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Nutritional Status and Prevalence of Angular Cheilitis on Children in Jember Agroindustrial Environment 农业工业环境下儿童角性口疮的营养状况及患病率
Q4 Dentistry Pub Date : 2022-12-08 DOI: 10.18196/di.v11i2.15589
S. Sulistiyani, Dyah Setyorini, Risma Nur Baiti, D. Prijatmoko, Leni Rokhma Dewi
Insufficient dietary intake in school-age children can result in a weakened immune system, leading to susceptibility to illness. Children will easily be exposed to infectious diseases such as angular cheilitis. Jember has a large population of farmers, categorized as a low-paid occupation. The type of food consumed will affect each person's nutritional status. This study aims to identify the relationship between nutritional status and food intake with the prevalence of angular cheilitis in children grades I–III SDN 7 Nogosari in the agro-industrial setting of Jember. Analytical observation with a cross-sectional design was employed with 58 students as samples, whose nutritional health was assessed using the BMI/U index, visual examination angular cheilitis, and 24-hour recall method of food intake. The SPSS test was undertaken to investigate how variations in macronutrient and micronutrient consumption affect angular cheilitis in each nutritional status. Micronutrient intake that affected angular cheilitis had exceeded the RDA. Furthermore, the SPSS test showed no difference in the consumption of macronutrients and micronutrients in each nutritional status, supporting the occurrence of angular cheilitis at a rate of 0%. In the agro-industrial setting of Kebun Renteng, Jember Regency, students at SD Negeri 7 Nogosari grades I - III had a good nutritional profile with zero percent of angular cheilitis prevalence. It was impossible to determine the association between dietary status and the prevalence of angular cheilitis.
学龄儿童饮食摄入不足会导致免疫系统减弱,从而容易患病。儿童容易接触到角性口炎等传染病。日本有大量的农民,被归类为低收入职业。食物的种类会影响每个人的营养状况。本研究旨在确定营养状况和食物摄入量与Jember农业-工业环境中I-III级SDN 7 Nogosari儿童角性口炎患病率之间的关系。采用横断面设计的分析观察方法,以58名学生为样本,采用BMI/U指数、目测角性口唇炎和24小时食物摄入回忆法对其营养健康状况进行评估。采用SPSS检验来研究不同营养状态下,常量营养素和微量营养素的摄入变化对角性口唇炎的影响。影响角性口唇炎的微量营养素摄入量已超过RDA。此外,SPSS检验显示,在每种营养状态下,大量营养素和微量营养素的摄入量没有差异,支持角性口炎的发生率为0%。在Jember Regency Kebun Renteng的农业工业环境中,SD Negeri 7 Nogosari一至三年级的学生营养状况良好,角性口唇炎患病率为零。不可能确定饮食状况与角性唇炎患病率之间的关系。
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引用次数: 0
The Effect of Curcuma Longa Rhizome Extract on the Root Canal Dentin Discoloration 姜黄提取物对根管牙本质变色的影响
Q4 Dentistry Pub Date : 2022-11-29 DOI: 10.18196/di.v11i2.16370
Aulia Azzahra, Martha Mozartha, Rini Bikarindrasari
Root canal treatment aims to remove vital and necrotic tissue, microorganisms, and their products from the root canal. In this case, chemical endodontic irrigants such as NaOCl and Chlorhexidine (CHX) are required. Unfortunately, both have side effects. Twenty percent of C. longa rhizome extract may be a potential alternative due to its antibacterial activity and the ability to dissolve the smear layer. However, it contains curcumin, a colorant that can stain dentin. This study aims to evaluate the influence of 20% C. longa rhizome extract on root canal dentin discoloration. Thirty decoronated incisor root segments were prepared using the crown-down technique and divided into three groups (n=10). Each group was irrigated with a different solution. Twenty percent of C. longa rhizome extract was the treatment group, the combination of 5.25% NaOCl and 2% CHX was the positive control group, and distilled water was the negative control group. UV Vis 2401 PC spectrophotometer was utilized based on the dE*ab value to assess the discoloration on the root canal. The One Way ANOVA and Post Hoc Games Howell tests were employed to analyze the data. The highest discoloration value was revealed in the treatment group, and the least was in the negative control group, with a significant difference between the two. Furthermore, One-way ANOVA showed no significant differences between the treatment and positive control group (p0.05). C. Longa 20% extract had an effect on the discoloration of root canal dentin.
