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One essential energy vector for building a sustainable bioeconomy is hydrogen, which may be obtained from renewable biomass sources. This study discusses many biological routes used in the conversion of biomass to hydrogen, as well as a variety of thermochemical routes such as pyrolysis and gasification. Thermochemical routes include fast pyrolysis, steam and supercritical water gasification, and related processes; biological routes include photo, dark, and mixed fermentation techniques in addition to bio-photolysis processes. Notwithstanding its promise, improving the reliability and selectivity of hydrogen processing is necessary for economically viable industrial uses in the hydrogen economy. The importance of operating conditions, process parameters, variables influencing hydrogen production, parameters of storage methods, hydrogen transportation, separation, and difficulties in producing hydrogen through thermochemical and biological routes are all covered in this paper. It looks at the problems that come with these procedures, highlighting important knowledge gaps that need for more investigation. Combining biological processes with thermochemical pathways can ensure economic sustainability. Both thermochemical and biological routes can help fulfilling future demand for a hydrogen based society.

Hydrothermal carbonization (HTC) has emerged as a pivotal technology in the battle against climate change and fosters circular economies. Operating within a unique reaction environment characterized by water as a solvent and moderate temperatures at self-generated pressures, HTC efficiently converts biomass residues into valuable bio-based products. Despite HTC’s potential—from the management of challenging biomass wastes to the synthesis of advanced carbons and the implementation of biorefineries—it encounters hurdles transitioning from academic exploration to industrial implementation. Gaps persist, from a general comprehension of reaction intricacies to the difficulty of large-scale integration with wastewater treatments, to the management of process water, to the absence of standardized assessment techniques for HTC products. Addressing these challenges demands collaboration to bridge the many scientific sectors touched by HTC. Thus, this article reviews the current state of some hot topics considered crucial for HTC development: It emphasizes the role of HTC as a cornerstone for waste management and biorefineries, highlighting potentialities and challenges for its development. In particular, it surveys fundamental research aspects, delving into reaction pathways, predictive models, analytical techniques, and HTC modifications while exploring HTC’s crucial technological applications and challenges, with a peculiar focus on combined HTC, wastewater integration, and plant energy efficiency.

Bioplastics are steadily replacing fossil-based plastics due to their renewable origin and biodegradability. However, their end-of-life can be problematic: they are often collected with the organic fraction of municipal solid waste (OFMSW) but can be not satisfactorily biodegradable in plants that treat it, leading to their rejection at the entrance. This work focuses on five different commercial bioplastics employed in the eyewear industry: two based on cellulose acetate, one on galalithe, one on corn starch and one on polyamide. The aim was to assess their treatability via hydrothermal carbonization (HTC), which was never reported in the literature for these materials. Under HTC at 180 and 220 °C for 1 h, four of the tested bioplastics show significant degrees of degradation, leading to the formation of different solid and liquid products, which were respectively characterised according to their elemental composition and pH. The interesting different behaviours may be ascribed to the different compositions and structures of the materials. HTC appears as a viable route to facilitate the degradation of these recalcitrant materials and may be followed by a material recovery or an energetic valorisation through anaerobic digestion or thermochemical pathways, depending on the purity of the waste stream.

Chlorella vulgaris is an inexpensive microalga that could be employed for environmental remediation, but further investigations are needed to assess its suitability and optimal treatment methodology. With this aim in mind, this study focused on the raw biomass and the biochar and hydrochar obtained from it, analyzing their physicochemical properties and testing them to capture cadmium from an aqueous environment. The adsorption/absorption tests assessed the effect of adsorbent dosage, pH, Cd concentration, and contact time, and the results were analyzed through a structural equation model. Biochar and hydrochar performed similarly and better than the raw biomass, with the highest Cd removal observed at an adsorbent dosage of 0.8 g L−1, an initial concentration of Cd solution of 30 mg L−1, a pH of 6, and a contact time of 30 min. The adsorption isotherm data for Cd could be well-described by the Langmuir and Temkin models. The results from the structural equation modeling revealed that the variables material type, dosage, and concentration all contributed to Cd removal in water, with time mediating these effects.

In recent years, increasing attention has been paid to the problem of sewage sludge management and the relevant energy consumption, which represent the main cost items in wastewater treatment plants. Therefore, implementation of technologies that can reduce sludge production and ensure a positive impact on the energy of the entire sewage treatment plant has gained considerable importance in the scientific and technical community. The objective of this study was thus to screen full-scale sludge reduction technologies integrated into both the water line and the sludge line of a municipal sewage treatment plant with a sustainable impact on the overall balance of the plant. The results showed that, within the water line, ultrasound in the recirculation line of the activated sludge allowed for greater reductions in sludge production than the Cannibal and UTN systems, despite the higher energy consumption. CAMBITM, BioThelysTM, ExelysTM and TurboTec® enabled the greatest reductions in sludge production among the technologies integrated into the sludge line, and although they required a large amount of energy, this was partially offset by energy recovery in terms of additional biogas production.

