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Advancing Dental Education by Integrating Teledentistry Teaching and Learning into the Predoc Curriculum 通过将远程牙科教学与学习整合到医生预科课程中来推进牙科教育
Pub Date : 2021-10-26 DOI: 10.37191/mapsci-jdr-2(1)-015
Shibani Sahni
In the advancing and changing landscape of dental education, dental curricula should be forward-thinking about the future roles of dental professionals. The need to train future dental providers to be able to facilitate care to underserved areas, and to patients who can’t come in person to a dental office, is becoming significant. Advancing dental education in 21st century with tele-dentistry should be a part of the dental curriculum, as it has been used for over a decade at this point. During the Covid-19 pandemic, tele-dentistry has become a vital method of engagement with patients and has the potential to expand across the country for those who are unable to be seen in person for any number of reasons. The main aim of this effort is to foster development and advancement in tele-dentistry and to help the integration of tele-dental education in teaching and learning. The importance of working on developing ways to teach dentistry to predoctoral students cannot be overlooked, and hence, we have been looking at best practices for integrating tele-dentistry into the dental curriculum.Dental Education should incorporate tele-dental education into predoctoral education, as it facilitates care for underserved populations as well as any other patients who are not able to be seen in person.
在牙科教育的进步和变化的景观,牙科课程应该前瞻性地思考牙科专业人员的未来角色。需要培训未来的牙科服务提供者,以便能够促进服务不足地区的护理,以及无法亲自到牙科诊所就诊的患者,这一点变得越来越重要。在21世纪,远程牙科教育应该成为牙科课程的一部分,因为它已经被使用了十多年。在2019冠状病毒病大流行期间,远程牙科已成为与患者接触的一种重要方法,对于那些由于各种原因无法亲自就诊的人来说,远程牙科有可能在全国范围内推广。这项工作的主要目的是促进远程牙科的发展和进步,并帮助将远程牙科教育纳入教与学。致力于开发教授博士预科学生牙科的方法的重要性不容忽视,因此,我们一直在寻找将远程牙科纳入牙科课程的最佳实践。牙科教育应将远程牙科教育纳入博士前教育,因为它有助于对服务不足的人群以及无法亲自就诊的任何其他患者的护理。
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引用次数: 0
Why Oral Medicine is an exemplary choice for specialty? A Comprehensive Review 为什么口腔医学是专业的典范选择?全面检讨
Pub Date : 2021-09-20 DOI: 10.37191/mapsci-jdr-2(1)-014
Shibani Sahni
The purpose of this article was to describe a narrative review of the literature for understanding the reasons behind Oral Medicine gaining popularity as a choice for post graduate specialty training. Oral Medicine is the intersection of medicine and dentistry, and the clinicians are responsible for the management of oral mucosal disease, salivary gland dysfunction and oral manifestation of systemic disease, and facial pain in the definition of oral medicine and hence having a wide range of responsibilities. Breadth of knowledge on medically complex patients for example, rheumatologic, cardiovascular, cancer, endocrine, immuno-deficiency patients is required, which makes it an extremely interesting specialty and enables the clinicians to provide interdisciplinary care to the patients. It is important for dental education to foster new techniques in learning and preparing the students for clinical skills prior to patient care. The scope of impact of Oral Medicine has increased over the years, leading to it gaining popularity amongst dentists to take it up as a specialty training. The future direction of the study will be to understand how to enhance the research, clinical practice, and education for Oral Medicine.
这篇文章的目的是描述一个叙述性的文献回顾,以了解口腔医学作为研究生专业培训的选择越来越受欢迎的原因。口腔医学是医学和牙科的交叉学科,临床医生在口腔医学的定义中负责口腔黏膜疾病、唾液腺功能障碍和全身性疾病的口腔表现、面部疼痛的管理,因此具有广泛的责任。需要对诸如风湿病、心血管、癌症、内分泌、免疫缺陷患者等医学复杂患者的广泛知识,这使其成为一个非常有趣的专业,使临床医生能够为患者提供跨学科的护理。重要的是牙科教育培养新的技术学习和准备学生的临床技能之前的病人护理。口腔医学的影响范围多年来一直在增加,导致它在牙医中越来越受欢迎,并将其作为一种专业培训。今后的研究方向是如何加强口腔医学的研究、临床实践和教育。
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引用次数: 0
The Impact of COVID-19 on Implant Dentistry: 13-36 months Follow-up-A case series COVID-19对种植牙的影响:13-36个月随访病例系列
Pub Date : 2021-09-09 DOI: 10.37191/mapsci-jdr-2(1)-013
C. Bollen
The actual pandemic caused by the highly virulent SARS-CoV-2 virus has an enormous impact on daily dental services and therefore changed the future approach towards dentistry. The corona virus became a game changer in the environmental, clinical, psychological and economical field [1]. Several new recommendations were introduced to create a safer workplace for both, patients and clinicians.
