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The Largest Minority Population With Unmet Oral Health Needs? Individuals With Disabilities. 未满足口腔健康需求的最大少数群体?残疾人。
Pub Date : 2021-09-01 DOI: 10.2105/9780875533063ch07
S. Perlman, Allen Wong, J. Dillenberg, Rick Rader
People with disabilities develop the same health problems that affect the general population. Some may be more susceptible to developing chronic conditions because of the influence of behavioral risk factors such as increased physical inactivity. In addition, people with disabilities are more likely to be overweight or obese and to smoke. People with disabilities are at a greater risk of being a victim of violence than those without disabilities. The oral health of many people with disabilities is poor, and access to dental care is limited.
残疾人的健康问题与一般人一样。有些人可能更容易患上慢性疾病,因为行为风险因素的影响,如缺乏身体活动的增加。此外,残疾人更有可能超重或肥胖并吸烟。残疾人比正常人更有可能成为暴力的受害者。许多残疾人的口腔健康状况很差,获得牙科保健的机会有限。
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引用次数: 0
Diagnosis and treatment of molar incisor hypomineralization. 磨牙切牙低矿化的诊断与治疗。
Pub Date : 2015-06-05 DOI: 10.1002/9781118998199.CH12
K. Mathu-Muju, J. T. Wright
Molar incisor hypomineralization (MIH) is a relatively common condition that varies in clinical severity and can result in early loss of the permanent 6-year molars. The etiology of MIH remains unclear, and the diagnosis can be confused with more generalized enamel defects such as those that occur in amelogenesis imperfecta. The management of MIH depends largely on the severity of the enamel defect. Degrees of hypomineralization can range from mild enamel opacities to enamel that readily abrades from the tooth as it emerges into the oral cavity. Usually, severely affected molars are extremely hypersensitive, prone to rapid caries development, and can be difficult to manage in young patients. The purpose of this article is to review approaches to diagnosing and treating MIH.
磨牙低矿化(MIH)是一种相对常见的疾病,临床严重程度不同,可导致6岁恒磨牙早期脱落。MIH的病因尚不清楚,其诊断可能与更广泛的牙釉质缺陷混淆,如发生在淀粉性不完全性牙釉质缺陷的牙釉质缺陷。MIH的治疗很大程度上取决于牙釉质缺损的严重程度。低矿化的程度可以从轻微的牙釉质混浊到牙釉质在牙齿进入口腔时容易磨损。通常,严重受影响的磨牙非常敏感,容易迅速龋齿发展,并且在年轻患者中可能难以管理。本文的目的是回顾诊断和治疗MIH的方法。
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引用次数: 152
Postoperative hypersensitivity and its relationship to preparation variables in Class I resin-based composite restorations: findings from the practitioners engaged in applied research and learning (PEARL) Network. Part 1. I类树脂基复合修复体术后超敏反应及其与制备变量的关系:来自应用研究与学习(PEARL)网络从业人员的研究结果。第1部分。
Pub Date : 2013-03-01 DOI: 10.12816/0010811
G. Berkowitz, H. Spielman, Abigail G Matthews, D. Vena, R. Craig, F. Curro, V. Thompson
BACKGROUNDThis study investigated postoperative hypersensitivity at 1, 4, and 13 weeks following resin-based composite (RBC) restorations of occlusal caries and its relationship with prepreparation (baseline) sensitivity and preparation-related variables, including dentin caries activity, cavity dimension and volume, and lesion radiographic visibility.METHODSInvestigators in a practice-based research network enrolled patients with occlusal caries deemed to require operative treatment. The 45 dental practitioners then placed restorations using their preferred techniques. Complete baseline data on 665 restorations from 602 patients included patient-reported sensitivity (pre-preparation); dentists' ranking of dentin caries on opening the enamel; measurements of preparation depth, width, and length; and patient demographics. At 1, 4, and 13 weeks post-treatment, patients anonymously reported any sensitivity to hot and cold stimuli, sweets, clenching, and chewing, as well as quality-of-life indicators related to the restorations.RESULTSAt baseline, 30% of teeth had reported sensitivities of ≥3 on an anchored scale from 0 to 10 points and were designated as appreciable hypersensitivity (AH). Appreciable hypersensitivity at baseline was related to lesion radiographic visibility and patient age but not to dentin caries activity ranking, type of posterior tooth, gender, or race/ethnicity. Patients reported on 491 restorations at 4 weeks post-treatment--18% had AH. Of those who had AH, 39% (34 of 87) had no baseline AH. With restoration, 63% of teeth with baseline AH no longer had AH. Changes in AH were not associated with preparation depth, length, width, or volume.CONCLUSIONPatient-reported occlusal caries tooth sensitivity was high at baseline and eliminated by RBC restoration in 63% of cases; however, new sensitivity after restoration was reported in 10% of lesions that had none at pretreatment. Sensitivity was not related to preparation dimensions, volume, tooth type, or patient demographics (other than age) in these early lesions.
