{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T00:18:54Z","timestamp":1778545134291,"version":"3.51.4"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T00:00:00Z","timestamp":1747008000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/501100001807","name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa do Estado de S\u00e3o Paulo","doi-asserted-by":"publisher","award":["2023\/15292-9"],"award-info":[{"award-number":["2023\/15292-9"]}],"id":[{"id":"10.13039\/501100001807","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Pr\u00f3-Reitoria de Pesquisa e Inova\u00e7\u00e3o of the University of S\u00e3o Paulo"},{"name":"Programa de Apoio a Novos Docentes\u2014Process n\u00b0","award":["22.1.09345.01.2"],"award-info":[{"award-number":["22.1.09345.01.2"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To clinically validate the use of a modified image receptor-holding device (IRHD) for the bitewing technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Premolars and molars\u2019 bitewing radiographs of 101 patients were acquired using 2 IRHD (traditional and modified). The modified IRHD was computer-aided designed and 3D printed. Images were acquired by a single operator using a digital radiographic system with phosphor storage plates. A questionnaire regarding the perception of the use of the 2 IRHD was applied to patients and the operator. Image evaluation (paired and individual) was performed by 2 oral and maxillofacial radiologists. Repetition, overlap rate, and operator\/patient perception were expressed as absolute and relative frequencies, and compared between the devices using the chi-square test with a 5% significance level.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The paired evaluation showed no difference in the rate of proximal surface overlap between the IRHDs (P\u2009\u2265\u2009.05). Individual evaluation showed a lower rate of proximal surface overlap with the modified IRHD, with emphasis on the distal surface in the premolar region (P\u2009&amp;lt;\u2009.05). The modified IRHD presented greater ease of positioning (52.3%), greater stability (64.9%), preference of use by the operator (54.5%), and greater comfort was reported by the patients (54.5%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The modified IRHD may be more comfortable and has the potential to reduce the proximal surface overlap than the traditional IRHD, especially when there is an indication for a single radiograph in the premolar region.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Advances in knowledge<\/jats:title>\n                    <jats:p>We clinically validated a modified IRHD that has potential to decrease proximal surfaces overlap with greater comfort for the patients.<\/jats:p>\n                  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14040-904,","place":["Brazil"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1340-4234","authenticated-orcid":false,"given":"Michelle","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Dental Materials and Prosthesis, Ribeir\u00e3o Preto School of Dentistry, University of S\u00e3o Paulo (USP) , Ribeir\u00e3o Preto, SP, 14040-904,","place":["Brazil"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8342-3698","authenticated-orcid":false,"given":"Henrique Mateus Alves","family":"Felizardo","sequence":"additional","affiliation":[{"name":"Department of Dental Materials and Prosthesis, Ribeir\u00e3o Preto School of Dentistry, University of S\u00e3o Paulo (USP) , Ribeir\u00e3o Preto, SP, 14040-904,","place":["Brazil"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5009-6632","authenticated-orcid":false,"given":"Deivi","family":"Cascante-Sequeira","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Sciences, University of Costa Rica School of Dentistry , San Jos\u00e9, 11501-2060,","place":["Costa Rica"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5087-5022","authenticated-orcid":false,"given":"Hugo","family":"Ga\u00eata-Araujo","sequence":"additional","affiliation":[{"name":"Department of Stomatology, Public Health, and Forensic Dentistry, Ribeir\u00e3o Preto School of Dentistry, University of S\u00e3o Paulo (USP) , Ribeir\u00e3o Preto, SP, 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