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Compendium of current ceramic materials used for the CAD/CAM dentistry. 目前用于牙科CAD/CAM的陶瓷材料纲要。
Pub Date : 2021-06-01 DOI: 10.2478/asmj-2021-0002
K. Hynková, I. Voborná, B. Linke, L. Levin
Abstract Nowadays, patients require the highest quality of treatment, but generally prefer to spend as little time as possible in the dental chair. Therefore, there is significant benefit for using new technologies such as CAD/CAM (computer aided design/computer aided manufacturing), which provides both quality and speed. There is an increase in ceramic materials and ceramic blocks/discs available, with varying properties. This has resulted in some confusion and difficulty in making an informed decision about which material is best for a specific clinical situation. The objective of this review is to provide an overview and comparison of basic mechanical properties of currently used CAD/CAM ceramic materials based on a review of the currently available literature.
如今,患者要求最高质量的治疗,但通常更愿意花尽可能少的时间在牙科椅上。因此,使用CAD/CAM(计算机辅助设计/计算机辅助制造)等新技术有显著的好处,它提供了质量和速度。陶瓷材料和陶瓷块/陶瓷片的可用性有所增加,具有不同的性能。这导致了一些混乱和困难作出明智的决定,哪种材料是最好的具体临床情况。本综述的目的是在回顾现有文献的基础上,对目前使用的CAD/CAM陶瓷材料的基本力学性能进行概述和比较。
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引用次数: 3
The assessment of two-way relationship between periodontal diseases and diabetes mellitus. 牙周病与糖尿病的双向关系评价。
Pub Date : 2021-06-01 DOI: 10.2478/asmj-2021-0003
Georgiana Cicalău, P. Babeș, D. Domocos, M. Pogan
Abstract Periodontal disease and diabetes mellitus have been said to have a two-way relationship, with diabetes leading to oral disease and periodontitis exacerbating hyperglycemia. The universal biologic mechanisms and demographic and behavioral risk drivers, underlying these associations in both directions, are also described. Both the diseases are chronic and they are affecting large population worldwide. Periodontitis is also recognized as the sixth major complication of diabetes, while diabetes mellitus is a metabolic disorder which has an impact on the global health and plays a crucial role in the pathogenesis of periodontitis. The aim of this article is to illustrate a systematic and comprehensive analysis of the literature, on the mutual relationship between diabetes mellitus and periodontal diseases, trying to identify if the prevalence of periodontitis is higher in diabetics or if the incidence of diabetes is greater in patients with periodontal disease. Moreover, our intention is to increase the level of awareness of diabetologists and dentists about the interaction between this two pathologies. Oral and periodontal health should be promoted as integral components of diabetes management. Dental professionals can detect unrecognized potential dysglycemia and refer for medical examination. Furthermore, the control of periodontal disease may enhance glycemic control which contributes to a better control of periodontal disease.
牙周病与糖尿病有双向关系,糖尿病可导致口腔疾病,牙周炎可加重高血糖。普遍的生物机制和人口和行为风险驱动因素,在这两个方向的基础上,也描述了这些关联。这两种疾病都是慢性的,它们影响着全世界的大量人口。牙周炎也是公认的糖尿病的第六大并发症,而糖尿病是一种影响全球健康的代谢性疾病,在牙周炎的发病机制中起着至关重要的作用。本文的目的是对糖尿病与牙周病之间的相互关系进行系统、全面的文献分析,试图确定是糖尿病患者的牙周炎患病率更高,还是牙周病患者的糖尿病发病率更高。此外,我们的目的是提高糖尿病学家和牙医对这两种病理之间相互作用的认识水平。口腔和牙周健康应作为糖尿病管理的组成部分加以促进。牙科专业人员可以发现未被识别的潜在血糖异常,并进行医学检查。此外,牙周病的控制可以加强血糖控制,从而有助于更好地控制牙周病。
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引用次数: 3
Utilizing technology to enhance compliance and oral health. 利用科技提高依从性和口腔健康。
Pub Date : 2021-06-01 DOI: 10.2478/asmj-2021-0001
Anahat Khehra, L. Levin
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引用次数: 0
Fear and dental anxiety in children: a study of the contributing factors. 儿童的恐惧和牙科焦虑:影响因素的研究。
Pub Date : 2021-06-01 DOI: 10.2478/asmj-2021-0006
M. Pașca, Andreea Pazitor, D. Eşian, O. Stoica, A. Stoica, C. Bică
