Deep learning-based automated detection of the dental crown finish line: An accuracy study.

STATEMENT OF PROBLEM: The marginal fit of dental prostheses is a clinically significant issue, and dental computer-aided design software programs use automated methods to expedite the extraction of finish lines. The accuracy of these automated methods should be evaluated. PURPOSE: The purpose of this study was to compare the accuracy of a new hybrid method with existing software programs that extract finish lines using fully automated and semiautomated methods. MATERIAL AND METHODS: A total of 182 jaw scans containing at least 1 natural tooth abutment were collected and divided into 2 groups depending on how the digital data were created. Group DS used desktop scanners to scan casts trimmed for improved finish line visibility, while Group IS used intraoral scans. The method from Dentbird was compared using 3 software packages from 3Shape, exocad, and MEDIT. The Hausdorff and Chamfer distances were used in this study. Three dental laboratory technicians experienced in the digital workflow evaluated clinical finish line acceptance and its Hausdorff and Chamfer distances. For statistical analysis, t tests were performed after the outliers had been removed using the Tukey interquartile range method (α=.05). RESULTS: Outliers identified by using the Tukey interquartile range method were more numerous in the semiautomatic methods than in the automatic methods. When considering data without outliers, the software performance was found to be similar for desktop scans of the trimmed casts. However, the method from Dentbird demonstrated statistically better results (P<.05) for the posterior tooth with finish lines in concave regions than the 3Shape, exocad, and MEDIT software programs. Furthermore, thresholds coherent with clinical acceptance were determined for the Hausdorff and Chamfer distances. The Hausdorff distance threshold was 0.366 mm for desktop scans and 0.566 mm for intraoral scans. For the Chamfer distance, the threshold was 0.026 for desktop scans and 0.100 for intraoral scans. CONCLUSIONS: The method from Dentbird demonstrated a comparable or better performance than the other software solutions, particularly excelling in finish line extraction for intraoral scans. Using a hybrid method combining deep learning and computer-aided design approaches enables the robust and accurate extraction of finish lines.

The Effect of Discrimination on the Daily Life Satisfaction of People with Developmental Disability: Parallel Multiple Mediating Effect of Social Involvement and Self-Esteem.

Background and Objectives: People with developmental disabilities are exposed to discrimination and it affects their daily life satisfaction. The purpose of this study is to examine the parallel mediating effect of social involvement and self-esteem on the relationship between discrimination and the daily life satisfaction of people with developmental disabilities to improve their daily life satisfaction. Materials and Methods: This study used raw data of participants with intellectual disabilities and autism spectrum disorder from a national panel survey of employment for the disabled second-wave fifth survey. First, correlations among variables were identified to determine whether variables are in a relationship, and then PROCESS Macro was conducted to identify the relationship between discrimination and daily life satisfaction and the parallel mediating effect of social involvement and self-esteem. Results: Discrimination had a significant negative effect on daily life satisfaction and it was found that social involvement and self-esteem have a significant mediating effect that lowers the effect size of discrimination on daily life satisfaction. Specifically, it was found that self-esteem had a more mediating effect than social involvement. Conclusions: To increase the daily life satisfaction of people with developmental disabilities, the potential need to not only decrease discrimination but also increase their social involvement and self-esteem should be considered.

Deep learning-designed implant-supported posterior crowns: Assessing time efficiency, tooth morphology, emergence profile, occlusion, and proximal contacts.

OBJECTIVES: To compare implant supported crowns (ISCs) designed using deep learning (DL) software with those designed by a technician using conventional computer-aided design software. METHODS: Twenty resin-based partially edentulous casts (maxillary and mandibular) used for fabricating ISCs were evaluated retrospectively. ISCs were designed using a DL-based method with no modification of the as-generated outcome (DB), a DL-based method with further optimization by a dental technician (DM), and a conventional computer-aided design method by a technician (NC). Time efficiency, crown contour, occlusal table area, cusp angle, cusp height, emergence profile angle, occlusal contacts, and proximal contacts were compared among groups. Depending on the distribution of measured data, various statistical methods were used for comparative analyses with a significance level of 0.05. RESULTS: ISCs in the DB group showed a significantly higher efficiency than those in the DM and NC groups (P ≤ 0.001). ISCs in the DM group exhibited significantly smaller volume deviations than those in the DB group when superimposed on ISCs in the NC group (DB-NC vs. DM-NC pairs, P ≤ 0.008). Except for the number and intensity of occlusal contacts (P ≤ 0.004), ISCs in the DB and DM groups had occlusal table areas, cusp angles, cusp heights, proximal contact intensities, and emergence profile angles similar to those in the NC group (P ≥ 0.157). CONCLUSIONS: A DL-based method can be beneficial for designing posterior ISCs in terms of time efficiency, occlusal table area, cusp angle, cusp height, proximal contact, and emergence profile, similar to the conventional human-based method. CLINICAL SIGNIFICANCE: A deep learning-based design method can achieve clinically acceptable functional properties of posterior ISCs. However, further optimization by a technician could improve specific outcomes, such as the crown contour or emergence profile angle.

