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Influence of Hypnotic Suggestions to Increase Periodontal Patients' Compliance 催眠提示对提高牙周患者依从性的影响
Pub Date : 2021-09-01 DOI: 10.24191/cos.v8i0.17480
R. Abdul Halim, H. Mohamad, A. Zulkiflee, E. Noor
Objective: To evaluate the effectiveness of hypnosis 1) to reduce dental anxiety in periodontal patients, and 2) to increase periodontal patients’ compliance through the reduction of dental anxiety. Methods: This was a randomized control trial of 22 patients (13 males, 9 females; 40.14 ± 19.59 years) who underwent non-surgical periodontal therapy in the Postgraduate and Undergraduate Clinics. Patients were divided into the case, H, (hypnosis; n=11) and controlled, N, (no hypnosis; n=11) groups, where patients’ dental anxiety level was assessed twice for both groups using IDAF-4C+ during the first visit and the second visit. The compliance was evaluated during the follow-up visit. Results: The result showed statistically significant differences (p < 0.05) in the H group during the second visit indicating a reduction in dental anxiety as compared to N group. However, there were no statistically significant differences (p > 0.05) in the pattern of reduction of blood pressure between both case and control groups. Based on the heart rate, patients were found to be more relaxed with hypnotherapy at the beginning of the treatment but halfway through, patients without hypnotherapy had a more significant reduction in heart rate level. Conclusion: Hypnotic suggestions were found to help reduce patient’s fear and anxiety. However, the compliance of the patients with or without hypnotherapy proved to have a similar outcome.
目的:评价催眠对牙周患者牙周焦虑的缓解效果,以及催眠对牙周患者依从性的影响。方法:随机对照试验22例患者(男13例,女9例;40.14±19.59岁),分别在研究生和本科诊所接受牙周非手术治疗。将患者分为病例组、H组、催眠组;n=11)和对照组n,(未催眠;n=11)组,分别在第一次和第二次就诊时使用IDAF-4C+对两组患者的牙齿焦虑水平进行两次评估。随访期间评估依从性。结果:与N组相比,H组在第二次就诊时牙齿焦虑有所减少,差异有统计学意义(p < 0.05)。然而,两组患者血压下降模式差异无统计学意义(p > 0.05)。根据心率,研究人员发现,在治疗开始时,接受催眠治疗的患者更放松,但在治疗进行到一半的时候,没有接受催眠治疗的患者心率水平下降得更明显。结论:催眠提示有助于减轻患者的恐惧和焦虑。然而,患者接受或不接受催眠治疗的依从性证明有相似的结果。
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引用次数: 0
Characteristics and Association of Gender to Dental and Occlusal Anomalies in Malaysian Primary School Children 马来西亚小学儿童牙齿和咬合异常的性别特征和关联
Pub Date : 2021-09-01 DOI: 10.24191/cos.v8i0.17485
NN Zakaria, SD Sinniah, A. Venkiteswaran
Aim: To describe the distribution and association of dental and occlusal anomalies to gender in children of mixed and early permanent dentition. Methods: It is a cross-sectional study with stratified random sampling based on the main ethnic composition involving 413 subjects aged between 9 and 11 years old enrolled in 7 national primary schools in Sungai Buloh, Selangor. A calibrated operator carried out clinical examinations, and study models were fabricated. All dental and occlusal anomalies were recorded accordingly and were analysed using SPSS version 21.0. Pearson chi-square test was used to determine the gender-based differences for various parameters. Results: The reported dental anomalies were supernumeraries and clinically missing teeth (impacted or hypodontia) with a prevalence of 1.5% and 6.3%, respectively. The occlusal abnormalities were: crowding (54.0%), sagittal discrepancies (overjet; increased, reduced, and reversed overjet: 55.5%), vertical discrepancies (overbite; increased, reduced, and open bite: 37.5%) and transverse discrepancies (unilateral and bilateral posterior crossbite: 5.1%). Gender-based differences were not statistically significant to all reported dental and occlusal anomalies (p>0.05). Conclusions: Children in the mixed and early permanent dentition showed various dental and occlusal anomalies with crowding being the highest anomaly. Gender was not associated with any type of dental or occlusal characteristics in the studied population.
