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Restorative Modalities for Structurally Compromised Teeth with Thin-walled Roots: A Literature Review 薄壁牙根结构受损牙齿的修复方式:文献综述
Pub Date : 2023-12-26 DOI: 10.1055/s-0043-1775967
Nozhan Azimi, Nahal Azimi, Mohammad Mahdi Khanmohammadi, Rezvaneh Ghazanfari
Abstract Proper restoration and maintenance of endodontically treated teeth with thin-walled roots and immature apices is of a great concern due to the high prevalence of such cases. The aim of this study was to review the efficiency of different materials used for post–core systems in order to restore endodontically treated teeth. A literature review was conducted using electronic databases including PubMed, Scopus, Web of Science, and Google Scholar to find relevant articles. Randomized controlled trials that were related to different post–core techniques for restoring endodontically treated teeth and were in the English language were included from 2000 until 2022. Most articles concluded that cast posts have higher fracture resistance than fiber posts. All articles comparing stainless steel posts with other materials found that it had higher fracture strength. No particular difference between various types of fiber posts was identified, and all can reinforce the immature roots with thin dentinal walls.
摘要 经过牙髓治疗的牙齿具有薄壁牙根和不成熟的根尖,由于这类病例的高发率,对这类牙齿进行适当的修复和维护非常重要。本研究的目的是对用于修复牙髓治疗后牙齿的后牙髓系统的不同材料的效率进行回顾。我们使用电子数据库(包括 PubMed、Scopus、Web of Science 和 Google Scholar)进行了文献综述,以查找相关文章。从 2000 年到 2022 年,与修复牙髓治疗后牙齿的不同桩核技术相关的随机对照试验均被纳入其中,且均为英文。大多数文章得出结论认为,铸造桩比纤维桩具有更高的抗折断性。所有将不锈钢桩与其他材料进行比较的文章都发现,不锈钢桩的抗折强度更高。不同类型的纤维桩之间没有特别的区别,所有纤维桩都可以加固牙本质壁薄的未成熟牙根。
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引用次数: 0
The Effect of Correlation of Laboratory-Developed Test and Initial Symptoms and False Negatives in RT-PCR Strategies for COVID-19 Patients with Beta Variants 实验室开发的测试与初始症状和假阴性在RT-PCR策略中的相关性对COVID-19 β变异体患者的影响
Pub Date : 2023-04-21 DOI: 10.1055/s-0043-1768174
S. Ghasemi, S. Nadji, M. Dashti, M. Karimi-Galougahi, Negar Raygani, Mahla Nabi, Ghazal Mohammadi, Niyoosha Kandez, Amirali Ebrahimi, Elaheh Askari
Abstract Background  Reverse transcription-polymerase chain reaction (RT-PCR) assays detect severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The number of viruses in the sample varies between patients; it depends on sample location, nasal or throat, and with time infection spreads. Previous studies showed that the viral load of coronavirus disease 2019 (COVID-19) infection is the peak just before symptoms onset. Furthermore, positive and negative results depend on test site, sampling, and timing method; RT-PCR can be 1 to 30% false-negative result. Methods and Materials  Within this study, we took RT-PCR test from COVID-19 positive patients who already had the confirmation of the disease either by lung computed tomography (CT)-scan or the symptoms such as dyspnea. The study was explained to all the patients, and they confirmed to take the RT-PCR test. Negative samples from those patients were retested, and if the result came back negative, we included them as negative in the result. Result  A total number of 49 patients (25 females) and (24 males) with a mean age of 53.24 years (ranging from 32 to 77) were enrolled. About 32.3% of patients, despite having COVID-19 disease, had a negative RT-PCR test. There is a positive and significant relationship between weight ( r  = 0.253) and CT at the time of hospitalization of COVID-19 patients and a negative and significant relationship with O2 saturation without oxygen therapy ( r  =  − 0.296), the model can predict 67.7% of the disease due to the beta value, and the share of O2 saturation without oxygen therapy is more than weight. Conclusion  We show that a pragmatic model can be designed to predict which patients have a higher chance of getting false-negative result, and should be retested for COVID-19. Among the variables, weight had a negative and significant relationship, and O2 saturation without respiratory support had a negative and significant relationship with COVID-19 disease.
