Search Results (199)

Adequate ridge width and thermal control are critical for predictable implant site preparation. This in vitro study compared conventional osteotomy (CO), osseodensification (OD), and OsseoShaper (OS) protocols in standardized polyurethane foam blocks simulating narrow D2 ridges. A total of 18 osteotomies (n = 6 per group) were prepared under protocol-specific irrigation. Ridge width was measured at 3, 6, and 9 mm apical to the crest before and after osteotomy using a digital caliper, and expansion (ΔW) was calculated. Intraoperative thermal changes (ΔT) were recorded in real time with an infrared thermal camera. OD achieved consistent expansion at all depths (p < 0.05), while OS produced significant widening at the 3 and 6 mm levels; CO yielded only a minor but significant gain at the 3 mm level. At the intergroup level, OS showed significantly greater crestal expansion than CO at 3 mm (p = 0.006). All protocols generated comparable thermal changes (mean ΔT 7.4–8.2 °C), remaining well below the critical 47 °C threshold. Within the limitations of this in vitro model, OD and OS enhanced ridge expansion compared with CO, particularly at the crestal level, where expansion is most critical. All protocols maintained thermally safe profiles, supporting their clinical applicability. Full article

Biphasic calcium phosphate (BCP)scaffolds comprising hydroxyapatite (HA) and β-tricalcium phosphate (β-TCP) were produced from ultra-pure precursors and processed under an α-TCP–avoiding schedule (1100 °C, 2 h). Quantitative X-ray diffraction (Rietveld/Profex) detected no α-TCP above the ~1 wt% limit of detection and quantified post-sintering phase fractions (wt% HA/β-TCP): 99.26/0.74, 68.51/31.49, and 27.57/72.43. Across compositions, SEM/ImageJ yielded similar mean macropore sizes (≈71–80 µm), while open porosity increased with the HA fraction (27.5 ± 1.8%, 39.1 ± 2.0%, 57.1 ± 2.4%). Compressive strength decreased accordingly (1.07 ± 0.25, 0.24 ± 0.01, 0.05 ± 0.02 MPa), consistent with non-load-bearing use. In ISO-compliant simulated body fluid (28 d), medium pH remained stable (7.33–7.43); mass loss and early Ca²⁺ depletion increased with β-TCP content, consistent with more extensive surface apatite formation in β-TCP-rich scaffolds. Collectively, these data are consistent with a composition-dependent sequence—β-TCP content → densification/porosity → strength → degradation/apatite kinetics—within the tested conditions and inform parameter-based tuning of BCP scaffolds for non-load-bearing indications (e.g., alveolar ridge preservation, craniofacial void filling). Full article

Background: Tooth extraction is often accompanied by bone tissue loss. This systematic review aims to compare osteoplastic materials for socket preservation. Methods: This systematic review was carried out with the PRISMA statement. To identify relevant studies, a thorough literature search was executed in several databases, such as Medline, PubMed, Scopus, and the Cochrane Central Register of Controlled Trials. The inclusion criteria were restricted to randomized controlled trials, and their methodological quality was evaluated with the Cochrane Risk of Bias tool (ROB 2). Results: Based on the predefined inclusion and exclusion criteria, nine randomized clinical trials published before 2024 were selected for analysis, all of them investigating the application of osteoplastic materials. Six studies performed xenogenic bone augmentation; one of them compared alloplastic and xenogenic materials; two studies described synthetic osteoplastic materials; and one described autogenic bone material. Conclusion: Socket augmentation with osteoplastic materials demonstrates effectiveness in preserving alveolar ridge dimensions and creating favorable conditions for further implant placement, though differences in clinical performance highlight the need for careful material selection. Full article

