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In Vitro Effects of Chlorhexidine and Isopropyl Alcohol Conditioning Agents on Immediate and Late Bond Strength of Fiber Posts to Dentin 氯己定和异丙醇调节剂对纤维桩与牙本质的初期和后期粘接强度的体外效应
Q3 Dentistry Pub Date : 2024-04-23 DOI: 10.18502/fid.v21i13.15374
Mansoureh Emami Arjomand, N. Nasoohi, Mohaddeseh Shabani
Objectives: This study assessed the effect of chlorhexidine (CHX) and isopropyl alcohol (IA) on immediate and late pushout bond strength (PBS) of fiber posts to dentin. Materials and Methods: In this in vitro study, 54 single-canal premolars were endodontically treated, and randomly assigned to 3 groups (N=18) for root dentin conditioning with distilled water (control), 2% CHX, and 70% IA after post space preparation. Fiber posts were cemented with TheraCem self-adhesive cement, and each group was subdivided into two subgroups (N=9) for PBS measurement immediately after bonding, and after  5000 thermal cycles (5-55°C). The roots were then sectioned, and their PBS was measured. The mode of failure was evaluated under a stereomicroscope at ×40 magnification. Data were analyzed by repeated measures ANOVA and Tukey’s test (alpha=0.05). Results: The highest PBS was noted in the IA group (21.12 MPa) after 24 hours and the lowest PBS belonged to the control group after thermocycling (7.48 MPa). The immediate and post-thermocycling PBS were significantly lower in the control group than the CHX group (P<0.05). The PBS in both the control and CHX groups was lower than that in the IA group (P<0.001).  Regardless of the type of detergent, a significant reduction in PBS was observed after thermocycling (P<0.003). The PBS significantly decreased from the cervical towards the apical region in all groups (P<0.001). Conclusion: According to the results, application of IA before the self-adhesive cement effectively improved the immediate and late PBS, and was significantly more effective than CHX.
研究目的本研究评估了洗必泰(CHX)和异丙醇(IA)对纤维桩与牙本质的即刻和后期推出粘接强度(PBS)的影响。材料和方法:在这项体外研究中,对 54 颗单管前臼齿进行了根管治疗,并随机分配到 3 组(N=18),分别使用蒸馏水(对照组)、2% CHX 和 70% IA 进行根管牙本质调理,然后进行后间隙预备。纤维桩用 TheraCem 自粘水泥粘接,每组又分为两个亚组(N=9),分别在粘接后立即和经过 5000 次热循环(5-55°C)后测量 PBS。然后对牙根进行切片,测量其 PBS。在放大到 ×40 倍的体视显微镜下对失效模式进行评估。数据分析采用重复测量方差分析和 Tukey 检验(α=0.05)。结果24 小时后,IA 组的 PBS 最高(21.12 兆帕),热循环后对照组的 PBS 最低(7.48 兆帕)。对照组刚开始和热循环后的 PBS 都明显低于 CHX 组(P<0.05)。对照组和 CHX 组的 PBS 均低于 IA 组(P<0.001)。 无论使用哪种去垢剂,热循环后都观察到 PBS 显著下降(P<0.003)。所有组的 PBS 均从颈部向根尖区明显下降(P<0.001)。结论结果表明,在自粘骨水泥前应用 IA 能有效改善即刻和晚期 PBS,其效果明显优于 CHX。
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引用次数: 0
Effect of Elastomeric Module Degradation and Ligation Methods on Kinetic Friction between NiTi or Stainless Steel Wires and Stainless Steel Brackets 弹性体模块降解和连接方法对镍钛丝或不锈钢丝与不锈钢支架之间动摩擦力的影响
Q3 Dentistry Pub Date : 2024-03-24 DOI: 10.18502/fid.v21i10.15222
Pooya Ebrahimi, Parastou Nastarin, Mahdi Hadilou, Behnaz Karimzadeh, Mojgan Kachoei
Objectives: The reduction of resistance to sliding between the archwire and bracket promotes more seamless tooth movement, leading to a faster and improved orthodontic treatment experience. This research aimed to examine how the degradation of elastomeric modules, different ligation methods, bracket-wire angle, and wire type (nickel titanium, NiTi or stainless-steel, SS) impact the kinetic friction resulting from the interaction between NiTi or SS archwires and SS brackets. Materials and Methods: The current in vitro study was conducted on nine groups, including NiTi and SS archwires with