RESUMO
Japan's universal healthcare insurance is facing economic challenges due to the advanced aging society, however, objective data of dental expenditure has never been introduced. This study aimed to identify the associated factors with dental expenditures using government-provided digitized insurance claims data and calculated the spending in the context of dental cost per person (DCPP). Seven associated factors analyzed were age, demographic, geographic, socioeconomic, regional wealth, the impact of the 8020-national campaign implementation (keep 20 teeth at age 80), and the effect of the home-visit dentistry for the elders. The average DCPP was high in older populations (75+) in all prefectures. The prefectures with the highest and lowest DCPP were significant compared to other states and retained their respective places in the cost hierarchy over the four years. The prefectures with more citizens participating in government assistance programs (GAP) had greater DCPPs. Dental costs were significantly related to geographic regions, age, per capita income, government assistance program prevalence, office complete denture frequency, and home visit care per patient. With a growing aging population, dental care costs will continue to increase, burdening its fiscal future. Associated factors identified should be considered to control the contentious increase of healthcare cost.
RESUMO
Objectives: Although digital technology has been widely integrated into dental education, there is limited literature investigating the extent of the integration of computer-aided design and computer-aided manufacturing (CAD-CAM) for removable systems in the dental curriculum. The purpose of this study was to assess the current implementation of CAD-CAM complete and partial dentures in predoctoral (PP) and advanced graduate prosthodontic (AGP) education in US dental schools. The study also aimed to identify potential barriers to its implementation in the dental curriculum. Methods: An online survey with 15 questions was created using online survey software. The survey was distributed to the directors of predoctoral prosthodontics in 56 schools and advanced graduate programs of prosthodontics in 52 schools listed in the 2018-19 American Dental Education Association (ADEA) Directory. Results: The percentage of programs (PP and AGP) implementing CAD-CAM complete dentures (CAD-CAM CDs) and CAD-CAM removable partial dentures (CAD-CAM RPDs) in their didactic, preclinical, and clinical curricula was recorded. CAD-CAM CDs are taught in didactic courses in 54.2% of PP and 65.2% of AGP. However, CAD-CAM RPDs are only taught in 37.5% of PP and 47.8% of AGP. Programs are largely limited by a lack of funds, resources, time, and faculty members. Conclusion: While digital technologies have indeed become more prevalent in dental education, many institutions face barriers to implementation. More research must be conducted in order to support the continued incorporation of digital technologies into dental education.
RESUMO
Various techniques have been applied to the fabrication of duplicate dentures. In this new method, after scanning the cameo and intaglio surfaces of the complete denture using an intraoral scanner, the two images were superimposed on the interocclusal image. The linear gap between cameo and intaglio surfaces was filled using free downloadable CAD software. The superimposed image was subsequently used as data for fabricating the duplicate complete denture with a 3D printer. Using the intraoral scanner, duplication of complete dentures could be performed without needing any complicated processes, laboratory scanners, or advanced CAD software.
Assuntos
Desenho Assistido por Computador , Planejamento de Dentadura , Prótese Total , SoftwareRESUMO
Identification of local strains is crucial because the local strains largely influence the ferroelectric property of BaTiO3. The effects of local strains induced by external pressures on the Ti-L2,3 electron energy-loss near-edge structure (ELNES) of BaTiO3 were theoretically investigated using first-principles multiplet calculations. We revealed that the effects appear in the position of the spectral threshold, namely the spectrum shifts to lower and higher energy sides by the tensile and compressive pressures, respectively. We concluded that conventional ELNES observations can identify only large strains induced by -10 GPa, and 0.1 eV energy resolution is required to identify ±2% of strains.
RESUMO
The valences of manganese and vanadium oxides in multi-layer ceramic capacitors (MLCCs), sintered under a reducing atmosphere, were investigated using electron paramagnetic resonance; insulation resistance degradation was analyzed using impedance spectroscopy in highly accelerated lifetime tests to clarify the influences of manganese and vanadium on both the electrical properties and microstructure of MLCCs. The Mn(2+) was stable in the reducing-atmospheresintered MLCCs and formed a grain boundary. Vanadium mitigated insulation resistance degradation and increased the reliability of the MLCCs. Although V4+ was detected in MLCCs that had 0.20 mol% and 0.30 mol% of added vanadium, the electrical properties were dependent upon other ions, e.g., V(3+) or V(5+). All vanadium ions except for V(4+) decreased the insulation resistance of ceramic/electrode interface. This is because vanadium reduces electric field concentration at the ceramic/ electrode interface and delays the onset of oxygen vacancy migration in the early stages of a highly accelerated lifetime test.
