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Oral health status and its association with duration of dialysis among dialysis patients in Jodhpur city 焦特布尔市透析患者口腔健康状况及其与透析持续时间的关系
Pub Date : 2021-01-01 DOI: 10.4103/ijpcdr.ijpcdr_1_21
Supriya Sharma, B. Garla, Rushabh J Dagli, Mohsin Khan, Mayank Das, A. Dar
Introduction: In the past three to four decades, improvements in dialysis and transplantation have reduced morbidity and mortality among patients with end-stage renal disease. The present study was conducted to establish the relationship of sociodemographic conditions, state of dental health, periodontal tissue, and soft tissue in patients with duration of hemodialysis. Materials and Methods: A cross-sectional study using a self-administrated structured questionnaire was conducted among hemodialysis patients in Jodhpur city from March 2019 to June 2019. The final sample was 133 hemodialysis patients. The questionnaire was pretested on a group of ten patients to check the feasibility of the study and to ensure the face validity of the questionnaire. Results: It was found that patients with more than 3 years on dialysis had a statistically significantly higher prevalence of decayed teeth. There was a strong correlation between length of time on Hemodialysis and decayed, probing pocket depth, clinical attachment level, periodontal indices, gingival index, bleeding on probing, and gingival recession. Conclusion: Awareness must be raised among dialysis patients, nephrologists, and dentists about the need for primary dental prevention.
在过去的三到四十年中,透析和移植技术的进步降低了终末期肾病患者的发病率和死亡率。本研究旨在探讨血液透析患者的社会人口学状况、牙齿健康状况、牙周组织和软组织的关系。材料与方法:于2019年3月至2019年6月对焦特布尔市血液透析患者进行横断面研究,采用自填式结构化问卷。最终样本为133名血液透析患者。问卷在一组10名患者中进行预测,以检查研究的可行性,并确保问卷的面效度。结果:透析3年以上患者的蛀牙患病率有统计学意义。血液透析时间与龋坏、探诊袋深度、临床附着水平、牙周指数、牙龈指数、探诊出血和牙龈退缩有很强的相关性。结论:必须提高透析患者、肾病专家和牙医对初级牙科预防必要性的认识。
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引用次数: 0
Awareness and attitude toward COVID-19 among the students of a rural tertiary care center and dental college: A cross-sectional study 某农村三级保健中心和牙科院校学生对COVID-19认知和态度的横断面研究
Pub Date : 2020-10-01 DOI: 10.4103/ijpcdr.ijpcdr_46_20
A. Adhershitha, P. Viswambharan, S. Rodrigues
Introduction: Awareness, attitude, and practice play a major role in containing any infectious disease. Coronavirus disease 2019 (COVID-19) has no definitive treatment or vaccines; hence, it is momentous to spread awareness regarding the prevention strategies. It is crucial for the government and concerned authorities to understand the students' perception and attitude in the time of the current pandemic. Aim: The aim of this study is to assess the level of awareness among the students of Government Dental College Alappuzha, a rural tertiary care center and Dental College in Kerala, India, regarding COVID-19 and their attitude toward the pandemic. Methodology: Questionnaire which included 21 items was used for the research. Observed data were coded, tabulated, and analyzed using IBM SPSS Statistics for Windows (Version 20.0. Armonk, NY, USA: IBM Corp.). The total awareness score calculated was 20. Comparison between gender (males/females) and study groups (preclinical students/clinical students) was made using the Chi-square test. Comparison of total awareness scores between study groups was made using independent t-test. Results: Most of the study participants across study groups regularly kept track of the latest news on COVID-19 and perceived it to be of moderate or very dangerous risk though they were quite optimistic of its control. About 96% of males and 82% of females felt it is necessary to get mental health help if one panics in lieu of the pandemic situation. The mean total awareness score (out of 20) was 15.16 ± 1.81. There was no significant difference in total awareness score based on gender (15.23 ± 2.24 for males and 15.15 ± 1.71 for females) and also among the category of students (14.88 ± 1.94 for preclinical students and 15.35 ± 1.69 among clinical students). Conclusions: Attempts should be made for increasing the awareness regarding the preferred method of hand hygiene, protocol for performing aerosol-generating procedures, and airborne infection isolation room.
