Wolfgang Jacquet

A prospective randomized clinical trial of one bis-GMA-based and two ormocer-based composite restorative systems in class II cavities: five-year results

OBJECTIVES Ormocer composites, consisting of a silicon-based polymer, have been developed recently as a tooth-colored restorative material. The purpose of this prospective randomized clinical trial was to evaluate the performance of two small-particle hybrid ormocer-based restorative systems (AD, Admira/Admira Bond, VOCO; DE, Definite/Etch & Prime 3.0, Dentsply) and one small-particle hybrid bis-GMA-based composite restorative system (TC, Tetric-Ceram/Syntac, Ivoclar-Vivadent) in class II cavities. METHODS From 128 occlusal-proximal restorations (44 AD, 43 DE and 41 TC) placed in 32 adult patients, eventually 77 (22 AD, 29 DE and 26 TC) remained available for evaluation after 5 years. Their clinical performance was scored according to the USPHS criteria and evaluation of bite-wing radiographs. RESULTS After 5 years, eight AD, six DE and seven TC restorations had failed (p=0.10, log-rank test). The main reason was fracture or marginal gap formation, while secondary caries accounted for four failures. In all restorations the quality of surface, margins and contact point decreased significantly compared to baseline. DE had a significant poorer color match (p<0.01). Statistical evaluation using the KW test showed that failures were concentrated on specific patients. CONCLUSIONS In a group of class II restorations, there was no significant difference in failures after 5 years between ormocer-based and bis-GMA-based restorative systems.

To Volunteer or Not The Influence of Individual Characteristics, Resources, and Social Factors on the Likelihood of Volunteering by Older Adults

The study examines a hybrid theory containing individual characteristics, resources, and social factors and volunteering of older adults living in Belgium. As scholars have pointed out the underresearched importance of taking the recruitment potential of older adults into account, this study investigates whether potential volunteers, actual volunteers, and non-volunteers in later life are different from each other in terms of individual characteristics (e.g., religiosity), resources (e.g., socioeconomic status), and social factors (e.g., social networks and social roles). Data for the present research were derived from the Belgian Aging Studies, a sample of 31,581 individuals aged 65 to 80 years. Logistic regression analyses indicate that altruistic and religious values, physical health, frequent contact with friends, and providing help to others are important predictors for potential volunteers as well as actual volunteers. Overall, the results indicate important insights for recruitment and retention of older volunteers.

Implant surface roughness and patient factors on long‐term peri‐implant bone loss

Dental implant placement is a common treatment procedure in current dental practice. High implant survival rates as well as limited peri-implant bone loss has been achieved over the past decades due to continuous modifications of implant design and surface topography. Since the turn of the millennium, implant surface modifications have focused on stronger and faster bone healing. This has not only yielded higher implant survival rates but also allowed modifications in surgical as well as prosthetic treatment protocols such as immediate implant placement and immediate loading. Stable crestal bone levels have been considered a key factor in implant success because it is paramount for long-term survival, aesthetics as well as peri-implant health. Especially during the past decade, clinicians and researchers have paid much attention to peri-implant health and more specifically to the incidence of bone loss. This could furthermore increase the risk for peri-implantitis, the latter often diagnosed as ongoing bone loss and pocket formation beyond the normal biological range in the presence of purulence or bleeding on probing. Information on the effect of surface topography on bone loss or peri-implantitis, a disease process that is to be evaluated in the long-term, is also scarce. Therefore, the current narrative review discusses whether long-term peri-implant bone loss beyond physiological bone adaptation is affected by the surface roughness of dental implants. Based on comparative studies, evaluating implants with comparable design but different surface roughness, it can be concluded that average peri-implant bone loss around the moderately rough and minimally rough surfaces is less than around rough surfaces. However, due to the multifactorial cause for bone loss the clinical impact of surface roughness alone on bone loss and peri-implantitis risk seems rather limited and of minimal clinical importance. Furthermore, there is growing evidence that certain patient factors, such as a history of periodontal disease and smoking, lead to more peri-implant bone loss.

2D image registration using focused mutual information for application in dentistry

Spatial alignment of image data is a common task in computer vision and medical imaging. This should preferentially be done with minimal intervention of an operator. Similarity measures with origin in the information theory such as mutual information (MI) have proven to be robust registration criteria for this purpose. Intra-oral radiographs can be considered images of piecewise rigid objects. Teeth and jaws are rigid but can be displaced with respect to each other. Therefore MI criteria combined with affine deformations tend to fail, when teeth and jaws move with respect to each other between image acquisitions. In this paper, we consider a focused weighing of pixels in the reference image. The resulting criterion, focused mutual information (FMI) is an adequate tool for the registration of rigid parts of a scene. We also show that the use of FMI is more robust for the subtraction of lateral radiographs of teeth, than MI confined to a region of interest. Furthermore, the criterion allows the follow-up of small carious lesions when upper and lower jaw moved between the acquisition of test and reference image.

Students’ Preferred Characteristics of Learning Environments in Vocational Secondary Education

If teachers and teacher educators are willing to support the learning of students, it is important for them to learn what motivates students to engage in learning. Students have their own preferences on design characteristics of powerful learning environments in vocational education. We developed an instrument - the Inventory Powerful Learning Environments in Vocational Education - to measure students’ preferences on characteristics of powerful learning environments in vocational education. We investigated whether student preferences on the design of their learning environments are in line with what is described in the literature as beneficial for learning. Data of 544 students show that the preferences of students support most characteristics of PLEs in vocational education. Looking through the eyes of students, teachers have to challenge their students and encourage them to take their learning in their own hands. Adaptive learning support is needed. Remarkable, students do not prefer having reflective dialogues with teachers or peers.