背景逆转录聚合酶链反应(RT-PCR)检测严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)。样本中的病毒数量因患者而异;它取决于样本的位置,鼻腔或喉咙,随着时间的推移感染会扩散。此前的研究表明,COVID-19感染的病毒载量在症状出现前达到峰值。此外,阳性和阴性结果取决于测试地点、采样和定时方法;RT-PCR可产生1 ~ 30%的假阴性结果。方法和材料在本研究中,我们对已经通过肺部计算机断层扫描(CT)或呼吸困难等症状确诊的COVID-19阳性患者进行了RT-PCR检测。向所有患者解释了该研究,并确认进行RT-PCR检测。这些患者的阴性样本被重新检测,如果结果为阴性,我们将其纳入阴性结果。结果共纳入49例患者,其中女性25例,男性24例,平均年龄53.24岁,年龄32 ~ 77岁。约32.3%的患者尽管患有COVID-19疾病,但RT-PCR检测结果为阴性。COVID-19患者住院时体重与CT呈显著正相关关系(r = 0.253),与不进行氧疗的O2饱和度呈显著负相关关系(r = - 0.296),由于beta值的存在,该模型可以预测67.7%的疾病,且不进行氧疗的O2饱和度所占比例大于体重。结论可以设计一个实用的模型来预测哪些患者假阴性的可能性更高,哪些患者应该重新进行COVID-19检测。其中,体重与COVID-19疾病呈显著负相关,无呼吸支持的血氧饱和度与COVID-19疾病呈显著负相关。
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引用次数: 0
Multipurpose Silicon-Based Toothpastes: Decision Making for a Better Oral Health 多用途硅基牙膏:改善口腔健康的决策
Pub Date : 2023-03-07 DOI: 10.1055/s-0042-1760337
F. Vilhena, P. D’Alpino
One could ask: what’s the best toothpaste dentists recommend? Next question would be: based on what they recommend this or that product? No wonder whether a scientificbased answer would be provided by these clinicians! But their answers are certainlymostly based on heavymarketing usually done by the main companies. It does not mean that these companies are not investing in R&D and innovation! In fact, companies have really been investing in developing new oral care products. The size of the toothpaste market was valued at $18.5 billion in 2019, and is estimated to reach $24.5 billion by 2027, registering a Compound Annual Growth Rate (CAGR) of 3.7% until 2027 (https://www.alliedmarketresearch.com/). The great majority of toothpaste brands are conventional, with an increased market share for other types, such as herbal toothpastes and whitening ones. The oral care market has long been dominated by five big brands, which each produce a variety of toothpastes with different indications, flavors, ingredients, etc. Searching about the oral care market, we came across a company website (https://www.maccofinancial.com/blog/ investing-is-like-toothpaste) comparing the choice of a toothpaste with investment choices: “More choices are better,” one said! It was reported a visit to a grocery store to search for toothpaste. Instead of a handful of good choices, the author mentioned being “assaulted by 122 choices” (according to the author, choices were really counted). So, how do youmake the decision about the best optionwithout being overwhelmed? A good (and kind of obvious) starting point to think about a recommendation would be a toothpaste containing fluoride (F). Concerns have been expressed over the risks and benefits, both individually and collectively, of fluoride-containing therapeutic compounds. The access to F by the population has made possible the drastic reduction of caries all over the world, and toothpaste is the mean that allow the greatest delivery of F. With caries in decline, the world population started to have more teeth in their mouths, which meant other problems in oral health became evident. In this sense, the new habits of modern society have led to greater oral acidity levels inwhich the