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FARKLI İRRİGASYON SİSTEMLERİNİN KANAL İÇİ İLAÇLARIN UZAKLAŞTIRILMASINA ETKİSİNİN İNCELENMESİ
Q3 Dentistry Pub Date : 2023-06-23 DOI: 10.7126/cumudj.1237798
Cihan Hasçi̇zmeci̇, Burak Buldur
Objectives: This study aimed to evaluate the effects of different irrigation systems on the removal of intracanal medicament used in regenerative endodonti treatment. Materials and Methods: Following standardized preparation to obtain an immature tooth model, modified triple antibiotic paste (mTAP) consisting of metronidazole, ciprofloxacin and clindamycin was applied to the root canals of single-rooted human maxillar teeth and waited for three weeks. A total of 50 teeth with standardized preparation and intracanal medicament were randomly divided into five groups according to the irrigation method to be applied (n=10); Group 1: Conventional Syringe Irrigation (CSI), Group 2: Passive Ultrasonic Irrigation (PUI), Group 3: EndoActivator (EA), Group 4: EndoVac (EV) Group 5: Nd:YAG laser (LSR). Following the removal of the mTAP with different irrigation systems, the teeth were divided along their bukko-lingual axis. The impact roots were examined under the stereomicroscope with the 4-grade scoring scale for the presence of residual intracanal medicaments. Scores for coronal, middle and apical regions of each root were recorded. Results: In terms of total scores, PUI group showed higher intracanal medicament removal efficacy compared to the other groups (p
目的:本研究旨在评价再生牙髓治疗中不同灌洗系统对管内药物清除的影响。材料与方法:标准化制备未成熟牙模型后,将甲硝唑、环丙沙星、克林霉素组成的改良三抗生素糊剂(mTAP)应用于单根人上颌牙根管,等待3周。50颗牙经标准化准备并经管内给药,按冲洗方式随机分为5组(n=10);1组:常规注射器灌洗(CSI), 2组:被动超声灌洗(PUI), 3组:EndoActivator (EA), 4组:EndoVac (EV), 5组:Nd:YAG激光(LSR)。用不同的冲洗系统去除mTAP后,沿其颊舌轴将牙齿分开。在体视显微镜下检查冲击根,用4级评分量表检查是否存在残留的管内药物。记录每根冠状区、中区和根尖区的评分。结果:从总分上看,PUI组肛管内药物清除效果明显高于其他组(p
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引用次数: 0
THE INDICATORS OF MOLAR COEFFICIENTS OF THE CHEMICAL ELEMENTS IN DENTIN AND THEIR CORRELATION WITH ENAMEL 牙本质化学元素的摩尔系数指标及其与牙釉质的相关性
Q3 Dentistry Pub Date : 2023-03-26 DOI: 10.7126/cumudj.1105151
I. Zabolotna, O. Genzytska, O. Zabolotnyi
Objectives:Determination of molar coefficients of the chemical elements in dentin, their possible correlation with tooth enamel.Material and Methods:There were examined 29 clinically extracted teeth of both jaws and their longitudinal sections (12 clinically intact teeth, 10 teeth with wedge-shaped defects, 7 teeth with cervical caries) of the patients aged 25to 54 with the help of JSM-6490 LV focused beam electron microscope (scanning) with system of energy-dispersive X-ray microanalysis. We have determined the chemical composition of 290 enamel areas and 235 dentine areas in the incisal region (tubercle), equator, cervical area as a percentage of the weight amounts of carbon, oxygen, calcium, phosphorus, sodium, magnesium, sulfur, chlorine, zinc, potassium, aluminum, we have identified their molar coefficients.Results: The chemical composition of dentin differed in the values of Na/Mg, Al/Zn, Mg/Ca, K/Na (p≤0.05) in all studied topographical regions of the samples. Higher values of Na/Mg and lower values of Al/Zn were identified in the teeth with cervical caries (p≤0.05). Correlation was found in dentin: inverse between Ca/P and P/Ca, Mg/Ca and Na/Mg, Ca/Mg and Mg/Ca, Mg/P and Na/Mg, Mg/P and Ca/Mg, direct between Ca/Mg and Na/Mg, Mg/P and Mg/Ca (p≤0.05). High correlation was determined between molar coefficients in enamel and dentin: Mg/Ca and Mg/P (direct), Ca/P and P/Ca (inverse), p<0.0001.Conclusions:The differences in the indicators of molar coefficients in dentin, their correlation with enamel are probably associated with the peculiarities of the pathological processes in the cervical region and it requires further study.