Self-Assembly of Organic Semiconductors on Strained Graphene under Strain-Induced Pseudo-Electric Fields.

Graphene is used as a growth template for van der Waals epitaxy of organic semiconductor (OSC) thin films. During the synthesis and transfer of chemical-vapor-deposited graphene on a target substrate, local inhomogeneities in the graphene-in particular, a nonuniform strain field in the graphene template-can easily form, causing poor morphology and crystallinity of the OSC thin films. Moreover, a strain field in graphene introduces a pseudo-electric field in the graphene. Here, the study investigates how the strain and strain-induced pseudo-electric field of a graphene template affect the self-assembly of π-conjugated organic molecules on it. Periodically strained graphene templates are fabricated by transferring graphene onto an array of nanospheres and then analyzed the growth and nucleation behavior of C60 thin films on the strained graphene templates. Both experiments and a numerical simulation demonstrated that strained graphene reduced the desorption energy between the graphene and the C60 molecules and thereby suppressed both nucleation and growth of the C60. A mechanism is proposed in which the strain-induced pseudo-electric field in graphene modulates the binding energy of organic molecules on the graphene.

Sustainable Polycaprolactone Polyol-Based Thermoplastic Poly(ester ester) Elastomers Showing Superior Mechanical Properties and Biodegradability.

Thermoplastic elastomers (TPEs) have attracted increasing attention for a wide variety of industrial and biomedical applications owing to their unique properties compared to those of traditional rubbers. To develop high-performance engineering TPEs and reduce the environmental pollution caused by plastic waste, α,ω-hydroxyl-terminated polycaprolactone (PCL) polyols with molecular weights of 1000-4200 g mol-1 and polydispersity index (Ð) of 1.30-1.88 are synthesized via the ring-opening polymerization of sustainable ε-caprolactone using a heterogeneous double metal cyanide catalyst. The resulting PCL polyols are employed as soft segments to produce thermoplastic poly(ester ester) elastomers and are compared to conventional thermoplastic poly(ether ester) elastomers prepared from polytetramethylene ether glycol (PTMEG). Notably, the PCL-based TPEs exhibit superior mechanical properties and biodegradability compared to PTMEG-based TPEs owing to their crystallinity and microphase separation behaviors. Accordingly, they have 39.7 MPa ultimate strength and 47.6% biodegradability, which are much higher than those of PTMEG-based TPEs (23.4 MPa ultimate strength and 24.3% biodegradability). The introduction of biodegradable PCLs demonstrates significant potential for producing biodegradable TPEs with better properties than polyether-derived elastomers.

Effect of high-speed sintering on the marginal and internal fit of CAD/CAM-fabricated monolithic zirconia crowns.

This study compared the marginal and internal fit of zirconia crowns fabricated using conventional and high-speed induction sintering. A typodont mandibular right first molar was prepared and 60 zirconia crowns were fabricated: 30 crowns using conventional sintering and 30 crowns using high-speed sintering. We presented a new evaluation methodology to measure the marginal and internal fit of restorations through digital scanning, aligning the two datasets, and measuring the distance between two arbitrary point sets of the datasets. For the marginal fit, we calculated the maximum values of the shortest distances between the marginal line of the prepared tooth and that of the crown. The calculated values ranged from 359 to 444 µm, with smaller values for the high-speed sintered crowns (P < 0.05). For the internal fit, we employed mesh sampling and computed the geodesic distances between the prepared tooth surface and the crown intaglio surface. The measured values ranged from 177 to 229 µm with smaller values for the high-speed sintered crowns, but no significant difference was found (P > 0.05). Based on our results, the high-speed sintering method can be considered a promising option for single-visit zirconia treatment in dental practice.

