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Knowledge, materials, methods, and attitudes employed during endodontic treatment by dentists to evaluate and improve the quality of practice of endodontic treatment 牙医在牙髓治疗过程中使用的知识、材料、方法和态度,以评估和提高牙髓治疗的实践质量
Pub Date : 2022-10-01 DOI: 10.4103/ijpcdr.ijpcdr_24_22
Rahul Sasidharan
Background: This procedure, known as root canal treatment, is widely used in modern dental care. Modern endodontics frequently includes the introduction of many modern devices, materials, and methods, and yet it is one of the fastest-expanding fields in everyday clinical practice. Root canal fillings, coronal restorations, and the dentist's own knowledge, attitude, and expertise all have a role in the success of endodontic therapy, which is why it is important to maintain these high standards. Aim and Objectives: This study's objectives were similar to those of the aforementioned audit to collect data on the various approaches, specific and regular strategies, materials, and attitudes utilized by both general dental specialists and endodontists during root trench treatment, to analyze these choices in depth, and to disseminate endodontic treatment standards to evaluate the state of current practice and make adjustments as necessary. Methodology: The materials and techniques used by general dentists during root canal treatment were the subjects of a survey. Before the research itself could begin, a questionnaire had to be created and tested in advance. Results: The current study's findings provide light on the mindsets, strategies, supplies, and procedures used by dentists during root canal treatment. In the field of health-care evaluation, the survey questionnaire is a frequent tool. In this investigation, data were acquired by interviewing dentists in person and writing down their responses, a method that ultimately helped eliminate bias. Conclusion: Using the tried-and-true method of positioning the apical stop 1 mm from the radiographic apex, most dentists today continue to do so. The trend toward doing root canal treatment in a single office visit applies to all patient types. As a remarkable characteristic, both types of responders made very little use of rubber dams for isolation purposes during endodontic treatment.
背景:这种被称为根管治疗的方法在现代牙科保健中被广泛应用。现代牙髓学经常引入许多现代设备、材料和方法,但它是日常临床实践中发展最快的领域之一。根管填充物、冠状体修复以及牙医自身的知识、态度和专业技能都对牙髓治疗的成功起着重要作用,这就是为什么保持这些高标准是很重要的。目的和目的:本研究的目的与上述审计相似,收集普通牙科专家和牙髓医生在根沟治疗过程中使用的各种方法、具体和常规策略、材料和态度的数据,深入分析这些选择,并传播牙髓治疗标准,以评估当前实践的状态,并在必要时进行调整。方法:调查普通牙医在根管治疗中使用的材料和技术。在研究开始之前,必须事先制作并测试一份问卷。结果:目前的研究结果为牙医在根管治疗过程中使用的心态、策略、供应和程序提供了启示。在卫生保健评价领域,调查问卷是常用的工具。在这项调查中,通过亲自采访牙医并写下他们的回答来获取数据,这种方法最终有助于消除偏见。结论:使用久经考验的方法,定位根尖止点1mm从放射顶点,大多数牙医今天继续这样做。在一次就诊中进行根管治疗的趋势适用于所有类型的患者。作为一个显著的特点,这两种类型的应答者在根管治疗期间很少使用橡胶坝进行隔离。
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引用次数: 0
Unfolding the journey of scaffold 展开脚手架之旅
Pub Date : 2022-10-01 DOI: 10.4103/ijpcdr.ijpcdr_27_22
B. Jhawar, Shirish Kujur, Vineeta Gupta, Pragya Kumari, Hungyo Chanreiphy
Periodontal tissues can be destructed by chronic periodontal disease, which can lead to tooth loss. In support of the treatment for periodontally diseased tooth, various biomaterials have been applied starting as a contact inhibition membrane in the guided tissue regeneration that is the current gold standard in dental clinic. Recently, various biomaterials have been prepared in a form of tissue engineering scaffold to facilitate the regeneration of damaged periodontal tissues. From a physical substrate to support healing of a single type of periodontal tissue to multiphase/bioactive scaffold system to guide an integrated regeneration of periodontium, technologies for scaffold fabrication have emerged in the last years. This review covers the recent advancements in development of scaffolds designed for periodontal tissue regeneration and their efficacy tested in vitro and in vivo.
