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Fang Q, Reynaldi R, Araminta AS, Kamal I, Saini P, Afshari FS, Tan SC, Yuan JCC, Qomariyah NN, Sukotjo C. Artificial Intelligence (AI)-driven dental education: Exploring the role of chatbots in a clinical learning environment. J Prosthet Dent 2024:S0022-3913(24)00231-2. [PMID: 38644064 DOI: 10.1016/j.prosdent.2024.03.038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2024] [Revised: 03/22/2024] [Accepted: 03/26/2024] [Indexed: 04/23/2024]
Abstract
STATEMENT OF PROBLEM Despite their widespread use in various educational contexts, the integration of chatbots into dental clinical education has not been thoroughly investigated. The noted discrepancy signifies a lack of understanding of how chatbots could enhance the personalized and interactive learning experiences of predoctoral dental students. PURPOSE The purpose of this study was to evaluate the awareness and perceptions of artificial intelligence (AI) technology, interaction experiences, and concerns about a custom-developed chatbot (CB) intervention in the clinical education of predoctoral dental students at the University of Illinois Chicago, College of Dentistry (UIC-COD) compared with the traditional Blackboard (BB) online platform. MATERIAL AND METHODS Eligible participants (n=86) providing verbal consent were allocated via the random block method into BB (n=43) and CB (n=43) groups and asked to engage with their designated platforms for 10 to 15 minutes by focusing on clinical inquiries in a predoctoral implant clinic and supported by a list of 35 typical questions. After the interaction, participants responded on a 5-point Likert scale to a 19-item survey probing AI awareness, platform engagement, and technological concerns. Survey data were anonymized and analyzed using descriptive, inferential statistics and nonparametric Mann-Whitney U tests to compare interventions. The Bonferroni correction for multiple comparisons was performed (α=.0045). RESULTS Neither the BB or CB group showed any difference in their awareness and perception of AI technology. The CB group demonstrated improved timeliness (P<.001), more interaction (P<.001), reduced faculty workload (P=.001), enhanced receptiveness (P=.002), and less anxiety (P<.001) and was more satisfied (P<.001) when compared with the BB group. However, concerns regarding the potential for incorrect information (P=.003) were more pronounced in the CB group. CONCLUSIONS The integration of chatbot technology into dental clinical education significantly enhanced learning and student engagement, highlighting the potential for future technological enrichment of the educational landscape.
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Affiliation(s)
- Qiao Fang
- Clinical Assistant Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois Chicago, Chicago, Ill
| | - Raphael Reynaldi
- Undergraduate student, Computer Science Department, School of Computing and Creative Arts, Bina Nusantara University, Jakarta, Indonesia
| | - Ardelia Shaula Araminta
- Undergraduate student, Computer Science Department, School of Computing and Creative Arts, Bina Nusantara University, Jakarta, Indonesia
| | - Ibtesam Kamal
- DMD candidate, College of Dentistry, University of Illinois Chicago, Chicago, Ill
| | - Preshika Saini
- DMD candidate, College of Dentistry, University of Illinois Chicago, Chicago, Ill
| | - Fatemeh Solmaz Afshari
- Clinical Professor and Managing Partner, Department of Restorative Dentistry, College of Dentistry, University of Illinois Chicago, Chicago, Ill
| | - Swee-Chian Tan
- Clinical Assistant Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois Chicago, Chicago, Ill
| | - Judy Chia-Chun Yuan
- Associate Professor and Interim Assistant Dean for Clinical Affairs, Department of Restorative Dentistry, College of Dentistry, University of Illinois Chicago, Chicago, Ill
| | - Nunung Nurul Qomariyah
- Assistant Professor, Computer Science Department, School of Computing and Creative Arts, Bina Nusantara University, Jakarta, Indonesia
| | - Cortino Sukotjo
- Professor and Director, Predoctoral Implant Program, Department of Restorative Dentistry, College of Dentistry, University of Illinois Chicago, Chicago, Ill.
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Tjiptowidjojo FA, Yuan JCC, Yadav S, Reshan A, Sukotjo C, Wee AG. Profile of prosthodontics program directors in North America. J Prosthodont 2023; 32:776-782. [PMID: 36965104 DOI: 10.1111/jopr.13684] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2022] [Revised: 03/21/2023] [Accepted: 03/22/2023] [Indexed: 03/27/2023] Open
Abstract
PURPOSE To develop a current profile of prosthodontics program directors (PPDs) in United States dental schools and describe the current challenges and responsibilities of those serving in the position and assess the professional needs of the program directors (PDs) to better support them in their roles. MATERIALS AND METHODS A survey was sent to 51 participants who were identified as PPDs in North America via Qualtrics in 2019 to assess the professional needs of PDs to better support their roles. The survey consisted of 29 items organized into six sections: (1) demographic information; (2) hours and time spent in various areas of the job; (3) greatest challenges; (4) perceived importance of specific competencies; (5) opinions on the greatest rewards of the position; (6) their needs for support from the American College of Prosthodontists and advice for the future PD. RESULTS The response rate for this survey was 88.3%. Of the 45 respondents, the majority were white/non-Hispanic, followed by Asian/Pacific Islanders. The two largest and equal numbers of participants who worked for more than 10 years and between 1 and 3 years were observed with approximately 29% each, and PDs who worked less than a year occupied the least amount. Overall, 34% of PDs are on the tenure track and 80% of those are tenured. Teaching and clinical services took away the greatest time with approximately 42% and 22.1%, respectively. Thirty-five (78%) PDs listed the greatest challenge they encountered was the workload of the role. Skills listed in leadership and personnel competencies were all rated more important than most of the skills listed in management. CONCLUSIONS There is a wide gender gap and a lack of racial diversity among the PPDs. The biggest challenge faced by them is the amount of workload followed by budget and fiscal constraints. And for their improved efficiency, they gave emphasis on learning time management and continuous clinical training of newer advances.
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Affiliation(s)
| | - Judy Chia-Chun Yuan
- Department of Restorative Dentistry, University of Illinois Chicago College of Dentistry, Chicago, Illinois, USA
| | - Sangeeta Yadav
- Division of Prosthodontics, Department of Restorative Sciences, University of Minnesota School of Dentistry, Minneapolis, Minnesota, USA
| | - Adam Reshan
- Membership Services and Academic Relations, American College of Prosthodontists, Chicago, Illinois, USA
| | - Cortino Sukotjo
- Department of Restorative Dentistry, University of Illinois Chicago College of Dentistry, Chicago, Illinois, USA
| | - Alvin G Wee
- Division of Prosthodontics, Department of Restorative Sciences, University of Minnesota School of Dentistry, Minneapolis, Minnesota, USA
- Division of Education and Research, American College of Prosthodontists, Chicago, Illinois, USA
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Sukotjo C, Bertucci DE, Patel JY, Yuan JCC, Santoso M. Evaluating augmented reality e-typodont to improve a patient's dental implant health literacy. J Prosthet Dent 2023:S0022-3913(23)00539-5. [PMID: 37714746 DOI: 10.1016/j.prosdent.2023.08.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2023] [Revised: 08/11/2023] [Accepted: 08/11/2023] [Indexed: 09/17/2023]
Abstract
STATEMENT OF PROBLEM Information regarding dental implants can be difficult to understand for participants. Improving patients' dental implant health literacy remains a challenging process. PURPOSE The purpose of this clinical study was to develop and evaluate patients' understanding of the implant treatment procedure, components, and sequences using traditional typodont and augmented reality (AR) applications (e-typodont), with the goal of improving their oral health literacy. MATERIAL AND METHODS Participants who had sought dental implant treatment at the group practice and implant clinic at the University of Illinois Chicago (UIC) College of Dentistry were invited to enroll in this study. Participants were asked to fill out the first questionnaire (Q1) assessing their understanding of implant treatment procedures, components, and sequences. The participants were randomly exposed to 1 of the 2 modes of delivering education, typodont or AR e-typodont. The participants were asked to complete the additional 2 questionnaires (Q2 and Q3), and the posttest questionnaire (Q1) to re-evaluate their understanding of the implant treatment procedure, components, and sequences. All data were entered and coded into a spreadsheet. Descriptive (mean) and statistical (Wilcoxon Signed Ranks and Mann-Whitney U test) analyses were used (α=.05). RESULTS Both interventions significantly increased participants' understanding of implant treatments (typodont: P=.004; e-typodont: P<.001), implant components (typodont: P=.003; e-typodont: P<.001), and implant treatment sequences (typodont: P=.001; e-typodont: P<.001). The e-typodont group significantly improved participants' understanding of implant treatments (P=.006), implant components (P=.023), and implant treatment sequences (P=.008) compared with the typodont group. Participants perceived the e-typodont mode of delivery to be significantly more interesting (P=.002), interactive (P=.008), educational (P=.002), user-friendly (P=.016), and "Wow" (P=.002) compared with the traditional typodont mode of delivery. CONCLUSIONS Both interventions improved participants' understanding of implant treatment procedures, components, and sequences. The e-typodont showed better improvement in participants' understanding of dental implants compared with the traditional typodont.
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Affiliation(s)
- Cortino Sukotjo
- Professor and Director, Predoctoral Implant Program, Department of Restorative Dentistry, College of Dentistry, University of Illinois Chicago, Chicago, Ill.
| | - Dominique Erica Bertucci
- Resident, Pediatric Dentistry, Children's Hospital Colorado Anschutz Medical Campus, Aurora, Colo
| | | | - Judy Chia-Chun Yuan
- Associate Professor and Interim Assistant Dean for Clinical Affairs, Department of Restorative Dentistry, College of Dentistry, University of Illinois Chicago, Chicago, Ill
| | - Markus Santoso
- Assistant Professor, Digital Worlds Institute, University of Florida, Gainesville, Fla
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Koseoglu M, Albayrak B, Nasution H, Yuan JCC, Touloumi F, Kim JJ, Bayindir F, Sukotjo C. Level of evidence and characteristics of clinical studies published in leading prosthodontics journals. J Prosthet Dent 2023:S0022-3913(22)00796-X. [PMID: 36631365 DOI: 10.1016/j.prosdent.2022.12.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2022] [Revised: 12/16/2022] [Accepted: 12/19/2022] [Indexed: 01/11/2023]
Abstract
STATEMENT OF PROBLEM Data on the level of evidence and the characteristics of studies published in peer-reviewed prosthodontic journals are lacking. PURPOSE The purpose of this study was to investigate the characteristics and level of evidence (LOE) scores of studies published in 3 leading peer-reviewed prosthodontic journals. MATERIAL AND METHODS Clinical studies published in the Journal of Prosthetic Dentistry (JPD), the Journal of Prosthodontics (JP), and the International Journal of Prosthodontics (IJP) in 2013 and 2020 were included in the analysis. Abstracts, letters to the editor, book reviews, and animal and laboratory studies were excluded from the investigation. For each study, design, type and LOE scores (Levels 1 to 5), publication year, impact factor (IF) of the journals, geographic origins of the first and corresponding authors, and funding status were recorded. Level 1 and Level 2 were defined as high evidence (HE), and Level 3, Level 4, and Level 5 were defined as low evidence (LE). Descriptive statistics and logistic regression analysis were performed (α=.05). RESULTS Among the 439 studies included in the analysis, the proportion of HE and LE studies was 14.1% and 85.9%, respectively. According to univariate and multivariate analysis results, year of publication (P=.010 and P=.029), geographic origin of the corresponding author (P<.001), and funding status (P<.001 and P=.002) were significantly associated with the LOE of a study. However, the journal IF was not associated with LOE (P=.328). CONCLUSIONS Although the number of HE studies in 3 leading prosthodontic journals has increased over time, the total number was still limited compared with LE studies. A further improvement in the overall LOE of clinical studies in prosthodontics is needed.
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Affiliation(s)
- Merve Koseoglu
- Associate Professor, Department of Prosthodontics, Faculty of Dentistry, University of Sakarya, Sakarya, Turkey
| | - Berkman Albayrak
- Assistant Professor, Department of Prosthodontics, Faculty of Dentistry, University of Bahcesehir, Istanbul, Turkey
| | - Hubban Nasution
- Lecturer, Department of Prosthodontics, Faculty of Dentistry, Universitas Sumatera Utara, Medan, Indonesia
| | - Judy Chia-Chun Yuan
- Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois, Chicago, Ill
| | - Foteini Touloumi
- Assistant Professor, Division of Prosthodontics, Department of Reconstructive Sciences, University of Connecticut Health Center, Farmington, CT
| | - Jiyeon J Kim
- Private practice, Clear Choice Dental Implant Center, LLC, Alpharetta, Ga
| | - Funda Bayindir
- Professor, Department of Prosthodontics, Faculty of Dentistry, University of Ataturk, Erzurum, Turkey
| | - Cortino Sukotjo
- Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois, Chicago, Ill.
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Chee LKM, Bishal AK, Bhatia HS, Wee AG, Takoudis C, Sukotjo C, Yuan JCC. Effect of Nano Ceramic Coating on Color Perceptibility and Acceptability of Polymethylmethacrylate: In Vitro and Clinical Study. Materials (Basel) 2022; 15:8748. [PMID: 36556554 PMCID: PMC9782542 DOI: 10.3390/ma15248748] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Revised: 11/08/2022] [Accepted: 12/05/2022] [Indexed: 06/17/2023]
Abstract
The effect of a novel nano-ceramic coating (TiO2) using an atomic layer deposition (ALD) technique on the surface of polymethyl methacrylate (PMMA) material was investigated. The patients' and clinicians' perception and acceptance of the PMMA color with TiO2 coating were also examined. In vitro color measurement was performed on thirty specimens (light, original, and dark pink) before and after TiO2 coating. Patients' and clinicians' perception and acceptance of color changes on PMMA were measured and compared. Descriptive and analytic statistics were analyzed (a = 0.05). TiO2 films were successfully deposited on the PMMA specimen by the ALD technique. Color changes after TiO2 coating were observed on all three PMMA shades, significantly higher than the established 50:50% perceptibility threshold, but below the established 50:50% acceptability threshold. The percentage of patients that perceived a color difference after TiO2 coating were 83.3%, 63.9%, and 77.8% for light, original, and dark pink, respectively. The percentages of clinicians that were satisfied with the color difference were 96.4%, 80%, and 69.2% for light, original, and dark pink, respectively. Color changes after TiO2 coating were observed, but below the acceptable threshold. The clinical survey demonstrated that a color difference was perceived but was clinically acceptable. In general, laypeople have lower perception and higher acceptance of changes in PMMA color than clinicians.