目的:探讨混合恒牙和早期恒牙儿童牙齿和咬合异常的分布及其与性别的关系。方法:采用分层随机抽样的横断面研究方法,以主要民族构成为基础,涉及雪兰莪州双溪布洛7所国立小学的413名9 - 11岁的学生。校准操作员进行临床检查,并制作研究模型。记录所有牙齿和咬合异常,并使用SPSS 21.0版进行分析。采用Pearson卡方检验确定各参数的性别差异。结果:报告的牙畸形为多生牙和临床缺失牙(阻生牙或下颌缺损),患病率分别为1.5%和6.3%。咬合异常表现为:拥挤(54.0%),矢状面差异(过喷;增加、减少和反向上喷:55.5%),垂直差异(上嵌;增加、缩小和开放咬合:37.5%)和横向差异(单侧和双侧后牙合:5.1%)。所有报告的牙齿和咬合异常的性别差异无统计学意义(p>0.05)。结论:儿童混合恒牙列和早期恒牙列表现出多种牙合异常,以拥挤异常最多。在研究人群中,性别与任何类型的牙齿或咬合特征无关。
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引用次数: 1
Model to Aid Teaching of Electronic Apex Locator Use for Endodontics in Dental Pre-Clinical Training – A UiTM Experience Pilot Study 辅助牙髓学临床前培训中牙髓学电子顶点定位器教学的模型- UiTM经验试点研究
Pub Date : 2021-09-01 DOI: 10.24191/cos.v8i0.17483
M. Berhanuddin, NF Mohamad, Aaeid Ayoub, M. Kamaruzaman, IH Baharuddin, IH Ismail
Background: Electronic Apex Locators (EAL) has been increasingly used to facilitate working length determination in endodontics. This instrument is becoming more important to be used in addition to radiographs. A steep learning curve has existed between EAL use in the clinical, from the pre-clinical settings. Objectives: To fabricate a model that will facilitate dental students to use Electronic Apex Locator (EAL) in the dental simulation clinic and to conduct a questionnaire-based survey to investigate Electronic Apex Locator Model (EALM) effectiveness. Materials and Methods: Construction of model master jaw, EALM, using materials available in the prosthetic laboratory. The model can be mounted on the phantom head which when connected to an EAL will simulate its clinical use. A validated questionnaire was distributed to a group of n=10 pre-clinical students before and after demonstration conducted at the simulation clinic. Results: A prototype EALM was successfully fabricated at Universiti Teknologi MARA Dental Prosthetic Laboratory. with features incorporating conductive-media-chamber, with attached anatomically-correct fabricated model teeth. The teeth were constructed incorporating continuous access cavity, root canal, through to a patent apex. When attached to the jaw model, the electrical circuit was connected allowing EAL to function. Conclusion: EALM can be conveniently constructed at the Dental Prosthetic Laboratory by using materials readily available here. Furthermore, a steep learning curve exist between pre-clinical and clinical studies was bridged by the use this EALM and this allowed familiarity of clinical handling EAL. However, this study was limited by the small number of students exposed to this new method. Further prospective study is required by increasing the sample size to provide more significant results.
