Search Results (116)

Background: Digital diagnostic waxing is a contemporary alternative to the conventional wax-up method. This study aims to evaluate the impact of both techniques on the perceived frontal symmetry in aesthetic treatment planning. Dental symmetry significantly influences smile perception and, consequently, the acceptance of treatment outcomes, highlighting its clinical importance in restorative dentistry. Materials and Methods: A total of 100 teeth were measured, with 50 (n = 50) waxed up using traditional modeling techniques and 50 using a face-guided digital approach. The study involved ten patients requiring fixed restorations in the aesthetic zone. Both digital and conventional wax-ups were performed for each participant. Gypsum models with wax-ups were digitized and superimposed onto the digital diagnostic design using 3Shape Dental Designer Studio software, Version 2023 (3Shape, Copenhagen, Denmark). Screenshots of the frontal view were captured, and the width of each morphologically altered tooth was measured using ImageJ software Version 1.54 (National Institutes of Health, Bethesda, MD, USA). Results: The results indicated no statistically significant difference in symmetry between the right and left sides achieved by the two diagnostic approaches (t-value = −1.89, p-value = 0.07). The perceived symmetry of morphologically modified frontal teeth, as achieved by digital and conventional waxing, was found to be comparable. Conclusions: Digital diagnostic planning is validated as a reliable alternative to the conventional wax-up method, offering comparable accuracy in achieving dental symmetry while potentially enhancing efficiency and precision in the aesthetic treatment planning process. This result underscores the potential of digital technologies to streamline clinical workflows and improve patient outcomes. Clinically, achieving symmetry in the aesthetic zone is crucial for patient satisfaction and acceptance of restorative procedures, emphasizing the need for continued integration of digital tools in dental practice. Full article

Background/Objectives: Facial pigmented skin lesions are extremely common, starting from the fourth to fifth decades, especially in South-European countries, often located in the periorbital region. These include malignant forms, Lentigo maligna (LM) and lentigo maligna melanoma (LMM), characterized by growing incidence, and a series of benign simulators, including solar lentigo (SL), pigmented actinic keratosis (PAK), seborrheic keratosis (SK) and lichen planus-like keratosis (LPK). The clinical differential diagnosis of atypical pigmented skin lesions (aPFLs) can be difficult, even for dermatologists, leading to inappropriate skin biopsies with consequent aesthetic impacts. Dermoscopy of the facial area is a specific dermoscopic field that requires dedicated training and proved to increase diagnostic accuracy in dermatologists. Since these lesions are often seen by ophthalmologists at first, we aimed to evaluate the effect of a focused dermoscopy training course on a group of ophthalmologists naïve to the use of a dermatoscope. Methods: A set of 80 periorbital pigmented skin lesions with both clinical and dermoscopic images was selected and evaluated by six ophthalmologists before and after a one-day intensive dermoscopic training course. They were required to evaluate 80 periorbital lesions one month before and after a one-day intensive dermoscopic training course, illustrating second-level diagnostic options such as reflectance confocal microscopy (RCM), obtaining a total of 480 evaluations. Specifically, they had to provide, for each case, a punctual diagnosis and a management option among dermoscopic follow-up/skin biopsy/RCM/LC-OCT. Descriptive statistics were carried out, and the accuracy (ACC), sensitivity (SE), and specificity (SP), with their 95% confidence interval (95% CI), were estimated. Results: In the pre-course test, ophthalmologists achieved 84.0% SP, 33.3% SE and 63.7% ACC, while after the course, SE increased by +9% (i.e., 41.7%), SP decreased by 4%, and ACC remained comparable, i.e., 64.6%. In the management study, the percentage of benign lesions for which a close dermoscopic follow-up was suggested significantly decreased (51.6% versus 22.2%), in parallel with an increase in the number of lesions referred for RCM. As for malignant cases, the reduction in responses “close dermoscopic follow-up” decreased from 37.0% to 9.9%, (−27%), in favor of RCM (+15%) and skin biopsy (+12%). Conclusions: The ophthalmologists proved to be very receptive in quickly metabolizing and putting into practice the concepts learned during the one-day intensive dermoscopy training course. Indeed, after only a one-day lesson, they were able to increase their SE by 9% and to improve their management strategy. The present findings highlight the importance of providing training ophthalmologists in dermoscopy during residency programs, in terms of benefits for the correct patient care. Full article