Time efficiency, occlusal morphology, and internal fit of anatomic contour crowns designed by dental software powered by generative adversarial network: A comparative study.

OBJECTIVES: To evaluate the time efficiency, occlusal morphology, and internal fit of dental crowns designed using generative adversarial network (GAN)-based dental software compared to conventional dental software. METHODS: Thirty datasets of partial arch scans for prepared posterior teeth were analyzed. Each crown was designed on each abutment using GAN-based software (AI) and conventional dental software (non-AI). The AI and non-AI groups were compared in terms of time efficiency by measuring the elapsed work time. The difference in the occlusal morphology of the crowns before and after design optimization and the internal fit of the crown to the prepared abutment were also evaluated by superimposition for each software. Data were analyzed using independent t tests or Mann-Whitney test with statistical significance (α=.05). RESULTS: The working time was significantly less for the AI group than the non-AI group at T1, T5, and T6 (P≤.043). The working time with AI was significantly shorter at T1, T3, T5, and T6 for the intraoral scan (P≤.036). Only at T2 (P≤.001) did the cast scan show a significant difference between the two groups. The crowns in the AI group showed less deviation in occlusal morphology and significantly better internal fit to the abutment than those in the non-AI group (both P<.001). CONCLUSIONS: Crowns designed by AI software showed improved outcomes than that designed by non-AI software, in terms of time efficiency, difference in occlusal morphology, and internal fit. CLINICAL SIGNIFICANCE: The GAN-based software showed better time efficiency and less deviation in occlusal morphology during the design process than the conventional software, suggesting a higher probability of optimized outcomes of crown design.

Antiproliferative, apoptosis-inducing, and GSTP1 demethylation activities of Ellagitannins isolated from Cornus alba L.

This study aimed to prove the prostate cancer chemopreventive activity of compounds isolated from CA. We evaluated these compounds using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay and evaluated their NF-κB inhibitory activity and apoptosis-inducing activity using western blot analysis and flow cytometry, respectively. Their DNA methylation activity was also evaluated via a methylation-specific polymerase chain reaction in androgen-dependent (LNCaP) and androgen-independent (PC-3) prostate cancer cell lines. Camptothin B (1), cornusiin B (2), and cornusiin A (3), which were isolated in our previous work, relatively reduced the protein expression levels in PCa cells. Among them, cornusiin B (2) exhibited excellent NF-κB inhibitory activity. Also, concentration-dependently increased the unmethylated DNA content and decreased the methylated DNA content in both PC-3 and LNCaP cells. Therefore, cornusiin B (2), which was isolated from CA, has the potential to act as a chemopreventive agent for prostate cancer.

Extremely Suppressed Energetic Disorder in a Chemically Doped Conjugated Polymer.

Chemical doping can be used to tune the optoelectronic properties of conjugated polymers (CPs), extending their applications as conducting materials. Unfortunately, chemically doped CP films containing excess dopants exhibit an increase in energetic disorder upon structural alteration, and Coulomb interactions between charge carriers and dopants also affect such disorder. The increase in energetic disorder leads to a broadening of the density of states, which consequently impedes efficient charge transport in chemically doped CPs. However, the molecular origins that are inherently resistant to such incidental increase of energetic disorder in chemically doped CPs have not been sufficiently explored. Here, it is discovered that energetic disorder in chemically doped CPs can be suppressed to a level close to the theoretical limit. Indacenodithiophene-co-benzothiadiazole (IDTBT) doped with triethyloxonium hexachloroantimonate (OA) exhibits disorder-free charge-transport characteristics and band-like transport behavior with astonishing carrier mobility as a result of reinforced 1D intramolecular transport. Molecular structure of IDTBT provides a capability to lower the energetic disorder that generally arises from the inclusion of heterogeneous dopants. The results suggest the possibilities of implementing disorder-free CPs that exhibit excellent charge transport characteristics in the chemically doped state and satisfy a prerequisite for their availability in the industry.

