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Use of different matrix systems in the treatment of simple caries. 使用不同基质系统治疗单纯性龋齿。
Pub Date : 2022-06-01 DOI: 10.2478/asmj-2022-0003
Andrea-Csinszka Kovăcs-Ivăcson, A. Stoica, M.I. Pop, Timea Dakó
Abstract Dental matrix systems are instruments used in the treatment of simple caries which replace the missing wall of the tooth during restoration. The aim of the study is to evaluate, using a questionnaire-based survey, the most used matrix systems among dentists and dentistry students. Materials and methods: Two hundred and fifty questionnaires containing 8 questions were distributed in electronic and printed format to dentists in Mureș and Harghita countries and dentistry students from 4th to 6th year of study at George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu Mureș. The obtained data were then analyzed using Microsoft Excel and SSPS 20.0.0. Statistical analysis was performed using the one tailed ANOVA and Tukey/ Kramer test. Significance level was set at a value of p<0.05. Results: Of the persons who completed the questionnaire 97.78% consider it important to use a matrix system during tooth restoration, 98.25 % use it when restoring class II Black cavities. Sectional matrixes are used most commonly during class II Black cavity restoration, for MOD cavities the circular matrix systems are the preferred ones. During class V Black cavity restoration only 5.45% of the doctors and students use a matrix system. Wooden wedge is used most frequently in combination with a matrix system. Only 3.3% always ask for a control X-ray after a tooth restoration. Conclusion: The use of matrix systems is considered to be very important by both dental students and dentists in the restoration of simple caries lesions and are most commonly used for a Black class II, III, IV, and MOD cavity. More importance should be given to follow-up X-rays after tooth restoration.
摘要牙基质系统是用于治疗单纯性龋病的一种工具,它可以在修复过程中代替缺失的牙壁。这项研究的目的是评估,使用问卷调查为基础的调查,最常用的矩阵系统在牙医和牙科专业的学生。材料和方法:以电子和印刷形式向穆列斯特和哈尔吉塔国家的牙医以及格鲁吉亚穆列斯特乔治·埃米尔·帕拉德医学、药学、科学和技术大学4至6年级的牙科学生发放了250份问卷,共包含8个问题。然后使用Microsoft Excel和SSPS 20.0.0对所得数据进行分析。统计学分析采用单尾方差分析和Tukey/ Kramer检验。p<0.05为显著性水平。结果:97.78%的人认为在修复过程中使用基质系统是重要的,98.25%的人认为在修复II类黑牙时使用基质系统。截面矩阵在II类黑腔修复中最常用,对于MOD腔,圆形矩阵系统是首选的。在V类黑腔修复中,只有5.45%的医生和学生使用矩阵系统。木楔最常与基质系统结合使用。只有3.3%的人在牙齿修复后总是要求进行对照x光检查。结论:在单纯性龋病的修复中,基质系统的使用被牙科学生和牙医认为是非常重要的,并且最常用于黑色II, III, IV和MOD类蛀牙。牙齿修复后的后续x光检查更为重要。
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引用次数: 0
The influence of smoking on the periodontal biome. A review. 吸烟对牙周生物群落的影响。复习一下。
Pub Date : 2022-06-01 DOI: 10.2478/asmj-2022-0002
L. Lazăr, Timea Dakó, A. Cozma, A. Lazar
Abstract Periodontal disease is believed to be an opportunistic infection due to the interaction of bacterial plaque and the patient’s response that may be influenced by environmental, genetic, and other risk factors. In addition to the fact that smoking is considered a risk factor in many systemic diseases, it has also been associated with the initiation of periodontal disease. Smoking is one of the modifiable risk factors and has a significant influence on the development, progress, and results of the treatment of periodontal disease. The current state in the field of study suggests that smoking aids the colonization of periodontal microorganisms, accelerating the onset of periodontal disease. Biological modifications in pathogens, such as Porphyromonas gingivalis, along with poor immune response, influence the variations of subgingival flora in smoking patients. Only with an individual approach can the risk factors of each patient be identified and satisfactory results obtained. The aim of this paper is to present a comprehensive review of the influence of smoking on periodontal microbiome and the importance of adopting the appropriate treatment method according to the influence of this risk factor on healing.