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Affiliation(s)
| | | | - Harshdeep Singh Bhatia
- Department of Chemical Engineering, College of Engineering, University of Illinois Chicago, 929 W. Taylor St., Chicago, IL 60608, USA
| | - Alvin G. Wee
- Department of Restorative Sciences, School of Dentistry, University of Minnesota, 9-470 Moos Tower, 515 Delaware St. SE, Minneapolis, MN 55455, USA
| | - Christos Takoudis
- Department of Chemical Engineering, College of Engineering, University of Illinois Chicago, 929 W. Taylor St., Chicago, IL 60608, USA
- Department of Biomedical Engineering, College of Engineering, University of Illinois Chicago, 851 S. Morgan, Chicago, IL 60607, USA
| | - Cortino Sukotjo
- Department of Restorative Dentistry, College of Dentistry, University of Illinois Chicago, 801 S. Paulina, Chicago, IL 60612, USA
| | - Judy Chia-Chun Yuan
- Department of Restorative Dentistry, College of Dentistry, University of Illinois Chicago, 801 S. Paulina, Chicago, IL 60612, USA
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Schelkopf S, Dini C, Beline T, Wee AG, Barão VAR, Sukotjo C, Yuan JCC. The Effect of Smoking and Brushing on the Color Stability and Stainability of Different CAD/CAM Restorative Materials. Materials (Basel) 2022; 15:ma15196901. [PMID: 36234241 PMCID: PMC9571481 DOI: 10.3390/ma15196901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/05/2022] [Revised: 09/22/2022] [Accepted: 10/02/2022] [Indexed: 05/14/2023]
Abstract
This study aimed to investigate and compare the color stability and stainability of computer-aided design/computer-aided manufacturing (CAD/CAM) restorative materials in their glazed (G) and polished (P) state when exposed to cigarette smoke, as well as after brushing. Three CAD/CAM restorative materials were investigated: lithium disilicate CAD (LD), zirconia (Zr), and Telio PMMA CAD (PMMA), according to their surface finishing and assignment to cigarette smoking exposure or soaking in the saliva (control) group. The color change (∆E) was calculated before and after the intervention performed for all specimens, using the L*a*b values to quantitatively assess the shade differences. Statistical analysis was performed using one-way repeated measures ANOVA and Bonferroni multiple comparison analysis (α = 0.05). The surface finishing did not influence the materials’ stainability. Color change was noted after smoking, LD and Zr-G and Zr-P had a comparable color change (p > 0.05), while PMMA presented lower ∆E values (p < 0.05). After brushing, all specimens had a significant color change that was high for LD-G and LD-P, and Zr-G, compared with Zr-P and PMMA (p < 0.05). In conclusion, the exposure to cigarette smoke showed that LD, Zr, and PMMA are all susceptible to staining, but brushing decreases surface staining.
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Affiliation(s)
- Stuart Schelkopf
- Private Practice, University Associates in Dentistry, 222 N Lasalle St., Chicago, IL 60601, USA
| | - Caroline Dini
- Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas (UNICAMP), Av. Limeira, 901, Piracicaba 13414-903, São Paulo, Brazil
| | - Thamara Beline
- Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas (UNICAMP), Av. Limeira, 901, Piracicaba 13414-903, São Paulo, Brazil
| | - Alvin G. Wee
- Department of Restorative Sciences, School of Dentistry, University of Minnesota, 9-470 Moos Tower, 515 Delaware St. SE, Minneapolis, MN 55455, USA
| | - Valentim A. R. Barão
- Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas (UNICAMP), Av. Limeira, 901, Piracicaba 13414-903, São Paulo, Brazil
| | - Cortino Sukotjo
- Department of Restorative Dentistry, College of Dentistry, University of Illinois Chicago, 801 S Paulina, Chicago, IL 60612, USA
- Correspondence: (C.S.); (J.C.-C.Y.)
| | - Judy Chia-Chun Yuan
- Department of Restorative Dentistry, College of Dentistry, University of Illinois Chicago, 801 S Paulina, Chicago, IL 60612, USA
- Correspondence: (C.S.); (J.C.-C.Y.)
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Prasad S, Faverani LP, Santiago Junior JF, Sukotjo C, Yuan JCC. Attachment systems for mandibular implant-supported overdentures: A systematic review and meta-analysis of randomized controlled trials. J Prosthet Dent 2022:S0022-3913(22)00485-1. [PMID: 36115712 DOI: 10.1016/j.prosdent.2022.08.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2022] [Revised: 08/02/2022] [Accepted: 08/03/2022] [Indexed: 10/14/2022]
Abstract
STATEMENT OF PROBLEM Although mandibular implant-supported overdentures have been highly recommended as a treatment option, a consensus on the type of attachment systems that can be used to increase implant and prostheses survivability is lacking. PURPOSE The purpose of this systematic review and meta-analysis was to compare different types of attachments for retention by investigating outcome measures such as implant and prosthesis survival rates and biological and prosthesis complications in participants with a mandibular implant-supported overdenture. MATERIAL AND METHODS The search was performed in the PubMed, Cochrane, Embase, and Scopus databases by following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses criteria and registered with the International Prospective Register of Systematic Reviews (CRD42021253566). An analysis of association was conducted between different attachment systems and implant and overdenture survival rates in randomized controlled clinical trials. RESULTS The initial search indicated 477 studies, of which 25 randomized controlled trials (RCTs) were included for analysis. A total of 2154 implants and 737 overdentures were analyzed in the meta-analysis. The main results indicated the failure rate for dental implants to be 2.0% (95% confidence interval [CI], 1.3 to 3.2) and overdentures 4.2% (95% CI, 1.6 to 10.5), respectively. With regard to different attachment systems, a similar failure rate was identified with bar-type retention (7.7% to 95% CI, 3.0 to 18.1), magnetic retention systems (7.6% to 95% CI, 2.2 to 22.7), and ball-type retention (6.8% to 95% CI, 3.0 to 14.3). No significant difference was found in biological complications for splinted and unsplinted implant overdentures (P=.902). Regarding prosthetic complications, the most favorable groups were LOCATOR attachments followed by telescopic and Conus, bar, and ball attachments. Magnet attachments had higher prosthetic complications (7.4 times) than the other attachments. CONCLUSIONS Implants and implant-supported mandibular overdentures showed a high survival rate irrespective of the attachment system used. Splinting implants did not significantly affect the rate of biological complications. Prosthetic complications were most common for magnet and least common for LOCATOR attachments.
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Affiliation(s)
- Soni Prasad
- Associate Professor and Director, Pre-Doctoral Implant Program, Department of General Dental Sciences, Marquette University School of Dentistry, Milwaukee, Wisc
| | - Leonardo P Faverani
- Assistant Professor, Division of Oral and Maxillofacial Surgery and Implantology, Department of Diagnosis and Surgery, School of Dentistry, São Paulo State University - UNESP, Araçatuba, Sao Paulo, Brazil
| | - Joel Ferreira Santiago Junior
- Assistant Professor, Department of Health Sciences, Centro Universitário Sagrado Coração - UNISAGRADO, Bauru, Sao Paulo, Brazil; Assistant Professor, Department of Prosthesis and Periodontics, Bauru School of Dentistry - University of São Paulo (FOB-USP), Bauru, Sao Paulo, Brazil
| | - Cortino Sukotjo
- Professor and Director Pre-Doctoral Implant Program, Department of Restorative Dentistry, University of Illinois Chicago College of Dentistry, Chicago, Ill
| | - Judy Chia-Chun Yuan
- Associate Professor and Managing Partner, Department of Restorative Dentistry, University of Illinois Chicago College of Dentistry, Chicago, Ill.
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Manzotti A, Roenitz C, Yuan JCC, Sukotjo C, Vieira Marques IDS, Alfaro MF, Wee AG. Status of Sleep Apnea and Snoring Disorder Curriculum in U.S. Advanced Education Prosthodontic Programs. J Prosthodont 2020; 29:656-659. [PMID: 32406074 DOI: 10.1111/jopr.13199] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2020] [Revised: 05/07/2020] [Accepted: 05/11/2020] [Indexed: 11/29/2022] Open
Abstract
PURPOSE To assess the management of sleep apnea and snoring disorders in Advanced Education Programs in Prosthodontics (AEPP) in the United States. MATERIALS AND METHODS A 51 item, online survey was sent to program directors at 48 AEPPs in the United States in 2015. Data results were analyzed descriptively. RESULTS Thirty-five program directors responded to the survey. Twenty-four (68.6%, N = 35) programs report not having a dedicated course for the treatment of sleep apnea and snoring disorders. The majority (94.3%) of programs chose to treat sleep disordered breathing with oral appliance therapy and 80.0% (N = 35) of programs utilize customized sleep apnea oral devices. However, only 48.6% (N = 35) and 51.4% (N = 35) of programs regularly address sleep apnea and snoring disorders at initial examination during the comprehensive exam and medical history questionnaire, respectively. CONCLUSIONS The confidence interval for this survey is 8.71 at a confidence level of 95% due to a response rate of 72.9%. This confidence interval suggests there is responder bias in the survey results. Therefore, the results of this survey provide a suggestion of how sleep disorders are managed in AEPPs. Programs appear to be consistent among each other with regards to treatment modalities for sleep disordered breathing. The results suggest that patients are not screened enough to receive treatment addressing sleep disorders.
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Affiliation(s)
| | - Christine Roenitz
- Department of Growth and Development, College of Dentistry, University of Nebraska Medical Center, Lincoln, NE
| | - Judy Chia-Chun Yuan
- Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry, Chicago, IL
| | - Cortino Sukotjo
- Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry, Chicago, IL
| | | | - Maria F Alfaro
- Department of Biological and Material Sciences, Division of Prosthodontics, University of Michigan, Ann Arbor, MI
| | - Alvin G Wee
- Division of Prosthodontics, Department of Restorative Sciences, University of Minnesota School of Dentistry, Minneapolis, MN
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Lee DJ, Yuan JCC, Zheng F, Wee AG, Caradine-Poinsett L, Tuminelli FJ, Sukotjo C. Prosthodontic Resident Selection by Postdoctoral Dental Matching Program: A National Survey by Participating Program Director. J Prosthodont 2020; 29:374-377. [PMID: 32133716 DOI: 10.1111/jopr.13157] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/03/2020] [Indexed: 11/30/2022] Open
Abstract
PURPOSE The purpose of this study was to obtain information about the resident selection and Match process that occurred for the Commission on Dental Accreditation (CODA)-accredited Advanced Education in Prosthodontics program in North America from the program directors' perspective, after the first year of implementation. MATERIALS AND METHODS The list of Advanced Education in Prosthodontics program in CODA-accredited North American institutions was obtained from the ACP central office, and the directors of each program were identified. The surveys were distributed to 48 program directors online and results were compiled. RESULTS Out of 48 programs, 43 directors responded to and completed the survey (90.0%), where 35 programs participated in the Match process, 5 did not, and 3 were omitted due to incomplete surveys. While the majority of programs did not see any changes in their applicant pool or their quality, 10 programs (25.0%) observed a number of increases in the application and 13 programs (32.5%) observed an increase in the quality of the applications. Among the 35 programs that participated in the Match process, the main reasons for their participation were "fairness" (48.2%), "did not want to keep moving up interview dates" (23.2%), and "have applicants come to interview as planned" (21.4%). Thirty-three programs reported that 75% to 100% of the invited applicants came to the interview (76.7%). The majority of programs that participated in Match expressed satisfaction with the process (29/33, 80.6%). Sixteen programs (45.7%) reported that they matched with 100% of their first selections. CONCLUSION Overall response of reintroduction of the Match process for advanced prosthodontic resident selection was very positive for majority of the program directors.
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Affiliation(s)
- Damian J Lee
- Assistant Professor and Program Director, Advanced Prosthodontics Program, Division of Restorative and Prosthetic Dentistry, The Ohio State University College of Dentistry, Columbus, OH
| | - Judy Chia-Chun Yuan
- Associate Professor and Program Director, Predoctoral Implant Program, Department of Restorative Dentistry, University of Illinois-Chicago College of Dentistry, Chicago, IL
| | - Fengyuan Zheng
- Assistant Professor and Associate Program Director, Advanced Prosthodontics Program, Division of Restorative and Prosthetic Dentistry, The Ohio State University College of Dentistry, Columbus, OH
| | - Alvin G Wee
- Professor and Director, Division of Prosthodontics, Department of Restorative Sciences, University of Minnesota School of Dentistry, Minneapolis, MN.,Director, Division of Education and Research, American College or Prosthodontists, Chicago, IL
| | - Linda Caradine-Poinsett
- Executive Director, American College of Prosthodontists and American College of Prosthodontist Education Foundation, Chicago, IL
| | - Frank J Tuminelli
- Clinical Assistant Professor, Department of Dental Medicine, Hofstra Northwell School of Medicine and Director of Graduate Prosthodontics, VA NY Harbor Healthcare System, New York, NY.,Chair of the Match Task Force, American College of Prosthodontists, Chicago, IL
| | - Cortino Sukotjo
- Associate Professor, Department of Restorative Dentistry, University of Illinois-Chicago College of Dentistry, Chicago, IL
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Kim A, Candamo F, Wee AG, Yuan JCC, Garcia LT. Predoctoral Dental Education in Tooth Prognosis and Treatment Complexity: A Survey of U.S. Dental Schools. J Dent Educ 2019; 83:1151-1157. [PMID: 31235502 DOI: 10.21815/jde.019.122] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2019] [Accepted: 05/02/2019] [Indexed: 02/01/2023]
Abstract
The aim of this study was to determine the educational methods and tools used to teach tooth prognosis and treatment complexity determination in U.S. predoctoral dental programs. In 2018, an online survey was emailed to the academic deans of all 66 accredited U.S. dental schools. Of these, 42 schools responded (63.6%), and 36 schools completed the entire survey (54.5%). The methods reported for teaching tooth prognosis and case complexity determination varied widely among the participating schools. Among the respondents, 25% reported using the American Association of Endodontists' Endodontic Case Difficulty Assessment, while 10% reported having no specific method for teaching prognosis. The most common method for teaching overall treatment complexity was the Prosthodontic Diagnostic Index, which was used by 24% of the respondents. However, another 24% reported that their school did not have a specific method for teaching treatment complexity. Large percentages of the respondents reported that students sometimes or often made wrong tooth prognosis and case complexity determination (90% and 92%, respectively). The most prominent feedback provided by the respondents based on their experience was the importance of faculty standardization, the understanding of students' inexperience, and the need for an interdisciplinary approach. The majority of these respondents reported that their schools had specific methods of teaching prognosis and case complexity determination. However, there was a wide range of teaching practices related to the contents and levels of evidence.
