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Cone Beam Computed Tomography in Implant Dentistry- An update 锥形束计算机断层扫描在种植牙科-更新
Pub Date : 2023-01-01 DOI: 10.37191/mapsci-jdr-4(1)-029
Bollen Cml
In the more than 20 years that cone beam computed tomography (CBCT) has been available in dentistry, a lot has changed. The image quality has been greatly improved by better detectors and extraction algorithms. Moreover, the grading dose has been reduced by using pulsed beams, the possibility to select smaller fields of view and by the optimization of the reconstruction algorithms [1]. Most modern devices have many setting options, unlike the first generations of devices (Figure 1a and 1b). The field of view can be limited to 4x4cm or similar and the milliamperage, the number of basic projections, the spatial resolution, are all adjustable, so that the image quality and dose can be easily influenced. Something that is also required by the applicable guidelines. The devices have also become a lot more affordable over time. Actual equipment can be used for 2D and/or 3D images.
锥形束计算机断层扫描技术(CBCT)应用于牙科已有20多年,发生了很大的变化。通过更好的检测器和提取算法,图像质量得到了极大的提高。此外,通过使用脉冲光束、选择更小视场的可能性以及重构算法的优化,分级剂量已经降低[1]。与第一代设备不同,大多数现代设备都有许多设置选项(图1a和1b)。视场可以限制在4x4cm或相近,毫安数、基本投影数、空间分辨率都是可调的,因此图像质量和剂量很容易受到影响。这也是适用指南所要求的。随着时间的推移,这些设备也变得越来越便宜。实际设备可用于2D和/或3D图像。
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引用次数: 0
Dental Screening Examinations for Professional Baseball Players: Preventing Potential Loss of Athlete Playing Time 职业棒球运动员的牙齿检查:防止运动员比赛时间的潜在损失
Pub Date : 2022-10-10 DOI: 10.37191/mapsci-jdr-3(1)-024
J. Wisniewski
Objectives: A major league baseball organization (MLBO) noticed significant player-time loss due to severe dental caries and abscesses. The trend was noted most often in Hispanic players. The administration of the MLBO recruited a dentist to come down to perform dental screening examinations in Spring Training to identify dental problems, specifically among the Hispanic players.Methods: Dental screening examinations were performed in the athletic training room by direct clinical visual examination utilizing high intensity light, mouth mirror and tongue depressors. Caries lesions were classified via the International Caries Detection and Assessment System. Teeth classified as Grade 5/6 were recommended for immediate treatment during spring training.Results: Forty-two Hispanic baseball players were examined. Ten percent exhibited no dental caries; ninety percent exhibited dental caries. Twenty-nine percent of players (N=12) examined required immediate dental treatment during spring training; seventy-one percent (N=30) required dental treatment at a later date. Nine of the twelve players requiring treatment during spring training had severe decay that, if left untreated, would result in a loss of valuable playing time. Thus, for the total sample of nine players with severe decay, the MLBO would incur the loss of sixty-three days of player playing-time loss. Seven of the nine players had a total of fifteen teeth requiring immediate treatment, thus reducing the need and cost for advanced dental treatment.Conclusion: Spring training dental screening examinations and expedited treatment can lead to significant cost savings and minimize potential loss of athlete playing time for the major league baseball organization.Clinical Significance: More than ever, today’s society is sports and fitness oriented. Our research involves identifying the oral health needs of athletes. This study is a prime example of the importance of dental screening exams to be included within pre-season physicals. This information can benefit dentists who manage athletes in their practice.
