Search Results (566)

Background/Objectives: The expansion of National Health Insurance (NHI) coverage for dental implants in South Korea has substantially increased implant placements among older adults. While implants offer functional and esthetic benefits, their lack of periodontal ligaments alters occlusal force distribution, potentially increasing biomechanical stress on adjacent or opposing teeth. This study aimed to investigate the association between the increased number of dental implants and the incidence of cracked teeth following the introduction of implant insurance. Methods: A retrospective analysis was conducted using the Clinical Data Warehouse of Seoul St. Mary’s Dental Hospital. Patients who underwent molar crown restorations between 2014 and 2022 were included. The incidence and clinical features of cracked teeth were compared before (2014–2015) and after (2016–2022) the introduction of implant insurance. Statistical analyses assessed differences in symptom presentation, pulp status, and treatment outcomes. Results: Among 5044 molars restored with crowns, 1692 were diagnosed with cracks. The incidence of cracked teeth significantly increased after NHI coverage for implants (25.5% vs. 32.6%, p < 0.001). Cases after insurance implementation showed fewer signs and symptoms at initial presentation (67.4% vs. 50.0%, p < 0.001), reduced irreversible pulpitis (37.2% vs. 25.8%, p < 0.001), and increased preservation of pulp vitality (46.9% vs. 57.8%, p < 0.001). These shifts may reflect changes in occlusal adjustment practices and earlier clinical intervention. Conclusions: The findings suggest a temporal link between increased implant placement and the rising incidence of cracked teeth. Implant-induced occlusal changes may contribute to this trend. Careful occlusal evaluation and follow-up are essential after implant placement, and further prospective studies are warranted to confirm causality and refine prevention strategies. Full article

A novel macrodesign for a dental implant characterized by a non-monotonic variation in core diameter and thread shape has been described to produce lower stress levels during insertion as compared to conventional tapered implants. Two finite element models resembling the lower left molar region with preformed osteotomies were created based on a cone beam computed tomography (CBCT) scan. Insertion of both the novel and the conventional, tapered implant type were simulated using Standard for the Exchange of Product model data (STEP) files of both implant types. Von Mises equivalent stress, strain development, and amount of redistributed bone were recorded. The conventional implant demonstrated a continuous increase in strain values and reaction moment throughout the insertion process, with a brief decrease observed during the final stages. Stress levels in the cortical bone gradually increased, followed by a reduction when the implant was finally positioned subcrestally. The novel implant achieved the maximum magnitude of reaction moment and cortical bone strain values when the implant’s maximum core diameter passed the cortical bone layer at around 60% of the insertion process. Following a notable decrease, both the reaction moment and stress started to rise again as the implant penetrated further. The novel implant removed more bones in the trabecular region while the conventional implant predominantly interacted with cortical bone. Overall, the novel design seems to be less traumatic to alveolar bone during the insertion process and hence may lead to reduced levels of initial peri-implant bone loss. Full article

This study provides a thorough examination of the utilization of hydrophobic deep eutectic solvents (HDESs) for the extraction of 1,2-dichloroethane (1,2-DCA) from effluent, with an emphasis on a sustainable and environmentally friendly approach. The extraction efficacy of six HDES systems was initially evaluated, and the combinations of thymol/camphor (Thy/Cam) and menthol/thymol (Men/Thy) exhibited superior performance. Subsequently, these two HDESs were chosen for a comprehensive parametric analysis. The impact of contact time demonstrated that extraction equilibrium was reached at 15 min for both systems, thereby achieving a balance between high efficiency and time efficiency. Next, the impact of the HDES-to-water mass ratio was investigated. A 1:1 ratio was determined to be the most effective, as it minimized solvent consumption and provided high efficiency. An additional examination of the molar ratios of the HDES components revealed that the 1:1 ratio exhibited the most effective extraction performance. This was due to the fact that imbalances in the solvent mixture resulted in diminished efficiency as a result of disrupted molecular interactions. The extraction efficiency was significantly influenced by the initial concentration of 1,2-DCA, with higher concentrations resulting in superior results as a result of the increased mass transfer driving forces. In general, the Men/Thy and Thy/Cam systems have shown noteworthy stability and efficiency under different conditions, which makes them highly suitable for large-scale applications. Full article