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Affiliation(s)
- Aram Kim
- Aram Kim is Instructor, Department of Restorative Dentistry and Biomaterials Sciences, Harvard School of Dental Medicine; Fiorella Candamo is an AEGD resident, Captain James A. Lovell Federal Health Care Center; Alvin G. Wee is Professor and Director, Division of Prosthodontics, Department of Restorative Sciences, University of Minnesota School of Dentistry; Judy Chia-Chun Yuan is Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; and Lily T. Garcia is Professor and Associate Dean for Education, The University of Iowa College of Dentistry & Dental Clinics.
| | - Fiorella Candamo
- Aram Kim is Instructor, Department of Restorative Dentistry and Biomaterials Sciences, Harvard School of Dental Medicine; Fiorella Candamo is an AEGD resident, Captain James A. Lovell Federal Health Care Center; Alvin G. Wee is Professor and Director, Division of Prosthodontics, Department of Restorative Sciences, University of Minnesota School of Dentistry; Judy Chia-Chun Yuan is Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; and Lily T. Garcia is Professor and Associate Dean for Education, The University of Iowa College of Dentistry & Dental Clinics
| | - Alvin G Wee
- Aram Kim is Instructor, Department of Restorative Dentistry and Biomaterials Sciences, Harvard School of Dental Medicine; Fiorella Candamo is an AEGD resident, Captain James A. Lovell Federal Health Care Center; Alvin G. Wee is Professor and Director, Division of Prosthodontics, Department of Restorative Sciences, University of Minnesota School of Dentistry; Judy Chia-Chun Yuan is Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; and Lily T. Garcia is Professor and Associate Dean for Education, The University of Iowa College of Dentistry & Dental Clinics
| | - Judy Chia-Chun Yuan
- Aram Kim is Instructor, Department of Restorative Dentistry and Biomaterials Sciences, Harvard School of Dental Medicine; Fiorella Candamo is an AEGD resident, Captain James A. Lovell Federal Health Care Center; Alvin G. Wee is Professor and Director, Division of Prosthodontics, Department of Restorative Sciences, University of Minnesota School of Dentistry; Judy Chia-Chun Yuan is Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; and Lily T. Garcia is Professor and Associate Dean for Education, The University of Iowa College of Dentistry & Dental Clinics
| | - Lily T Garcia
- Aram Kim is Instructor, Department of Restorative Dentistry and Biomaterials Sciences, Harvard School of Dental Medicine; Fiorella Candamo is an AEGD resident, Captain James A. Lovell Federal Health Care Center; Alvin G. Wee is Professor and Director, Division of Prosthodontics, Department of Restorative Sciences, University of Minnesota School of Dentistry; Judy Chia-Chun Yuan is Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; and Lily T. Garcia is Professor and Associate Dean for Education, The University of Iowa College of Dentistry & Dental Clinics
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Touloumi F, Yuan JCC, Reshan A, Wee AG, Sukotjo C. Retrospective Evaluation of the Status of Advanced Dental Education in Prosthodontics from 2006 to 2016. J Dent Educ 2019; 83:887-894. [PMID: 31085685 DOI: 10.21815/jde.019.092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2018] [Accepted: 02/16/2019] [Indexed: 11/20/2022]
Abstract
The aim of this study was to analyze information about advanced education programs in prosthodontics (AEPPs) collected in American Dental Association (ADA) surveys on advanced dental education from 2006-07 to 2016-17. Data recorded included number of AEPPs and information on program directors, applicants, and enrollees in AEPPs. The results showed that, from 2006 to 2016, there was an increase in the number of AEPPs and enrollment of prosthodontic residents, and the number of applicants per program more than doubled. Despite these increases, steps are needed to increase the number of underrepresented minority residents in prosthodontics. Also, a periodic survey of prosthodontic residents to identify their goals, experiences during training, and career plans could benefit the specialty by providing more insight into the future prosthodontic workforce.
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Affiliation(s)
- Foteini Touloumi
- Foteini Touloumi, DDS, MS, FACP, is Clinical Assistant Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Judy Chia-Chun Yuan, DDS, MS, FACP, is Associate Professor and Predoctoral Implant Program Director, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Adam Reshan, BA, is Director, Membership Services and Academic Relations, American College of Prosthodontists; Alvin G. Wee, BDS, DDS, MS, MPH, PhD, is Assistant Dental Service Chief, Veterans Affairs Nebraska Western Iowa Health Care System, Omaha, NE, and Director, Division of Education and Research, American College of Prosthodontists; and Cortino Sukotjo, DDS, MMSc, PhD, FACP, is Associate Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry and Visiting Professor, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia
| | - Judy Chia-Chun Yuan
- Foteini Touloumi, DDS, MS, FACP, is Clinical Assistant Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Judy Chia-Chun Yuan, DDS, MS, FACP, is Associate Professor and Predoctoral Implant Program Director, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Adam Reshan, BA, is Director, Membership Services and Academic Relations, American College of Prosthodontists; Alvin G. Wee, BDS, DDS, MS, MPH, PhD, is Assistant Dental Service Chief, Veterans Affairs Nebraska Western Iowa Health Care System, Omaha, NE, and Director, Division of Education and Research, American College of Prosthodontists; and Cortino Sukotjo, DDS, MMSc, PhD, FACP, is Associate Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry and Visiting Professor, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia
| | - Adam Reshan
- Foteini Touloumi, DDS, MS, FACP, is Clinical Assistant Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Judy Chia-Chun Yuan, DDS, MS, FACP, is Associate Professor and Predoctoral Implant Program Director, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Adam Reshan, BA, is Director, Membership Services and Academic Relations, American College of Prosthodontists; Alvin G. Wee, BDS, DDS, MS, MPH, PhD, is Assistant Dental Service Chief, Veterans Affairs Nebraska Western Iowa Health Care System, Omaha, NE, and Director, Division of Education and Research, American College of Prosthodontists; and Cortino Sukotjo, DDS, MMSc, PhD, FACP, is Associate Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry and Visiting Professor, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia
| | - Alvin G Wee
- Foteini Touloumi, DDS, MS, FACP, is Clinical Assistant Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Judy Chia-Chun Yuan, DDS, MS, FACP, is Associate Professor and Predoctoral Implant Program Director, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Adam Reshan, BA, is Director, Membership Services and Academic Relations, American College of Prosthodontists; Alvin G. Wee, BDS, DDS, MS, MPH, PhD, is Assistant Dental Service Chief, Veterans Affairs Nebraska Western Iowa Health Care System, Omaha, NE, and Director, Division of Education and Research, American College of Prosthodontists; and Cortino Sukotjo, DDS, MMSc, PhD, FACP, is Associate Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry and Visiting Professor, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia
| | - Cortino Sukotjo
- Foteini Touloumi, DDS, MS, FACP, is Clinical Assistant Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Judy Chia-Chun Yuan, DDS, MS, FACP, is Associate Professor and Predoctoral Implant Program Director, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Adam Reshan, BA, is Director, Membership Services and Academic Relations, American College of Prosthodontists; Alvin G. Wee, BDS, DDS, MS, MPH, PhD, is Assistant Dental Service Chief, Veterans Affairs Nebraska Western Iowa Health Care System, Omaha, NE, and Director, Division of Education and Research, American College of Prosthodontists; and Cortino Sukotjo, DDS, MMSc, PhD, FACP, is Associate Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry and Visiting Professor, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia.
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Afshari FS, Campbell SD, Curtis DA, Garcia LT, Knoernschild KL, Yuan JCC. Patient-Specific, Risk-Based Prevention, Maintenance, and Supportive Care: A Need for Action and Innovation in Education. J Prosthodont 2019; 28:775-783. [PMID: 30924568 DOI: 10.1111/jopr.13059] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/21/2019] [Indexed: 11/28/2022] Open
Abstract
PURPOSE To develop a competency-based curriculum framework for prevention, supportive care, and maintenance for use in educational and patient care programs and to seek consensus on an overarching competency statement that embraces these critical learning and patient care concepts. MATERIALS AND METHODS A preliminary survey of current preventive and maintenance practices in U.S. dental and prosthodontic programs was completed and summarized with quantitative analysis. The American College of Prosthodontists organized a one-day consensus workshop with 14 participants from various U.S. dental schools with diverse backgrounds to develop a curriculum framework. The curriculum framework was used in the development of a joint competency statement using an iterative, online consensus process of debate and feedback. RESULTS The preliminary survey helped frame the initiative and identify potential educational needs and gaps. Consensus was achieved for a recommended competency statement: "Graduates must be competent in promoting oral health through risk assessment, diagnosis, prevention, and management of the hard tissue, soft tissue, and prostheses, and as part of professional recall and home maintenance." This competency statement complements the proposed curriculum framework designed around 3 domains-caries prevention, periodontal supportive care, and prosthesis supportive care-with a set of recommended learning objectives. CONCLUSIONS Commission on Dental Accreditation (CODA) learning standards do not outline patient-customized, evidence-based recall and home maintenance programs that highlight prevention of dental caries, periodontal supportive care, prosthesis maintenance, and patient education. The proposed competency-based curricular framework serves as an initial step in addressing student learning and patient care within the context of a recall system and home maintenance program while offering schools the needed flexibility for implementation within their curriculum.
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Affiliation(s)
- Fatemeh S Afshari
- Department of Restorative Dentistry, UIC College of Dentistry, Chicago, IL
| | - Stephen D Campbell
- Department of Restorative Dentistry, UIC College of Dentistry, Chicago, IL
| | - Donald A Curtis
- Department of Prevention and Restorative Dental Sciences, UCSF School of Dentistry, San Francisco, CA
| | - Lily T Garcia
- Department of Prosthodontics, The University of Iowa College of Dentistry, Iowa City, IA
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Sheets JL, Pinkston DJ, Yuan JCC, Sukotjo C, Wee AG. U.S. Maxillofacial Prosthetics Programs: Fellows' and Directors' Perspectives. J Dent Educ 2018; 82:1335-1342. [PMID: 30504472 DOI: 10.21815/jde.018.138] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2018] [Accepted: 06/12/2018] [Indexed: 11/20/2022]
Abstract
Maxillofacial prosthetics (MFP) programs in the U.S. select only a limited number of applicants for fellowship positions. The aims of this study were to survey MFP fellows about which factors influenced their choice of programs and to survey MFP directors about what they considered critical factors in the selection process. Surveys were sent to all eight directors and 13 fellows at all eight U.S. MFP programs in June 2015. The directors' questions asked about general information, resident selection process, letters of recommendation, interview process, and decision process. The fellows' questions addressed their demographics, program-related factors, and future goals. The directors' surveys were sent directly to the directors, and the fellows' surveys were sent to the directors for distribution. The survey response rate for the directors was 87.5% (N=7), and that of the fellows was 53.8% (N=7). In selecting fellows for programs, responding directors reported the interview process was most important, followed by letters of recommendation, personal statement, and prosthodontic program grades. Responding fellows reported that location, variety of treatment, patient volume provided, and clinical education were crucial components in their choice of program. This information may be useful to MFP programs and fellows in the continuing development of this specialty.
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Affiliation(s)
- James L Sheets
- James L. Sheets, DDS, FACP, is Associate Professor, Department of Prosthodontics, School of Dentistry, Creighton University; Daniel J. Pinkston, DDS, is a former Resident, Advanced Education in Prosthodontics, College of Dentistry, University of Illinois at Chicago; Judy Chia-Chun Yuan, DDS, MS, FACP, is Associate Professor and Predoctoral Implant Program Director, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Cortino Sukotjo, DDS, MMSc, PhD, FACP, is Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; and Alvin G. Wee, BDS, DDS, MS, MPH, PhD, is a Maxillofacial Prosthodontist, Veterans Affairs Nebraska Western Iowa Health Care System, Omaha, Nebraska and Associate Professor, Department of Prosthodontics, School of Dentistry, Creighton University
| | - Daniel J Pinkston
- James L. Sheets, DDS, FACP, is Associate Professor, Department of Prosthodontics, School of Dentistry, Creighton University; Daniel J. Pinkston, DDS, is a former Resident, Advanced Education in Prosthodontics, College of Dentistry, University of Illinois at Chicago; Judy Chia-Chun Yuan, DDS, MS, FACP, is Associate Professor and Predoctoral Implant Program Director, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Cortino Sukotjo, DDS, MMSc, PhD, FACP, is Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; and Alvin G. Wee, BDS, DDS, MS, MPH, PhD, is a Maxillofacial Prosthodontist, Veterans Affairs Nebraska Western Iowa Health Care System, Omaha, Nebraska and Associate Professor, Department of Prosthodontics, School of Dentistry, Creighton University
| | - Judy Chia-Chun Yuan
- James L. Sheets, DDS, FACP, is Associate Professor, Department of Prosthodontics, School of Dentistry, Creighton University; Daniel J. Pinkston, DDS, is a former Resident, Advanced Education in Prosthodontics, College of Dentistry, University of Illinois at Chicago; Judy Chia-Chun Yuan, DDS, MS, FACP, is Associate Professor and Predoctoral Implant Program Director, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Cortino Sukotjo, DDS, MMSc, PhD, FACP, is Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; and Alvin G. Wee, BDS, DDS, MS, MPH, PhD, is a Maxillofacial Prosthodontist, Veterans Affairs Nebraska Western Iowa Health Care System, Omaha, Nebraska and Associate Professor, Department of Prosthodontics, School of Dentistry, Creighton University
| | - Cortino Sukotjo
- James L. Sheets, DDS, FACP, is Associate Professor, Department of Prosthodontics, School of Dentistry, Creighton University; Daniel J. Pinkston, DDS, is a former Resident, Advanced Education in Prosthodontics, College of Dentistry, University of Illinois at Chicago; Judy Chia-Chun Yuan, DDS, MS, FACP, is Associate Professor and Predoctoral Implant Program Director, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Cortino Sukotjo, DDS, MMSc, PhD, FACP, is Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; and Alvin G. Wee, BDS, DDS, MS, MPH, PhD, is a Maxillofacial Prosthodontist, Veterans Affairs Nebraska Western Iowa Health Care System, Omaha, Nebraska and Associate Professor, Department of Prosthodontics, School of Dentistry, Creighton University
| | - Alvin G Wee
- James L. Sheets, DDS, FACP, is Associate Professor, Department of Prosthodontics, School of Dentistry, Creighton University; Daniel J. Pinkston, DDS, is a former Resident, Advanced Education in Prosthodontics, College of Dentistry, University of Illinois at Chicago; Judy Chia-Chun Yuan, DDS, MS, FACP, is Associate Professor and Predoctoral Implant Program Director, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Cortino Sukotjo, DDS, MMSc, PhD, FACP, is Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; and Alvin G. Wee, BDS, DDS, MS, MPH, PhD, is a Maxillofacial Prosthodontist, Veterans Affairs Nebraska Western Iowa Health Care System, Omaha, Nebraska and Associate Professor, Department of Prosthodontics, School of Dentistry, Creighton University.