本研究调查了树脂基复合材料(RBC)牙合龋修复术后1、4和13周的超敏反应及其与预备(基线)敏感性和预备相关变量的关系,包括牙本质龋活动、腔的尺寸和体积以及病变的x线成像可见度。方法研究人员在一个基于实践的研究网络中招募了被认为需要手术治疗的咬合龋齿患者。然后,45名牙科医生使用他们喜欢的技术放置修复体。来自602名患者的665个修复体的完整基线数据包括患者报告的敏感性(预准备);牙医对牙本质龋的排列顺序;制备深度、宽度和长度的测量;病人的人口统计。在治疗后1周、4周和13周,患者匿名报告对冷热刺激、甜食、握紧和咀嚼的敏感性,以及与修复体相关的生活质量指标。结果基线时,30%的牙齿在锚定评分(0 - 10分)上报告的敏感性≥3,被指定为明显超敏(AH)。基线时明显的超敏反应与病变的x线影像可见度和患者年龄有关,但与牙本质龋活动等级、后牙类型、性别或种族/民族无关。在治疗后4周,491例患者报告修复-18%患有AH。在患有AH的患者中,39%(87人中34人)没有基线AH。修复后,63%基线AH的牙齿不再有AH。AH的变化与制备深度、长度、宽度或体积无关。结论患者报告的牙合龋在基线时牙齿敏感性高,63%的病例通过红细胞修复消除;然而,据报道,修复后10%的病变在预处理时没有新的敏感性。敏感性与这些早期病变的预备尺寸、体积、牙齿类型或患者人口统计学(年龄除外)无关。
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引用次数: 16
Mineral trioxide aggregate: a review of physical properties. 矿物三氧化骨料:物理性质综述。
Pub Date : 2013-02-01 DOI: 10.53730/ijhs.v5ns1.5502
N. Malhotra, A. Agarwal, K. Mala
The purpose of this two-part series is to review the composition, properties, products, and clinical aspects of mineral trioxide aggregate (MTA) materials. Electronic search of scientific papers from January 1991 to May 2010 was accomplished using PubMed and MedLine search engines to include relevant scientific citations from the peer-reviewed journals published in English. MTA is a refined form of the parent compound, Portland cement (PC). It demonstrates a strong biocompatible nature owing to the high pH and its ability to form hydroxyapatite. MTA materials provide a better seal than traditional endodontic materials as observed in dye leakage, fluid filtration, protein leakage, and bacterial penetration leakage studies, and it has been recognized as a bioactive material. Currently a variety of MTA commercial products are available, including Proroot Gray MTA and White MTA both from DENTSPLY Tulsa Dental Specialties (www.DENTSPLY.com), and MTA Angelus (Angelus,www.angelus.ind.br). Although these materials are indicated for various dental uses/applications, long-term in-vivo clinical studies are still needed to claim the same. This first of this series highlights and discusses the composition, physical, and/or chemical properties of MTA. A subsequent article will offer an overview of the material aspect (commercial products) and clinical considerations for MTA materials.
