Three-dimensional Surface Scanning Research Articles

What can a morphometric study of unoperated children teach us about the natural history of metopic synostosis?

Outcomes of surgical repair of trigonocephaly are well reported in the literature, but there is a paucity of information on the natural history of unoperated children. The authors evaluated a group of unoperated children with metopic synostosis to describe the natural change in head shape over time. A database was screened for scans of children with unoperated trigonocephaly (2010-2021). Multisuture cases and those with a metopic ridge were excluded. Three-dimensional surface scans (3D stereophotogrammetry/CT) were used for morphological analysis. Nine previously published parameters were used: frontal angle (FA30°), anteroposterior (AP) volume ratio (APVR), AP area ratio (APAR), AP width ratios 1 and 2 (APWR1 and APWR2), and 4 AP diagonal ratios (30° right APDR [rAPDR30], 30° left APDR [lAPDR30], 60° right APDR [rAPDR60], and 60° left APDR [lAPDR60]). Ninety-seven scans were identified from a cohort of 316 patients with a single metopic suture, in which the male-to-female ratio was 2.7:1. Ages at the time of the scan ranged from 9 days to 11 years and were stratified into 4 groups: group 1, < 6 months; group 2, 6-12 months; group 3, 1-3 years; and group 4, > 3 years. Significant improvements were detected in 5 parameters (APVR, APAR, APWR1, rAPDR30, and lAPDR30) over time, whereas no significant differences were found in FA30, APWR2, rAPDR60, and lAPDR60 between age groups. Forehead shape (surface area and volume), as well as narrowing and anterolateral contour at the frontal points, differed significantly over time without surgery. However, forehead angulation, narrowing, and anterolateral contour at temporal points did not show significant differences. This knowledge will aid in surgical and parental decision-making.

The accuracy of topographical and shape analysis using three-dimensional surface scanning compared to Micro-Computed Tomography

The high number of unidentified bodies recorded in South Africa annually, combined with substantial heterogeneity within the population, necessitates that innovative forensic analysis methods be developed that incorporate variations from South African groups. Although sizeable three-dimensional (3D) scanning modalities exist in osteology and anthropology, developing new advanced methods and techniques involving 3D scanning for real-life forensic applications require that the accessibility, practicality, and, more importantly, accuracy of the methods be taken into consideration. To this end, this study aimed to assess the reliability of 3D surface scanning-based topographical and shape analysis comparison to gold standard micro-focus X-ray computed tomography (micro-XCT) reconstructions for estimating population affinity. Forty-four adult crania were collected from the Pretoria Bone Collection (PBC), University of Pretoria, South Africa. Two sets of 3D reconstructions were acquired from each cranium, namely micro-XCT scans and 3D surface scans. Three-dimensional reconstructions and landmark datasets were acquired from both scanning modalities and compared using reproducibility testing, geometric discrepancies, and shape analysis. The minimal geometric discrepancies observed between the reconstructions suggest that both modalities will provide similar shape landmarks datasets and can be used without compromising the accuracy of the analyses at term. The statistical findings showed similar population affinity-related mid-facial shape variations analyzed across both modalities using geometric morphometric methods (GMM). Incorporating multiple 3D scanning modalities and advanced GMM into the existing biological profile estimation will allow South African forensic anthropologists to analyze shape-related skeletal variation in a more accurate and repeatable way and provide an efficient biological profile in forensic cases.

Enhancement of Arc Erosion Resistance in AgCuO Electrical Contact Materials through Rare Earth Element Doping: First-Principles and Experimental Studies.

