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Evaluation of Root Debridement Skill in Periodontology Module 牙周学模块牙根清创技术评价
Pub Date : 2019-09-01 DOI: 10.24191/cos.v6i0.17496
E. Noor, F. Al-Bayaty, Mqm Shukri, M. Zulkiflee
Objective: To evaluate the root debridement skill in periodontology pre-clinical module among dental students and to estimate the effectiveness of conducting periodontology pre-clinical module before entering clinical module. Materials and Method: A total of 47 pre-clinical dental students (Year 2) were included in this study. Single rooted extracted teeth were collected, mounted on acrylic resin and set into the level of 1/3 of the root length. Each of them were instructed to prepare a mounted teeth and to perform root debridement procedure on the labial surface of the tooth only within 10 minutes using Gracey curette #5/6. The similar samples were distributed back to the same students (which were already in clinical year (year 4) to repeat the same procedure on the lingual surface of the same tooth. Root surface roughness was evaluated by using scanning electron microscope (SEM) and profilometer for both labial and lingual surfaces. Statistical analysis was done using Mann-Whitney U test and T-test. Significance level of p ≤ 0.05 was assumed for all analysis. Results: SEM photomicrographs of root surfaces with magnifications of 100x and 800x revealed that there were incomplete removal of the dental calculus in both surfaces and significant roughness root surfaces noted. Conclusion: No significant differences noted between the students’ root debridement skill in the pre-clinical and also clinical year. Objectives of the current module were fulfilled but in order to meet the highest standard, current module need to be improved in the future.
目的:评价牙科专业学生牙周病临床前期牙根清创水平,评价进入临床前牙周病临床前期牙根清创的效果。材料与方法:本研究共纳入47名临床前牙科二年级学生。收集拔除的单根牙齿,固定在丙烯酸树脂上,设置为根长1/3的水平。每个人都被指示准备一个固定的牙齿,并在10分钟内使用Gracey刮匙对牙齿的唇面进行牙根清创手术。相似的样本被分发给相同的学生(他们已经在临床年(4年)),在同一颗牙齿的舌面重复相同的程序。采用扫描电子显微镜(SEM)和轮廓仪对唇、舌根表面粗糙度进行评价。统计学分析采用Mann-Whitney U检验和t检验。所有分析假设p≤0.05的显著性水平。结果:100倍和800倍放大的牙根表面扫描电镜照片显示,牙石在两种表面均未完全去除,且牙根表面明显粗糙。结论:学生牙根清创技术在临床前和临床年度均无显著差异。当前模块的目标已经完成,但为了达到最高标准,当前模块需要在未来进行改进。
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引用次数: 0
Reliability of the Pressure Indicating Film for Occlusal Force Analysis: A Pilot Study 压力指示膜用于咬合力分析的可靠性:一项初步研究
Pub Date : 2019-09-01 DOI: 10.24191/cos.v6i0.17495
R. Idris, NI Tasri, SF Yusof, TW Lim, Y. Shoji
Objective: The aim of this study was to evaluate the reliability of the pressure indicating film in measuring pressure exerted on it with and without Polyethylene (PE) sleeve as infection control purposes, and to analyze the pressure produced with its software for occlusal force study. Materials and Methods: The optimization of the pressure indicating film for occlusal force analysis commenced with the design and calibration of this sheet. The film was designed into horseshoe shape to suit the shape of maxillary and mandibular arches. The calibration was initiated with 5 different types of pressure which were 15 MPa, 25 MPa, 30 MPa, 35 MPa and 45 MPa exerted on two groups of the film: (i) with PE sleeve and (ii) without PE sleeve. Three readings were recorded for each group and mean value was documented. Then, the films were calibrated by its software for pressure analysis. Results: There was no significance difference found between the film with and without PE sleeve during the calibration stage (P>0.05). In all groups of pressure, there was no significant difference documented between pressure exerted and read out value. Conclusion: The results suggested that the film can be used for occlusal force analysis and improvement of the film with addition of PE sleeve for hygienic purpose is suitable to form the basis of clinical occlusal forces study.