慢性牙周病会破坏牙周组织,导致牙齿脱落。为了支持牙周病变牙齿的治疗,各种生物材料已经被应用于引导组织再生,从接触抑制膜开始,这是目前牙科诊所的金标准。近年来,各种生物材料以组织工程支架的形式被制备出来,以促进受损牙周组织的再生。从支持单一类型牙周组织愈合的物理基质到指导牙周组织综合再生的多相/生物活性支架系统,支架制造技术在过去几年中出现了。本文综述了牙周组织再生支架的研究进展及其体外和体内实验效果。
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引用次数: 0
A study to evaluate the preferences of dentists for the materials chosen to restore endodontically treated teeth and the influence of both clinical experience and level of specialization on the dentist's choice of posts 一项旨在评估牙医对修复经牙髓治疗的牙齿所选择材料的偏好,以及临床经验和专业水平对牙医选择岗位的影响的研究
Pub Date : 2022-10-01 DOI: 10.4103/ijpcdr.ijpcdr_25_22
A. Talkal, U. Prajapati, S. Shashank, M. Swamy, H. Patil, M. Reddy
Background: In endodontics, dentist's choice for using posts/materials relevant to posts used to restore endodontic-treated teeth is influenced by clinical experience, whether concerning the length of practice time and level of specialization. Objective: Traditional restorative approaches are being modified as newer materials become available and patient preferences shift. The purpose of the study was to see if dentists' preferences for using posts and other materials associated to post used to restore endodontically treated teeth are influenced by practical experience, whether measured by the length of clinical practice time or level of specialty. Methodology: A cross-sectional study was conducted with dentists (n = 100) working in Karnataka utilizing a questionnaire. Data on sociodemographics, clinical experience, postgraduate training, and postendodontic restoration characteristics (posts/types of cement and rubber dam application) were obtained. The samples only included general and specialist dentists. A descriptive analysis was performed on the data. The Chi-square test and Fisher's exact test investigated the relationships. Results: The most chosen materials were metal posts (60%) and resin cement (70%). There was a statistically significant association between clinical practice duration and postuse type (P = 0.017). In addition, there was a highly significant relationship (P = 0.001) between clinical practice time, level of specialty, and the use of rubber dams. Conclusions: Dentists favored metal posts for post endodontic restorations, while resin-based cement was the preferred luting cement for the posts' cementation. Additional training and more clinical practice time were factors in several dental postselection decisions.
背景:在牙髓学中,牙科医生选择使用与牙髓治疗后的牙齿修复桩相关的桩/材料受临床经验的影响,无论是涉及执业时间的长短还是专业化水平。目的:随着新材料的出现和患者偏好的转变,传统的修复方法正在被修改。这项研究的目的是为了了解牙医对使用桩和其他与桩相关的材料来修复牙髓治疗后的牙齿的偏好是否受到实践经验的影响,无论是通过临床实践时间的长短还是专业水平来衡量。方法:对卡纳塔克邦工作的牙医(n = 100)进行了一项横断面研究,采用问卷调查。获得了社会人口统计学、临床经验、研究生培训和牙髓后修复特征(水泥和橡胶坝应用的桩/类型)的数据。样本只包括普通牙医和专科牙医。对数据进行描述性分析。卡方检验和费雪精确检验考察了这些关系。结果:选择最多的材料是金属桩(60%)和树脂水泥(70%)。临床实习时间与术后类型有统计学意义(P = 0.017)。此外,临床实习时间、专业水平与橡胶坝的使用之间存在高度显著的关系(P = 0.001)。结论:牙髓后根管修复首选金属桩,树脂基骨水泥是根管后根管修复首选骨水泥。额外的培训和更多的临床实践时间是几个牙科选择后决定的因素。
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引用次数: 0
Diode laser excision of pyogenic granuloma 二极管激光化脓性肉芽肿切除术
Pub Date : 2022-07-01 DOI: 10.4103/ijpcdr.ijpcdr_19_22
Shirish Kujur, Vineeta Gupta, V. Sreeraj, Rashmi Kerketta, B. Jhawar
Pyogenic granuloma is a commonly occurring inflammatory hyperplasia of the skin and oral mucosa in females. It is a misnomer that is characterized histologically by angiomatous proliferation rather than a granulomatous lesion. This tumor-like growth is considered to be nonneoplastic in nature and has a varied clinical presentation. We present one such case of pyogenic granuloma, which was excised with a diode laser along with a relevant review of the literature.