This study examines the kinetics of pyrolysis and oxidation of hydrochars through thermal analysis. Thermogravimetric analysis (TGA) and differential scanning calorimetry (DSC) techniques were used to investigate the decomposition profiles and develop two distributed activation energy models (DAEM) of hydrochars derived from the hydrothermal carbonization of grape seeds produced at different temperatures (180, 220, and 250 °C). Data were collected at 1, 3, and 10 °C/min between 30 and 700 °C. TGA data highlighted a decomposition profile similar to that of the raw biomass for hydrochars obtained at 180 and 220 °C (with a clear distinction between oil, cellulosic, hemicellulosic, and lignin-like compounds), while presenting a more stable profile for the 250 °C hydrochar. DSC showed a certain exothermic behavior during pyrolysis of hydrochars, an aspect also investigated through thermodynamic simulations in Aspen Plus. Regarding the DAEM, according to a Gaussian model, the severity of the treatment slightly affects kinetic parameters, with average activation energies between 193 and 220 kJ/mol. Meanwhile, the Miura–Maki model highlights the distributions of the activation energy and the pre-exponential factor during the decomposition.

Background: Dental implant rehabilitation has significantly advanced prosthodontics by providing a reliable, long-lasting solution for missing teeth. This systematic review compares the clinical, technical, and biological outcomes of cemented versus screw-retained single dental implant restorations based on randomized clinical trials (RCTs). Materials and Methods: This review included recent human and in vitro studies focusing on the keywords “cemented vs. screw-retained” and “dental implant”. Eight studies met the inclusion criteria, which investigated parameters, including implant survival rate, bleeding on probing (BOP), probing depth, plaque index, marginal bone loss (MBL), cytokine concentrations, mechanical complications, esthetic outcomes, patient satisfaction, treatment time, and technical failures. Results: The primary outcomes, BOP and MBL, did not statistically differ between cemented and screw-retained implants (p-values for MBL and BOP are 0.5813 and 0.8093, respectively). The reviewed studies, including RCTs, split-mouth studies, and clinical evaluations, demonstrated comparable clinical, technical, and biological outcomes between the two restoration methods. Conclusions: Screw-retained and cemented dental implant restorations exhibit similar clinical, technical, and biological outcomes. Screw-retained restorations offer advantages such as retrievability, ease of repair, and predictable passive fit, while cemented restorations provide superior esthetics. The risk of peri-implant complications due to residual cement in cemented restorations must be considered. Future research should explore long-term stability and the impact of different prosthetic protocols on peri-implant health.

Background: This systematic review aims to critically assess the literature on the debonding process of orthodontic brackets from enamel surfaces. The review evaluates Randomized Controlled Trials (RCTs) to determine the effectiveness and implications of various debonding techniques and materials. Methods: The study followed PRISMA guidelines, selecting RCTs published from 1999 onwards that compared the outcomes of various orthodontic bracket debonding techniques. Selection criteria included studies utilizing human teeth, with outcomes such as enamel surface roughness and Adhesive Remnant Index (ARI) analyzed. Data sources included PubMed, Scopus, Web of Science, and the Cochrane Library. Results: Out of 1,587 records identified, five studies met the inclusion criteria. These studies provided comparative data on the effectiveness of various debonding techniques, including tungsten carbide and diamond burs, in minimizing enamel damage and optimizing adhesive removal. Findings indicated that tungsten carbide burs produced the least enamel roughness. Discussion: Utilizing tungsten carbide burs for debonding orthodontic brackets significantly minimizes enamel surface roughness and potential damage, thereby enhancing the preservation of enamel integrity post-treatment. The systematic review highlights current debonding techniques are effective in adhesive removal, and the choice of instrument significantly affects enamel integrity and clinical outcomes. The findings support the need for continuous improvement and innovation in removing braces to improve orthodontic treatment results and patient satisfaction.

This manuscript introduces a novel two-step technique for fabricating mobile dentures post-extraction to streamline prosthodontic rehabilitation. The study utilizes various materials, including dental polymers, metals, ceramics, and composite materials, each chosen for their unique properties that contribute to the final prosthesis’s functionality, durability, and esthetics. The detailed procedure involves an initial occlusal registration immediately following tooth extraction, capturing precise occlusal relationships and a comprehensive dental impression. This approach reduces clinical visits and leverages optimal alveolar ridge morphology. The expected results highlight the efficiency of the technique, reducing treatment time without compromising quality and potentially improving patient satisfaction and prosthodontic outcomes. This innovative method conclusively promises rapid, efficient, and patient-centered dental rehabilitation, emphasizing the need for future research to validate its effectiveness and explore long-term outcomes.

A 65-year-old Caucasian male was referred to an endodontic specialist practice in a private clinic in December 2019 for the management of an asymptomatic, radiolucent lesion located at the cervical level of the distal root of his right lower first molar, noticed during a routine periapical radiograph. After an accurate evaluation with cone-beam computed tomography (CBCT), the subgingival lesion was diagnosed as a supracrestal external cervical resorption (ECR), with a circumferential spread ⩽90°, confined to dentine without pulp involvement. The lesion was treated with the following sequence: (1) a full flap accessed the ECR, (2) the granulomatous tissue was removed from the root area, (3) the cavity was refreshed and filled with a well-refined and polished resin composite, (4) the flap was sutured at the cemento-enamel junction. A mandibular CBCT scan was performed before treatment, right after treatment, and 3 years postoperatively. Compared to the 3-year posttreatment CBCT scan, the immediate posttreatment one, revealed the absence of bone loss and an unexpected coronal bone remodeling with new bone formation over the treated lesion.