目的:评价压力指示膜在有聚乙烯(PE)套和无聚乙烯(PE)套的情况下对其施加压力作为感染控制目的的可靠性,并分析其软件产生的压力用于咬合力研究。材料和方法:优化的压力指示膜的咬合力分析开始于该片的设计和校准。薄膜被设计成马蹄形,以适应上颌和下颌弓的形状。在两组薄膜上分别施加15 MPa、25 MPa、30 MPa、35 MPa和45 MPa 5种不同的压力(1)有PE套筒和2)不带PE套筒。每组记录三次读数并记录平均值。然后,通过其压力分析软件对薄膜进行校准。结果:带PE套筒与不带PE套筒的膜在校正阶段无显著性差异(P>0.05)。在所有压力组中,施加压力和读出值之间没有显著差异。结论:该膜可用于牙合力分析,添加PE卫生套筒对膜进行改进,可作为临床牙合力研究的基础。
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引用次数: 1
Influence of Perinatal and other Factors in the Aetiology of Molar Incisor Hypomineralisation 围生期及其他因素对磨牙切牙低矿化病因的影响
Pub Date : 2019-09-01 DOI: 10.24191/cos.v6i0.17498
R. Halim, B. Drummond, W. Thomson
Objective: The aims of this study were to compare associations between dental health and pregnancy circumstances, birth history and early childhood health in children with and without Molar-Incisor Hypomineralisation (MIH). Methods: A matched case-control (n=101) study investigated perinatal and early childhood factors that could be associated with development of MIH. Case group (n=46) children (with MIH) were identified from the University of Otago Paediatric Dentistry Clinic. Control group (n=55) children (matched for age and gender, and with no signs of MIH) were selected from another clinic. Clinical examination recorded dental enamel defects and caries status. Pregnancy history and the child’s development and medical history were recorded by questionnaire. Mothers and children’s birth records were examined. Results: There were no significant socio-demographic differences between case or control groups. Children diagnosed with MIH had more problems at birth, including oxygen deprivation, one or more signs of foetal distress, premature birth or low birth weight. More mothers of MIH children had received drugs during delivery, including nitrous oxide, pethidine, or antibiotics. Conclusion: In this study, premature birth was found to be significantly associated with the occurrence of MIH.
目的:本研究的目的是比较有和没有磨牙-门牙低矿化(MIH)的儿童的牙齿健康与妊娠情况、出生史和儿童早期健康之间的关系。方法:一项匹配的病例对照研究(n=101)调查了可能与MIH发展相关的围产期和幼儿期因素。病例组(n=46)来自奥塔哥大学儿科牙科诊所的儿童(MIH)。对照组(n=55)儿童(年龄和性别匹配,无MIH症状)从另一家诊所选择。临床检查记录牙釉质缺损及龋齿情况。采用问卷调查方式记录妊娠史、儿童发育及病史。研究人员检查了母亲和孩子的出生记录。结果:病例组和对照组之间没有显著的社会人口统计学差异。被诊断为MIH的儿童在出生时有更多的问题,包括缺氧、一种或多种胎儿窘迫的迹象、早产或低出生体重。更多的MIH儿童的母亲在分娩时接受了药物治疗,包括一氧化二氮、哌嗪或抗生素。结论:本研究发现早产与MIH的发生有显著相关性。
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引用次数: 0
Periodontal Referral Pattern in Periodontal Specialist Clinic in Faculty of Dentistry, Universiti Teknologi MARA (UiTM): A Retrospective Pilot Study 科技大学牙科学院牙周专科门诊的牙周转诊模式:一项回顾性试点研究
Pub Date : 2018-09-01 DOI: 10.24191/cos.v5i0.17506
E. Noor, N. Kamaruzaman, Nsm Jeffri, Nnn Eezammudden, N. Noh
Objectives: Periodontitis is a chronic disease which remain undiagnosed and untreated without proper examination and referral to specialist clinic for further management Therefore, this study was conducted to evaluate the pattern of referrals to Universiti Teknologi MARA (UiTM) Periodontal Specialist Clinic. Materials and methods: A total of 176 periodontal cases referred to UiTM Periodontal Specialist Clinic in year 2011 and 2016 were identified and patient’s referral forms were collected. The data obtained were the referred cases from undergraduate student clinics, other specialist clinics, UiTM primary dental care clinic and private dental clinics. Descriptive data analysis was conducted using frequency distribution by SPSS. Chi square analysis was used to evaluate the association of source of referral, diagnosis and reason for referrals to Periodontal Specialist Clinic. Results: There was increased referral cases to Periodontal Specialist Clinic in 2016 (86.9%) compared to 2011 (13.1%). Most referral to Periodontal Specialist Clinic were received from faculty’s undergraduate student clinic in both 2011 and 2016 (46%), followed by other specialists (27.3%), primary care clinic (25.6%) and private practice (1.1%). 96% of cases were referred for intervention by periodontist as more than half of the cases were referred for the non-surgical periodontal treatment. Chi square analysis showed the association between source of referral and reason for referral was statistically significant (p value=0.000). Conclusion: Proper periodontal screening in all patients and necessary referral to specialist clinic is crucial to prevent undiagnosed periodontal disease.