effectiveness of F is reduced. In this manner, there are several oral care products on the market with active ingredients to protect teeth against the enamel demineralization associated with fluoride, even in small concentrations.1 This may contribute to more clinical responses and patient acceptability of break-through products. Although traditional F technology still remains one of the key preventative strategies today, new formulations of innovative oral care products have been launched. Among them, it has been proposed that biomimetic approaches have a mechanism that reproduces the mineralization process, which can improve the enamel remineralization.2 This mechanism was possible by associating different ionic compounds in combination with F. Th
有人可能会问:牙医推荐的最好的牙膏是什么?下一个问题是:基于他们推荐的产品?难怪这些临床医生会给出一个科学的答案!但他们的答案肯定大多是基于通常由大公司进行的大力营销。这并不意味着这些公司没有在研发和创新方面进行投资!事实上,公司一直在投资开发新的口腔护理产品。2019年牙膏市场的规模为185亿美元,预计到2027年将达到245亿美元,到2027年的复合年增长率(CAGR)为3.7% (https://www.alliedmarketresearch.com/)。绝大多数牙膏品牌都是传统的,其他类型的牙膏,如草药牙膏和美白牙膏的市场份额也在增加。口腔护理市场长期被五大品牌所主导,各大品牌各自生产各种适应症、口味、成分等不同的牙膏。在搜索口腔护理市场时,我们看到一家公司的网站(https://www.maccofinancial.com/blog/ investingis -like-牙膏)将牙膏的选择与投资的选择进行了比较:“选择越多越好,”有人说!据报道,他去一家杂货店买牙膏。作者并没有提到一些好的选择,而是提到“被122个选择攻击”(根据作者的说法,选择是被计算在内的)。那么,你如何在不不知所措的情况下做出最好的选择呢?考虑建议的一个很好的(也是显而易见的)起点是含氟牙膏(F)。对于含氟治疗化合物的风险和益处,无论是单独的还是集体的,人们都表达了担忧。人们对氟的获取使得世界各地的龋齿急剧减少成为可能,而牙膏是最大限度地传播氟的手段。随着龋齿的减少,世界人口的嘴里开始有更多的牙齿,这意味着口腔健康的其他问题变得明显。从这个意义上说,现代社会的新习惯导致了更大的口腔酸度水平,其中F的有效性降低了。以这种方式,市场上有几种含有有效成分的口腔护理产品,可以保护牙齿免受与氟化物相关的牙釉质脱矿,即使浓度很低这可能有助于更多的临床反应和患者对突破性产品的接受度。虽然传统的口腔护理技术仍然是今天的主要预防策略之一,但创新口腔护理产品的新配方已经推出。其中,有人提出仿生方法具有复制矿化过程的机制,可以改善牙釉质再矿化这一机制可能是通过将不同的离子化合物与f结合而实现的。牙科羟基磷灰石的生物活性取决于许多因素,包括相组成、化学组成和结晶度。生物磷灰石的特征还在于结构中存在部分取代钙、磷酸盐和/或羟基离子的其他离子,如镁、钾、钠、锌、锰、正硅酸盐和氯化物再矿化过程也可以通过替代低水平的离子种类,如碳酸盐和氟化物来加强这些离子变化被认为发生在羟基磷灰石表面5,但它也评估了F牙膏的潜力,使羟基磷灰石再生到更深的牙釉质下表面
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引用次数: 0
The Oral Manifestations of SARS-CoV-2, Mucormycosis, and Leukemia in the Current Pandemic 本次大流行中SARS-CoV-2、毛霉菌病和白血病的口腔表现
Pub Date : 2022-09-12 DOI: 10.1055/s-0042-1747919
K. Nasiri, A. Dimitrova, K. Wrbas
1Essen, Germany 2Department of Hematology, Internal Oncology & Stem Cell Transplant, Evangelical Hospital Essen-Werden, Essen, Germany 3Department of Operative Dentistry and Periodontology, Center for Dental Medicine, Oral and Maxillofacial Surgery, Medical Center, University of Freiburg, Freiburg im Breisgau, Germany 4Division of Endodontics, Department of Dentistry, Faculty of Medicine and Dentistry, Danube Private University, Krems, Austria
1德国埃森2德国埃森-韦登福音医院血液学、内科肿瘤学和干细胞移植科3德国弗赖堡大学医学中心口腔颌面外科口腔医学中心牙科手术和牙周学科4奥地利多瑙河私立大学克雷姆斯医学和牙科学院牙髓学科
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引用次数: 0
Assessment of the Level of Interleukin-12 in Gingival Crevicular Fluid of a Group of Patients with Aggressive Periodontitis and a Group of Healthy Subjects 侵袭性牙周炎患者与健康人群龈沟液中白细胞介素-12水平的比较
Pub Date : 2022-07-04 DOI: 10.1055/s-0042-1748169
Marwa Mohamed Sidahmed, N. Hashim