Chemopreventive Activity of Ellagitannins from Acer pseudosieboldianum (Pax) Komarov Leaves on Prostate Cancer Cells.

Several studies have shown that compounds from Acer pseudosieboldianum (Pax) Komarov leaves (APL) display potent anti-oxidative, anti-inflammatory, and anti-proliferative activities. Prostate cancer (PCa) is the most common cancer among older men, and DNA methylation is associated with PCa progression. This study aimed to investigate the chemopreventive activities of the compounds which were isolated from APL on prostate cancer cells and elucidate the mechanisms of these compounds in relation to DNA methylation. One novel ellagitannin [komaniin (14)] and thirteen other known compounds, including glucose derivatives [ethyl-ß-D-glucopyranose (3) and (4R)-p-menth-1-ene-7,8-diol 7-O-ß-D-glucopyranoside (4)], one phenylpropanoid [junipetrioloside A (5)], three phenolic acid derivatives [ellagic acid-4-ß-D-xylopyranoside (1), 4-O-galloyl-quinic acid (2), and gallic acid (8)], two flavonoids [quercetin (11) and kaempferol (12)], and five hydrolysable tannins [geraniin (6), punicafolin (7), granatin B (9), 1,2,3,4,6-penta-galloyl-ß-D-glucopyranoside (10), and mallotusinic acid (13)] were isolated from APL. The hydrolyzable tannins (6, 7, 9, 10, 13, and 14) showed potent anti-PCa proliferative and apoptosis-promoting activities. Among the compounds, the ellagitannins in the dehydrohexahydroxydiphenoyl (DHHDP) group (6, 9, 13, and 14), the novel compound 14 showed the most potent inhibitory activity on DNA methyltransferase (DNMT1, 3a and 3b) and glutathione S-transferase P1 methyl removing and re-expression activities. Thus, our results suggested that the ellagitannins (6, 9, 13, and 14) isolated from APL could be a promising treatment option for PCa.

Laminating Structure for Interlayer Corona Discharge Treatment Toward Ion-Based Nanogenerators.

A corona discharge treatment (CDT) is utilized to maximize the performance of triboelectric nanogenerators (TENGs) by injecting extra electrons into the negative tribomaterials. Increased performance of CDT TENGs, however, exhibits rapid degradation due to the electron dissipation by air moisture or thermal emission. To overcome such drawbacks and circumvent such dissipation, the source of charges should be replaced with ionic charges. This study reports a Ag nanowires (NWs)-embedded laminating structure (AeLS) with a unique fabrication procedure for ionic charge injection by CDT. The injection of ions is achieved by interlayer-CDT (i-CDT), in which positive charges are dissipated by Ag NWs, and the opposite negative ions can remain on the outmost surface. The AeLS TENGs with i-CDT exhibit high performance, long-term stability, and durability. It shows voltage, current, and maximum power outputs of 380 V, 15 µA, and 827 mW m-2 , respectively. As a practical demonstration, rotational TENG integrated with a direct discharge system is realized, and its current and voltage reach 7.4 mA and 7800 V, respectively. This work can pave the way for the design of ion-based TENGs with high performance and long-lasting retention of triboelectric charges.

Highly Active Heterogeneous Double Metal Cyanide Catalysts for Ring-Opening Polymerization of Cyclic Monomers.

A series of heterogeneous Zn-Co double metal cyanide (DMC) catalysts were investigated for ring-opening polymerization (ROP) of various cyclic monomers. Notably, inexpensive and commonly used organic solvents such as acetone, N,N-dimethylacetamide, N,N-dimethylformamide, dimethyl sulfoxide, nitromethane, and 1-methylpyrrolidin-2-one were very effective complexing agents for the preparation of DMC catalysts, showing high catalytic activity for the ROP of propylene oxide, ε-caprolactone, and δ-valerolactone. The chemical structures and compositions of the resultant catalysts were determined using various techniques such as FT-IR, X-ray photoelectron spectroscopy, powder X-ray diffraction, and elemental analysis. α,ω-Hydroxyl-functionalized polyether and polyester polyols with high yields and tunable molecular weights were synthesized in the presence of various initiators to control functionality. Kinetic studies of the ROP of δ-valerolactone were also performed to confirm the reaction mechanism.