牙周病被认为是一种机会性感染,由于细菌菌斑和患者反应的相互作用,可能受到环境、遗传和其他危险因素的影响。除了吸烟被认为是许多全身性疾病的危险因素外,它还与牙周病的发病有关。吸烟是可改变的危险因素之一,对牙周病的发生、进展和治疗结果有重大影响。目前的研究表明,吸烟有助于牙周微生物的定植,加速牙周病的发生。病原菌的生物学修饰,如牙龈卟啉单胞菌,以及不良的免疫反应,影响吸烟患者牙龈下菌群的变化。只有采取个体化的方法,才能确定每位患者的危险因素,并获得满意的结果。本文就吸烟对牙周微生物群的影响以及根据吸烟对牙周愈合的影响采取适当治疗方法的重要性作一综述。
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引用次数: 1
The behavior of aesthetic restoration materials under extreme conditions: in vitro study. 极端条件下美学修复材料的行为:体外研究。
Pub Date : 2022-01-29 DOI: 10.2478/asmj-2022-0004
Alessandra-Aniela Cerghedi, Székely Melinda, M. Cristina
Abstract Introduction: Aesthetic materials for direct restorations can suffer changes in the oral cavity due to multiple factors acting at this level. The aim of the study was to demonstrate that aesthetic materials undergo structural changes in texture and chemicals, depending on the nature of the extrinsic factor, concentration, and exposure time. Material and methods: We used 3 types of composites, a self-polymerizing composite, two photo-polymerizing composites, and a glass ionomer. 210 teeth were initially immersed in artificial saliva as a control solution and afterwards immersed into artificial gastric juice, ethyl alcohol, energy drink, and distilled water. With the help of a pH meter, we determined the pH of the substances both before and after immersing the teeth in solutions. The teeth were monitored for 24-48 hours in a thermostat bath at 37 degrees Celsius, after which they were analyzed with the help of a rough meter that measures the smallest surface changes. Results: Significant changes in pH occurred in alcohol, where a considerable decrease was observed after 48h. Also, the alcohol produced the most aggressive changes of texture in the composites, and the smallest changes occured in the composite with nanofiller. The glass ionomer was the most affected of all the materials due to the exposure to both alcohol and artificial gastric juice, respectively energy drinks so that the surface analysis could not be performed. Conclusions: The results of the in vitro study are clinically important because the glass ionomer is much too rotten in these extreme situations. Thus, its use is not recommended both in patients with gastroesophageal reflux as well as in alcoholics and persons consuming energy drinks.
摘要简介:由于多种因素在口腔直接修复中起作用,美学材料在口腔内会发生变化。该研究的目的是证明美学材料在纹理和化学物质上经历结构变化,这取决于外在因素的性质、浓度和暴露时间。材料和方法:我们使用了3种复合材料,一种自聚合复合材料,两种光聚合复合材料和一种玻璃离聚体。210颗牙齿先浸泡在人工唾液中作为对照溶液,然后浸泡在人工胃液、乙醇、能量饮料和蒸馏水中。在pH计的帮助下,我们测定了将牙齿浸泡在溶液中前后物质的pH值。在37摄氏度的恒温浴中对牙齿进行24-48小时的监测,之后在测量最小表面变化的粗略仪表的帮助下对牙齿进行分析。结果:酒精的pH值发生了显著变化,48h后pH值明显下降。乙醇对复合材料织构的影响最大,纳米填料对复合材料织构的影响最小。玻璃离聚体是所有材料中受酒精和人工胃液(分别为能量饮料)影响最大的,因此无法进行表面分析。结论:由于玻璃离聚体在这些极端情况下太过腐烂,体外研究结果具有重要的临床意义。因此,不建议胃食管反流患者以及酗酒者和饮用能量饮料的人使用。
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引用次数: 0
Prevalence of nonsyndromic hypodontia in a south-east Transylvanian region. 特兰西瓦尼亚东南部地区非综合征性下颌畸形的患病率。
Pub Date : 2021-12-01 DOI: 10.2478/asmj-2021-0009
Ilinca Suciu, Alexandru Zalana, Marius Hack, M. Pacurar