To investigate the stability and electrical and physical properties of undoped CuO and CuO doped with rare earth elements, electronic structures and elastic constants were calculated using first-principles density functional theory. Additionally, experimental verification was carried out on AgCuO and AgCuO-X (La, Ce, Y) electrical contacts, which were prepared using sol-gel and powder metallurgy methods. The contacts were tested under an 18 V/15 A DC resistive load using the JF04D contact material testing system. Arc parameters were analyzed, and three-dimensional surface profilometry and scanning electron microscopy were used to study the altered erosion morphology of the electrically contacted materials; moreover, the potential mechanisms behind their arc erosion behavior were investigated in depth. The results demonstrate that the doping of rare earth elements can improve the electrical conductivity and physical properties of the contacts, optimize the arc parameters, and enhance their resistance to arc erosion. Notably, AgCuO-Ce exhibited the highest electrical conductivity and the least amount of material transfer; moreover, it had excellent arc time and energy parameters, resulting in the best resistance to arc erosion. This study provides a theoretical basis for the screening of doping elements to enhance the performance of AgCuO contact materials and offers new ideas and scientific references for this field.

Accuracy of Guided Endodontics in Posterior Teeth

The purpose of this ex vivo study was to determine the accuracy of template-based guided endodontics for access cavity preparation and root canal detection in posterior teeth. First, three maxillary and four mandibular models were constructed using 67 premolars and molars, with a total number of 135 main root canals. Cone beam computed tomography (CBCT) and three-dimensional 3D surface scans of each model were performed and matched in order to plan access cavity preparation and design templates virtually. Template-guided access cavity preparation was then performed for each tooth, followed by postoperative CBCT scanning. Deviations between planned and prepared access cavities were measured after superimposition of the pre- and postoperative CBCT scans, and they were analyzed using descriptive and multivariate statistics. All root canals (135/135) were detected utilizing guided endodontics. The mean angle deviation was 1.4 degrees, and the mean deviations at the tip and base of the bur were 0.24–0.31 mm and 0.26–0.29 mm, respectively. This study demonstrated that guided endodontics is an accurate and predictable method for endodontic access cavity preparation in posterior teeth.

Dimensional changes of endodontic sealers-An in vitro model simulating a clinical extrusion scenario during 18 months.

To examine the dimensional changes of endodontic sealers during 18 months using three-dimensional (3D) surface scanning and subtraction radiography in a novel in vitro sealer-extrusion model. Fifty endodontically instrumented acrylic teeth were randomly allocated to five groups (n = 10) filled with Apexit Plus, AH Plus, BioRoot RCS, TubliSeal EWT, and gutta-percha (control). Freshly mixed sealers were intentionally extruded during obturation. All teeth were immersed in a physiologic solution for up to 18 months. Blinded 3D surface scans (resolution: ~10 μm) and digital radiographs of the teeth were obtained at baseline (immediately after obturation); and then after 1 week, and at 1, 3, and 18 months. For blinded assessment of sealer dimensional change, 3D models and radiographs were superimposed using specific software. Volumetric differences, root mean square (RMS), and area change from subtraction radiography measured at each period within each sealer group were thereafter calculated. Repeated measures analyses were done with Bonferroni adjustment for multiple comparisons; standard errors, p values, and 95% confidence intervals (CI) were reported. Analyses of the volumetric data confirmed significant, progressive material loss for Apexit Plus when compared to the other investigated sealers or the control group (p ≤ 0.02). Immersion period significantly influenced the volumetric dimensional changes of Apexit Plus already after 1 month (p < 0.01). For TubliSeal EW, the effect of the immersion period on the dimensional changes was noted after immersion for 3 months (p ≤ 0.02), while for BioRoot RCS this was evident only at 18 months (p < 0.01). Same trends were noted for the RMS data, whereas progressive dimensional changes using subtraction radiography only revealed significant changes for Apexit Plus (p = 0.01). The largest dimensional changes were shown by Apexit Plus, followed by Tubliseal EWT and BioRoot RCS. AH Plus remained stable throughout 18 months.

Precision of a Hand-Held 3D Surface Scanner in Dry and Wet Skeletal Surfaces: An Ex Vivo Study.

