of missing teeth (p < .0083).
    Conclusions: In the absence of imaging artifacts, automated AI-based registration of CBCT data and model scan data can be as accurate as conventional superimposition methods. The number and size of selected superimposition areas should be individually chosen depending on each clinical situation.
    MeSH term(s) Cone-Beam Computed Tomography/methods ; Humans ; Artificial Intelligence ; Software ; Female ; Male ; Middle Aged ; Adult ; Artifacts ; Dental Implantation, Endosseous/methods ; Patient Care Planning ; Aged
    Language English
    Publishing date 2024-06-10
    Publishing country Denmark
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 1067626-0
    ISSN 1600-0501 ; 0905-7161
    ISSN (online) 1600-0501
    ISSN 0905-7161
    DOI 10.1111/clr.14313
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Evaluating a student's performance in CAMBRA using teledentistry.

    DiLuigi, Maria / Hagel, Natalie / Finkelman, Matthew

    Journal of dental education

    2022  Volume 87 Suppl 3, Page(s) 1773–1775

    MeSH term(s) Humans ; Education, Dental ; Education, Distance ; Students, Dental
    Language English
    Publishing date 2022-07-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 410579-5
    ISSN 1930-7837 ; 0022-0337
    ISSN (online) 1930-7837
    ISSN 0022-0337
    DOI 10.1002/jdd.13015
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Comment on: 1,3-β-d-Glucan contamination of common antimicrobials.

    Finkelman, M A

    The Journal of antimicrobial chemotherapy

    2016  Volume 71, Issue 10, Page(s) 2996–2997

    Language English
    Publishing date 2016-10
    Publishing country England
    Document type Letter
    ZDB-ID 191709-2
    ISSN 1460-2091 ; 0305-7453
    ISSN (online) 1460-2091
    ISSN 0305-7453
    DOI 10.1093/jac/dkw237
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  8. Article ; Online: Evaluation of marginal and internal adaptation of veneers generated by the guided prosthetic tooth preparation system.

    Abulhamael, Shahad M / Papathanasiou, Aikaterini / Kostagianni, Aikaterini / Jain, Shruti / Finkelman, Matthew / Mourão, Carlos Fernando / Ali, Ala

    Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.

    2024  Volume 36, Issue 6, Page(s) 911–919

    Abstract: Objective: This in vitro study aimed to assess and contrast the marginal and internal adaptation of all-ceramic prefabricated veneers manufactured via the FirstFit guided tooth preparation system against all-ceramic veneers produced using the chairside ... ...

    Abstract Objective: This in vitro study aimed to assess and contrast the marginal and internal adaptation of all-ceramic prefabricated veneers manufactured via the FirstFit guided tooth preparation system against all-ceramic veneers produced using the chairside Computer-Aided Design/Computer Aided Manufacture (CAD/CAM) system following identical guided preparation protocols.
    Materials and methods: Two main groups were included, with 16 lithium disilicate veneers per group. Four typodonts were used for the test (FirstFit) and control CAD/CAM groups. Intraoral scans created master casts and preparation guides. Guides performed preparations on typodont teeth (two central incisors and two lateral incisors). Prepared teeth were scanned (CEREC Omnicam) to design and mill CAD/CAM veneers. Marginal gap thickness and cement space thickness were measured using light microscopy at four locations: marginal, cervical internal, middle internal, and incisal internal.
    Results: No significant difference existed between groups for marginal adaptation (p = 0.058) or incisal internal adaptation (p = 0.076). The control group had significantly lower values for middle internal adaptation (p = 0.023) and cervical internal adaptation (p = 0.019).
    Conclusions: Guided preparation evaluation showed no significant differences in marginal or incisal internal adaptation. The CAD/CAM group had significantly lower middle and cervical internal adaptation values.
    MeSH term(s) Dental Veneers ; Humans ; Computer-Aided Design ; Dental Marginal Adaptation ; Tooth Preparation, Prosthodontic/methods
    Language English
    Publishing date 2024-02-26
    Publishing country England
    Document type Journal Article
    ZDB-ID 2043146-6
    ISSN 1708-8240 ; 1496-4155
    ISSN (online) 1708-8240
    ISSN 1496-4155
    DOI 10.1111/jerd.13210
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Rural Zambian Oral Health Transition: A Long-Term Retrospective Examination of an Outreach Program's Progress and Impact.

