Clinical update quiz
The clinical update online is a free member service providing up to 11 FREE CPD hours per year.
Each month, the clinical update is published online and in the Victorian Dentist. There are 11 clinical updates per year, corresponding with the distribution of the Victorian Dentist from February to December. This service is available to ADAVB and ADATas members only. Members can log in to view and answer the clinical update questions. If you answer at least eight out of 10 questions correctly, you will receive one hour of scientific CPD.
Please note: Each new clinical update will be available from the first business day of each month.
Precision medicine using patient-specific modelling: state of the art and perspectives in dental practice.
Clin Oral Invest https://doi.org/10.1007/s00784-022-04572-0
Lahoud P, Jacobs R, Boisse P, EzEldeen M, Ducret M, Richert R
Compiled by Dr Sarah Chin
Evidence based dentistry is based on the highest level of evidence using clinical trials to make conclusions about ideal treatment. Despite advances in biomedical and digital technology, there are still treatment failures particularly in dental biomechanics. Finite element (FE) analysis is where a system of algebraic equations is defined and solutions can be approximated and recombined to model the entire problem. Most of the standard FE models were produced using standard parameters and not considering patient specific data such as root canal anatomy or occlusion which can modify the biomechanical behaviour of the tooth.
Cone beam computed tomography (CBCT) provides accurate data for patient-specific modelling (PSM). This has been well developed in maxillofacial surgery where medical devices are developed to model surgical procedures or in orthopaedics where FE models were able to predict potential fractures more accurately than assumptions of experienced clinicians. PSM requires powerful computer hardware, specific software and time and as a result, is not used commonly in dentistry. Advances in artificial intelligence (AI) have allowed for the automation of steps of the PSM such as anatomical segmentations and computed aided design (CAD), reducing time and operator experience.
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