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Sukotjo C, Khan A, Yuan JCC, Afshari F, Weatherspoon D, Wee AG. Research Productivity of Directors of U.S. Advanced Education in Prosthodontics Programs. J Dent Educ 2018; 82:1320-1326. [PMID: 30504470 DOI: 10.21815/jde.018.136] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2018] [Accepted: 06/06/2018] [Indexed: 11/20/2022]
Abstract
The aims of this study were to measure the research productivity of directors of U.S. advanced education in prosthodontics programs (AEPP) and to identify associations between the directors' publication metrics and professional characteristics. A list of AEPP directors was obtained from the American College of Prosthodontists website in December 2015. Information on gender, academic rank, and highest degree was collected from the institutional website for each individual. Citation databases (Scopus and Google Scholar) were searched for each director's h-index and i10-index (both indexes are based on numbers of citations of the author's articles) and total numbers of publications and citations. The search identified 50 AEPP directors. The majority were male and had a primary appointment at a university. Most held the rank of associate professor or professor and held both DDS and MS degrees. The mean h-index and i10-index of all directors were 6.32±6.97 and 6.84±10.77, respectively. Their mean numbers of publications and citations were 24.60±31.21 and 288.40±625.97, respectively. The analysis showed that the program directors affiliated with a university had significantly higher mean values for all indexes than those of non-university-affiliated program directors. Professors had productivity metrics significantly higher than those of other ranks in all measures of research productivity.
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Affiliation(s)
- Cortino Sukotjo
- Cortino Sukotjo, DDS, PhD, MMSc, is Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago and Visiting Professor, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia; Anam Khan, DMD, was an advanced standing student, College of Dentistry, University of Illinois at Chicago and is currently in private practice in Houston, TX; Judy Chia-Chun Yuan, DDS, MS, is Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Fatemeh Afshari, DMD, MS, is Clinical Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Darien Weatherspoon, DDS, MPH, is Program Director, Health Disparities Research Program, National Institute of Dental and Craniofacial Research; and Alvin G. Wee, DDS, MPH, PhD, is Associate Professor, School of Dentistry, Creighton University and a Maxillofacial Prosthodontist, Veterans Affairs Nebraska Western Iowa Health System.
| | - Anam Khan
- Cortino Sukotjo, DDS, PhD, MMSc, is Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago and Visiting Professor, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia; Anam Khan, DMD, was an advanced standing student, College of Dentistry, University of Illinois at Chicago and is currently in private practice in Houston, TX; Judy Chia-Chun Yuan, DDS, MS, is Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Fatemeh Afshari, DMD, MS, is Clinical Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Darien Weatherspoon, DDS, MPH, is Program Director, Health Disparities Research Program, National Institute of Dental and Craniofacial Research; and Alvin G. Wee, DDS, MPH, PhD, is Associate Professor, School of Dentistry, Creighton University and a Maxillofacial Prosthodontist, Veterans Affairs Nebraska Western Iowa Health System
| | - Judy Chia-Chun Yuan
- Cortino Sukotjo, DDS, PhD, MMSc, is Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago and Visiting Professor, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia; Anam Khan, DMD, was an advanced standing student, College of Dentistry, University of Illinois at Chicago and is currently in private practice in Houston, TX; Judy Chia-Chun Yuan, DDS, MS, is Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Fatemeh Afshari, DMD, MS, is Clinical Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Darien Weatherspoon, DDS, MPH, is Program Director, Health Disparities Research Program, National Institute of Dental and Craniofacial Research; and Alvin G. Wee, DDS, MPH, PhD, is Associate Professor, School of Dentistry, Creighton University and a Maxillofacial Prosthodontist, Veterans Affairs Nebraska Western Iowa Health System
| | - Fatemeh Afshari
- Cortino Sukotjo, DDS, PhD, MMSc, is Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago and Visiting Professor, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia; Anam Khan, DMD, was an advanced standing student, College of Dentistry, University of Illinois at Chicago and is currently in private practice in Houston, TX; Judy Chia-Chun Yuan, DDS, MS, is Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Fatemeh Afshari, DMD, MS, is Clinical Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Darien Weatherspoon, DDS, MPH, is Program Director, Health Disparities Research Program, National Institute of Dental and Craniofacial Research; and Alvin G. Wee, DDS, MPH, PhD, is Associate Professor, School of Dentistry, Creighton University and a Maxillofacial Prosthodontist, Veterans Affairs Nebraska Western Iowa Health System
| | - Darien Weatherspoon
- Cortino Sukotjo, DDS, PhD, MMSc, is Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago and Visiting Professor, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia; Anam Khan, DMD, was an advanced standing student, College of Dentistry, University of Illinois at Chicago and is currently in private practice in Houston, TX; Judy Chia-Chun Yuan, DDS, MS, is Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Fatemeh Afshari, DMD, MS, is Clinical Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Darien Weatherspoon, DDS, MPH, is Program Director, Health Disparities Research Program, National Institute of Dental and Craniofacial Research; and Alvin G. Wee, DDS, MPH, PhD, is Associate Professor, School of Dentistry, Creighton University and a Maxillofacial Prosthodontist, Veterans Affairs Nebraska Western Iowa Health System
| | - Alvin G Wee
- Cortino Sukotjo, DDS, PhD, MMSc, is Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago and Visiting Professor, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia; Anam Khan, DMD, was an advanced standing student, College of Dentistry, University of Illinois at Chicago and is currently in private practice in Houston, TX; Judy Chia-Chun Yuan, DDS, MS, is Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Fatemeh Afshari, DMD, MS, is Clinical Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Darien Weatherspoon, DDS, MPH, is Program Director, Health Disparities Research Program, National Institute of Dental and Craniofacial Research; and Alvin G. Wee, DDS, MPH, PhD, is Associate Professor, School of Dentistry, Creighton University and a Maxillofacial Prosthodontist, Veterans Affairs Nebraska Western Iowa Health System
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Sikora CL, Alfaro MF, Yuan JCC, Barao VA, Sukotjo C, Mathew MT. Wear and Corrosion Interactions at the Titanium/Zirconia Interface: Dental Implant Application. J Prosthodont 2018. [PMID: 29521461 DOI: 10.1111/jopr.12769] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
PURPOSE Dental implants have been shown to have predictable success, but esthetic complications often arise. To reduce tissue shadowing from titanium, zirconia abutments may be used; however, the literature suggests that the use of zirconia leads to greater destruction of the implant interface that may result in biological complications such as titanium tattoos and heavy metal toxicity. Previous studies have examined the mechanical aspects of this implant/abutment relationship, but they have not accounted for the corrosive degradation that also takes place in the dynamic environment of the oral cavity. This study investigated the combined effect of both wear and corrosion on the materials at the implant and abutment interface. MATERIALS AND METHODS Using a simulated oral tribocorrosive environment, titanium (Ti) and zirconia (Zr) abutment materials were slid against titanium and Roxolid implant alloys. The four couplings (Ti/Ti, Ti/Rox, Zr/Ti, Zr/Rox) were selected for the tribocorrosion tests (N = 3). The testing was conducted for 25K cycles, and the coefficient of friction (CoF) and voltage evolution were recorded simultaneously. Following the tribocorrosion assays, the wear volume loss was calculated, and surface characterization was performed. Statistical analysis was completed using a one-way ANOVA followed by post-hoc Bonferroni comparisons. RESULTS Zr/Ti groups had the highest CoF (1.1647), and Ti/Ti had the lowest (0.5033). The Zr/Ti coupling generated significantly more mechanical damage than the Ti/Ti group (p = 0.021). From the corrosion aspect, the Ti/Ti groups had the highest voltage drop (0.802 V), indicating greater corrosion susceptibility. In comparison, the Zr/Roxolid group had the lowest voltage drop (0.628 V) and significantly less electrochemical degradation (p = 0.019). Overall, the Ti/Ti group had the largest wear volume loss (15.1 × 107 μm3 ), while the Zr/Ti group had the least volume loss (2.26 × 107 μm3 ). Both zirconia couplings had significantly less wear volume than the titanium couplings (p < 0.001). CONCLUSIONS This study highlights the synergistic interaction between wear and corrosion, which occurs when masticatory forces combine with the salivary environment of the oral cavity. Overall, the zirconia groups outperformed the titanium groups. In fact, the titanium groups generated 5 to 6 times more wear to the implant alloys as compared with the zirconia counterparts. The best performing group was Zr/Ti, and the worst performing group was Ti/Ti.
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Affiliation(s)
- Craig L Sikora
- Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago, IL
| | - Maria F Alfaro
- Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago, IL
| | - Judy Chia-Chun Yuan
- Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago, IL
| | - Valentim A Barao
- Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas (UNICAMP), Sao Paulo, Brazil
| | - Cortino Sukotjo
- Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago, IL
| | - Mathew T Mathew
- Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago, IL.,Department of Biomedical Sciences, University of Illinois College of Medicine at Rockford, IL
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Zurek AD, Alfaro MF, Wee AG, Yuan JCC, Barao VA, Mathew MT, Sukotjo C. Wear Characteristics and Volume Loss of CAD/CAM Ceramic Materials. J Prosthodont 2018; 28:e510-e518. [DOI: 10.1111/jopr.12782] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/09/2017] [Indexed: 11/28/2022] Open
Affiliation(s)
| | - Maria F. Alfaro
- Department of Prosthodontics; University of Michigan School of Dentistry; Ann Arbor MI
| | - Alvin G. Wee
- Maxillofacial Prosthodontics; Veterans Affairs Nebraska Western Iowa Health Care System; Omaha NE
| | - Judy Chia-Chun Yuan
- Department of Restorative Dentistry, University of Illinois at Chicago; College of Dentistry; Chicago IL
| | - Valentim A. Barao
- Department of Prosthodontics and Periodontology; University of Campinas (UNICAMP), Piracicaba Dental School; Piracicaba, São Paulo Brazil
| | - Mathew T. Mathew
- Department of Restorative Dentistry, University of Illinois at Chicago; College of Dentistry; Chicago IL
- Department of Biomedical Sciences; University of Illinois College of Medicine at Rockford; Rockford IL
| | - Cortino Sukotjo
- Department of Restorative Dentistry, University of Illinois at Chicago; College of Dentistry; Chicago IL
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Sheets JL, Yuan JCC, Sukotjo C, Davis BK, Wee AG. Maxillofacial prosthetics training and practice profiles in the United States. J Prosthet Dent 2017; 118:540-545. [DOI: 10.1016/j.prosdent.2016.12.020] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2016] [Revised: 12/07/2016] [Accepted: 12/08/2016] [Indexed: 11/30/2022]
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Yuan JCC, Barão VAR, Wee AG, Alfaro MF, Afshari FS, Sukotjo C. Effect of brushing and thermocycling on the shade and surface roughness of CAD-CAM ceramic restorations. J Prosthet Dent 2017; 119:1000-1006. [PMID: 28965682 DOI: 10.1016/j.prosdent.2017.06.001] [Citation(s) in RCA: 41] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2016] [Revised: 06/01/2017] [Accepted: 06/01/2017] [Indexed: 11/16/2022]
Abstract
STATEMENT OF PROBLEM The effects of toothbrushing (B) and thermocycling (TC) on the surface texture of different materials with various fabrication processes have been investigated. However, studies of computer-aided design and computer-aided manufacturing (CAD-CAM) ceramic restorations are limited. PURPOSE The purpose of this in vitro study was to evaluate the effect of B and TC on the color stability and surface roughness of extrinsically characterized and glazed CAD-CAM ceramic restorations. MATERIAL AND METHODS Lithium disilicate CAD ceramic (n=90) and zirconia ceramic (n=90) were studied. All specimens were crystallized/sintered, characterized, and glazed following the manufacturer's recommendation. The specimens were divided into 9 different groups: B, TC, and a combination of B plus TC (B+TC). Brushing was performed at 50 000, 100 000, and 150 000 cycles, simulating an oral environment of 5, 10, and 15 years. Thermocycling was performed at 6000, 12 000, and 18 000 cycles, simulating an oral environment of 5, 10, and 15 years. Brushing plus TC was performed with the combination of the 50 000 cycles of B, then 6000 cycles of TC, and 10 000 cycles of B, then 12 000 cycles of TC, and 15 000 cycles of B, then 18 000 cycles of TC. The color and surface roughness of each specimen were measured before and after all interventions with simulated cycles. Color differences (ΔE) and surface roughness (ΔRa) data were analyzed using 2-way ANOVA, followed by the least significant difference test (α=.05). The correlation between ΔE and ΔRa was statistically analyzed using the Pearson correlation analysis. RESULTS Within the lithium disilicate CAD groups, intervention did not result in any significant differences in color change (P>.05). Within the zirconia groups, a 15-year clinical simulation revealed significantly higher ΔE values than a simulated 5-year exposure (P=.017). Increased simulated cycles showed significantly higher Ra values for all groups. Within the zirconia groups, B revealed significantly smoother surfaces than TC (P<.001) and B+TC interventions (P<.001). For the zirconia, simulating B+TC for15 years revealed significantly higher Ra values than the groups of B+TC for 5 years (P<.001) and B+TC for 10 years (P=.003). No correlation (lithium disilicate CAD, r=.079; P=.462; zirconia, r=.001; P=.989) was found between the color change and surface roughness. CONCLUSIONS For both lithium disilicate CAD and zirconia, color changes were below the selected clinical perceptible threshold (ΔE=2.6) after all intervention and simulated cycles. All mean surface roughness measurements were below 0.2 μm. Generally, the surface of both lithium disilicate CAD and zirconia became rougher. No correlation was found between color difference and surface roughness for either material.