    Morgan, John P / Marino, Olivia N / Finkelman, Matthew / Mourão, Carlos Fernando / Flubinda, Felicitas S

    Annals of global health

    2023  Volume 89, Issue 1, Page(s) 68

    Abstract: Objective: This study aimed to (a) describe an annual prevention-focused, community-based oral health outreach program in rural Zambia, (b) assess its oral health outcomes using demographic and oral health variables, and c) identify milestones resulting ...

    Abstract Objective: This study aimed to (a) describe an annual prevention-focused, community-based oral health outreach program in rural Zambia, (b) assess its oral health outcomes using demographic and oral health variables, and c) identify milestones resulting from program activities.
    Methods: A retrospective analysis of demographic and oral health data from a single site between 2007-2014 and 2018-2019 was conducted. Demographic variables included sex and age, while clinical outcomes encompassed pain, untreated caries, and treatment urgency. Bivariate and multivariable analyses were performed, adjusting for sex and age categories. Information on community development was obtained from the Ministry of Health and local community representatives.
    Results: Data from 5,791 subjects were analyzed. The prevalence of pain, untreated caries, and highest treatment urgency category decreased consistently across year categories. Both bivariate and multivariable analyses showed statistically significant differences in clinical outcomes between year categories (
    Conclusion: The observed decrease in treatment urgency scores, presence of pain, and untreated caries are consistent with the prevention-seeking behavior of program participants. The increasing participation and changing demographic patterns over time suggest a growing demand for oral health services among males and younger individuals. The positive oral health outcomes and development of a maternal child/oral health facility exemplify a program design aligned with community needs and appropriate care delivery.
    MeSH term(s) Child ; Humans ; Male ; Health Transition ; Oral Health ; Pain ; Retrospective Studies ; Zambia/epidemiology ; Female
    Language English
    Publishing date 2023-10-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2821756-1
    ISSN 2214-9996 ; 2214-9996
    ISSN (online) 2214-9996
    ISSN 2214-9996
    DOI 10.5334/aogh.4179
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Retention of Zirconia Crowns Compared to Stainless Steel Crowns: An Ex-Vivo Study.

    Kayal, Shaden / Kang, Yoon H / Finkelman, Matthew / Swee, Gerald / Loo, Cheen Y

    Pediatric dentistry

    2023  Volume 45, Issue 2, Page(s) 142–146

    Abstract: Purpose: The purpose of this study was to compare the retention of 3M stainless steel crowns: Methods: A total of 45 extracted primary mandibular second molars were allocated randomly to either of the three groups. All teeth were mounted in Dentsply ... ...

    Abstract Purpose: The purpose of this study was to compare the retention of 3M stainless steel crowns
    Methods: A total of 45 extracted primary mandibular second molars were allocated randomly to either of the three groups. All teeth were mounted in Dentsply acrylic molds and then prepared for crown cementation. Crowns were cemented with glass ionomer cement (GIC). Retention testing was performed using Instron 5566A. Differences in retention between the groups were tested via Welch's analysis of variance (ANOVA), and post hoc comparisons were performed with the Games-Howell test.
    Results: Welch's ANOVA resulted in statistically significant differences between the three groups (P<0.001). The mean±SD force in Newtons (N) for the SSC group, Kinder Krowns
    Conclusions: Within the limitations of this ex-vivo study results, due to their statistically significant higher retention, stainless steel crowns should be selected over zirconia crowns when in need of a full coverage restoration. But if esthetics are a concern, dentists can choose freely between either of the ZCs tested in this study.
    MeSH term(s) Humans ; Crowns ; Glass Ionomer Cements ; Materials Testing ; Stainless Steel ; Tooth, Deciduous ; Zirconium
    Chemical Substances Glass Ionomer Cements ; Stainless Steel (12597-68-1) ; Zirconium (C6V6S92N3C) ; zirconium oxide (S38N85C5G0)
    Language English
    Publishing date 2023-04-17
    Publishing country United States
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 604709-9
    ISSN 1942-5473 ; 0164-1263
    ISSN (online) 1942-5473
    ISSN 0164-1263
    Database MEDical Literature Analysis and Retrieval System OnLINE

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