由高致病性SARS-CoV-2病毒引起的实际大流行对日常牙科服务产生了巨大影响,因此改变了未来的牙科治疗方法。冠状病毒成为环境、临床、心理和经济领域的游戏规则改变者。提出了几项新的建议,为患者和临床医生创造一个更安全的工作场所。
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引用次数: 0
Knowledge about Oral Maxilofacial Surgery among Compulsory Rotatory Residential Intern 义务轮转住院实习生口腔颌面外科知识的了解
Pub Date : 2021-04-02 DOI: 10.37191/mapsci-jdr-1(1)-010
Aravindh Rj
Oral and maxillofacial surgery is a specialty of dentistry concerned with the diagnosis and surgical treatment of congenital or acquired disease, dysfunction, defects or injuries of the mouth, jaws, face, neck, and adjacent craniofacial regions. Oral surgery deals with the diagnosis and treatment of oral conditions of the jaw and mouth structures that require surgical interventions. This dental specialty is limited to the surgical removal of the teeth and the treatment of disease, deformities and defects of the jaws and associated structures. so the current concepts of oral surgery should be aware so that the interns gain ample amount of knowledge in this field
口腔颌面外科是牙科的一个专业,涉及先天性或获得性疾病、功能障碍、缺陷或口腔、颌骨、面部、颈部和邻近颅面区域的损伤的诊断和外科治疗。口腔外科涉及需要手术干预的颌骨和口腔结构的口腔状况的诊断和治疗。这一牙科专业仅限于手术切除牙齿和治疗颌骨及相关结构的疾病、畸形和缺陷。因此,应了解当前口腔外科的概念,使实习生在这一领域获得充足的知识
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引用次数: 0
Red Cell Distribution Width With Clinical Significance of B12 Deficiency Anaemia: A Mini Case Report 红细胞分布宽度与B12缺乏性贫血的临床意义:一个小病例报告
Pub Date : 2021-04-01 DOI: 10.37191/mapsci-jdr-1(1)-011
B. Surajit
The occurrence of megaloblasts in the bone marrow characterizes megaloblastic anemia. Megaloblastic anemia is the result of folate and vitamin B12 deficiency in many cases. It is either caused due to nutritional deficiency of folates or due to its malabsorption. Usually accompanied by leukopenia or thrombocytopenia, this disease is characterized by megaloblastic bone marrow morphology along with myeloid, erythroid or platelet precursors. In this kind of anemia, the mature erythrocytes have abnormal shapes and are of various sizes. As a result, their Mean Cell Volume (MCV) is much greater than normal and Red Cell Distribution Width (RDW) is also deviated from normal level. Thus, in routine hematological procedure MCV, RDW needs to be thoroughly investigated, as it may be a useful indicator in diagnosis of suspected megaloblastic anemia with related oral manifestations, secondary to Vitamin B12 malabsorption, which thereby guides the further management.
骨髓中巨幼细胞的出现是巨幼细胞性贫血的特征。巨幼细胞性贫血在许多情况下是叶酸和维生素B12缺乏的结果。它要么是由于叶酸营养缺乏,要么是由于叶酸吸收不良。通常伴有白细胞减少或血小板减少,本病的特点是巨幼细胞骨髓形态伴髓系、红细胞或血小板前体。在这种贫血中,成熟红细胞形状异常,大小不一。因此,它们的平均细胞体积(MCV)大大大于正常水平,红细胞分布宽度(RDW)也偏离正常水平。因此,在常规血液学程序MCV中,RDW需要彻底调查,因为它可能是诊断伴有相关口腔表现的巨幼细胞性贫血的有用指标,继发于维生素B12吸收不良,从而指导进一步的治疗。
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引用次数: 1
Removal of Foreign Body Aided with Various Navigation Modalities- A Case Report and Literature Review 多种导航方式辅助异物清除一例报告及文献复习
Pub Date : 2020-05-06 DOI: 10.37191/mapsci-jdr-1(1)-002
Dahong Huang
Background: Computerized surgical navigation (CSN) has many potential applications in foreign body (FB) removal.Case Report: While playing, a 14-year-old girl was accidentally shot in the facial area with a shotgun. Removal of the superficial shots and of the left eyeball was performed at a local hospital. She was transferred to the West China Hospital of Stomatology (Sichuan, China) on the third day after the accident due to difficulties in removing the remaining shots. Except for left eye vision loss, there was no abnormal physical or laboratory test. Spiral computed tomography (CT) scan of the head was performed and data were imported into the iplan software of the VectorVision2 navigation system. A dynamic reference frame was fixed to the skull and another to the forceps. Eight shots were successfully removed. One shot could not be removed because of significant shifting. At 1 month, the incisions were successfully healed and there were no symptoms or signs.Conclusion: The case presented here and the relevant literature about CSN indicates that CSN is a valuable modality for the removal of FBs, not only in the craniomaxillofacial area, but anywhere in the body.
