Search Results (201)

Background/Objectives: The aim of this study was to show a standardized four-step technique that can offer individually personalized full-mouth therapy for each complex dental patient with erosive tooth wear resulting from bulimia nervosa, focusing on the individualized vertical dimension of occlusion (VDO), functional and aesthetic stability, and patient-reported outcomes, including dental symptoms, nutrition, self-perception, and quality of life. Methods: The following steps are proposed for structured full-mouth rehabilitation. Step 1: Intraoral diagnosis via a single computer-aided impression. Step 2: Determination of a new adequate vertical dimension of occlusion and soft tissue prediction. Step 3: Removable sample dentures—prototypes. Step 4: Non-prep/minimal-prep crowns as the long-term provisional/definitive treatment. Results: Nine adults (11% male) with dental erosion caused by bulimia nervosa (78%), gastro-esophageal reflux (11%), and soft drinks (11%) were part of this cohort. The novel digital workflow enabled restoration of an individualized vertical dimension of occlusion, stable occlusion, appropriate centric and eccentric contacts, biomimetic dental anatomy, harmonious tooth proportions, and optimized red–white aesthetics. Dental problems (hypersensitivity, dental pain), nutritional behavior, body perception, and quality of life improved after the full-mouth rehabilitation. Conclusions: The presented digital workflow offers a promising approach for full-mouth rehabilitation in patients with severe dental erosion, particularly associated with bulimia nervosa, enabling structured restoration planning and stepwise evaluation of the vertical dimension of occlusion and functional adaptation. Prospective studies with larger cohorts are needed to confirm long-term clinical outcomes and patient-reported benefits. Full article

Biomass-derived activated carbons (ACs) are promising sustainable adsorbents for water polishing; however, their performance in real aqueous matrices cannot always be predicted from BET surface area alone. In this study, chemically activated biomass-derived carbonaceous adsorbents were prepared from Cocoa Pod Husk (CPH), Watermelon Peel (WP), and Pineapple Crown (PC) and evaluated for Chemical Oxygen Demand (COD) removal from real eutrophic lagoon water. The materials were characterized by N₂ adsorption–desorption analysis, including BET surface area and BJH pore-size assessment, XRD, Raman spectroscopy, FTIR, UV–Vis diffuse reflectance spectroscopy, and pH_PZC analysis. Although all adsorbents exhibited low N₂-BET surface areas, adsorption performance was governed by apparent functional pore accessibility inferred from adsorption behavior, pore size distribution, surface chemistry, structural disorder, electronic delocalization, and surface charge. Among the acid-activated samples, ACPCSA5 showed a narrow average pore size of 1.720 nm and achieved near-complete COD removal. Its superior performance was associated with oxygen-containing functional groups, partially developed sp² carbon domains, lower optical band gap, BJH-derived pore architecture, and favorable surface charge at lagoon pH. The Microbial Regrowth Potential Index (MRPI) was introduced only as a conservative COD-based proxy, not as a validated biological indicator. Overall, this work demonstrates that adsorption in real-water matrices depends on accessible pore architecture and multifunctional surface chemistry rather than BET surface area alone. Full article

Background/Objectives: 3D printing of removable dentures and temporary crowns and bridges is currently one of the fastest-developing technologies in prosthetic dentistry. However, little is known about the effect of different beverage solutions on the strength and color of 3D-printed denture resins. The study aimed to determine the effect of coffee, red wine, 40% ethyl alcohol, and water (reference samples) on six 3D-printed denture resins (Denture 3D+ (Nexdent); Vita Vionic (Vita), Lucitone Digital Print 3D (Dentsply), DX Denture Flex (Dentex); Formlab Denture Base (Formlabs, Optiprint Dentona). Materials and Methods: Resin samples measuring 3.3 × 10 × 65 mm (144 total) and disks 1 × 20 mm (108 total) were produced using an Asiga printer. The printed materials were then stored in coffee, red wine and distilled water and vodka for 30 days. After this time, they were subjected to a flexural strength (FS) test and the measurement of color change (CC), and compared to reference samples measured before contact with the solutions. One- and two-way ANOVA were used for statistical analysis to compare samples before and after contact with the solutions. Results: The vodka solution affected the materials’ FS—the strength was reduced from 10% (Lucitone) to 88% (Detax). For the sample with the most significant FS reduction, the elastic modulus could not be determined. The largest CCs were observed for coffee (E = 22.66 ± 1.26), and red wine (E = 21.04 ± 0.70), whereas vodka had the least effect on CC (Lucitone E = 1.04 ± 0.41 and Form Labs E = 1.31 ± 0.85). Conclusions: 3D-printed resins are susceptible to the effects of commonly consumed substances, such as coffee, vodka, and red wine. When designing and manufacturing removable prosthetic restorations, it is necessary to carefully consider the dietary habits of patients and the materials from which the removable prosthetics are printed. Full article