背景:电子顶点定位器(EAL)越来越多地用于牙髓学中工作长度的确定。除x光片外,这种仪器正变得越来越重要。从临床前到临床应用EAL之间存在一个陡峭的学习曲线。目的:建立一个促进牙科学生在牙科模拟临床中使用电子顶点定位器(EAL)的模型,并对电子顶点定位器模型(EALM)的有效性进行问卷调查。材料与方法:利用实验室现有材料,构建模型主颌,EALM。该模型可以安装在虚幻的头部,当连接到EAL将模拟其临床使用。在模拟诊所进行演示前后,向n=10名临床前学生分发一份有效的问卷。结果:在Universiti tecknologi MARA牙科修复实验室成功制作了EALM原型。具有结合传导介质腔的特征,并附有解剖正确的制造模型牙齿。牙齿的构建包括连续的通道腔,根管,通过一个专利的尖端。当连接到颌骨模型时,电路被连接,使EAL发挥作用。结论:利用本实验室现成的材料,可以方便地在义齿修复实验室构建EALM。此外,临床前和临床研究之间陡峭的学习曲线通过使用EALM弥合,这允许熟悉临床处理EAL。然而,由于接触这种新方法的学生人数较少,这项研究受到了限制。进一步的前瞻性研究需要通过增加样本量来提供更有意义的结果。
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引用次数: 0
Performance of Dental Undergraduate Students using International Caries Detection and Assessment system (ICDAS) 牙科本科学生使用国际龋齿检测与评估系统(ICDAS)的表现
Pub Date : 2020-09-01 DOI: 10.24191/cos.v7i0.17490
N. Mohamed Zohdi, MF Nasruddin, M. Sanusi, Mastura M. Nordin, MR Rusli
Objectives: This study aimed to assess intra- and inter-examiner reliability of International Caries Detection and Assessment System (ICDAS) and modified epidemiology ICDAS (MOD) code by undergraduate dental students with different clinical experiences. Methods: A total of 150 dental undergraduate students with varying clinical experiences (0, 1 and 2 years of clinical experience) were recruited. Participants received training through a theoretical lecture on ICDAS criteria by an experienced National Benchmark Group (NBG) examiner and underwent e-learning program prior to ICDAS calibration. Visual examination on extracted permanent teeth (N= 45) with different location and stages of caries progression ranging from ICDAS scores 0 to 6, was performed using the ICDAS criteria. The assessments were repeated after one hour. The data were analysed to evaluate inter-examiner and intra-examiner reliability in the form of kappa scores using SPSS 23 Software. Results: Mean kappa values for intra- and inter-examiner reliability for ICDAS code, were between 0.41 to 0.60, and 0.61 to 0.80 respectively. For MOD code, mean kappa values for intra- and inter-examiner reliability were between 0.61 to 0.80. Good intra-examiner agreement (>0.61) was observed in both ICDAS and MOD code for all groups. Conclusion: All students performed similar agreement, therefore, clinical experience within 2 years does not influence the performance of visual inspection in detecting caries using ICDAS. The results of the study shows that ICDAS and modified epidemiology ICDAS codes has good reproducibility and is feasible to be used as a tool in clinical practice as well as patient education.
目的:本研究旨在评估不同临床经验的牙科本科学生对国际龋病检测与评估系统(ICDAS)和改良流行病学ICDAS (MOD)代码的内部和内部可靠性。方法:共招募临床经验不同(0年、1年、2年)的牙科本科学生150人。参与者接受了由经验丰富的国家基准小组(NBG)审查员关于ICDAS标准的理论讲座的培训,并在ICDAS校准之前接受了电子学习计划。采用ICDAS评分0 ~ 6分,对拔牙后不同位置、不同龋病发展阶段的45颗恒牙进行目视检查。一小时后再次进行评估。使用SPSS 23软件对数据进行分析,以kappa评分的形式评估考官之间和考官内部的信度。结果:ICDAS代码的内部和内部信度的平均kappa值分别在0.41 ~ 0.60和0.61 ~ 0.80之间。对于MOD规范,平均kappa值在0.61至0.80之间。在所有组的ICDAS和MOD代码中观察到良好的检查员内部一致性(>0.61)。结论:所有的学生都有相似的共识,因此,2年的临床经验不影响视觉检查在使用ICDAS检测龋的表现。研究结果表明,ICDAS和修改流行病学ICDAS代码具有良好的可重复性,可作为临床实践和患者教育的工具。
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引用次数: 1
Treatment Satisfaction and Its Influencing Factors Among Fixed Orthodontic Patients in UiTM UiTM固定正畸患者治疗满意度及其影响因素分析
Pub Date : 2020-09-01 DOI: 10.24191/cos.v7i0.17491
SS Shamsul Fadzil, AI Ahmad Khalil, IY Noviaranny, NM Abdullah Al-Jaf, K. Jamil
Objectives: The aims of this study were to evaluate patient’s satisfaction regarding the orthodontic treatment provided by the Faculty of Dentistry Universiti Teknologi MARA (UiTM) and to determine the factors that affected their satisfaction level. Methods: A cross-sectional study was conducted among the patients treated with full fixed appliances in the faculty’s orthodontic clinic using a validated questionnaire. Results: The final sample consisted of 105 subjects (response rate 76%) which comprises of 26 males and 79 females were chose with 97% of the respondents are Malay. Most subjects had orthodontic treatment duration of more than 1.5 years (100%) and were still wearing fixed appliances (89%). Items included in the questionnaire: reasons for seeking orthodontic treatment, questions relevant to satisfaction with orthodontic treatment, doctor-patient relationship and pain experience during orthodontic treatment. Concerning the doctor patient relationship, 91% of the respondents were contented with their orthodontist. Respondents answered ‘Yes’ to the treatment plan explained prior to the procedure (91.4%), questions answered promptly (94.3%), gentleness of the orthodontist (91.4%) and dental assistant (88.6%), orthodontist honesty about treatment duration (90.5%) and cost (97.1%), and recommendation to others (90.5%). Conclusion: Generally, patients who had received orthodontic treatment from the orthodontic clinic in Faculty of Dentistry UiTM were satisfied with the overall treatment outcomes. However, there were still some aspects of the service that can be improved in the future in order to provide a better healthcare services specifically in orthodontic treatment.