导言:意识、态度和实践在控制任何传染病方面起着重要作用。2019冠状病毒病(COVID-19)没有明确的治疗方法或疫苗;因此,传播有关预防战略的认识是至关重要的。在当前的大流行时期,政府和有关当局了解学生的看法和态度至关重要。目的:本研究的目的是评估印度喀拉拉邦Alappuzha政府牙科学院(农村三级保健中心和牙科学院)学生对COVID-19的认识水平及其对大流行的态度。方法:采用问卷调查法,共21项。使用IBM SPSS Statistics for Windows (Version 20.0)对观察到的数据进行编码、制表和分析。美国纽约州阿蒙克市:IBM公司)。总意识得分为20分。性别(男性/女性)和研究组(临床前学生/临床学生)之间的比较采用卡方检验。各组间总意识得分比较采用独立t检验。结果:跨研究组的大多数研究参与者定期跟踪有关COVID-19的最新消息,并认为它具有中等或非常危险的风险,尽管他们对其控制相当乐观。约96%的男性和82%的女性认为,如果有人恐慌而不是大流行,有必要获得心理健康帮助。平均总意识得分(总分20分)为15.16±1.81分。不同性别(男性15.23±2.24分,女性15.15±1.71分)、不同学生类别(临床前学生14.88±1.94分,临床学生15.35±1.69分)的总意识得分差异无统计学意义。结论:应努力提高对首选手卫生方法、产生气溶胶的操作规程和空气传播感染隔离室的认识。
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引用次数: 2
Effect of titanium oxide and zirconium oxide nanoparticle incorporation on the flexural strength of heat-activated polymethyl methacrylate denture base resins – An in vitro experimental study 氧化钛和氧化锆纳米颗粒掺入对热活化聚甲基丙烯酸甲酯义齿基托树脂抗弯强度的影响-体外实验研究
Pub Date : 2020-10-01 DOI: 10.4103/ijpcdr.ijpcdr_49_20
P. Viswambharan, A. Adhershitha
Introduction: Flexural strength is one of the most important properties which determine the clinical success of dentures. Even though titanium oxide nanoparticles (nano-TiO2) and zirconium oxide nanoparticles (nano-ZrO2) are extensively used to modify the properties of polymethyl methacrylate (PMMA) resin, there is negligible documentation in the literature comparing these two. Aim: The aim of the study is to find out and compare the effect of incorporation of 1 weight % nano-TiO2 and nano-ZrO2 on the flexural strength of heat-activated PMMA resin. Materials and Methods: 1 weight % of TiO2 and ZrO2 nanoparticles were weighed using a digital weighing balance and mixed with PMMA resin powder using the geometric dilution method. Sixty “35 mm × 10 mm × 3 mm” rectangular-shaped specimens fabricated were divided into three different groups, each containing twenty samples each. The specimens were loaded to failure at a crosshead speed of 1 mm/min and with 500 N load cell in a Universal Instron Testing Machine, Model 3345. Flexural strength was registered by the machine with 0.001 MPa precision. Results: PMMA with nano-TiO2 group had the maximum flexural strength, load at maximum flexure, and load at break followed by unreinforced PMMA and PMMA with nano-ZrO2. Statistically significant difference was noted between the three groups (P < 0.001). Post hoc analysis using Tukey's post hoc test showed a statistically significant difference for all three pair-wise comparison. Conclusions: Within the limitations of this study, it can be concluded that nano-TiO2 greatly enhanced the flexural strength, load at maximum flexure load, and load at break of PMMA resin, whereas nano-ZrO2 significantly reduced these properties of PMMA.
导读:抗弯强度是决定义齿临床成功与否的重要指标之一。尽管氧化钛纳米粒子(纳米tio2)和氧化锆纳米粒子(纳米zro2)被广泛用于修饰聚甲基丙烯酸甲酯(PMMA)树脂的性能,但比较这两者的文献几乎可以忽略不计。目的:研究并比较掺入1重量%的纳米tio2和纳米zro2对热活化PMMA树脂抗弯强度的影响。材料与方法:将1重量%的TiO2和ZrO2纳米粒子用数字称重秤称重,并采用几何稀释法与PMMA树脂粉混合。制作60个“35 mm × 10 mm × 3 mm”矩形试件,分为3组,每组20个试件。在通用Instron试验机(型号3345)上,以1mm /min的十字速度和500n的称重传感器加载试样直至失效。弯曲强度的测量精度为0.001 MPa。结果:添加纳米tio2的PMMA抗折强度最大,最大挠曲载荷最大,断裂载荷最大,其次是未增强PMMA和添加纳米zro2的PMMA。三组间差异有统计学意义(P < 0.001)。使用Tukey事后检验的事后分析显示,三种两两比较的差异具有统计学意义。结论:在本研究的限制范围内,可以得出纳米tio2大大提高了PMMA树脂的抗弯强度、最大挠曲载荷和断裂载荷,而纳米zro2则显著降低了PMMA树脂的这些性能。
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引用次数: 1
Prosthodontic rehabilitation of an edentulous hemimandibulectomy patient 无牙半下颌管切除术患者的修复康复
Pub Date : 2020-10-01 DOI: 10.4103/ijpcdr.ijpcdr_44_20
Saumil Sampat, Mistry Saloni, Banga Parmeet, D. Vinay, Dubey Amol
Edentulous patients with lateral discontinuity defects of the mandible pose a challenge for the prosthodontist. With variable degrees of bony and soft-tissue resection, the prosthodontic prognosis is dependent on a number of complex factors. Complete dentures in such patients are primarily given for improvement of esthetics. In a selected few patients, however, such prosthesis may improve speech and masticatory function. This case report describes the use of two rows of nonanatomic teeth (in the maxillary denture) on the unresected side to broaden the occlusal table, thus fulfilling the patient's needs and requirements.
