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Dental Color Matching: A Comparison between Visual and Digital Shade Selection Repeatability in the Anterior and Posterior Region: A Clinical Study 牙齿颜色匹配:视觉和数字阴影选择在前、后区域重复性的比较:一项临床研究
Pub Date : 2023-01-01 DOI: 10.3844/crdsp.2023.8.16
Carine Mounir Ziadeh, Pascale Habre, Lara Nasr, Helene J Haddad
: The clinical study aimed to evaluate the repeatability of the Intraoral Scanner (IOS) in terms of dental shade selection in comparison to the visual method and to find if the difference between these two methods is clinically acceptable. As well as to assess the impact of tooth position on the repeatability of the IOS in shade selection. Two experienced raters have selected the shades of 38 right maxillary incisors, canines, and molars in 38 patients on two different days under the same clinical conditions using both the visual method and the trio’s intraoral scanner. Vita toothguide 3D-master was used as the shade guide reference for both methods. Delta E (ΔΕ) was calculated to assess the repeatability of each technique and to evaluate the difference in color matching between each observer and the IOS. Data were analyzed using IBM SPSS Statistics for Windows and the level of significance was set at 5%. Results of repeatability assessment between day 1 and day 2 for the visual method and the intraoral scanner were higher in the incisor region but lower in the canine and molar region for the IOS compared to the visual method. However, this difference is not statistically significant in all regions (p>0.05). The color difference between the visual technique and the IOS was significantly lower than the clinical acceptability threshold, except between the second rater and intraoral scanner on day 2 for the molar region. Within the intraoral scanner, the repeatability agreement rate was significantly greater for the central, compared to the canine and molar teeth. The IOS is a reliable instrument for color shade selection compared to the visual method, especially in the anterior region; however, tooth position had an impact on its repeatability.
本临床研究旨在评估口腔内扫描(IOS)在牙色选择方面的可重复性,并与目测法进行比较,以确定这两种方法之间的差异在临床上是否可以接受。以及评估齿位对阴影选择中IOS可重复性的影响。两位经验丰富的评判员在相同的临床条件下,使用视觉方法和三人口腔内扫描仪在不同的两天选择了38名患者的38个右上颌门牙,犬齿和磨牙的阴影。两种方法均以Vita齿导3D-master作为阴影导轨参考。计算Delta E (ΔΕ)以评估每种技术的可重复性,并评估每个观察者与IOS之间的颜色匹配差异。数据采用IBM SPSS Statistics for Windows进行分析,显著性水平设为5%。与目测法相比,目测法和口内扫描仪在第1天和第2天的重复性评估结果在门牙区域较高,而在犬齿和磨牙区域较低。然而,这一差异在所有地区均无统计学意义(p < 0.05)。除了在第2天的磨牙区域,视觉技术与口腔内扫描仪的色差显著低于临床可接受阈值。在口腔内扫描仪中,与犬牙和磨牙相比,中央牙齿的重复性一致性率显着更高。与目测方法相比,IOS是一种可靠的色度选择工具,特别是在前区;然而,牙的位置对其重复性有影响。
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引用次数: 0
Microleakage Assessment of CAD/CAM Endo Crown Restorations (an in vitro Study) CAD/CAM Endo冠修复体的微渗漏评估(体外研究)
Pub Date : 2023-01-01 DOI: 10.3844/crdsp.2023.1.7
M. Wakwak, Karim Sherif Adly, Abdallah Ahmed Abdelhady, Ahmed Ramadan Elmanakhly
: The preservation of tooth structure is an important factor in the successful restoration of endodontically treated teeth. The loss of structural integrity increases the occurrence of crown fractures and microleakage at the margins of restorations in endodontically treated teeth compared with vital teeth. A total of twenty endocrowns were fabricated in this study and the endocrown was divided into two main groups. Each subgroup was tested after cementation for (marginal gap and fracture strength). To simulate a frequent clinical situation then accept a different type of end crown restoration (IPS E-max cad, IPS E-max press). IPS E-max comprises highly esthetic, high strength materials for both the press and CAD/CAM technology subgroup recorded statistically significant (p<0.05) highest marginal gap mean value (54.85±2.5 μm) followed by O group P subgroup (52.00±4.3 μm) then N group P subgroup (49.47±1.3 μm). CAD/CAM endocrown restoration is better in marginal fit. Microleakage is directly affected by the type of cement of CAD/CAM endocrown. Ceramic endocrown is considered a recent approach in the treatment of endodontically treated teeth with the advantage of the reduction in the amount of loss of tooth structure in comparison to the classical crown with post and core.
