Search Results (272)

Background: Canines play a vital functional and aesthetic role in human dentition, yet impacted canines, particularly in the mandible, are rare and can lead to functional disorders, such as the absence of canine guidance, while negatively affecting a patient’s self-esteem. Transmigration of mandibular canines adds complexity to treatment. One method to reduce the treatment time, especially for impacted teeth, is corticotomy-assisted orthodontic therapy (CAOT). Methods: A 13-year-old patient presented with a horizontally impacted lower right canine, positioned below the roots of the lower incisors, showing transmigration. A digitally designed and 3D-printed lingual appliance was attached to the lower molars with hooks on the lingual side, enabling the application of multi-directional orthodontic forces. CAOT was performed using an Er:YAG laser (LightWalker, Fotona, Ljubljana, Slovenia) at 200 mJ, 12 Hz, 2.4 W, with a pulse duration of 100 µs, and an MSP H14 conical tip (0.6 mm spot diameter). Photobiomodulation (PBM) with a 635 nm diode laser (Lasotronix, Smart ProM, Piaseczno, Poland) was applied at 10 J per point (20 J/cm²) for 100 s per point, with a total energy of 20 J per session to reduce the risk of root resorption, manage pain, and accelerate healing as the tooth was moved into the alveolar ridge. Results: The treatment duration was two and a half years. The lingual appliance with hooks allowed precise traction of the canine, aided by exposure from the lingual side and the attachment of a hook. Gentle forces applied via orthodontic thread gradually moved the canine beneath the oral mucosa. Mid-treatment cone beam computed tomography (CBCT) scans confirmed the absence of root resorption of the lower incisors. A corticotomy, enhanced by laser therapy, was performed before moving the canine into the alveolar ridge. The canine was successfully rotated 180° and positioned without any signs of resorption in the canine or adjacent teeth. Conclusions: The use of a digitally designed and 3D-printed lingual appliance with hooks allowed the precise control of the traction of impacted teeth. When combined with corticotomy and laser therapy, it minimised root resorption risks, reduced pain, accelerated healing, and improved the overall success of the orthodontic treatment. Full article

Background: Zygomatico-maxillary complex (ZMC) fractures are prevalent facial injuries with significant functional and aesthetic implications. Computer-assisted surgery (CAS) offers precise surgical planning and outcome evaluation. The study aimed to evaluate the application of CAS in the analysis of ZMC fracture outcomes and to propose a reproducible workflow for surgical outcome assessment using cephalometric landmarks. Methods: A retrospective cohort study was conducted on 16 patients treated for unilateral ZMC fractures at the Maxillofacial Surgery Unit of Siena University Hospital (2017–2024). Inclusion criteria included ZMC fractures classified as Zingg B or C, treated via open reduction and internal fixation (ORIF). Pre- and post-operative CT scans were processed for two- and three-dimensional analyses. Discrepancies between CAS-optimized reduction and achieved surgical outcomes were quantified using cephalometric landmarks and volumetric assessments. Results: Out of the 16 patients (69% male, mean age 48.1 years), fractures were predominantly on the right side (81%). CAS comparison between the post-operative and the contralateral side revealed significant asymmetries along the X and Y axes, particularly in the fronto-zygomatic suture (FZS), zygo-maxillary point (MP), and zygo-temporal point (ZT). Computer-assisted comparison between the post-operative and the CAS-simulated reductions showed statistical differences along all three orthonormal axes, highlighting the challenges in achieving ideal symmetry despite advanced surgical techniques. CAS-optimized reductions demonstrated measurable improvements compared to traditional methods, underscoring their utility in outcome evaluation. Conclusions: CAS technology enhances the precision of ZMC fracture outcome evaluation, allowing for detailed comparison between surgical outcomes and virtual simulations. Its application underscores the potential for improved surgical planning and execution, especially in complex cases. Future studies should focus on expanding sample size, refining workflows, and integrating artificial intelligence to automate processes for broader clinical applicability. Full article