Abstract Introduction. Clinicians claim that the prevalence of hypodontia has skyrocketed in recent years. However, there is no clear evidence whether it is really a change in dentition in Homo Sapiens or a purely hypothetical observation, due to the advanced modern technology used in the diagnosis of dento-maxillary anomalies. The aim of this study was to establish the prevalence and distribution of nonsyndromic hypodontia in young patients from the South-East Transylvanian region of Romania. Material and methods. A number of 325 dental charts were selected. The patients who needed orthodontic treatment were treated in the Pedodontics Department and Orthodontic Department of UMFST “George Emil Palade“ Targu Mures and two private dental offices during 2017-2019. The age of the patients was between 12 and 25 at the moment when the clinical and paraclinical examination were performed. Results. From a total number of 275 cases investigated, 78 patients were diagnosed with hypodontia in permanent dentition, not taking into consideration the third molars. Hypodontia’s prevalence is 6.47% for patients which seek orthodontic treatment, without taking into consideration the third molars. This value is found in the range of 2.8%-11.3% reported in studies in the literature. The present study showed that hypodontia affects a greater proportion of females (6.83%) than males (5.74%), without statistically significant differences. Conclusions. The prevalence of non-syndromic hypodontia in permanent dentition, compared to the total number of patients who requested orthodontic treatment, is 6.47%, being higher than the data reported in the literature of our country, but falls within the range reported in the international literature in general.
摘要介绍。临床医生声称,近年来,下颌畸形的患病率急剧上升。然而,由于现代诊断牙颌畸形的先进技术,目前还没有明确的证据表明这是智人牙列的真正变化还是纯粹的假设观察。本研究的目的是确定罗马尼亚东南部特兰西瓦尼亚地区年轻患者的非综合征性下颌畸形的患病率和分布。材料和方法。选定了325张牙科图表。需要正畸治疗的患者在2017-2019年期间在UMFST“George Emil Palade”Targu Mures的幼童科和正畸科以及两家私人牙科诊所接受治疗。进行临床及临床旁检查时,患者年龄在12 - 25岁之间。结果。在调查的275例病例中,有78例患者被诊断为恒牙下牙畸形,不包括第三磨牙。在不考虑第三磨牙的情况下,寻求正畸治疗的患者牙下畸形患病率为6.47%。该值在文献研究中报道的2.8%-11.3%范围内。本研究显示,下颌畸形的女性比例(6.83%)高于男性(5.74%),但差异无统计学意义。结论。恒牙列非综合征性下牙畸形患病率占正畸治疗患者总数的比例为6.47%,高于我国文献报道的数据,但总体处于国际文献报道的范围内。
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引用次数: 0
The connection between oral pathology and systemic diseases. 口腔病理与全身性疾病的关系。
Pub Date : 2021-12-01 DOI: 10.2478/asmj-2021-0007
Laura Ștef
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引用次数: 0
Nanostructured surface dental implants, a modern solution for the treatment of patients with chronic systemic diseases. 纳米结构表面牙种植体,治疗慢性全身性疾病患者的现代解决方案。
Pub Date : 2021-12-01 DOI: 10.2478/asmj-2021-0012
M. Suciu, D. Budei, Florentin-Daniel Berneanu
Abstract Introduction. In modern dentistry the oral rehabilitation of patients with the help of dental implants has a very high success rate. However, the problem is the situation of patients with serious chronic diseases in which the insertion of dental implants is problematic or dental procedures can complicate or aggravate the patients’ disease. Case report. We presented the case of a patient with associated chronic diseases who benefited from the insertion of implants with a nanostructured surface. The nanotube surface of the dental implant has been loaded with anti-inflammatory drugs to promote healing and stimulate the process of osteogenesis. Conclusions. Within the limitations of this study, we consider the therapy with avant-garde nanostructured dental implants to represent a viable treatment option for patients with a medical history with complicated chronic diseases.