根管治疗的目的是从根管中清除重要的和坏死的组织、微生物及其产物。在这种情况下,需要化学根管冲洗剂,如NaOCl和氯己定(CHX)。不幸的是,两者都有副作用。由于其抗菌活性和溶解涂片层的能力,20%的龙涎香根茎提取物可能是潜在的替代品。然而,它含有姜黄素,一种可以染色牙本质的着色剂。本研究旨在评价20%龙舌兰提取物对根管牙本质变色的影响。采用冠下法预备30根装饰门牙根段,分为3组(n=10)。各组分别用不同的溶液进行冲洗。20%龙珠提取物为治疗组,5.25% NaOCl + 2% CHX为阳性对照组,蒸馏水为阴性对照组。根据dE*ab值,使用UV Vis 2401 PC分光光度计评估根管上的变色情况。采用单因素方差分析和事后游戏Howell检验对数据进行分析。治疗组的变色值最高,阴性对照组的变色值最低,两者差异有统计学意义。单因素方差分析显示,治疗组与阳性对照组之间差异无统计学意义(p0.05)。C.龙骨20%提取物对根管牙本质变色有影响。
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引用次数: 0
The Difference of Microleakage Between One-Bulkfill Resin Composite and Conventional Resin Composite 单填料树脂复合材料与常规树脂复合材料微泄漏特性的差异
Q4 Dentistry Pub Date : 2022-11-26 DOI: 10.18196/di.v11i2.16060
Widyapramana Dwi Atmaja
Resin composites are the most commonly used restorative materials and are constantly evolving due to their shortcomings which can affect the restoration results in polymerization shrinkage, leading to the formation of microleakage. Although incremental techniques have been found, this technique has drawbacks regarding the time required and the possibility of contamination. The invention of bulk fill resin composite can solve this problem. Manufacturers of One-Bulkfill (3M ESPE) claim that this material has less polymerization shrinkage than conventional resin composites, which is expected to have less chance of microleakage. This study aims to determine the difference in microleakage between one-bulkfill resin composites and conventional resin composites. 20 extracted premolars without caries and anomalies were utilized as research samples. These teeth were then prepared to form a class 1 cavity, then divided into two groups, namely; (1) One-Bulkfill (3M ESPE) and (2) Z350 XT (3M ESPE). These two samples were immersed in 1% Methylene Blue solution and observed using a Camera with a Macro Lens. Data were analyzed using an independent sample t-test. The results demonstrated a significant difference in microleakage between the two groups (p = 0.014, p0.05). The mean value of microleakage in One-Bukfill composite resin restorations was 0.022, while Z350 XT composite resin restorations had 0.038. It can be concluded that the One-Bulkfill composite resin restoration had a smaller microleakage value than the conventional composite resin restoration (Z350 XT).