Reconstruction of cranio-maxillofacial defects following ablative surgeries requires a comprehensive approach that balances functional restoration with aesthetic outcomes. Advances in computer-aided design and manufacturing (CAD/CAM) technology have revolutionized this field, enabling precise preoperative planning, including 3D modeling, segmentation, and virtual resection planning. These methods allow for the production of patient-specific implants and surgical templates while facilitating the evaluation of treatment outcomes. CAD/CAM technology offers numerous benefits, such as enhanced surgical accuracy, improved aesthetic results, reduced operative times, and the possibility of single-stage resection and reconstruction. However, limitations exist, including high costs, the need for specialized expertise, and dependency on accurate imaging data. This paper provides a surgeon-centric evaluation of the advantages and limitations of CAD/CAM in cranio-maxillofacial reconstruction. The discussion encompasses the technological workflow, clinical applications, and recommendations for optimizing outcomes. Future perspectives highlight ongoing developments, such as integrating non-ionizing imaging techniques and expanding the applicability of virtual and augmented reality. By synthesizing technical advancements and clinical expertise, this review aims to establish practical guidelines for implementing CAD/CAM technology in routine surgical practice. Full article

Objectives: This systematic review compares computer-aided design and computer-aided manufacturing (CAD/CAM) 3D-printed complete dentures (CDs) with conventional ones in terms of patient satisfaction. Methods: The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) reporting criteria for systematic reviews were followed in conducting this systematic review. The study question was “What are the patient satisfaction outcomes of 3D-printed versus conventional CDs in edentulous patients?” according to the population, intervention, comparison, and outcome (PICO) framework. A comprehensive electronic search was conducted across three databases (PubMed/Medline, Web of Science core collection, and Scopus; last update: 18 August 2024) to obtain clinical trials that compared traditional and 3D-printed CDs. The retrieved articles were screened, their data were extracted, and their quality was evaluated. Results: The initial search retrieved 803 publications; 12 were chosen for a thorough review, and 5 of them—4 randomized cross-over studies and 1 randomized three-parallel arm study—met the requirements for this systematic review. One study showed significant differences in five of nine patient denture satisfaction domains, positively favoring the conventional CDs. Two studies showed non-significant differences in satisfaction domains between the conventional and 3D-printed groups, except for aesthetics and pronunciation. On the contrary, the satisfaction scores in two other studies showed no significant difference between the conventional and 3D-printed denture groups. Conclusions: The analysis of the included studies and evidence gathered demonstrates that CAD/CAM 3D-printed CDs seem to be comparable with conventional CDs in terms of overall patient satisfaction; however, 3D-printed CDs generate some concerns related to aesthetics and speech. Full article

Additive manufacturing technologies have allowed the production of complex geometries that are typically obtained by applying topology optimization techniques. The outcome of the optimization process is a tessellated geometry, which has reduced aesthetic quality and unwanted spikes and cusps. Filters can be applied to improve the surface quality, but volume shrinking and geometry modification can be noticed. The design practice suggests manually re-designing the object in Computer-Aided Design (CAD) software, imitating the shape suggested by topology optimization. However, this operation is tedious and a lot of time is wasted. This paper proposes a methodology to automate the conversion from topology optimization output to a CAD-compatible design for industrial components. Topology optimization usually produces a dense triangle mesh with a high topological genus for those objects. We present a method to automatically generate a collection of spline (tensor-product) patches joined watertight and test the approach on real-wise industrial components. The methodology is based on the use of quadrilateral patches which are built on the external surface of the components. Based on the tests carried out, promising results have been obtained. It constitutes a first step towards the automatic generation of shapes that can readily be imported and edited in a CAD system. Full article