目的:一个职业棒球大联盟组织(MLBO)注意到由于严重的龋齿和脓肿,球员的上场时间明显减少。这一趋势在西班牙裔球员中最为明显。MLBO的管理部门在春季训练中招募了一名牙医来进行牙齿筛查检查,以确定牙齿问题,特别是在西班牙裔球员中。方法:在运动训练室内采用高强度光、口腔镜、压舌器等直接临床目视检查方法进行口腔筛查。通过国际龋齿检测和评估系统对龋齿病变进行分类。5/6级的牙齿建议在春训期间立即治疗。结果:对42名西班牙裔棒球运动员进行了调查。10%的人没有龋齿;90%的人有龋齿。29%的球员(N=12)在春季训练期间接受检查,需要立即进行牙科治疗;71% (N=30)在以后需要牙科治疗。在春训期间需要治疗的12名球员中,有9名患有严重的衰退,如果不及时治疗,将导致宝贵的比赛时间的损失。因此,对于总共9名严重衰退的球员样本,MLBO将导致63天的球员上场时间损失。九名球员中有七名总共有十五颗牙齿需要立即治疗,从而减少了高级牙科治疗的需要和费用。结论:春季训练牙科筛查检查和快速治疗可以显著节省成本,并最大限度地减少大联盟棒球组织运动员打球时间的潜在损失。临床意义:当今社会比以往任何时候都更加注重运动和健身。我们的研究包括确定运动员的口腔健康需求。这项研究是一个主要的例子,牙科筛查检查的重要性,包括在赛季前的物理。这些信息可以帮助牙医管理运动员在他们的实践。
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引用次数: 0
Alveolar Osteitis: A Latest Review 牙槽骨炎:最新综述
Pub Date : 2022-07-25 DOI: 10.37191/mapsci-2583-2255-3(1)-023
Arshad Mahmood Malik
Dry socket or Alveolar Osteitis (AO) is amongst the most common complications following extraction of teeth in dentistry. A great number of research literature is available to alveolar osteitis with reference to its etiology and pathophysiology. Many studies are available for techniques to prevent AO but controversy still exists regarding the actual etiology, pathophysiology, methods of prevention and treatment. Review of the concepts and controversies surrounding AO is an aim of this article.
干槽或牙槽骨炎(AO)是拔牙后最常见的并发症之一。关于牙槽骨炎的病因和病理生理已有大量的研究文献。预防AO的技术研究较多,但在病因、病理生理、防治方法等方面仍存在争议。本文的目的是回顾有关AO的概念和争议。
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引用次数: 0
The International College of Dentists (ICD) and its Role in Humanitarian and Educational Aid 国际牙医学院(ICD)及其在人道主义和教育援助中的作用
Pub Date : 2022-05-30 DOI: 10.37191/mapsci-jdr-3(1)-022
Phillip Dowell
The International College of Dentists is the Preeminent Global Dental Honour Society recognizing outstanding professional achievement and meritorious service while advocating for Humanitarian and Educational Initiatives.
国际牙医学院是卓越的全球牙科荣誉协会,在倡导人道主义和教育倡议的同时,表彰杰出的专业成就和有功服务。
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引用次数: 0
The Use Of A Synthetic Putty Graft In Extraction Sockets Combined With Immediate Implant Installation: 3 Cases 合成腻子移植物在拔牙槽内结合即刻种植体安装的应用:3例
Pub Date : 2022-03-03 DOI: 10.37191/mapsci-jdr-3(1)-020
Maarten J. Boogaard
In these three different cases, synthetic putty graft material has proven to be a reliable alternative to autologous bone for implant placement, directly into the anterior extraction socket of the maxilla. This study presents three different patients who require implants in the anterior maxilla. Immediate implant placement was the treatment solution of choice. Because the aesthetic expectations and the initial screw-in torque are different however, a differentiation between direct loading, a phase 1 or a phase 2 approaches was made. Clinical results show that synthetic putty is an effective alternative to transplantations with xenograft or allogeneic graft materials in single-phase, two-phase, and direct loading.