化脓性肉芽肿是一种常见于女性皮肤和口腔黏膜的炎性增生。这是一个误称,其组织学特征是血管瘤增生而不是肉芽肿病变。这种肿瘤样生长被认为是非肿瘤性的,具有多种临床表现。我们提出一个这样的化脓性肉芽肿的情况下,这是切除与二极管激光以及相关的文献综述。
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引用次数: 0
Comparative efficacy of three deproteinizing agents on the shear bond strength of pit and fissure sealant: An in vitro study 三种脱蛋白剂对坑缝密封胶剪切结合强度的体外比较研究
Pub Date : 2022-07-01 DOI: 10.4103/ijpcdr.ijpcdr_18_22
Saranya Thankachan, Tharian B Emmatty, Bijimol Jose, K. Krishna, Joby Peter, J. Methippara, R. Sebastian
Objective: The objective of this study was to evaluate and compare the shear bond strength (SBS) of pit and fissure sealant with and without deproteinization with agents such as 5% NaOCl, papain gel, and bromelain gel. Materials and Methods: In this in vitro study, 60 premolar teeth were divided into four groups of 15 teeth each. In control Group 1, enamel was etched for 60 s with 37% phosphoric acid and rinsed with water. In Group 2, deproteinizing agent 5% sodium hypochlorite was applied for 60 s before acid etching. In Group 3, deproteinizing agent papain gel was applied for 60 s before acid etching. In Group 4, deproteinizing agent bromelain gel was applied for 60 s before acid etching. Following this, Clinpro™ 3M™ ESPE™ pit and fissure sealant disc was built on the enamel buccal surface of each tooth. Samples were then tested for SBS using Universal Testing Machine after storage in distilled water for 24 h. Results: The mean SBS was highest for Group 4 and lowest for Group 1. SBS was significantly higher in the bromelain gel group, followed by the papain gel group (P < 0.001), 5% NaOCl group (P < 0.001), and control group (P < 0.001). Conclusion: Among deproteinizing agents, deproteinization when carried out with bromelain gel showed effective bond strength and lowest for the control group.
目的:评价和比较5% NaOCl、木瓜蛋白酶凝胶和菠萝蛋白酶凝胶对脱蛋白和不脱蛋白的窝缝密封胶的剪切结合强度(SBS)。材料与方法:将60颗前磨牙分为4组,每组15颗。对照组1用37%磷酸腐蚀牙釉质60 s,用水冲洗。第2组,在酸蚀前使用脱蛋白剂5%次氯酸钠60 s。第3组在酸蚀前应用脱蛋白剂木瓜蛋白酶凝胶60 s。第4组在酸蚀前应用脱蛋白剂菠萝蛋白酶凝胶60 s。随后,在每颗牙齿的牙釉质颊面建立Clinpro™3M™ESPE™牙窝和牙缝密封盘。在蒸馏水中保存24小时后,用万能试验机检测SBS。结果:第4组SBS平均最高,第1组最低。SBS以菠萝蛋白酶凝胶组最高,其次为木瓜蛋白酶凝胶组(P < 0.001)、5% NaOCl组(P < 0.001)和对照组(P < 0.001)。结论:在脱蛋白剂中,用菠萝蛋白酶凝胶进行脱蛋白时,结合强度有效,对照组最低。
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引用次数: 0
Endo–perio lesions: A dilemma 腹膜内病变:进退两难
Pub Date : 2022-07-01 DOI: 10.4103/ijpcdr.ijpcdr_20_22
Shirish Kujur, Vineeta Gupta, V. Sreeraj, Shweta Ratre, Varsha Soni
Endo–perio lesions are a common finding in dental practice. Progression of an endodontic lesion, if allowed leads to periodontal involvement or vice versa. This is a case series of two cases of the endodontic lesion with periodontal involvement that has been treated by performing root canal treatment followed by flap surgery. The tooth was first endodontically treated that was followed by periodontal treatment. Six months postoperatively, there was a significant gain in clinical attachment level. Radiographically, there was a significant amount of bone fill observed.