Charles William Macfarlane (1852-1931) represents an almost unique and completely forgotten economist during the Progressive Era: although he was outside Academis, he was able to take an active part in the theoretical debate of the time by proposing a peculiar version of marginalism far away from the Austrian school version and close the classical approach. This paper deals with Macfarlane’s theory of value and distribution, by discussing its influence in the discipline, and it presents an archival appendix which reproduces an unpublished response by Clark to Macfarlane which provides further evidence on the reception of Macfarlane’s work among his contemporaries.

This case report focuses on applying a protocol for dental implant restoration in aesthetic zones, specifically the anterior sectors. The protocol aims to achieve optimal results with minimal complexity, reducing the number of sessions and impressions required for transferring clinical information to the laboratory. The historical development of dental implantology and the evolution of dental implant restoration workflows are discussed, highlighting the significance of osseointegration and advancements in materials, surgical techniques, and prosthetic components. The case report describes rehabilitating congenitally missing lateral incisors using fibre-reinforced composite Maryland bridges for provisional restoration and Osstem TSIII (Osstem®, Seoul, South Korea) implants, zirconia abutments, and disilicate lithium crowns for definitive repair. The discussion covers essential aspects of aesthetic dental implant restoration, including materials, types of dental implants, surgical techniques for soft tissue enhancement, and prosthetic and impression techniques. The study emphasises the importance of selecting appropriate materials, employing advanced surgical procedures, and utilising accurate prosthetic and impression techniques to enhance the aesthetic outcomes of dental implant restorations. A multidisciplinary approach and patient-centred care are essential for successful aesthetic dental implant restorations. The methodology presented in this manuscript demonstrates its effectiveness in achieving optimal outcomes while minimising stress on soft tissues and improving patient comfort and satisfaction. This case report contributes to dental implant restoration, providing evidence-based techniques for achieving aesthetic and functional success.

Removable functional appliances (RFA) have long been employed to address Class II malocclusion, particularly in cases involving a significant overjet, a deep bite, and molar class 2 issues. Notably divergent from RFA, myofunctional appliances (PMA) offer several distinct advantages, including applicability in noncompliant patients, adaptability in cases of dental element scarcity, suitability for allergic patients, impression-free utilization, and reduced costs. Within the array of clinical cases treated with PMA, we chose to present an intricate case involving an 8-year-old girl. Our aim was to showcase the immediate effects of PMA and to track the progress over a two-year span. Following one year of PMA treatment, substantial improvements were observed in a large overjet, a deep bite, and lip incompetence—factors often associated with elevated risks of dental trauma. These improvements not only positively impacted dental aesthetics but also engendered normalized nasal respiration and diminished palatal impingement, thereby enhancing the overall quality of life. Upon reaching the two-year mark, the clinical status pertaining to Class II malocclusion remained stable. Further treatment was advised in a subsequent phase to refine imperfections in the dental arch form. Nonetheless, comprehensive data from the prolonged follow-up of patients treated with these appliances are essential to establish robust scientific evidence concerning their long-term efficacy.

New surgical techniques using narrow, tilted implants positioned through a magneto-dynamic tool in guided surgery for a Toronto restoration. A 69-year-old woman wanted fixed rehabilitation to replace her removable complete dentures. A cone-beam computed tomography showed significant bone resorption in both the maxillary and mandibular regions. The plan was to load the entire upper arch with six implants immediately, while removable partial dentures were recommended for the lower jaw. The guided surgery project was aligned with the new dentures, and the laboratory created a printed cast with dental implant analogues in planned positions. A metal-reinforced denture was constructed, and surgery was performed to place six narrow implants using the magneto-dynamic instrument. The denture was directly screwed onto multi-unit abutments. Final rehabilitation was completed after 6 months. Narrow implants can be a good option for fixed, full-arch rehabilitations. Further research is needed to confirm these findings on a larger scale.

The importance of oral health for overall health makes it critical to establish proper oral hygiene practices in children early on. The traditional approaches to teaching children about dental health may not be successful since they may not be able to keep their interest. Metaverse technology offers a promising alternative, allowing for the design of engaging and immersive worlds that can effectively educate children about oral health. Despite the growing interest in the use of metaverse technology in healthcare, there is a lack of comprehensive reviews on its potential for oral health promotion in children. This review aims to fill this gap by providing an overview of the current state of metaverse-based oral health promotion for children, discussing its benefits and challenges, and highlighting its potential for improving children’s oral health. By conducting this review, the authors hope to provide new information on the potential of metaverse-based oral health promotion for children and to contribute to the ongoing discussion on the use of metaverse technology in healthcare. This review may also provide valuable insights for dental organizations and practitioners interested in using metaverse technology to promote oral health and healthy living among children.

This report aims to clinically evaluate the feasibility of a novel biological-oriented digital impression method for teeth prepared with a vertical preparation technique. Something that makes this case unique is that the definitive impression is taken without cord displacement, reducing the invasiveness for the patient. In addition, dental technicians can reproduce the exact emergence profile of the temporary restoration used to reshape the soft tissue contours and define the accurate finish line at the established prosthetic junction, potentially avoiding the aesthetic and biological issues of the double-cord technique. The finish line and emergence profile are transferred using the temporary restoration through a simple CAD procedure performed using the same software used to take the impression. This makes the proposed biological-oriented digital impression technique (BODIT) easy to perform, avoiding adjunctive time and costs for clinicians and patients. Conclusions: Finally, patients' satisfaction could be significantly improved.