牙齿结构的保存是根管治疗后牙齿成功修复的重要因素。与生命牙相比,牙髓治疗后牙体结构完整性的丧失增加了牙冠断裂和修复体边缘微渗漏的发生。本研究共制作了20个内冠,内冠分为两组。每个亚组在胶结后测试(边缘间隙和断裂强度)。为了模拟常见的临床情况,然后接受不同类型的端冠修复(IPS E-max cad, IPS E-max press)。IPS E-max采用高度美观的高强度材料,用于压力机和CAD/CAM技术亚组,其边缘间隙平均值最高(54.85±2.5 μm),其次是O组p亚组(52.00±4.3 μm), N组p亚组(49.47±1.3 μm)。CAD/CAM内冠修复在边缘配合时效果更好。CAD/CAM内冠固相类型直接影响微渗漏。陶瓷内冠被认为是治疗根管治疗牙齿的一种新方法,与传统的桩核冠相比,陶瓷内冠具有减少牙齿结构损失的优点。
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引用次数: 0
Differential Expression of Cellular and Exosomal MicroRNA Isolated from Oral Cancer Cells and their Resistance to Chemotherapy 口腔癌细胞和外泌体MicroRNA的差异表达及其对化疗的耐药性
Pub Date : 2022-01-01 DOI: 10.3844/crdsp.2022.11.22
B. Petersen, Carl Yu, S. Hutchings, Connor Lemmon, K. Howard, K. Kingsley
: MicroRNAs are abundant small non-coding RNA with a variety of known functions, including transcriptional activation and inhibition. Recent evidence has suggested that microRNA expression may influence the responsiveness of some cancers to chemotherapy, including liver and lung cancers. Some evidence has now suggested that specific microRNAs, such as miR-21, miR-155, and miR-375, may influence oral cancer responsiveness to chemotherapy – although much remains to be discovered. Based on the lack of evidence in this area, the primary objective of this study was to evaluate microRNA expression and responsiveness among oral cancers. Five commercially available oral cancer cell lines (SCC4, SCC9, SCC15, SCC25, CAL27) were obtained from ATCC and cultured and chemotherapy resistance to Cisplatin, Fluorouracil or 5-FU and Paclitaxel or Taxol was assessed. Exosomes were then isolated, confirmed, and processed using Particle Metrix Nano Tracking Analysis (NTA) Subsequently, RNA was isolated from both the exosomes and cellular fractions and qPCR screening was performed to determine the expression of microRNA from cellular and exosomal isolates. Growth assays revealed that SCC15 assays were the least resistant, while CAL27 and SCC4 cells exhibited moderate resistance, and SCC9 and SCC25 cells exhibited strong and differential resistance to these chemotherapeutic agents. The screening revealed all cancers expressed miR-21 and miR-133 with differential expressions of miR-27, miR-135, miR-155, and miR-375 observed. However, the most resistant cell lines, SCC9 and SCC25, were the only cells to express miR-375 and were also the only cells that did not express miR-27, suggesting an association between chemotherapeutic resistance and expression of these specific microRNAs. In addition, miR-21 and miR-133 were identified in exosomes from all oral cancers with differential results observed with miR-133 and miR-135-although miR-27 and miR-375 were not found among any exosomes. Although much remains to be elucidated about the functional roles of these differentially expressed microRNAs, the findings of this study suggest that specific microRNAs including miR-27 and miR-375 may, in fact, function in distinct, different, and opposite pathways among these cell lines. Future research endeavors will need to evaluate the potential role of these microRNAs not only to validate their predictive capabilities as biomarkers but also to ascertain which functional pathways may be involved in the development and progression of oral cancers. corresponds 3.0  10 7 particles per mL for each sample. This analysis provides both the peak and mean diameter of EVs, including exosomes and nanospheres.
