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Is human immunodeficiency virus (HIV) a risk factor to development of dental caries and molar incisor hypomineralization (MIH) in children? 人类免疫缺陷病毒(HIV)是儿童龋齿和磨牙门牙低矿化(MIH)的危险因素吗?
Pub Date : 2015-04-04 DOI: 10.5348/D01-2015-5-CS-3
A. Kemoli, I. Opondo, GN Opinya
Introduction: HIV-positive children are susceptible to various infections, and they are often placed on long-term medications to control and/or prevent these infections. It is possible that the ingestion of these medications by the children could result in some form of dental conditions, like dental caries that possibly results from the intake of sugar-containing medications and poor oral hygiene, and or molar incisor hypomineralization (MIH) ensuing from the febrile conditions, ingestion of certain medications and/or other chemicals at the time the dentition is developing. Case Series: Two cases of HIV-positive children have been described in this paper, both of which suffered from severe dental caries and MIH. The treatment included extractions and extensive dental restorative procedures to improve their masticatory function and aesthetics. Conclusion: HIV-positive children may be at a greater risk of developing dental caries and MIH.
导言:艾滋病毒阳性儿童易受各种感染,他们通常需要长期服用药物来控制和/或预防这些感染。儿童摄入这些药物可能会导致某种形式的牙齿状况,比如可能由摄入含糖药物和口腔卫生不良引起的龋齿,以及/或臼齿门牙低矿化(MIH),这是由于牙齿发育期间的发热状况、摄入某些药物和/或其他化学物质引起的。病例系列:本文描述了两例hiv阳性儿童,均患有严重的龋齿和MIH。治疗包括拔牙和广泛的牙齿修复程序,以改善他们的咀嚼功能和美观。结论:hiv阳性儿童发生龋齿和MIH的风险较大。
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引用次数: 0
Improvement of dental nurses awareness of school dental sealant quality following the audit and feedback system: First phase of implementation 通过审核和反馈制度提高牙科护士对学校牙科密封剂质量的认识:第一阶段的实施
Pub Date : 2015-02-10 DOI: 10.5348/D01-2015-4-OA-2
S. Tianviwat, J. Hintao, V. Chongsuvivatwong, S. Thitasomakul
Aims To examine whether an audit and feedback system administered to groups of dental nurses could improve their awareness of dental sealant quality. Methods: A randomized cluster trial was performed among 45 dental nurses in 12 hospitals (6 control and 6 intervention hospitals). The dental nurses' baseline awareness about sealant effectiveness was ascertained by self-administered questionnaires. Dental nurses applied dental sealant to 1703 children 4121 teeth as their routine works. All sealed children were examined for sealant retention and caries. The audit and feedback system consisted of an examination of sealed teeth followed by confidential feedback of the data collected to the dental nurses who had applied the sealant. Logistic regression was used to estimate the influence of baseline awareness on sealant effectiveness. After the audit and feedback, focus group discussions (FGD) were conducted in the intervention hospitals to establish the dental nurses' awareness about service quality, and thematic content analysis was performed. Results: Forty percent of the dental nurses had low awareness about the effectiveness of sealant application. The rate of complete sealant retention and the rates of caries on sealed surfaces were poor at 41.2% and 4.2%, respectively. The dental nurses' baseline awareness had significant effect on sealant effectiveness. The results from the FGDs showed an improvement in the subjects' awareness of dental service quality. Conclusion: The intensive audit and feedback system was able to improve the dental nurses' awareness of dental service quality.