树脂复合材料是最常用的修复材料,由于其自身存在的缺点,会影响修复效果,导致聚合收缩,导致微泄漏的形成,因此树脂复合材料也在不断发展。虽然已经发现了增量技术,但这种技术在所需的时间和污染的可能性方面存在缺点。散装填充树脂复合材料的发明可以解决这一问题。One-Bulkfill (3M ESPE)的制造商声称,这种材料比传统的树脂复合材料具有更小的聚合收缩,预计微泄漏的可能性更小。本研究旨在确定单填料树脂复合材料与常规树脂复合材料在微泄漏方面的差异。选取无龋、畸形的前磨牙20颗作为研究样本。然后将这些牙齿准备形成1类空腔,然后分为两组,即;(1)单填料(3M ESPE)和(2)Z350 XT (3M ESPE)。将这两个样品浸泡在1%亚甲基蓝溶液中,使用带微距镜头的相机进行观察。数据分析采用独立样本t检验。结果显示,两组间微渗漏有显著性差异(p = 0.014, p0.05)。One-Bukfill复合树脂修复体的微渗漏平均值为0.022,而Z350 XT复合树脂修复体的微渗漏平均值为0.038。综上所述,One-Bulkfill复合树脂修复体比常规复合树脂修复体(Z350 XT)具有更小的微泄漏值。
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引用次数: 0
The Effectiveness of α-Mangostin in Reducing the Streptococcus Mutans Biofilm Thickness α-山竹苷降低变形链球菌生物膜厚度的效果
Q4 Dentistry Pub Date : 2022-11-23 DOI: 10.18196/di.v11i2.15809
Rahmawati Sri Praptiningsih, Arlina Nurhapsari, Rifqi Wahyu Febrian
Dental caries occurs due to the demineralization of tooth structure caused by microorganisms in colonies called biofilms. One of the microorganisms involved in dental caries is Streptococcus mutans. Oral mouthwash, in addition to mechanical cleaning, is known to prevent the growth of oral microorganisms. Mangosteen is known as an anti-cancer ingredient with high anti-bacterial properties. This study aims to identify the effectiveness of mangosteen skin extract (Garcinia mangostana L.) in decreasing Streptococcus mutans biofilm. The study is experimental research with a post-test control group design. The research sample was divided into five groups; 3 treatment groups and 2 control groups. The biofilm thickness test was carried out with OD (Optical density) with a wavelength of about 620 nm using an ELISA reader. Kruskal Wallis analysis was employed as a non-parametric statistical test analysis. Statistical Kruskal Wallis indicated significant differences in the thickness of 5 test groups of Streptococcus mutans. The lowest average yield of biofilm thickness was in the α-mangosteen group at 12.5 g/ml. Conclusion: α-mangosteen in mangosteen skin extract effectively reduced the thickness of Streptococcus mutans biofilm.
龋齿的发生是由于被称为生物膜的菌落中的微生物引起的牙齿结构脱矿。引起龋齿的微生物之一是变形链球菌。除了机械清洁外,口腔漱口水还可以防止口腔微生物的生长。山竹果被认为是一种具有高抗菌特性的抗癌成分。本研究旨在鉴定山竹皮提取物(Garcinia mangostana L.)降低变形链球菌生物膜的有效性。本研究为实验研究,采用测试后对照组设计。研究样本分为五组;治疗组3个,对照组2个。采用酶联免疫吸附测定仪,波长约620 nm,光密度(OD)测定生物膜厚度。采用Kruskal Wallis分析作为非参数统计检验分析。Kruskal Wallis统计显示,5个试验组变形链球菌的厚度差异有统计学意义。α-山竹果组生物膜厚度平均产率最低,为12.5 g/ml。结论:山竹皮提取物中的α-山竹能有效降低变形链球菌生物膜的厚度。
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引用次数: 0
Satisfaction Level of Periodontitis Patients with Teeth Luxation Post Splinting Treatment at RSGM UMY 牙周炎患者牙脱位后夹板治疗的满意度
Q4 Dentistry Pub Date : 2022-11-17 DOI: 10.18196/di.v11i2.14056
Hartanti Hartanti, R. Febriyanti
Periodontal disease is one of the global oral health problems. Periodontitis is still the leading cause of tooth loss in adults worldwide. Periodontitis may cause discomfort related to tooth loss during eating. Loss of teeth, either one or several teeth, can cause functional and aesthetic disturbances that can affect a person's level of satisfaction. There are several treatments to treat tooth loss, one of which is splinting treatment. Splinting is a therapy that connects several teeth to increase the stability of the teeth due to periodontitis. This study aims to describe the level of satisfaction of patients with periodontitis with tooth luxation after splinting at the Dental Hospital of Universitas Muhammadiyah Yogyakarta (RSGM UMY). This research method is descriptive observational, with a total sample of 38 respondents. The sample inclusion criteria were all patients who had splinting done by a Co-Ass at RSGM UMY and all patients who had splinting done by a Co-Ass at RSGM UMY with a tooth luxation degree 2. The sample exclusion criteria were patients who were not willing to be respondents. The study's results showed that 26.95% of patients were very satisfied, 62.63% were satisfied, 8.74% were not satisfied, 1.47% were dissatisfied, and 0.21% were very dissatisfied. The satisfaction level of periodontitis patients with teeth luxation post splinting treatment at RSGM UMY in all five dimensions was in the ‘satisfied’ category with a percentage of 62.63%.