Background/Objectives: Surgery for adolescent idiopathic deformities is often aimed at improving aesthetic appearance, striving for the best possible correction. However, severe and rigid scoliotic curves not only present aesthetic issues but can also compromise cardiopulmonary health and cause early neurological impairment due to spinal cord compression, posing significant risks of morbidity and mortality if untreated. Conservative treatments are ineffective for severe curves, defined by scoliotic angles over 70° and flexibility below 30% on lateral bending X-rays. Treatment often requires invasive interventions, such as osteotomies and vertebral resections. In particular, posterior vertebral column resection (PVCR) has shown effectiveness in realigning vertebral structures in complex cases. This study describes the efficacy and risks of PVCR through a series of cases treated at our institution. Methods: This case series was conducted at the Rizzoli Orthopedic Institute in Bologna, involving eight pediatric patients with severe, rigid spinal deformities, operated upon between 2018 and 2023. The underlying pathologies included idiopathic kyphoscoliosis, neurofibromatosis type 1, Pott’s disease, and other congenital anomalies. Preoperative assessment included standard radiographs, magnetic resonance imaging, and computed tomography. During PVCR, motor and sensory evoked potentials were monitored to minimize neurological injury risk. Postoperative management included blood transfusions, antibiotic support, and early physiotherapy. Results: PVCR resulted in an average reduction in the Cobb angle from 86.3° preoperatively to 22.4° postoperatively, with a mean correction of 64%. The mean duration of the procedures was 337.4 min. Three patients had an uneventful postoperative course, while five developed complications, including infections and temporary neurological deficits, which were successfully managed. One patient developed an epidural hemorrhage that required emergency surgery for hematoma evacuation, with partial recovery. This study demonstrates the potential of PVCR for correcting rigid spinal deformities, highlighting the importance of postoperative management to minimize the associated risks. Conclusions: Posterior vertebral resection techniques offer significant promise in the correction of pediatric spinal deformities. Although ours is a small case series, it can provide important data for such treatment. Long-term monitoring is needed to fully understand the impact of these procedures and to further refine surgical techniques. Full article

This study investigates the social acceptance of integrated photovoltaic (IPV) systems in heritage and landscape contexts, focusing on Italian stakeholders in the construction sector. As part of the “BIPV meets History” research project, this study aims to identify barriers, potentials, drivers, and challenges for widespread PV technology adoption, considering heritage conservation, land preservation, energy production, and climate mitigation. A survey exploring opinions on PV technology integration was conducted. The survey was improved and extended to a total of 271 respondents, using the online method of Computer-Aided Web Interviewing (CAWI), to understand how perceptions of integrated photovoltaics have changed after COVID-19 and the European energy crisis, emphasizing aesthetic, environmental, economic, and personal aspects. The results indicate a general awareness of the technologies, with increasing acceptance in protected contexts, for historic buildings (from 51 to 68%) and especially landscapes (from 44 to 71%), driven by energy and environmental benefits. Cultural concerns, particularly the risk of impacting historical and natural identities, emerge as major barriers. Additionally, it is evident that awareness of PV panel recycling methods is still limited. Full article

The text-to-image task, a critical branch of computer vision and image processing, has witnessed remarkable advancements fueled by the abundance of realistic data and rapid AI innovation. However, existing research often overlooks scenarios involving sparse textual input and fails to incorporate human personalized preferences into the generative process. To address these gaps, we propose a novel AI methodology: personalized short-text-to-image generation through aesthetic assessment and human insights. Our approach introduces a symmetry between personalized aesthetic preferences and the generated images by leveraging a data-driven personality encoder (PE) to extract personal information and embed it into a Big Five personality trait-based image aesthetic assessment (BFIAA) model. This model harmonizes aesthetic preferences with the generative process by adapting the stable diffusion framework to align with personalized assessments. Experimental results demonstrate the effectiveness of our method: the PE module achieves an accuracy of 98.1%, while the BFIAA model surpasses the baseline by 13% on the PLCC metric, accurately reflecting human aesthetic preferences. Furthermore, our adapted generation model improves convergence loss by over 10% compared to the base model, consistently producing personalized images that are more aligned with human preferences. Full article

Fat grafting has gained prominence in reconstructive and aesthetic surgery, necessitating accurate assessment methods for evaluating graft volume retention. This paper reviews various techniques for assessing fat and fat grafts, including their benefits and limitations. Three-dimensional (3D) scanning offers highly accurate, non-invasive volumetric assessments with minimal interference from breathing patterns. Magnetic resonance imaging (MRI) is recognized as the gold standard, providing precise volumetric evaluations and sensitivity to complications like oil cysts and necrosis. Computed tomography (CT) is useful for fat volume assessment but may overestimate retention rates. Ultrasonography presents a reliable, non-invasive method for measuring subcutaneous fat thickness. Other methods, such as digital imaging, histological analysis, and weight estimation, contribute to fat graft quantification. The integration of these methodologies is essential for advancing fat graft assessment, promoting standardized practices, and improving patient outcomes in clinical settings. Full article