背景:计算机外科导航(CSN)在异物清除中有许多潜在的应用。病例报告:一名14岁女孩在玩耍时被猎枪意外击中面部。在当地一家医院切除了浅表子弹和左眼球。事故发生后第三天,由于难以取出剩余的子弹,她被转移到华西口腔医院(中国四川)。除左眼视力减退外,体格检查和实验室检查均无异常。对头部进行螺旋CT扫描,数据导入到VectorVision2导航系统的iplan软件中。一个动态参考系固定在颅骨上,另一个固定在钳上。8颗子弹被成功取出。有一个镜头因为移位太大而无法移除。1个月时,切口成功愈合,无任何症状或体征。结论:本病例和相关文献表明,CSN是一种有价值的FBs切除方式,不仅在颅颌面区域,而且在身体的任何部位。
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引用次数: 0
Evaluation of Effect of Nd:YAG and Er:YAG Lasers on the Periodontal Pathogens: A Systematic Review Nd:YAG和Er:YAG激光治疗牙周病原菌效果的系统评价
Pub Date : 2020-03-03 DOI: 10.37191/mapsci-jdr-1(1)-003
H. Eslami
Introduction: By removing the periodontal pathogens and even the invasive bacteria attacking the tissues as well as the lack of normal periodontal treatment procedures, using a laser, as a complementary therapy, can have positive and useful impacts. The present study aims at investigating the impacts of Nd:YAG and Er:YAG laser on periodontal pathogens.Materials and Methods: In this systematic review, articles in the databases of Google Scholar, PubMed and Scopus were searched within 2000-2020. All information is classified into a table.Results: In searching the aforementioned databases and considering the given time interval, 78 articles were found in connection to the searched keywords and abstracts. Once the repeated titles and articles were deleted, 25 studies were selected which were decreased to 16 by the meticulous review by the assessment team. The full text of these 16 articles was reviewed. To make the final choice, 8 articles had the inclusion criteria which included the objectives of this study.Conclusion: To use the laser in treating the chronic periodontitis, an evidence-based study seems to be conducted. A few scientific pieces of evidence are indicating the advantage of a special laser wavelength in the common treatments.Based on most researches reviewed in this study, the results of the complementary application of Nd:YAG and Er:YAG lasers in treating the chronic periodontitis are the better than the ones obtained from the normal teeth scaling and planning the teeth root surface in terms of the reduced probing depth and subgingival bacteria population. The decision was made to use the laser in periodontal surgery based on the advantages such as hemostasis and less pain after the treatment. However, more studies are needed to apply the laser in periodontal treatments.