three types of ligations (O-ring, figure of 8, and SS wire ligature) and two bracket-wire angles (0˚ and 10˚). The kinetic friction in each group was measured using a Universal Testing Machine at four time intervals: baseline, day one, week one, and week four. Repeated measures ANOVA, Mauchly test of sphericity followed by the Greenhouse-Geisser test, and relevant post hoc tests were used for statistical analysis (P<0.05). Results: The authors found a decrease in kinetic friction in all types of ligations, which confirmed the effect of time on the degradation of ligation modules. The kinetic friction of figure of 8 ligations was higher than both O-ring and SS wire ligations. No difference was observed between O-ring and SS wire ligations. Furthermore, the bracket-wire angle did not affect friction. Conclusion: The authors suggest that the use of figure of 8 ligations in NiTi and SS wires should be limited due to their high friction and replaced with other types of ligations, if possible.
目标:减少弓丝和托槽之间的滑动阻力可促进牙齿的无缝移动,从而带来更快、更好的正畸治疗体验。本研究旨在探讨弹性模块的降解、不同的结扎方法、托槽-钢丝角度和钢丝类型(镍钛或不锈钢)如何影响镍钛或不锈钢弓丝与不锈钢托槽之间相互作用产生的动摩擦力。材料和方法:目前的体外研究对九组镍钛和 SS 弓丝进行了研究,包括三种结扎方式(O 形环、8 字形和 SS 线结扎)和两种托槽与线的角度(0˚ 和 10˚)。在基线、第一天、第一周和第四周的四个时间间隔内,使用万能试验机测量了各组的动摩擦力。采用重复测量方差分析、Mauchly 球形度检验和 Greenhouse-Geisser 检验以及相关的事后检验进行统计分析(P<0.05)。结果作者发现所有类型的结扎都会导致动摩擦力下降,这证实了时间对结扎模块降解的影响。8 字形结扎的动摩擦力高于 O 形环和 SS 线结扎。O 形环和 SS 金属丝结扎之间没有发现差异。此外,支架与钢丝的角度也不会影响摩擦力。结论:作者建议,由于镍钛和 SS 金属丝的高摩擦力,应限制使用 8 字结扎法,并尽可能用其他类型的结扎法取而代之。
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引用次数: 0
Effects of Two Remineralizing agents in Combination with Er:YAG and CO2 Laser Irradiation on Microhardness of Demineralized Enamel: A Preliminary In Vitro Study 两种再矿化剂结合 Er:YAG 和 CO2 激光照射对脱矿珐琅质微硬度的影响:体外初步研究
Q3 Dentistry Pub Date : 2024-03-24 DOI: 10.18502/fid.v21i11.15223
Mehran Mapar, Sara Gholizadeh, Mina Moalemnia
Objectives:  This study assessed the effects of two remineralizing agents namely MI Paste Plus containing casein phosphopeptide amorphous calcium phosphate fluoride (CPP-ACFP) and Remin Pro containing hydroxyapatite, fluoride and xylitol (HFX) with/without erbium-doped yttrium aluminium garnet (Er:YAG) and CO2 laser irradiation on demineralized enamel microhardness. Materials and Methods: In this in vitro study, 70 sound human premolars were mesiodistally sectioned, demineralized at a pH of 4.6 for 8 hours, and randomly divided into 7 remineralization groups (n=10): of (I) MI Paste Plus (CPP-ACFP), (II) Remin Pro (HFX), (III) MI Paste Plus+CO2 laser (0.7 W power, 50 Hz), (IV) Remin Pro+CO2 laser, (V) MI Paste Plus+Er:YAG laser (1 W power, 10 Hz), (VI) Remin Pro+Er:YAG laser, and (VII) negative control. The Vickers hardness number of specimens was then measured. The groups were compared by one-way ANOVA and Tukey’s test (α=0.05). Results: The mean microhardness was 319.8±49.9, 325.3±44.6, 359.4±35.7, 296.4±33.7, 319.9±58.1, 358.9±28.4, and 240.0±41.6 kg/mm2 in groups 1 to 7, respectively. The difference in microhardness was significant among the groups (P<0.0001). Pairwise comparisons revealed significant differences in microhardness between all groups (P≤0.03) except between groups 1 and 2, 1 and 5, 2 and 5, and 3 and 6 (P>0.05). Conclusion: Both Remin Pro (containing HFX) and MI Paste Plus (containing CPP-ACFP) can cause enamel remineralization.  MI Paste Plus+CO2 laser irradiation and Remin Pro+Er:YAG laser irradiation were significantly more effective than the application of each remineralizing agent alone.