Background: This meta-analysis aimed to evaluate the dentoalveolar changes of miniscrew-assisted rapid palatal expansion (MARPE) compared with conventional rapid palatal expansion (CRPE) in growing patients (≤16 years). Methods: A systematic and comprehensive literature search was carried out independently by two reviewers using both MeSH terms and free-text keywords across PubMed, the Cochrane Library, and Embase, with studies published through February 2025 included. The risk of bias was assessed using the Cochrane ROB 2.0 tool. The GRADE system was employed to determine evidence quality. Results: Of the 462 initially screened articles, 6 met the inclusion criteria and were selected for quantitative synthesis. Most studies had a low risk of bias with some concerns in reporting. The pooled standardized mean difference (SMD) for tooth inclination changes in CRPE compared with MARPE was 0.98 (95% confidence interval (CI), 0.54 to 1.42; p < 0.01). The test for overall effect was significant (p < 0.01), but no significant differences were found between the subgroups. The pooled SMD for buccal bone thickness changes in CRPE compared with MARPE was 0.69 (95% CI, 0.37 to 1.00; p < 0.01). The test for overall effect was significant (p < 0.01), and there were substantial differences between the subgroups. The supporting evidence ranged in certainty from moderate to low. Conclusions: MARPE was more effective than CRPE in minimizing the buccal tipping and buccal bone loss of the maxillary first premolars and first molars. However, to further confirm these outcomes and guide evidence-based clinical practice, well-designed randomized controlled trials with long-term follow-up are necessary. Full article

Vital pulp therapy with calcium hydroxide or mineral trioxide aggregate (MTA) rapidly induces dystrophic calcification and promotes the accumulation of two members of small integrin-binding ligand N-linked glycoproteins: osteopontin (OPN) and dentin matrix protein-1 (DMP1). However, the precise relationship between these initial events and their roles in reparative dentinogenesis remain unclear. This study aimed to clarify the relationship between dystrophic calcification, OPN and DMP1 accumulation, and reparative dentin formation. Pulpotomy was performed on rat molars using MTA or zirconium oxide (ZrO₂). ZrO₂ was used as a control to assess pulp healing in the absence of dystrophic calcification. Pulpal responses were evaluated from 3 h to 7 days postoperatively via elemental mapping, micro-Raman spectroscopy, and histological staining. In the MTA-treated group, a calcium-rich dystrophic calcification zone containing calcite and hydroxyapatite was observed at 3 h after treatment; OPN and DMP1 accumulated under the dystrophic calcification zone by day 3; reparative dentin formed below the region of OPN and DMP1 accumulation by day 7. In contrast, these reactions did not occur in the ZrO₂-treated group. These results suggest that dystrophic calcification serves as a key trigger for OPN and DMP1 accumulation and plays a pivotal role in reparative dentinogenesis. Full article

In the present study, a process for the production of 2,2,3,3,4,4,4-heptafluorobutyl acetate (HFBAc) is proposed for the first time. The production process of HFBAc from acetic acid (AAc) and 2,2,3,3,4,4,4-heptafluorobutan-1-ol (HFBol) was carried out at laboratory scale using batch reactive distillation (BRD). The process was conducted at atmospheric pressure in the presence of an acid catalyst, with an excess of AAc relative to HFBol (initial molar ratio of reagents HFBol/AAc is 45/55). During the BRD, the aqueous phase of the distillate was withdrawn from the system, while the organic phase of the distillate was returned as reflux. Since part of AAc is lost along with the aqueous phase of the distillate, a minor excess of AAc is reasonable for maximizing the conversion of the most expensive reagent—HFBol. The losses of AAc and HFBol with the aqueous phase of the distillate were less than 2 mole % and less than 0.5 mole % of the feed, respectively. The purity of HFBAc after BRD was 97.9 wt. %, and the conversion of HFBol exceeded 99 mole % of the feed. The purity of certain product fractions of HFBAc was greater than 99.6 wt. %. The obtained data can be used for industrial technology development to obtain HFBAc. Full article