在这三种不同的情况下,合成腻子移植物材料已被证明是一种可靠的替代自体骨植入种植体,直接进入上颌骨前拔牙窝。本研究提出了三个不同的患者需要种植在前上颌。立即种植体放置是治疗方案的选择。然而,由于美学期望和初始旋入扭矩不同,因此对直接加载、阶段1或阶段2方法进行了区分。临床结果表明,合成腻子是一种有效的移植替代异种或同种异体移植材料在单相,两期和直接加载。
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引用次数: 0
The Early Prostehtic Management Of Hypohidrotic And Anhidrotic Ectodermal Dysplasia: About Two Clinical Cases 少汗性和无汗性外胚层发育不良的早期修复处理:两例临床分析
Pub Date : 2022-03-02 DOI: 10.37191/mapsci-jdr-3(1)-021
Nihel Charfi
Ectodermal dysplasia is a hereditary disorder. Patients with ectodermal dysplasia have ectodermally-derived organs disorders which can affect teeth, nails, hair and sweat glands. Disorders of sweat gland function can be classified into two major groups: hypohidrotic or anhidrotic. Oral findings in patients with ectodermal dysplasia (ED) include markedly reduction in number of teeth (oligodontia or hypodontia), malformed and widely spaced conical-shaped teeth, and underdeveloped alveolar ridges. Other dominant clinical features can be found like very thin hair. The goal of the article is to present the prosthetic management particularities of two patient with hereditary ectodermal dysplasia.
外胚层发育不良是一种遗传性疾病。外胚层发育不良的患者有外胚层来源的器官紊乱,可影响牙齿、指甲、头发和汗腺。汗腺功能紊乱可分为两大类:低汗性或无汗性。外胚层发育不良(ED)患者的口腔表现包括牙齿数量明显减少(少齿或下齿),畸形和间距广泛的锥形牙齿,以及不发达的牙槽嵴。其他主要临床特征如头发稀疏。本文的目的是介绍两例遗传性外胚层发育不良患者的假体治疗特点。
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引用次数: 0
Patient’s Satisfaction With Dental Treatment Provided By Undergraduate Students Of The College Of Dentistry 牙科学院本科生对牙科治疗的满意度调查
Pub Date : 2022-02-03 DOI: 10.37191/mapsci-jdr-3(1)-019
Muhammad Shoaib Ahmedani
Backgrounds: The patient’s satisfaction is considered as a direct measure to assess the performance of clinicians and the clinics.The present study was, therefore, conducted to evaluate the level of patients’ satisfaction with treatment services provided by undergraduate students at the College of Dentistry, King Saud University. The main purpose of this investigation was to explore opportunities for further improvement in the BDS program as well as undergraduate dental care training at the College.Methods: Patients’ feedback was sought through cross-sectional research wherein a specialized questionnaire was circulated among all undergraduate clinics located at male and female campuses of the college. A total of 3200 survey forms were distributed among patients who were treated in the undergraduate clinics. The supervisors were requested to clarify any questions or ambiguity encountered by their patients in filling in the survey forms. The questionnaire consisted of 19 questions addressing all aspects of the patients’ care. Five-point Likert scale varying from 'strongly agree' to 'strongly disagree' was used to evaluate the feedback. The data were subjected to statistical analysis using Statistical Package for the Social Sciences software version 21 (SPSS Inc., Chicago, IL)Results: The 2558 patients participated in the present investigations representing 80% of the total population. The highest level of patient's satisfaction was observed for preparedness, knowledge, and helpfulness of the young doctors by 88.97% of patients (n=2048). Only 9.6% (n=221) and 1.31% (n=33) patients attributed moderate and low levels of satisfaction to this question, respectively. Likewise, 86.78% (n=1963) patients were found highly pleased with the young doctors who explained all