Heavy metal contamination in water remains a major environmental concern due to the persistence, toxicity, and bioaccumulation potential of metal ions such as Ni²⁺ and Cu²⁺. Therefore, the development of sustainable membrane materials with improved permeability and metal ion retention capacity is of significant interest for advanced water purification applications. In this research, crown ether-functionalized cellulose acetate membranes were developed by employing cyanuric chloride as a linker in order to enable advanced heavy metal ion retention capacity. In order to achieve this, the modification process involved a multi-step approach comprising successive hydroxylation, silanization, triazine activation, and crown ether grafting. The successful functionalization was confirmed by FTIR (Fourier Transform Infrared Spectroscopy) and XPS (X-ray Photoelectron Spectroscopy) analyses, while thermal characterization demonstrated improved stability over a wide range of temperatures without compromising the integrity of the cellulose acetate backbone. The crown-ether-functionalized membranes exhibited enhanced performance in terms of heavy metal ion separation, demonstrating significantly higher retention of Ni²⁺ (30%) and Cu²⁺ (27%) as compared to pristine CA membranes (<10%) over repeated filtration cycles. These results demonstrate that crown ether functionalization is a versatile approach for tuning the interfacial features of cellulose acetate membranes in order to achieve increased permeability and selectivity toward heavy metal removal, highlighting their potential for advanced water purification applications. Full article

Background: Elderly patients often experience difficulty adapting to occlusal reconstruction. Therefore, accurate bite registration is mandatory to ensure precise transfer of the established maxillomandibular relationship to the definitive prosthesis. However, conventional bite registration methods may compromise reproducibility because of deformation of registration materials and instability of mucosa-supported record bases. Methods: A 65-year-old woman with the primary complaints of unstable occlusion and difficulty in mastication underwent occlusal reconstruction. After occlusal stabilization using provisional crowns, bridges, and removable partial dentures, definitive impressions were made with and without the provisional restorations. The casts were scanned, and the digital datasets were superimposed to reproduce the established occlusal morphology of the provisional restorations. This occlusal morphology was used to design a tooth-supported computer-aided design–computer-aided manufacturing (CAD–CAM)-fabricated milled provisional restoration. Following intraoral verification of occlusal stability, the milled provisional restoration served as a mounting guide for the working casts on an articulator. Definitive crowns, bridges, and removable partial dentures were then fabricated. Results: Following comprehensive prosthodontic rehabilitation with definitive prostheses, occlusal stability and masticatory function improved, and the patient was satisfied with the functional outcomes of treatment. Conclusions: A tooth-supported CAD–CAM-fabricated milled provisional restoration used as a bite registration device enables potentially more consistent transfer of the maxillomandibular relationship while avoiding mucosal displacement and material deformation. This technique, which integrates digital and conventional workflows, may provide a new option for addressing adaptation challenges in occlusal reconstruction. Full article

The aim of this research was to quantify the capacity of different shrub species to remove atmospheric CO₂, to adsorb particulate matter and to dissipate latent heat through transpiration. A total of 308 established plants comprising Deutzia scabra, Elaeagnus × ebbingei, Euonymus japonicus, Forsythia × intermedia, Laurus nobilis, Ligustrum vulgare, Pittosporum tobira, Prunus laurocerasus and Viburnum tinus were selected in Lugano (Switzerland) and Bolzano (Italy). Stem diameter, crown radius, Leaf Area Index, net CO₂ assimilation per unit leaf area (A_leaf), transpiration, and stomatal conductance (g_s) were measured during spring, summer, and fall. The net CO₂ assimilation per unit of crown projection area and per plant were calculated by upscaling A_leaf using a multilayer model. Latent heat dissipation was calculated using the Penman–Monteith equation. The amount of PM trapped on leaves was measured using a gravimetric method. Differences in leaf area and leaf gas exchange among species affected their capacity to deliver specific ecosystem services. Forsythia, Pittosporum, Elaeagnus and Deutzia removed about 40% more CO₂ per unit crown projection area than Laurus, Ligustrum, and Euonymus. Latent heat dissipation by shrubs was, on average, 130 W m⁻², which is comparable to that of tree species. PM removal per unit leaf area was higher in species with sparse canopies and rough leaf surfaces. Full article