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Affiliation(s)
- Judy Chia-Chun Yuan
- Associate Professor and Predoctoral Implant Program Director, Department of Restorative Dentistry, University of Illinois at Chicago, College of Dentistry, Chicago, Ill.
| | - Valentim Adelino Ricardo Barão
- Assistant Professor, Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas, San Paolo, Brazil
| | - Alvin G Wee
- Section Head, Maxillofacial Prosthodontics, Veteran's Affairs Nebraska Western Iowa Health Care System, Omaha, Neb, and Special Associate Professor, Department of Prosthodontics, Creighton University School of Dentistry, Omaha, Neb
| | - Maria F Alfaro
- Former Assistant Director of Digital Oral Health Science and Technology, Department of Restorative Dentistry, University of Illinois at Chicago, College of Dentistry, Chicago, Ill; Prosthodontics resident, Department of Biological and Materials Sciences and Division of Prosthodontics, University of Michigan School of Dentistry, Ann Arbor, Mich
| | - Fatemeh S Afshari
- Clinical Associate Professor, Department of Restorative Dentistry, University of Illinois at Chicago, College of Dentistry, Chicago, Ill
| | - Cortino Sukotjo
- Associate Professor, Department of Restorative Dentistry, University of Illinois at Chicago, College of Dentistry, Chicago, Ill
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Afshari FS, Sukotjo C, Alfaro MF, McCombs J, Campbell SD, Knoernschild KL, Yuan JCC. Integration of Digital Dentistry into a Predoctoral Implant Program: Program Description, Rationale, and Utilization Trends. J Dent Educ 2017; 81:986-994. [PMID: 28765443 DOI: 10.21815/jde.017.050] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2016] [Accepted: 12/26/2016] [Indexed: 11/20/2022]
Abstract
A recently revised predoctoral implant curriculum at the University of Illinois at Chicago College of Dentistry integrated digital dentistry into both the preclinical dental implant course and clinical activities. Traditionally, competence in the didactic and clinical parts of predoctoral education in single tooth implant restorations has emphasized the analog impression technique and subsequent mounting of soft tissue working casts. However, computer-aided design/computer-aided manufacturing (CAD/CAM) implant restorations can play a significant role in predoctoral dental education utilizing digital technologies. The goal of the curriculum expansion is to transition from analog to partially digital and, finally, complete digital workflow. The aim of this article is to describe the specific components, implementation, and rationale for the new digitally integrated implant curriculum and present short-term clinical utilization trends.
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Affiliation(s)
- Fatemeh S Afshari
- Dr. Afshari is Clinical Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Dr. Sukotjo is Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Dr. Alfaro is a prosthodontics resident, Department of Biological and Materials Sciences and Division of Prosthodontics, School of Dentistry, University of Michigan; Dr. McCombs is a dental graduate of the College of Dentistry, University of Illinois at Chicago; Dr. Campbell is Professor and Head, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Dr. Knoernschild is Professor and Program Director of Advanced Prosthodontics, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; and Dr. Yuan is Associate Professor and Predoctoral Implant Program Director, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago
| | - Cortino Sukotjo
- Dr. Afshari is Clinical Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Dr. Sukotjo is Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Dr. Alfaro is a prosthodontics resident, Department of Biological and Materials Sciences and Division of Prosthodontics, School of Dentistry, University of Michigan; Dr. McCombs is a dental graduate of the College of Dentistry, University of Illinois at Chicago; Dr. Campbell is Professor and Head, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Dr. Knoernschild is Professor and Program Director of Advanced Prosthodontics, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; and Dr. Yuan is Associate Professor and Predoctoral Implant Program Director, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago
| | - Maria F Alfaro
- Dr. Afshari is Clinical Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Dr. Sukotjo is Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Dr. Alfaro is a prosthodontics resident, Department of Biological and Materials Sciences and Division of Prosthodontics, School of Dentistry, University of Michigan; Dr. McCombs is a dental graduate of the College of Dentistry, University of Illinois at Chicago; Dr. Campbell is Professor and Head, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Dr. Knoernschild is Professor and Program Director of Advanced Prosthodontics, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; and Dr. Yuan is Associate Professor and Predoctoral Implant Program Director, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago
| | - Jeri McCombs
- Dr. Afshari is Clinical Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Dr. Sukotjo is Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Dr. Alfaro is a prosthodontics resident, Department of Biological and Materials Sciences and Division of Prosthodontics, School of Dentistry, University of Michigan; Dr. McCombs is a dental graduate of the College of Dentistry, University of Illinois at Chicago; Dr. Campbell is Professor and Head, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Dr. Knoernschild is Professor and Program Director of Advanced Prosthodontics, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; and Dr. Yuan is Associate Professor and Predoctoral Implant Program Director, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago
| | - Stephen D Campbell
- Dr. Afshari is Clinical Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Dr. Sukotjo is Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Dr. Alfaro is a prosthodontics resident, Department of Biological and Materials Sciences and Division of Prosthodontics, School of Dentistry, University of Michigan; Dr. McCombs is a dental graduate of the College of Dentistry, University of Illinois at Chicago; Dr. Campbell is Professor and Head, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Dr. Knoernschild is Professor and Program Director of Advanced Prosthodontics, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; and Dr. Yuan is Associate Professor and Predoctoral Implant Program Director, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago
| | - Kent L Knoernschild
- Dr. Afshari is Clinical Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Dr. Sukotjo is Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Dr. Alfaro is a prosthodontics resident, Department of Biological and Materials Sciences and Division of Prosthodontics, School of Dentistry, University of Michigan; Dr. McCombs is a dental graduate of the College of Dentistry, University of Illinois at Chicago; Dr. Campbell is Professor and Head, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Dr. Knoernschild is Professor and Program Director of Advanced Prosthodontics, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; and Dr. Yuan is Associate Professor and Predoctoral Implant Program Director, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago
| | - Judy Chia-Chun Yuan
- Dr. Afshari is Clinical Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Dr. Sukotjo is Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Dr. Alfaro is a prosthodontics resident, Department of Biological and Materials Sciences and Division of Prosthodontics, School of Dentistry, University of Michigan; Dr. McCombs is a dental graduate of the College of Dentistry, University of Illinois at Chicago; Dr. Campbell is Professor and Head, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Dr. Knoernschild is Professor and Program Director of Advanced Prosthodontics, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; and Dr. Yuan is Associate Professor and Predoctoral Implant Program Director, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago.
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Afshari FS, Yuan JCC, Sukotjo C. Women in Prosthodontics: A Brief Look at Pioneers, Leaders, and Inspirers. J Prosthodont 2017; 26:351-358. [PMID: 28383182 DOI: 10.1111/jopr.12600] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/09/2016] [Indexed: 11/27/2022] Open
Abstract
There are several women pioneers in prosthodontics, and each deserves recognition and admiration for all she has achieved in helping bridge the gender gap in dentistry. Women have come a long way from being first depicted as a thieving woman assistant in early 1523 to becoming award-winning, Board-certified clinicians, program directors, department chairs, and deans of dental schools. However, current female resident membership in the American College of Prosthodontists is less than 40%. Women in leadership roles are still scarce, and advancement is still needed. This article provides a brief summary of the history of prosthodontics, highlighting prominent women prosthodontists and their stories, while providing inspiration for future prosthodontists, men as well as women.
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Affiliation(s)
- Fatemeh S Afshari
- Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry, Chicago, IL
| | - Judy Chia-Chun Yuan
- Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry, Chicago, IL
| | - Cortino Sukotjo
- Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry, Chicago, IL
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Sheets JL, Yuan JCC, Sukotjo C, Wee AG. Survey of Advanced Education in Prosthodontics Directors and Residents on Practices in Esthetic Dentistry. J Dent Educ 2016; 80:1205-1211. [PMID: 27694294] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2016] [Accepted: 04/14/2016] [Indexed: 06/06/2023]
Abstract
The aim of this study was to determine the difference between the intended education by advanced education in prosthodontics (AEP) program directors and the perceived education received by AEP residents with respect to concepts of esthetic dentistry. Residents' confidence levels and current practices were also determined based on program level, with first- and second-year residents combined into "junior residents" and third- and fourth-year residents combined into "senior residents." Surveys were distributed to all U.S. and Canadian AEP program directors (N=52) in 2014 and residents (N=393) in 2015. The seven questions asked of directors and 20 asked of residents assessed resident training. The response rate for directors was 59.6% and for residents was 27.3%. Statistically significant results were found between the responding program directors' perceived education on esthetic principles and the responding residents' perceived education. The senior-level residents were more confident in each of the categories than residents at the junior level, although the difference was only significant for selecting porcelain systems to match inherent translucency, transfer of information to the laboratory, and surface staining or characterization. There was a difference between the program directors' intended teaching and the residents' perceptions with regards to bleaching, shade matching, selection of porcelain systems, transfer of information to the laboratory, and surface staining or characterization. The residents' confidence levels were higher at the senior level than those at the junior level in selecting porcelain systems, transfer of information to the laboratory, and staining/characterization. Faculty members in advanced prosthodontics programs may be able to use these findings to improve their residents' education in these areas.
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Affiliation(s)
- James L Sheets
- Dr. Sheets is Associate Professor, Department of Prosthodontics, School of Dentistry, Creighton University; Dr. Yuan is Assistant Professor and Predoctoral Implant Program Director, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Dr. Sukotjo is Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; and Dr. Wee is Section Head, Maxillofacial Prosthodontics, Veterans Affairs Nebraska Western Iowa Health Care System, Omaha, Nebraska, and Special Associate Professor, Department of Prosthodontics, School of Dentistry, Creighton University
| | - Judy Chia-Chun Yuan
- Dr. Sheets is Associate Professor, Department of Prosthodontics, School of Dentistry, Creighton University; Dr. Yuan is Assistant Professor and Predoctoral Implant Program Director, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Dr. Sukotjo is Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; and Dr. Wee is Section Head, Maxillofacial Prosthodontics, Veterans Affairs Nebraska Western Iowa Health Care System, Omaha, Nebraska, and Special Associate Professor, Department of Prosthodontics, School of Dentistry, Creighton University
| | - Cortino Sukotjo
- Dr. Sheets is Associate Professor, Department of Prosthodontics, School of Dentistry, Creighton University; Dr. Yuan is Assistant Professor and Predoctoral Implant Program Director, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Dr. Sukotjo is Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; and Dr. Wee is Section Head, Maxillofacial Prosthodontics, Veterans Affairs Nebraska Western Iowa Health Care System, Omaha, Nebraska, and Special Associate Professor, Department of Prosthodontics, School of Dentistry, Creighton University
| | - Alvin G Wee
- Dr. Sheets is Associate Professor, Department of Prosthodontics, School of Dentistry, Creighton University; Dr. Yuan is Assistant Professor and Predoctoral Implant Program Director, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; Dr. Sukotjo is Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago; and Dr. Wee is Section Head, Maxillofacial Prosthodontics, Veterans Affairs Nebraska Western Iowa Health Care System, Omaha, Nebraska, and Special Associate Professor, Department of Prosthodontics, School of Dentistry, Creighton University.
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Affiliation(s)
- James L. Sheets
- Department of Prosthodontics; School of Dentistry; Creighton University
| | - Judy Chia-Chun Yuan
- Department of Restorative Dentistry; College of Dentistry; University of Illinois; Chicago
| | - Cortino Sukotjo
- Department of Restorative Dentistry; College of Dentistry; University of Illinois; Chicago
| | - Alvin G. Wee
- Maxillofacial Prosthodontics; Veterans Affairs Nebraska Western Iowa Health Care System; Omaha Nebraska
- Department of Prosthodontics; School of Dentistry; Creighton University
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Marinis A, Afshari FS, Yuan JCC, Lee DJ, Syros G, Knoernschild KL, Campbell SD, Sukotjo C. Retrospective Analysis of Implant Overdenture Treatment in the Advanced Prosthodontic Clinic at the University of Illinois at Chicago. J ORAL IMPLANTOL 2016; 42:46-53. [DOI: 10.1563/aaid-joi-d-14-00089] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
The aim of the present retrospective study was to evaluate the clinical outcomes of implant-supported overdenture treatment provided by prosthodontic specialty residents. Twenty-three patients with 25 implant-supported overdentures (IODs) participated in the study. Seventy-four implants were placed by periodontic, prosthodontics, or oral and maxillofacial surgery students. All prostheses were fabricated in the advanced prosthodontics clinic at University of Illinois at Chicago. The condition of the peri-implant soft tissue, implants, and prostheses were evaluated. Complications and any maintenance were documented. Patients completed an oral health impact profile-14 and semantic differential scale questionnaires. Statistical analyses were performed using SPSS statistical software. Twenty mandibular and 5 maxillary IODs were evaluated. Ninety-seven percent of the attachments were locators (Zest Anchors) and 3% ball attachments. None of the implants had lost osseointegration, but 14 implants (19%) had developed marginal bone loss in one-third of the implant length or more. Fourteen (19%) implants had developed dehiscence, which ranged from 1 to 4 mm. A variation in the width of the keratinized tissue, gingival, plaque, and calculus index was observed. There was a statistically significant relationship between the presence of plaque and the bleeding on probing on the buccal aspect of implants (P = .012). The incidence of dehiscence was significantly higher on the midfacial when the keratinized tissue was less than 2 mm (P < .0001). The majority of the complications were prosthetic in nature, such as broken denture teeth (74%) and worn or loose matrices (35%). Debris was observed in 19% of the locator abutments, and 36% of the overdentures were not stable in application of anterior force. Patients were compliant with oral hygiene protocols and their chewing ability was high (mean = 8.0). The overall experience was pleasant (mean = 7.5); the treatment provided good esthetics (mean = 8.3) and great satisfaction (mean = 8.5). From an educational and clinical perspective, IOD therapy has been documented to be a predictable and successful treatment option. Patients should be informed of the required maintenance and the possible complications related to IOD therapy.