研究目的 本研究评估了两种再矿化制剂,即含有酪蛋白磷酸肽无定形磷酸钙氟化物(CPP-ACFP)的 MI Paste Plus 和含有羟基磷灰石、氟化物和木糖醇(HFX)的 Remin Pro,以及掺铒钇铝石榴石(Er:YAG)和二氧化碳激光照射对脱矿釉质微硬度的影响。材料和方法:在这项体外研究中,对 70 颗健全的人类前臼齿进行中碘切片,在 pH 值为 4.6 的条件下脱矿 8 小时,并随机分为 7 个再矿化组(n=10):(I) MI Paste Plus (CPP-ACFP);(II) Remin Pro (HFX);(III) MI Paste Plus+CO2 激光(0.7 W 功率,50 Hz);(IV) Remin Pro+CO2 激光器;(V) MI Paste Plus+Er:YAG 激光器(1 W 功率,10 Hz);(VI) Remin Pro+Er:YAG 激光器;(VII) 阴性对照。然后测量试样的维氏硬度数。各组之间的比较采用单因素方差分析和 Tukey 检验(α=0.05)。结果第 1 至第 7 组的平均显微硬度分别为 319.8±49.9、325.3±44.6、359.4±35.7、296.4±33.7、319.9±58.1、358.9±28.4 和 240.0±41.6 kg/mm2。各组间的显微硬度差异显著(P0.05)。结论Remin Pro(含 HFX)和 MI Paste Plus(含 CPP-ACFP)都能使釉质再矿化。 MI Paste Plus+CO2 激光照射和 Remin Pro+Er:YAG 激光照射的效果明显优于单独使用两种再矿化剂。
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引用次数: 0
A Randomized Controlled Clinical Trial Comparing Clinical and Radiographic Success Rates of MTA and rhBMP2 in Pulpotomy of Primary Teeth 比较 MTA 和 rhBMP2 在基牙牙髓切断术中的临床和放射学成功率的随机对照临床试验
Q3 Dentistry Pub Date : 2024-03-24 DOI: 10.18502/fid.v21i12.15224
Nosrat Nourbakhsh, Sanaz Ziaei, Hesam Panahi, N. Sedaghat, Amirhossein Behnia
Objectives: In an ideal pulpotomy, the radicular pulp remains vital, healthy, and fully encased within an odontoblastic layer. Mineral trioxide aggregate (MTA) and bone morphogenetic proteins (BMPs) have been suggested to facilitate this outcome. We aimed to compare the clinical and radiographic failure and success rates of MTA and rhBMP2 as pulpotomy medicaments. Materials and Methods: Sixty-eight teeth from 3–6-year-old children were randomly assigned to two groups using a split-mouth design. Cervical pulpotomy was performed using MTA in one group and rhBMP2 in the other. Subsequently, the teeth were restored with stainless-steel crowns. Clinical and radiographic assessments were performed at 3, 6, 9, and 12-month follow-up intervals to evaluate success and failure rates. Data were analyzed using Chi-square test and Kaplan-Meier survival analysis (P<0.05) Results: At six and nine months, one tooth in the BMP2 group and one tooth in the MTA group showed internal resorption, respectively. After 12 months, one tooth in the BMP2 group exhibited PDL widening. The radiographic success rate was 100% for the MTA- and 97.1% for the BMP2-group at six months, 96.7% for both groups at nine months, and 96.7% and 93.3%, respectively, at 12 months. No clinical failure criteria were observed in any of the teeth. Survival analysis revealed no significant difference between the two groups. Conclusion: The study reveals comparable outcomes between rhBMP2 and MTA, suggesting rhBMP2 as a viable alternative for pulpotomy in primary teeth. With minimal incidences of complications and no significant differences noted, rhBMP2 demonstrates potential for clinical use.