目的:牙周炎是一种慢性疾病,如果没有适当的检查和转诊到专科诊所进行进一步治疗,就无法诊断和治疗。因此,本研究旨在评估转诊到Universiti technologii MARA (UiTM)牙周病专科诊所的模式。材料与方法:收集2011年和2016年到我院牙周专科门诊就诊的176例牙周病例,收集患者转诊表。所收集的资料是由本科生诊所、其他专科诊所、联合牙医学院初级牙科诊所及私家牙科诊所转介的个案。描述性数据分析采用SPSS软件进行频率分布分析。采用卡方分析评价转诊来源、诊断和转诊原因与牙周专科门诊的关系。结果:2016年牙周专科门诊转诊病例数(86.9%)较2011年(13.1%)有所增加。2011年和2016年,转诊到牙周专科诊所的大多数来自学院本科生诊所(46%),其次是其他专科诊所(27.3%)、初级保健诊所(25.6%)和私人诊所(1.1%)。96%的病例接受了牙周病医生的干预,超过一半的病例接受了非手术牙周治疗。卡方分析显示转诊来源与转诊原因的相关性有统计学意义(p值=0.000)。结论:对所有患者进行适当的牙周筛查和必要的专科转诊对预防未确诊的牙周病至关重要。
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引用次数: 0
Removal of Failed Dental Implant with Application of Concentrated Growth Factor (CGF): A Case Report 应用浓缩生长因子(CGF)去除失败种植体1例报告
Pub Date : 2018-09-01 DOI: 10.24191/cos.v5i0.17507
N. Yusof, Mahmoud Masri, E. Noor
Introduction: High survival rates of dental implants were commonly reported even after 10 years of follow up. Nevertheless, complications and failure may occur and the implant would need to be removed. In recent years, the use of autogenous blood products in dental surgery has increased due to its ability to aid the healing of the soft and hard tissues. Clinical case: The case demonstrated the utilisation of concentrated growth factor (CGF) from the patient’s blood for healing following conservative removal of a failed dental implant. Subsequently, the patient showed satisfactory recovery without any infections and clinical complaints. Conclusion: This explantation procedure, together with the use of CGF, may prevent the normal bone resorption and accelerate soft tissue healing. As it is biological in nature having originated from the patient’s blood, it is more readily accepted by the tissues and the risk of infection is low.
导读:种植体术后随访10年仍有较高的成活率。然而,并发症和失败可能会发生,种植体需要被移除。近年来,自体血液制品在牙科手术中的使用有所增加,因为它能够帮助软组织和硬组织愈合。临床病例:该病例展示了利用患者血液中的浓缩生长因子(CGF)在保守移除失败的牙种植体后进行愈合。术后患者恢复良好,无感染及临床主诉。结论:体外移植术配合CGF的使用,可阻止骨的正常吸收,促进软组织的愈合。由于它是生物性质的,来源于病人的血液,它更容易被组织接受,感染的风险很低。
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引用次数: 0
Effects of Antihypertensive Drugs on Alveolar Bone Loss in Patients with Chronic Periodontitis: A Retrospective Study 抗高血压药物对慢性牙周炎患者牙槽骨丢失的影响:回顾性研究
Pub Date : 2018-09-01 DOI: 10.24191/cos.v5i0.17505
F. Al-Bayaty, OE Ibrahim, C. William, N. Khairuddin
Objective: This retrospective study aims to evaluate the possible effects of antihypertensive drugs on alveolar bone loss in patients with chronic periodontitis. Methods: 50 patients on antihypertensive drugs selected as the experimental group and 50 patients with chronic periodontitis with no known systemic illnesses as control group were randomly selected as the study samples. Orthopantomographs were obtained, calibration and assessment of alveolar bone loss was performed by using the computer software program available in the faculty, through radiographic linear measurement procedure. Premolars, first and second molars of both maxilla and mandible were measured from the most apical point to the cementoenamel junction for mesial and distal aspects in the form of millimetres and percentile of the root length. Data was statistically analyzed using independent t-test and Analysis of Covariance in SPSS Version 23 with significance at P-value, p<0.05. Results: A total of 2428 sites were measured. Analysis has shown that there is significant difference in alveolar bone loss in experimental group and control group (p=0.002). Bone loss in the experimental group was less (16.28 ± 9.48) compared to the control group (22.66 ± 12.58). Within the experimental group, there was no significant difference for the duration of antihypertensive drug intake. However, the bone loss was more among the males (19.71 ± 11.22) than the females (12.99 ± 5.99). Conclusion: Antihypertensive drugs appear to have a positive effect on alveolar bone loss progression. Patients under these drugs exhibit lower levels of bone loss compared to those who are not.