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Affiliation(s)
- Aristotelis Marinis
- Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago, Chicago, Ill
| | - Fatemeh S. Afshari
- Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago, Chicago, Ill
| | - Judy Chia-Chun Yuan
- Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago, Chicago, Ill
| | - Damian J. Lee
- Division of Restorative Sciences and Prosthodontics, The Ohio State University, Columbus, Ohio
| | - George Syros
- Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago, Chicago, Ill
| | - Kent L. Knoernschild
- Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago, Chicago, Ill
| | - Stephen D. Campbell
- Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago, Chicago, Ill
| | - Cortino Sukotjo
- Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago, Chicago, Ill
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Rynn MH, Afshari FS, Schneider J, Yuan JCC, Harlow R, Knoernschild KL, Campbell SD, Sukotjo C. Prosthodontic Implant Club at UIC, Program Description and Survey Analysis. J Prosthodont 2015; 24:665-71. [DOI: 10.1111/jopr.12266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/09/2014] [Indexed: 11/30/2022] Open
Affiliation(s)
- Michelle Howard Rynn
- Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry; Chicago IL
| | - Fatemeh S. Afshari
- Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry; Chicago IL
| | - Justin Schneider
- University of Illinois at Chicago College of Dentistry; Chicago IL
| | - Judy Chia-Chun Yuan
- Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry; Chicago IL
| | - Rand Harlow
- Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry; Chicago IL
| | - Kent L. Knoernschild
- Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry; Chicago IL
| | - Stephen D. Campbell
- Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry; Chicago IL
| | - Cortino Sukotjo
- Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry; Chicago IL
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Marques IDSV, Barão VAR, da Cruz NC, Yuan JCC, Mesquita MF, Ricomini-Filho AP, Sukotjo C, Mathew MT. Electrochemical behavior of bioactive coatings on cp-Ti surface for dental application. Corros Sci 2015; 100:133-146. [PMID: 26834277 PMCID: PMC4730887 DOI: 10.1016/j.corsci.2015.07.019] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
The surface characteristics and electrochemical properties of bioactive coatings produced by plasma electrolytic oxidation (PEO) with calcium, phosphorous, silicon and silver on commercially pure titanium were evaluated. PEO treatment produced a porous oxide layer, which improved the surface topography, and enriched the surface chemistry with bioactive elements, responsible for mimicking bone surface. The surfaces with higher calcium concentration presented antibacterial and biocompability properties with better responses for corrosion and barrier properties, due to the presence of rutile crystalline structure. PEO may be a promising surface treatment option to improve the electrochemical behavior of dental implants mitigating treatment failures.
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Affiliation(s)
- Isabella da Silva Vieira Marques
- Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas (UNICAMP), Av Limeira, 901, Piracicaba, São Paulo, Brazil, 13414-903
| | - Valentim Adelino Ricardo Barão
- Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas (UNICAMP), Av Limeira, 901, Piracicaba, São Paulo, Brazil, 13414-903
| | - Nilson Cristino da Cruz
- Laboratory of Technological Plasmas, Engineering College, Univ Estadual Paulista (UNESP), Av Três de Março, 511, Sorocaba, São Paulo, Brazil, 18087-180
| | - Judy Chia-Chun Yuan
- Department of Restorative Dentistry, University of Illinois at Chicago, College of Dentistry, 801 S Paulina, Chicago, Illinois, USA, 60612
| | - Marcelo Ferraz Mesquita
- Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas (UNICAMP), Av Limeira, 901, Piracicaba, São Paulo, Brazil, 13414-903
| | - Antonio Pedro Ricomini-Filho
- Department of Physiological Science, Piracicaba Dental School, University of Campinas (UNICAMP), Av Limeira, 901, Piracicaba, São Paulo, Brazil, 13414-903
| | - Cortino Sukotjo
- Department of Restorative Dentistry, University of Illinois at Chicago, College of Dentistry, 801 S Paulina, Chicago, Illinois, USA, 60612
| | - Mathew T. Mathew
- Department of Orthopedic Surgery, Rush University Medical Center, 1611 W Harrison, Chicago, Illinois, USA, 60612
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Khan S, Carmosino AJ, Yuan JCC, Lucchiari N, Kawar N, Sukotjo C. Postdoctoral Periodontal Program Directors’ Perspectives of Resident Selection. J Periodontol 2015; 86:177-84. [PMID: 25353065 DOI: 10.1902/jop.2014.140313] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- Saba Khan
- Department of Periodontology, College of Dentistry, University of Illinois at Chicago, Chicago, IL
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Gantos MA, Manzotti A, Yuan JCC, Afshari FS, Marinis A, Syros G, Rynn MH, Sukotjo C. Prosthodontics Treatment Considerations for Methamphetamine-Dependent Patients. J Prosthodont 2015; 24:64-70. [DOI: 10.1111/jopr.12245] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/29/2014] [Indexed: 11/27/2022] Open
Affiliation(s)
- Meredith A. Gantos
- Advanced Education in General Dentistry; V.A. Dental Clinic; San Antonio TX
| | - Anna Manzotti
- Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry; Chicago IL
| | - Judy Chia-Chun Yuan
- Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry; Chicago IL
| | - Fatemeh S. Afshari
- Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry; Chicago IL
| | - Aristotelis Marinis
- Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry; Chicago IL
| | | | - Michelle Howard Rynn
- Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry; Chicago IL
| | - Cortino Sukotjo
- Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry; Chicago IL
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Lee DJ, Yuan JCC, Hedger PJ, Taylor EJ, Harlow RF, Knoernschild KL, Campbell SD, Sukotjo C. Patient Perception and Satisfaction with Implant Therapy in a Predoctoral Implant Education Program: A Preliminary Study. J Prosthodont 2015; 24:525-531. [PMID: 25594668 DOI: 10.1111/jopr.12260] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/25/2014] [Indexed: 11/30/2022] Open
Affiliation(s)
- Damian J. Lee
- Assistant Professor, Director, Advanced Education in Prosthodontics Program; Division of Restorative Sciences and Prosthodontics; The Ohio State University College of Dentistry; Columbus OH
| | - Judy Chia-Chun Yuan
- Assistant Professor, Director; Predoctoral Implant Program; Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry; Chicago IL
| | - Philip J. Hedger
- Former resident; Advanced Education in Prosthodontic Program; Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry; Chicago IL
| | - Emily J. Taylor
- Former resident; Advanced Education in Prosthodontic Program; Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry; Chicago IL
| | - Rand F. Harlow
- Clinical Assistant Professor, Codirector; Advanced Education in Prosthodontics Program; Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry; Chicago IL
| | - Kent L. Knoernschild
- Professor, Director; Advanced Education in Prosthodontics Program; Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry; Chicago IL
| | - Stephen D. Campbell
- Professor; Head of Restorative Dentistry. University of Illinois at Chicago College of Dentistry; Chicago IL
| | - Cortino Sukotjo
- Assistant Professor; Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry; Chicago IL
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Affiliation(s)
- Fatemeh S. Afshari
- Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry
| | | | - Judy Chia-Chun Yuan
- Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry
| | - Aristotelis Marinis
- Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry
| | - George Syros
- Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry
| | - Stephen D. Campbell
- Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry
| | - Cortino Sukotjo
- Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry
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Afshari FS, Schelkopf S, Yuan JCC, Marinis A, Syros G, Campbell SD, Sukotjo C. Current status of patient recall in U.S. predoctoral dental school clinics. J Dent Educ 2014; 78:1372-1378. [PMID: 25281670] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
The Commission on Dental Accreditation (CODA)'s revised standard 2-23, which went into effect in July 2013, requires U.S. dental graduates to be competent in "evaluation of the outcomes of treatment, recall strategies, and prognosis." To assess the way dental schools are implementing this revised recommendation, a survey was conducted to assess the existence of recall systems in the schools' clinics and factors enhancing or hindering the formation of an effective recall system. Surveys were returned from thirty-five dental schools (54.7 percent response rate). Results showed that most institutions had active recall systems and the respondents believed that program effectiveness can be further improved. Suggested improvements included patient education and tracking patient recall appointments. The results indicate that recall systems exist in predoctoral dental education programs, have high student involvement, and vary among schools.
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Affiliation(s)
- Fatemeh S Afshari
- Dr. Afshari is Clinical Assistant Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Dr. Schelkopf is a graduate of the University of Illinois at Chicago College of Dentistry; Dr. Yuan is Assistant Professor and Predoctoral Implant Program Director, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Dr. Marinis is Clinical Assistant Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Dr. Syros is a former Clinical Assistant Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Dr. Campbell is Professor and Head, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; and Dr. Sukotjo is Assistant Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry.
| | - Stuart Schelkopf
- Dr. Afshari is Clinical Assistant Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Dr. Schelkopf is a graduate of the University of Illinois at Chicago College of Dentistry; Dr. Yuan is Assistant Professor and Predoctoral Implant Program Director, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Dr. Marinis is Clinical Assistant Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Dr. Syros is a former Clinical Assistant Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Dr. Campbell is Professor and Head, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; and Dr. Sukotjo is Assistant Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry
| | - Judy Chia-Chun Yuan
- Dr. Afshari is Clinical Assistant Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Dr. Schelkopf is a graduate of the University of Illinois at Chicago College of Dentistry; Dr. Yuan is Assistant Professor and Predoctoral Implant Program Director, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Dr. Marinis is Clinical Assistant Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Dr. Syros is a former Clinical Assistant Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Dr. Campbell is Professor and Head, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; and Dr. Sukotjo is Assistant Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry
| | - Aristotelis Marinis
- Dr. Afshari is Clinical Assistant Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Dr. Schelkopf is a graduate of the University of Illinois at Chicago College of Dentistry; Dr. Yuan is Assistant Professor and Predoctoral Implant Program Director, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Dr. Marinis is Clinical Assistant Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Dr. Syros is a former Clinical Assistant Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Dr. Campbell is Professor and Head, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; and Dr. Sukotjo is Assistant Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry
| | - George Syros
- Dr. Afshari is Clinical Assistant Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Dr. Schelkopf is a graduate of the University of Illinois at Chicago College of Dentistry; Dr. Yuan is Assistant Professor and Predoctoral Implant Program Director, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Dr. Marinis is Clinical Assistant Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Dr. Syros is a former Clinical Assistant Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Dr. Campbell is Professor and Head, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; and Dr. Sukotjo is Assistant Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry
| | - Stephen D Campbell
- Dr. Afshari is Clinical Assistant Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Dr. Schelkopf is a graduate of the University of Illinois at Chicago College of Dentistry; Dr. Yuan is Assistant Professor and Predoctoral Implant Program Director, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Dr. Marinis is Clinical Assistant Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Dr. Syros is a former Clinical Assistant Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Dr. Campbell is Professor and Head, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; and Dr. Sukotjo is Assistant Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry
| | - Cortino Sukotjo
- Dr. Afshari is Clinical Assistant Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Dr. Schelkopf is a graduate of the University of Illinois at Chicago College of Dentistry; Dr. Yuan is Assistant Professor and Predoctoral Implant Program Director, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Dr. Marinis is Clinical Assistant Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Dr. Syros is a former Clinical Assistant Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; Dr. Campbell is Professor and Head, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry; and Dr. Sukotjo is Assistant Professor, Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry
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Royhman D, Dominguez-Benetton X, Yuan JCC, Shokuhfar T, Takoudis C, Mathew MT, Sukotjo C. The Role of Nicotine in the Corrosive Behavior of a Ti-6Al-4V Dental Implant. Clin Implant Dent Relat Res 2014; 17 Suppl 2:e352-63. [DOI: 10.1111/cid.12239] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Affiliation(s)
- Dmitry Royhman
- Department of Restorative Dentistry; College of Dentistry; University of Illinois at Chicago; Chicago IL USA
- Department of Orthopedic Surgery; Rush University Medical Center; Chicago IL USA
| | - Xochitl Dominguez-Benetton
- Separation and Conversion Technology; Flemish Institute for Technological Research (VITO); Antwerp Belgium
| | - Judy Chia-Chun Yuan
- Department of Restorative Dentistry; College of Dentistry; University of Illinois at Chicago; Chicago IL USA
| | - Tolou Shokuhfar
- Department of Restorative Dentistry; College of Dentistry; University of Illinois at Chicago; Chicago IL USA
- Department of Mechanical Engineering and Engineering Mechanics; Michigan Technological University; Houghton MI USA
- Department of Mechanical and Industrial Engineering; University of Illinois at Chicago; Chicago IL USA
- Department of Physics; University of Illinois at Chicago; Chicago IL USA
| | - Christos Takoudis
- Department of Bioengineering; University of Illinois at Chicago; Chicago IL USA
- Department of Chemical Engineering; University of Illinois at Chicago; Chicago IL USA
| | - Mathew T. Mathew
- Department of Restorative Dentistry; College of Dentistry; University of Illinois at Chicago; Chicago IL USA
- Department of Orthopedic Surgery; Rush University Medical Center; Chicago IL USA
| | - Cortino Sukotjo
- Department of Restorative Dentistry; College of Dentistry; University of Illinois at Chicago; Chicago IL USA
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Taylor EJ, Yuan JCC, Lee DJ, Harlow R, Afshari FS, Knoernschild KL, Campbell SD, Sukotjo C. Are Predoctoral Students Able to Provide Single Tooth Implant Restorations in the Maxillary Esthetic Zone? J Dent Educ 2014. [DOI: 10.1002/j.0022-0337.2014.78.5.tb05730.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Emily J. Taylor
- Department of Restorative Dentistry; College of Dentistry; University of Illinois at Chicago
| | - Judy Chia-Chun Yuan
- Department of Restorative Dentistry; College of Dentistry; University of Illinois at Chicago
| | - Damian J. Lee
- Department of Restorative Dentistry; College of Dentistry; University of Illinois at Chicago
| | - Rand Harlow
- Department of Restorative Dentistry; College of Dentistry; University of Illinois at Chicago
| | - Fatemeh S. Afshari
- Department of Restorative Dentistry; College of Dentistry; University of Illinois at Chicago
| | - Kent L. Knoernschild
- Advanced Prosthodontics; Department of Restorative Dentistry; College of Dentistry; University of Illinois at Chicago
| | - Stephen D. Campbell
- Department of Restorative Dentistry; College of Dentistry; University of Illinois at Chicago
| | - Cortino Sukotjo
- Department of Restorative Dentistry; College of Dentistry; University of Illinois at Chicago
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Taylor EJ, Yuan JCC, Lee DJ, Harlow R, Afshari FS, Knoernschild KL, Campbell SD, Sukotjo C. Are predoctoral students able to provide single tooth implant restorations in the maxillary esthetic zone? J Dent Educ 2014; 78:779-788. [PMID: 24789838] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
The objective of this study was to assess the ability of the University of Illinois at Chicago College of Dentistry (UIC-COD) predoctoral students to provide single tooth implant (STI) prostheses in the maxillary esthetic zone. The patient's esthetic satisfaction and the correlation between prosthodontists' and patients' perspectives were examined. Twenty-seven patients were recruited for recall examinations at the UIC-COD predoctoral implant program and underwent clinical and radiographic examination with clinical photographs of the implant sites. The patients completed a semantic differential scale questionnaire. The collected information was formulated into a PowerPoint presentation for two Diplomate of the American Board of Prosthodontists to use the Pink/White Esthetic Score (PES/WES) to evaluate the esthetic outcome. Descriptive analyses, Cohen kappa test, and Spearman rank correlation coefficient test were performed. The average PES/WES were above 6.0 (out of 10). The median for the patient satisfaction and esthetic outcome questionnaires were 10 and 9, respectively, on a scale with 10=highest. There was a medium and positive correlation between prosthodontists' and patients' perspectives in esthetic outcome. This study found that, with strict guidance and proper selection criteria, predoctoral students were able to provide esthetically acceptable STI prostheses in the maxillary esthetic zone and patients were satisfied with the treatment provided.