Abstract Introduction: Dental fear and anxiety are an important issue affecting children’s oral health and clinical management, and also an insufficiently studied subject in dentistry. Aim of the study: The aim of this study was to better understand the child patient - dentist versus dentist - child patient relationship and study the dental fear and anxiety of children in order to improve the dental office practice. Material and methods: In this study a personalized questionnaire was created and applied on a number of 333 children, in 4 schools from Mures county, Romania, on girls and boys between the ages of 8 and 13. The questionnaires used emoticons alongside words in order to better determine the state of anxiety created by the dental appointment and everything that it entails. All data and results obtained were analyzed using Excel and Graph Pad Prism 5.0 software. Results: Out of 333 patients, 133 subjects (40%) were 8-10-year-old, 143 subjects (42.9%) 11 - 13 years and 57 subjects (17.1%) were over 14 years. 175 girls (52.6%) and 158 boys (47.4%) demonstrated their courage and desire in participating in our study. It was determined that fear of dental appointments was caused in children over 14 years of age. The state of relaxation is generally enjoyed by urban children (45%) and those aged 11-13 years (37.1%); the percentage of boys in this category is an interesting aspect (40.5%). Conclusion: Dental anxiety is multifactorial and is far more complex than can be explained by a single contributing factor. The direct involvement of the child from the perspective of maintaining dental health, leads to the elimination of the state of fear and anxiety. Regular visits to the dental office, on the initiative of the child patient itself can reduce the anguish.
摘要导读:牙科恐惧和焦虑是影响儿童口腔健康和临床管理的重要问题,也是目前口腔医学研究不足的课题。研究目的:本研究旨在了解儿童病人与牙医、牙医与儿童病人的关系,并研究儿童对牙科的恐惧和焦虑,以改善牙科诊所的做法。材料和方法:在这项研究中,我们制作了一份个性化的问卷,并对罗马尼亚Mures县4所学校的333名8至13岁的男孩和女孩进行了调查。问卷中除了文字外还使用了表情符号,以便更好地确定牙医预约及其相关事宜所造成的焦虑状态。使用Excel和Graph Pad Prism 5.0软件对所得数据和结果进行分析。结果:333例患者中,8 ~ 10岁133例(占40%),11 ~ 13岁143例(占42.9%),14岁以上57例(占17.1%)。175名女生(52.6%)和158名男生(47.4%)表现出参与我们研究的勇气和愿望。结果表明,14岁以上的儿童害怕看牙医。城市儿童(45%)和11-13岁儿童(37.1%)普遍享受放松状态;男孩在这一类别中的比例是一个有趣的方面(40.5%)。结论:牙齿焦虑是多因素的,远不是单一因素所能解释的。儿童的直接参与从维护牙齿健康的角度来看,导致消除恐惧和焦虑的状态。定期到牙科诊所就诊,儿童患者自己主动就可以减少痛苦。
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引用次数: 0
Contribution to the study of improving the aesthetics of the smile by repairing and reshaping the incisors with composite materials. 对用复合材料修复和重塑门牙改善微笑美学的研究有贡献。
Pub Date : 2021-06-01 DOI: 10.2478/asmj-2021-0004
A. Stoica, O. Stoica, C. Kovacs-Ivacson, M. Monea
Abstract Introduction. Dental aesthetics, although it seems something relative and difficult to evaluate, it is governed by a series of laws and rules that connect the dental disciplines, creating a unitary whole. It is structured by rules, perfected by artistic sense and by the inclination towards beauty of all specialists in dento-facial cosmetics. The aim of the study is to highlight an overview of aesthetic factors to consider when restoring anterior teeth with direct composite materials. Material and methods. A total of 25 patients were included in the study where the anterior teeth were restored using Gradia Direct Anterior (from GC) and Filtek Z550 (from3M-ESPE) composite kits, in perfect isolation using rubber damn, with a separate appointment after 24 hours for the polishing step, for which Rainbow Kit Technic and polishing Platina Hi-Gloss (from Prevest) paste were used. While the replacement of the tooth defect, we ensured that the composite increment, which we used should not be more than 2mm in thickness, and light cured for 20 seconds as the producer recommends. In none of all tooth shape modification (elongation in incisal zone) we did not modify the occlusion, by eliminating all premature contacts. All patients included in the study have signed the informed consent and agreed to participate in this research. Results. From a total of 25 patients, we repaired 20 central incisors with the mesial (18 cases) or distal (2 cases) angles fractured, in different accidents, 5 cases with diastema by small shape of the crown or malposition of one of the central incisors. Conclusions. Restoring the incisal angle or the incisal edge and refining a natural and improved smile of the patient is e very frequent dental intervention, especially nowadays when aesthetics plays an important role in the social society.
