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The purpose of this paper is to examine how limited care patients and comprehensive care patients differ in terms of consumers' behavior in the dentist selection process, in order to help healthcare providers and marketers better promote their practice depending on their patient type.

A survey of 1,150 dental school faculty private practice patients who recently chose their dentist was conducted and 221 responded. The respondents were divided to comprehensive care patients (n=120) and limited care patients (n=90) by self‐perceived need.

The comprehensive care patients were younger and more likely to be highly educated, have a healthcare related profession, and have private dental insurance (p<0.001). The comprehensive care patients were more likely to use information sources such as clinic website, the internet, and the insurance directory (p<0.05), while the limited care patients were more likely to use other dentists. Comprehensive care patients put more value on attributes such as, the dentist is in my insurance network and convenient physical location (p<0.05). In conclusion, comprehensive care patients and limited care patients differed significantly in characteristics and how and why they chose their dentist.

Healthcare marketers can use this study's findings to better promote their practice by selecting appropriate communication channels and focus on attributes that consumers value the most. It is important to apply different strategies to different consumer groups.

The purpose of this paper is to bring together the history of war, the universities and the professions. It examines the case of dentistry in New South Wales, detailing its divided pre-war politics, the role of the university, the formation and work of the Dental Corps during the First World War, and the process of professionalization in the 1920s.

The paper draws on documentary and archival sources including those of the University of Sydney, contemporary newspapers, annual reports and publication of various dental associations, and on secondary sources.

The paper argues that both the war and the university were central to the professionalization of dentistry in New South Wales. The war transformed the expertise of dentists, shifted their social status and cemented their relationship with the university.

This study is the first to examine dentistry in the context of the histories of war, universities and professionalization. It highlights the need to re-evaluate the changing place of the professions in interwar Australia in the light both of the First World War and of the university’s involvement in it.

The article intended to excavate the Lean Six Sigma (LSS) deployment challenges, Critical Success Factors (CSF), tools and techniques, and managerial implications in an Indian healthcare setting.

The article illustrates a case study established using Action Research (AR) approach. Further, the case study is based on the Define, Measure, Analyze, Improve, Control (DMAIC) phases of LSS. The performance and service quality of the Endodontics department of a dental college attached to a hospital is enhanced and sustained through the LSS strategy.

The processing time of Root Canal treatment is reduced by determining the root causes for delay and implementing sustainable solutions. The structured deployment of the LSS strategy helped the Endodontics department to reduce the processing time from an average of 116 min–84 min. Thus, the process's sigma level is enhanced from 0.06 to 4.17 and assisted in sustaining the results.

The case study's findings are based on the single AR carried out at an Endodontics department of a dental college hospital based on LSS strategies. Even though this study's results cannot be generalized, the deliverables of the case study can be used to develop the LSS roadmap for the dental colleges to enhance the service quality and safety of the patients.

The article provides step-by-step details for implementing LSS in dental college hospitals with critical analysis based on robust statistical tools and techniques. The case study provides evidence of the adoption of LSS in medical college education and provides the confidence to adopt the same through novice users. The study's findings may persuade the policymakers to add LSS in the medical education curriculum to reinforce safety and reduce errors in the healthcare system.

The article evaluates the obstacles, lessons learned and managerial implications of deploying Lean Six Sigma (LSS) in a dental college hospital in India.

The work adopts the action research (AR) methodology to establish a case study, which is carried out using the LSS define–measure–analyze–improve–control (DAMIC) approach in a dental college. It uses LSS tools to enhance the productivity and performance of the Conservative Dentistry Department of a dental college and to unravel the obstacles and success factors in applying it to the education and healthcare sector together.

The root cause for high turn-around time (TAT) is ascertained using LSS tools and techniques. The effective deployment of the solutions to the root causes of variation assists the dental college to reduce the TAT of the Conservative Dentistry process from an average of 63.9 min–36.5 min (i.e. 42.9% improvement), and the process Standard Deviation (SD) was reduced from 2.63 to 2 min. This, in turn, raises the sigma level from 0.48 to 3.23, a noteworthy successful story for this dental college.