The treatment with an alkali (sodium hydroxide) solution of acid-activated montmorillonite clay minerals resulted in a reduction in specific surface area. However, a significant enhancement in the removal of basic blue-41 dye solution was achieved compared to acid-activated samples only (first step of activation) and to the raw montmorillonite clay. The obtained products were characterized using different techniques. The results indicated that the acid-activated montmorillonites exhibited different physicochemical properties than the starting raw montmorillonite, with a reduction in the cation exchange capacity and improvements in the specific surface area (from 5 m²/g to 274 m²/g) and total pore volume (from 0.031 cm³/g to 0.450 cm³/g) due to the formation of the amorphous silica phase. However, the treatment with NaOH solution was accompanied by significant reductions in the specific surface area (from 274 m²/g to 18 m²/g) and total pore volume (from 0.450 cm³/g to 0.02 cm³/g) due to the dissolution of the formed amorphous silica phase, as confirmed through ²⁹Si MAS NMR and FTIR techniques. In addition, the SiO₂/Al₂O₃ molar ratios were close to those of the starting montmorillonite clay. The removal of the cationic basic blue-41 was optimized under different conditions, such as different initial concentrations, adsorbent doses, and pHs of the dye solution. The maximum removal capacities of acid-activated clays were in the range of 45 mg/g to 80 mg/g and decreased with the extent of the acid activation process. However, the capacities were enhanced after NaOH treatment and reached values in the range of 80 to 120 mg/g. Enhancing the surface area had less of an impact on the materials’ removal ability. The obtained materials performed well in seven adsorption–regeneration cycles, showing a 70% reduction in removal effectiveness. Full article

For their use as chemical sensors, the optimization of the performance of polymeric materials is a critical step in their development for the desired application. The main objective of this work was to identify the best-suited materials to develop a sensor for carbonyl monitoring based on fluorescence. Two categories of materials were compared: acrylate-based materials, obtained by radical polymerization, and silicate-based materials, obtained by sol-gel synthesis. The performances of these materials in terms of yield of polymerization, carbonyl adsorption capacity and fluorescence property were compared. More precisely, the influence of various synthesis parameters such as polymerization type, radical polymerization initiation method, the nature of the functional monomer and the molar ratio of the different reactants was assessed. On the first hand, among acrylate-based materials, the one based on 4-vinylaniline showed better adsorption capacity compared to those based on 3-vinylaniline and 2-vinylaniline. Moreover, materials obtained by UV-polymerization showed a better adsorption capacity compared to those obtained by thermally initiated polymerization. On the other hand, the silicate-based material provided a better synthesis reproducibility, a higher adsorption capacity and a higher fluorescence intensity compared to its acrylate-based counterparts. Finally, contrary to the acrylate-based materials tested, the adsorption capacity and fluorescence properties of silicate-based materials were stable over time. Full article

Zeolite adsorption followed by NaCl-NaClO regeneration is an effective method for the on-site treatment of ammonia in initial stormwater. However, the formation and toxicity of chlorine species during the zeolite regeneration process need to be investigated. In this study, under intermittent and continuous operations, zeolites adsorbed NH₄Cl + HA (humic acid) and actual stormwater, then regenerated with NaCl-NaClO (0.5 g/L NaCl, ClO⁻:N molar ratio of 1.8, pH = 10). This technology was assessed from the following three aspects: adsorption and regeneration, chlorine species formation, and toxicity. The results showed that zeolites exhibited a greater adsorption capacity for HA in stormwater compared to that in an NH4Cl + HA solution, and the presence of ammonia had a minimal impact on this process. During zeolite regeneration, ammonia had a competitive advantage over HA for ClO⁻. ClO₃⁻ was inevitably formed in regeneration. The formation of chlorinated organic compounds (COPs) increased over time. The order of chlorine species toxicity in zeolite regeneration solution was free chlorine > COPs > ClO₃⁻. Controlled regeneration time was required to minimize the formation and toxicity of chlorine species. During the 10 cycles of regeneration, chlorine species continued to form and caused high toxicity hazards. Full article