Three-dimensional surface scans of skeletal structures have various clinical and research applications in medicine, anthropology, and other relevant fields. The aim of this study was to test the precision of a widely used hand-held surface scanner and the associated software’s 3D model generation-error in both dry and wet skeletal surfaces. Ten human dry skulls and ten mandibles (dry and wet conditions) were scanned twice with an industrial scanner (Artec Space Spider) by one operator. Following a best-fit superimposition of corresponding surface model pairs, the mean absolute distance (MAD) between them was calculated on ten anatomical regions on the skulls and six on the mandibles. The software’s 3D model generation process was repeated for the same scan of four dry skulls and four mandibles (wet and dry conditions), and the results were compared in a similar manner. The median scanner precision was 31 μm for the skulls and 25 μm for the mandibles in dry conditions, whereas in wet conditions it was slightly lower at 40 μm for the mandibles. The 3D model generation-error was negligible (range: 5–10 μm). The Artec Space Spider scanner exhibits very high precision in the scanning of dry and wet skeletal surfaces.

Morphological integration of the hominoid postcranium

Previous research has suggested that magnitudes of integration may be distinct in the postcranium of hominoids when compared to other primate species. To test this hypothesis, we estimated and compared magnitudes of integration of eight postcranial bones from three-dimensional surface scans for 57 Hylobates lar, 58 Gorilla gorilla, 60 Pan troglodytes, 60 Homo sapiens, 60 Chlorocebus pygerythrus, and 60 Macaca fascicularis. We tested the hypotheses that 1) magnitudes of integration would be distinct in the postcranium of hominoids compared to cercopithecoids, with the explicit prediction that magnitudes of integration would be lower in hominoids than in cercopithecoids, and 2) girdle elements (scapula, os coxa) would have lower magnitudes of integration across all taxa. Integration was quantified using the integration coefficient of variation from interlandmark distances reflecting anatomical and developmental modules defined according to a priori criteria. A resampling protocol was employed to generate distributions of integration values that were then compared statistically using Mann–Whitney U tests with Bonferroni adjustment. Support for hypothesis 1 was mixed: with the exception of Gorilla, hominoid taxa were less integrated than the cercopithecoids for all anatomical modules. However, Homo, Gorilla, and, to a lesser extent, Pan showed higher integration than Hylobates and the cercopithecoids for homologous limb elements, with magnitudes of integration for both modules being lowest for Hylobates. These results generally support the hypothesis of distinct patterns of magnitudes of integration in the hominoid postcranium. The high integration of Gorilla may be explained by the effects of overall body size. The results supported the predictions of the second hypothesis. Regardless of taxon, the os coxa and scapula were generally the least integrated skeletal elements, while the femur and radius were the most integrated. The lower integration of the girdle elements suggests that the geometric complexities of particular elements may significantly influence study outcomes.

The Practicality of Post-mortem Imaging in Prenatal, Perinatal, and Pediatric Cases.

The essential role of the autopsy is seen in its contributions to medical care, scientific research, and family counseling. Major contributions are also noted in forensic pathology as a means to determine cause-of-death for legal and medical experts. However, autopsy acceptance rates are quite low due to an array of reasons including delayed burials, faith, and moral burdening. Thus, non-invasive post-mortem imaging strategies are becoming increasingly popular. The objective of this literature review is to evaluate the strengths and weaknesses of numerous post-mortem imaging modalities and consider their benefits over the traditional autopsy. The need for expertise in image interpretation for pediatric and perinatal cases is also discussed. A variety of publications, totaling 32 pieces, were selected from available literature on the basis of relevance. These articles studied various perinatal and pediatric post-mortem imaging strategies and their applications in clinical practice. Key strategies include post-mortem MRI, post-mortem CT, fetal post-mortem sonography, post-mortem computed tomographic angiography, and three-dimensional surface scanning. There is a general consensus that no standard model for post-mortem imaging currently exists in the United States and European countries. Amongst the imaging modems studied, post-mortem MRI has been acknowledged to show the greatest promise in diagnostic accuracy for fetal age groups. Most studies demonstrated that post-mortem CT had limited use for autopsy. Post-mortem imaging strategies for autopsy have high potential given their minimal invasiveness and increasing popularity. Furthermore, it is vital to crafting a global standard procedure for post-mortem imaging for prenatal, perinatal, and pediatric cases to better understand the cause of death, decomposition factors, and effects in-utero, and to provide an alternative to traditional autopsy.