目的:本研究的目的是评估患者对牙科大学MARA (UiTM)提供的正畸治疗的满意度,并确定影响其满意度的因素。方法:采用一份有效的调查问卷,对在该院正畸门诊接受全固定矫治器治疗的患者进行横断面研究。结果:最终样本包括105名受试者(答复率76%),其中26名男性和79名女性被选中,其中97%的受访者是马来人。大多数受试者正畸治疗时间超过1.5年(100%),仍佩戴固定矫治器(89%)。问卷内容包括:寻求正畸治疗的原因、正畸治疗满意度相关问题、医患关系、正畸治疗过程中的疼痛体验。在医患关系方面,91%的受访者对他们的正畸医生感到满意。受访者对术前解释的治疗方案回答“是”(91.4%),及时回答问题(94.3%),正畸医生(91.4%)和牙科助理(88.6%)的温和态度,正畸医生对治疗时间(90.5%)和费用(97.1%)的诚实态度,以及向他人推荐(90.5%)。结论:在牙科学院正畸门诊接受正畸治疗的患者总体上对治疗效果满意。然而,为了提供更好的保健服务,特别是在正畸治疗方面,这项服务仍有一些方面可以改进。
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引用次数: 0
Managing Unexpected Iatrogenic Opening of Anterior Bite During Active Orthodontic Treatment: A Case Report 在积极正畸治疗中处理意外的医源性前咬合开口:一例报告
Pub Date : 2020-09-01 DOI: 10.24191/cos.v7i0.17493
ND Mohd Ali, SH Abdul Ghani
Introduction: Orthodontic treatment even though managed and properly controlled , on some remote occasion may lead to presence of unwanted movement. Anterior open bite is one such example of an iatrogenic outcome. This article describes the management of an iatrogenic anterior open bite case that occurred in active orthodontic treatment in the early stage of leveling and aligning. A few modalities had been employed to manage the open bite through some artistic bends followed by the use of modified low transpalatal arch with extended looped arms with loops as well as orthodontic mini implants for distalisation and some intrusion mechanics. This case report is aimed to share authors’ anecdotal experience on overcoming the open bite.