Abstract Aim This study was performed to histologically evaluate peri-coronal tissues of partially impacted and erupted third molars that did not exhibit pathologic peri-coronal radiolucency. Materials and methods Healthy patients with erupted or partially erupted (with part or all of the dental crown present in the oral cavity) mandibular third molars (classified as IA and IIA according to the Pell and Gregory classification) and vertically positioned (according to the Winter classification or erupted third molars) associated with peri coronal radiolucency of equal to or less than 2.5 mm. Associated with third molar surgery, tissue sampling from the distal area was performed, which was subjected to an anatomopathological examination to determine the histological nature. Results One hundred teeth (100 patients) were selected, and 100 specimens were analyzed. 53% of the sample were included in the non-pathological group and 47% showed pathological changes (fibrotic tissue (n 15), periodontal cyst-like (n 9), squamous epithelial metaplasia (4 cases), islands of odontogenic epithelial residues organized micro-cyst with keratocystic/ameloblastic appearance (4 cases), granulation tissue (n 8), giant cell tumour (n 4) and lobular capillary hemangioma (n 4)). Pathological changes did not have differences in incidence between the gender (p value = 0.85) and did not show any correlation with age, (p value = 0,96). Conclusions These findings suggest that radiographic appearance may not be a reliable indicator of the absence of disease within a dental follicle. Therefore, clinicians should pay attention to or follow up on even peri-coronal radiolucency of less than 2.5 mm.

Abstract Background Numerous clinical variables may influence early marginal bone loss (EMBL), including surgical, prosthetic and host-related factors. Among them, bone crest width plays a crucial role: an adequate peri-implant bone envelope has a protective effect against the influence of the aforementioned factors on marginal bone stability. The aim of the present study was to investigate the influence of buccal and palatal bone thickness at the time of implant placement on EMBL during the submerged healing period. Methods Patients presenting a single edentulism in the upper premolar area and requiring implant-supported rehabilitation were enrolled following inclusion and exclusion criteria. Internal connection implants (Twinfit, Dentaurum, Ispringen, Germany) were inserted after piezoelectric implant site preparation. Mid-facial and mid-palatal thickness and height of the peri-implant bone were measured immediately after implant placement (T0) with a periodontal probe and recorded to the nearest 0.5 mm. After 3 months of submerged healing (T1), implants were uncovered and measurements were repeated with the same protocol. Kruskal-Wallis test for independent samples was used to compare bone changes from T0 to T1. Multivariate linear regression models were built to assess the influence of different variables on buccal and palatal EMBL. Results Ninety patients (50 females, 40 males, mean age 42.9 ± 15.1 years), treated with the insertion of 90 implants in maxillary premolar area, were included in the final analysis. Mean buccal and palatal bone thickness at T0 were 2.42 ± 0.64 mm and 1.31 ± 0.38 mm, respectively. Mean buccal and palatal bone thickness at T1 were 1.92 ± 0.71 mm and 0.87 ± 0.49 mm, respectively. Changes in both buccal and palatal thickness from T0 to T1 resulted statistically significant (p = 0.000). Changes in vertical bone levels from T0 to T1 resulted not significant both on buccal (mean vertical resorption 0.04 ± 0.14 mm; p = 0.479) and palatal side (mean vertical resorption 0.03 ± 0.11 mm; p = 0.737). Multivariate linear regression analysis showed a significant negative correlation between vertical bone resorption and bone thickness at T0 on both buccal and palatal side. Conclusion The present findings suggest that a bone envelope > 2 mm on the buccal side and > 1 mm on the palatal side may effectively prevent peri-implant vertical bone resorption following surgical trauma. Trial Registration The present study was retrospectively recorded in a public register of clinical trials ( www.clinicaltrials.gov - NCT05632172) on 30/11/2022.

ObjectiveThe present study investigated the clinical potential of managing anxiety during dental procedures to reduce acute attacks in patients with hereditary angioedema (HAE). HAE is a rare disease, little known to physicians and dentists, but with an increased hospitalization rate over the years. HAE is due to a deficiency/dysfunction of the C1 esterase inhibitor, leading to increased vascular permeability. Recommendations for HAE management include long-term and short-term prophylaxis and treatment of acute attacks, but the importance of anxiety control is underestimated.Materials and methodsThe authors reviewed the literature to provide the scientific community with an overview of possible protocols for managing anxiety in dental practice and their effectiveness. Management can be used in prosthetics, periodontal and implant surgery, endodontics, and oral surgery.DiscussionsOur analysis shows that although there are few articles in the indexed literature, protocols for managing anxiety in HAE patients in dentistry will become increasingly prevalent in the daily clinical practice of dentists due to its benefits.ConclusionsThe benefits and better control of intraoperative complications and risks may lead clinicians to use sedation, assessment, or anxiety control techniques in daily clinical practice to reduce such attacks. Clinical relevance: This study suggests that controlling and managing anxiety can help prevent and reduce acute angioedema attacks.