An Anatomic Study of the Proximal Tibial Epiphysis With Relevance to Percutaneous Epiphysiodesis Using Transphyseal Screws (PETS).

Percutaneous epiphysiodesis using transphyseal screws (PETS) is a common procedure to correct lower extremity limb-length discrepancies in the pediatric population. A potential complication of this procedure is development of tibial valgus deformity, which may occur secondary to decreased screw purchase in the thinner medial proximal tibial epiphysis. The thickness of the proximal tibial epiphysis has not yet been well quantified, which was the aim of this study. Three-dimensional surface scans of 32 cadaveric proximal tibial epiphyses in specimens aged 3 to 17 years old were obtained and computer modeling software was utilized to measure the thickness of the proximal tibial epiphysis at 20 standardized potential screw insertion points according to a generated 5×4 map. When normalized to the total width of the proximal tibial epiphysis, the lateral side is thicker compared with the medial side. The positions with the greatest thickness are located at the midline in the sagittal plane and 33% of the total physeal width away from the medial and lateral edges in the coronal plane (0.265 and 0.261 normalized thickness, respectively). The proximal tibial epiphysis is particularly thin 25% from the medial edge (normalized thickness range: 0.196 to 0.221). Multiple regression analysis revealed a significant relationship between increasing age and female sex with thinner normalized medial and lateral heights. During PETS, areas for greater screw purchase are located centrally in the sagittal plane and 33% of the total width away from the medial and lateral edges of the proximal tibial epiphysis in the coronal plane. Caution should be taken when inserting screws in the medial 25% of the proximal tibial epiphysis as it is thinner relative to the lateral edge, particularly in females. This study provides quantitative, anatomic data on the thickness of the proximal tibial epiphysis, which can direct screw placement during PETS for correcting limb-length discrepancies. These data may help lessen the risk of developing tibial valgus deformity although future clinical studies are necessary to fully evaluate this possibility.

Refining nosology by modelling variation among facial phenotypes: the RASopathies

BackgroundIn clinical genetics, establishing an accurate nosology requires analysis of variations in both aetiology and the resulting phenotypes. At the phenotypic level, recognising typical facial gestalts has long supported clinical...

Three-Dimensional Immersive Photorealistic Layered Dissection of Superficial and Deep Back Muscles: Anatomical Study

IntroductionThe distinct anatomy of the superficial and deep back muscles is characterized by complex layered courses, fascial planes, specific vascularization, and innervation. Knowledge of these anatomical parameters is important for some surgical approaches, including lumbar disc herniation, cerebrospinal fluid fistula repair, vascularized muscle pedicle flaps, and posterior fossa extra-intracranial bypass. In the present study, we use modern techniques of three-dimensional (3D) surface scanning to help better illustrate the layered anatomy of the back muscles.Material and methodsWe dissected in layers the back muscles of one cadaver. Every step of the dissection was 3D scanned using a technique called photogrammetry, which allows the extraction of 3D data from 2D photographs. The 3D data were processed using Blender software, and the 3D photorealistic models were uploaded to a dedicated website for 3D visualization. This allows users to see the 3D models from every desktop or mobile device, as well as augmented (AR) and virtual reality (VR) formats.ResultsThe photorealistic 3D models present the back muscles' anatomy in a volumetric manner, which can be visualized on any computer device. The web 3D features, including AR and VR, allow users to zoom, pan, and rotate the models, which may facilitate learning.ConclusionThe technology of photorealistic surface scanning, modern 3D visualization possibilities of web-dedicated formats, as well as advances in AR and VR, have the potential to help with a better understanding of complex anatomy. We believe that this opens the field for further research in the field of medical education.

