AiDENTAL
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A Mahrous, DDS, MS

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AiDENTAL

AiDENTAL can automatically generate cases, treatment plans and PDF charts. Test your treatment planning skills against the computer!

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Guests may use some features. Create account (free) for treatment planning features. Voice is available with Chrome browsers.

Tx Plan

PDF Chart

Instructions

AiDENTAL is made available on an as-is basis. User assumes ALL liability. That being said, the system is being made available as a beta-test.

There are several separate applications: RPD Design, RPD Game, Computer Generated Treatment Planning and the (Logged In) Digital Learning Environment. They are newly developed and may have issues. Please contact us with comments or suggestions.

The Computer Generated Treatment Planning may be used with voice commands. If your system has the Chrome browser, voice commands (as well as manual interaction) may be used for data entry, charting and treatment plan requests. If you wish to use voice, please view the Voice Commands (Voice Dropdown).

Although all areas of the system should be accesible to Mobile devices, only the Computer Generated Treatment Planning has been specifically adapted to respond to small devices.

If you are not logged in (guest mode), you may enter information and use all the functionality, including creation of a PDF File. If you are not logged in, no information can be saved except for the PDF file that you generate for yourself.

If you registered as a teacher your view will only be from the teaching perspective. Likewise, if you registered as a student your experience will be as a student in the class

Teachers must have an institution code to register. It can be provided by calling 563-386-8300. Students must have a classcode provided by their instructor to register. Instructors must choose a subject, either TX Planning or RPD Game on first login. Students should see a class button on the landing page at login. If no class button is visible select your class from the list above. Detailed instructions should be available either visible on the page or by a 'Please Read' button. Contact us if you have any questions by going to the 'Contact' link.

The design philosophies included in the AiDENTAL website or system are inspired by generalizations and examples published by certain authors. The designs produced by the system are intended to be used as a reference.

No suggestions, perceived recommendations or information associated with this system should be taken as advice for Treatment Planning or Treatment.

 About Us

Mahrous
Botsko

AiDENTAL was written by a practicing dentist, David L Botsko, located in Davenport, IA. Dr. Ahmed Mahrous inspired and directed the development ot the RPD portion of the website application. He enjoys both clinical aspect of restoring patients as well as teaching. He is passionate about digital learning and technology. As a result of continuous pursuit of a dream, the RPD Design and the RPD Game were developed. Both applications offer learning opportunities as well as design tools. The Removable Partial Denture portion was inspired and directed by Ahmed Mahrous, a Prosthodontist who teaches at the University of Iowa College of Dentistry, Department of Prosthodontics.. Currently, the applications are in beta-test mode, seeking feedback and suggestions from users. It is provided as-is with user assuming all risks including security (We suggest avoiding file names that could identify someone).

Contact

 
563-386-8300

Commands

Tooth  Say Tooth Number [whatever number] Example Tooth Number Four or Tooth Four
Perio  Mesio
Central
Disto
- Buccal
Lingual
- N
u
m
b
e
r
Surfaces M, O, I, D, B, F, L (or name of surface) + Amalgam, Composite, or Caries. See undo below to remove surface findings.
Cusps  MB, ML, DB, DL or say cusp names (such as mesio-buccal) + Chip or Fracture (Repeat to remove)
Findings Missing, Root tip, Impacted, Submerged, Endo, Root Canal, Apical Lesion, Apex, Post Core, Crown, Porcelain, Ceramic, Full Cast, Metal, PMC, Pontic, Implant, Defective, Hopeless,Mobility + number. To undo, repeat the command. Narrative brings up dialogue for dictation of text.
Undo  To undo specific surfaces, say Remove, Undo, or Clear + [surface(s)]. To undo a button finding, repeat the command. To undo all surfaces and button findings, say Reset. To Delete and Reset ENTIRE chart, say Delete.
Other  Voice On, Voice Off, Submit, Okay, Done, Cancel, Close, Generate Treatment Plan, and Chart. Most buttons respond to their names.

Tx Sequence

Treatments are in random order. Please drag treatments to a correct sequence and click "Save And View Answer." *Note - Treatments that may prevent/reduce pain or infection would normally be at the top, followed by perio. There is usually more than one correct sequence.

Narrative #

 

Please Read (How It Works)

 

Mouse over treatment row or say "tooth number whatever (ex. tooth number 2) to enter treatment decisions. Select treatments on a tooth by tooth basis. Where caries is noted, assume it has destroyed an average amount of the surface.

Enter treatments which could include Extractions, Perio (On the specific tooth), Restorations, Root Canal Treatment, Post Cores, Crowns, Bridges and Implants. Note that credit will be given for recommending Extraction even if the system deems the Extraction as Optional. Also note that Upper Anteriors and Lower Canines have a higher strategic value. If there are missing teeth, you may enter treatments such as Bridges (FPDs), Implants, or Removable Partial Dentures (RPDs). Use the 'Pontic' button to indicate a bridge. Use the 'Crown' button to indicate retainers. Long span (greater than 3 units) bridges are not recommended in this system.

Decisions are triggered by a set of findings and circumstances that cause certain treatments to be recommended. Below you will find some guidance as to what findings to look for in determining a certain treatment.