导读:通过清除牙周病原体,甚至是攻击组织的侵入性细菌,以及缺乏正常的牙周治疗程序,使用激光作为一种补充疗法,可以产生积极和有用的影响。本研究旨在探讨Nd:YAG和Er:YAG激光对牙周病原菌的影响。材料与方法:本系统综述检索了2000-2020年间Google Scholar、PubMed和Scopus数据库中的文章。所有的信息被分类到一个表格中。结果:在给定的时间间隔内对上述数据库进行检索,检索到与关键词和摘要相关的文章78篇。一旦删除重复的标题和文章,25项研究被选择,经过评估小组的细致审查,减少到16项研究。对这16篇文章的全文进行了审查。为了做出最终选择,有8篇文章的纳入标准包含了本研究的目的。结论:激光治疗慢性牙周炎是一项有临床依据的研究。一些科学证据表明,特殊激光波长在普通治疗中具有优势。根据本研究的大部分研究结果,Nd:YAG和Er:YAG激光互补应用于慢性牙周炎治疗的结果在减少探诊深度和龈下细菌数量方面优于正常牙齿清洁和牙根表面规划。基于激光治疗的止血和治疗后疼痛少等优点,我们决定在牙周手术中使用激光。然而,激光在牙周治疗中的应用还有待进一步的研究。
{"title":"Evaluation of Effect of Nd:YAG and Er:YAG Lasers on the Periodontal Pathogens: A Systematic Review","authors":"H. Eslami","doi":"10.37191/mapsci-jdr-1(1)-003","DOIUrl":"https://doi.org/10.37191/mapsci-jdr-1(1)-003","url":null,"abstract":"Introduction: By removing the periodontal pathogens and even the invasive bacteria attacking the tissues as well as the lack of normal periodontal treatment procedures, using a laser, as a complementary therapy, can have positive and useful impacts. The present study aims at investigating the impacts of Nd:YAG and Er:YAG laser on periodontal pathogens.\u0000\u0000Materials and Methods: In this systematic review, articles in the databases of Google Scholar, PubMed and Scopus were searched within 2000-2020. All information is classified into a table.\u0000\u0000Results: In searching the aforementioned databases and considering the given time interval, 78 articles were found in connection to the searched keywords and abstracts. Once the repeated titles and articles were deleted, 25 studies were selected which were decreased to 16 by the meticulous review by the assessment team. The full text of these 16 articles was reviewed. To make the final choice, 8 articles had the inclusion criteria which included the objectives of this study.\u0000\u0000Conclusion: To use the laser in treating the chronic periodontitis, an evidence-based study seems to be conducted. A few scientific pieces of evidence are indicating the advantage of a special laser wavelength in the common treatments.Based on most researches reviewed in this study, the results of the complementary application of Nd:YAG and Er:YAG lasers in treating the chronic periodontitis are the better than the ones obtained from the normal teeth scaling and planning the teeth root surface in terms of the reduced probing depth and subgingival bacteria population. The decision was made to use the laser in periodontal surgery based on the advantages such as hemostasis and less pain after the treatment. However, more studies are needed to apply the laser in periodontal treatments.","PeriodicalId":129602,"journal":{"name":"Journal of Dental Reports","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121501375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Replacement of 2 Incisors by Zirconia Implants: An Extended Case-Report 氧化锆种植体替代2个门牙:扩展病例报告
Pub Date : 2020-03-03 DOI: 10.37191/mapsci-jdr-1(1)-005
C. Bollen
The discipline of dental implant-ology is developing steadily. Nowadays, “high-tech” approaches are becoming increasingly common, which optimizes clinical treatment successes. Where implants were originally hands-free installed, today a large part of the interventions uses computer-guided surgery or even navigated implantation. Also, the complete digital workflow, including DVT technology, intraoral scanners and 3D printers, is getting well established now. However, not only surgical and prosthetic concepts continue to develop, but there is also a rethinking of materials into the direction of more biocompatible and esthetic approaches. This article shows how ceramic dental implants can be the ideal alternative to replace 2 lost upper front teeth.
种植牙学科正在稳步发展。如今,“高科技”方法变得越来越普遍,这使得临床治疗的成功率得到了优化。植入物最初是免提安装的,今天大部分的干预使用计算机引导手术甚至导航植入。此外,完整的数字工作流程,包括DVT技术,口腔内扫描仪和3D打印机,现在正在得到很好的建立。然而,不仅外科和假体概念继续发展,而且也有一个重新思考材料的方向,更多的生物相容性和美学的方法。这篇文章展示了陶瓷牙种植体是如何替代失去的2颗上门牙的理想选择。
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引用次数: 0
Pediatric Odontogenic Infections and Prescription Antibiotic Use 儿童牙源性感染和处方抗生素的使用
Pub Date : 2020-02-03 DOI: 10.37191/mapsci-jdr-1(1)-006
K. Discepolo
Objectives: In the past several years worldwide, the discussion has developed about antibiotic resistance. Dentists, although a small percentage of the prescribers of antibiotics, can play a role in reducing antibiotic use and therefore help address this growing problem. Highly variable prescription practices illustrate the dentist’s contribution to the overuse of antibiotics. An investigation into antibiotic use and subsequent effects on clinical presentation odontogenic infections. Described are the variances in the clinical presentation of subjects who received antibiotics and those that had no antimicrobial therapy before presentation in the hospital setting. Methods: A retrospective chart review was conducted for subjects who presented with odontogenic infections to a children’s hospital emergency department. Variables collected were: pre-hospital antibiotic use, vital signs on admission, site of infection, quality of infection, and dental involvement.Results: 112 subjects: 73 male and 39 females. 49 received pre-hospital antibiotics while 63 did not have previous antibiotic therapy. Pre-hospital antimicrobials consisted of 10 different types of antibiotic therapies. No significance was found between the two groups and the clinical presentation of infection or admission vital signs.Conclusion: High variability of antibiotic use for orofacial infections was observed including the type of antimicrobial utilized and prescribing provider (non-dentist). This study provided information correlating patient physiology and the lack of clinical impact by pre-hospital antibiotic use. Due to high variability in providers' type administering antibiotic prescriptions and irregular drug and dosage practices, detailed practice guidelines and antibiotic stewardship programs should be augmented for assistance concerning odontogenic infection treatments.