procedures before and during their treatment. The percentage of patients with a moderate and minimal level of satisfaction to this attribute was 11.67% (n=264) and 1.55% (n=35), respectively. The lowest satisfaction was observed concerning waiting time, followed by the comfort of the waiting room and knowledge of young dentists about the accurate estimation of expenses incurred in case some material was required wherein 61.44% (n=1388), 63.75% (n=1486) and 77.91% (n=1552) patients associated high satisfaction level, respectively. In fact, these questions proved as areas for further improvement.Conclusions: Results of the present investigations provided benchmark data to map and compare patients’ satisfaction with their treatment in undergraduate dental clinics. Most patients in the present investigations were found satisfied with the quality and standard of care provided to them in the undergraduate clinics. The survey results further reported that most patients had trust in the knowledge, capabilities, and skills of the undergraduate dental students. However, they showed dissatisfaction over waiting time, comfort in the waiting rooms and students’ knowledge about the accurate estimati
背景:患者满意度被认为是评估临床医生和诊所绩效的直接指标。因此,本研究旨在评估患者对沙特国王大学牙科学院本科生提供的治疗服务的满意度。本次调查的主要目的是探索进一步改进BDS计划以及学院本科牙科护理培训的机会。方法:采用横断面调查的方法,在学院男女分校的本科生诊所中分发一份专门的问卷,以寻求患者的反馈。在本科门诊就诊的患者中共发放调查表3200份。主管被要求澄清病人在填写调查表时遇到的任何问题或含糊不清的地方。问卷由19个问题组成,涉及患者护理的各个方面。从“非常同意”到“非常不同意”的五点李克特量表被用来评估反馈。使用statistical Package for Social Sciences软件version 21 (SPSS Inc., Chicago, IL)对数据进行统计分析。结果:2558例患者参与了本次调查,占总人数的80%。88.97%的患者(n=2048)对年轻医生的准备、知识和帮助的满意度最高。只有9.6% (n=221)和1.31% (n=33)的患者对这个问题的满意度分别为中等和低水平。同样,86.78% (n=1963)的患者对年轻医生在治疗前和治疗过程中解释所有程序非常满意。对该属性满意的患者比例分别为11.67% (n=264)和1.55% (n=35)。满意度最低的是候诊时间,其次是候诊室的舒适度和年轻牙医是否了解在需要某些材料时所需费用的准确估计,其中61.44% (n=1388)、63.75% (n=1486)和77.91% (n=1552)的患者满意度较高。事实上,这些问题被证明是需要进一步改进的地方。结论:本调查结果为绘制和比较大学生牙科门诊患者对治疗的满意度提供了基准数据。在本调查中,大多数患者对本科诊所提供给他们的护理质量和标准感到满意。调查结果进一步表明,大多数患者对牙科本科学生的知识、能力和技能表示信任。然而,他们对等待时间、候诊室的舒适度以及学生对治疗过程所需牙科材料的正确费用的准确估计的知识表示不满。
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引用次数: 0
Gingivectomy As A Treatment Option For Gingival Enlargement Induced By Orthodontic Treatment: A Case Report 牙龈切除术作为正畸治疗所致牙龈肿大的一种治疗选择:1例报告
Pub Date : 2022-01-22 DOI: 10.37191/mapsci-jdr-3(1)-018
S. Dhande
Orthodontic therapy includes the use of orthodontic appliances that favour plaque retention further causing inflammation of the underlying periodontium. This inflammation if left untreated further progresses to gingival enlargement. Bulky interdental papillae in gingival enlargement further act as an area of plaque retention thereby preventing the plaque control and thus worsening the periodontal condition of the patient. Diagnosis of such enlargements is carried out with co-relation of clinic radiographic findings and histo-pathological findings. Although with the advancements in technology, a variety of treatment options like laser excision, chemosurgery, cryotherapy, electrosurgery, sclerotherapy is available nowadays but surgical excision still remains the treatment of choice. This case report focusses on treating the gingival hyperplasia with surgical excision along with stringent follow-up and patient education regarding different plaque control practices to be followed during on-going orthodontic therapy in order to reduce chances of recurrence.