At present, human activity is the main source of water pollution. The tanning industry is a primary source of water contamination with Cr(III), which can cause various diseases if ingested. A circular economy approach proposes an effective, low-cost solution. The utilization of waste from the food industry is used for the removal of Cr(III) through biosorption. This study evaluated the adsorption capacity of orange peel (OP) and pineapple crown (PC) pretreated with H₂O₂ and NaOH was evaluated under different operating conditions. The physicochemical properties of the biosorbents were characterized using techniques such as Fourier transform infrared spectroscopy (FTIR), scanning electron microscopy (SEM), energy-dispersive X-ray spectroscopy (EDS) and X-ray diffraction (XRD). The results show that treatment with NaOH at 60 °C obtained an adsorption capacity of 61.63 mg/g and 64.19 mg/g for OP and PC, respectively. The combined biosorbents resulted in an approximately 50% increase in the adsorption capacity of Cr(III) compared to individual biosorbents. The isotherms that best fit the experimental data were Sips and Redlich–Peterson (RP) models, suggesting heterogeneous adsorption behavior in biosorbents. Thermodynamic parameters indicated that biosorption process was spontaneous and endothermic. Full article

Abandoned and semi-abandoned chestnut (Castanea sativa Mill.) orchards can be restored to production by removing invasive vegetation and pruning overgrown crowns. Both interventions stimulate a strong reaction from the old trees, which sprout abundant suckers at the root collar and along the stem. Suckers must be removed promptly to boost fruit-bearing branches. Sucker removal can be achieved with traditional manual tools (e.g., pruning saws or pole saws) or with more modern semi-mechanized methods relying on battery-powered saws. The latter are much more expensive than the former and questions arise regarding the minimum amount of work necessary to justify their purchase. This study compared the two methods, showing that the introduction of a battery-powered saw would boost work productivity by 67%, that is, from 18 to 31 trees per day. At current cost levels, that productivity margin would justify investment in a semi-mechanized system when treating at least 100 trees per year. In that case, the de-suckering cost would amount to 3.8 and 3.9 € tree⁻¹ respectively for semi-mechanized and manual systems. Shifting from manual to semi-mechanized operation also resulted in a significant reduction in the physiological workload imposed on the workers, which would decrease by −4% to −71% depending on the circumstances. Productivity and workload variations followed the same trend, but their magnitude was highly dependent on the individual worker. Full article

Outbreaks of crown-of-thorns sea stars (CoTS) threaten coral reef integrity and biodiversity, yet local dynamics and short-term responses to control remain insufficiently described. This study characterised an outbreaking Acanthaster population in two specific sites of the coast of Khor Fakkan (Gulf of Oman, United Arab Emirates) to resolve species identity, population composition, prey selection and the effects of targeted removals. All sequenced individuals clustered in two related haplotypes belonging to the species Acanthaster planci. Benthic surveys showed moderate live-coral cover, dominated by massive Porites sp. colonies. Moreover, the observations of 139 preyed colonies revealed pronounced genus-level selectivity, with branching and complex morphologies suffering disproportionately and massive forms largely avoided. However, the selection of massive Plesiastrea and Favites genera as preferred coral prey might suggest a shift towards less preferred coral in the CoTS diet, posing a severe threat to coral reefs’ integrity. Intensive removal reduced the local density, up to 86%, and provided substantial short-term relief, but continued monitoring is required to secure long-term reef resilience. Full article