简介:正畸治疗,即使管理和适当控制,在一些远程场合可能会导致不需要的运动存在。前牙开咬就是医源性结果的一个例子。这篇文章描述了一个医源性前开咬的情况下,发生在积极正畸治疗的早期阶段的水平和对准。一些模式已被采用,通过一些艺术弯曲来管理开放咬合,随后使用改良的低经腭弓和带环的延伸环臂,以及用于远端和一些侵入力学的正畸微型种植体。本病例报告旨在分享作者在克服开放性咬伤方面的轶事经验。
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引用次数: 0
Evaluation of Image Quality of Bitewing Radiographs taken by UiTM Dental Students UiTM牙科学生咬翼x线片图像质量评价
Pub Date : 2020-09-01 DOI: 10.24191/cos.v7i0.17492
Lha Rasid, S. Razak, Aaeid Ayoub, M. Kamaruzaman, NW Azmi
Objectives: To evaluate the quality of bitewing radiograph taken by Universiti Teknologi MARA (UiTM) dental students during daily clinical practices and to evaluate the difference in caries lesions found on bitewing radiographs and clinical examination. Materials and method: 120 patients who attended the undergraduate dental clinic for dental examination were included in this study. The inclusion criteria were patients within the age range of 17-45 years old, possessing at least three sets of posterior teeth, with bitewing radiographs taken by undergraduate dental students. The number of caries lesions detected by clinical examination, bitewing radiographs, and a combination of both methods were recorded. The quality of 240 bitewing radiographs was classified into three categories; excellent, acceptable, and unacceptable. The frequency of radiographic errors; foreshortening/elongation, horizontal overlapping, inadequate film coverage, non-ideal centering and inadequate contrast and density were also evaluated. Results: The quality of bitewing radiographs are mostly accepted to be used as a diagnostic tool and one of the factors which commonly affected the quality of the bitewing is the overlapping of adjacent teeth. The highest number of caries lesions were detected radiographically (74%) compared with 25% caries by clinical examination. The majority of radiographs (71%, n=171) were deemed to be of acceptable quality, 39(16%) were excellent, and 30(13%) were diagnostically unacceptable. “Horizontal overlap” was the most common error detected on the radiographs (n=139, 57.9%), followed by “non-ideal centering” (n=93, 38.8%), “inadequate contrast” (n=46, 19.2%) and “inadequate film coverage” (n=24,10%). The highest number of caries lesions were detected radiographically (74%) compared with 25% caries by clinical examination. Conclusion: The quality of the majority of bitewing radiographs taken by undergraduate dental students in this institution is acceptable. However, given that more than half of the radiographs possessed horizontal overlapping error, caries diagnosis may have been underestimated. Further training and periodic audits are required to reduce the percentage of errors in bitewing radiographs amongst undergraduate dental students.
目的:评价理工大学(Universiti technologi MARA, UiTM)牙科学生在日常临床实践中所拍摄的咬翼x线片的质量,并评价咬翼x线片与临床检查所发现的龋齿病变的差异。材料与方法:选取120例在本科牙科门诊接受口腔检查的患者作为研究对象。纳入标准为年龄在17-45岁之间,至少有三套后牙,并有牙科本科学生拍摄的咬翼x线片。记录临床检查、咬牙x线片及两种方法联合检测到的龋齿病变数量。240张咬痕x线片质量分为三类;优秀,可接受和不可接受。射线照相误差的频率;预缩/伸长,水平重叠,膜覆盖不足,定心不理想,对比度和密度不足也进行了评价。结果:咬翼x线片质量被广泛接受作为诊断工具,邻牙重叠是影响咬翼质量的常见因素之一。x线检查发现的龋齿病变最多(74%),而临床检查发现的龋齿病变最多(25%)。大多数x线片(71%,n=171)被认为质量可接受,39张(16%)为优秀,30张(13%)诊断为不可接受。“水平重叠”是x线片上最常见的错误(n=139, 57.9%),其次是“不理想定心”(n=93, 38.8%)、“对比度不足”(n=46, 19.2%)和“胶片覆盖不足”(n=24,10%)。x线检查发现的龋齿病变最多(74%),而临床检查发现的龋齿病变最多(25%)。结论:我院本科牙科学生所拍摄的咬牙x线片多数质量尚可。然而,考虑到超过一半的x线片存在水平重叠错误,龋齿诊断可能被低估了。需要进一步的培训和定期审计,以减少本科牙科学生咬牙x线片的错误率。
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引用次数: 0
Antifungal Activities of Ziziphus mauritiana against Candida albicans: In Vitro Study 毛里求斯紫霉抗白色念珠菌活性的体外研究
Pub Date : 2020-09-01 DOI: 10.24191/cos.v7i0.17489
HB Said Gulam Khan, NI Mohd Sarmin, MH Arzmi, hfirah Amiruddin, AA Mohd Radzi
Medicinal plants have been discovered and used in traditional medicine and pharmaceutical industries since centuries. In the current study, Ziziphus mauritiana leaves was used as it is rich with many biological active compounds such as flavonoids, polyphenols, sapronins and tanins. Previous studies reported the antibacterial and antifungal effects of Z. mauritiana towards various microorganisms. However, the antifungal activities of Z. mauritiana methanol extracts on Candida albicans (Clinical and American Type Culture Collection Strains) have not been discovered extensively.Objectives: Therefore, the aim of the current study is to investigate the antifungal activity of Z. mauritiana leaves methanol extracts against C. albicans ATCC strain and clinical isolate (from oral cancer patient).Methods: Antifungal susceptibility test (AST) was performed using disc diffusion, minimum inhibitory concentration (MIC) and minimum fungicidal concentration (MFC) to determine the antifungal activity of methanol leaves extract of Ziziphus mauritiana against C. albicans ATCC and clinical isolates.Results: The results obtained showed that there is no zone of inhibition seen from disk diffusion test for both strains. However, the minimal inhibitory and minimal fungicidal concentration showed that Ziziphus mauritiana methanol extracts was able to inhibit C. albicans clinical isolate but not ATCC strain at 500mg/mL.Conclusion: The finding of this study suggests that that Ziziphus mauritiana leaves methanol extract showed promising results against Candida albicans. Thus, it can be used as a source for functional ingredients for pharmaceutical drug industries in-order to reduce or inhibit oral fungal infection.