This article describes a technique for gluteal augmentation using cross-linked hyaluronic acid (HA) filler, with a focus on long-term patient follow-up. The rising demand for buttock enhancement driven by esthetic preferences has led to the exploration of minimally invasive alternatives to traditional surgical methods. Ultrasound imaging was utilised to evaluate the presence and distribution of HA filler over time. The patients reported satisfactory aesthetic improvements, with mild transient side effects. The findings highlight the technique’s effectiveness in achieving enhanced gluteal contour with a minimal volume of filler, demonstrating both safety and durability in the long term. This innovative approach may serve as a valuable option in aesthetic practises focused on body contouring. 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

Urban parks provide essential ecosystem services (ESs) that enhance human wellbeing. However, discrepancies often arise between objective assessments of these services and stakeholders’ subjective perceptions. This study addresses a research gap concerning the synergies and tradeoffs between objective evaluations and subjective perceptions of key ecosystem services across various spatial scales. We investigated six key ecosystem services in Century Park, Shanghai, across seven buffer radii (8–100 m). Objective data were obtained from park view images (PVIs) and spatial analysis, while subjective perceptions were gathered through a scoring survey of 33 stakeholders. The key finding is that a buffer radius of 35 m offers optimal synergy between objective and subjective assessments for most ESs, particularly in pollution mediation, temperature regulation, and cultural services. Professionals showed stronger alignment in regulatory services like pollution mediation and temperature regulation, while residents exhibited higher synergy in net primary production (NPP) beyond a 75 m radius. Notably, cultural services displayed nuanced differences, with professionals preferring simpler landscapes and residents demonstrating varied aesthetic preferences. These findings emphasize the importance of integrating objective data and human perceptions in urban green space planning and governance. By incorporating diverse stakeholders and identifying optimal buffer zones, planners and designers can effectively balance ESs with human experiences. This approach ultimately fosters more sustainable and wellbeing-centered urban environments. Full article

Smile aesthetics are increasingly prioritized in dental practice, with accurate orthodontic assessment and treatment planning being crucial for optimal outcomes. This study evaluates Invisalign^® SmileView™ (SV), an AI-based tool that simulates post-treatment smiles, focusing on its ability to present potential orthodontic outcomes to patients. Background/Objectives: This research aims to study whether SV can simulate predictable orthodontic results and if it makes anatomical modifications to the teeth. Additionally, it will evaluate whether SV displays smiles that conform to the orthodontic criteria described in the literature. Finally, the study will analyze whether the software can align the dental with the facial midline. Methods: A total of 51 subjects were recruited in Madrid, Spain. The operator took a frontal photograph of the subjects with a social smile (T0), following the application’s instructions. Subsequently, the subjects followed the steps to modify their smile (T1), resulting in a new image of the subject with a different smile. The following variables were collected, analyzed, and compared with the standards defined in the literature: smile width, vertical exposure of the maxillary central incisor, width of the maxillary central and lateral incisors, proportion of the maxillary lateral incisor width to the central incisor, anterior gingival exposure level, position of the upper and lower dental midlines relative to the facial midline. Results: 58% of the sample showed dental expansion, with an excessive expansion (>5 mm) observed in 8%. In the maxillary arch, 5.9% of incisors exceeded predictable aligner movement (>1.5 mm), with 3.9% showing excessive extrusion and 2% excessive intrusion. For the lateral incisors, the mesiodistal size was reduced less than 0.5 mm in 31.4% of cases, with excessive interproximal reduction (>0.5 mm) in 5.9%. Additionally, 62.7% of cases would require multidisciplinary treatment due to an increase in size. SV centered the upper midline in 77.9% of these cases. Among the sample, the upper midline was initially centered in 74.5% of subjects, and SV maintained it centered in 84.2% of these subjects. Conclusions: SV tends to generate simulations of broader smiles, which are mostly achievable through aligner treatments, from an orthodontic perspective, and showed high predictability regarding the vertical movements of the incisors that can be achieved with aligners. Moreover, it adjusted the mesiodistal size of the upper incisors in its simulations and demonstrated the ability to identify and correct deviations of the dental midlines relative to the facial midline. Full article