牙周病是全球性口腔健康问题之一。牙周炎仍然是全球成年人牙齿脱落的主要原因。牙周炎可能会引起不适,与进食时牙齿脱落有关。牙齿脱落,无论是一颗还是几颗,都会导致功能和审美障碍,从而影响一个人的满意度。有几种治疗牙齿脱落的方法,其中一种是夹板治疗。夹板是一种治疗方法,连接几颗牙齿,以增加牙齿的稳定性,因为牙周炎。本研究旨在描述在日惹穆罕默德大学牙科医院(RSGM UMY)接受夹板治疗后牙周炎牙齿脱位患者的满意度。本研究采用描述性观察法,共选取38名调查对象。样本纳入标准为所有在RSGM UMY由一名助理医师完成夹板手术的患者,以及所有在RSGM UMY由一名助理医师完成夹板手术且牙齿脱位程度为2的患者。样本排除标准是不愿意接受调查的患者。研究结果显示:26.95%的患者非常满意,62.63%的患者满意,8.74%的患者不满意,1.47%的患者不满意,0.21%的患者非常不满意。牙周炎患者脱牙后夹板治疗的5个维度满意度均为“满意”,占62.63%。
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引用次数: 0
Antibacterial Effects of Ethanolic Extract of Bidara (Ziziphus mauritiana Lam) Leaf Against Porphyromonas gingivalis 毛细竹叶乙醇提取物对牙龈卟啉单胞菌的抑菌作用
Q4 Dentistry Pub Date : 2022-11-03 DOI: 10.18196/di.v11i2.15222
N. Aziza, I. Hutami, Recita Indraswary, S. Suryono
The bidara plant (Ziziphus mauritiana Lam) is widely distributed in various Asian countries. Bidara leaves contain secondary metabolites, the main content of which is flavonoids. As a gram-negative anaerobic bacteria, Porphyromonas gingivalis is one of the normal flora of the oral cavity. However, over quantities of this bacteria can promote chronic periodontitis. This research aims to analyze the bidara leaf ethanolic extract as an inhibitory agent of Porphyromonas gingivalis. This research design is experimental laboratory research with a post-test controlled group of Porphyromonas gingivalis inhibition. A total of 25 samples consisted of 5 groups of ethanol extract of bidara leaves at concentrations of 1%, 3%, 9%, positive control betel leaves, and negative control aquadest. Bacteria incubation was held for 48 hours, and the free bacterial zone was analyzed by the One Way ANOVA test. The results of the analysis showed that there was a significant difference between the control group and the treatment group. This study concludes that the ethanol extract of bidara leaves had a strong inhibitory effect on Porphyromonas gingivalis.