药用植物被发现并用于传统医药和制药业已有几个世纪了。毛里求斯紫茎叶富含黄酮类化合物、多酚类化合物、皂苷类化合物、单宁类化合物等多种生物活性物质。以往的研究报道了毛里提纳菌对多种微生物的抗菌和抗真菌作用。然而,毛缕草甲醇提取物对白色念珠菌(临床和美国型培养收集菌株)的抑菌活性尚未被广泛发现。目的:本研究旨在探讨毛缕竹叶甲醇提取物对口腔肿瘤患者口腔白色念珠菌ATCC株和临床分离株的抑菌活性。方法:采用纸片扩散法、最小抑菌浓度法和最小杀真菌浓度法测定毛里求斯紫茎叶甲醇提取物对白色念珠菌ATCC及临床分离株的抑菌活性。结果:两种菌株的纸片扩散试验均未见抑菌区。然而,最小抑菌浓度和最小杀真菌浓度表明,在500mg/mL时,毛里求斯紫茎草甲醇提取物对临床分离的白色念珠菌有抑制作用,而对ATCC菌株没有抑制作用。结论:本研究结果表明,毛里求斯紫茎叶甲醇提取物对白色念珠菌具有良好的抑菌效果。因此,它可以用作制药工业的功能性成分的来源,以减少或抑制口腔真菌感染。
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引用次数: 1
An Audit of Paediatric Dental Patient Assessment and Recall in Faculty of Dentistry UiTM Sungai Buloh 儿科学牙科患者评估和召回的审计在牙医学院Sungai Buloh
Pub Date : 2019-09-01 DOI: 10.24191/cos.v6i0.17497
A. Shukri, M. Hassan, A. Venkiteswaran
Objective: To assess if the recall appointments and the use of radiographs for paediatric dental patients at Faculty of Dentistry, UiTM comply with current guidelines. Materials and Method: A retrospective study was conducted using patients’ dental records that were registered at the Faculty of Dentistry UiTM. The sample consisted of 350 randomly chosen treatment records of paediatric patients aged between birth and 16 years of age at the time of data collection which was in the year 2016. Data collection included demographic details, whom the cases were treated by, caries risk assessment, radiographs taken and time taken for the patient’s review appointments. Results: An initial sample size of 350 records were assessed. The mean age of patients seen when they were first seen is 6.3 years old. Caries Risk Assessment was not reported in majority of the cases (58%,). Baseline radiographs were taken in 44.6% of the cases. For the assessment of recall attendance, only samples with data on CRA was analysed (n=145). The review appointments at 3 months interval was 70% whereas at 6 months was 6.2% and one year recall was 6.7%. A chi-square test showed significant difference (p=0.013) between the category of operators for the 1-year review whereby review was higher among students and specialists as compared to dental officers. Conclusion: This study shows poor adherence to the recommended recall protocol as suggested by NICE and AAPD guidelines. Further studies need to be done to assess the patients’ and clinicians awareness regarding the recall protocol and determine the problems causing poor recall attendance.