Fusarium oxysporum f. sp. radicis-lycopersici (Forl) is the etiological agent of tomato Fusarium crown and root rot (FCRR), a devastating soil-borne disease that severely compromises global tomato production. The pathogenicity of Forl has been increasingly linked to its capacity to produce phytotoxic isocassadiene-type diterpenoids. In this study, Forl was cultured in rice medium to obtain Forl cultures, which were used for the separation and identification of secondary metabolites. After removing the known metabolites, two new isocassadiene-type diterpenoid compounds, namely fusariumic acids I (1) and J (2), were isolated from the ethyl acetate extract. Their structures were identified using spectroscopic data analyses and quantum chemical calculations. This is the first report of the fusariumic acid analogs containing a hydroxyl group at position C–1 in the molecule. Fusariumic acids I (1) and J (2) exhibited significantly inhibitory activities on the hypocotyl elongation of tomato (Solanum lycopersicum) and sesame (Sesamum indicum) seedlings, as well as on the coleoptile elongation of rice (Oryza sativa var. japonica) seedlings at concentrations from 10 to 100 µg/mL. The discovery of two new phytotoxic isocassadiene-type diterpenoids expanded the diversity of secondary metabolites of Forl. Meanwhile, it provided critical insights into Forl-tomato interactions and the candidate lead compounds for the development of new herbicides as well. Full article

Background/Objectives: The purpose of this study was to investigate the laser removal of implant-supported ceramic single crowns, focusing on their efficiency and the potential reusability of the removed restorations. Methods: Sixty single crowns made of lithium disilicate were adhesively bonded to prefabricated titanium abutments in a total of six test series (n = 10). The test series were divided according to the different spacer settings of the crowns (90 µm, 120 µm, 150 µm) and the taper of the abutments (4°, 6°). After seven days of storage in distilled water, the single crowns were removed using an erbium-doped yttrium aluminium garnet (Er:YAG) laser. The number of laser pulses needed and the time required to remove the crowns were recorded. This was followed by a micro- and macroscopic score evaluation of the crowns using a fluorescent penetration method. Results: Laser removal of all sixty crowns was successfully performed. Using a taper of 6° and a spacer of 150 µm, the crowns were removed with significantly fewer pulses (61.40 (±36.78)). The taper and spacer had a significant effect on both the microscopic (p = 0.040) and macroscopic (p = 0.035) fracture patterns. Based on the final score of the fracture analysis, 44 of the 60 crowns could be classified as potentially reusable. The remaining 16 crowns failed due to purely macroscopic (7), purely microscopic (6), and combined microscopic and macroscopic (3) fracture behavior. Conclusions: Based on the results of this study, increasing the size of the taper and spacer has proven beneficial for laser removal in terms of time efficiency and non-destructive removal of crowns. Full article

Background: Language serves as a significant barrier to accessing dental services. Dental treatment options are often complex and involve terminology that is unfamiliar to most patients. In some cases, dental students may use technical terms that patients do not understand, leading to confusion and misunderstandings. Therefore, this study aimed to assess the language barriers faced by dental students and patients in Riyadh, Saudi Arabia. Methods: A mixed-methods research design was employed to evaluate language barriers between dental students and patients, as it provides an in-depth understanding and generates information beyond mere numerical data. The study was conducted from 1 September 2024, to 30 August 2025, in Riyadh, Saudi Arabia. Data collection primarily involved conducting interviews with focus group members using a comprehensive topic guide consisting of predetermined questions. Results: Forty dental students and forty patients agreed to participate in this study. The students encountered significant difficulty explaining terms such as crown lengthening (72.5%) and periodontitis (67.5%), while patients reported limited understanding of interim removable dental prosthesis (65%) and fixed dental prosthesis (60%). Comparative analysis indicated that sixth-year students reported significantly more difficulty explaining “crown lengthening” and “prefabricated post and core” compared to fifth-year students. It was also observed that patients’ educational level had a significant impact on their understanding of terms such as “interim dental prosthesis” and “removable dental prosthesis.” Qualitative analysis revealed patients’ partial understanding or misinterpretation of dental terminologies. Conclusions: Our findings indicate that language discordance, even among speakers of the same native language, can hinder effective communication, particularly when technical vocabulary is involved. Students may struggle to explain procedures in a manner that patients can easily understand. This can lead to incomplete patient comprehension and potential non-compliance with treatment recommendations. Hence, we recommend incorporating Arabic dental terminologies alongside English into the curriculum, developing bilingual glossaries, and using visual aids when communicating with patients. Full article