比达拉植物(Ziziphus mauritiana Lam)广泛分布于亚洲各国。Bidara叶片含有次生代谢物,其主要成分为黄酮类化合物。牙龈卟啉单胞菌是一种革兰氏阴性厌氧菌,是口腔正常菌群之一。然而,过量的这种细菌会导致慢性牙周炎。本研究的目的是分析bidara叶乙醇提取物对牙龈卟啉单胞菌的抑制作用。本研究设计是实验性的实验室研究与测试后的对照组牙龈卟啉单胞菌的抑制。25份样品分为5组,浓度分别为1%、3%、9%的槟榔叶乙醇提取物、阳性对照槟榔叶乙醇提取物和阴性对照槟榔叶乙醇提取物。细菌孵育48小时,采用单因素方差分析(One Way ANOVA)分析游离菌区。分析结果显示,对照组与治疗组之间存在显著差异。本研究表明,菟丝子叶乙醇提取物对牙龈卟啉单胞菌有较强的抑制作用。
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引用次数: 1
Colour Change of Hot Immersed Polymerized Acrylic Resin Steeped into Roselle Tea (Hibiscus sabdariffa) and Black Tea (Camellia sinensis) 热浸聚合丙烯酸树脂浸泡玫瑰花茶和红茶的颜色变化
Q4 Dentistry Pub Date : 2022-11-03 DOI: 10.18196/di.v11i2.14382
Alfila Dinanti Nilasari, Dewi Kristiana, A. Gunadi, Surartono Dwiatmoko
Steeping rosella tea and black tea are effective as denture cleaning agents as they contain flavonoids that can inhibit the growth of C. Albicans. Flavonoids in the brewing of rosella tea and black tea are found in pigment compounds, so when the acrylic resin is soaked in the steeping of roselle tea and black tea, it can cause discoloration.This study aims to compare the color changes of acrylic resin soaked in roselle tea and black tea with the same treatment. A total of 18 samples of acrylic resin were divided into three groups; six samples immersed in 20% concentrated roselle tea, six samples immersed in 20% concentration of black tea, and six samples immersed in steeping mineral water for 22 hours 30 minutes at room temperature. The research results' data were analyzed using the one-way Anova test. Acrylic resin soaked in steeping roselle and black tea experienced a color change, and the largest color change occurred in acrylic resin soaked in black tea. The results showed that hot polymerized acrylic resin soaked in black tea had a greater color change than that of acrylic resin soaked in roselle tea.
浸泡玫瑰花茶和红茶是有效的假牙清洁剂,因为它们含有类黄酮,可以抑制白色念珠菌的生长。在玫瑰花茶和红茶的冲泡中,黄酮类化合物存在于色素化合物中,所以当玫瑰花茶和红茶的浸泡中浸泡丙烯酸树脂时,会引起变色。本研究的目的是比较在相同处理下,丙烯酸树脂浸泡在玫瑰茄茶和红茶中的颜色变化。将18个丙烯酸树脂样品分为三组;6个样品浸泡在20%浓度的玫瑰香茶中,6个样品浸泡在20%浓度的红茶中,6个样品浸泡在室温下的矿泉水中,浸泡22小时30分钟。研究结果的数据采用单因素方差分析。浸泡在玫瑰和红茶中的丙烯酸树脂都发生了颜色变化,其中浸泡在红茶中的丙烯酸树脂颜色变化最大。结果表明,热聚合丙烯酸树脂浸泡在红茶中比浸泡在玫瑰茄茶中的丙烯酸树脂有更大的颜色变化。
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引用次数: 0
Effectiveness of telemedicine approach as a treatment to reduce severity of temporomandibular disorders 远程医疗方法作为一种治疗减轻颞下颌疾病严重程度的有效性
Q4 Dentistry Pub Date : 2022-10-13 DOI: 10.20473/j.djmkg.v55.i4.p204-208
Ricca Chairunnisa, Siti Dyah Fadilla
Background: Temporomandibular disorder (TMD) is the most common pain in the maxillofacial area. Overall prevalence of TMD was approximately 31% for adults/elderly and 11% for children/adolescents. TMD is considered a multifactorial disorder. There are various treatments for TMD, one of which is jaw exercises therapy which is the most widely used initial treatment to relieve signs and symptoms. Currently, conventional therapy for TMD patients has been difficult to control patient compliance. Hence, this therapy can be done at home independently through telemedicine as an alternative tool to rehabilitateate the patients that can be accessed via smartphone. Purpose: To determine the severity of TMD before and after jaw exercises and the effect of telemedicine approach using jaw exercises via smartphone apps on dental students. Methods: This study used a quasi-experimental method with a one-group pretest post-test design using Fonseca anamnestic index (FAI) questionnaire to measure the severity before and after two weeks of jaw exercises on 35 dental students using purposive sampling based on inclusion and exclusion criteria. Wilcoxon signed-rank test was used to analyze the data (p<0.05). Results: Before jaw exercises, 21 people (60%) had mild TMD, 14 people (40%) had moderate TMD, and none had severe TMD. After jaw exercises, the severity of 9 people (42.8%) in the mild TMD group has decreased (p=0.007), and the severity of 11 people (78.5%) in the moderate TMD group has decreased (p=0.003). Conclusion: There was positive effect that decreased the level of severity of TMD through telemedicine approach after jaw exercises via smartphone apps on dental students.