这两部分系列的目的是回顾矿物三氧化物骨料(MTA)材料的组成,性能,产品和临床方面。使用PubMed和MedLine搜索引擎完成了1991年1月至2010年5月的科学论文的电子检索,包括来自同行评审的英文期刊的相关科学引文。MTA是母化合物波特兰水泥(PC)的精炼形式。由于高pH值和形成羟基磷灰石的能力,它表现出很强的生物相容性。在染料泄漏、液体过滤、蛋白质泄漏、细菌渗透泄漏等方面的研究表明,MTA材料比传统的根管材料具有更好的密封性,是一种生物活性材料。目前有多种MTA商业产品可供选择,包括DENTSPLY Tulsa Dental Specialties公司的Proroot Gray MTA和White MTA (www.DENTSPLY.com),以及MTA Angelus (Angelus,www.angelus.ind.br)。虽然这些材料用于各种牙科用途/应用,但仍需要长期的体内临床研究来声明相同。本系列的第一篇文章重点介绍并讨论了MTA的组成、物理和/或化学性质。随后的文章将概述材料方面(商业产品)和MTA材料的临床考虑。
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引用次数: 35
Peri-implant disease and cemented implant restorations: a multifactorial etiology. 种植体周围疾病和骨水泥种植体修复:多因素病因学。
Pub Date : 2013-01-01 DOI: 10.1007/978-3-642-55163-5_3
C. Wadhwani
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引用次数: 13
The new frontier. 新边疆。
Pub Date : 2010-09-01 DOI: 10.2307/j.ctv11hptkh.8
Edward F Rossomando
Ehiwario Efeyini Director and Senior Market Strategy Analyst Months on from the initial outbreak, the world remains in the grip of the novel coronavirus pandemic. From shuttered storefronts to school closures and government-enforced shutdowns, the impact on daily life worldwide has been extreme, and the global economy is still operating well below capacity. The scale of the crisis has been unparalleled in living memory. But a look at the past 100 years shows several periods of societal, economic, geopolitical and financial crisis that would eventually give way to new patterns of activity, innovation, policy support and cooperation that were more constructive for households, companies and investors. The early 20th century included a world war and a global flu pandemic. The 1930s saw an economic depression and military conflict on an even larger scale. The 1970s was a period of economic stagnation and high inflation. And the first decade of the new millennium brought the collapse of a stock market bubble, the rise of global terrorism and a financial crash. Crucially, each of these historical crisis periods was ultimately succeeded by an economic revival, a more favorable investment environment and sustained price gains for equity markets (Exhibit 1).
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引用次数: 0
Piezocision: a minimally invasive, periodontally accelerated orthodontic tooth movement procedure. 压切术:一种微创,牙周加速正畸牙齿移动程序。
Pub Date : 2009-07-01 DOI: 10.1002/9781118785652.CH15
S. Dibart, Jean-David M Sebaoun, J. Surmenian
An increasing number of adult patients have been seeking orthodontic treatment, and a short treatment time has been a recurring request. To meet their expectations, a number of surgical techniques have been developed to accelerate orthodontic tooth movement. However, these have been found to be quite invasive, leading to low acceptance in patients and the dental community. The authors are introducing a new, minimally invasive procedure, combining microincisions with selective tunneling that allows for hard- or soft-tissue grafting and piezoelectric incisions. This novel approach is leading to short orthodontic treatment time, minimal discomfort, and great patient acceptance, as well as enhanced, or stronger, periodontium. Because of the added grafting (bone and/or soft tissue), the periodontium is much thicker buccally.