In-house customization of lingual orthodontic brackets using Ubrackets computer-aided design orthodontic software

During the past years, digital technology has been introduced in the orthodontic specialty. Many of the conventional procedures have been changed to digital procedures. Three-dimensional surface scanning, volume scanning, computer-aided design (CAD), and 3-dimensional printing are technologies that are changing orthodontic practices. One of the major changes is the ability to design and print customized fixed orthodontic appliances. In contrast, digital technology allowed the implementation of many laboratory procedures in the virtual environment of a computer in the orthodontic office. Customization of labial or lingual trade orthodontic brackets using dedicated orthodontic CAD software has never been attempted in an orthodontic office until now. In our case report, we used novel orthodontic CAD software named Ubrackets to transform trade lingual orthodontic brackets into customized by adding composite to their bases. The complete lingual bracket customization designing, indirect bonding tray design, printing, and bonding workflow are presented. • Converting trade lingual, or labial brackets can be done using the software UBrackets • Trade brackets customization can be done in the orthodontic office without the need of an external company. • Trade brackets customization is performed by adding composite to their bases. Composite amount and volume is determined in the Ubrackets software. • Indirect bonding can be done using the traditional way using transparent silcone impression or 3D printed IDB trays. • 3D printed resins need to be optimized for more accurate indirect bonding.

A Test of the (hu)MANid Program on a Diverse Sample of Mandibles

The (hu)MANid program is a free, web-based software using mandibular metric and morphoscopic variables to estimate sex and ancestry. The database consists of 1,745 individuals from 15 populations (modern, historic, and prehistoric). The required use of a mandibulometer presents two limitations. It is an expensive piece of equipment not available in all labs, and many users do not have experience using a mandibulometer, so error can be high. To address this, three-dimensional surface scans (3D scans) provide an alternative method for data collection. Here, the authors assess the accuracy of the (hu)MANid program on a diverse sample, compare accuracy from 3D scans and physical measurements, and evaluate whether mandibulometer measurements increase classification rates. Six metric and morphoscopic variables were collected from 3D scans (Ntotal = 555) and from bone (Ntotal = 41). Three additional mandibulometer measurements were collected from bone. Mixture discriminant analysis and non-stepwise options were applied due to reported higher correct classification and no significant difference when using stepwise options. Test samples with matching reference groups from the digital measurements had higher than chance average correct classifications for ancestry and sex/ancestry combined. Pooled sexes had correct classifications higher than chance for all comparisons except females using digital measurements. Physical measurements had a higher correct classification rate than digital measurements despite the small sample size. Including mandibulometer measurements did not significantly increase classification rates for physical measurements. Results indicate that hu(MAN)id is better than chance but suggest additional testing due to a lack of diversity in the physical measurements.

Physical and Physiological Characterization of Female Elite Warfighters.

This study characterized a sample of the first women to complete elite United States (US) military training. Twelve female graduates of the US Army Ranger Course and one of the first Marine Corps Infantry Officers Course graduates participated in 3 d of laboratory testing including serum endocrine profiles, aerobic capacity, standing broad jump, common soldiering tasks, Army Combat Fitness Test, and body composition (dual-energy x-ray absorptiometry, three-dimensional body surface scans, and anthropometry). The women were 6 months to 4 yr postcourse graduation, 30 ± 6 yr (mean ± SD); height, 1.67 ± 0.07 m; body mass, 69.4 ± 8.2 kg; body mass index, 25.0 ± 2.3 kg·m -2 . Dual-energy x-ray absorptiometry relative fat was 20.0% ± 2.0%; fat-free mass, 53.0 ± 5.9 kg; fat-free mass index, 20.0 ± 1.7 kg·m -2 ; bone mineral content, 2.75 ± 0.28 kg; bone mineral density, 1.24 ± 0.07 g·cm -2 ; aerobic capacity, 48.2 ± 4.8 mL·kg -1 ·min -1 ; total Army Combat Fitness Test score 505 ± 27; standing broad jump 2.0 ± 0.2 m; 123 kg casualty drag 0.70 ± 0.20 m·s -1 , and 4 mile 47 kg ruck march 64 ± 6 min. All women were within normal healthy female range for circulating androgens. Physique from three-dimensional scan demonstrated greater circumferences at eight of the 11 sites compared with the standard military female. These pioneering women possessed high strength and aerobic capacity, low %BF; high fat-free mass, fat-free mass index, and bone mass and density; and they were not virilized based on endocrine measures as compared with other reference groups. This group is larger in body size and leaner than the average Army woman. These elite physical performers seem most comparable to female competitive strength athletes.