Rehabilitative dentistry has made enormous progress in recent years, not only due to the advent of new implant-prosthetic methods, but also thanks to new information technologies that support the doctor. This study aims to present a new implant protocol that involves the application of bioengineering methods. With the application of the finite element analysis, it is possible to evaluate the distribution of the forces of a fixture and possible implant rehabilitation on each patient, even before performing the surgery. This protocol provides for the combination of radiographic images and three-dimensional files to obtain predictable results on possible rehabilitation, guiding its planning in the best possible way. Surely, the evolution of machines and computers will enable the surgeon to carry out and maintain these protocols in a chair-side manner, and to carry out safe and predictable rehabilitations.

Background: Digital technologies enable the accurate replication of occlusion, which is pivotal for stability in maximum intercuspation and dynamic occlusion. CAD softwares generates standardized occlusal morphologies requiring significant adjustments. The consideration of individual mandibular movements during restoration leads to better functional integration. This pilot study evaluates the efficacy of a novel, fully digital protocol for occlusal analysis recording in prosthodontics. Methods: Patients needing single or multiple metal-free restorations were included. Teeth underwent horizontal finish line preparation, while restorations on implants were either directly screwed or used multi-unit abutments. A digital impression (Trios 3 Intraoral Scanner) captured the mouth’s elements. Dynamic occlusion was recorded via Patient Specific Motion (PSM). After the placement and functionalization of temporary restorations, subsequent scans included various elements, and CAD software (Dental system) was used for the restoration design. Restorations were milled in monolithic zirconia, pressed from CAD/CAM-milled wax, and sintered. Results: An evaluation of 52 restorations in 37 patients indicated high accuracy in restorations manufactured via the fully digital workflow. Monolithic zirconia was predominantly used. Subtractive (17.3%) and additive (7.7%) occlusal adjustments were mainly chairside. Conclusion: This study underscores the efficacy of meticulous verification measures and a centric contact system in reducing the need for clinical occlusal refinements in prosthetic restorations.

Titanium dental implants have had new competitors in recent years, such as fixtures made of zirconia, which promise better aesthetics. The purpose of this study is to evaluate their mechanical performance in silico (Finite Element Analysis). The investigation was performed on a single tooth Patent™ Dental Implant (Zircon Medical®, Altendorf, Switzerland) in two configurations: without offset (Test I) and with offset (Test II, 1.5 mm within the cortical bone). The Patent Implant system consists of two components: the implant with integrated abutment and the fibreglass post. The components of the dental implants were tested using a compression load of 400 N along the implant axis. The results showed that the chewing load generates stress distribution on the bone, therefore, the offset configuration should be avoided.

Abstract Objective Implantology represents the gold standard for oral rehabilitation, unfortunately, often, despite there are no local contraindications to this type of rehabilitation, there are uncertainties regarding the general health of our patients. Many patients nowadays take bisphosphonate drugs, often without first seeking advice from an oral surgeon or a dentist. The purpose of this review is precisely to highlight any contraindications to this type of treatment reported in the literature, in patients who take or have taken bisphosphonate drugs. Methods For this study the scientific information sources were consulted using as search terms “(“bisphosphonate AND “dental implant”)”, obtaining 312 results, these were subsequently skimmed according to the inclusion and exclusion criteria, and further evaluated their relevance to the study and the presence of requested outcomes. Results Only 9 manuscripts (RCTs, Multicentric studies and Clinical Trials) were included in this review, as they respected the parameters of this review, they were analyzed and it was possible to draw important results from them. Surely from this study it is understood that the use of bisphosphonate drugs does not represent an absolute contraindication to implant therapy, it is evident how adequate pharmacological prophylaxis, and an adequate protocol reduce the risks regarding implant failures. Furthermore, the values of marginal bone loss over time seem, even if not statistically significant, to be better in implant rehabilitation with bisphosphonate drugs association. Only a few molecules like risedronate, or corticosteroids, or some conditions like smoking or diabetes have shown a high risk of surgical failure. Conclusion Although this study considered different studies for a total of 378 patients and at least 1687 different dental implants, showing better results in some cases for dental implant therapy in cases of bisphosphonate intake, further clinical, randomized and multicentric studies are needed, with longer follow-ups, to fully clarify this situation which often negatively affects the quality of life of our patients and places clinicians in the face of doubts.

Nuclear data uncertainty analysis on the spent nuclear fuel inventory was performed on the Takahama-3 NT3G23 assembly, where the sample SF95-4 was irradiated up to a burnup of approximately 36 GWdt according to the SFCOMPO benchmark. The cross-section covariance matrices stored in the ENDF/B-VIII.0, JEFF-3.3 and JENDL-4.0u evaluated nuclear data libraries were propagated with the stochastic sampling algorithms implemented in the SANDY code. A comparison of the concentration uncertainty differences obtained using data from the three libraries is reported. Similarities were found with the fuel composition uncertainty results obtained for the Calvert Cliffs MKP109 sample P SFCOMPO benchmark. Such a similarity was also found when comparing concentration uncertainties along the sample irradiation. Therefore, the main contributors to the concentration uncertainty of a number of nuclides were identified at different burnup levels in the two samples. To complement the similarity analysis, a correlation study of the concentration distributions predicted by the two models was performed. The reported results hint a dominance of the common uncertainty propagation mechanisms over the model differences in the determination of concentration uncertainty.