Application of Induced Pluripotent Stem Cells for Disease Modeling and 3D Model Construction: Focus on Osteoarthritis.

Since their discovery in 2006, induced pluripotent stem cells (iPSCs) have shown promising potential, specifically because of their accessibility and plasticity. Hence, the clinical applicability of iPSCs was investigated in various fields of research. However, only a few iPSC studies pertaining to osteoarthritis (OA) have been performed so far, despite the high prevalence rate of degenerative joint disease. In this review, we discuss some of the most recent applications of iPSCs in disease modeling and the construction of 3D models in various fields, specifically focusing on osteoarthritis and OA-related conditions. Notably, we comprehensively reviewed the successful results of iPSC-derived disease models in recapitulating OA phenotypes for both OA and early-onset OA to encompass their broad etiology. Moreover, the latest publications with protocols that have used iPSCs to construct 3D models in recapitulating various conditions, particularly the OA environment, were further discussed. With the overall optimistic results seen in both fields, iPSCs are expected to be more widely used for OA disease modeling and 3D model construction, which could further expand OA drug screening, risk assessment, and therapeutic capabilities.

Surface Stabilization of a Formamidinium Perovskite Solar Cell Using Quaternary Ammonium Salt.

Dimensionality engineering is an effective approach to improve the stability and power conversion efficiency (PCE) of perovskite solar cells (PSCs). A two-dimensional (2D) perovskite assembled from bulky organic cations to cover the surface of three-dimensional (3D) perovskite can repel ambient moisture and suppress ion migration across the perovskite film. This work demonstrates how the thermal stability of the bulky organic cation of a 2D perovskite affects the crystallinity of the perovskite and the optoelectrical properties of perovskite solar cells. Structural analysis of (FAPbI3)0.95(MAPbBr3)0.05 (FA = formamidinium ion, MA = methylammonium ion) mixed with a series of bulky cations shows a clear correlation between the structure of the bulky cations and the formation of surface defects in the resultant perovskite films. An organic cation with primary ammonium structure is vulnerable to a deprotonation reaction under typical perovskite-film processing conditions. Decomposition of the bulky cations results in structural defects such as iodide vacancies and metallic lead clusters at the surface of the perovskite film; these defects lead to a nonradiative recombination loss of charge carriers and to severe ion migration during operation of the device. In contrast, a bulky organic cation with a quaternary ammonium structure exhibits superior thermal stability and results in substantially fewer structural defects at the surface of the perovskite film. As a result, the corresponding PSC exhibits the PCE of 21.6% in a reverse current-voltage scan and a stabilized PCE of 20.1% with an excellent lifetime exceeding 1000 h for the encapsulated device under continuous illumination.

Enhancing Thermoelectric Power Factor of 2D Organometal Halide Perovskites by Suppressing 2D/3D Phase Separation.

Organometal halide perovskites (OHPs) exhibit superior charge transport characteristics and ultralow thermal conductivities. However, thermoelectric (TE) applications of OHPs have been limited because of difficulties in controlling their carrier concentration, which is a key to optimizing their TE properties. Here, facile control of the carrier concentration in Sn-based OHPs is achieved by developing 2D crystal structures. The 2D OHP crystals are laterally oriented using a mixed solvent, and the morphology and crystal structure of the coexisting 2D/3D hybrid structures are systematically controlled via doping with methylammonium chloride. The effective number neff of inorganic octahedron layers in the 2D OHPs shows a strong positive correlation with the carrier concentration. Moreover, the 2D structure induces the quantum confinement effect, which enhances both the Seebeck coefficient and the electrical conductivity. A 2D OHP shows a high power factor of 111 µW m-1 K-2 , which is an order of magnitude greater than the power factor of its 3D counterpart.

Education for Children With ASD in South Korea: A Case Study.

In South Korea, there is currently a massive gap between the demand and the supply of quality applied behavior analysis (ABA) services for children with autism spectrum disorder (ASD) and their families. However, the literature on the implementation and effectiveness of ABA intervention mainly comes from Western countries, and the voices of Asian countries are scarcely heard. The present article reports data collected from the KAVBA Center in Seoul, South Korea, as a direct replication of the CABAS educational model. Eleven 3- to 4-year-old children with ASD were the participants in the study and attended the center for 1 year. Our pre- and postintervention data show that the CABAS model provided an effective and cost-efficient service for children with ASD in South Korea.