目标:在理想的牙髓切除术中,根髓保持活力、健康,并完全包裹在牙本质层中。有人认为三氧化二铝矿物质聚合体(MTA)和骨形态发生蛋白(BMP)有助于实现这一结果。我们的目的是比较 MTA 和 rhBMP2 作为牙髓切除药物的临床和影像学失败率和成功率。材料和方法:采用分口设计将 68 颗来自 3-6 岁儿童的牙齿随机分配到两组。一组使用 MTA,另一组使用 rhBMP2 进行牙颈髓切断术。随后,用不锈钢牙冠对牙齿进行修复。在 3 个月、6 个月、9 个月和 12 个月的随访期间进行临床和放射学评估,以评估成功率和失败率。数据分析采用卡普兰-梅耶生存分析和卡普兰-梅耶检验(P<0.05):6 个月和 9 个月时,BMP2 组和 MTA 组分别有一颗牙齿出现内吸收。12 个月后,BMP2 组有一颗牙齿出现 PDL 增宽。6 个月时,MTA 组和 BMP2 组的影像学成功率分别为 100%和 97.1%;9 个月时,两组的成功率均为 96.7%;12 个月时,两组的成功率分别为 96.7% 和 93.3%。所有牙齿均未达到临床失败标准。生存分析表明,两组之间没有明显差异。结论研究显示,rhBMP2 和 MTA 的疗效相当,这表明 rhBMP2 是原牙髓切断术的可行替代方法。由于并发症发生率极低,且无明显差异,rhBMP2 具有临床应用潜力。
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引用次数: 0
Is Dentistry in Crisis? An Online Survey of Iranian Dentists’ Attitudes toward La Cascada Declaration 牙科是否面临危机?伊朗牙医对《卡斯卡达宣言》态度的在线调查
Q3 Dentistry Pub Date : 2024-03-04 DOI: 10.18502/fid.v21i9.15054
Ali Kazemian
In August 2017, six international senior dental researchers published a critical declaration called ‘La Cascada; Dentistry in Crisis: Time to Change’. This statement outlined major concerns with the current trajectory of the dental profession and proposed recommendations for change. This study piloted an online survey among an exploratory convenience sample of 138 Iranian dentists, ensuring a suitable gender mix and a representative mix of generalists and specialists. The questionnaire included two main questions about the respondents’ agreement with the declaration and some of the recommendations. The majority (72.2%) of the 138 participants expressed agreement with the messages of the La Cascada Declaration by selecting 4 or 5 on a 5-point Likert scale. However, there was not a strong consensus among participants regarding all six selected recommendations. In conclusion, it appears that groups of dentists agree that the dental profession is facing a crisis. However, the profession has not yet reached a consensus on solutions.