摘要介绍。在现代牙科中,种植牙对患者的口腔康复有很高的成功率。然而,问题是严重慢性疾病患者的情况,在这些患者中,种植体的插入是有问题的,或者牙科手术可能使患者的疾病复杂化或加重。病例报告。我们提出的情况下,患者与相关的慢性疾病谁受益于植入物与纳米结构的表面插入。牙种植体的纳米管表面装载了抗炎药物,以促进愈合和刺激成骨过程。结论。在本研究的局限性内,我们认为前卫的纳米结构牙种植体治疗对于有复杂慢性疾病病史的患者来说是一种可行的治疗选择。
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引用次数: 0
Changes in head posture after rapid palatal expansion in mouth-breathing children. 口呼吸儿童腭部快速扩张后头部姿势的变化。
Pub Date : 2021-12-01 DOI: 10.2478/asmj-2021-0008
S. Pop, Mártha I. Krisztina, L. Contac, Sandor Henrietta
Abstract Introduction. It is well known that previously has been demonstrated a correlation between respiratory function and the harmonious craniofacial development and head posture respectively. Aim of the study. The purpose of this study was to investigate the correlation between rapid maxillary expansion (RME) and the change in natural head position (NHP) resulting from the consequent change in airway resistance and to elucidate how RME influences NHP in terms of cephalometric angles in children with nasal obstruction. Material and methods. The study included 12 girls and 8 boys who had a history of mouth breathing, as confirmed by the parents and ORL specialist and due to this fact, they underwent RME as part of orthodontic treatment. Dental casts, clinical photographs and lateral skull radiographs exposed in natural head position were obtained at the first visit (T1) and 8-10 months (T2) later for all subjects. In order to evaluate the patient’s lateral skull radiographs, I used AudaxCeph software, within which I created a new type of analysis. Student T test and Pearson correlation test were used to statistically analyze the results. Results. Our findings demonstrate that no significant changes in any of the variables are observed in patients treated with rapid maxillary expansion, however a positive correlation was observed in the variables measured before and after the treatment, respectively between the anomaly and the measured values. Positivity can also be detected when examining the correlation between the patient’s gender and the measured values. Conclusions. Based on the obtained results, we cannot state that there is a correlation between rapid maxillary expansion and cervical posture.
摘要介绍。众所周知,先前已经证明呼吸功能与颅面和谐发育和头部姿势之间存在相关性。研究的目的。本研究的目的是探讨上颌快速扩张(RME)与气道阻力变化导致的自然头位(NHP)变化之间的相关性,并阐明RME如何影响鼻塞儿童头位测量角度的NHP。材料和方法。该研究包括12名女孩和8名男孩,经父母和ORL专家确认,他们有口呼吸史,因此,他们接受了RME作为正畸治疗的一部分。所有受试者在首次就诊时(T1)和8-10个月后(T2)获得牙模、临床照片和侧颅骨x线片。为了评估患者的侧颅骨x线片,我使用了AudaxCeph软件,在该软件中我创建了一种新的分析方法。采用学生T检验和Pearson相关检验对结果进行统计分析。结果。我们的研究结果表明,在接受快速上颌扩张治疗的患者中,没有观察到任何变量的显著变化,然而,在治疗前后测量的变量中,异常值与测量值之间分别观察到正相关。当检查患者性别与测量值之间的相关性时,也可以检测到阳性。结论。根据获得的结果,我们不能说上颌快速扩张和颈椎姿势之间存在相关性。
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引用次数: 0
Endodontic anatomy of lower premolars in a subpopulation from the Mureş county. 穆列茨县一个亚种群下前磨牙的牙髓解剖。
Pub Date : 2021-12-01 DOI: 10.2478/asmj-2021-0011
Timea Dakó, R. Vlad, A. Stoica, Andrea-Csinszka Kovăcs-Ivăcson, M. Monea
Abstract Background/Aim: Thorough knowledge of the endodontic anatomy and comprehensive understanding of root canal morphological variations are mandatory to ensure the successful outcome of the endodontic treatment. The purpose of this study was to compare the number of root canals of first and second lower premolars in a selected population to the root canal pattern reported by endodontic literature and to analyze the gender distribution. Material and methods: A total of 376 preoperative periapical radiographs were obtained from patients living in the Mureş County of Romania. The X-rays were analyzed by 3 endodontists into determining whether the mandibular premolars had one, two or three root canals. The difference between male and female gender distribution was also examined. Endodontic treatment was then performed using the operating microscope to confirm the root canal configuration of the radiographic analysis. The results were compared to common knowledge of the endodontic literature. Results: In this study, by using the radiographic method combined with direct observation aided by the operating microscope, 31.3% of first premolars and 14.6% of second premolars were found to have two root canals. A higher percentage of two root canals were found in females for both first (60.97%) and second premolars (76.9%). Conclusion: In the Mureş County region, mandibular premolars with two root canals have a significantly higher rate than the literature reports. Female patients have a higher prevalence than male patients. This should concern clinicians from this area to be aware of these facts as it can unquestionably influence the tooth’s long-term prognosis.