Improved Chemical Stability of Organometal Halide Perovskite Solar Cells Against Moisture and Heat by Ag Doping.

Organometal halide perovskite (OHP) solar cells have been intensively studied because of their promising optoelectronic features, which has resulted in high power conversion efficiencies >23 %. Although OHP solar cells exhibit high power conversion efficiencies, their relatively poor stability is a significant obstacle to their practical use. We report that the chemical stability of OHP solar cells with respect to both moisture and heat can be improved by adding a small amount of Ag to the precursor. Ag doping increases the size of the OHP grains and reduces the size of the amorphous intergranular regions at the grain boundaries, and thereby hinders the infiltration of moisture into the OHP films and their thermal degradation. Quantum mechanical simulation reveals that Ag doping increases the energies of both the hydration reaction and heat-induced vacancy formation in OHP crystals. This procedure also improves the power conversion efficiencies of the resulting solar cells.

Porous SnO2 nanostructure with a high specific surface area for improved electrochemical performance.

Tin oxide (SnO2) has been attractive as an alternative to carbon-based anode materials because of its fairly high theoretical capacity during cycling. However, SnO2 has critical drawbacks, such as poor cycle stability caused by a large volumetric variation during the alloying/de-alloying reaction and low capacity at a high current density due to its low electrical conductivity. In this study, we synthesized a porous SnO2 nanostructure (n-SnO2) that has a high specific surface area as an anode active material using the Adams fusion method. From the Brunauer-Emmett-Teller analysis and transmission electron microscopy, the as-prepared SnO2 sample was found to have a mesoporous structure with a fairly high surface area of 122 m2 g-1 consisting of highly-crystalline nanoparticles with an average particle size of 5.5 nm. Compared to a commercial SnO2, n-SnO2 showed significantly improved electrochemical performance because of its increased specific surface area and short Li+ ion pathway. Furthermore, during 50 cycles at a high current density of 800 mA g-1, n-SnO2 exhibited a high initial capacity of 1024 mA h g-1 and enhanced retention of 53.6% compared to c-SnO2 (496 mA h g-1 and 23.5%).

Enhanced electrochemical performance of MoS2/graphene nanosheet nanocomposites.

Molybdenum disulfide (MoS2) is attractive as an anode material for next-generation batteries, because of its layered structure being favorable for the insertion/deinsertion of Li+ ions, and its fairly high theoretical capacity. However, since the MoS2 anode material has exhibited disadvantages, such as low electrical conductivity and poor cycling stability, to improve the electrochemical performance of MoS2 in this study, a nanocomposite structure consisting of MoS2 and GNS (MoS2/GNS) as an anode for LIBs was prepared, by controlling the weight ratios of MoS2/GNS. The X-ray diffraction patterns and electron microscopic analysis showed that the nanocomposite electrode structure consisted of well-formed MoS2 nanoparticles and GNS. Compared to MoS2-only, the MoS2/GNS composites exhibited high retention and improved capacity at high current densities. In particular, among these nanocomposite samples, MoS2/GNS(8 : 2) with an appropriate portion of GNS exhibited the best LIB performance, due to the lowest interfacial resistance and highest Li-ion diffusivity.

Development of immunocompatible pluripotent stem cells via CRISPR-based human leukocyte antigen engineering.

Pluripotent stem cell transplantation is a promising regenerative strategy for treating intractable diseases. However, securing human leukocyte antigen (HLA)-matched donor stem cells is extremely difficult. The traditional approach for generating such cells is to establish homozygous pluripotent stem cell lines. Unfortunately, because of HLA diversity, this strategy is too time-consuming to be of practical use. HLA engineering of donor stem cells has been proposed recently as a means to evade graft-versus-host rejection in stem cell allotransplantation. This approach would be advantageous in both time and cost to the traditional method, but its feasibility must be investigated. In this study, we used CRISPR/Cas9 to knockout HLA-B from inducible pluripotent stem cells (iPSCs) with heterogenous HLA-B and showed that the HLA-B knockout iPSCs resulted in less immunogenicity in HLA-B antisera than that in the control. Our results support the feasibility of HLA-engineered iPSCs in stem cell allotransplantation.