2017 年 8 月,六位国际资深牙科研究人员发表了一份名为 "La Cascada;危机中的牙科 "的重要宣言:是时候改变了"。该声明概述了当前牙科行业发展轨迹的主要问题,并提出了变革建议。本研究对 138 名伊朗牙医进行了网上调查试点,以确保适当的性别组合以及普通牙医和专科医生的代表性。调查问卷包括两个主要问题,涉及受访者对宣言和部分建议的同意程度。138 名参与者中的大多数(72.2%)表示同意《拉斯卡达宣言》中的信息,在李克特 5 点量表中选择了 4 或 5。但是,与会者对所有六项建议的意见并不一致。总之,牙医群体似乎都认为牙医行业正面临危机。然而,该行业尚未就解决方案达成共识。
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引用次数: 0
Congenital Bilateral Missing of Permanent Mandibular Second Molars in a 10-Year-Old Child: A Case Report 一名 10 岁儿童先天性双侧下颌第二恒磨牙缺失:病例报告
Q3 Dentistry Pub Date : 2024-02-27 DOI: 10.18502/fid.v21i8.15004
Mehrsa Paryab
Hypodontia is the most common dental developmental disorder. Several underlying mechanisms have been proposed to be involved in its pathogenesis. Occurrence of hypodontia as an isolated trait due to genetic mutations has also been reported. Hypodontia most commonly involves the mandibular premolars and maxillary lateral incisors and second premolars. However, hypodontia of permanent second molars is a rare occurrence. To the best of the author’s knowledge, only two studies on orthodontic patients have reported hypodontia of permanent second molars in Iran. This case report describes non-syndromic bilateral missing of permanent mandibular second molars in a 10-year-old child. Clinical examination revealed no systemic underlying condition, and no clinical evidence of any syndrome, or hereditary or familial pattern. Due to the potential impact of hypodontia on the function of dentition, prompt management of hypodontia is imperative. Furthermore, due to the possible mutations associated with hypodontia, additional screening for cancer susceptibility may be recommended.
乳牙发育不全是最常见的牙齿发育障碍。人们提出了几种潜在的发病机制。也有报道称,由于基因突变,牙槽骨发育不全是一种孤立的性状。下颌前臼齿、上颌侧切牙和第二前臼齿发育不全最为常见。然而,第二恒磨牙牙列不齐的情况却很少见。据作者所知,在伊朗只有两项关于正畸患者的研究报告了第二恒磨牙齿列不齐的情况。本病例报告描述的是一名 10 岁儿童的双侧下颌第二恒磨牙非综合征性缺失。临床检查没有发现任何系统性基础疾病,也没有任何综合征、遗传或家族模式的临床证据。由于牙列不齐对牙齿功能的潜在影响,及时治疗牙列不齐势在必行。此外,由于牙列不齐可能与基因突变有关,建议对癌症易感性进行额外筛查。
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引用次数: 0
The Effect of Bioglass Coating on Microshear Bond Strength of Resin Cement to Zirconia 生物玻璃涂层对树脂水泥与氧化锆微剪切粘接强度的影响
Q3 Dentistry Pub Date : 2024-02-12 DOI: 10.18502/fid.v21i6.14887
Hanie Nojedehian, Maryam Moezzizadeh, Nahid Abdollahi, Fatemeh Soltaninejad, Haleh Valizadeh-Haghi
Objectives:  Durable bonding to zirconia is a challenging issue in dentistry. This study aimed to assess the effect of bioglass coating of zirconia on the microshear bond strength of resin cement to zirconia and to study the effect of thermocycling on this bond. Materials and Methods: This in-vitro experimental study was conducted on 60 yttria-stabilized tetragonal zirconia blocks in six groups (N=10) based on surface pretreatment and thermocycling. Surface pretreatments included no treatment control, alumina particle abrasion, and bioglass-coating of zirconia. Resin bonding was performed with Panavia F2.0 cements. Then, half of the specimens underwent a 24-hour incubation in 37°C water, while the other half were subjected to thermocycling (12000 cycles, 5-55°C, 60s for each batch) following the same incubation period. Subsequently, the microshear bond strength of the specimens was measured. Additionally, one block from each group was subjected to scanning electron microscopy and X-ray diffraction. The data were analyzed using Kruskal-Wallis and Mann-Whitney U tests. Results: There was a significant difference between the bond strength values of different groups (P<0.001). Alumina particle abrasion and bioglass coating equally increased the bond strength compared to the untreated control group (P<0.001). Thermocycling caused significant decreases in bond strength in all the groups (P<0.001); however, the bond strength value of the thermocycled bioglass-coated group was significantly higher than that reported for the thermocycled alumina particle abraded group (P=0.015). Conclusion: Despite the decrease in the bond strength values after thermocycling, the long-term efficacy of the bioglass coating of zirconia was promising.