越来越多的成年患者寻求正畸治疗,缩短治疗时间一直是一个反复出现的要求。为了满足他们的期望,许多外科技术已经开发出来,以加速正畸牙齿的运动。然而,这些已经被发现是相当侵入性的,导致低接受病人和牙科社区。作者正在介绍一种新的微创手术,将微切口与选择性隧道相结合,允许硬组织或软组织移植和压电切口。这种新颖的方法缩短了正畸治疗时间,减少了患者的不适,提高了患者的接受度,同时也增强了牙周组织。由于添加了移植物(骨和/或软组织),牙周组织在颊部更厚。
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引用次数: 269
Dental laser technology. 牙科激光技术。
Pub Date : 2008-10-01 DOI: 10.1089/lms.1984.2.2.19a
D. Fasbinder
Dental technology is rapidly affecting the treatment options available to patients. Dental lasers are an innovative technology for both hard- and soft-tissue treatment applications. The ability to recontour soft tissues efficiently and predictably with immediate hemostatsis and minimal postoperative sequelae is of value to both the dentist and the patient. This article reviews the principles of dental lasers, criteria to consider when selecting a dental laser, and some of their clinical applications.
牙科技术正在迅速影响患者的治疗选择。牙科激光是一项创新的技术,无论是硬组织和软组织的治疗应用。能够有效和可预测地重建软组织轮廓,立即止血,术后后遗症最小,这对牙医和患者都很有价值。本文综述了牙科激光器的原理,选择牙科激光器时要考虑的标准,以及它们的一些临床应用。
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引用次数: 17
Extreme makeovers. 极端的改版。
Pub Date : 2005-01-01 DOI: 10.1057/9781137493798.0008
H. Strassler, L. Rose, R. Goldstein
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引用次数: 0
Periodontal inflammation: from gingivitis to systemic disease? 牙周炎:从牙龈炎到全身性疾病?
Pub Date : 2004-07-01 DOI: 10.5772/37923
F. Scannapieco
There has been a resurgence of interest in recent years in the systemic effects of oral infections such as periodontal diseases. The study of the various means by which periodontal infections and inflammation may influence a variety of systemic conditions is collectively referred to as periodontal medicine. The periodontium responds to tooth-borne biofilm (dental plaque) by the process of inflammation. Dental biofilms release a variety of biologically active products, such as bacterial lipopolysaccharides (endotoxins), chemotactic peptides, protein toxins, and organic acids. These molecules stimulate the host to produce a variety of responses, among them the production and release of potent agents known as cytokines. These include interleukin-1 beta, interleukin-8, prostaglandins, and tumor necrosis factor-alpha. There is a spectrum of periodontal response to these molecules, from mild gingivitis to severe destructive periodontitis. These and other host products and responses may influence a variety of important disease pathways, including atherosclerosis, mucosal inflammation, and premature parturition. The purpose of this article is to review the possible biological pathways by which periodontal diseases may influence these disease processes.
近年来,人们对诸如牙周病等口腔感染的全身性影响重新产生了兴趣。对牙周感染和炎症可能影响各种全身状况的各种方法的研究统称为牙周医学。牙周组织通过炎症反应牙源性生物膜(牙菌斑)。口腔生物膜释放多种生物活性产物,如细菌脂多糖(内毒素)、趋化肽、蛋白质毒素和有机酸。这些分子刺激宿主产生各种各样的反应,其中包括被称为细胞因子的强效剂的产生和释放。这些包括白细胞介素-1 β、白细胞介素-8、前列腺素和肿瘤坏死因子α。从轻度牙龈炎到严重的破坏性牙周炎,对这些分子有一系列的牙周反应。这些和其他宿主产物和反应可能影响多种重要的疾病途径,包括动脉粥样硬化、粘膜炎症和早产。本文的目的是回顾可能的生物学途径,通过牙周病可能影响这些疾病的进程。
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引用次数: 141
期刊
Compendium of continuing education in dentistry
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