目的:测定牙本质化学元素的摩尔系数及其与牙釉质的关系。材料与方法:应用JSM-6490型LV聚焦束电子显微镜(扫描)能量色散X射线显微分析系统,对25~54岁患者的29颗临床拔除的上颌牙齿及其纵切面(12颗临床完整牙齿,10颗楔形缺损牙齿,7颗颈龋牙齿)进行了检查。我们已经确定了切迹区(结节)、赤道、颈部290个牙釉质区域和235个牙本质区域的化学成分,它们占碳、氧、钙、磷、钠、镁、硫、氯、锌、钾、铝重量的百分比,我们确定了它们的摩尔系数。结果:牙本质的化学成分在所有研究的地形区域中的Na/Mg、Al/Zn、Mg/Ca、K/Na值存在差异(p≤0.05)。牙质中的Na/Mg值较高,Al/Zn值较低(p≤0.05),Mg/P和Mg/Ca(P≤0.05)。釉质和牙本质中的摩尔系数之间具有高度相关性:Mg/Ca和Mg/P(直接),Ca/P和P/Ca(反向),P<0.0001。结论:牙本质中摩尔系数指标的差异,它们与釉质的相关性可能与颈部病理过程的特点有关,需要进一步研究。
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引用次数: 0
The Roughening Effects of Er:YAG, Nd:YAG and KTP Laser Systems on Root Dentin Surface Er:YAG、Nd:YAG和KTP激光系统对牙根表面粗糙化的影响
Q3 Dentistry Pub Date : 2023-03-26 DOI: 10.7126/cumudj.1242258
R. Zan, H. Topçuoğlu, İ. Hubbezoğlu, D. Altunbaş, Arzu Şeyma Demi̇r
Objectives: Present study aimed to evaluate the roughening ability of different laser systems on the middle and apical third of roots. Materials and Methods: Sixty extracted human single-rooted single canal mandibular premolar teeth were randomly assigned to 3 groups (n=20). Standardized preparation and sterilization procedures were performed. The samples were irradiated with Er:YAG, Nd:YAG, and KTP laser systems. The laser irradiations (1.5 Watt) were applied with a spiral motion, starting 1 mm short of the apex and then moving coronally for 10 sec, interleaved with 15-sec recovery intervals for each irradiation. This process was repeated twelve times. The roots that were standardized in the same length and thicknesses were divided parallel to the longitudinal axis. Then, the middle and apical 1/3 surface roughness values of each root section were measured using a profilometer and SEM analysis was performed. The data obtained were analyzed using the two-way analysis of variance (ANOVA) and Tukey post-hoc tests. Results: According to measurements obtained from middle and apical 1/3 surfaces; Although, the statistically highest roughness value was determined after Nd:YAG laser (P < 0.05), the statistically lowest value was detected following the Er:YAG laser irradiation (P < 0.05). Conclusions: In light of the present study, all laser systems caused significant roughness surface. Therefore, laser systems should be carefully applied in human root canals.