目的: 与氧化锆的持久粘接是牙科中一个具有挑战性的问题。本研究旨在评估氧化锆生物玻璃涂层对树脂水泥与氧化锆微剪切粘接强度的影响,并研究热循环对这种粘接的影响。材料和方法:这项体外实验研究以 60 个钇稳定四方氧化锆块为对象,根据表面预处理和热循环分为六组(N=10)。表面预处理包括无处理对照组、氧化铝颗粒研磨组和氧化锆生物玻璃涂层组。使用 Panavia F2.0 水门汀进行树脂粘接。然后,一半的试样在 37°C 的水中培养 24 小时,另一半试样在同样的培养期后进行热循环(12000 个循环,5-55°C,每批 60 秒)。随后,测量试样的微剪切粘接强度。此外,还对每组的一个试样块进行了扫描电子显微镜和 X 射线衍射分析。数据采用 Kruskal-Wallis 和 Mann-Whitney U 检验进行分析。结果显示不同组的粘接强度值之间存在明显差异(P<0.001)。与未经处理的对照组相比,氧化铝颗粒磨蚀和生物玻璃涂层同样增加了粘接强度(P<0.001)。热循环导致所有组的粘接强度明显下降(P<0.001);然而,热循环生物玻璃涂层组的粘接强度值明显高于热循环氧化铝颗粒研磨组(P=0.015)。结论尽管热循环后粘接强度值有所下降,但氧化锆生物玻璃涂层的长期疗效还是值得期待的。
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引用次数: 0
Evaluation of the Relationship between Sublingual Varices and Hypertension 评估舌下静脉曲张与高血压之间的关系
Q3 Dentistry Pub Date : 2024-02-12 DOI: 10.18502/fid.v21i7.14888
Zahra Jamali, K. Katebi, Hamed Alibabaei, Ahmad Jamei Khosroshahi
Objectives: Sublingual varices are characterized by abnormally dilated veins. Some systemic conditions such as cardiovascular disease have been suggested to be associated with sublingual varices. Due to the convenience in examining the sublingual area, the present study aimed to assess the relationship between sublingual varices and hypertension. Materials and Methods: In this descriptive-analytic study, 500 patients were categorized into two groups: those with sublingual varices and those without. Two oral medicine specialists assessed the lesions, and the blood pressure of all patients was measured while they were in a relaxed sitting position. Age and gender data were recorded for all participants. Statistical analysis included t-test, chi-square, and logistic regression, with significance set at P<0.05. Results: The frequency of sublingual varices was 21.8%. Mean systolic blood pressure was 139.68±19.01mmHg in patients with sublingual varices and 118.09±13.78mmHg in patients without the lesions (P=0.561). Mean diastolic blood pressure was 100.45±17.81mmHg and 80.31±12.08mmHg in patients with and without sublingual varices, respectively (P<0.001). Smoking was significantly more prevalent among patients who had the lesions (P<0.05). Gender (P=0.686) and age (P=0.875) showed no significant relationship with sublingual varices, while smoking and blood pressure levels were significantly associated with these varices (P<0.001). Conclusion: It is advisable to monitor and manage blood pressure in patients with sublingual varices who may not be aware of their blood pressure status. Our results showed that smoking could be one of the predictive factors for sublingual varices.