目的:回顾性研究抗高血压药物对慢性牙周炎患者牙槽骨丢失的影响。方法:随机选取50例服用降压药的患者作为实验组,50例未见全身性疾病的慢性牙周炎患者作为对照组。通过放射学线性测量程序,使用学院提供的计算机软件程序进行牙槽骨丢失的校准和评估。测量上颌和下颌骨的前磨牙、第一磨牙和第二磨牙,从最尖端到牙髓-牙釉质交界处的近端和远端,以毫米和根长百分位数的形式进行测量。数据采用独立t检验和SPSS Version 23协方差分析进行统计学分析,p值显著,p<0.05。结果:共测量2428个位点。经分析,实验组与对照组牙槽骨丢失有显著性差异(p=0.002)。实验组骨量损失(16.28±9.48)小于对照组(22.66±12.58)。在实验组内,抗高血压药物摄入时间的差异无统计学意义。男性骨质流失(19.71±11.22)高于女性(12.99±5.99)。结论:降压药对牙槽骨丢失的进展有积极作用。服用这些药物的患者表现出较低的骨质流失水平。
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引用次数: 0
Caries Preventive Interventions in Community-Dwelling Elders: A Systematic Review 社区长者预防龋病干预:系统回顾
Pub Date : 2018-09-01 DOI: 10.24191/cos.v5i0.17503
Emila Yusof, LM May, A. Walls
Objective: To conduct a systematic review of identifying the clinical efficacy of caries preventive interventions in community-dwelling elders. Background: As the human lifespan increases, the elders are known to retain their teeth for longer. Therefore, the need to uncover effective ways of preventing caries among this age group is relevant. Methods: A search was conducted using four databases: Cochrane, MEDLINE, EMBASE and Web of Science using the keywords (caries OR demineralization) AND prevention AND (adult OR aged). The titles and abstracts were initially screened for the use of caries prevention interventions. Studies were excluded based on the predetermined criteria. The full texts of the remaining studies were then evaluated. Results: Of 6952 articles identified from the search, fifty full texts were evaluated. Finally, ten studies were analyzed. One study found rinsing with 0.05% of NaF twice daily resulted in lower coronal caries increment. Another study reported the use of 1,100 ppm of NaF dentifrice twice daily showed lower percentage of coronal and root caries. A reduction of root caries was observed from using 5,000 ppm fluoridated toothpaste twice daily, annual professional 38% SDF solution application, six-monthly professional cleaning and APF gel application. The use of 0.12% CHX rinse and xylitol chewing gum did not show reduction of caries incidence. Conclusion: Toothbrushing with 5,000 ppm of NaF dentifrice, rinsing with 0.05% NaF, professional application of 38% SDF solution and APF gel may be effective at preventing caries among the elders.