Objective Aggressive periodontitis (AgP) is a type of periodontal disease that is relatively prevalent among Sudanese population. The disease generally affects younger individuals and might lead to tooth loss if undetected early, leading to costly and long periodontal treatment. Until today, no reliable detection tool is present, so diagnosis is confirmed only after periodontal tissue loss has already occurred. Interleukin-12 (IL-2) has both proinflammatory and immune-regulatory effects and it has been implicated in the pathogenesis of other inflammatory diseases such as rheumatoid arthritis. However, it was not studied extensively in Sudanese population. Therefore, the aim of this study was to measure and compare the level of IL-12 in the gingival crevicular fluid (GCF) of patients with AgP and healthy subjects without periodontitis. Materials and Methods In this study, 30 patients with AgP and 30 healthy subjects were recruited. The periodontal parameters included bleeding on probing (BOP), periodontal pocket depth (PPD), and clinical attachment level (CAL). GCF levels of IL-12 were measured. Results A total of 60 participants were enrolled in this study with female predominance of 83% and males comprising 17%. The results of this study showed slight elevation in the level of IL-12 in the GCF in AgP group with a mean value of (60.7) and a mean value of (52.7) in the healthy subjects group; however, the difference was not statistically significant (p-value = 0.120). Also, no statistically significant correlation was found between the level of this interleukin and periodontal parameters with slight elevation in AgP group. The p-value for BOP, PPD, and CAL was 0.369, 0.985, and 0.797, respectively. Conclusion The slight increase in the level of IL-12 in GCF of AgP patient and slight elevation in sites with attachment loss suggest a possible role of this cytokine in the pathogenesis of AgP. More studies are required to determine the exact role of this cytokine in AgP.
目的:侵袭性牙周炎(AgP)是苏丹人群中较为普遍的一种牙周病。这种疾病通常影响年轻人,如果不及早发现,可能导致牙齿脱落,导致昂贵和长期的牙周治疗。直到今天,还没有可靠的检测工具,因此只有在牙周组织已经发生损失后才能确诊。白细胞介素-12 (IL-2)具有促炎和免疫调节作用,并与其他炎性疾病如类风湿关节炎的发病机制有关。然而,在苏丹人口中没有进行广泛的研究。因此,本研究的目的是测量和比较AgP患者和无牙周炎的健康受试者龈沟液(GCF)中IL-12的水平。材料与方法本研究招募30例AgP患者和30例健康对照者。牙周参数包括探诊出血(BOP)、牙周袋深度(PPD)和临床附着水平(CAL)。测量GCF中IL-12的水平。结果共入组60例,女性占83%,男性占17%。本研究结果显示,AgP组GCF中IL-12水平略有升高,平均值为(60.7),健康组平均值为(52.7);但差异无统计学意义(p值= 0.120)。此外,AgP组的白细胞介素水平与牙周参数之间无统计学意义的相关性,但有轻微升高。BOP、PPD和CAL的p值分别为0.369、0.985和0.797。结论AgP患者GCF中IL-12水平的轻微升高和附着丧失部位的轻微升高提示该细胞因子可能在AgP发病过程中起作用。需要更多的研究来确定这种细胞因子在AgP中的确切作用。
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引用次数: 0
Teledentistry in Oral Health Care 口腔保健中的远程牙科
Pub Date : 2022-03-11 DOI: 10.1055/s-0042-1743255
Shaur Sarfaraz, Z. Khurshid
In the past few years, it has been seen that digital technology captured all field of life and health sciences. These advances revolutionized the field of dentistry and oral health education as well. Advancements have been observed mainly in education as e-learning platforms has been massively subscribed, then digital gadgets, telecommunication technology, digital diagnostic imaging services, artificial intelligence, and other softwares for disease analysis and dental follow-up.1 These modifications