目的:舌下静脉曲张的特点是静脉异常扩张。一些全身性疾病(如心血管疾病)被认为与舌下静脉曲张有关。由于舌下静脉曲张便于检查,本研究旨在评估舌下静脉曲张与高血压之间的关系。材料和方法:在这项描述性分析研究中,500 名患者被分为两组:有舌下静脉曲张和无舌下静脉曲张。两名口腔医学专家对患者的病变部位进行了评估,并在患者放松坐姿时测量了他们的血压。所有参与者的年龄和性别数据均有记录。统计分析包括 t 检验、卡方检验和逻辑回归,显著性以 P<0.05 为标准。结果舌下静脉曲张发生率为 21.8%。舌下静脉曲张患者的平均收缩压为(139.68±19.01)mmHg,无病变患者的平均收缩压为(118.09±13.78)mmHg(P=0.561)。有舌下静脉曲张和无舌下静脉曲张患者的平均舒张压分别为 100.45±17.81mmHg 和 80.31±12.08mmHg(P<0.001)。有病变的患者吸烟率明显更高(P<0.05)。性别(P=0.686)和年龄(P=0.875)与舌下静脉曲张无明显关系,而吸烟和血压水平与这些静脉曲张有明显关系(P<0.001)。结论舌下静脉曲张患者可能并不了解自己的血压状况,因此最好对其进行血压监测和管理。我们的研究结果表明,吸烟可能是舌下静脉曲张的预测因素之一。
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引用次数: 0
Evaluation of the Relationship between Sublingual Varices and Hypertension 评估舌下静脉曲张与高血压之间的关系
Q3 Dentistry Pub Date : 2024-02-12 DOI: 10.18502/fid.v21i7.14888
Zahra Jamali, K. Katebi, Hamed Alibabaei, Ahmad Jamei Khosroshahi
Objectives: Sublingual varices are characterized by abnormally dilated veins. Some systemic conditions such as cardiovascular disease have been suggested to be associated with sublingual varices. Due to the convenience in examining the sublingual area, the present study aimed to assess the relationship between sublingual varices and hypertension. Materials and Methods: In this descriptive-analytic study, 500 patients were categorized into two groups: those with sublingual varices and those without. Two oral medicine specialists assessed the lesions, and the blood pressure of all patients was measured while they were in a relaxed sitting position. Age and gender data were recorded for all participants. Statistical analysis included t-test, chi-square, and logistic regression, with significance set at P<0.05. Results: The frequency of sublingual varices was 21.8%. Mean systolic blood pressure was 139.68±19.01mmHg in patients with sublingual varices and 118.09±13.78mmHg in patients without the lesions (P=0.561). Mean diastolic blood pressure was 100.45±17.81mmHg and 80.31±12.08mmHg in patients with and without sublingual varices, respectively (P<0.001). Smoking was significantly more prevalent among patients who had the lesions (P<0.05). Gender (P=0.686) and age (P=0.875) showed no significant relationship with sublingual varices, while smoking and blood pressure levels were significantly associated with these varices (P<0.001). Conclusion: It is advisable to monitor and manage blood pressure in patients with sublingual varices who may not be aware of their blood pressure status. Our results showed that smoking could be one of the predictive factors for sublingual varices.