The most complicated decision may be when to recommend a Denture. Depending upon the degree of Periodontal Disease, Mobility, Caries and Missing Teeth, a decision may be made to go to a Complete Denture. If Complete Denture is selected and the system determines that a Complete Denture is recommended, scoring increases. Depending upon circumstances, the system may recommend a Removable Partial Denture, while at the same time allowing a Complete Denture. In this case, points are given for either answer.

Another controversial scenario is when to recommend a crown. If endo is NOT planned and there are more than (3) involved surfaces (caries and/or existing restorations), the system will recommend a crown. If endo IS planned, your class instructor recommends crowns (after endo) when there are () or more caries/restored surfaces (including access).  Access surfaces are 'O' for Posteriors and 'L' for Anteriors. Please note if a crown already exists, the system recommends a new crown following endo with a new underlying build-up restoration.

Third molars are not considered strategic and the system recommends Extraction when certain pathological findings are present (moderate perio disease, mobility, caries). Optional Extractions are generally counted as correct in Posteriors and Lower Incisors where more than (3) surfaces are involved and caries is present. The most strategic teeth are Maxillary Anteriors and Mandibular Canines. To avoid Lower Complete Dentures, Mandibular Canines should be preserved for anchoring future Removable Partial Dentures. Optional Extractions are counted as correct in these strategic teeth when MORE than (4) surfaces are involved.

If PAIN and restorable caries is present the system will recommend Endo (Endo involvement would be highly likely). If PAIN is present with restorations, but no caries, the system will NOT recommend treatment (Endo will not be recommended due increased chances of other causes). If PAIN is present with a Post or Implant, Extraction will be a correct answer. However, Bridge Pontics and Implants (New) will be correct within certain conditions.

The Defective stripe generally indicates a Defective Restoration, Crown, Implant or Post Core. If a Defective stripe appears over Endo treatment, the Defective will only apply to the Restoration. If there is a Restoration present and there is a Defective stripe, assume the Endo is NOT defective and the restoration IS Defective.

  Settings (All Your Classes)

Crown Prescribing Preference After Endo

All Endo-Treated Teeth
All Having (2) Or More Caries/Restored Surfaces
All Having (3) Or More Caries/Restored Surfaces (Recommended)

Scenarios

Set Random Case Findings

 
 
 
 
 
 
 
 

Caries Prone

Modify TX

Increase Oral Hygiene/Prophylaxis Frequency (3-Month)
Prescribe 1% Sodium Fluoride For Home Use
Advise Patient About Avoiding Sugary Foods/Drinks

Advanced Age

Modify TX

Increase Oral Hygiene/Prophylaxis Frequency (3-Month)
Prescribe 1% Sodium Fluoride For Home Use
Treatment plan should consider manual dexterity

Wants Dentures

Modify TX

Discuss challenges of wearing Full Upper/Lower
Look for one of more possible Lower Abutments for RPD
Try to get patient to accept a Lower Partial instead of Full Lower

Radiation Prep

Modify TX

Increase Oral Hygiene/Prophylaxis Frequency (3-Month)
Prescribe 1% Sodium Fluoride For Home Use
Remove teeth that do not have a good prognosis
Consult with Patient and Radiologist about radiation guards
Discuss/Fabricate radiation guards 3-4mm thick w/ suction opening

Major Connectors (Stewart)

Maxillary
  Periodontally Healthy Periodontally Compromised
  Short Span
(Up to 5 missing)
Long Span 
(6 or more missing incl anterior)
All Spans
Class I A-P Strap
(if only missing molars)
-otherwise-
Palatal Plate
Palatal Plate Lingual Plating (if possible)
Class II A-P Strap
(if the space between the straps spans at least two teeth)
-otherwise-
Palatal Strap/Plate
Palatal Plate Lingual Plating (if possible)
Class III A-P Strap
(if the space between the straps spans at least two teeth)
-otherwise-
Palatal Strap/Plate
A-P Strap Lingual Plating (if possible)
Class IV Horseshoe or A-P Strap Horseshoe Lingual Plating (if possible)
Mandibular
  Short and Long Span All Spans
8mm or more vestibular depth Lingual Bar Lingual Plating
Less than 8mm vestibular depth Lingual Plate Lingual Plating

Stress Releasing Clasps

These designs are collectively referred to as "Stress Breaking" or "Stress Relieving" clasp designs.

The following clasps apply less stress to direct retainer teeth when the design allows the RPD to move during function as a result of a saddle compressing the soft tissue. The need for Stress Release applies to Premolars and Anterior teeth and NOT to strong, well-supported Molars. Designs that may need Stress Release are Class I and Class II. Class IV cases with more than (4) missing teeth may also need Stress Release. Stress Release is not needed for Class III cases because they are completely tooth supported and do not rely on soft tissue for support during function..

1. I-Bar Clasp
2. Modified T-Bar Clasp
3. Wrought Wire Clasp

Design Theories

Attributes McCracken (Carr)-Mayo Clinic Stewart (Phoenix)-US Air Force Stratton-University of Oklohoma Hybrid (Mahrous)-University of Iowa
Allows design changes for occlusal interferences. No No Yes Yes
Stress release recommended for mesial abutment adjacent to space in Class II, Mod 1, Dentate side. Yes No Yes Yes
Lingual Plating preferred instead of space when space would be adjacent to only one tooth. Yes Yes No Yes