and innovations related to technology have improved the quality of patient care providing health care centers and qualified dentists the chance to practice effectively at long distances.2,3 This concept of hobnobbing, communicating, and providing distant consultations, workup, and analysis digitally is the part of the science of telemedicine concerned with dentistry known as “Teledentistry (TD).”4 According to the literature, the concept of TD was drafted in 1989 as a component of the blueprint for dental informatics and patient data mining. It was introduced at a conference in Baltimore; the focus of the discussion was applying dental informatics in dental practice to help deliver quality oral health care.3 The significance of TD is stress-free examination, for example, child patient sitting with their parents and the dental care practitioner providing a cooperative consultancy with the child. Also, it is convenient for the patient as well to stay at home and reduce the multiple visits from far distance. Prof. Cook first used the termTD in 1997,who defined it as an amalgamation of information technology and dentalrelated consultancy involving the exchange of clinical data of patient over remote distances for appropriate treatment planning.4 Introduction by these events toTDhasgiven a new and feasible way to dental practice and improved patient care. Modern technology has created opportunities in the field of dentistry and improved TD to get complete, deep analysis, and precise patient information to give satisfactory results and redesign businesses.2,5 This was evident in almost all the fields of dentistry utilizing TD as a mode of consultation and delivering minor dental services, such as in oral surgery it was proved to be a way of providing preoperative evaluation wherever mobility was restricted and improved referral system. Furthermore, it is also reported in Ireland that TD has worked in oral medicine and diagnosis where TD consultation system was implemented and reported effective in diagnosing oral lesions. Moreover, in orthodontics it was useful for interceptive orthodontic treatments, in prosthodontics, pedodontics, operatives, endodontics, and other fields of dentistry. TD was fruitful for video communication (consultation and examination) providing initial care and postoperative care to patients.4 Adding to that it has improved patient care as reported in one of the studies done by the “Group of Chin-Shan in their Health Center and Nation
在过去的几年里,数字技术已经占领了生命和健康科学的所有领域。这些进步革新了牙科和口腔健康教育领域。进步主要体现在教育领域,电子学习平台被大量订阅,然后是数字设备、电信技术、数字诊断成像服务、人工智能和其他用于疾病分析和牙科随访的软件这些与技术相关的改进和创新提高了病人护理的质量,为卫生保健中心和合格的牙医提供了远距离有效执业的机会。这种亲密接触、沟通、提供远程咨询、检查和数字分析的概念是与牙科有关的远程医疗科学的一部分,被称为“远程牙科(TD)”。根据文献,TD的概念是在1989年起草的,作为牙科信息学和患者数据挖掘蓝图的一个组成部分。它是在巴尔的摩的一次会议上推出的;讨论的重点是在牙科实践中应用牙科信息学,以帮助提供高质量的口腔卫生保健TD的意义在于无压力的检查,例如,儿童病人与父母坐在一起,牙科医生为儿童提供合作的咨询。此外,患者也可以方便地呆在家里,减少远距离的多次就诊。Cook教授于一九九七年首次使用“牙科资讯科技”一词,并将其定义为资讯科技与牙科相关的咨询服务的结合,包括透过远距离交换病人的临床资料,以制订适当的治疗计划通过这些事件的介绍,为牙科实践提供了一种新的可行的方法,改善了患者的护理。现代技术为牙科领域创造了机会,并改进了TD,以获得完整,深入的分析和精确的患者信息,从而获得满意的结果并重新设计业务。这在几乎所有牙科领域都很明显,利用TD作为一种咨询模式并提供小型牙科服务,例如在口腔外科中,它被证明是一种提供术前评估的方法,无论行动受限还是改进转诊系统。