Background and Objectives: Melasma, a hypermelanotic dermatologic condition that mainly affects women, poses challenges due to its complex etiology involving environmental and genetic factors. Its pathophysiology, marked by intricate histological changes, is not fully understood. This study explored the efficacy and safety of a new 785 nm picosecond laser in treating facial melasma. Materials and Methods: An 11-participant cohort, comprising women with Fitzpatrick phototypes II-III, underwent a treatment protocol with a new 785 nm picosecond laser. The clinical evaluation used the Global Aesthetic International Score (GAIS) and the Five-Point Likert Scale Questionnaire. The aim of the study was to understand the capacity of the 785 nm wavelength laser to interact with both the pigmentary and vascular components of melasma. Results: The GAIS outcomes revealed excellent (18.2%), good (54.5%), poor (18.2%), and no results (9.1%). The Likert Scale responses varied from very satisfied (18.2%) to slightly satisfied (9.1%). Clinical images at three months demonstrated resolution of melasma with no adverse events. Conclusions: This non-invasive procedure showed positive outcomes and high patient tolerance, emphasizing its potential in melasma management. However, in order to fully understand the interactions of pigmentary and vascular components with the 785 nm wavelength laser, further research is required. The small cohort represents a limitation for this study, therefore studies that include a larger number of patients are needed to assess the effectiveness of this laser treatment for facial melasma. Full article

The complex composition of cultural heritage (CH) items presents significant challenges in assessing their condition and predicting potential risks of material degradation. Typically employed diagnostic optical methods are inevitably limited by light scattering, thus restricting in-depth investigations of objects with complex structural and optical properties. To address this issue, we introduce a novel reflection-mode optoacoustic (OA) diagnostic system for non-contact and non-invasive measurements of CH, placing emphasis on the detection of ageing-related modifications in artistic media such as paints. In this direction, the sensitivity of OA measurements was proven to be up to two orders of magnitude higher than conventional absorption spectroscopy assessments. Furthermore, we have evaluated the in-depth imaging capabilities of the developed OA system, demonstrating that it can offer superior contrast levels of sketches beneath opaque paint layers compared to standard near-infrared diagnostic techniques. The current OA imaging technology may advance state-of-the-art diagnostic capabilities in CH preservation by delivering unprecedented depth-to-resolution ratios combined with exceptional optical absorption sensitivity in a non-invasive manner. These features are crucial for the early detection of material degradation and the comprehensive analysis of CH objects, facilitating the development of optimal conservation strategies to prolong their lifespan and preserve their aesthetic value. Full article

This research explores the impact of urban design performance qualities on pedestrian behavior in a cultural heritage site designated by UNESCO. The study employs a multi-method approach, including a questionnaire survey, empirical observation of pedestrian activities, and empirical axial line and visibility graph analysis using the space syntax technique. The first part of the study involved a questionnaire formatted as a polling sheet to gather expert assessments of spatial performance measures. The second part used a pilot survey to capture the perspectives of end users regarding the study’s objectives and their perceptions of the site. Pedestrian flow was observed using a technique called “gate counts”, with observations recorded as video clips during specific morning and afternoon periods across three pedestrian zones. The study also examined the behavioral patterns of pedestrians, including their movement patterns. Finally, the ArcGIS 10.3.1 software was employed to evaluate the reliability of the results. The main finding of this research is that pedestrian behavior and walkability in the historical areas are significantly influenced by landmark integration, wayfinding behavior, and the socio-economic functions of heritage sites. This study highlights the importance of using cognitive and syntactic analysis, community engagement, and historical preservation to enhance walkability, accessibility, and social interaction in heritage contexts. In addition, it identifies the need for improvements in urban design to address inconsistencies between syntactic maps and actual pedestrian flow, emphasizing the role of imageability and the impact of environmental and aesthetic factors on pedestrian movement. This research provides valuable insights for urban designers and planners, environmental psychologists, architects, and policymakers by highlighting the key elements that make urban spaces walkable, aiming to enhance the quality of public spaces. Full article