摘要介绍。牙科美学,虽然看起来是相对的,很难评价,但它是由一系列规律和规则所支配的,这些规律和规则将牙科学科联系起来,形成一个统一的整体。它由规则构成,由艺术感和所有牙齿面部化妆品专家对美的倾向而完善。本研究的目的是强调了当使用直接复合材料修复前牙时需要考虑的美学因素的概述。材料和方法。本研究共纳入25例患者,使用Gradia Direct anterior(来自GC)和Filtek Z550(来自3m - espe)复合试剂盒修复前牙,使用橡胶垫进行完美隔离,24小时后单独预约抛光步骤,使用Rainbow Kit Technic和polishing Platina high - gloss(来自Prevest)膏体。在更换牙齿缺陷的同时,我们保证我们使用的复合增量厚度不超过2mm,并按照生产商的建议光固化20秒。在所有的牙齿形状修改(延长在切区),我们没有修改咬合,通过消除所有过早接触。所有纳入研究的患者均已签署知情同意书,同意参与本研究。结果。在25例患者中,我们修复了20例中切牙,其中近端(18例)或远端(2例)角骨折,不同事故,5例中切牙因冠形状小或其中一个中切牙位置不正确而出现裂口。结论。修复患者的内眦棱角或内眦棱角,使患者的笑容更加自然、优美,是牙科治疗中非常常见的方法,尤其是在审美在社会中占有重要地位的今天。
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引用次数: 0
Occlusal sequalae of the loss of first permanent molars among children and adolescents. 儿童和青少年第一恒磨牙缺失的咬合后遗症。
Pub Date : 2020-12-01 DOI: 10.2478/asmj-2020-0012
Henrietta Hilda Kallós, E. Markovics, S. Pop, Krisztina Mártha
Abstract Objective: The purpose of the present study is to evaluate the disintegration of the contact point system, the occlusal changes, and the masticatory force following the loss of the first permanent molars (FPM). Material and methods: Clinical examinations were performed among 8-18-year-olds following the changes in the contact points and their effects on the dento-maxillary apparatus. The sample comprises 422 individuals, 220 girls and 202 boys. The occlusal masticatory force was measured using the T-Scan in the case of the opening of contact points. For the statistical data analysis, was used correlation and Chi Square Test in the GraphPad InStat program. Results: A very weak reverse dependence was found between the size of the edentulous space and the deflection of the upper and lower interincisal lines (r=-0.02) and between the age and size of the edentulous space (r=-0.05). There is a statistically significant chance of mandibular lateral deviation by dental migration following edentulism (p=0.043). In the case of the opening of contact points, there are 1.42 times higher risks of modified sagital relationship in the molar segment (p=0.016) and 2.7 times greater risks of the tipping of the neighbouring teeth (p=0.021). Following the evaluation of the T-Scan measurements, we found in each case a significant decrease in the masticatory force in the edentulous area and the opening of the interproximal contact points. Conclusion: Based on the obtained results, we can state that the opening of contact points decisively influences the stability of the occlusion and the size of the masticatory force.