此外,据报道,在爱尔兰,TD已经在口腔医学和诊断领域开展工作,在那里实施了TD咨询系统,并报告了对口腔病变的有效诊断。此外,在正畸学中,它可用于拦截正畸治疗、修复学、儿科学、外科手术、牙髓学和其他牙科领域。视频通信(会诊和检查)为患者提供初期护理和术后护理此外,根据2000年“金山医疗中心和国立台湾大学医院”的一项研究报告,它改善了病人的护理。在这项研究中,他们选择了一名正在接受培训的医生,前往由17,000人组成的金山乡进行访问。他只带了一些装备,包括口内相机、便携式数字x光机和一个将所有图像传输到医院的应用软件。这项试点研究证明了TD在为居住在偏远地区、面临流行病、无法旅行或有重大财务问题的个人提供与牙科问题相关的患者护理方面的重要性,也加强了远程专业咨询的可行性此外,还有更多的研究,其中一项是在美国的一个TD项目中进行的,他们在“六所市中心小学和七所托儿中心”聘请了医生,他们诊断了173名儿童的龋齿,几乎40%的12至48个月大的儿童患有活动性龋齿在这项研究之后,2010年北爱尔兰的牙医在“家庭第一遗产信托社区牙科服务”的支持下,与“英国贝尔法斯特牙科学院口腔医学系信托”合作,引入并积极建立了TD项目,将TD作为口腔医学转诊管理的一种替代方法
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引用次数: 1
Prevention of Hyperactive Gag Reflex during Dental Procedures in COVID-19 Pandemic 预防COVID-19大流行期间牙科手术中过度活跃的呕吐反射
Pub Date : 2022-02-16 DOI: 10.1055/s-0041-1741526
K. Nasiri, A. Dimitrova
acute respiratory syndrome coronavirus type 1 – This letter on the concept of the gag re fl ex control during dental treatment
急性呼吸综合征冠状病毒1型-这封信是关于在牙科治疗期间控制呕吐的概念
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引用次数: 0
Incorporation of Hydroxyapatite (HA) and Calcium Triphosphate (TCP) in the Epoxy Resin-Based Sealer 羟基磷灰石(HA)和三磷酸钙(TCP)在环氧树脂基封口剂中的掺入
Pub Date : 2021-12-13 DOI: 10.1055/s-0041-1739398
A. Al-Quraini, Abdulrahman Fahad Al-Aodah, Adam Ahmed M. Al-Qadhi, Abdul Majeed Munir Ahmad
Abstract Objective This study aims to assess and compare the influence of hydroxyapatite (HA) and tricalcium phosphate (TCP) nanoparticles on a commercially available epoxy resinbased sealer, focusing on porosity and push-out bond strength. Materials and Methods This work was classified into a control group and two experimental groups. In each experimental group, the sealer was mixed with 2.5 wt.% of HA and TCP nanoparticles. Thirty extracted single-rooted teeth were utilized. After sectioning the crowns, the remaining roots of 15 teeth were used, up to 40 to 0.06, using a K3 rotary system. Smear layers were removed with 3 mL of 17% EDTA applied for 60 seconds. Then, the canals were irrigated with 3 mL of 2.25% NaOCl and 5 mL of distilled water. The strength of push-out bonds was tested via an Instron universal testing machine on a 2 mm section acquired from obturated canals. Data were assessed using one-way ANOVA and post hoc tests at a significance level of p < 0.05. Results A nonsignificant difference (p > 0.05) was evident when the three groups were crosschecked in terms of void volume and bond strength. Micro-CT evaluations revealed the lowest volume of voids to be 0.1152 mm3 (2.69%) for the HA group compared with the control group 0.1818 mm3 (3.9%) and the TCP group 0.2194 mm3 (4.33%). Mean bond strength values were 4.18 ± 1.77 MPa for group 1 (control), 4.19 ± 1.54 MPa for group 2 (HA 2.5%) and 3.76 ± 1.95 MPa for group 3 (TCP 2.5%). Groups 1 and 3 showed both cohesive and a mixed type of failure, while group 2 showed adhesive and a mixed type of bond failure. Conclusion Within the limitations of the study, incorporation of 2.5 wt% HA and TCP nanoparticles into AH Plus did not significantly affect the percentage volume of voids and the bond strength negatively.