Nowadays, many people are forced to accelerate their rhythms because of frenetic life and work. Both private and professional lives intertwine, and finding the time for other activities is challenging. Time is one of the goods that has been lost or is difficult to obtain anyway. This experimental and prospective study aims to evaluate the heart rate cycle of medical doctors during their life/work routine. Thanks to technology, it is possible to monitor these parameters constantly. The results of this study are derived from a literature analysis and a trial carried out on three professionals regarding their work-related heart rate (Apple Watch®). The main limitation is represented by the sample; it is certainly small and does not provide significant results. This study represents the first step for a trial that can be carried out on a large scale; this preliminary study provides information about the heart rate cycle.

The calculation of manual tightening torque applied by clinicians plays a critical role in achieving optimal preload for dental implants. However, there is a research gap when it comes to understanding the specific calculus involved in this process. This study aims to address this gap by analyzing the bending and torsional moments during manual tightening torque application by physicians of various specialties and genders. Additionally, the rates of early complications associated with clinician-calculated preload will be evaluated. The findings of this study will contribute to enhancing the understanding of clinician-controlled preload and guide future practices for successful dental implant outcomes.

Socket preservation is a procedure in oral surgery that is vital to maintain the integrity of the alveolar ridge following tooth extraction, providing a favorable environment for subsequent implant placement. The success of post-extractive implantology relies on osseointegration and the establishment of harmonious soft tissue contours. A supporting literature review was conducted to analyze the socket preservation technique and the role of prosthodontics in facilitating optimal soft tissue healing. Relevant studies and clinical trials published between 2000 and 2023 were included. The search was performed using electronic databases, such as PubMed, Embase, and Scopus, using keywords related to socket preservation, post-extractive implantology, prosthodontics, and soft tissue conditioning. Socket preservation techniques, such as guided bone regeneration and biomaterials, have been proven effective in minimizing bone resorption and preserving the alveolar ridge volume. However, with proper consideration of the prosthetic aspects, these techniques may yield optimal aesthetic outcomes. Prosthodontics plays a crucial role in soft tissue conditioning by providing provisional restorations, functional and esthetic support, and contouring the emergence profile. The socket preservation technique in oral surgery is fundamental for successful post-extractive implantology. However, it is equally important to consider the prosthodontic aspects to ensure adequate soft tissue conditioning. Provisional restorations can help shape the surrounding soft tissues, maintaining a proper emergence profile and enhancing the final aesthetic outcome.

This scientific article proposal explores the potential benefits of using artificial intelligence (AI) in prosthodontic restoration to achieve predictable and safer dental outcomes. Prosthodontic restoration involves designing, fabricating, and placing dental prostheses to restore oral function and aesthetics. Although traditional prosthodontic techniques have evolved significantly, incorporating AI into the workflow can revolutionize the field by enhancing accuracy, efficiency, and patient satisfaction. The proposed study aims to investigate the integration of AI algorithms and techniques into various stages of prosthodontic restoration, including treatment planning, digital impression acquisition, prosthesis design, and fabrication. By leveraging machine learning algorithms and image processing, AI can assist in diagnosing dental conditions, predicting treatment outcomes, and optimizing prosthesis design to ensure optimal fit and function. This technology can also aid in identifying potential challenges and risks before proceeding with the restorative procedures, minimizing errors, and improving patient safety. Furthermore, AI-powered systems can facilitate real-time assessment and feedback during fabrication, ensuring precise milling or 3D printing of prosthetic materials. These advancements have the potential to streamline workflows, reduce human error, and shorten treatment times, ultimately leading to enhanced treatment outcomes and increased patient satisfaction. The proposed research methodology includes a comprehensive literature review, an analysis of existing AI applications in prosthodontic restoration, and the development of a prototype AI-assisted system for prosthesis design and fabrication. The evaluation of this prototype will involve quantitative and qualitative assessments, comparing its performance with traditional methods. Overall, this article proposal seeks to highlight the transformative role of AI in prosthodontic restoration, emphasizing its potential to revolutionize traditional approaches and deliver predictable and safer dentistry. The findings from this research can contribute to advancing dental technology, fostering innovation, and improving patient care in prosthodontics.

Background: Adipokine is a huge family of cytokines which are cell-signaling proteins secreted by adipose tissue released by white adipose tissue (WAT), and adipolin (FAM132A/CTRP12 gene) is the newest member added to the adipokine family. This research marks the first attempt to estimate and compare the gingival crevicular fluid (GCF) and serum levels of adipolin in healthy subjects and periodontitis patients with and without type-2 diabetes mellitus (T2DM). Methods: The study population consisted of 10 patients each with healthy subjects and periodontitis with and without T2DM. GCF and serum samples were collected from each patient before non-surgical periodontal therapy. All the samples underwent an enzyme-linked immunosorbent assay (ELISA) test with an antibody specific to adipolin. Results: The mean GCF and serum adipolin levels were high in Groups I and III compared with Groups II and IV. Comparison of adipolin levels between the groups showed no statistically significant difference either in GCF (p = 0.68) or serum (p = 0.85). The comparison between GCF and serum adipolin levels in Group IV showed a statistically significant difference (p < 0.031). The mean values showed a decrease in adipolin values as the disease rate progressed. A negative correlation was seen in serum and GCF adipolin with HbA1C. Conclusion: As the GCF and serum concentration of adipolin show a gradual positive relation with disease severity, within the limitations of the current study, it can be postulated adipolin could be a possible anti-inflammatory biomarker of periodontal disease.