Type 2 diabetes mellitus (T2DM) is a growing global health challenge, expected to affect over 600 million people by 2045. The discovery of new antidiabetic agents remains resource-intensive, motivating the use of machine learning (ML) for virtual screening based on molecular structure. In this study, we developed a predictive pipeline integrating two distinct descriptor types: high-dimensional numerical features from the Mordred library (>1800 2D/3D descriptors) and categorical ontological annotations from the ClassyFire and ChEBI systems. These encode hierarchical chemical classifications and functional group labels. The dataset included 45 active compounds and thousands of inactive molecules, depending on the descriptor system. To address class imbalance, we applied SMOTE and created balanced training and test sets while preserving independent validation sets. Thirteen ML models—including regression, SVM, naive Bayes, decision trees, ensemble methods, and others—were trained using stratified 12-fold cross-validation and evaluated across training, test, and validation. Ridge Regression showed the best generalization (MCC = 0.814), with Gradient Boosting following (MCC = 0.570). Feature importance analysis highlighted the complementary nature of the descriptors: Ridge Regression emphasized ClassyFire taxonomies such as CHEMONTID:0000229 and CHEBI:35622, while Mordred-based models (e.g., Random Forest) prioritized structural and electronic features like MAXsssCH and ETA_dEpsilon_D. This study is the first to systematically integrate and compare structural and ontological descriptors for antidiabetic compound prediction. The framework offers a scalable and interpretable approach to virtual screening and can be extended to other therapeutic domains to accelerate early-stage drug discovery. Full article

Background and Objectives: Adequate peri-implant soft tissue dimensions are essential for health, hygiene, and esthetics. When ridge volume is sufficient, phenotype modification may avoid bone grafting. This case report describes a pedicled roll flap performed concurrently with single-stage implant placement after spontaneous socket healing, without bone substitute, and assesses soft-tissue stability with serial intraoral scans. Clinical case: A single-tooth edentulous site underwent prosthetically driven, fully guided implant placement. A modified roll flap with vertical and palatal incisions was prepared; the de-epithelialized crestal connective tissue was elevated and rolled into a buccal envelope to augment thickness. No graft material was used. A provisional crown conditioned the emergence profile. Follow-up included photographs, radiographs, and intraoral scan superimpositions at 2 weeks, 3–4 months, 8 months, and 14 months after implant treatment. Healing was uneventful. Buccal soft-tissue thickness increased, keratinized mucosa was preserved, and midfacial levels remained stable. Emergence profile and papillae integrated harmoniously. Crestal bone levels were stable radiographically. Digital scans corroborated soft-tissue thickness maintenance. No donor-site morbidity occurred. Conclusions: In healed sockets with adequate bone, a modified pedicled roll flap at implant placement can thicken the peri-implant phenotype and achieve stable esthetic integration without bone substitutes. Full article

Compaction quality is a critical factor in ensuring the long-term performance of subgrade structures; however, traditional testing methods are limited by their destructive nature and delayed feedback. To address these shortcomings, this study proposes a dynamic identification method for subgrade compaction based on embedded attitude sensors. A customized sensor unit integrated with an inertial measurement module was embedded in soil samples to record triaxial acceleration and attitude angles during the compaction process. Signal processing techniques, including an improved wavelet-based denoising strategy, were employed to separate long-term compaction trends from transient impact disturbances. Attitude features such as cumulative angular change, angular velocity, root mean square values, and a comprehensive inclination index were extracted as predictive variables. Ridge regression, random forest, and XGBoost models were constructed to establish the mapping relationship between attitude features and compaction degree. Experimental results on clay, loam, and sand samples indicate that the yaw angle is most sensitive to vertical settlement, while pitch and roll angles provide complementary information on lateral and rotational behaviors. Comparative analysis of filtering methods shows that the transient masking interpolation (TMI) approach outperforms the traditional asymmetric wavelet thresholding (AWT) method in effectively preserving baseline trends. Among the regression models, XGBoost demonstrated the best predictive performance, achieving an R² exceeding 0.995 at high compaction levels. The proposed method has been experimentally demonstrated as a laboratory-scale proof of concept, showing strong potential for future real-time field application, offering a novel technological pathway for intelligent quality control in road construction. Full article