摘要目的:探讨第一恒磨牙(FPM)脱落后接触点系统的解体、咬合变化及咀嚼力的变化。材料与方法:对8 ~ 18岁青少年进行临床检查,观察接触点的变化及其对牙颌器官的影响。样本包括422个人,220名女孩和202名男孩。在接触点打开的情况下,使用t扫描测量咬合咀嚼力。对于统计数据的分析,在GraphPad InStat程序中使用相关性和卡方检验。结果:无牙间隙大小与上下牙间线挠度呈极弱的反向相关关系(r=-0.02),年龄与无牙间隙大小呈极弱的反向相关关系(r=-0.05)。有统计学意义的是,在全牙化后,由于牙齿迁移导致下颌侧偏的几率有统计学意义(p=0.043)。在接触点开放的情况下,磨牙段矢状关系改变的风险增加1.42倍(p=0.016),邻近牙齿倾斜的风险增加2.7倍(p=0.021)。在对t扫描测量结果进行评估后,我们发现在每个病例中,无牙区咀嚼力和近端接触点的开放程度都有显著下降。结论:接触点的开度对咬合的稳定性和咀嚼力的大小有决定性的影响。
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引用次数: 1
Assessment of dental anxiety and the prevalence of dental caries in a group of 6-9 years old children. 一组6-9岁儿童牙齿焦虑和龋齿患病率的评估。
Pub Date : 2020-12-01 DOI: 10.2478/asmj-2020-0010
R. Vlad, O. Stoica, A. Stoica, M. Monea
Abstract Children`s dental anxiety is responsible for increasing dental health problems, as patients avoid seeking treatment. The aim of our study was to evaluate the level of dental anxiety and its correlation with dental health status in a group of children aged between 6-9 years. Material and Methods. Our study included 56 children: first, they completed a questionnaire and then the decay-missing-filled teeth index was measured (DMFT). Results. From a total of 59 children, 29 children had dental anxiety (51.78%) and the prevalence of caries was 69%. The mean and SD for the DMFT index was 1.76+/- 1.54 (2.04 +/- 1.98 for boys and 1.69 +/- 1.72 for girls, with p= 0.0391, p<0.05). In conclusion, the level of dental anxiety can be reduced by frequent visits to the dental office. A favorable personal experience might help children increasing their confidence for dental treatment. There was a significant negative association between the value of filled teeth and the level of child's anxiety.
儿童的牙齿焦虑是导致牙齿健康问题增加的原因,因为患者避免寻求治疗。本研究的目的是评估一组6-9岁儿童的牙齿焦虑水平及其与牙齿健康状况的关系。材料和方法。我们的研究包括56名儿童:首先,他们完成了一份调查问卷,然后测量了龋缺补牙指数(DMFT)。结果。59名儿童中有29名出现牙齿焦虑(51.78%),龋齿发生率为69%。DMFT指数的均值和标准差分别为1.76+/- 1.54(男生为2.04 +/- 1.98,女生为1.69 +/- 1.72,p= 0.0391, p<0.05)。总之,经常去牙科诊所可以降低牙科焦虑的程度。良好的个人体验可以帮助孩子增加对牙科治疗的信心。补牙价值与儿童焦虑水平呈显著负相关。
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引用次数: 1
The use of occlusal splints in temporomandibular disorders - an overview. 使用咬合夹板在颞下颌疾病-概述。
Pub Date : 2020-12-01 DOI: 10.2478/asmj-2020-0008
A. Kui, S. Pop, S. Buduru, M. Negucioiu
Abstract Temporomandibular disorders (TMD) affect the temporomandibular joints, the masticatory muscles, and surrounding tissues. Among symptoms such as jumps, joint noises, reduced mouth opening (closed lock), difficulties in closing the mouth (subluxation or open lock), pain is the most common symptom encountered among patients diagnosed with temporomandibular disorders. As literature on this topic is abundant and sometimes controversial, the authors focus on reviewing the state of art of occlusal splints indications. Therefore, the most common occlusal splints, like Lucia jig, nociceptive trigeminal inhibition (NTI), directive splints, etc., are being described, based on their design and therapeutic indications. Cases of malocclusions associated or not with parafunctions are usually manageable using the splints mentioned in this article. In case of disc displacements, occlusal appliances can be used, but as the etiology is multifactorial, there are some limitations, depending on the complexity of each clinical situation.