目的:对社区老年人预防龋病干预措施的临床效果进行系统评价。背景:随着人类寿命的延长,老年人保留牙齿的时间也更长。因此,有必要在这一年龄组中发现预防龋齿的有效方法。方法:采用Cochrane、MEDLINE、EMBASE和Web of Science 4个数据库进行检索,检索关键词为龋齿或脱矿,预防和(成人或老年)。最初对标题和摘要进行筛选,以用于预防龋齿的干预措施。根据预先确定的标准排除研究。然后对其余研究的全文进行评估。结果:在检索到的6952篇文章中,评估了50篇全文。最后,对10项研究进行分析。一项研究发现,每天用0.05%的NaF冲洗两次,可以降低冠状齿的增加。另一项研究报告称,每天两次使用1100 ppm的NaF牙膏,冠状和牙根蛀牙的比例较低。每天两次使用5000 ppm的含氟牙膏,每年使用38%的SDF专业溶液,每6个月使用专业清洁和APF凝胶,可以减少牙根龋病。使用0.12% CHX漱口水和木糖醇口香糖并没有减少龋齿的发生率。结论:用5000 ppm NaF牙膏刷牙、0.05% NaF漱口、38% SDF溶液和APF凝胶专业应用可有效预防老年人龋病。
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引用次数: 0
Selective Occlusal Features of Primary Dentition in Malay Children at a Centre in Sungai Buloh 双溪布洛一中心马来儿童初级牙列选择性咬合特征
Pub Date : 2018-09-01 DOI: 10.24191/cos.v5i0.17504
FH Azamzaki, N. Baharuddin, S. Tandon, A. Venkiteswaran
Objectives: To determine the different occlusal characteristics in primary dentition of 3 to 6 year old Malay children and to create a preliminary database for future Malaysian studies as currently none of the studies has been conducted in Malaysian population regarding the occlusal features in primary dentition. Materials and method: The subjects were within the age ranging from 3 – 6 years old attending nurseries and kindergartens located within Sungai Buloh, Selangor. Sixty subjects were screened but only 47 fulfilled the criteria to be included in this study. Intra-oral examination was done to determine the terminal plane, canine relationship, overjet, overbite and primate space in the subjects. Results: Almost two thirds of the subjects (72.34%) presented with straight terminal plane. All but one subject were observed with Class I canine relationship. 61.7% subjects were with an ideal overjet and 53.19% of subjects had an ideal overbite. The mean value for primate space in the maxilla was 2.92mm and 1.60mm in the mandible. There was no significant difference between gender in all the parameters assessed. Conclusion: The results from the study shown that only few of the subjects had a tendency of malocclusion in their permanent dentition. However, a longitudinal study should be done to follow up their occlusal feature in the permanent dentition.
目的:确定3至6岁马来儿童初级牙列的不同咬合特征,并为未来的马来西亚研究创建初步数据库,因为目前还没有在马来西亚人口中进行关于初级牙列咬合特征的研究。材料和方法:研究对象年龄在3 - 6岁之间,在雪兰莪州双溪布洛的托儿所和幼儿园就读。60名受试者被筛选,但只有47名符合纳入本研究的标准。口腔内检查确定受试者的末端平面、犬科关系、上喷、上咬合和灵长类空间。结果:近三分之二(72.34%)的患者终末平面呈直线。除一名受试者外,其余受试者均为ⅰ类犬类关系。61.7%的人有理想覆盖,53.19%的人有理想覆盖。灵长类动物上颌骨空间均值为2.92mm,下颌骨空间均值为1.60mm。在所有评估的参数中,性别之间没有显著差异。结论:本研究结果显示,只有少数受试者在恒牙列有错牙合倾向。然而,纵向研究应做跟进他们的咬合特征在恒牙列。
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引用次数: 0
Oral Health Related Quality of Life Assessment in Orthodontic Patients with Anchorage Reinforcement 固支加固正畸患者口腔健康相关生活质量评价
Pub Date : 2017-09-01 DOI: 10.24191/cos.v4i0.17509
Nfm Nor, SD Sinniah, MM Dasor
Objectives: To assess oral health related quality of life (OHRQoL) among orthodontic patients who had been allocated into three methods of orthodontic anchorage; transpalatal arch (TPA), modified TPA-Nance (TPA-Nance) and mini-implant (MI). Materials and Methods: This study was conducted in Faculty of Dentistry, Universiti Teknologi MARA, Sungai Buloh and Puncak Perdana campus. Thirty-six orthodontic patients with anchorage requirement between 18 and 30 years old were recruited. The subjects were equally divided into three groups, which included 28 females and 8 males. The assessment of patients’ oral health related quality of life (OHRQoL) towards the anchorage supplementation using modified oral health impact profile (S-OHIP-14) questionnaires were carried out. The questionnaire was given at two time points, which was before the insertion of the allocated anchorage regime (T0) and after a week of insertion of the allocated anchorage regime (T1). Results: There was no statistical significant difference on functional limitation, physical pain, psychological discomfort, physical disability, psychological disability, social disability and handicap domains of OHIP-14 questionnaire between the three anchorage groups (p>0.05). Conclusion: The OHRQoL patterns, during the treatment with the anchorage reinforcement were very similar. This suggests that TPA, TPA-Nance and MI do not affect patients’ OHRQoL. The OHRQoL trends observed during the study can be communicated to patients and used to increase patients’ compliance since they are made aware of the whole treatment process.