Submarine rift systems represent critical tectonic features whose accurate bathymetric characterization remains challenging yet essential for understanding plate boundary dynamics. However, traditional bathymetric inversion methods based on altimetric gravity data exhibit poor performance in resolving rift and steep-slope terrains. To address this limitation and enhance accuracy in complex topographic regions, we propose a multi-gravity-component fusion framework based on an improved DenseNet architecture. By integrating shipborne bathymetry, gravity anomaly (GA), vertical gravity gradient (VGG), vertical deflection components (meridian component ξ and prime vertical component η), and GEBCO_2024, we construct a 16 × 16 × 9 input tensor. The model incorporates adaptive transition layers to preserve fine-scale tectonic features and curvature-based stratification to balance learning across diverse terrains. Validation using 43,035 independent points yields an RMSE of 84.75 m, representing a 47.6% reduction relative to GEBCO_2024. Crucially, in the identified rift targets, errors decreased by 69.3–87.1%. Ablation studies reveal that vertical deflection components (ξ, η) dominate the physical constraints, with their removal increasing the RMSE by 91.08 m (a 107.5% increase relative to the baseline error). Architectural innovations and stratification reduce steep-slope RMSE by 6.1%. These results validate the efficacy of directional gravity derivatives for tectonic feature inversion and demonstrate significant potential for application to mid-ocean ridge systems. Full article

For decades, regeneration of alveolar bone defects has depended on traditional grafting options, such as autogenous/allogenic grafts or allografts. Recently, extracted teeth was introduced as an alternative graft source. Tooth autografts are being used and have gained significant attention due to their biocompatibility, osteoconductivity, osteoinductivity, and osteogenic properties. Furthermore, tooth allografts have potential to act as natural biocomposites for oral regeneration procedures and might be advantageous options in near future. Recent advances in tooth banking, including cryopreservation, can serve to maintain bioactivity and to improve the safety, viability, and regenerative potential of teeth. They might be revolutionary in oral surgery, offering a more sustainable solution to the growing demand for bone regeneration procedures. Nevertheless, challenges such as immunogenic responses, ethical issues, and regulatory constraints persist. Ongoing research and technological innovation continue to address these problems. To date, the success rates of tooth autografts are promising, and they are regarded as a reliable option in clinical practice, with predictable outcomes in alveolar ridge preservation, sinus augmentation, periodontal regeneration, guided bone regeneration (GBR), and endodontic surgery by providing natural scaffolds for cell integration and bone remodeling. However, the scientific literature on tooth allografts is lacking. Therefore, this review aimed to comprehensively evaluate the scientific literature for comparing the properties of tooth grafts with other grafting options, in terms of processing techniques, and various clinical applications, positioning them as versatile biocomposites for the future, bridging material science and regenerative dentistry. Furthermore, possible applications of allogenic tooth grafts and overcoming current limitations are also discussed. Full article

The Mako Belt in the Kédougou-Kéniéba Inlier (eastern Senegal) preserves Paleoproterozoic (2.3–1.9 Ga) mafic and ultramafic rocks that record early crustal growth processes within the southern West African Craton (WAC). Basalt bulk rock compositions preserve primary melt signatures, whereas the associated ultramafic cumulates are variably serpentinized and are better assessed through mineral chemistry. Basalts occur as massive and pillow lavas, with MgO contents of 5.9–9.1 wt.% and flat to slightly LREE-depleted patterns (La/Smₙ = 0.73–0.88). Primitive mantle-normalized diagrams show subduction-related signatures, including enrichment in Ba, Pb, and Rb and depletion in Nb and Ta. Most basalts and all ultramafic rocks display (Nb/La)_PM > 1, consistent with enriched mantle melting in a back-arc setting. Harzburgites and lherzolites have cumulate textures, high Cr and Ni contents, and spinel with chromian cores (Cr# > 0.6) zoned sharply to Cr-rich magnetite rims that overlap basalt spinel compositions. Integration of the petrographic, mineralogical, and whole-rock geochemical data indicates the presence of mafic melts derived from a subduction-modified mantle wedge and likely formed in a back-arc basin above a subducting slab, rather than from a plume or mid-ocean ridge setting. Regional comparisons with other greenstone belts across the WAC suggest that the Mako Belt was part of a broader arc–back-arc system accreted during the Eburnean orogeny (~2.20–2.00 Ga). This study supports the view that modern-style plate tectonics—including subduction and back-arc magmatism—was already active by the Paleoproterozoic, and highlights the Mako Belt as a key archive of early lithospheric evolution in the WAC. Full article