背景:颞下颌紊乱(Temporomandibular disorder, TMD)是颌面部最常见的疼痛。成人/老年人TMD的总体患病率约为31%,儿童/青少年约为11%。TMD被认为是一种多因素疾病。TMD有多种治疗方法,其中一种是下颌运动疗法,这是最广泛使用的缓解症状和体征的初始治疗。目前,TMD患者的常规治疗一直难以控制患者的依从性。因此,这种治疗可以通过远程医疗在家中独立进行,作为可以通过智能手机访问的患者康复的替代工具。目的:了解下颌练习前后TMD的严重程度,以及通过智能手机应用程序进行下颌练习的远程医疗方法对牙科学生的影响。方法:本研究采用准实验方法,采用一组前测后测设计,采用Fonseca记忆指数(FAI)问卷对35名牙科学生进行两周颌部练习前后的严重程度进行测量,采用纳入和排除标准的有目的抽样。采用Wilcoxon sign -rank检验分析(p<0.05)。结果:下颌运动前轻度TMD 21例(60%),中度TMD 14例(40%),重度TMD无一例。下颌运动后,轻度TMD组9人(42.8%)的严重程度有所下降(p=0.007),中度TMD组11人(78.5%)的严重程度有所下降(p=0.003)。结论:牙科学生通过智能手机app进行下颌练习后,采用远程医疗方式降低TMD严重程度有积极效果。
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引用次数: 1
Cleft lip and palate based on birth order and family history at Mitra Sejati General Hospital, Indonesia 根据出生顺序和家族史在Mitra Sejati综合医院的唇腭裂,印度尼西亚
Q4 Dentistry Pub Date : 2022-10-13 DOI: 10.20473/j.djmkg.v55.i4.p221-225
Hendry Rusdy, Isnandar, I. B. Siregar, Verónica
Background: Cleft lip and palate is one of the most common congenital abnormalities in infants and is caused by more than one factors, which can be genetic and environmental. Defects in a family gene can result in cleft lip and palate. The study found a high family history relationship with the incidence of cleft lip and palate. Birth order studied by several researchers also has different results, which were influenced by folic acid consumption, maternal knowledge, lack of antenatal care visits and maternal age. To determine the cases of cleft lip and palate based on the birth order of the children and family history of the patients at Mitra Sejati General Hospital. Purpose: The study aimed to investigate cleft lip and cleft palate patients by birth order and family history. Methods: This research was a retrospective descriptive study using survey method. Researchers gave 13 questions through a questionnaire and data were collected and counted manually. Results: The results showed that based on the birth, the cleft case in the first birth order amounted to 25 people, the second 30 people, the third 19 people, and the fourth or more as many as 20 people. Based on family history, 27 patients had a family history of cleft lip and palate, while 67 patients did not have family history. Conclusion: The cases of clefts at Mitra Sejati General Hospital happened more frequently in the second child and most incidence did not have family history.