MicroRNAs是一种丰富的小的非编码RNA,具有多种已知的功能,包括转录激活和抑制。最近的证据表明,microRNA的表达可能影响一些癌症对化疗的反应,包括肝癌和肺癌。一些证据表明,特定的microrna,如miR-21、miR-155和miR-375,可能会影响口腔癌对化疗的反应性——尽管还有很多有待发现。由于缺乏这方面的证据,本研究的主要目的是评估口腔癌中microRNA的表达和反应性。从ATCC中获得5株市售口腔癌细胞株(SCC4、SCC9、SCC15、SCC25、CAL27)并进行培养,评估对顺铂、氟尿嘧啶或5-FU以及紫杉醇或紫杉醇的化疗耐药性。然后,外泌体被分离、确认,并使用Particle Metrix纳米跟踪分析(NTA)进行处理。随后,从外泌体和细胞部分分离RNA,并进行qPCR筛选,以确定细胞和外泌体分离物中microRNA的表达。生长试验显示,SCC15细胞的耐药性最低,CAL27和SCC4细胞表现出中等耐药性,SCC9和SCC25细胞对这些化疗药物表现出强烈的差异耐药性。筛选发现所有肿瘤均表达miR-21和miR-133,并观察到miR-27、miR-135、miR-155和miR-375的差异表达。然而,最耐药的细胞系SCC9和SCC25是唯一表达miR-375的细胞,也是唯一不表达miR-27的细胞,这表明化疗耐药与这些特异性microrna的表达之间存在关联。此外,在所有口腔癌的外泌体中发现了miR-21和miR-133, miR-133和mir -135的结果不同,尽管在任何外泌体中未发现miR-27和miR-375。尽管这些差异表达的microrna的功能作用仍有待阐明,但本研究的结果表明,包括miR-27和miR-375在内的特定microrna实际上可能在这些细胞系中以不同的、不同的和相反的途径起作用。未来的研究工作将需要评估这些microrna的潜在作用,不仅要验证它们作为生物标志物的预测能力,还要确定哪些功能途径可能参与口腔癌的发生和进展。每个样品对应3.010.7颗粒/ mL。该分析提供了ev的峰值和平均直径,包括外泌体和纳米球。
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引用次数: 1
Survey on Oral Health and History of Muscle Injury in Professional Athletes of Brazilian Women's Soccer: A Cross-Sectional Self-Reported Study 巴西女子足球专业运动员口腔健康和肌肉损伤史调查:一项横断面自我报告研究
Pub Date : 2022-01-01 DOI: 10.3844/crdsp.2022.1.10
F. C. O. Magalhães, Cimar Eustáquio Marques da Silva, Cornelis Robert Springer, R. Carteri, A. L. Lopes, B. C. Teixeira, Bárbara Capitanio de Souza
America Football Club, Medical Department, Belo Horizonte, Brazil Methodist University Center Porto Alegre Institute, Nutrition College, Porto Alegre, Brazil Federal University of Rio Grande do Sul, Physical Education School, Porto Alegre, Brazil State University of Minas Gerais, Physical Education College, Ibirité, Brazil Federal University of Rio Grande do Sul, Dentistry College, Porto Alegre, Brazil
美国足球俱乐部,医学部,贝洛奥里藏特,巴西卫理公会大学中心阿雷格里港研究所,营养学院,阿雷格里港,巴西南里奥格兰德州联邦大学,体育学校,阿雷格里港,巴西米纳斯吉拉斯州州立大学,体育学院,ibirit,巴西南里奥格兰德州联邦大学,牙科学院,巴西阿雷格里港
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引用次数: 0
Thyroid Dysfunction: Risk and Management in Dentistry 甲状腺功能障碍:牙科的风险和管理
Pub Date : 2021-01-01 DOI: 10.20944/PREPRINTS202101.0139.V1
G. Aoun
The thyroid gland secretes essential hormones for the growth regulation and the metabolic activity of the body. Thyroid dysfunction includes many conditions that can indirectly affect dental treatments. Therefore, the practitioner must be aware of these pathologies and their signs and symptoms in order to elaborate specific dental treatment plans, thus avoiding any per- and/or postoperative complications. Moreover, the dentist can help in the screening of undiagnosed thyroid dysfunction among patients.