While the results and recommendations of this research are focused on a single case study, it is to be noted that the case study is carried out with new users of LSS tools and techniques, especially with the assistance of interns. This indicates the applicability of LSS in dental colleges; thus, the adopted modality can be further refined to fit India's education and hospital sector together.

This article explains the implementation of LSS from an aspiring user viewpoint to assist dental colleges and policymakers in improving competitiveness. In addition, the medical education sector can introduce an LSS course in the existing programme to leverage the potential of this methodology to bring synergy and collaborative research between data-based thinking and the medical field based on the findings of this study. The most important contribution of this article is the illustration of the design of experiments (DOE) in the dental college process.

This study aims to analyze and predict a user’s behavior and create recommender systems in libraries and information centers, using data mining techniques.

The present study is an analytical survey study of cross-sectional type. The required data for this study were collected from the transactions of the users of libraries and information centers in Hamadan University of Medical Sciences. Using data mining techniques, the existing patterns were investigated, and users’ loan transactions were analyzed.

The findings showed that the association rules with the degree of confidence above 0.50 were able to determine user access patterns. Furthermore, among the decision tree algorithms, the C.05 predicted the loan period, referrals and users’ delay with the highest accuracy (i.e. 90.1). The other findings on feedforward neural network with R = 0.99 showed that the predicted results of neural network computation were very close to the real situation and had a proper estimation of user’s delay prediction. Finally, the clustering technique with the k-means algorithm predicted users’ behavior model regarding their loyalty.

The results of this study can lead to providing effective services and improve the quality of interaction between librarians and users and provide a good opportunity for managers to align supply of information resources with the real needs of users.

The results of the study showed that various data mining techniques are applicable with high efficiency and accuracy in analyzing library and information centers data and can be used to predict a user’s behavior and create recommendation systems.

This paper aims to present an optimal prototyping technology for the manufacture of occlusal splints.

To carry out this study, a comparative technique was used to analyze models obtained by different prototyping techniques. Subsequently, further tests were carried out with respect to the manufacturing of splints by means of thermoforming in a vacuum. This involved an analysis of the most important variables such as prototype material, geometric accuracy, surface finish and costs.

It was found that there is a group of prototyping technologies that are suitable for the manufacture of the models used in the thermoforming of correction splints, the most appropriate technologies being based on ink jet printing (IJP-Objet), ultraviolet photo polymerization and fused deposition modelling due to the fact that they offer an optimal relationship between the cost and the quality of the model required for thermoforming.

The application of rapid prototyping techniques in medicine makes the production of physical models from three-dimensional medical image processing and their subsequent use in different specialties possible. It also makes preoperative planning processes, the production of prostheses and the preparation of surgical templates possible, thereby offering a higher quality of diagnosis, safer surgery and cost and time savings compared to conventional manufacturing technologies.

This paper suggests that there exists a group of prototyping technologies for the manufacture of splints that offer advantages over existing technologies. The results also suggest that, in many cases, the most expensive technology is not the most appropriate: there are other options that provide an optimal model in terms of the cost and the quality needed for thermoforming.

The purpose of this paper is to investigate the morphological and metallurgical changes of laser gas‐assisted nitriding of titanium implants.

Laser gas‐assisted nitriding of titanium implant is carried out and the metallurgical as well as the morphological changes in the nitride layer are examined using optical microscopy, SEM, XRD, and X‐ray photoelectron spectroscopy. Temperature and thermal stress fields are computed during the laser heating process adopting the finite element method. The residual stress formed in the nitride layer is measured using the XRD technique while micro‐indentation tests are carried out to determine the fracture toughness of the surface after the laser treatment process.

It is found that nitride depth layer extends to 40 μm below the surface and it is free from the cracks and micro‐voids. The residual stress formed on the surface region is higher than at some depth below the surface in the nitride layer, provided that the maximum residual stress is less than the elastic limit of the substrate material.

The paper contains original findings and the findings are not submitted any other journal for publication.

The purpose of this study is to test the shear-bond-strengths of auto-mixed and manual-mixed self-adhesive resin cement to dentin on long-term high-altitude pressure.