目的探讨对牙科护士群体实施审核和反馈系统是否能提高其对口腔密封胶质量的认识。方法:对12家医院(6家对照医院和6家干预医院)的45名牙科护士进行随机整群试验。通过自行填写问卷,了解牙科护士对密封胶有效性的基本认知。牙科护士对1703名儿童的4121颗牙齿进行了口腔密封胶的涂抹。所有被封闭的儿童均检查了密封剂的保留和龋齿情况。审计和反馈系统包括对密封牙齿的检查,然后将收集到的数据保密地反馈给使用密封胶的牙科护士。使用逻辑回归来估计基线认知对密封剂有效性的影响。审核反馈后,在干预医院开展焦点小组讨论(FGD),建立牙科护士服务质量意识,并进行专题内容分析。结果:40%的口腔护理人员对密封胶的使用效果认知较低。密封胶完全保留率为41.2%,被封面龋率为4.2%,均较差。牙科护士的基线认知对密封胶的有效性有显著影响。FGDs的结果显示受试者对牙科服务质量的认识有所提高。结论:强化审核与反馈系统能够提高牙科护士对牙科服务质量的意识。
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引用次数: 3
Endodontic treatment of large periapical lesions: An alternative to surgery 根尖周围大病变的根管治疗:手术的替代方法
Pub Date : 2015-01-27 DOI: 10.5348/D01-2015-1-CS-1
A. Mendoza-Mendoza, C. Caleza-Jiménez, A. Iglesias-Linares, B. Solano-Mendoza, Yañez-Vico Rm
Introduction: Non-surgical treatment with calcium hydroxide offers a high success rate in the healing of large periapical lesions. Case Series: We present the healing of large periapical lesions with conservative, non-surgical treatment in three young patients presenting large periapical lesions and diagnosed with chronic periapical periodontitis. Non-surgical endodontic treatment was carried out involving canal preparation, irrigation with 2.5% sodium hypochlorite, filling of the canal with 75% calcium hydroxide and 25% Kri-1 iodoform paste mixed with sterile saline solution, and sealing of the cavity with composite. The filling was replaced several times, after which endodontic treatment was finally carried out. Complete apical healing was observed in all cases. Conclusion: Non-surgical treatment as a first option allows us to avoid the trauma of surgery in young individuals.
简介:非手术治疗氢氧化钙提供了高成功率的愈合大的根尖周围病变。病例系列:我们报告了三名年轻患者的保守治疗,非手术治疗的大根尖周围病变,诊断为慢性根尖周炎。非手术根管治疗包括预备根管,2.5%次氯酸钠冲洗,75%氢氧化钙和25% Kri-1碘仿膏与无菌生理盐水混合填充根管,复合材料封闭腔体。补牙多次更换,最后进行根管治疗。所有病例根尖完全愈合。结论:非手术治疗作为第一选择可以避免手术对年轻人的创伤。
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引用次数: 3
Ectopic eruption of the permanent maxillary first molar: Study in a population of 505 South European children 上颌第一恒磨牙异位萌出:对505名南欧儿童的研究
Pub Date : 2014-11-18 DOI: 10.5348/D01-2014-2-OA-2
A. Mendoza-Mendoza, Guadalupe Villalon-Rivero, E. González-Mallea, C. Caleza-Jiménez, B. Solano-Mendoza, R. Yañez-Vico, A. Iglesias-Linares
Aims: Ectopic eruption is a change in the normal path of eruption of a tooth. The aim of this study is to determine the prevalence of ectopic eruption of the permanent maxillary first molars in a Spanish subpopulation of 505 children, its distribution as regards age and gender, unilateral and bilateral occurrence and loss of space. Methods: Periapical and panoramic X-rays were taken of the patients, with six-monthly check-ups to evaluate development. A statistical analysis of the data was performed using the chi-square test (p lessthan 0.05, 95% C.I). Results: A prevalence of 6.7% was obtained being the most common age of presentation was seven years and bilateral occurrence (67.6% of cases) with no statistically significant differences as regards to the gender. Only 14 of the 505 explored patients required treatment for ectopic eruption. Conclusion: This study provides information regarding treatment needs and prevalence regarding molar ectopic eruption in a Spanish population. It is essential for professionals to be familiar with the diagnostic factors, clinical consequences and therapeutic options for ectopic eruption of permanent molars.