Thyroid eye disease (TED) is a common extrathyroidal manifestation of hyperthyroidism, typically associated with Graves’ disease (GD). This condition can cause severe functional limitations as well as significant aesthetic concerns. Treatment for TED patients aims to restore functionality and address aesthetic concerns. Surgical TED treatment is usually performed by orbital wall resection, which effectively decompresses intraorbital tissues and corrects the orbital/ocular disorders. Several different scenarios of surgical TED treatment including one-, two-, and three-wall resections are known. More recently, a new minimally invasive technique, the so-called lateral valgization (LAVA) of the orbital wall, was reported to show promising results comparable to conventional wall resection techniques. Due to the relatively limited data on TED treatment, only a few quantitative investigations of alternative TED surgery scenarios exist. In this feasibility study, we estimate the soft tissue outcome of LAVA treatment using computational simulation. Our experimental results show that the amount of intraorbital tissue released into the extraorbital space by LAVA treatment is comparable with the outcome of two-wall resection. Our computational simulation confirms previously reported isolated clinical findings suggesting that the minimally invasive LAVA approach represents an attractive alternative to conventional wall resection approaches for surgical TED treatment. Full article

Urban forest parks offer valuable spaces for walking activities that benefit both physical and mental health. However, trails in current park designs are often underutilised, and the scene layout does not fully meet the preferences of walkers. Therefore, understanding the connection between scene characteristics and walking preferences is essential. This study aimed to develop an ensemble protocol to assess the role of scene characteristics in walking preferences, using Shanghai Gongqing Forest Park as an illustrative example. A walking preference heat map was created using a combination of crowdsourced GPS data. The scene characteristics were quantified using panoramic photographs, drone orthophotos, computer vision, and deep learning techniques. Taking spatial dependence into account, the key findings include the following: (1) From an overhead view, the shortest paths, waterbody density, and recreational facility selection positively influenced walking preferences, while secondary asphalt trails had a negative effect. (2) At the eye level, aesthetically pleasing landscape elements, such as flowers and bridges, attracted more pedestrians, while closed trails were less favoured. (3) Eye-level features explained 43.5% of the variation in walking preference, with a stronger influence on walking preference compared to 22.4% for overhead features. (4) Natural elements were generally more significant than artificial ones; the feature ranking of significant impact was flowers > NACHr1000 > visual perception > water body density > bridge > SVF > retail > entertainment > asphalt. This study proposes a flexible protocol that provides urban forest park managers and planners with practical tools to create a more walker-friendly environment and more accurate trail alignment, as well as a solid empirical basis for assessing the use of urban forest parks. Full article

Background/Objectives: The presence of enamel on the tooth surface is crucial for the long-term success of minimally invasive adhesive restorations such as dental veneers. Our study aims to evaluate the enamel thickness in the incisal, middle, and cervical portions of the labial surface of the upper central incisors using cone beam computed tomography (CBCT). This imaging method provides detailed and accurate three-dimensional images with a low radiation dose, allowing an accurate assessment of enamel thickness. The analysis aims to identify variations in enamel thickness depending on the age and different levels of the labial tooth surface. Methods: 800 CBCT scans performed for diagnostic or therapeutic purposes on patients aged 18–60 years were analyzed. The data were gathered from the imaging archives of private practitioners from Targu Mures and the “George Emil Palade” University of Medicine, Pharmacy, Science, and Technology of Targu Mures. Enamel thickness measurements were conducted using the OnDemand3D Communicator CBCT evaluation program, with subsequent statistical analysis performed using GraphPad Instat Prism software. Results: Results showed significant variation in enamel thickness between the incisal, middle, and cervical segments of the labial surface of the upper central incisors. A decrease in enamel thickness with age has been observed. In patients aged 18–40, mean values of enamel thickness 1 mm and 3 mm above the cementoenamel junction (CEJ) were 0.48 ± 0.092, respectively, 0.819 ± 0.158. In patients over 40, the mean values were 0.454 ± 0.116 and 0.751 ± 0.067 at 1 mm, respectively, 3 mm above the CEJ. Statistically significant differences were found between the two age groups at 1 mm and 3 mm above the CEJ, with p < 0.0001 and p = 0.0214. Conclusions: A statistically significant decrease can be observed in enamel thickness in almost the entire labial surface of the upper central incisors with aging. The varied thickness of the enamel at different tooth levels requires individualized planning for each patient to maximize the long-term aesthetic and functional results. Full article