Approximal Caries Diagnosis after Data Import from Different Digital Radiography Systems: Interobserver Agreement and Comparison to Histological Hard-Tissue Sections

Aims: To evaluate the agreement of approximal caries diagnosis obtained with different types of digital radiography systems after image import into a reference system. Methods: Digital radiographs were taken from 30 extracted human premolars with 60 diagnostic surfaces using a reference and two test systems from which images were imported as TIFF files. Four observers evaluated the radiographs using the reference software. Teeth were sectioned for histology. Agreement between histology and each technique was calculated using receiver operating characteristic (ROC) statistics. Results: The areas under the ROC curves were not significantly different between reference and test systems. Conclusions: Importing files from different programs did not affect diagnostic accuracy.

Comparison of occlusal caries detection using the ICDAS criteria on extracted teeth or their photographs

BackgroundUsing photographs of occlusal surfaces instead of extracted teeth for the detection of caries can be useful in multicenter studies or education. Using a panel of observers, ICDAS scores on teeth or photographs were evaluated against the histological gold standard. The hypothesis was that both outcomes were equivalent.MethodsFour examiners with different experience in ICDAS scored photographs of occlusal surfaces of 100 extracted teeth on a monitor using ICDAS criteria. Two of the examiners had previously scored extracted teeth prior to photography. Digital images of histological sections of the teeth were observed by all examiners and consensus scores were given for each investigation site (gold standard). Kappa statistics and Spearman correlation coefficients as well as repeated measure ANOVA were performed. ROC curves were constructed for each examiner and the areas under the ROC-curves (AUC) of both scoring techniques (extracted teeth, digital images) were compared (α = 0.05).ResultsIntra- and inter-rater kappa for ICDAS on teeth were 0.81–0.94 and on photographs 0.54–0.88, respectively. Correlation with histology was 0.58– 0.61 for the teeth and 0.50–0.62 for the photographs. AUC of ICDAS scores of extracted teeth (mean 0.89) were slightly higher than those for photographs (mean 0.84). However, both AUC values were not statistically significant (p = 0.38).ConclusionUsing photographs to assess occlusal surfaces with the ICDAS criteria was not statistically different from scoring the extracted teeth.

Development of a technique to decompose heterogeneous mapping units in a categorical map of the biotic environment using correlated categorical data

In this article a technique is presented to estimate the proportions of different map categories in a series of heterogeneous mapping units, using information on the degree of spatial correlation with other categorical data. The technique has been applied to decompose ecotope complexes in a categorical map of the biotic environment in Flanders, using secondary information on land cover and soil type. Because the conditional probability of an ecotope occurring given a certain soil type depends on the frequency with which the ecotope occurs in an area, determining the probability of occurrence of an ecotope from the conditional probabilities can lead to predictions that contradict prior knowledge about the composition of the different mapping units. A measure expressing the affinity of an ecotope for a soil type is proposed and is used as an alternative to conditional probability in the estimation procedure. The proposed method has been tested in a study area for which detailed field observations were colle...

Ten‐year follow‐up of dental implants used for immediate loading in the edentulous mandible: A prospective clinical study

PURPOSE The purpose of this study is to evaluate the 10-year outcome of 25 patients with immediate loading in the edentulous mandible. MATERIAL AND METHODS Twenty-five patients were consecutively treated with 5 immediately loaded fluoride-modified implants in the edentulous mandible. Implant survival and bone loss were evaluated by an external researcher comparing digital periapical radiographs taken during recall visits with baseline (at implant insertion). Statistical descriptive analysis and nonparametric tests were performed using SPSS v23, multilevel analysis was performed by means of R version 3.1.0. to identify risk factors for bone loss. RESULTS Twenty-one patients (8 males, 13 females, mean age 68.4, range 49-84) responded to the 10-year recall invitation. No implants were lost during follow-up, resulting in a 100% survival rate. After 10 years, bleeding on probing and plaque were present at 49.5% and 67.6% of the sites, respectively. The mean pocket probing depth was 3.77 mm (SD 0.73, range 3.0-6.83). Bone loss on implant level after 3, 12, 24, and 120 months was 0.16 mm (SD 0.33, range 0-1.75), 0.14 mm (SD 0.24, range 0-1.05), 0.17 mm (SD 0.27, range 0-1.5), and 0.49 mm (SD 1.08, range 0-7.8). Five implants were identified with or at risk for progressive bone loss. Forty-seven percent of the implants did not show any bone loss after 10 years in function and 87% lost less than 1 mm. Multilevel statistical analysis identified 2-year bone loss as a predictor for bone loss after 10 years of function. CONCLUSION Immediate loading of 5 fluoride-modified dental implants with a fixed prosthetic rehabilitation is a predictable and reliable treatment in the edentulous mandible, based on a 100% implant survival and limited peri-implant bone loss. Implants used for immediate loading in the edentulous mandible who are showing early bone loss may be at higher risk to develop peri-implantitis.

Community resilience 2.0: Toward a comprehensive conception of community-level resilience

Abstract Resilience theory provides an applicable framework for studying how systems cope, adapt or transform in face of exogenous disruptions. We attempt to develop a comprehensive conception of community-level resilience; we propose a combination (i.e. social-ecological resilience, community resilience) of characteristics of systems-centered (e.g. structure, embeddedness in larger spatial and temporal scales) and components-centered conceptions of resilience. Well-developed communal resources and agency are considered components leading to community resiliency. Unfortunately, current literature on community resilience does not elaborate on social structures that condition agency of social agents. We believe Archers’ morphogenetic approach and her stratified view of agency offers a seminal starting point. Furthermore, we suggest that forces (e.g. social, economic, natural) operating at larger levels impact communal resources; a community’s social memory influences their agency. Finally, we make recommendations on how community development processes can strengthen community resilience in practice and how to conduct empirical research toward community resilience 2.0.