牙周内病变是牙科实践中常见的发现。牙髓病变的进展,如果允许导致牙周受累,反之亦然。这是一个涉及牙周的两例根管病变的病例系列,通过根管治疗和皮瓣手术治疗。首先对牙齿进行了牙髓治疗,然后进行了牙周治疗。术后6个月,临床依恋水平显著提高。x线摄影显示有大量的骨填充。
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引用次数: 0
Autotransplantation for the correction of unfavorably impacted canines 自体移植矫治不良阻生犬
Pub Date : 2022-07-01 DOI: 10.4103/ijpcdr.ijpcdr_17_22
T. Karalikkattil, Muhammed Shaloob, Asni Shebad, P. Francis
The canine is diagnosed as impacted when its normal eruption time is significantly exceeded compared to the contralateral canine or the premolars. This case report presents, a female patient 14 years old with bilaterally impacted maxillary canines, retained maxillary deciduous canines, and proclination and spacing of the upper and lower anteriors and peg laterals. The treatment objective was to create a more ideal overjet and overbite relationship, place the impacted canines into position, and improve facial profile. Fixed orthodontic treatment was done with PEA “0.022 × 0.028” ORMCO, MBT prescription. After leveling, aligning, and space closure, extraction of bilaterally retained deciduous canines and autotransplantation of the unfavorably impacted canines were done. To enhance esthetics, composite restoration was done on the peg laterals. The total treatment time was 2 ½ years and the treatment objectives were achieved due to excellent patient cooperation. Facial harmony was good, and proclination and spacing were corrected.
当正常萌牙时间明显超过对侧萌牙或前磨牙的萌牙时间时,被诊断为萌牙。本病例报告,一名14岁女性患者,双侧上颌犬牙阻生,上颌乳牙保留,上、下前牙和栓侧牙脱位和间距。治疗目标是创造一个更理想的覆盖和覆盖咬合关系,将患牙放置到位,并改善面部轮廓。采用PEA“0.022 × 0.028”ORMCO、MBT处方进行固定正畸治疗。在调平、对准、闭合间隙后,对双侧保留的乳牙进行拔牙,对不良影响的乳牙进行自体移植。为了提高美观,复合修复是在钉横向进行。总治疗时间为2年半,由于患者的良好配合,治疗目标得以实现。面部和谐性好,矫正了下垂和间距。
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引用次数: 0
Evaluation of antimicrobial action, pulp tissue dissolution, and smear layer removal of an experimental irrigant combining Salvadora persica and sodium hypochlorite with and without ultrasonic activation: An in vitro study 评价一种结合木耳和次氯酸钠的实验性冲洗剂在超声激活和不超声激活下的抗菌作用、牙髓组织溶解和涂抹层去除:一项体外研究
Pub Date : 2022-07-01 DOI: 10.4103/ijpcdr.ijpcdr_16_22
V. Jibin Karim, M. Ranjini, D. Swapna, M. Bharathi, Roopa R. Nadig, B. Vedavathi
Aim: To evaluate the pulp tissue dissolution, antimicrobial action, and smear layer removal using an experimental irrigant combining Salvadora persica and sodium hypochlorite (NaOCl) with and without ultrasonic activation in comparison to standard irrigation protocol of NaOCl and ethylenediamine tetraacetic acid (EDTA) with and without ultrasonic activation. Materials and Methods: Pulp tissue dissolution - Pulp tissue weighing 0.9 g was dissolved in each experimental Group G1: 5 ml of 5% NaOCl, G2: G1 + ultrasonic activation, G3: 5 ml 5% NaOCl + 40% S. persica, G4: G3 + ultrasonic activation and weighed after 1, 5, and 10 min. The difference in weight of the tissue sample was assessed. Smear layer removal and calcium/phosphate (Ca/PO4) ratio - G1: 5 ml of 5% NaOCl, saline, 1 ml of 17% EDTA, G2: G1 + ultrasonic activation, saline, 17% EDTA, G3: 5 ml 5% NaOCl + 40% S. persica G4: G3 + ultrasonic activation. Each tooth was then split longitudinally and subjected to scanning electron microscopy/energy dispersive X-ray spectroscopy (SEM-EDX) analysis. Antibacterial Activity- assessed against Enterococcus Faecalis. Statistical Analysis: SEM, pulp tissue dissolution and antimicrobial efficacy – Kruskal–Wallis and post hoc Mann–Whitney EDX – ANOVA and Tukey's honestly significant difference post hoc analysis. Results: Pulp dissolution by G3 and G4 was better. However, there was no statistically significant difference between the groups (P > 0.05). Experimental combination performed better in terms of smear layer removal, showed higher amount Ca/PO4 in EDX analysis, but the difference was not statistically significant between the groups (P > 0.05). G2 showed maximum antimicrobial efficacy compared to all groups but not statistically significant (P > 0.05). Conclusions: The combined formulation of 5% NaOCl + 40% S. Persica was as effective as conventional protocol and ultrasonic activation improved its efficacy.
目的:比较超声活化和不超声活化下木耳与次氯酸钠(NaOCl)联合冲洗与NaOCl与乙二胺四乙酸(EDTA)联合冲洗的标准冲洗方案,评价木耳与次氯酸钠(NaOCl)联合冲洗的牙髓组织溶出度、抗菌作用和去垢效果。材料与方法:溶髓组织-每个实验组溶解重0.9 g的髓组织G1: 5% NaOCl 5 ml, G2: G1 +超声活化,G3: 5% NaOCl 5 ml + 40%桃胶,G4: G3 +超声活化,分别于1、5、10 min后称重,评估组织样品的重量差异。涂片层去除及钙/磷酸盐(Ca/PO4)比- G1: 5% NaOCl 5 ml,生理盐水,17% EDTA 1 ml, G2: G1 +超声活化,生理盐水,17% EDTA, G3: 5 ml 5% NaOCl + 40%木参G4: G3 +超声活化。然后将每颗牙齿纵向分开,并进行扫描电子显微镜/能量色散x射线光谱(SEM-EDX)分析。对粪肠球菌的抗菌活性评价。统计分析:扫描电镜(SEM)、牙髓组织溶出度和抗菌效果- Kruskal-Wallis和事后Mann-Whitney EDX - ANOVA和Tukey的诚实显著差异事后分析。结果:G3和G4溶牙效果较好。但两组间差异无统计学意义(P > 0.05)。实验组合在去除涂抹层方面表现较好,EDX分析显示Ca/PO4含量较高,但组间差异无统计学意义(P > 0.05)。G2组抗菌效果最高,但差异无统计学意义(P > 0.05)。结论:5% NaOCl + 40% Persica联合处方与常规方案疗效相当,超声活化可提高其疗效。
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引用次数: 0
A study to assess knowledge of periodontal disease among university students in Assam 评估阿萨姆邦大学生牙周病知识的研究
Pub Date : 2022-04-01 DOI: 10.4103/ijpcdr.ijpcdr_13_22
Purobi Choudhury
Objectives: The aim of this study was to evaluate levels of oral health knowledge of periodontal disease among nondental university students. Materials and Methods: One hundred university students (mean age 20.1 years ± 2.5) were recruited into this study. The participants completed a structured questionnaire during a personal interview. The questionnaire consisted of items to assess participants' personal data (age, gender, level of study, and specialty) and oral heath knowledge related to periodontal disease. Statistical significance was based on probability values of <0.05. Results: Participants showed poor knowledge of causes, signs, symptoms, and preventive measures of gum disease. Only 49% of first-year and 60% of final-year students said yes as an answer. The level of the study had no relationship with students' knowledge of the initiating factors of periodontal disease but had a significant relationship with the knowledge of periodontal disease's signs, preventive measures, and relations to general health and systemic disease. Students from scientific disciplines had more knowledge of periodontal disease's causes, preventive measures, and relations to general health and systemic disease than those from humanity disciplines. Conclusions: There were significant differences in oral health knowledge regarding periodontal disease between students from different levels of studies and different disciplines.