甲状腺分泌人体生长调节和代谢活动所必需的激素。甲状腺功能障碍包括许多可以间接影响牙科治疗的情况。因此,医生必须了解这些病理及其体征和症状,以便制定具体的牙科治疗计划,从而避免任何手术和/或术后并发症。此外,牙医可以帮助筛查患者中未确诊的甲状腺功能障碍。
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引用次数: 3
Segmental Mandibular Resection for Conventional Ameloblastoma 常规成釉细胞瘤的下颌骨节段性切除术
Pub Date : 2021-01-01 DOI: 10.20944/PREPRINTS202101.0400.V1
Georges Abi Khalil, G. Aoun, Banine Khalifeh, T. Zeinoun
Ameloblastoma is an aggressive slow growing benign epithelial odontogenic tumor usually associated with an unerupted third molar. In this report, we present the case of a 71-year-old male with a large swelling on the left mandibular region causing a remarkable facial asymmetry. After clinical, radiological, and histopathological examinations the diagnosis of conventional ameloblastoma was made. To avoid probable recurrence our treatment choice was a segmental mandibular resection with the placement of a reconstructive titanium plate to maintain the space for subsequent bone graft.
成釉细胞瘤是一种侵袭性缓慢生长的良性上皮性牙源性肿瘤,通常与未出牙的第三磨牙有关。在这个报告中,我们提出的情况下,一个71岁的男性与一个大的肿胀在左侧下颌骨区域造成一个显着的面部不对称。经临床、放射学及组织病理学检查,诊断为常规成釉细胞瘤。为了避免可能的复发,我们的治疗选择是下颌骨节段性切除并放置重建钛板以保持后续骨移植的空间。
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引用次数: 0
The Anti-Nociceptive/Anti-Inflammatory Actions of Botulinum Toxin A for the Treatment of Chronic Pain; A Literature Review 肉毒毒素A治疗慢性疼痛的抗伤害性/抗炎作用文献综述
Pub Date : 2021-01-01 DOI: 10.3844/crdsp.2021.62.70
Racha Hajj, Camille Haddad
Corresponding author: Racha Hajj Resident, Department of Prosthodontics and Restorative Dentistry, Email: rahajj94@gmail.com Abstract: The aim of this article is to describe the new actions of botulinum toxin A for chronic pain treatment. BT/A inhibits the exocytosis of synaptic vesicles containing the pain mediators neurotransmitters, reduces the post traumatic trigeminal neuralgia pain, inhibits the release of microglia derived TNF-α as well as other pro inflammatory cytokines, viable treatment option in the case of patients who do not respond to conservative treatment methods of chronic pain (medication) BT/A is an emerging treatment for chronic pain; patients with severe chronic facial pain, not responding to conventional treatments, can respond to botulinum type a injections.
通讯作者:Racha Hajj Resident, Department of Prosthodontics and Restorative Dentistry, Email: rahajj94@gmail.com摘要:本文旨在描述肉毒毒素A在慢性疼痛治疗中的新作用。BT/A抑制含有疼痛介质神经递质的突触囊泡的胞吐,减轻创伤后三叉神经痛的疼痛,抑制小胶质细胞衍生的TNF-α以及其他促炎细胞因子的释放,是慢性疼痛保守治疗方法(药物治疗)无效患者的可行治疗选择。严重的慢性面部疼痛患者,对常规治疗无效,可以对a型肉毒杆菌注射有反应。
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引用次数: 0
Comparison of the Analgesic Efficacy of Two Medications in Patients Receiving Dental Implants a Randomized Controlled Trial 两种药物对种植牙患者镇痛效果的比较:一项随机对照试验
Pub Date : 2021-01-01 DOI: 10.3844/crdsp.2021.71.76
Alexander Saber, A. Kassir, N. Naaman, N. Mokbel, Layal Bou Semaan, M. Dagher
Layal A. Bou Semaan Department of Periodontology, Faculty of Dental Medicine, Saint Joseph University of Beirut, Lebanon Email: layal.bs@live.com Abstract: The aim of this randomized control trial was to compare the analgesic efficacy of two commonly prescribed medications, mefenamic acid (PonstanTM Forte) and lysine clonixinate (Dorixina®) in patients undergoing dental implant surgery. A total of 130 patients receiving dental implants were randomized into two groups: 75 Treated with Mefenamic Acid (MA) and 75 with Lysine Clonixinate (LC). The primary outcome was the change in pain scores according to a Visual Analog Scale (VAS) recorded by the patients on a questionnaire over 7 days post-operatively. Secondary outcome was analgesic consumption taken as a rescue medication. 102 patients (78.5%) completed questionnaires and were available for analysis. No significant difference was found for both outcome measures during the first 4 days post-operative. However, the mean VAS score was significantly lower in LC group at days 5, 6 and 7 compared to MA group. The results of this study suggests that there is no difference in the analgesic efficacy between MA and LC when prescribed as pain medications following dental implant surgery. The abovementioned findings will help clinicians to have a better understanding of the analgesic efficacy of two different medications in implant surgery. When anti-inflammatory drugs are contraindicated in patients undergoing implant treatment, LC can be safely prescribed with the same analgesic efficacy of an AINS.