目的:舌下静脉曲张的特点是静脉异常扩张。一些全身性疾病(如心血管疾病)被认为与舌下静脉曲张有关。由于舌下静脉曲张便于检查,本研究旨在评估舌下静脉曲张与高血压之间的关系。材料和方法:在这项描述性分析研究中,500 名患者被分为两组:有舌下静脉曲张和无舌下静脉曲张。两名口腔医学专家对患者的病变部位进行了评估,并在患者放松坐姿时测量了他们的血压。所有参与者的年龄和性别数据均有记录。统计分析包括 t 检验、卡方检验和逻辑回归,显著性以 P<0.05 为标准。结果舌下静脉曲张发生率为 21.8%。舌下静脉曲张患者的平均收缩压为(139.68±19.01)mmHg,无病变患者的平均收缩压为(118.09±13.78)mmHg(P=0.561)。有舌下静脉曲张和无舌下静脉曲张患者的平均舒张压分别为 100.45±17.81mmHg 和 80.31±12.08mmHg(P<0.001)。有病变的患者吸烟率明显更高(P<0.05)。性别(P=0.686)和年龄(P=0.875)与舌下静脉曲张无明显关系,而吸烟和血压水平与这些静脉曲张有明显关系(P<0.001)。结论舌下静脉曲张患者可能并不了解自己的血压状况,因此最好对其进行血压监测和管理。我们的研究结果表明,吸烟可能是舌下静脉曲张的预测因素之一。
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引用次数: 0
The Effect of Bioglass Coating on Microshear Bond Strength of Resin Cement to Zirconia 生物玻璃涂层对树脂水泥与氧化锆微剪切粘接强度的影响
Q3 Dentistry Pub Date : 2024-02-12 DOI: 10.18502/fid.v21i6.14887
Hanie Nojedehian, Maryam Moezzizadeh, Nahid Abdollahi, Fatemeh Soltaninejad, Haleh Valizadeh-Haghi
Objectives:  Durable bonding to zirconia is a challenging issue in dentistry. This study aimed to assess the effect of bioglass coating of zirconia on the microshear bond strength of resin cement to zirconia and to study the effect of thermocycling on this bond. Materials and Methods: This in-vitro experimental study was conducted on 60 yttria-stabilized tetragonal zirconia blocks in six groups (N=10) based on surface pretreatment and thermocycling. Surface pretreatments included no treatment control, alumina particle abrasion, and bioglass-coating of zirconia. Resin bonding was performed with Panavia F2.0 cements. Then, half of the specimens underwent a 24-hour incubation in 37°C water, while the other half were subjected to thermocycling (12000 cycles, 5-55°C, 60s for each batch) following the same incubation period. Subsequently, the microshear bond strength of the specimens was measured. Additionally, one block from each group was subjected to scanning electron microscopy and X-ray diffraction. The data were analyzed using Kruskal-Wallis and Mann-Whitney U tests. Results: There was a significant difference between the bond strength values of different groups (P<0.001). Alumina particle abrasion and bioglass coating equally increased the bond strength compared to the untreated control group (P<0.001). Thermocycling caused significant decreases in bond strength in all the groups (P<0.001); however, the bond strength value of the thermocycled bioglass-coated group was significantly higher than that reported for the thermocycled alumina particle abraded group (P=0.015). Conclusion: Despite the decrease in the bond strength values after thermocycling, the long-term efficacy of the bioglass coating of zirconia was promising.
目的: 与氧化锆的持久粘接是牙科中一个具有挑战性的问题。本研究旨在评估氧化锆生物玻璃涂层对树脂水泥与氧化锆微剪切粘接强度的影响,并研究热循环对这种粘接的影响。材料和方法:这项体外实验研究以 60 个钇稳定四方氧化锆块为对象,根据表面预处理和热循环分为六组(N=10)。表面预处理包括无处理对照组、氧化铝颗粒研磨组和氧化锆生物玻璃涂层组。使用 Panavia F2.0 水门汀进行树脂粘接。然后,一半的试样在 37°C 的水中培养 24 小时,另一半试样在同样的培养期后进行热循环(12000 个循环,5-55°C,每批 60 秒)。随后,测量试样的微剪切粘接强度。此外,还对每组的一个试样块进行了扫描电子显微镜和 X 射线衍射分析。数据采用 Kruskal-Wallis 和 Mann-Whitney U 检验进行分析。结果显示不同组的粘接强度值之间存在明显差异(P<0.001)。与未经处理的对照组相比,氧化铝颗粒磨蚀和生物玻璃涂层同样增加了粘接强度(P<0.001)。热循环导致所有组的粘接强度明显下降(P<0.001);然而,热循环生物玻璃涂层组的粘接强度值明显高于热循环氧化铝颗粒研磨组(P=0.015)。结论尽管热循环后粘接强度值有所下降,但氧化锆生物玻璃涂层的长期疗效还是值得期待的。
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Frontiers in Dentistry
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