Background: Autologous tooth-derived grafts have recently gained attention as an innovative alternative to conventional biomaterials for alveolar ridge preservation (ARP) and augmentation (ARA). Their structural similarity to bone and osteoinductive potential support clinical use. Methods: This systematic review was conducted according to PRISMA 2020 guidelines and registered in PROSPERO (CRD420251108128). A comprehensive search was performed in PubMed, Scopus, and Web of Science (2010–2025). Randomized controlled trials (RCTs), split-mouth, and prospective clinical studies evaluating autologous dentin-derived grafts were included. Two reviewers independently extracted data and assessed risk of bias using Cochrane RoB 2.0 (for RCTs) and ROBINS-I (for non-randomized studies). Results: Nine studies involving 321 patients were included. Autologous dentin grafts effectively preserved ridge dimensions, with horizontal and vertical bone loss significantly reduced compared to controls. Histomorphometric analyses reported 42–56% new bone formation within 4–6 months, with minimal residual graft particles and favorable vascularization. Implant survival ranged from 96–100%, with stable marginal bone levels and no major complications. Conclusions: Autologous tooth-derived biomaterials represent a safe, biologically active, and cost-effective option for alveolar bone regeneration, showing comparable or superior results to xenografts and autologous bone. Further standardized, long-term RCTs are warranted to confirm their role in clinical practice. Full article

Background and Objectives: Immediate implant placement in the esthetic zone presents challenges in maintaining peri-implant tissues due to post-extraction remodeling. Bone grafting has been proposed to support tissue preservation and improve esthetic outcomes. This article reviews the role of grafting in clinical studies and case reports. Materials and Methods: A literature search on PubMed and Google Scholar identified studies focusing on immediate implant placement with grafting. The search strategy included articles from 2012 to 2025, in English, from peer-reviewed journals. Results: Implant survival is possible without grafting in ideal cases, but grafting is often essential in patients with thin biotypes or esthetic demands. Technique and material selection are critical. The socket shield technique shows promise in preserving buccal tissues despite its complexity. Case reports demonstrated stable soft tissues and favorable esthetic outcomes. Conclusions: Grafting should be tailored to the clinical situation. While not always necessary, it is often crucial in compromised sites to ensure long-term esthetic success. Current literature supports predictable outcomes with appropriate grafting protocols. Full article

Although ridge preservation procedures have been shown to prevent post-extraction bone loss, the effectiveness of using a flap or flapless surgical approach remains unclear. The aim of the study was to compare the mentioned above alveolar ridge preservation procedures in the esthetic region of maxilla. Twenty-nine patients were randomly assigned to receive flap (n = 14) or flapless (n = 15) alveolar ridge preservation procedure. Sockets were grafted with alloplastic biomaterial, then covered with a collagen membrane in both groups. Clinical examinations were performed over a 6-month observation period and radiological (CBCT) examination was conducted before and 6 months after treatment. For both after flap and flapless procedures, there was a reduction in interdental papillae height and keratinized tissue width, increase in buccal soft tissues thickness with a decrease in radiological buccal bone plate width, decrease in radiological buccal and lingual plate height (significantly for the flapless group) and radiological alveolar process width reduction (significantly in flapless group at the height of 5 mm and 7 mm from the bottom of the socket). A decrease in the radiological buccal bone plate width was observed, where the further measuring point was from the bottom of the alveolus. In the mucoperiosteal flap preparation, group buccal bone plate width reduction at the height 3 mm, 5 mm and 7 mm was significant and in the flapless group a significant decrease was observed from 5 to 9 mm from the bottom of the socket. Despite ridge preservation, there is soft tissue thickening and a decrease in bone height and width regardless of the flap/flapless method used. Full article