目的:异位萌牙是指牙齿正常萌牙路径的改变。本研究的目的是确定505名西班牙儿童恒上颌第一磨牙异位萌出的患病率,其年龄和性别分布,单侧和双侧发生和空间损失。方法:对患者进行根尖周x线及全景x线检查,每6个月复查一次,评估病情发展。采用卡方检验对资料进行统计学分析(p < 0.05, 95% ci)。结果:发病年龄以7岁多见,双侧发病(67.6%),患病率为6.7%,性别差异无统计学意义。505例患者中只有14例需要治疗异位喷发。结论:本研究提供了西班牙人群中关于治疗需求和臼齿异位萌出的患病率的信息。对于专业人员来说,熟悉恒磨牙异位外露的诊断因素、临床后果和治疗方案是至关重要的。
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引用次数: 8
Apexification with mineral trioxide aggregate plug in the upper anterior teeth: Presentation of three clinical cases 上前牙尖尖化术附三氧化二矿骨料塞3例临床报告
Pub Date : 2014-10-17 DOI: 10.5348/D01-2014-1-CS-1
A. Mendoza-Mendoza, M. Moreno-Hidalgo, C. Caleza-Jiménez, A. Iglesias-Linares, R. Yañez-Vico, B. Solano-Mendoza
Introduction: The aim is to describe the treatment of three immature permanent incisors associated to apical periodontitis, based on the placement of an apical mineral trioxide aggregate (MTA) plug for apexification. Case Series: Apexification was carried out by opening the pulp chamber, with debridement of the canal following anesthesia and isolation of the tooth. The canal was filled with pure calcium hydroxide in powder form, dissolved in saline solution for one week, and the aperture was sealed with IRM (Dentsply, Germany). One week later, the calcium hydroxide was removed and an MTA apical plug was positioned, sealing with a humid cotton pellet and IRM (Dentsply, Germany). After setting of the MTA, conventional endodontic treatment was carried out using gutta-percha, with definitive restoration of the tooth. Conclusion: All three cases, treated with MTA showed complete apical repair with rounding of the apex at radiographic control one year later, and the patients remained free of symptoms.
简介:目的是描述治疗三个未成熟的恒切牙相关的根尖牙周炎,基于放置根尖矿物三氧化物聚集(MTA)塞根尖化。病例系列:通过打开牙髓室,在麻醉和隔离牙齿后清创根管进行根尖矫正。用纯粉末状氢氧化钙填充管内,溶解于生理盐水中一周,并用IRM (Dentsply, Germany)密封孔。一周后,取出氢氧化钙,放置MTA根尖塞,用湿润棉球和IRM (Dentsply, Germany)密封。MTA固定后,使用杜仲胶进行常规牙髓治疗,最终修复牙齿。结论:3例患者经MTA治疗后1年影像学控制下根尖完全修复,根尖圆圆,症状消失。
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引用次数: 0
Treatment modalities for peri-implantitis: A review of literature 种植体周围炎的治疗方法:文献综述
Pub Date : 1900-01-01 DOI: 10.5348/100043d01an2021ra
Alyaa I Naser, Rayan S Hamed
Introduction: Implant Dentistry was created to show reliable treatment approaches for restoring the oral cavity’s esthetic and function. However, while dental implants have a high long-term success rate, dental implants are exposed to mechanical or biological complications. Objective: The therapeutic approaches will be addressed in this review, which is the main objective of this study. Materials and Methods: Data sources: The PubMed/MEDLINE, SCOPUS, and Web of Science databases were used to conduct the literature search from June to September 2021. Study selection: Non-surgical and surgical peri-implantitis treatment modalities are the main themes of this study. Result: Implant dentistry was created to show reliable treatment approaches for restoring the oral cavity’s esthetic and function. However, while dental implants have a high long-term success rate, dental implants are exposed to mechanical or biological complications. Conclusion: Peri-implantitis appears to be a multifactorial disease including the patient’s host/microbe response, implant characteristics, soft tissue and the hard conditions surrounding the implant, and the dentist’s surgical and prosthetic part experience. Different treatment modalities are present today, all are used to treat peri-implantitis, such as surgery, laser therapy, and innovative treatments such as cold atmospheric pressure air plasma jet (CAPAJ), enamel matrix derivative, and PRF gel.
简介:种植牙科是为了展示可靠的治疗方法来恢复口腔的美观和功能而创建的。然而,虽然种植体具有很高的长期成功率,但种植体暴露于机械或生物并发症。目的:本文将讨论治疗方法,这是本研究的主要目的。资料与方法:数据来源:使用PubMed/MEDLINE、SCOPUS和Web of Science数据库进行文献检索,检索时间为2021年6月至9月。研究选择:非手术和手术治疗种植体周围炎的方式是本研究的主题。结果:种植牙医学为恢复口腔美观和功能提供了可靠的治疗方法。然而,虽然种植体具有很高的长期成功率,但种植体暴露于机械或生物并发症。结论:种植体周围炎是一种多因素疾病,包括患者的宿主/微生物反应、种植体特性、种植体周围的软组织和坚硬条件以及牙医的手术和假体部分经验。目前有不同的治疗方式,都用于治疗种植体周围炎,如手术、激光治疗和创新治疗,如冷大气压空气等离子体喷射(CAPAJ)、牙釉质基质衍生物和PRF凝胶。
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引用次数: 0
期刊
Edorium Journal of Dentistry
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