目的:评价不同激光系统对根中、根尖三分之一的粗化能力。材料与方法:选择拔除的人单根单管下颌前磨牙60颗,随机分为3组(n=20)。执行标准化的制备和灭菌程序。用Er:YAG、Nd:YAG和KTP激光系统辐照样品。激光照射(1.5瓦)以螺旋运动施加,从离顶点1毫米处开始,然后冠状移动10秒,每次照射间隔15秒。这个过程重复了12次。在相同长度和厚度的标准化根被划分平行于纵轴。然后,用轮廓仪测量每个根切片的中部和根尖1/3的表面粗糙度值,并进行扫描电镜分析。采用双向方差分析(ANOVA)和Tukey事后检验对所得数据进行分析。结果:根据中间和根尖1/3面的测量结果;Nd:YAG激光照射后粗糙度值最高(P < 0.05), Er:YAG激光照射后粗糙度值最低(P < 0.05)。结论:根据目前的研究,所有的激光系统都造成了明显的表面粗糙度。因此,激光系统应用于根管治疗时应谨慎。
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引用次数: 0
Application of removable prosthodontics lab training in dental practice 活动义齿实验室训练在牙科实践中的应用
Q3 Dentistry Pub Date : 2023-03-26 DOI: 10.7126/cumudj.1118686
S. Bhatia, Ashwin KUMAR SUKUMAR, Shivani Kohli
Background: Pre-clinical removable prosthodontic training is an integral part of undergraduate curriculum. The objectives of the study were to evaluate the application of pre-clinical removable prosthodontic laboratory training in general dental practice and relevance of its teaching in undergraduate curriculum. Methods: A descriptive questionnaire was developed to assess the extent of practice of pre-clinical removable prosthodontic lab skills in their dental practice. The responses were evaluated and statistically analyzed with a significance value of p<0.05. Three hundred-fifty-seven general dental practitioners participated in the study. Results: 91% with 20 years of dental practice responded positively on the application of prosthodontic training in their practice. 55.7% with two years of training agreed to dedicate more time to clinical prosthodontics training. Conclusions: 52.9% of the respondents agreed that it would be better to dedicate more time on clinical prosthodontics training rather than pre-clinical removable prosthodontics lab training as a part of the undergraduate prosthodontic curriculum, among which more than 60% of the study participants had two or more years of removable prosthodontics pre-clinical training during dental school.Practical implications: Clinical expertise of dental graduate is an essential component in the general dental practice. Hence, there is a need to revisit removable prosthodontic curriculum content and time distribution in undergraduate dental program.
背景:临床前可摘口腔修复训练是本科课程的组成部分。本研究的目的是评估临床前可移除口腔修复实验室培训在普通牙科实践中的应用及其在本科课程中的相关性。方法:编制描述性问卷,评估临床前可移除口腔修复实验室技能在牙科实践中的实践程度。对反应进行评估并进行统计学分析,其显著性值为p<0.05。357名全科牙科医生参与了这项研究。结果:在20年的牙科实践中,91%的人对口腔修复训练在实践中的应用持积极态度。55.7%的患者经过两年的培训后同意将更多的时间用于临床口腔修复培训。结论:52.9%的受访者认为,将更多的时间用于临床口腔修复培训,而不是作为本科口腔修复课程的一部分进行临床前可移除修复实验室培训,这是更好的选择,其中超过60%的研究参与者在牙科学校接受了两年或两年以上的可移除修复临床前培训。实践意义:牙科毕业生的临床专业知识是普通牙科实践的重要组成部分。因此,有必要重新审视本科生牙科课程中可移动修复学的课程内容和时间分布。
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引用次数: 0
Perspectives of the Dental Educators with Regard to Online Education 牙科教育工作者对网络教育的看法
Q3 Dentistry Pub Date : 2023-02-20 DOI: 10.7126/cumudj.1228802
Tugba Aydin, A. Şahin
Objectives: The purpose of this study is the evaluation of the perspectives of the educators in Faculties of Dentistry with regard to online education. Materials and Methods: It was requested from the educators of the Faculties of Dentistry to fill in a questionnaire about their perspectives on online education including overall assessment statements. The questionnaire was delivered to the participants as a paper-based or online version. The data were evaluated using descriptive statistics and multiple logistical regression analysis (p < 0.05). Results: 350 valid responses were received by the educators over the course of 15 days. By means of our findings, we observed that the educators accommodate themselves to the online education on easy terms. However, fewer educators found online education advantageous over face-to-face education. In addition, during online education, it was mostly given a negative opinion as to students' class attendance, class participation, and learning success can be controlled or not. According to the results of the multiple logistical regression analysis, it was shown that the positive opinions of the educators in terms of their perspectives about online education can be increased with the increase in weekly course hours and the current technological infrastructure situation, and can be decreased with the increase in tenure. Conclusion: Our study shows that the perspectives of the educators with regard to online education were not positive in general. However, the results demonstrate that the perspectives of the educators for online education can change with various factors.