目的:本研究的目的是评估非牙科大学学生对牙周病的口腔健康知识水平。材料与方法:招募100名大学生,平均年龄20.1岁±2.5岁。参与者在个人访谈中完成了一份结构化问卷。问卷包括评估参与者的个人资料(年龄、性别、学习水平和专业)以及与牙周病相关的口腔健康知识。以概率值<0.05为差异有统计学意义。结果:参与者对牙龈疾病的原因、体征、症状和预防措施缺乏了解。只有49%的一年级学生和60%的大四学生给出了肯定的答案。研究水平与学生对牙周病发病因素的了解程度无关,但与学生对牙周病的体征、预防措施以及与一般健康和全身性疾病的关系的了解程度有显著关系。与人文学科的学生相比,科学学科的学生对牙周病的病因、预防措施以及与一般健康和全身性疾病的关系有更多的了解。结论:不同学历、不同学科的学生在牙周病口腔健康知识方面存在显著差异。
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引用次数: 0
Oral health status and treatment needs among Group D workers of four government hospitals in Bengaluru 班加罗尔四家政府医院D组工作人员的口腔健康状况和治疗需求
Pub Date : 2022-04-01 DOI: 10.4103/ijpcdr.ijpcdr_14_22
T. Sangeeta, Y. Kumar
Aim and Objectives of the Study: The aim of the study was to assess the oral health status and treatment needs among Group D workers of four government hospitals in Bengaluru and the objectives of the study were to assess the prevalence of dental caries, periodontal health status, oral mucosal lesions, and treatment needs and to know the possible relationship between low socioeconomic status and this particular occupation with oral health status. Materials and Methodology: A total of 800 Group D workers were examined according to the WHO Basic Oral Health Survey Assessment Form 1997, and the required data were collected in a prepared format consisting of sociodemographic details, habits, oral hygiene practices, and few questions to assess their knowledge and awareness. The oral cavity of the workers was examined using CPI probe and mouth mirror plane. Results: About 283 (35.4%) workers had one or the other forms of oral mucosal lesions of these, majority (102; 12.8%) had Chewer's mucosa, 67 (8.4%) had smoker's melanosis, 58 (7.3%) had leukedema, 27 (3.4%) had leukoplakia, 17 (2.1%) had oral submucous fibrosis, 8 (1%) had smoker's palate, and 2 (0.3%) had lichen planus. Conclusion: The present study concludes that there is a strong relationship between poor oral health status and higher treatment needs with the low social class, low educational levels, and occupation.
研究的目的和目的:本研究的目的是评估班加罗尔四家政府医院D组工作人员的口腔健康状况和治疗需求,研究的目的是评估龋齿的患病率、牙周健康状况、口腔黏膜病变和治疗需求,并了解低社会经济地位与口腔健康状况之间的可能关系。材料和方法:根据1997年世界卫生组织基本口腔健康调查评估表对800名D组工作人员进行了检查,并以准备好的格式收集了所需的数据,包括社会人口学细节、习惯、口腔卫生习惯和少数问题,以评估他们的知识和意识。采用CPI探针和口腔镜面对工人口腔进行检查。结果:约283名(35.4%)工人存在其中一种或多种形式的口腔黏膜病变,占多数(102;12.8%的患者有咀嚼黏膜,67例(8.4%)有吸烟者黑素病,58例(7.3%)有白细胞水肿,27例(3.4%)有白斑,17例(2.1%)有口腔黏膜下纤维化,8例(1%)有吸烟者上颚,2例(0.3%)有扁平苔藓。结论:低社会阶层、低文化程度、低职业与口腔健康状况差及较高的治疗需求有密切关系。
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引用次数: 0
期刊
International Journal of Preventive and Clinical Dental Research
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