Robotic grippers allow industrial robots to interact with the surrounding environment. However, control architectures of the grasping force are still rare in common industrial grippers. In this context, one or more sensors (e.g., force or torque sensors) are necessary. However, the incorporation of such sensors might heavily affect the cost of the gripper, regardless of its type (e.g., pneumatic or electric). An alternative approach could be open-loop force control strategies. Hence, this work proposes an approach for optimizing the open-loop grasping force behavior of a robotic gripper. For this purpose, a specialized robotic gripper was built, as well as its mathematical model. The model was employed to predict the gripper performance during both static and dynamic force characterization, simulating grasping tasks under different experimental conditions. Both simulated and experimental results showed that by managing the mechanical properties of the finger–object contact interface (e.g., stiffness), the steady-state force variability could be greatly reduced, as well as undesired effects such as finger bouncing. Further, the object’s size is not required unlike most of the grasping approaches for industrial rigid grippers, which often involve high finger velocities. These results may pave the way toward conceiving cheaper and more reliable open-loop force control techniques for use in robotic grippers.

Temporomandibular disorders are a group of conditions affecting the temporomandibular joints, the jaw muscles, and related structures. Patients with temporomandibular signs and/or symptoms frequently present with indications for prosthetic treatment. The management of these patients aims to achieve patient comfort, occlusal stability, and the complex restoration of the teeth. The goal of this review is to provide an overview of the relationship between prosthodontics and temporomandibular disorders and/or bruxism with a focus on the cause-and-effect implications and the strategies for planning prosthetic treatments in patients with temporomandibular disorders and/or bruxism.

This investigation aimed to compare the effectiveness of the OT Equator® (Rhein, Bologna, Italy) and the Locator attachment systems used to retain early loaded implant-retained overdentures. This study was designed as a multicenter randomised controlled trial of parallel groups. After implant placement, the patients were randomised to receive OT Equator® attachments in the test group or Locator attachments in the control group. The outcome measures were implant and prosthetic success and survival rates, any biological and technical complication, marginal bone loss, patients’ satisfaction, and periodontal parameters. Overall, 42 patients were consecutively enrolled and treated. One implant was lost in the control group, while no implants were lost in the test group. No prostheses failed in both groups. Only a few complications were experienced in both groups. The main was represented by loss of retention of the attachments (retentive caps). The OT Equator® attachment showed statistically lower periodontal parameters. In conclusion, both attachment systems were suitable for overdenture implant retention.

Introduction: Mandibular setback surgery (MSS) is one of the treatment options to resolve mandibular prognathism in patients suffering from skeletal class III malocclusion, which cannot be treated with simple orthodontic treatment. The mandibular setback surgical operation can involve changes in the pharyngeal morphology, resulting in a narrowing of the posterior airway space (PAS). This aspect is associated with an increase in airflow resistance, which increases the risk of developing snoring or obstructive sleep apnea syndrome (OSAS). The aim of this study is to evaluate the medium- and long-term effects of mandibular setback surgery on the upper airways and its possible association with OSAS in patients suffering from class III skeletal malocclusion. Material and methods: A total of 12 patients (5 males and 7 females) were enrolled in this study. The statistical tests highlighted a significant change in the PAS and BMI values in relation to T0, before surgery (PAS: 12.7 SD: 1.2; BMI: 21.7 SD: 1.2), and T1, after surgery (PAS: 10.3 SD: 0.6, p < 0.01; BMI: 23.8 SD: 1.2, p < 0.05). Sample size was calculated to detect an effect size of 0.9, with statistical power set at 0.8 and the significance level set at 0.05. Results: No statistically significant correlation was found between the extent of mandibular setback, PAS and BMI change. Conclusion: This study confirms the effects of mandibular setback surgery on the upper airways, reporting a statistically significant PAS reduction in the medium- and long-term follow-up. On the other hand, no direct correlation was identified with OSAS risk, at least for the small mandibular setback (

Objective: The objective of this study is to investigate whether age is a significant risk factor for spinal nerve injury following selective neck dissection (SND) in patients with head and neck cancer. Methods: A retrospective cohort study was conducted on patients who had undergone SND for head and neck cancer at a tertiary hospital between 2020 and 2022. The primary outcome was the incidence of spinal nerve injury after SND. The secondary outcomes included the types and severity of spinal nerve injury and the impact of age on these outcomes. Results: A total of 78 patients were included in the study and subdivided into two groups. Two shoulder-specific questionnaires (the Shoulder Pain and Disability Index (SPADI) and the Shoulder Disability Questionnaire (SDQ)) were administered to assess shoulder morbidity postoperatively. Twelve patients showed shoulder impairment following surgery. We divided the sample into two age-based groups; the older group showed a higher rate of SAN injury and the younger group showed a lower rate of improvement over time. Conclusion: This study suggests that age is a significant risk factor for spinal nerve injury following SND in patients with head and neck cancer. Older patients are more likely to experience spinal nerve injury after SND than younger patients. The findings of this study may help in the development of strategies to prevent spinal nerve injury in older patients undergoing SND for head and neck cancer.