正畸治疗包括使用有利于牙菌斑保留的正畸器具,这进一步引起潜在牙周组织的炎症。如果不及时治疗,这种炎症会进一步发展为牙龈肿大。在牙龈扩大时,庞大的牙间乳头进一步成为菌斑保留的区域,从而阻止菌斑的控制,从而恶化患者的牙周状况。这种增大的诊断是通过临床影像学表现和组织病理表现的相互关系来进行的。虽然随着技术的进步,各种治疗选择,如激光切除,化疗,冷冻治疗,电手术,硬化治疗现在是可用的,但手术切除仍然是治疗的选择。本病例报告的重点是通过手术切除治疗牙龈增生,并进行严格的随访和患者教育,了解在正在进行的正畸治疗中不同的菌斑控制方法,以减少复发的机会。
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引用次数: 0
Invisalign System as a Treatment of a Skeletal Open Bite: A Case Report With a 5-Year Follow-up 目视矫正系统治疗开放性骨咬伤:1例5年随访报告
Pub Date : 2021-12-20 DOI: 10.37191/mapsci-jdr-2(1)-016
L. Sangalli
Background: Orthodontic treatments of skeletal open bite are among the most challenging and at high relapse. Available therapies vary from behaviour-modifying appliances in growing patients to surgical approach in adults. Recently, clear aligners, such as Invisalign®, have also been proposed as a treatment modality, to be used alone or in combination with temporary anchorage devices.Case report: A 19-year-old female presented with 3-mm anterior open bite, peg-shaped upper lateral incisors, incorrect tongue posture at rest and during function. Due to aesthetic request, an orthodontic camouflage with Invisalign® was carried out for 17½ months, along with myofunctional therapy and composite veneers on upper lateral incisors. During the first months of retention, intermaxillary vertical elastics were maintained at night-time as positive feedback to the tongue. A 5-year follow-up confirmed stability of the results. Conclusions: A system of clear aligners in combination with myofunctional therapy was effective in the treatment of a skeletal open bite malocclusion, with stability at 5 years. The closure of the anterior open bite was obtained through a combination of lower molar intrusion, incisor extrusion and counterclockwise rotation of the mandible. In selected cases of optimal compliance, Invisalign® may constitute a feasible treatment option in management of open bite in non-growing patients.
背景:骨开咬的正畸治疗是最具挑战性和高复发率的。现有的治疗方法多种多样,从生长患者的行为改变装置到成人的手术方法。最近,透明矫正器,如Invisalign®,也被提议作为一种治疗方式,可以单独使用或与临时锚固装置联合使用。病例报告:一名19岁女性,前牙开咬3毫米,上侧门牙呈钉状,休息时和工作时舌位不正确。由于审美要求,使用Invisalign®的正畸伪装进行了17个半月,同时进行了肌功能治疗和上侧门牙的复合贴面。在保留的头几个月,上颌间垂直弹性在夜间保持,作为对舌头的积极反馈。5年的随访证实了结果的稳定性。结论:一个系统的明确对准结合肌功能治疗是有效的治疗骨开咬错,稳定在5年。通过下磨牙压入、门牙挤压、下颌骨逆时针旋转等方法实现前开合。在最佳依从性的选定病例中,Invisalign®可能构成非生长患者开咬管理的可行治疗选择。
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引用次数: 0
Working with Zirconia Implants Requires a Different Approach 使用氧化锆植入物需要一种不同的方法
Pub Date : 2021-12-10 DOI: 10.37191/mapsci-jdr-2(1)-017
C. Bollen
The use of ceramic implants has been on the rise in recent years. More and more dental clinicians add this option in their therapy concepts. Also, more and more implant companies add this kind implants to their product portfolio. As mean reason, the growing demand from patients for metal-free restorations can be identified. However, applying zirconia implants is surely not identical to the manipulation of titanium implants. Therefore, it is of utmost importance that practitioners are well informed and decently trained before starting to use these implants. This article gives an overview on the main differences between the 2 types of implants.
近年来,陶瓷植入物的使用呈上升趋势。越来越多的牙科医生在他们的治疗概念中加入了这个选项。此外,越来越多的植入物公司将这种植入物添加到他们的产品组合中。作为平均原因,患者对无金属修复体的需求日益增长。然而,使用氧化锆植入物和使用钛植入物肯定是不一样的。因此,从业者在开始使用这些植入物之前获得充分的信息和适当的培训是至关重要的。本文概述了这两种植入物的主要区别。
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引用次数: 0
期刊
Journal of Dental Reports
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