摘要目的本研究旨在评估和比较羟基磷灰石(HA)和磷酸三钙(TCP)纳米颗粒对市售环氧树脂基密封剂的影响,重点研究孔隙率和推出粘结强度。材料与方法本研究分为对照组和两个实验组。在每个实验组中,密封剂与2.5 wt混合。%的HA和TCP纳米颗粒。使用30颗拔除的单根牙。切完牙冠后,使用K3旋转系统,使用剩余的15颗牙的牙根,最高可达40 ~ 0.06。用3ml 17% EDTA涂抹60秒,去除涂抹层。然后用3 mL 2.25% NaOCl和5 mL蒸馏水冲洗管。通过Instron万能试验机在封闭管上获取的2mm截面上测试推出键的强度。数据采用单因素方差分析(one-way ANOVA)进行评估,事后检验的显著性水平为p 0.05,当三组在空隙体积和粘合强度方面进行交叉检查时,结果很明显。Micro-CT评估显示,HA组的最小空洞体积为0.1152 mm3(2.69%),而对照组为0.1818 mm3 (3.9%), TCP组为0.2194 mm3(4.33%)。1组(对照组)的平均粘结强度为4.18±1.77 MPa, 2组(HA 2.5%)的平均粘结强度为4.19±1.54 MPa, 3组(TCP 2.5%)的平均粘结强度为3.76±1.95 MPa。1、3组为黏结型和混合型破坏,2组为黏结型和混合型破坏。结论在研究范围内,在AH Plus中加入2.5%的HA和TCP纳米颗粒对空隙体积百分比和结合强度没有显著的负面影响。
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引用次数: 0
Effect of Polymerization Time and Shade on the Depth of Cure of Nano-Hybrid Resin Composites 聚合时间和荫蔽对纳米杂化树脂复合材料固化深度的影响
Pub Date : 2021-01-01 DOI: 10.1055/s-0041-1726169
Noha Abdullah Bin Jabr, Wacim Nassouh Al-Saidi, Ibtessam Abdullah Bin Jabr, Roula Al-Bounni
Abstract Objective The effect of polymerization time and resin shade on the depth of cure (DOC) of two nano-hybrid resin composites (Filtek Z250 XT and IPS Empress Direct) was evaluated and compared. Materials and Methods Sixty specimens were prepared from two shades (A1 and A3) of the resin composites. The specimens were allocated into two groups that were further divided into three subgroups depending on the polymerization time (20, 40, and 60 sec; n = 5). After that, the DOC was evaluated by calculating the polymerized part of the specimen’s thickness to the nearest (0.01 mm) using a high-accuracy micrometer. Each specimen was measured three times, and the corresponding mean reading (in mm) was divided by two to obtain the DOC. The data were analyzed using SPSS software, version 20. Descriptive statistics followed by three-way analysis of variance was applied. Multiple comparisons were made using Scheffe post hoc tests (α = 0.05). Results Filtek Z250 XT-A1-60sec presented with the greatest DOC (7.42 ± 0.47 mm), and the lowest DOC was obtained with IPS Empress-A3-20sec (2.31 ± 0.21 mm). The mean DOC of Filtek Z250 XT and IPS Empress Direct resin composites were 6.18 mm and 3.59 mm, respectively. Statistically significant (p < 0.05) difference was observed between the resin composites. The interaction between independent factors, namely composites, resin shade, and polymerization time, revealed that interaction between them contributed significantly to the DOC (p ≤0.05). However, the interaction between resin shade and the polymerization time was insignificant (p = 0.148). Conclusion Filtek Z250 XT demonstrated greater DOC than IPS Empress Direct resin composite. An increase in polymerization time significantly enhanced the DOC of the resin composites irrespective of the resin shade. Regardless of the resin composite tested, DOC was lower for darker shades (A3).