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MESH Headings
- Adult
- Aged
- Attitude to Health
- Checklist
- Dental Implantation/education
- Dental Implants, Single-Tooth
- Dental Prosthesis Design
- Dental Prosthesis, Implant-Supported
- Education, Dental
- Esthetics, Dental
- Female
- Health Care Costs
- Humans
- Jaw, Edentulous, Partially/rehabilitation
- Jaw, Edentulous, Partially/surgery
- Male
- Mastication/physiology
- Maxilla/diagnostic imaging
- Maxilla/surgery
- Middle Aged
- Patient Satisfaction
- Patient Selection
- Photography, Dental
- Prosthodontics/education
- Quality of Life
- Radiography, Bitewing
- Students, Dental
- Young Adult
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Affiliation(s)
- Emily J Taylor
- Chicago, College of Dentistry (MC 555), 801 South Paulina Street, Room 365B, Chicago, IL 60612-7211;.
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Afshari FS, Yuan JCC, Quimby A, Harlow R, Campbell SD, Sukotjo C. Advanced predoctoral implant program at UIC: description and qualitative analysis. J Dent Educ 2014; 78:770-778. [PMID: 24789837] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Dental implant education has increasingly become an integral part of predoctoral dental curricula. However, the majority of implant education emphasizes the restorative aspect as opposed to the surgical. The University of Illinois at Chicago College of Dentistry has developed an Advanced Predoctoral Implant Program (APIP) that provides a select group of students the opportunity to place implants for single-tooth restorations and mandibular overdentures. This article describes the rationale, logistics, experiences, and perspectives of an innovative approach to provide additional learning experiences in the care of patients with partial and complete edentulism using implant-supported therapies. Student and faculty perspectives on the APIP were ascertained via focus group discussions and a student survey. The qualitative analysis of this study suggests that the select predoctoral dental students highly benefited from this experience and intend to increase their knowledge and skills in implant dentistry through formal education following graduation. Furthermore, the survey indicates that the APIP has had a positive influence on the students' interest in surgically placing implants in their future dental practice and their confidence level in restoring and surgically placing implants.
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MESH Headings
- Attitude of Health Personnel
- Career Choice
- Clinical Competence
- Continuity of Patient Care
- Curriculum
- Dental Implantation/education
- Dental Implantation, Endosseous
- Dental Implants
- Dental Implants, Single-Tooth
- Dental Prosthesis, Implant-Supported
- Dentist-Patient Relations
- Dentistry, Operative/education
- Education, Dental
- Education, Dental, Graduate
- Faculty, Dental
- Focus Groups
- Humans
- Interviews as Topic
- Mentors
- Patient Care Planning
- Program Development
- Self Concept
- Students, Dental/psychology
- Surgery, Oral/education
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Faverani LP, Assunção WG, de Carvalho PSP, Yuan JCC, Sukotjo C, Mathew MT, Barao VA. Effects of dextrose and lipopolysaccharide on the corrosion behavior of a Ti-6Al-4V alloy with a smooth surface or treated with double-acid-etching. PLoS One 2014; 9:e93377. [PMID: 24671257 PMCID: PMC3966875 DOI: 10.1371/journal.pone.0093377] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2013] [Accepted: 03/03/2014] [Indexed: 12/28/2022] Open
Abstract
Diabetes and infections are associated with a high risk of implant failure. However, the effects of such conditions on the electrochemical stability of titanium materials remain unclear. This study evaluated the corrosion behavior of a Ti-6Al-4V alloy, with a smooth surface or conditioned by double-acid-etching, in simulated body fluid with different concentrations of dextrose and lipopolysaccharide. For the electrochemical assay, the open-circuit-potential, electrochemical impedance spectroscopy, and potentiodynamic test were used. The disc surfaces were characterized by scanning electron microscopy and atomic force microscopy. Their surface roughness and Vickers microhardness were also tested. The quantitative data were analyzed by Pearson's correlation and independent t-tests (α = 0.05). In the corrosion parameters, there was a strong lipopolysaccharide correlation with the Ipass (passivation current density), Cdl (double-layer capacitance), and Rp (polarization resistance) values (p<0.05) for the Ti-6Al-4V alloy with surface treatment by double-acid-etching. The combination of dextrose and lipopolysaccharide was correlated with the Icorr (corrosion current density) and Ipass (p<0.05). The acid-treated groups showed a significant increase in Cdl values and reduced Rp values (p<0.05, t-test). According to the topography, there was an increase in surface roughness (R2 = 0.726, p<0.0001 for the smooth surface; R2 = 0.405, p = 0.036 for the double-acid-etching-treated surface). The microhardness of the smooth Ti-6Al-4V alloy decreased (p<0.05) and that of the treated Ti-6Al-4V alloy increased (p<0.0001). Atomic force microscopy showed changes in the microstructure of the Ti-6Al-4V alloy by increasing the surface thickness mainly in the group associated with dextrose and lipopolysaccharide. The combination of dextrose and lipopolysaccharide affected the corrosion behavior of the Ti-6Al-4V alloy surface treated with double-acid-etching. However, no dose-response corrosion behavior could be observed. These results suggest a greater susceptibility to corrosion of titanium implants in diabetic patients with associated infections.
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Affiliation(s)
- Leonardo P. Faverani
- Department of Dental Materials and Prosthodontics, Aracatuba Dental School, Universidade Estadual Paulista (UNESP), Aracatuba, São Paulo, Brazil
- Department of Surgery and Integrated Clinic, Aracatuba Dental School, Universidade Estadual Paulista (UNESP), Aracatuba, São Paulo, Brazil
| | - Wirley G. Assunção
- Department of Dental Materials and Prosthodontics, Aracatuba Dental School, Universidade Estadual Paulista (UNESP), Aracatuba, São Paulo, Brazil
| | - Paulo Sérgio P. de Carvalho
- Department of Surgery and Integrated Clinic, Aracatuba Dental School, Universidade Estadual Paulista (UNESP), Aracatuba, São Paulo, Brazil
| | - Judy Chia-Chun Yuan
- Department of Restorative Dentistry, University of Illinois at Chicago–College of Dentistry, Chicago, Illinois, United States of America
| | - Cortino Sukotjo
- Department of Restorative Dentistry, University of Illinois at Chicago–College of Dentistry, Chicago, Illinois, United States of America
| | - Mathew T. Mathew
- Department of Restorative Dentistry, University of Illinois at Chicago–College of Dentistry, Chicago, Illinois, United States of America
- Department of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, United States of America
| | - Valentim A. Barao
- Department of Prosthodontics and Periodontology, Piracicaba Dental School, Universidade of Campinas (UNICAMP), Piracicaba, São Paulo, Brazil
- * E-mail:
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Royhman D, Radhakrishnan R, Yuan JCC, Mathew MT, Mercuri LG, Sukotjo C. An electrochemical investigation of TMJ implant metal alloys in an artificial joint fluid environment: the influence of pH variation. J Craniomaxillofac Surg 2014; 42:1052-61. [PMID: 24548869 DOI: 10.1016/j.jcms.2014.01.029] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2013] [Revised: 11/25/2013] [Accepted: 01/06/2014] [Indexed: 10/25/2022] Open
Abstract
OBJECTIVE To investigate the corrosion behaviour of commonly used TMJ implants alloys (CoCrMo and Ti6Al4V) under simulated physiological conditions. METHODS Corrosion behaviour was evaluated using standard electrochemical corrosion techniques and galvanic corrosion techniques as per ASTM standards. Standard electrochemical tests (E(corr), I(corr), R(p) and C(f)) were conducted in bovine calf serum (BCS), as a function of alloys type and different pHs. Galvanic corrosion tests were conducted in BCS at a pH of 7.6. Alloy surfaces were characterized using white-light interferometry (WLI) and scanning electron microscopy (SEM). RESULTS The potentiodynamic test results exhibited the enhanced passive layer growth and a better corrosion resistance of Ti6Al4V compared to CoCrMo. Electrochemical impedance spectroscopy measurements demonstrated the influence of protein as a function of pH on corrosion mechanisms/kinetics. Galvanic coupling was not a major contributor to corrosion. SEM and WLI images demonstrated a significantly higher in surface roughness in CoCrMo after corrosion. CONCLUSIONS The results of this study suggest that Ti6Al4V shows superior corrosion behaviour to CoCrMo due to its strong passive layer, simulated joint fluid components can affect the electrochemical nature of the metal/electrolyte interface as a function of pH, and the galvanic effect of coupling CoCrMo and Ti6Al4V in a single joint is weak.
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Affiliation(s)
- Dmitry Royhman
- University of Illinois at Chicago College of Dentistry, Department of Restorative Dentistry (Head: Dr. Stephen Campbell, DDS, MMSc), 801 S. Paulina Ave, Chicago, IL 60612, USA; Rush University Medical Center, Department of Orthopedics (Head: Dr. Joshua Jacobs, MD), 1611 W. Harrison St., Chicago, IL 60612, USA
| | - Rashmi Radhakrishnan
- Rush University Medical Center, Department of Orthopedics (Head: Dr. Joshua Jacobs, MD), 1611 W. Harrison St., Chicago, IL 60612, USA
| | - Judy Chia-Chun Yuan
- University of Illinois at Chicago College of Dentistry, Department of Restorative Dentistry (Head: Dr. Stephen Campbell, DDS, MMSc), 801 S. Paulina Ave, Chicago, IL 60612, USA
| | - Mathew T Mathew
- University of Illinois at Chicago College of Dentistry, Department of Restorative Dentistry (Head: Dr. Stephen Campbell, DDS, MMSc), 801 S. Paulina Ave, Chicago, IL 60612, USA; Rush University Medical Center, Department of Orthopedics (Head: Dr. Joshua Jacobs, MD), 1611 W. Harrison St., Chicago, IL 60612, USA
| | - Louis G Mercuri
- Rush University Medical Center, Department of Orthopedics (Head: Dr. Joshua Jacobs, MD), 1611 W. Harrison St., Chicago, IL 60612, USA; TMJ Concepts, 2233 Knoll Drive, Ventura, CA 93003, USA
| | - Cortino Sukotjo
- University of Illinois at Chicago College of Dentistry, Department of Restorative Dentistry (Head: Dr. Stephen Campbell, DDS, MMSc), 801 S. Paulina Ave, Chicago, IL 60612, USA.
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Barão VAR, Yoon CJ, Mathew MT, Yuan JCC, Wu CD, Sukotjo C. Attachment of Porphyromonas gingivalis to corroded commercially pure titanium and titanium-aluminum-vanadium alloy. J Periodontol 2014; 85:1275-82. [PMID: 24444400 DOI: 10.1902/jop.2014.130595] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
BACKGROUND Titanium dental material can become corroded because of electrochemical interaction in the oral environment. The corrosion process may result in surface modification. It was hypothesized that a titanium surface modified by corrosion may enhance the attachment of periodontal pathogens. This study evaluates the effects of corroded titanium surfaces on the attachment of Porphyromonas gingivalis. METHODS Commercially pure titanium (cp-Ti) and titanium-aluminum-vanadium alloy (Ti-6Al-4V) disks were used. Disks were anodically polarized in a standard three-electrode setting in a simulated oral environment with artificial saliva at pH levels of 3.0, 6.5, or 9.0. Non-corroded disks were used as controls. Surface roughness was measured before and after corrosion. Disks were inoculated with P. gingivalis and incubated anaerobically at 37°C. After 6 hours, the disks with attached P. gingivalis were stained with crystal violet, and attachment was expressed based on dye absorption at optical density of 550 nm. All assays were performed independently three times in triplicate. Data were analyzed by two-way analysis of variance, the Tukey honestly significant difference test, t test, and Pearson's correlation test (α = 0.05). RESULTS Both cp-Ti and Ti-6Al-4V alloy-corroded disks promoted significantly more bacterial attachment (11.02% and 41.78%, respectively; P <0.0001) than did the non-corroded controls. Significantly more (11.8%) P. gingivalis attached to the cp-Ti disks than to the Ti-6Al-4V alloy disks (P <0.05). No significant difference in P. gingivalis attachment was noted among the corroded groups for both cp-Ti and Ti-6Al-4V alloy (P >0.05). There was no significant correlation between surface roughness and P. gingivalis attachment. CONCLUSION A higher degree of corrosion on the titanium surface may promote increased bacterial attachment by oral pathogens.
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Affiliation(s)
- Valentim A R Barão
- Department of Prosthodontics and Periodontology, University of Campinas, Piracicaba Dental School, Piracicaba, São Paulo, Brazil
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Bell LT, Sukotjo C, Yuan JCC, Johnson BR. Applicant selection procedures in endodontic specialty programs in the United States: program director's perspective. J Endod 2013; 40:797-804. [PMID: 24862706 DOI: 10.1016/j.joen.2013.11.002] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2013] [Revised: 11/05/2013] [Accepted: 11/05/2013] [Indexed: 11/25/2022]
Abstract
INTRODUCTION The purpose of this study was to determine the criteria evaluated by directors of endodontic specialty programs in the United States when selecting their residents and their satisfaction with the current process. Besides this, the study also aimed to determine the expected effect of the change in National Board Dental Examination (NBDE) score reporting to pass/fail on applicant evaluation. METHODS A 38-question web-based survey was distributed to the 54 endodontic specialty program directors (of 55 programs) in the United States. Questions regarded general program information, information obtained from applications, the interview process, the decision process, a retrospective view of the selection process, and director demographics. RESULTS Twenty-six (48.1%) responses were returned and analyzed. The most important application factors were interview ratings, dental school class rank, and general practice residency or advanced education in general dentistry experience. The most preferred sources for letters of recommendation were endodontic pre- and postdoctoral program directors and other academic endodontists. Desirable applicant characteristics included enthusiasm, listening skills, and verbal skills. Program directors indicated concern regarding the initial screening of applicants after the NBDE scoring change but not as much concern relating to final selection. Respondents generally supported a uniform acceptance date but did not support participation in the Postdoctoral Dental Matching Program (the Match). CONCLUSIONS Some important criteria when selecting prospective residents were identified. Program directors did not appear overwhelmingly concerned with the changes in NBDE score reporting. In addition, the establishment of a uniform acceptance date may resolve the biggest problem most respondents have with the current selection process.