Human molars were embedded in acrylic resin. Sixty composite resin discs were obtained. The composite resin discs were bonded to dentin using hand-mixed and auto-mixed self-adhesive resin cement. After cementation, the samples were stored in artificial saliva and divided into two subgroups (n = 30), hypobaric pressure and the atmospheric pressure group. The specimen underwent three pressure cycles per day for 100 days. The failure types were evaluated after debonding with scanning electron microscopy. The shear bond strength was tested with Universal Testing Machine. Analysis of variances/Tukey post hoc tests were used for statistical analysis. Groups were also evaluated by the Weibull modulus.

Regardless of hypobaric pressure changes, the highest bond strength was examined in auto-mixed Panavia SA samples. A significant difference was found in both auto-mixed MaxCem EC and hand-mixed RelyX U200 group after exposure to hypobaric pressure compared to the control group.

The luting cement-type, mixing methods of cements and environmental pressure changes significantly influence the bond strengths. Dentists can use auto-mixed self-adhesive resins in patients likely to be exposed to hypobaric pressure.

This study aims to compare the marginal fit, flexural strength and hardness for a ceramic premolar that is constructed using dental computer aided machining (CAM) and three-dimensional slurry printing (3DSP).

Dental CAM and 3DSP are used to fabricate a premolar model. To reduce the fabrication time for 3DSP, a new composition of solvent-free slurry is proposed. Before it is fabricated, the dimensions of the green body for the premolar model are enlarged to account for the shrinkage ratio. A two-stage sintering process ensures accurate final dimensions for the premolar model. The surface morphology of the green body and the sintered premolars that are produced using the two methods is then determined using scanning electronic microscopy. The sintered premolars are seated on a stone model to determine the marginal gap using an optical microscope. The hardness and the flexural strength are also measured for the purpose of comparison.

The developed solvent-free slurry for 3DSP can be used to produce a premolar green body without micro-cracks or delamination. The maximal marginal gap for the sintered premolar parts that are constructed using the green bodies from dental CAM is 98.9 µm and that from 3DSP is 72 µm. Both methods produce a highly dense zirconia premolar using the same sintering conditions. The hardness value for the dental CAM group is 1238.8 HV, which is slightly higher than that for the 3DSP group (1189.4 HV) because there is a difference in the pre-processing of the initial ceramic materials. However, the flexural strength for 3DSP is 716.76 MPa, which is less than the requirement for clinical use.

This study verifies that 3DSP can be used to fabricate a zirconia dental restoration device that is as good as the one that is produced using the dental CAM system and which has a marginal gap that is smaller than the threshold value. The resulting premolar restoration devices that are produced by sintering the green bodies that are produced using 3DSP and dental CAM under the same conditions have a similar hardness value, which is four times greater than that of enamel. The flexural strength of 3DSP does not meet the requirement for clinical use.

The paper aims to evaluate the influence of thermo-chemical cycles of oral fluids on the surface attributes (roughness and microhardness) of lithium disilicate glass-ceramic (LDC) crown restorations manufactured with CAD/CAM technology.

There have been 24 LDC crowns manufactured using the CAD/CAM process for their respective preparation dies ply methyl methacrylate (PMMA) of mandibular left second premolar tooth (n = 8 each group). The standard procedure was used to glaze 16 crown samples (Groups 2 and 3).Samples of Group 3 were aged with thermal (563°C and 5563°C) and pH (2–14) cycles. All 24 samples were tested with a Profilometer and a Vicker hardness tester was used for their surface roughness and hardness measurement, respectively.

In statistical examination on SPSS Statistics 20 (IBM) software, of surface roughness values (Ra) and Vicker hardness values from different groups, Tukey HSD test was executed in one-way ANOVA (a = 0.05). The means Ra for groups were accordingly Group 3 > Group1 > Group 2 (p < 0.001). Similarly, micro-hardness was in order of Group 2 > Group 1 > Group 3 (p < 0.001).

The research work does not have any limitations.

Surrounding temperature and pH significantly impact the surface characteristics of lithium disilicate crown restoration. The study also reveals the inverse relationship between surface roughness and surface hardness parameters. The observed results and facts revealed well in agreement with the past research studies.