颞下颌疾病(Temporomandibular disorders, TMD)主要影响颞下颌关节、咀嚼肌及周围组织。在跳跃、关节噪音、开口缩小(闭锁)、闭口困难(半脱位或闭锁)等症状中,疼痛是诊断为颞下颌障碍的患者最常见的症状。由于关于这一主题的文献很多,有时也有争议,作者着重回顾了咬合夹板适应症的最新进展。因此,最常见的咬合夹板,如Lucia jig,伤害性三叉神经抑制(NTI),指导性夹板等,正在根据其设计和治疗适应症进行描述。与功能异常相关或不相关的错咬合病例通常使用本文中提到的夹板进行管理。在椎间盘移位的情况下,可以使用咬合器具,但由于病因是多因素的,根据每个临床情况的复杂性,有一些局限性。
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引用次数: 2
Contributions to the study of common artifacts and errors in conventional and three-dimensional radio-imaging used in the evaluation of odontal, endodontic and periodontal pathology. 对用于评估牙齿、牙髓和牙周病理的常规和三维放射成像中的常见伪影和错误的研究作出贡献。
Pub Date : 2020-12-01 DOI: 10.2478/asmj-2020-0009
Diana-Florina Kulcsar, O. Stoica, M. Monea, A. Stoica
Abstract Introduction: X-ray radio imaging is commonly used because most diseases in the oral area can only be diagnosed by using this method. Proper identification of elements on a radiological image may also be difficult due to errors that may occur before, during or after the X-ray. These errors are called artifacts. Aim of the study: The aim of our study is to distinguish the artifacts that can occur on two-dimensional and three-dimensional dental X-rays (intraoral or extraoral) from the actual pathology of the investigated area, by performing control X-rays. Material and Methods: In our study we viewed, assessed and compared a number of 80 retroalveolar X-rays, 45 orthopantomographs (OPG) and 35 Cone Beam Computer Tomography (CBCT). In case of artifacts or errors, X-rays were repeated within 5 days or a CBCT was performed. In the case of OPGs, another option was to perform retroalveolar X-rays to establish the final diagnosis. Results: From a total of 80 retroalveolar X-rays, in 13 cases (16.25%) we found artifacts. Of these, in only 4 cases (5%) diagnosis and treatment plan were changed following a clinical examination or a CBCT. In the case of OPGs, out of a total of 45 OPGs, 17 (37.7%) presented artifacts, but only in a percentage of 17.7% (8 cases) they affected the diagnosis. Of the 35 CBCTs, in 10 of them (28.57%) prosthetic works with a metal component or implants were present, with specific artifacts found, but their presence did not influence the diagnosis. Conclusion: It is necessary for doctors to know the anatomy of the oral region, the most fervent appearance of the components and the different types of artifacts that may occur. Control X-ray is a very commonly used possibility, but there are cases where radiation exposure needs to be minimized.
摘要简介:由于大多数口腔疾病只能通过x射线放射成像来诊断,因此x射线放射成像是常用的方法。由于在x射线之前,期间或之后可能发生的错误,正确识别放射图像上的元素也可能很困难。这些错误被称为工件。研究目的:我们研究的目的是通过进行对照x光检查,将二维和三维牙科x光检查(口腔内或口腔外)上可能出现的伪影与研究区域的实际病理区分开来。材料和方法:在我们的研究中,我们观察、评估和比较了80张肺泡后x光片、45张正骨断层摄影(OPG)和35张锥形束计算机断层摄影(CBCT)。如果出现伪影或错误,则在5天内重复x光或进行CBCT。对于OPGs,另一种选择是进行肺泡后x光检查以确定最终诊断。结果:80例肺泡后x线片中,13例(16.25%)发现假影。其中,只有4例(5%)在临床检查或CBCT后改变了诊断和治疗计划。在总共45例opg中,17例(37.7%)出现假影,但只有17.7%(8例)的百分比影响了诊断。在35例cbct中,其中10例(28.57%)存在金属构件或植入物的假体作品,发现了特定的假物,但它们的存在并不影响诊断。结论:医生有必要了解口腔区域的解剖结构、各组成部分最炽热的外观以及可能出现的不同类型的伪影。对照x射线是一种非常常用的可能性,但在某些情况下,需要尽量减少辐射暴露。
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引用次数: 0
Anxiety in the dental office during the COVID-19 pandemic. COVID-19大流行期间牙科诊所的焦虑。
Pub Date : 2020-12-01 DOI: 10.2478/asmj-2020-0007
G. Ciavoi
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引用次数: 0
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Acta Stomatologica Marisiensis Journal
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