Patient-Customized Theatre Mattress Supports for Spinal Surgery: A Pilot Study Presenting a Novel Engineering Virtual Design and Manufacturing Technique

Abstract Optimal patient positioning for spine surgery is vital for surgical success and the minimization of complications intra-/postoperatively. In patients with complex comorbidities, commercially available surgical positioning equipment is inadequate. To overcome this, a novel method was developed to create custom-fit patient-specific theater mattresses for patients undergoing spine surgery. An innovative digital workflow involving three-dimensional (3D) surface scanning, 3D simulation, and computer-aided design was developed to manufacture customized theater supports with patient-specific requirements. These supports offered the surgeon an enhanced ability to relieve load bearing on prominent anatomical features or where desired, to tailor the support surface to the patient's anatomy for lengthy surgery. The bespoke theater mattress was evaluated by whether the support resulted in a complication-free surgery. Using this new workflow, case examples for two patients with complex comorbidities were described. The spine surgeon and anesthetist reported the patient-specific custom mattresses were fit as per the required design, provided sufficient clearance around anatomical prominences and areas that required to be unloaded, had sufficient clearance for the anesthetic method and cannulation, provided excellent surgical access and stability during surgery, and postoperatively no soft tissue overload over bony prominence and implanted devices. Positive patient outcomes after successful lengthy surgical interventions were associated with these patient-specific, contoured mattress supports. Future projects will seek to utilize this technology for other types of surgeries and intra-operative positioning requirements, and for a broader demographic of patients in both the pediatric and adult setting.

The Accuracy of Topographical and Shape Analysis Using Three-Dimensional Surface Scanning Compared to Micro-Computed Tomography

The Accuracy of Topographical and Shape Analysis Using Three-Dimensional Surface Scanning Compared to Micro-Computed Tomography

An anatomical study defining the safe range of angles in percutaneous iliosacral and transsacral screw fixation.

Percutaneous iliosacral screw fixation and transsacral fixation are challenging procedures requiring extensive knowledge of sacral anatomy to avoid damaging nearby neurovascular structures. Greater knowledge of anatomical screw trajectory and size allowances would be helpful to guide surgical placement. An anatomical study of 40 cadaveric sacra in specimens ages 18-65 was performed. Three-dimensional surface scans were obtained, and computer modeling software was used to simulate a 7.3 mm diameter screw with 1 mm buffer inserted orthogonal to the sacroiliac joint in the pelvic inlet and outlet views. Transsacral screws were also inserted into S1 and S2 vertebrae. For screws orthogonal to the sacroiliac joint, the overall mean screw insertion angle was 4.1° ± 7.5° (range, -18.3° to 22.0°) in the inlet view in the posterior to anterior direction, and 21.7° ± 5.1° (range, 8.2°-36.3°) in the outlet view in the caudal to cranial direction. Before breaching the sacrum, the range of sacral tunnel lengths was between 31.1 and 70.1 mm with a range of diameters between 9.3 and 13.3 mm. Transsacral screws inserted into either the S1 or S2 vertebrae did not breach the sacrum in 40% (16/40) at each level. 30% (12/40) of sacra could not safely accommodate both S1 and S2 transsacral screws. There is an initial screw insertion angle range of -4° to 12° in the inlet view and 16°-27° in the outlet view. There was always adequate size to accept a 7.3 mm or larger screw.

A potential method for sex estimation of human skeletons using deep learning and three-dimensional surface scanning.