目的:在过去的几年里,世界范围内对抗生素耐药性的讨论已经发展起来。牙医虽然只占抗生素处方者的一小部分,但可以在减少抗生素使用方面发挥作用,从而帮助解决这一日益严重的问题。高度可变的处方实践说明了牙医对抗生素过度使用的贡献。抗生素的使用及其对牙源性感染临床表现的影响。描述了接受抗生素治疗的受试者和在医院就诊前未接受过抗菌治疗的受试者的临床表现差异。方法:对某儿童医院急诊科因牙源性感染就诊的患者进行回顾性分析。收集的变量包括:院前抗生素使用、入院时的生命体征、感染部位、感染质量和牙齿受累。结果:112例受试者:男性73例,女性39例。49人院前接受过抗生素治疗,63人此前未接受过抗生素治疗。院前抗菌素包括10种不同类型的抗生素治疗。两组患者感染的临床表现及入院生命体征差异无统计学意义。结论:口腔颌面部感染的抗生素使用存在较大差异,包括抗菌药物使用类型和处方提供者(非牙医)。本研究提供了患者生理学与院前抗生素使用缺乏临床影响相关的信息。由于提供者使用抗生素处方的类型差异很大,药物和剂量操作不规范,应加强详细的实践指南和抗生素管理计划,以帮助治疗牙源性感染。
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引用次数: 0
Accuracy Computer-Guided Implant Placement using 3D Planning Software 使用3D规划软件精确计算机引导种植体放置
Pub Date : 2020-02-02 DOI: 10.37191/mapsci-jdr-1(1)-004
G. Hakobyan
Purpose: To evaluate the effectiveness of implant treatment using computer 3D modeling and surgical guided.Materials and Methods: The study included 148 patients who underwent prosthodontics rehabilitation using dental implants in 2015-2020. 3D computer-aided modeling and surgical guide were used to plan the operation. To conduct a comparative analysis of the treatment results, two groups were formed: In group A (included 75 patients, fully guided surgery), in group B (included 73 patients).Results: In patients Group A intraoperative or immediate postoperative complications were noted (errors in the position, inclination), anatomical risk structures were invaded, after 3 years producing a survival rate of 96.2% In patients Group B, intraoperative complications were recorded; membrane perforation 4, errors in the position of the implants 16, the inclination of the implants 18, fenestration 12, after 3 years producing a survival rate of 97.6%. Mean marginal bone loss (MBL) patients in Group A were significantly higher than patients in group B (p < 0.05). In patients Group A the average surgical time from time of anesthesia to the placement of the healing abutment was 10.6 ± 2.9 min per implant, in patients Group B, the average surgical time was 16.4 ± 1.5 min per implant.Conclusion: The 3D modeling method and the controlled positioning of the implant allows surgical access with minimal trauma, reducing treatment time and complications.
目的:评价计算机三维建模和手术引导下种植体治疗的效果。材料与方法:本研究纳入2015-2020年使用种植体进行口腔修复康复的148例患者。采用三维计算机辅助建模和手术指导进行手术规划。为对治疗结果进行比较分析,分为两组:a组(75例,全引导手术),B组(73例)。结果:A组患者术中或术后立即出现并发症(体位、倾斜度错误),侵犯解剖危险结构,3年后生存率为96.2%;B组患者术中出现并发症;膜穿孔4例,种植体位置错误16例,种植体倾斜18例,开窗12例,3年后成活率为97.6%。A组平均边缘骨质流失(MBL)显著高于B组(p < 0.05)。A组从麻醉时间到愈合基台放置的平均手术时间为10.6±2.9 min /个种植体,B组平均手术时间为16.4±1.5 min /个种植体。结论:三维建模方法和种植体的控制定位使手术进入创伤最小,减少了治疗时间和并发症。
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引用次数: 0
期刊
Journal of Dental Reports
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