Humans are well known to have made paintings and engravings on rock surfaces, both geometric motifs with an unclear representation, and representative motifs that refer to their activities and aspects of their environment. This kind of art is widespread across time and space and has throughout history been subjected to various kinds of approaches. Typically, rock art research focuses on its role in the development of the hominin brain and the capability of abstract thinking, as well as on interpreting representative and non-representative motifs. Ethnography and cognitive research have often stressed that rock art is the result of ritual practises and the expression of a shamanic belief system. However, representative motifs may also shed light on a region’s ecological and human prehistory. Here, we give an overview of the general development of rock art study: we highlight the development of artistic behaviour in humans by discussing aesthetic preferences, and the creation of simple geometric motifs and eventually representative motifs, before describing the theories that developed from the earliest study of rock art. These have largely focused on classification and interpretation of the motifs, and often centred on Palaeolithic material from Europe. We then move on to discuss how ethnography among rock art creating communities often suggests important relationships between specific animals in both the realms of spiritual belief systems and within the local environment. Lastly, we highlight how rock art reflects the local penecontemporaneous environment when it comes to depictions of animals, plants, technologies, humans and their activities. We argue that animal depictions are a useful subject to study on a large scale, as it is the most widespread representative motif, and the most appropriate subject to study when the goal is to draw conclusions on environmental changes. Rock art can fill gaps in the local archaeological record and generate new questions of it, but also offer new insights into the history of local human–animal interaction: animal species depicted and/or referred to in rock art are likely to have been a selection of spiritually important animals and a comparison to known information on human interactions with local species may reveal patterns among which animals are selected for local rock art depictions and which are not. Interregional comparison can in turn shed light on whether humans in general tend to ascribe meaning to the same types of animals. We end the review with suggestions for future study, with a special role for computational methods, which are suitable for the analysis of large databases of visual imagery. Full article

Height is an important health parameter employed across domains, including healthcare, aesthetics, and athletics. Numerous non-contact methods for height measurement exist; however, most are limited to assessing height in an upright posture. This study presents a non-contact approach for measuring human height in 2D space across different postures. The proposed method utilizes computer vision techniques, specifically the MediaPipe library and the YOLOv8 model, to analyze images captured with a smartphone camera. The MediaPipe library identifies and marks joint points on the human body, while the YOLOv8 model facilitates the localization of these points. To determine the actual height of an individual, a multivariate linear regression model was trained using the ratios of distances between the identified joint points. Data from 166 subjects across four distinct postures: standing upright, rotated 45 degrees, rotated 90 degrees, and kneeling were used to train and validate the model. Results indicate that the proposed method yields height measurements with a minimal error margin of approximately 1.2%. Future research will extend this approach to accommodate additional positions, such as lying down, cross-legged, and bent-legged. Furthermore, the method will be improved to account for various distances and angles of capture, thereby enhancing the flexibility and accuracy of height measurement in diverse contexts. Full article

Verifying and validating explosion-resistant design models are challenging tasks due to the difficulties in accurately capturing the failure evolution within a setup influenced by the combined effects of fluid–solid interactions (FSI), blast waves, fragmentation, and impact. Curtain wall system, as a key structural component, is widely used in various types of buildings for its aesthetic appeal and weather protection. Hence, optimizing the explosion-resistance of such systems is necessary to improve building safety. In this work, we develop computational procedures that can be used to enhance the design of blast-resistant structures. This paper focuses on studying a representative component (e.g., window panels) from a typical curtain wall system, as well as a small-scale modeling of shock tube testing. For that, the material point method (MPM) simulations are verified against the finite element method (FEM) simulations, and the computational results are validated against shock tube testing. The work objective is to evaluate the simulation fidelity of explosion responses in several case studies. The first case study demonstrates how the MPM captures damage and fragmentation in a typical confined explosion event involving FSI, thus, providing an improved physical description compared to the FEM. The second case study qualitatively compares the MPM’s ability to simulate the shock tube response with experimental observations. Since the second study validates that the MPM solution is qualitatively consistent with the experimental data, the MPM model is then used in the third case study to establish an FEM model that could capture the same physics. This FEM model can be scaled up to model field experiments. The fourth case study involves the development of an FEM model for a representative curtain wall system component, which is validated against experimental results and then scaled down and employed to validate a corresponding MPM model. The proposed procedure provides a feasible approach to verifying and validating explosion-resistant designs for more general cases. Full article