摘要目的比较聚合时间和树脂色度对两种纳米杂化树脂复合材料(Filtek Z250 XT和IPS Empress Direct)固化深度(DOC)的影响。材料与方法采用A1和A3两种颜色的树脂复合材料制备了60个样品。将样品分为两组,根据聚合时间(20,40和60秒)进一步分为三个亚组;n = 5)。之后,通过使用高精度千分尺计算样品的聚合部分厚度至最接近(0.01 mm)来评估DOC。每个标本测量三次,相应的平均读数(mm)除以2得到DOC。数据分析采用SPSS软件,版本20。采用描述性统计和三向方差分析。采用Scheffe事后检验进行多重比较(α = 0.05)。结果Filtek Z250 XT-A1-60sec的DOC最大(7.42±0.47 mm), IPS皇后a3 -20sec的DOC最小(2.31±0.21 mm)。Filtek Z250 XT和IPS皇后直接树脂复合材料的平均DOC分别为6.18 mm和3.59 mm。两种树脂复合材料间差异有统计学意义(p < 0.05)。复合材料、树脂色度和聚合时间三者之间的相互作用表明,三者之间的相互作用对DOC有显著影响(p≤0.05)。而树脂色度与聚合时间的相互作用不显著(p = 0.148)。结论Filtek Z250 XT比IPS皇后直接树脂复合材料具有更高的DOC。无论树脂色度如何,增加聚合时间都能显著提高树脂复合材料的DOC。无论测试哪种树脂复合材料,深色的DOC都较低(A3)。
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引用次数: 1
Do Orthodontists and Orthodontic Residents Perceive that Work-Life Balance and Work-Family Conflicts Affect Their Organizational Commitment? 正畸医师和住院医师是否认为工作与生活的平衡和工作与家庭的冲突影响他们的组织承诺?
Pub Date : 2021-01-01 DOI: 10.1055/s-0041-1727089
T. Yemitan, T. Adeyemi
Abstract Objectives Two of lives’ most important domains may be in conflict with each other. This study investigated the association between perceived work-life balance (WLB), work interference with family (WIF), family interference with work (FIW), and organizational commitment (OC) of Nigerian orthodontists and orthodontic residents. Materials and Methods Consultant orthodontists (n = 37) as well as orthodontics residents (n = 33) responded to an electronic questionnaire. Statistical Analysis Multivariate analysis of variance assessed significant differences among demographic and career features on WLB, WIF, and FIW. Spearman’s correlation coefficient and then multiple regression analysis examined relationships among perception of WLB, WIF, FIW, and OC. Results Perceived WLB and WIF had statistically significant negative correlation with OC among Nigerian orthodontic practitioners. However, the study finds a positive, but not statistically significant correlation of perception of FIW and OC. Conclusion Perceived WLB and WIF are significant contributors to levels of OC among Nigerian orthodontists and orthodontic residents. Multiple regression analysis identified a model that includes perceived WLB, WIF, and FIW that accounts for 16.7% of the variation in OC.
人生中两个最重要的领域可能相互冲突。本研究旨在探讨尼日利亚正畸医师与住院医师的工作生活平衡(WLB)、工作对家庭干扰(WIF)、家庭对工作干扰(FIW)与组织承诺(OC)的关系。材料与方法正畸专科医生(n = 37)和正畸住院医师(n = 33)填写电子问卷。多变量方差分析评估了人口统计学和职业特征在WLB、WIF和FIW上的显著差异。运用Spearman相关系数进行多元回归分析,考察了主观幸福感、主观幸福感、主观幸福感和主观情绪之间的关系。结果尼日利亚正畸医师感知WLB、WIF与OC呈显著负相关。然而,本研究发现FIW感知与OC呈正相关,但没有统计学意义。结论尼日利亚正畸医师和住院正畸患者感知腹重和腹重是影响正畸患者OC水平的重要因素。多元回归分析确定了一个包括感知WLB、WIF和FIW的模型,该模型占OC变化的16.7%。
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引用次数: 0
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European Dental Research and Biomaterials Journal
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