目的:评估UiTM牙科学院儿科牙科患者的召回预约和x线片使用是否符合现行指南。材料和方法:回顾性研究使用在澳门牙医学院注册的患者牙科记录。样本包括350个随机选择的儿童患者的治疗记录,这些患者在数据收集时的年龄为2016年出生至16岁。收集的数据包括人口统计细节、治疗病例的医生、龋齿风险评估、拍摄的x光片和患者复查预约所需的时间。结果:评估了350条记录的初始样本量。患者首次就诊时的平均年龄为6.3岁。大多数病例(58%)未报告龋病风险评估。基线x线片占44.6%。对于召回出勤率的评估,仅分析具有CRA数据的样本(n=145)。3个月复查预约率为70%,6个月复查预约率为6.2%,1年复查预约率为6.7%。卡方检验显示,在1年的评估中,操作员类别之间的差异有统计学意义(p=0.013),其中学生和专家的评估高于牙科医生。结论:本研究显示,NICE和AAPD指南所建议的召回方案的依从性较差。需要做进一步的研究来评估患者和临床医生对召回方案的认识,并确定导致召回出席率低的问题。
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引用次数: 0
Prevalence of Bimaxillary Protrusion among UiTM Orthodontic Patients UiTM正畸患者双颌前突的患病率
Pub Date : 2019-09-01 DOI: 10.24191/cos.v6i0.17494
RM Othman, Naa Koay, Shahab Ghani, NH Norman
Objective: To determine the prevalence of bimaxillary protrusion in general and the prevalence of skeletal Class I and dental Class I bimaxillary protrusion/ proclination among orthodontic patients attending postgraduate orthodontic clinic at Faculty of Dentistry, Universiti Teknologi MARA (UiTM), Sungai Buloh, Malaysia. Materials and Methods: This is a cross sectional study which was carried out in two stages. The first part involves a random selection of 100 extra-oral profile photographs taken from postgraduate orthodontic residents’ patient list. The photographs were taken using Canon digital SLR camera EOS 70D with macro lens EF 100mm (Canon Inc., Tokyo, Japan) with patients in natural head position. The photographs were visually analysed for its bimaxillary protrusion features by two operators. The second part comprises of analyses of extra-oral profile photographs as well as intra-oral photographs of right buccal segment view which was conducted in two separate sittings. In the first sitting, five assessors analysed 259 extra - and intra-oral photographs followed by 40 photographs assessed in the second sitting for skeletal and dental Class I bimaxillary protrusion/ proclination. Statistical analysis for Kappa score was performed to assess the agreement between assessors using SPSS version 23 and Stata version 13. Results: The first part of the study showed an average prevalence of 34% with bimaxillary protrusion in 100 orthodontic patients. Whilst in the second part, prevalence of skeletal and dental Class I bimax ranging from 28-33 per cent and 38-40 percent respectively with very good and good inter-reliability agreement for both component. Conclusion: The prevalence of bimaxillary protrusion in general among UiTM orthodontic patients was found to range from 31 percent to 37 percent. Whilst the prevalence of skeletal and dental Class I bimax ranging from 28-33 percent and 38-40 percent respectively.
目的:了解马来西亚Sungai Buloh市玛拉理工大学(UiTM)牙科学院研究生正畸门诊就诊的正畸患者中一般双颌前突的患病率以及骨骼I类和牙齿I类双颌前突/前倾的患病率。材料与方法:本研究为横断面研究,分两个阶段进行。第一部分包括从研究生正畸住院医师患者名单中随机选择100张口腔外侧面照片。照片使用佳能数码单反相机EOS 70D和EF 100mm微距镜头(佳能公司,东京,日本)拍摄,患者处于自然头部位置。两名操作人员对其双颌突出特征进行了视觉分析。第二部分包括分析口腔外侧面照片和口腔内照片的右颊段视图,这是在两个单独的坐姿进行。在第一次会议上,五名评估员分析了259张口腔外和口腔内照片,随后在第二次会议上评估了骨骼和牙齿I类双颌前伸/前倾的40张照片。采用SPSS version 23和Stata version 13对Kappa评分进行统计分析,评估评估者之间的一致性。结果:研究的第一部分显示100例正畸患者中双颌前突的平均患病率为34%。而在第二部分中,骨骼和牙齿I类的患病率分别从28- 33%和38- 40%不等,这两个组件的相互可靠性协议非常好。结论:在UiTM正畸患者中,双颌前突的发生率为31% ~ 37%。而骨骼和牙齿I类患病率最高,分别为28- 33%和38- 40%。
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Compendium of Oral Science
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