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Affiliation(s)
| | - Cortino Sukotjo
- Department of Restorative Dentistry, University of Illinois at Chicago, Chicago, Illinois
| | - Judy Chia-Chun Yuan
- Department of Restorative Dentistry, University of Illinois at Chicago, Chicago, Illinois
| | - Bradford R Johnson
- Department of Endodontics, University of Illinois at Chicago, Chicago, Illinois
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Barão VAR, Mathew MT, Yuan JCC, Knoernschild KL, Assunção WG, Wimmer MA, Sukotjo C. Influence of corrosion on lipopolysaccharide affinity for two different titanium materials. J Prosthet Dent 2013; 110:462-70. [DOI: 10.1016/j.prosdent.2013.04.004] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2012] [Revised: 04/12/2013] [Accepted: 04/27/2013] [Indexed: 12/31/2022]
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Yuan JCC, Sukotjo C. Occlusion for implant-supported fixed dental prostheses in partially edentulous patients: a literature review and current concepts. J Periodontal Implant Sci 2013; 43:51-7. [PMID: 23678387 PMCID: PMC3651937 DOI: 10.5051/jpis.2013.43.2.51] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2013] [Accepted: 03/22/2013] [Indexed: 11/08/2022] Open
Abstract
Implant treatment has become the treatment of choice to replace missing teeth in partially edentulous areas. Dental implants present different biological and biomechanical characteristics than natural teeth. Occlusion is considered to be one of the most important factors contributing to implant success. Most literature on implant occlusal concepts is based on expert opinion, anecdotal experiences, in vitro and animal studies, and only limited clinical research. Furthermore, scientific literature regarding implant occlusion, particularly in implant-supported fixed dental prostheses remains controversial. In this study, the current status of implant occlusion was reviewed and discussed. Further randomized clinical research to investigate the correlation between implant occlusion, the implant success rate, and its risk factors is warranted to determine best clinical practices.
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Affiliation(s)
- Judy Chia-Chun Yuan
- Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry, Chicago, IL, USA
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Barias PA, Lee DJ, Yuan JCC, Sukotjo C, Campbell SD, Knoernschild KL. Retrospective analysis of dental implants placed and restored by advanced prosthodontic residents. J Prosthodont 2013; 22:157-63. [PMID: 22928910 DOI: 10.1111/j.1532-849x.2012.00902.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
PURPOSE The purposes of this retrospective clinical review were to: (1) describe the demographics of implant patients, types of implant treatment and implant-supported prostheses in an Advanced Education in Prosthodontic Program, (2) evaluate the survival rate of dental implants placed by prosthodontic residents from 2006 to 2008, and (3) analyze the relationship between resident year of training and implant survival rate. MATERIAL AND METHODS All patients who received dental implants placed by prosthodontic residents from January 2006 to October of 2008 in the Advanced Prosthodontic Program at the University of Illinois at Chicago College of Dentistry were selected for this study. Age, gender, implant diameter, length, implant locations, surgical and restorative detail, and year of prosthodontic residency training were collected and analyzed. Life-table and Kaplan-Meier survival analyses were performed based on implants overall, locations, year of training, and use of a computer-generated surgical guide. A Logrank statistic was performed between implant survival and year of prosthodontic residency training, location, and use of computer-generated surgical guide (α= 0.05). RESULTS Three hundred and six implants were placed, and of these, seven failed. Life-table and Kaplan-Meier analyses computed a cumulative survival rate (CSR) of 97% for overall implants and implants placed with a computer-generated surgical guide. No statistical difference was found in implant survival rates as a function of year of training (P= 0.85). CONCLUSION Dental implants placed by prosthodontic residents had a CSR comparable to previously published studies by other specialties. The year of prosthodontic residency training and implant failure rate did not have any significant relationship.
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Affiliation(s)
- Pamela A Barias
- Department of Restorative Dentistry, University of Illinois at Chicago, College of Dentistry, Chicago, IL 60612, USA
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Yuan JCC, Afshari FS, Lee DJ, Sukotjo C. The impact of obesity on prosthodontic treatment. Gen Dent 2012; 60:526-533. [PMID: 23220308] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Obesity has become a worldwide epidemic and an increasing public health concern that has a negative impact on both overall systemic and oral health. At the same time, the need for prosthodontic treatment has increased and has been projected to be more in demand in the future. It has also been predicted that the need to provide prosthodontic treatment to an increasing number of obese patients may become routine. However, delivering prosthodontic treatment to obese patients may be a challenge due to their anatomy, physiology, and physical characteristics. It is important to recognize the potential comorbidities and assist patients in seeking necessary help. It may be necessary to modify hardware, equipment, techniques, treatment positions, and/or prosthodontic protocols to ensure that these patients receive the proper care and avoid unforeseen complications. An obese patient with a compromised medical history and complex dental status may be managed best by a multidisciplinary team approach.
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Affiliation(s)
- Judy Chia-Chun Yuan
- Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago, Chicago, USA
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Chan CT, Sukotjo C, Gehrke KW, Yuan JCC, Campbell SD, Clark DM, Fayz F. Laboratory Quality Assurance in the Department of Restorative Dentistry at the University of Illinois at Chicago, College of Dentistry. J Prosthodont 2012; 22:85-91. [PMID: 22967032 DOI: 10.1111/j.1532-849x.2012.00910.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Affiliation(s)
- Christopher T Chan
- Advanced Graduate Education in Prosthodontics, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago, Chicago, IL 60612, USA
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Yuan JCC, Lee DJ, Afshari FS, Galang MTS, Sukotjo C. Dentistry and obesity: a review and current status in U.S. predoctoral dental education. J Dent Educ 2012; 76:1129-1136. [PMID: 22942408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Obesity has become an epidemic and a public health concern in the United States and many other countries around the world. The impact of obesity on individuals' overall and oral health and its influence on dental treatment protocols and postoperative procedures have been well documented. It is therefore important for dentists to understand and recognize obesity, educate their patients on its associated risks, promote a healthy lifestyle for their patients, and modify any necessary dental treatments and postoperative procedures for obese patients. To investigate the current practice of obesity assessment in U.S. dental school clinics and the inclusion of obesity topics in predoctoral dental curricula, surveys were sent to all sixty-two U.S. dental schools. Thirty-five surveys were returned but one was blank because the institution is newly established, so the total number used for analysis was thirty-four. The results showed that the topic of obesity has been incorporated into predoctoral dental curricula and is thought to be important for dentists and dental students by most respondents. However, the majority do not routinely measure weight and height, nor calculate Body Mass Index for comprehensive care patients in their predoctoral dental clinics. The authors argue that the topic of obesity should be emphasized in predoctoral dental curricula and that assessments of obesity should be practiced in predoctoral dental clinics.
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Affiliation(s)
- Judy Chia-Chun Yuan
- Department of Restorative Dentistry; College of DentistryUniversity of Illinois; Chicago
| | - Damian J. Lee
- Department of Restorative Dentistry; College of DentistryUniversity of Illinois; Chicago
| | - Fatemeh S. Afshari
- Department of Restorative Dentistry; College of DentistryUniversity of Illinois; Chicago
| | | | - Cortino Sukotjo
- Department of Restorative Dentistry; College of DentistryUniversity of Illinois; Chicago
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Barão VAR, Shyamsunder N, Yuan JCC, Knoernschild KL, Assunção WG, Sukotjo C. Trends in funding, internationalization, and types of study for original articles published in five implant-related journals between 2005 and 2009. Int J Oral Maxillofac Implants 2012; 27:69-76. [PMID: 22299081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023] Open
Abstract
PURPOSE The aims of this study were to evaluate the trends in funding, geographic origin, and study types of original articles in the dental implant literature and to investigate the relationships among these factors. MATERIALS AND METHODS Articles published in Clinical Oral Implants Research, The International Journal of Oral and Maxillofacial Implants, Clinical Implant Dentistry and Related Research, Implant Dentistry, and Journal of Oral Implantology from 2005 to 2009 were reviewed. Nonoriginal articles were excluded. For each article included, extramural funding source, geographic origin, and study type were recorded. Descriptive and analytic analyses (α = .05), including a logistic regression analysis, and chi-square test were used where appropriate. RESULTS Of a total of 2,085 articles published, 1,503 met the inclusion criteria. The most common source of funding was from industry (32.4%). The proportion of studies that reported funding increased significantly over time. Europe represented the highest percentage (55.8%) of published articles. Most of the articles reported on clinical studies (49.9%), followed by animal studies (25.9%). Articles from Asia and South America and animal and in vitro studies were significantly more likely to be funded. CONCLUSION Almost half of the original dental implant articles were funded. The trend toward internationalization of authorship was evident. A strong association was observed between funding and geographic origin and between funding and study type. Most studies in North America and Europe were clinical studies and supported by industry, whereas a greater proportion of studies in Asia and South America were in vitro or animal studies funded through government resources.
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Dragstrem KG, Yuan JCC, Lee DJ, Sukotjo C, Galang MT. Gender equality in orthodontic literature and leadership in the United States. Orthodontics (Chic.) 2012; 13:176-183. [PMID: 22567630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
The objective of this study was to evaluate gender equality in orthodontics by reviewing the authorship in three orthodontic journals in addition to the involvement of women in leadership roles within orthodontic organizations and academia in the United States. Three journals representing orthodontics were selected to analyze the author demographics for the years 1986, 1990, 1995, 2000, 2005, and 2008. Inclusion criteria were at least one first or last author with a dental degree whose primary affiliation was in the United States. Female leadership was assessed in three orthodontic organizations as well as orthodontic program directorship. Overall, the percentage of female first authors increased significantly from 0% to 18% in the years studied (P = .004). The change of the percentage of female last authors was not statistically significant (P = .719). The participation of women in leadership roles within orthodontic organizations and in orthodontic program director positions has been limited. Within the limitations of this study, it was concluded that women are underrepresented in orthodontic authorship and leadership.
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Affiliation(s)
- Kristina G Dragstrem
- College of Dentistry, University of Illinois at Chicago, Chicago, Illinois 60612, USA
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Yuan JCC, Galang MTS, Lee DJ, Barao VA, Shyamsunder N, Sukotjo C. Differences Between ADEA Annual Session Poster Abstracts and Their Corresponding Full Published Articles. J Dent Educ 2011. [DOI: 10.1002/j.0022-0337.2011.75.11.tb05205.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Judy Chia-Chun Yuan
- Department of Restorative Dentistry; College of Dentistry, University of Illinois at Chicago
| | | | - Damian J. Lee
- Department of Restorative Dentistry; College of Dentistry, University of Illinois at Chicago
| | - Valentim A.R. Barao
- Department of Dental Materials and Prosthodontics; Aracatuba Dental School, Univ. Estadual Paulista
| | - Nodesh Shyamsunder
- Advanced Education in Prosthodontics Program; College of Dental Medicine, Nova Southeastern University
| | - Cortino Sukotjo
- Department of Restorative Dentistry; College of Dentistry, University of Illinois at Chicago
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Yuan JCC, Galang MTS, Lee DJ, Barao VAR, Shyamsunder N, Sukotjo C. Differences between ADEA Annual Session poster abstracts and their corresponding full published articles. J Dent Educ 2011; 75:1476-1481. [PMID: 22058397] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
The purpose of this study was to investigate differences between abstracts of posters presented at the 79(th) (2002) and 80(th) (2003) Annual Session & Exhibition of the American Dental Education Association (ADEA) and the published full-length articles resulting from the same studies. The abstracts for poster presentation sessions were downloaded, and basic characteristics of the abstracts and their authors were determined. A PubMed search was then performed to identify the publication of full-length articles based on those abstracts in a peer-reviewed journal. The differences between the abstract and the article were examined and categorized as major and minor differences. Differences identified included authorship, title, materials and methods, results, conclusions, and funding. Data were analyzed with both descriptive and analytic statistics. Overall, 89 percent of the abstracts had at least one variation from its corresponding article, and 65 percent and 76 percent of the abstracts had at least one major and minor variation, respectively, from its corresponding article. The most prevalent major variation was in study results, and the most prevalent minor variation was change in the number of authors. The discussion speculates on some possible reasons for these differences.
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Affiliation(s)
- Judy Chia-Chun Yuan
- Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago, 801 South Paulina Street, Chicago, IL 60612-7211, USA
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Lee DJ, Yuan JCC, Prasad S, Barão VAR, Shyamsunder N, Sukotjo C. Analysis of abstracts presented at the prosthodontic research section of IADR General Sessions 2004-2005: demographics, publication rates, and factors contributing to publication. J Prosthodont 2011; 21:225-31. [PMID: 22039915 DOI: 10.1111/j.1532-849x.2011.00792.x] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
PURPOSE The purposes of this study were to describe the demographics of abstracts presented at the prosthodontics section of IADR General Sessions from 2004 to 2005, evaluate the publication rate of abstracts, and analyze the relationship between variables in abstracts and publication. MATERIALS AND METHODS Prosthodontics research section abstracts from the IADR General Session in 2004 and 2005 were evaluated for: number of authors, presentation type, origin, affiliation, topic, study design, statistics, study outcome, and funding. The publication rate was calculated following a PubMed search. The journal of publication, year of publication, and the length of time before publication were analyzed. Descriptive statistics were used for the data analysis; the relationships between presentation type, study design, study outcome, statistics, funding, and publication were analyzed using logistic regression (α= 0.05). RESULTS From 346 abstracts, 37.0% were published. For oral presentations, 40.7% were published; 35.8% of poster presentations were published. The mean duration before publication was 26.4 months. North America had the most abstracts, and Europe had the most publications. Fixed prosthodontic research had the highest number and proportion for publication. A significant association with publication was noted for neutral study outcomes (p= 0.018), studies with funding (p= 0.035), and abstracts from Europe (p= 0.001). CONCLUSIONS The majority of abstracts from the prosthodontics research section of IADR General Sessions from 2004 and 2005 remain unpublished. A significant association for publication was noted with neutral outcomes, funding, and abstracts from Europe.
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Affiliation(s)
- Damian J Lee
- Department of Restorative Dentistry, University of Illinois at Chicago, College of Dentistry, Chicago, IL 60612-7211, USA
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