Tamaki HADA1), Maiko IWAKI2), Manabu KANAZAWA3)
1)Oral Devices and Materials, Graduate School of Medical and Dental Sciences,
Institute of Science Tokyo
2)Digital Dentistry, Graduate School of Medical and Dental Sciences, Institute
of Science Tokyo
3)Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental
Sciences, Institute of Science Tokyo
Clinical workflow for digital dentures and future prospects
Recent advances in digital technology have enabled the application of digital workflows to complete denture fabrication. This paper outlines a clinical digital denture workflow starting with the digitization of the denture space by three-dimensional (3D) scanning existing dentures, focusing on the approach implemented at the authors’ university. The workflow includes 3D scanning of current dentures, fabrication of 3D-printed copy dentures for impression and jaw relation records, computer aided design (CAD)-based denture design, and final fabrication using either milling or 3D printing. In addition, the paper also covers emerging technologies such as assembly dentures and jetted dentures, and discusses the potential role of digital dentures in improving efficiency and quality of removable prosthodontic treatment in a super-aged society.
Digital dentures, Complete dentures, CAD/CAM
Hatsuhiko MAEDA
Department of Oral Pathology/Forensic Odontology, School of Dentistry, Aichi Gakuin University
Space dentistry: innovations in space-based dental medicine
With the advancement of space development and the advent of the era of space tourism, dental care in space environments is becoming a realistic issue. Space-related factors, including microgravity, cosmic radiation, and closed environments, affect systemic physiology as well as jawbone metabolism, the oral environment, and immune responses, potentially altering the onset and progression of dental diseases. This paper outlines the concept and research background of space dentistry and discusses how knowledge obtained from the extreme environment of space may contribute to improving dental care on Earth.
Space dentistry, Microgravity, Preventive dental care
Hidehiko SANO1), Chiharu KAWAMOTO2), Ryotaro YAGO3), Atsushi TOMOKIYO4)
1)Hokkaido University
2)Hokkaido University Hospital, Hokkaido University
3)Graduate School of Dental Medicine, Hokkaido University
4)Faculty of Dental Medicine, Hokkaido University
Tooth bleaching, adhesion, and universal-shade resin composites
Since the beginning of the 21st century, advancements in adhesive dentistry originating in Japan, together with the integration of novel technologies, have significantly enhanced the ability to address patients’ aesthetic demands. Nevertheless, despite being a minimally invasive procedure and widely requested by patients, tooth bleaching presents clinical challenges, particularly with regard to the execution of adhesive restorative procedures immediately following bleaching. Recently developed universal-shade resin composites, characterized by their superior color-matching performance, may offer a novel clinical paradigm in which restorative treatment is undertaken prior to subsequent bleaching.
Tooth bleaching, Adhesion, Universal-shade resin composite
Kazuhiro HORI
Division of Comprehensive Prosthodontics,Niigata University Graduate School of Medical and Dental Sciences
Applications and fabrication of velopharyngeal prostheses
Velopharyngeal insufficiency impairs speech and swallowing and is managed with either palatal lift or speech bulb prosthesis depending on the cause. Combined with dentures, these devices can provide immediate functional improvement. Assessment focuses on soft palate and pharyngeal movement, and each prosthesis must be designed and adjusted to the patient’s specific functional needs. Rehabilitation is performed alongside prosthetic treatment to enhance speech and swallowing. This article outlines the principles, evaluation, and fabrication of velopharyngeal prostheses.
Velopharyngeal prosthesis, Palatal lift prosthesis, Speech bulb
Yuichiro NOIRI, Risako SATO, Maki SOTOZONO
Division of Cariology, Operative Dentistry and Endodontics Niigata Univ. Graduate School of Medical and Dental Science
The Reiwa toothbrushing revolution:Pioneering healthy longevity through the development of oral care robots
Toothbrushing habits and methods have long been established. In today's
super-aged society, while many people still shy away from toothbrushing,
digitalization has advanced remarkably, leading to the development of oral
care robots (OCR).
A study involving healthy individuals using three types of brushes—OCR, a
manual toothbrush, and an electric toothbrush—examined the removal rate of
dental biofilm and the efficacy of the Matching Transformation (MA-T)
System® used as an adjunct agent. The results suggest that robotic
toothbrushes and MA-T are effective, raising expectations for their
contributions to the health of individuals requiring care, persons with
disabilities, and others.
Toothbrushing, Oral care robots (OCR), Matching transformation (MA-T) system®
Masayasu MATSUNOBU
Matsunobu Dental Office
Another look at gingival flap surgery
Periodontal surgery should be considered if deep periodontal pockets remain after initial periodontal therapy. While periodontal surgery includes periodontal regenerative therapy, conventional gingival flap surgery is categorized into resective and tissue attachment therapies. However, surgical procedures classified as tissue attachment are currently not commonly used in actual clinical practice, so it is difficult to apply this categorization to clinical practice. Based on an understanding of resective and tissue attachment therapies, this paper takes another look at the procedures for gingival flap surgery.
Periodontal surgery, Resective therapy, Tissue attachment therapy