目的:本研究的目的是评估牙科学院教育工作者对在线教育的看法。材料和方法:要求牙科学院的教育工作者填写一份关于他们对在线教育的看法的问卷,包括总体评估声明。问卷以纸质或在线形式发给参与者。使用描述性统计和多元逻辑回归分析对数据进行评估(p<0.05)。结果:在15天的时间里,教育工作者收到了350份有效回复。通过我们的研究结果,我们观察到教育工作者以简单的方式适应在线教育。然而,很少有教育工作者发现在线教育比面对面教育更有优势。此外,在在线教育中,人们大多对学生的课堂出勤率、课堂参与度以及学习成功与否持负面看法。多元逻辑回归分析结果表明,教育工作者对在线教育的积极看法可以随着每周课程时间和当前技术基础设施状况的增加而增加,也可以随着任期的增加而减少。结论:我们的研究表明,教育工作者对在线教育的看法总体上并不积极。然而,研究结果表明,教育工作者对在线教育的看法会随着各种因素的变化而变化。
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引用次数: 0
Phytotherapy: An ancient but novel approach in managing Periodontal Disease 植物疗法:一种古老而新颖的治疗牙周病的方法
Q3 Dentistry Pub Date : 2023-02-17 DOI: 10.7126/cumudj.1126037
R. Boyapati, Rohıta Pendyala, Rama Brahman Lanke, Deepa Anumala
Phytotherapy is the ancient practice of treating diseases with plant products. Herbal products were used in traditional medicine in both eastern and western medical ayurvedic traditions since ancient times. Periodontal diseases have been a major oral problem affecting humans for ages. The application of phytotherapy in treating periodontal diseases can help in solving many issues and answering many unanswered questions. This review on phytotherapy for periodontal diseases explains in detail about different plants and their products, which are used in various forms for treating bacterial, fungal, and viral infections causing periodontal diseases.
植物疗法是一种用植物产品治疗疾病的古老疗法。草药产品自古以来就被用于东方和西方的阿育吠陀传统医学中。牙周病一直是困扰人类多年的主要口腔问题。植物疗法在牙周病治疗中的应用有助于解决许多问题和解答许多未解之谜。本文对植物治疗牙周病的研究进展进行了综述,详细介绍了不同形式的植物及其产品,用于治疗引起牙周病的细菌、真菌和病毒感染。
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引用次数: 0
KNOWLEDGE, ATTITUDES AND PRACTICES OF DENTISTS REGARDING PHARMACOVIGILANCE AND REPORTING OF ADVERSE DRUG REACTIONS IN NORTHWESTERN TURKEY: A CROSS-SECTIONAL STUDY 土耳其西北部牙医关于药物警戒和不良反应报告的知识、态度和实践:一项横断面研究
Q3 Dentistry Pub Date : 2023-02-13 DOI: 10.7126/cumudj.1246959
Gizem Çolakoğlu, Işıl Kaya Büyükbayram
ABSTRACT Objectives: The drugs commonly used/prescribed by dentists/physicians or consumed by patients may cause adverse drug reactions (ADRs). Therefore, the possibility of dentists to encounter an ADR during their professional lives cannot be underestimated and the contribution of dentists to pharmacovigilance systems by notifying spontaneous ADR reports play an important role in the early detection and prevention of ADRs. This study aimed to assess the knowledge, attitudes and practices of dentists regarding pharmacovigilance and ADR reporting. Materials and Methods: A questionnaire with 30 questions evaluating knowledge, attitudes and practices of pharmacovigilance and ADR reporting among general dentists (GDs) and specialist dentists (SDs) was distributed electronically in northwestern region of Turkey. Data were statistically analyzed (p < 0.05). Results: Most of the participants were able to define the terms of pharmacovigilance (64.7%), ADR (74.9%) and side-effect (58.1%). SDs were significantly more aware of ADRs related to the drugs used/prescribed by dentists/physicians and other drugs consumed by patients than GDs. Additionally, awareness of ADRs regarding these drugs was significantly higher among participants with ≤12 years of experience (p12 years of experience (p
【摘要】目的:牙医/医师常用/处方或患者使用的药物可能会引起药物不良反应。因此,牙医在其职业生涯中遇到ADR的可能性不容低估,牙医通过通报自发ADR报告对药物警戒系统的贡献在ADR的早期发现和预防中起着重要作用。本研究旨在评估牙医对药物警戒和不良反应报告的知识、态度和做法。材料与方法:在土耳其西北部地区以电子方式发放一份包含30个问题的问卷,评估普通牙医(GDs)和专科牙医(SDs)对药物警戒和不良反应报告的知识、态度和做法。对资料进行统计学分析(p < 0.05)。结果:大多数参与者能够明确药物警戒(64.7%)、不良反应(74.9%)和副作用(58.1%)等术语。SDs明显比GDs更了解牙医/医生使用/处方的药物和患者消耗的其他药物相关的adr。此外,经验≤12年的参与者对这些药物的不良反应的认识明显更高(经验≤12年的参与者(p
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引用次数: 0
EARLY TREATMENT OF A CLASS III PATIENT WITH CHINCUP: A CASE REPORT 一例颏杯Ⅲ级患者的早期治疗