The inflammatory injury of the mucous membranes lining the digestive tract, from the mouth to the anus, is called mucositis. One of the intriguing and compelling new therapeutic modalities that has emerged in recent decades due to advances in our understanding of this condition’s pathophysiology is probiotics. The purpose of this meta-analysis is to evaluate the efficiency of probiotics in the treatment of chemotherapy-induced mucositis for head and neck malignancies; a literature search was performed on PubMed, Lilacs, and Web of Science, and articles published from 2000 to 31 January 2023 were considered, according to the keywords entered. The term “Probiotics” was combined with “oral mucositis” using the Boolean connector AND; at the end of the research, 189 studies were identified from the search on the three engines. Only three were used to draw up the present systematic study and metanalysis; this meta-analysis showed that the treatment of mucositis with probiotics is an effective method, and the analysis of the results of these studies showed that the use of probiotics promoted a decrease in the severity of mucositis symptoms.

Background and Objectives: Gaucher disease (GD) is a lysosomal storage disorder with the genetic autosomal recessive transmission. Bone involvement is a prevalent finding in Gaucher disease. It causes deformity and limits daily activities and the quality of life. In 75% of patients, there is bone involvement. This review aims to evaluate the principal findings in the jaw by a Cone-beam computed tomography (CBTC) and X-ray orthopantomography; Materials and Methods: PubMed, Web of Science, Lilacs and Scopus were systematically searched until 31 December 2022. In addition, a manual search was performed using the bibliography of selected articles and a Google Scholar search. Clinical studies were selected that considered principal radiographic findings in radiography in a group of patients affected by GD. Results: Out of 5079 papers, four studies were included. The main findings are generalized rarefaction and enlarged narrow space, anodontia. Conclusions: The exact mechanism of bone manifestation is probably due to the infiltration of Gaucher cells in the bone marrow and, consequently, the destruction of bone architecture. All long bones are a potential means of skeletal manifestation. The jaw is more affected than the maxilla, and the principal features are cortical thinning, osteosclerosis, pseudocystic lesions, mental demineralization, flattening in the head of the condyle, effacement of anatomical structures, thickening of maxillary sinus mucosa. The dentist plays a crucial role in diagnosing and treating these patients. Sometimes the diagnosis can be made by a simple panoramic radiograph. All long bones are affected, and the mandible is particularly involved.

Objective: The coronavirus belongs to the family of Coronaviridae, which are not branched single-stranded RNA viruses. COVID-19 creates respiratory problems and infections ranging from mild to severe. The virus features mechanisms that serve to delay the cellular immune response. The host’s response is responsible for the pathological process that leads to tissue destruction. Temporomandibular disorders are manifested by painful jaw musculature and jaw joint areas, clicks, or creaks when opening or closing the mouth. All these symptoms can be disabling and occur during chewing and when the patient yawns or even speaks. The pandemic situation has exacerbated anxieties and amplified the vulnerability of individuals. Therefore, from this mechanism, how the COVID-19 pandemic may have increased the incidence of temporomandibular disorders is perceived. The purpose of this review is to evaluate whether COVID-19-related anxiety has caused an increase in temporomandibular dysfunction symptoms in adults to children. Methods: PubMed, Web of Science, Lilacs, and Scopus were systematically searched, until 30 July 2022, to identify studies presenting: the connection between COVID-19 with temporomandibular disorders. Results: From 198 papers, 4 studies were included. Literature studies have shown that the state of uncertainty and anxiety has led to an increase in the incidence of this type of disorder, although not all studies agree. Seventy-three studies were identified after viewing all four search engines; at the end of the screening phase, only four were considered that met the PECO, the planned inclusion, and the exclusion criteria. All studies showed a statistically significant correlation between temporomandibular disorders and COVID-19 with a p < 0.05. Conclusions: All studies agreed that there is an association between COVID-19 and increased incidence of temporomandibular disorders.

Even for products centrally approved, each European country is responsible for national market access after European Medicines Agency (EMA) approval. This step can result in inequalities in terms of access, due to different opinions about the therapeutic value assessed by Health Technology Assessment (HTA) bodies. This study aims to provide a comparative analysis of HTA recommendations issued by EU countries (France, Germany, and Italy) for new neurological drugs following EMA approval. In the reference period, we identified 11 innovative medicines authorized in Europe for five neurological diseases (cerebral adrenoleukodystrophy, spinal muscular atrophy, metachromatic leukodystrophy, migraine, and polyneuropathy in patients with hereditary transthyretin amyloidosis), including eight drugs for genetic rare diseases. We found no agreement on the therapeutic value (in particular the “added value” compared to the standard of care) of the selected drugs. Despite the differences in terms of assessment, the access has been usually guaranteed even if with various types of limitations. The heterogeneity of the HTA assessment of clinical data among countries is probably related to the uncertainties about clinical value at the time of EMA approval and the lack of long-term data and of direct comparison with available alternatives. Given the importance of new medicines especially for rare diseases, it is crucial to understand and act on the causes of inconsistency among the HTA assessments, in order to ensure rapid and uniform access to innovation for patients who can benefit.