Background/Objectives: Dental implants are a preferred solution for missing teeth, but peri-implantitis remains a major challenge in implant dentistry. This narrative review provides an overview of the therapeutic interventions for peri-implantitis based on the current literature and illustrates a new clinical approach using novel magnesium membrane through three case presentations. Methods: A comprehensive literature search on peri-implantitis management was conducted, with emphasis on current clinical practice guidelines. In addition, three clinical cases were presented to demonstrate the use of a fully resorbable magnesium membrane in combination with a bovine xenograft with hyaluronate. Results: The narrative review identified and summarized a wide range of non-surgical and surgical therapeutic strategies for treatment of peri-implantitis. Additionally, three case reports with novel magnesium membrane highlighted distinct clinical scenarios: (1) bone defect reconstruction without implant removal, (2) reconstruction following implant removal, and (3) a minimally invasive shield technique performed without removal of the implant or crown. All cases demonstrated favorable clinical outcomes following the novel biomaterial approach. Conclusions: The combination of a resorbable magnesium membrane with bovine xenograft with hyaluronate represents a promising therapeutic strategy for treatment of peri-implantitis. This approach may improve clinical outcomes and potentially set new standards in implant dentistry. Further studies with larger cohorts and control groups are required to confirm these preliminary findings. Full article

Background/Objectives: Understanding changes in dental service utilization is vital for planning effective oral health strategies in aging societies. In this study, we aimed to elucidate nationwide trends in major dental procedures in Japan from fiscal year (FY) 2016 to FY2023, and to assess the age, period, and cohort effects underlying these trends. Methods: Using open data from Japan’s National Database of Health Insurance Claims, five procedure types were analyzed: cavity filling, dental calculus removal, tooth extraction, dental crown procedures, and denture procedures. Descriptive analyses were performed to examine the annual and age-specific changes in the number of procedures per 1000 population. Age–period–cohort (APC) analyses were conducted using Poisson regression with spline functions, applying 10-year age groups. Results: From FY2016 to FY2023, restorative and prosthetic procedures, including cavity fillings, crowns, and dentures, demonstrated a steady decline, whereas preventive procedures, such as dental calculus removal increased, particularly among younger age groups. The APC analysis revealed distinct age-, period-, and cohort-related patterns in dental service utilization. Age effects indicated relatively higher rates of prosthetic procedures among older adults, whereas cohort effects suggested generational improvements in oral health. Period effects showed a downward shift beginning in FY2020, temporally aligned with the coronavirus disease pandemic. Conclusions: The combined descriptive and APC analyses indicate evolving patterns in dental service utilization in Japan, characterized by increased preventive care among younger generations and persistent age-related differences in prosthetic service use. These findings provide population-based evidence relevant for planning sustainable oral healthcare systems in aging societies. Full article

Developing sustainable and molecularly selective adsorbents for heavy-metal removal remains a critical challenge in water purification. Herein, we report a green molecular-engineering approach for fabricating aza-crown ether functionalized sodium alginate aerogels (ACSA) capable of highly selective Cu²⁺ capture. The aerogels were synthesized via saccharide-ring oxidation, Cu²⁺-templated self-assembly, and reductive amination, enabling the covalent integration of aza-crown ether motifs within a hierarchically porous biopolymer matrix. Structural analyses (FTIR, ¹³C NMR, XPS, SEM, TGA) confirmed the in situ formation of macrocyclic N/O coordination sites. Owing to their interconnected porosity and chemically stable framework, ACSA exhibited rapid sorption kinetics following a pseudo-second-order model (R² = 0.999) and a Langmuir maximum adsorption capacity of 150.82 mg·g⁻¹. The material displayed remarkable Cu²⁺ selectivity over Zn²⁺, Cd²⁺, and Ni²⁺, arising from the precise alignment between Cu²⁺ ionic radius (0.73 Å) and crown-cavity dimensions, synergistic N/O chelation, and Jahn-Teller stabilization. Over four regeneration cycles, ACSA retained more than 80% of its original adsorption capacity, confirming excellent durability and reusability. This saccharide-ring modification strategy eliminates crown-ether leaching and weak anchoring, offering a scalable and environmentally benign route to bio-based adsorbents that combine molecular recognition with structural stability for efficient Cu²⁺ remediation and beyond. Full article