Background: This study aimed to evaluate the long-term stability of maxillary molar distalization in the treatment of Class II malocclusion. Methods: This study included 40 patients (31 males and 9 females) who received fixed orthodontic treatment after maxillary molar distalization. Orthodontic models and lateral cephalograms were evaluated at three time points: pre-treatment (T1), after orthodontic treatment (T2), and long-term follow-up (T3). The mean ages of the patients’ ages at T1, T2, and T3 were 13.02, 15.97, and 22.05 years, respectively. The statistical analysis included paired t-tests and Wilcoxon signed-rank tests. The statistical significance was set at p < 0.05. Results: The statistical analysis indicated no gender-related differences. A significant distalization of maxillary first molars was observed at T2 compared to T1 (p < 0.001). Despite a minor relapse, a statistically significant distalization was observed in T3-T1 (p < 0.001). The vertical skeletal angles, which increased during the treatment period, decreased at T3-T2. The molar relationship was almost maintained after long-term follow-up (p < 0.001). Conclusions: The maxillary molar distalization achieved in the Class II treatment was maintained in the long term. The vertical skeletal measurements decreased to their initial values in the long term. The Class I molar relationship did not change during the completion of the growth. This study hypothesized that the maxillary molar distalization achieved during fixed orthodontic treatment can be maintained in the long term without significant relapse. Full article

Stable isotope analysis is a powerful tool for inferring and quantifying transformation processes, but its effectiveness relies on understanding the magnitude and variability of isotopic fractionation associated with specific reactions. Potassium permanganate (KMnO₄) is widely used as an efficient oxidant for the degradation of trichloroethylene (TCE); however, the influence of environmental factors on the isotope fractionation during this process remains unclear. In this study, compound-specific isotope analysis (CSIA) was conducted to investigate the variability in carbon isotope effects during the KMnO₄-mediated degradation of TCE under varying conditions, including initial concentrations of KMnO₄ and TCE, the presence of humic acid (HA), pH levels, and inorganic ions. The results showed that the overall carbon isotope enrichment factors (ε) of TCE ranged from −26.5 ± 0.5‰ to −22.8 ± 0.9‰, indicating relatively small variations across conditions. At low KMnO₄/TCE molar ratio (n(KMnO₄)/n(TCE)), incomplete oxidation and/or MnO₂-mediated oxidation of TCE likely resulted in smaller ε. For dense, non-aqueous phase liquid (DNAPL) TCE, which represents extremely high concentrations, the ε value was −13.0 ± 1.7‰ during KMnO₄ oxidation. This may be attributed to the slow dissolution of isotopically light TCE from the DNAPL phase, altering the δ¹³C signature of the reacted TCE and resulting in a significantly larger ε value than observed for dissolved-phase TCE oxidation. The ε values increased with rising pH, probably due to the decrease in oxidation potential (E₀) of KMnO₄ from pH ~2 to ~12, as well as the emergence of different degradation pathways and intermediates under varying pH conditions. Both SO₄²⁻ and NO₃⁻ slightly influenced the ε values, potentially due to the formation of H₂SO₄ and HNO₃ at lower pH, which may act as auxiliary oxidants and contribute to TCE degradation. A high concentration (50 mM) of HA led to a decrease in ε values, likely due to competitive interactions between HA and TCE for KMnO₄, which reduced the effective oxidation of TCE. Overall, the carbon isotope enrichment factors for KMnO₄-mediated TCE degradation are relatively stable, although certain environmental conditions can exert minor influences. These findings highlight the need for caution when applying quantitative assessment based on CSIA for KMnO₄ oxidation of TCE. Full article

Neurotransmitters such as serotonin regulate key physiological and cognitive functions, yet real-time detection remains challenging due to the limitations of conventional techniques like amperometry and microdialysis. Fluorescent molecularly imprinted polymer nanoparticles (fMIP-NPs) offer a promising alternative and are typically synthesized via solid-phase synthesis, in which template molecules are covalently immobilized on a solid support to enable site-specific imprinting. However, strong template–template interactions during this process can compromise selectivity. To overcome this, we incorporated a poly(methacrolein-co-methacrylamide)-based template anchoring strategy to minimize undesired template interactions and enhance imprinting efficiency. We optimized the synthesis of poly(methacrolein-co-methacrylamide) under three different conditions by varying the monomer compositions and reaction parameters. The poly(methacrolein-co-methacrylamide) synthesized under Condition 3 (5:1 methacrolein-to-methacrylamide molar ratio, 1:150 initiator-to-total monomer ratio, and 4.59 M total monomer concentration) yielded the most selective fMIP-NPs, whose fluorescence intensity increased with an increase in serotonin concentration, rising by up to 37% upon serotonin binding. This improvement is attributed to higher aldehyde functionality in the poly(methacrolein-co-methacrylamide) which enhances template immobilization and generates a rigid imprinted cavity to interact with serotonin. These findings suggest that the developed fMIP-NPs hold significant potential as imaging probes for neurotransmitter detection, contributing to advanced studies in neural network analysis. Full article