Q3 Dentistry Pub Date : 2023-02-08 DOI: 10.7126/cumudj.1213205
Gozde Gür, D. Erdem
Class III malocclusions are usually related to growth and mandibular posture. The mixed dentition stage of development may provide a useful opportunity to embark upon orthodontic therapy to correct a Class III malocclusion. Chin cap is a useful appliance in growingpatients that exhibit mandibular prognathis. This case report aim to describe an early treatment of a Class III malocclusion by using a chincup. This case report presents a 9 year-old girl with a functional Class III malocclusion and anterior crossbite. She has treated by using chincup for 10 months. The occlusion was elevated with a maxillary appliance, and the maxilla was freed from the restriction of the mandible. In this way, the maxilla was able to continue its development and the growth of the mandible was limited by chincup. Anterior cross-bite was corrected and a positive overjet were achieved. Facial profile was improved. While posterior rotation of the mandible was expected with the effect of the chincup, SN-GoGn angle didn’t change in this case. At the end of treatment, a class I relationship and a smooth soft tissue profile were obtained.
III类错牙合通常与生长和下颌姿势有关。混合牙列发育阶段可能为开始矫正III类错牙合的正畸治疗提供有用的机会。对于患有下颌前突的成年患者来说,下巴帽是一种有用的矫治器。本病例报告旨在描述使用颏杯早期治疗III类错牙合畸形。本病例报告报告一名9岁女孩,患有功能性III类错牙合和前反牙合。她用下巴做了10个月的治疗。用上颌矫治器抬高咬合,使上颌骨摆脱下颌骨的限制。通过这种方式,上颌骨能够继续发育,下颌的生长受到颏杯的限制。矫正了前部交叉咬合,获得了一个积极的咬合。面部轮廓得到改善。虽然在颏杯的作用下预计下颌骨会向后旋转,但在这种情况下,SN GoGn角度没有改变。在治疗结束时,获得了I级关系和平滑的软组织轮廓。
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引用次数: 0
Association of burnout with socio-educational variables in a sample of Chilean dental students. 智利牙科学生样本中职业倦怠与社会教育变量的关系。
Q3 Dentistry Pub Date : 2023-02-08 DOI: 10.7126/cumudj.1200254
Javiera CARDENAS-RETAMAL, Valeria Campos, R. Cartes-Velásquez
Objetive: Assess the association of burnout with socio-educational variables in a sample of Chilean dental students. Material and methods: A cross-sectional study was carried out on dental students in their 4th/5th years of the University of Concepción, Chile. The sample size was estimated at 170 students. The following variables were considered: sociodemographic (sex, age, with whom the student lives and commune of origin), educational (course, course failure, number of years behind and their cause, number of career options, funding, and secondary school type), and Burnout-MBI-SS (Maslach's Burnout Inventory for students). To evaluate the association between the variables, descriptive statistics for quantitative were made using mean and standard deviation for normal distribution variables, and median and interquartile range for non-normal distribution variables; for categorical variables, frequency, and percentage distribution was calculated. Shapiro-Wilk test was used to assess normality, as non-normal distribution was verified for MBI-SS, Mann-Whitney and Kruskal-Wallis was used to estimate statistical differences amongst categorical variables, and Spearman for correlations (p < 0.05). Results: Most students were in 4th year, female with a mean age of 23. For the majority, dental school was their first option, and were studying with a scholarship. Most of them lived with their nuclear family and 58% had at least failed one course. Statistical significant correlations were only found for Depersonalization with students’ age (rho= 0.2420) and reprobation years (rho= 0.1838). Conclusions: Dental students from the University of Concepción, which are female, attending their fifth year, and students who failed courses, especially clinical ones, exhibit higher levels of burnout.