背景/目的:深入了解根管解剖学,全面了解根管形态的变化,是保证根管治疗成功的必要条件。本研究的目的是比较选定人群第一和第二下前磨牙根管的数量与根管学文献报道的根管模式,并分析性别分布。材料和方法:共获得376张术前根尖周围x线片,来自罗马尼亚穆雷伊茨县的患者。3名牙髓学家对x光片进行了分析,以确定下颌前磨牙是有一个、两个还是三个根管。研究还考察了男女性别分布的差异。然后使用操作显微镜进行根管治疗,以确认放射学分析的根管结构。将结果与牙髓学文献的常识进行比较。结果:本研究通过x线摄影结合手术显微镜直接观察,发现31.3%的第一前磨牙和14.6%的第二前磨牙存在双根管。女性第一前磨牙(60.97%)和第二前磨牙(76.9%)均有较高的双根管比例。结论:在mureek县地区,下颌前磨牙双根管的发生率明显高于文献报道。女性患者的患病率高于男性患者。这应该引起该地区的临床医生的关注,因为它可以毫无疑问地影响牙齿的长期预后。
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引用次数: 0
Dento-facial aesthetics in the eyes of adolescent patients during the Covid-19 pandemic. 新冠肺炎大流行期间青少年患者眼中的牙面美学
Pub Date : 2021-12-01 DOI: 10.2478/asmj-2021-0010
J. Cherecheș, Abel Emanuel Moca, Luminița Ligia Vaida, M. Bembea
Abstract Introduction: Dental malocclusions are considered a major issue in adolescence, and are often the main reason for which patients go to the dentist. Adolescents′ option to start an orthodontic treatment is questioned in the light of the restrictions imposed in the context of the Covid-19 pandemic. Aim of the study: The aim of this study was to assess adolescents’ perceptions of facial aesthetics and the impact of the Covid-19 pandemic on the decision to start an orthodontic treatment during this time, when a number of restrictions, such as face mask wearing, were imposed. Material and methods: A 15 items questionnaire was applied in the city of Oradea, Romania and distributed to orthodontic adolescent patients, with a previously diagnosed malocclusion, with ages between 12 and 17.9 years. The questionnaires were correctly filled in by 76 participants. Results: Patients tend to be affected by the aspect of their teeth (50%), and most patients considered that the aspect of their teeth forces them to socialize less (44.8%), and to avoid smiling (44.8%). 39.4% of the respondents considered that wearing a face mask is useful because it covers all dental malocclusions, and 31.6% of the respondents were not bothered that they had to wear a face mask. Conclusions: Patients declared that they were affected by the aspect of their teeth, and have a generally positive attitude regarding face masks.