This research aims to propose a novel approach for evaluating and minimizing scraps in an industrial production of premium food cans with distortion printing. Beyond conventional formability criteria, a waving requirement is introduced to ensure aesthetic quality of the printed graphics. The research focuses on real production conditions, specifically involving double-cold-reduced (DR) low-carbon steel sheets and chromium-coated tin-free steel with a thickness of 0.16 mm. The sheets are laminated on both sides with a plastic film prior to undergoing distortion printing on the exterior. Subsequently, a blank is subjected to a drawing-redrawing process to form a food can. To address challenges associated with characterizing these thin sheets, a material parameter identification method is proposed and demonstrated. The thickness profile and flange length are identified as key criteria for this identification process. Measurements of thickness distribution and flange length are obtained using digital image correlation (DIC) and microscopy techniques. Within the manufacturing system, uncertainties related to material properties and forming processes can result in scraps or defects. To analyze these processes, finite element analysis (FEA) is employed and validated through experiments. For the evaluation of scrap rates, uncertainty propagation is conducted using a metamodeling technique, specifically employing radial basis function (RBF) neural networks. The study concludes by offering process optimization recommendations aimed at reducing the scrap rate. Full article

Surgical intervention is a key element in the management of patients diagnosed with mucormycosis. A retrospective cohort study was carried out, in which patients with a proven diagnosis of mucormycosis were evaluated over a period of 10 years, according to the MSGERC criteria. A descriptive analysis of the clinical characteristics, comorbidities, imaging, and microbiology studies, as well as medical and surgical treatment and the type of prosthesis was carried out. A total of 22 cases were identified, of which 54.5% (n = 12) of the population were men. Furthermore, 77.2% (n = 17) of the population had diabetes mellitus. The main antifungal treatment implemented was liposomal amphotericin B (77.2%, n = 17). The most affected structures in our patients were the paranasal sinuses (n = 18; 81%), followed by the maxilla and orbit (n = 15; 68%), nose (n = 12; 54%), central nervous system (n = 11; 50%), and skin and soft tissues (n = 2; <1%). Of the total population, 59.09% (n = 13) of patients underwent maxillofacial surgery, of which 61.53% (n = 8) required some type of prosthetic rehabilitation. Orbital exenteration and maxillectomy were the most frequent surgeries, accounting for 69.23% (n = 9), while skull base drainage was performed in four patients (30.76%). Of the total number of patients (n = 22), eight died (36.36%). Appropriate surgical management according to the affected structures, considering not only increasing the patient’s survival, but also considering the aesthetic and functional consequences, will require subsequent rehabilitation. Full article

In the sphere of urban renewal of historic districts, preserving and innovatively reinterpreting traditional architectural styles remains a primary research focus. However, the modernization and adaptive reuse of traditional buildings often necessitate changes in their functionality. To cater to the demands of tourism in historic districts, many traditional residential buildings require conversion to commercial use, resulting in a mismatch between their external form and their internal function. This study explored an automated approach to transform traditional residences into commercially viable designs, offering an efficient and scalable solution for the modernization of historic architecture. We developed a methodology based on diffusion models, focusing on a dataset of nighttime shopfront facades. By training a low-rank adaptation (LoRA) model and integrating the ControlNet model, we enhanced the accuracy and stability of the generated images. The methodology’s performance was validated through qualitative and quantitative assessments, optimizing the batch size, repetition, and learning rate configurations. These evaluations confirmed the method’s effectiveness. Our findings significantly advance the modern commercial style transformation of historical architectural facades, providing a novel solution that maintains the aesthetic and functional integrity, thereby fostering breakthroughs in traditional design thinking and exploring new possibilities for the preservation and commercial adaptation of historical buildings. Full article