目的:评估智利牙科学生的职业倦怠与社会教育变量的关系。材料和方法:对智利Concepción大学4 /5年级的牙科学生进行了横断面研究。样本量估计为170名学生。考虑了以下变量:社会人口统计学(性别、年龄、与学生一起生活和原社区)、教育(课程、课程失败、落后年数及其原因、职业选择数量、资助和中学类型)和倦怠- mbi - ss(马斯拉奇学生倦怠量表)。为了评估变量之间的相关性,正态分布变量采用均值和标准差进行描述性统计,非正态分布变量采用中位数和四分位数范围进行定量统计;对于分类变量,计算频率和百分比分布。采用Shapiro-Wilk检验评估正态性,因为MBI-SS的非正态分布被验证,使用Mann-Whitney和Kruskal-Wallis来估计分类变量之间的统计差异,使用Spearman来评估相关性(p < 0.05)。结果:以四年级学生居多,女生,平均年龄23岁。对大多数人来说,牙科学校是他们的第一选择,他们拿着奖学金学习。他们中的大多数人与核心家庭生活在一起,58%的人至少有一门课程不及格。人格解体只与学生年龄(rho= 0.2420)和留校年限(rho= 0.1838)有统计学显著相关。结论:Concepción大学牙科专业的五年级女生和不及格学生,尤其是临床不及格学生表现出较高的职业倦怠水平。
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引用次数: 0
Morphologic variations and gender dimorphism in mandibular first premolar root canal pattern: A CBCT study in south Indian population 下颌第一前磨牙根管形态的形态变异和性别二态性:印度南部人群的CBCT研究
Q3 Dentistry Pub Date : 2023-02-02 DOI: 10.7126/cumudj.1134687
Nidhi James, T. Purayil, Vathsala Patil, K. Pentapati, R. Vineetha
Objective: The study aimed to evaluate the variations in the RCM of mandibular first premolars (MFP) in south Indians and also evaluated the gender dimorphism and contralateral symmetry of the pattern. Methods: 200 Cone Beam Computed Tomography (CBCT) images of MFP of patients above 18 years were analyzed for the root canal morphology after excluding the distorted images, endodontically treated tooth or fractured root. The teeth were carefully evaluated in cross-sectional, axial and coronal sections and the information regarding the number of roots and the type of root canal as per Vertucci’s classification. Interobserver and intraobserver reliability were also checked. Results: Single rooted teeth with Type I (73.01%) variation was the most prevalent pattern observed in the study population, which was followed by Type III (14.11%) and Type V (5.52%), respectively. Type IV and Type VIII variations were not found in our study. Conclusions: In both males and females, type I configuration was the most common pattern with symmetry in contralateral mandibular single-rooted first premolars.
目的:研究南印度人下颌第一前磨牙(MFP)的RCM变异,并评价其性别二态性和对侧对称性。方法:对200张18岁以上MFP患者的锥形束ct (Cone Beam Computed Tomography, CBCT)图像进行分析,剔除畸变图像、根管治疗牙或根管断裂后的根管形态。根据Vertucci的分类,仔细评估牙齿的横截面,轴向和冠状切片以及有关根数量和根管类型的信息。还检查了观察者之间和观察者内部的信度。结果:研究人群中以I型变异最多,占73.01%,其次是III型变异(14.11%)和V型变异(5.52%)。在我们的研究中未发现IV型和VIII型变异。结论:在对侧下颌单根第一前磨牙中,I型构型是最常见的对称构型。
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引用次数: 0
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Cumhuriyet Dental Journal
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