Background/Objectives: Currently, clear aligners are preferred to conventional appliances, especially among adult patients. However, the use of aligners for treating maxillary constriction is still debated in the literature. Therefore, the purpose of this study was to assess maxillary dentoalveolar expansion following clear aligner therapy in adults using CBCT scans. Methods: The study sample encompassed 50 non-growing patients (27 females and 23 males) aged 20 to 42 undergoing clear aligner orthodontics without dental extractions or auxiliaries. Transverse linear distances were measured on initial and final CBCTs and, subsequently, analysed through paired t-test and ANOVA. We considered alveolar bone measurements and interdental widths measured at the buccal apices and cusps from canines to second molars. Results: The buccal alveolar ridge width showed the greatest expansion (1.01 ± 0.38 mm), followed by the palatal alveolar ridge and maxillary alveolar bone. Statistically significant improvements were observed for all interdental measurements. The most considerable changes occurred in the interpremolar cusp distances, while the least changes were seen in the intermolar apex distances. At the cusp level, the average interpremolar widths increased by 3.44 ± 0.22 mm for the first premolars and 3.14 ± 0.27 mm for the second ones. Conclusions: Clear aligner treatment can effectively manage a constricted maxillary arch. We found significant changes in the maxillary alveolar bone. Both inter-apex and inter-cusp widths increased in all teeth, with the highest values in the premolars. Moreover, the increases in interdental distances at both apex and cusp levels were related to tooth position. Full article

Background and Objectives: Anterior open-bite malocclusion remains a challenging orthodontic condition where achieving a positive overbite necessitates precise control of incisor extrusion and molar intrusion. With recent advances in clear aligner therapy—improved materials, attachment techniques and digital treatment planning—the potential for non-invasive treatment has increased. This scoping review systematically maps the evidence on the efficacy of clear aligners in treating anterior open bite among adult patients, outlines treatment protocols and highlights gaps in the literature. Materials and Methods: A systematic search was conducted in PubMed/Medline, Embase/ScienceDirect and Clarivate/Web of Science for literature published in English between January 2000 and December 2024. Studies involving adult patients treated with clear aligners (predominantly Invisalign^®) were included. A two-step screening process was applied, and data were charted according to pre-specified criteria. The review adheres to the PRISMA-ScR checklist guidelines. Results: From an initial pool of 802 articles, 30 met the inclusion criteria following duplicate removal and full-text screening. The evidence suggests that clear aligners can achieve measurable incisor extrusion and posterior intrusion when appropriate auxiliary techniques (e.g., attachments and mini screws) are used. However, digital treatment planning software may overestimate movement predictions, necessitating iterative refinement phases. Patient compliance, clinician expertise and technological limitations are key factors influencing outcomes. Conclusions: Clear aligner therapy represents a promising alternative to fixed appliances for anterior open-bite correction in adults, although challenges remain in achieving precise vertical control. Further high-quality randomized controlled trials and standardized outcome measures are needed to confirm long-term stability and efficacy. Full article

Background: We report the successful formulation of a bone-targeted vancomycin-loaded liposomal carrier. Method: The basic liposomal structure is composed of 1,2-distearoyl-sn-glycero-3-phosphocholine (DSPC), cholesterol, and dicetyl phosphate (DCP) in a molar ratio of 3:1:0.25, respectively. The dehydration–rehydration method was used to maximize the liposomal-encapsulation efficiency of vancomycin after the initial preparation using thin-film hydration. Results: Sodium alendronate was used as a targeting moiety and was successfully conjugated to DSPE–PEG–COOH via carbodiimide chemistry, as was confirmed using IR spectroscopy. The resulting conjugate, DSPE–PEG-alendronate, was subsequently used in the formulation of bone-targeting vancomycin-loaded liposomes. In vitro binding assays with hydroxyapatite demonstrated preferential binding of the surface-modified liposomes to hydroxyapatite crystals. Furthermore, ex vivo studies revealed that the surface-modified liposomes exhibited enhanced binding affinity to the tibial bone tissue of 4-week-old male CD1 mice, in comparison to unmodified liposomes. Conclusions: The successfully formulated surface-modified vancomycin loaded liposomes showed enhanced bone affinity with a great potential for targeting the antibiotic to infected bones. Full article