摘要:本随机对照试验的目的是比较两种常用处方药物甲氧胺酸(PonstanTM Forte)和赖氨酸氯辛酸(Dorixina®)在种植牙手术患者中的镇痛效果。将130例种植牙患者随机分为两组:75例甲氧胺酸(MA)治疗组和75例氯硝辛酸赖氨酸(LC)治疗组。主要观察结果是术后7天内患者根据视觉模拟量表(VAS)记录的疼痛评分的变化。次要结果是镇痛药作为抢救用药。102例(78.5%)患者完成问卷调查,可供分析。术后头4天两项指标均无显著差异。然而,LC组在第5、6、7天的VAS平均评分明显低于MA组。本研究结果表明,MA和LC作为种植牙术后止痛药的镇痛效果没有差异。上述发现将有助于临床医生更好地了解两种不同药物在种植体手术中的镇痛效果。当接受种植治疗的患者有抗炎药物禁忌时,LC可以安全地使用,其镇痛效果与AINS相同。
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引用次数: 1
On Destructive Peri-implant Bone Loss 破坏性种植体周围骨丢失
Pub Date : 2019-01-01 DOI: 10.3844/crdsp.2019.1.17
A. Viljoen
Destructive peri-implant bone loss is distressing for both the patient and the treating dentist(s). In severe cases peri-implant bone loss may cause jawbone mutilation, making re-treatment highly complex or impossible and violating the treatment philosophy of “first, do no harm”. There are a multitude of causes of bone loss around a dental implant. These include, but are not limited to, post-operative bone remodeling; the skills or otherwise of the surgeon, the restorative dentist and technicians; patient factors (smoking, bruxing, health and disease of the oral hard and soft tissues, systemic disease); a dis-balanced immunobiological response to the placement of a foreign body; the physical, chemical and topographical properties of the implant; and the response of the commensal bone biofilm populations to the placement of the implant. This paper looks at one possible cause of destructive, peri-implant bone loss and the response of the commensal bone biofilms to the placement of the implant, including the influence that surface topography may have on the behavior of the biofilm populations. A new classification of bone quality and health, based on radiographical anatomy and the associated microbial ecology, is proposed. An aetiology of biofilm-mediated, surface-induced, destructive peri-implant bone loss is described.
破坏性种植体周围骨丢失对患者和治疗牙医都是痛苦的。严重的情况下种植体周围骨丢失会导致颌骨残缺,使得再治疗变得非常复杂或不可能,违背了“第一,不伤害”的治疗理念。牙齿种植体周围骨质流失的原因有很多。这些包括但不限于,术后骨重塑;外科医生、修复牙医和技师的技术或其他方面;患者因素(吸烟、磨牙、口腔软硬组织健康和疾病、全身性疾病);异位症对异物放置的不平衡的免疫生物学反应;植入物的物理、化学和地形特性;以及共生骨生物膜种群对植入物的反应。本文着眼于破坏性种植体周围骨丢失的一个可能原因,以及共生骨生物膜对种植体放置的反应,包括表面形貌可能对生物膜种群行为的影响。提出了一种基于放射解剖学和相关微生物生态学的骨质量和健康的新分类。生物膜介导的,表面诱导的,破坏性种植体周围骨丢失的病因被描述。
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引用次数: 1
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Current Research in Dentistry
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