摘要简介:牙合错被认为是青少年的一个主要问题,也是患者去看牙医的主要原因。鉴于在2019冠状病毒病大流行背景下实施的限制,青少年开始正畸治疗的选择受到质疑。研究目的:本研究的目的是评估青少年对面部美学的看法,以及Covid-19大流行对这段时间内开始正畸治疗的决定的影响,当时实施了一些限制,如戴口罩。材料与方法:在罗马尼亚奥拉迪亚市采用一份15项问卷,发放给12 ~ 17.9岁的青少年正畸患者,均为既往诊断的错牙合。76名参与者正确填写了问卷。结果:患者易受牙齿外形的影响(50%),大多数患者认为牙齿外形使其社交活动减少(44.8%),避免微笑(44.8%)。39.4%的受访者认为戴口罩是有用的,因为它覆盖了所有的牙齿错合,31.6%的受访者不担心他们必须戴口罩。结论:患者表示受牙齿外形影响,对口罩总体持积极态度。
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引用次数: 0
Efficiency of different instruments used for composite filling polishing. 不同仪器用于复合填充抛光的效率。
Pub Date : 2021-06-01 DOI: 10.2478/asmj-2021-0005
Andrea-Csinszka Kovăcs-Ivăcson, A. Stoica, Mónika Kovács, M. Pop
Abstract Introduction: Improper finishing and polishing of fillings leads to surface roughness of the restoration which leads to excessive plaque accumulation, gingival irritation, increased surface staining and poor aesthetics of restored teeth. Therefore, it is essential to use polishing instruments and pastes as a final step of simple caries treatment in order to achieve optimal long-time results. The aim of this study is to evaluate the efficiency of 4 different finishing and polishing instruments used for surface smoothening of aesthetic restorative materials in vitro. Materials and methods: 40 composite (Reality X) samples were prepared in vitro. Their surface irregularities were measured along 3 diagonals before and after polishing. Sof-Lex discs (3M Espe), rubber cones (Kenda), Arkansas stone (Fino) and polishing paste and a professional toothbrush (Kerr) were used for polishing. Each sample was polished under 5N pressure for 30 seconds at 3000 rpm. The surface roughness was than measured using a profilometer. Statistic analysis was performed using ANOVA and unpaired T-tests, the significance level was set at a value of p<0.05. Results: Based on the mean values, the smallest roughness was found in the control group- 0.11, while the highest in the rubber polishers and Arkansas stone group- 0.47 and 0.48. The values for the Sof-Lex disc group and the polishing paste-toothbrush group were 0.40 and 0.39. Statistical analysis showed no significant differences between the four groups. Conclusion: It is mandatory to use polishing tools in order to obtain a smooth surface of the restoration and avoid the unwanted long-term complications. Polishing using brush and abrasive paste produced the smoothest surface of the composite.
摘要简介:填充物不正确的整理和抛光会导致修复体表面粗糙,导致牙菌斑过多积聚,刺激牙龈,表面染色增加,修复体美观性差。因此,为了达到最佳的长期效果,必须使用抛光仪器和膏体作为简单龋病治疗的最后一步。本研究的目的是评估4种不同的抛光和抛光仪器用于体外美容修复材料表面光滑的效率。材料与方法:体外制备40个复合材料(Reality X)样品。在抛光前后沿3条对角线测量其表面不规则性。使用了soflex光盘(3M Espe),橡胶锥(Kenda),阿肯色州石(Fino)和抛光膏和专业牙刷(Kerr)进行抛光。每个样品在5N压力下以3000 rpm抛光30秒。然后用轮廓仪测量表面粗糙度。统计学分析采用方差分析和非配对t检验,显著性水平为p<0.05。结果:从平均值来看,对照组的粗糙度最小,为0.11,而橡胶抛光机组和阿肯色石组的粗糙度最高,分别为0.47和0.48。soflex光盘组和抛光膏-牙刷组分别为0.40和0.39。统计分析显示四组间无显著差异。结论:为了获得修复体表面光滑,避免长期并发症的发生,必须使用抛光工具。使用刷子和研磨膏进行抛光,使复合材料表面最光滑。
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引用次数: 0
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Acta Stomatologica Marisiensis Journal
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