Deep learning based on radiological methods has attracted considerable attention in forensic anthropology because of its superior classification capacities over human experts. However, radiological instruments are limited in their nature of high cost and immobility. Here, we integrated a deep learning algorithm and three-dimensional (3D) surface scanning technique into a portable system for pelvic sex estimation. Briefly, the images of the ventral pubis (VP), dorsal pubis (DP), and greater sciatic notch (GSN) were cropped from virtual pelvic samples reconstructed from CT scans of 1000 individuals; 80% of them were used to train and internally evaluate convolutional neural networks (CNNs) that were then evaluated externally with the remaining samples. An additional 105 real pelvises were documented virtually with a handheld 3D surface scanner, and the corresponding snapshots of the VP, DP, and GSN were predicted by the trained CNN models. The CNN models achieved excellent performance in the external testing using CT-based images, with accuracies of 98.0%, 98.5%, and 94.0% for VP, DP, and GSN, respectively. When the CT-based models were applied to 3D scanning images, they obtained satisfactory accuracies above 95% on the VP and DP images compared to the GSN with 73.3%. In a single-blind trial, a multiple design that combined the three CNN models yielded a superior accuracy of 97.1% with 3D surface scanning images over two anthropologists. Our study demonstrates the great potential of deep learning and 3D surface scanning for rapid and accurate sex estimation of skeletal remains.

Higher Leptin-to-Adiponectin Ratio Strengthens the Association Between Body Measurements and Occurrence of Type 2 Diabetes Mellitus.

Aim: This case–control study aimed to investigate the interrelations of body measurements and selected biomarkers in type 2 diabetes mellitus (T2DM).Methods: We recruited 98 patients with T2DM and 98 controls from 2016 to 2018 in Taiwan. Body measurements were obtained using a three-dimensional body surface scanning system. Four biomarkers related to insulin resistance, adipokines, and inflammation were assayed. A multiple logistic regression model was used to perform multivariable analyses.Results: Four body measurements, namely waist circumference (odds ratio, OR = 1.073; 95% confidence interval, CI = 1.017–1.133), forearm circumference (OR = 1.227; 95% CI = 1.002–1.501), thigh circumference (OR = 0.841; 95% CI = 0.73–0.969), and calf circumference (OR = 1.25; 95% CI = 1.076–1.451), were significantly associated with T2DM. Leptin (OR = 1.09; 95% CI = 1.036–1.146) and adiponectin (OR = 0.982; 95% CI = 0.967–0.997) were significantly associated with T2DM. Six body measurement combinations, namely body mass index, waist-to-hip ratio, waist-to-height ratio, waist-to-thigh ratio, forearm-to-thigh ratio, and calf-to-thigh ratio (CTR), were significantly associated with T2DM. CTR had the strongest linear association with T2DM. Moderating effects of significant biomarkers, namely leptin and adiponectin, were observed. Participants with high leptin-to-adiponectin ratios and in the fourth CTR quartile were 162.2 times more prone to develop T2DM.Conclusions: We concluded that a combination of leptin and adiponectin modulated the strength of the association between body measurements and T2DM while providing clues for high-risk group identification and mechanistic conjectures of preventing T2DM.

In-house computer-aided design and 3-dimensional printing of customized orthodontic brackets using hybrid ceramic resin: Is it the time for the orthodontist to take over?

Customized brackets can be designed and printed in the Orthodontic office using a permanent crown resin. The whole workflow is fast, easy to handle and predictable. 2. Designing of customized brackets and customized archwire can be done using a novel Orthodontic CAD software called UBrackets. 3. For every customized brackets design case a customized archwire 3D file is also created that can be manufactured using an in-house archwire bending robot or can be manualy bended. 4. Customized posititioning keys can be printed together with the customized brackets in order to accurately bond the brackets.Ei.e., Digital technology advancements have been introduced into the orthodontic specialty in the last few years. Three-dimensional (3D) surface scanning, 3D volume scanning, computer-aided design (CAD) software, and 3D manufacturing have irreversibly altered and refined processes that were previously performed more conventionally. As a result, customized fixed orthodontic appliance production has been made possible by a few manufacturing companies. An attempt at implementing the in-house designing and manufacturing of customized fixed orthodontic appliances using dedicated orthodontic CAD software has never been undertaken until now. Our case report used a novel orthodontic CAD software named UBrackets to design in-house customized orthodontic brackets. Three-dimensional printing was performed in the orthodontic office using a permanent crown ceramic resin. The complete customized fixed appliance's design, printing, postprinting, and bonding workflow are also presented.