目的:评价正畸患者口腔健康相关生活质量(OHRQoL)。经腭弓(TPA)、改良TPA- nance (TPA- nance)和mini-implant (MI)。材料与方法:本研究在泰国国立玛拉理工大学牙科学院、Sungai Buloh和Puncak Perdana校区进行。选取年龄在18 ~ 30岁之间有支具需求的正畸患者36例。研究对象被平均分为三组,其中包括28名女性和8名男性。采用改良的口腔健康影响量表(S-OHIP-14)评估患者对固支剂补充的口腔健康相关生活质量(OHRQoL)。问卷在两个时间点进行,即分配锚固剂插入前(T0)和分配锚固剂插入一周后(T1)。结果:3个支具组在OHIP-14问卷功能限制、身体疼痛、心理不适、身体残疾、心理残疾、社交残疾、障碍域等方面比较,差异均无统计学意义(p>0.05)。结论:支抗加固治疗期间的OHRQoL模式非常相似。这表明TPA、TPA- nance和MI对患者的OHRQoL没有影响。研究期间观察到的OHRQoL趋势可以传达给患者,并用于提高患者的依从性,因为他们了解整个治疗过程。
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引用次数: 0
Oral Health-related Quality of Life (OHRQoL) of Patients undergoing Micro-osteoperforations (MOPs) to Accelerate Orthodontic Space Closure 微创骨手术加速正畸间隙闭合患者口腔健康相关生活质量(OHRQoL
Pub Date : 2017-09-01 DOI: 10.24191/cos.v4i0.17510
Sbs Bakhtiar, NH Norman, Shahab Ghani, Bam Sabri
Objectives: To assess and compare the oral health-related quality of life (OHRQoL) of orthodontic patients who had and had not undergone micro-osteoperforations (MOPs) during orthodontic space closure. Methods: 27 orthodontic patients with fixed appliance who are undergoing orthodontic space closure with Niti coil springs were given the validated short version of the Oral Health Impact Profile (Malaysia) Questionnaire (S-OHIP) which was available in both Bahasa Melayu and English, containing 14 items. 17 patients underwent MOPs (MOP group) while 10 patients did not (control). Additive scores (ADD) were calculated by summing the response codes for the 14 items and simple count scores (SC) were calculated by a count of the number of items reported as occurring ‘quite often’ and ‘very often’. Results: A total of 24 patients responded to the questionnaire, with a response rate of 88.9%, and they comprised of 79.2% females and 20.8% males. There is no significant difference in the mean ADD (p = 0.347) and mean SC (p = 0.446) across both groups. Conclusions: The reported oral health-related quality of life is similar for orthodontic patients who did and did not undergo MOPs.
目的:评估和比较正畸患者在正畸间隙关闭期间进行和未进行微骨手术(MOPs)的口腔健康相关生活质量(OHRQoL)。方法:对27例使用固定矫治器行Niti螺旋弹簧正畸间隙封闭术的正畸患者发放经验证的马来西亚口腔健康影响调查问卷(S-OHIP),该问卷以马来文和英文提供,包含14项内容。17例患者行MOPs (MOP组),10例患者未行MOPs(对照组)。加法得分(ADD)是通过将14个项目的回答代码相加来计算的,简单计数得分(SC)是通过对报告为“经常”和“非常经常”的项目的数量进行计数来计算的。结果:共有24例患者回复问卷,应答率为88.9%,其中女性79.2%,男性20.8%。两组平均ADD (p = 0.347)和平均SC (p = 0.446)差异无统计学意义。结论:报告的口腔健康相关生活质量在接受和未接受MOPs的正畸患者中是相似的。
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引用次数: 0
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Compendium of Oral Science
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