Background. Orthodontic extrusion (OE), or forced eruption, is a conservative technique used to recover teeth affected by coronal fractures, traumatic intrusions, or severe caries. It involves applying light, continuous forces to induce vertical tooth movement, promoting tissue remodeling through periodontal ligament stimulation. Materials and Methods. This narrative review included studies investigating OE as a therapeutic approach for the management of deep or subgingival carious lesions, traumatic dental injuries (such as intrusion or fracture), or for alveolar ridge augmentation in implant site development. OE is typically performed using fixed appliances such as the straight-wire system or, in selected cases, clear aligners. Forces between 30 and 100 g per tooth are applied, depending on the clinical situation. In some protocols, OE is combined with fiberotomy to minimize gingival and bone migration. Results. Studies show that OE leads to significant vertical movement and increases in buccal bone height and interproximal septa. It enhances bone volume in targeted sites, making it valuable in implant site development. Compared to surgical crown lengthening, OE better preserves periodontal tissues and improves esthetics. Conclusions. In this narrative review is analized how OE is effective for managing traumatic intrusions and compromised periodontal sites, particularly when paired with early endodontic treatment. It reduces the risks of ankylosis and root resorption while avoiding invasive procedures like grafting. Although clear aligners may limit axial tooth movement, OE remains a minimally invasive, cost-effective alternative in both restorative and implant dentistry. Full article

Nanoparticles have found widespread application across diverse fields, including agriculture and animal husbandry. However, a persistent challenge in laboratory-based studies involving nanoparticle exposure is the limited availability of experimental data, which constrains the robustness and generalizability of findings. This study presents a comprehensive analysis of the impact of zinc oxide nanoparticles (ZnO NPs) in feed on elemental homeostasis in male Wistar rats. Using correlation-based network analysis, a correlation graph weight value of 15.44 and a newly proposed weighted importance score of 1.319 were calculated, indicating that a dose of 3.1 mg/kg represents an optimal balance between efficacy and physiological stability. To address the issue of limited sample size, synthetic data generation was performed using generative adversarial networks, enabling data augmentation while preserving the statistical characteristics of the original dataset. Machine learning models based on fully connected neural networks and kernel ridge regression, enhanced with a custom loss function, were developed and evaluated. These models demonstrated strong predictive performance across a ZnO NP concentration range of 1–150 mg/kg, accurately capturing the dependencies of essential element, protein, and enzyme levels in blood on nanoparticle dosage. Notably, the presence of toxic elements and some other elements at ultra-low concentrations exhibited non-random patterns, suggesting potential systemic responses or early indicators of nanoparticle-induced perturbations and probable inability of synthetic data to capture the true dynamics. The integration of machine learning with synthetic data expansion provides a promising approach for analyzing complex biological responses in data-scarce experimental settings, contributing to the safer and more effective application of nanoparticles in animal nutrition. Full article

Background: The purpose of alveolar ridge preservation (ARP) is to minimise the physiological alveolar ridge reduction occurring after dental extraction, which can prevent the need for future alveolar ridge augmentation. Biologic materials (biologics) promote tissue regeneration based on their effect on wound healing at a cellular level. By integrating biologics into ARP biomaterials, there is a potential to enhance the regeneration of both hard and soft tissues with greater efficacy. Aim: This narrative review aims to evaluate the clinical efficacy of the addition of biologics to existing ARP materials on the physiological changes following ARP of an extraction site. Methods: A search of the PubMed electronic database was conducted, and relevant articles were examined. Sixty-three articles met the inclusion and exclusion criteria and were included in this review. Results and Conclusions: A review of the existing literature found that the combination of biologics with ARP materials resulted in similar dimensional changes when compared to using ARP materials alone. Existing research has identified an enhancement in bone density, increased wound healing capacity of soft and hard tissue, and a reduction in post-operative pain. Whilst the addition of biologics to ARP materials has shown an increase in bone density, its effectiveness in improving implant outcomes and reducing the need for future alveolar ridge augmentation is unclear. Recognising the limitations within the existing literature, along with the risk of bias and heterogeneity, renders it unwise to make definite conclusions about the benefits of integrating biologics with ARP materials. This narrative review found possible benefits in the use of biologics in ARP to optimise patient-related and treatment outcomes, indicating the need for additional research. Full article