Background: An accurate determination of the biological width and the relationship of the cemento-enamel junction with the border of the alveolar bone is crucial during a clinical crown-lengthening (CCL) procedure. The aim of this study was to present a technical note about the retraction techniques in cone beam computed tomography (CBCT) prior to CCL, highlighting the significant enhancement in procedural accuracy and predictability that these techniques offer. Methods: Clinical and radiological examinations should be performed before a CCL procedure. It is necessary to determine the length of the tooth crowns, the periodontal pockets’ depth, and the phenotype of the gingiva. The ideal CBCT examination should be performed with soft tissue retraction. This can be achieved using retractors or cotton rolls. Results: Retraction of the lips, cheeks, and tongue allows one to assess the marginal gingiva, the cemento-enamel junction, and the alveolar bone. A detailed plan of the CCL procedure, which involves retraction, ensures both the aesthetic appeal and the achievement of a newly defined gingival zenith, enhancing the overall visual harmony. Conclusions: Compared with conventional radiographic imaging, the soft tissue retraction maneuver in CBCT prior to CCL surgery offers an effective approach to the evaluation and diagnosis of soft and hard tissue. This is because of the detailed planning of the aesthetic CCL procedure. Such an approach leads to superior aesthetic outcomes in dentistry, contributing to the advancement of aesthetic dentistry through a harmonious blend of art and science. Full article

Sustainable development is an important trend for railway stations, and public facilities are essential parts of railway stations. With the sustainable development of railway station construction, the aesthetic design of public facilities is a problem that needs to be solved in the field of industrial design. In this context, this study proposed an aesthetic design and evaluation method for public facilities in railway stations. This method is constructed by combining the Kansei image and AHP (analytic hierarchy process)–FCE (fuzzy comprehensive evaluation) model, and takes the information counter at Xiong’an railway station as an example to illustrate the method. JACK^TM is applied to evaluate the ergonomics of the design scheme. The results are as follows. (1) Ecological culture is an important source of Kansei images for aesthetic designs in the context of sustainable development. Kansei words, such as understated, delicate, dynamic, and others, which reflect original simplicity and original nature, are typical semantic features. Simple and smooth shapes are typical form features. (2) An aesthetic design is a system of various elements; the core content of an aesthetic design is to reflect the original aesthetic feeling. On this basis, the elements of simple, harmonious, humanized, and natural constitute the aesthetic design principle. This method is suitable for the aesthetic design and evaluation of public facilities in railway stations, which could provide valuable guidance for the aesthetic design of public facilities in railway stations under the background of sustainable development. Full article

This review aims to reveal the effectiveness of myofunctional speech therapy on facial rejuvenation and/or improvement of orofacial function. A systematic review of four medical electronic databases (Medline, Google Scholar, SciELO, and LILACS) was conducted between January and March 2023. The research question was defined using the PICO model: Population (P): adult subjects with signs of physiological aging of facial skin. Intervention (I): aesthetic speech therapy (facial exercises and/or myofunctional therapy). Control (C): absence of treatment. Outcome (O): facial rejuvenation. Through the search process, a total of 472 potentially relevant articles were identified. A total of 21 studies were included in the review. Most of the studies required the participants to perform exercises learned during the weekly session on a daily basis. The subjects underwent an integrated treatment with facial exercises and worked on the stomatognathic functions for different durations. Many differences were found in the evaluation tools used to investigate the starting situation and the effects obtained following the treatment. At the diagnostic level, there was no concordance in the choice of the most appropriate scales and assessment tools, but great heterogeneity was observed. Indeed, forty-eight percent of the studies collected objective data through the use of various instruments (oral devices, electromyographs, cutometers, muscle ultrasound scans, and laser scans of the face). The observed improvements included not only a reduction in wrinkles and frown lines but also decreased muscle tension and slackness, enhanced facial symmetry and lip competence, improved skin elasticity, and restored stomatognathic function. These changes led to myofunctional restoration and facial rejuvenation, resulting in increased satisfaction with self-image and proprioception. Full article