背景:唇腭裂是婴儿最常见的先天性畸形之一,由多种因素引起,可能是遗传的,也可能是环境的。家族基因的缺陷会导致唇腭裂。研究发现,家族病史与唇腭裂的发病率有很高的关系。几位研究人员研究的出生顺序也有不同的结果,受叶酸摄入量、产妇知识、缺乏产前保健和产妇年龄的影响。根据Mitra Sejati综合医院儿童的出生顺序和患者的家族史来确定唇腭裂病例。目的:了解唇腭裂患者的出生顺序和家族史。方法:采用问卷调查法进行回顾性描述性研究。研究人员通过问卷提出了13个问题,并人工收集和统计数据。结果:根据出生情况,第一次出生顺序的唇裂病例达25人,第二次出生顺序为30人,第三次出生顺序为19人,第四次以上为20人。家族史方面,有唇腭裂家族史的27例,无家族史的67例。结论:米特拉·塞贾蒂总医院唇腭裂病例多发生在二胎,且多无家族史。
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引用次数: 1
Role of supportive periodontal management in patient with metastatic cancer 支持牙周管理在转移性癌症患者中的作用
Q4 Dentistry Pub Date : 2022-10-13 DOI: 10.20473/j.djmkg.v55.i4.p231-234
Kevin Chee Pheng Neo, Nurul Syahirah Mohamad, Avita Rath, M. Wong, M. Wai, Bennete Fernandes
Background: Treatment of head and neck cancers may cause sequelae affecting patients’ quality of life during and after treatment. As a result, periodontal management of a patient with parotid gland adenoid cystic carcinoma, particularly in advanced stage 4, can be challenging for dental practitioners, especially if the patient is on active oral molecular therapy and undergoing long-term radiotherapy and chemotherapy. Purpose: This report was intended to describe the conservative non-surgical management of tooth 27 with poor prognosis owing to grade II mobility in a patient on active Lenvatinib therapy – where the extraction was not advisable to lessen the risk of osteonecrosis. Case: A 52-year-old female patient was referred by an oncologist to our dental clinic for noncarious toothache. Five years ago, the patient was diagnosed with adenoid cystic carcinoma (ACC) and had a treatment history of radiotherapy, chemotherapy and surgical removal of the left parotid gland to manage the malignancy. Oral examination revealed characteristic findings of periodontitis. Case Management: Ultrasonic scaling, antimicrobial mouth rinses and reinforcement in oral hygiene instructions manage the tooth 27 conservatively. Conclusion: A cautious approach by the dental surgeon, together with the multidisciplinary team caring for cancer patients, is fundamental and helps with the palliative periodontal management of this patient to enhance oral health-related quality of life. With a lack of reports on conservative periodontal therapy in ACC patients, this report highlights the combination of smoking cessation, reinforcement of oral hygiene instructions and conservative periodontal treatment.
背景:头颈部肿瘤的治疗可能会产生影响患者治疗期间和治疗后生活质量的后遗症。因此,对于患有腮腺腺样囊性癌的患者,特别是晚期4期患者的牙周管理,对于牙科医生来说是具有挑战性的,特别是如果患者正在接受积极的口服分子治疗并正在接受长期的放疗和化疗。目的:本报告旨在描述因主动Lenvatinib治疗的患者II级活动而预后不良的27号牙的保守非手术处理-不建议拔牙以减少骨坏死的风险。病例:一名52岁女性患者因非龋齿性牙痛被肿瘤科医生转介到我们的牙科诊所。五年前,患者被诊断为腺样囊性癌(ACC),有放疗、化疗和手术切除左腮腺的治疗史。口腔检查显示牙周炎的特征性表现。病例管理:超声洗牙,抗菌漱口水和加强口腔卫生指导,保守地管理牙齿。结论:口腔外科医生与多学科团队一起谨慎对待癌症患者是基础,有助于患者的姑息性牙周管理,以提高口腔健康相关的生活质量。由于缺乏关于ACC患者保守牙周治疗的报道,本报告强调戒烟、加强口腔卫生指导和保守牙周治疗的结合。
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引用次数: 0
期刊
Dental Journal (Majalah Kedokteran Gigi)
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