无牙患者的下颌外侧不连续性缺陷是修复医师面临的一个挑战。由于骨和软组织切除程度不同,修复预后取决于许多复杂的因素。这类患者的全口义齿主要是为了改善美观。然而,在少数患者中,这种假体可以改善言语和咀嚼功能。本病例报告描述了在未切除侧使用两排非解剖牙齿(上颌义齿)来扩大咬合台,从而满足患者的需要和要求。
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引用次数: 3
Prevalence of periodontal diseases in orthodontic patients 正畸患者牙周病的患病率
Pub Date : 2020-10-01 DOI: 10.4103/ijpcdr.ijpcdr_43_20
Ujjwal Priyadarsi, Mohammad Alam, A. Hussain, Farrukh Azam, Priyanka Kumari, M. Nafe
Objective: The objective was to investigate the association between orthodontic treatment and periodontitis in a representative sample of Jharkhand. Methodology: The clinical examinations at six sites per tooth were assessed using visible plaque index (VPI), gingival bleeding index (GBI), bleeding on probing (BOP), periodontal probing depth (PPD), and clinical attachment loss (CAL). A manual Williams probe (Neumar, São Paulo, Brazil) was used, except for the VPI. Data analysis was done. Results: The median percentage values of sites positive for VPI, GBI, and BOP were calculated for each group and compared using a Mann–Whitney test and the mean values for PPD and CAL with a Student's t-test. Intragroup comparisons between teeth were performed with Tukey's analysis of variance. The level of significance was set at 5%. Conclusion: The use of orthodontic appliances is not necessarily related to worsening periodontal conditions. The results of the present study reinforce the importance of susceptibility to periodontal disease independent of the presence of a well-known retentive plaque factor, i.e., orthodontic appliances and/or bands.
目的:目的是调查正畸治疗和牙周炎在贾坎德邦代表性样本之间的关系。方法:采用可见菌斑指数(VPI)、牙龈出血指数(GBI)、探诊出血(BOP)、牙周探诊深度(PPD)和临床附着损失(CAL)对每颗牙6个部位的临床检查进行评估。除VPI外,使用手动Williams探针(Neumar, s o Paulo, Brazil)。进行了数据分析。结果:计算各组VPI、GBI和BOP阳性部位的中位数百分比值,并使用Mann-Whitney检验和PPD和CAL的平均值进行比较。组内牙组间比较采用Tukey方差分析。显著性水平设为5%。结论:正畸矫治器的使用与牙周疾病的恶化没有必然的关系。本研究的结果强调了牙周病易感性的重要性,这种易感性与众所周知的牙菌斑保留因子(即正畸器具和/或牙带)的存在无关。
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引用次数: 1
Knowledge attitude and practice of school personnel on COTPA 学校人员对COTPA的认识、态度与实践
Pub Date : 2020-10-01 DOI: 10.4103/ijpcdr.ijpcdr_50_20
D. Desai, D. Desai
Background: The “Cigarettes and Other Tobacco Products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply, and Distribution) Act (COTPA)” has been formulated to control the Tobacco epidemic in India. School personnel serve as role models for students and have daily interaction with students, while college students may be under the influence of adolescent behavior and cigarettes is easier to procure. Materials and Methods: A cross-sectional questionnaire-based study carried out on a convenience sample of 100 school personnel aged 18–60 years, participated in the study. Five schools were undertaken in this study on the basis of convenience sampling. All the school personnel preseent on the day of conduction of survey were included in the study. Results: The awareness of school personnel in relation to COTPA ranges between 21% and 79% whereas least awareness (80%) was seen in relation to loose cigarettes not to be sold. Conclusion: The present study indicates that participants have lesser and inappropriate knowledge and attitude toward COTPA and majority of not taken any step to implement COTPA in their work place
背景:为了控制印度的烟草流行,制定了《卷烟和其他烟草制品(禁止广告和贸易、商业、生产、供应和分销管理)法》(COTPA)。学校工作人员是学生的榜样,每天与学生互动,而大学生可能受到青少年行为的影响,更容易获得香烟。材料与方法:采用横断面问卷调查法,选取100名18-60岁的学校工作人员作为方便样本进行研究。本研究在方便抽样的基础上选取了五所学校。所有在调查当天在场的学校人员都被纳入研究。结果:学校人员对COTPA的认知度在21%到79%之间,而对不出售散装香烟的认知度最低(80%)。结论:本研究表明,参与者对COTPA的知识和态度较少且不适当,大多数人没有采取任何措施在其工作场所实施COTPA
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引用次数: 1
Apexification in primary central incisor 在初级中切牙尖化
Pub Date : 2020-10-01 DOI: 10.4103/INPC.INPC_30_20
Nandita Mohan, Shriyam Sharan, S. Patel, Divya Nigam, Aarti Kumari, Silpi Chatterjee
The upper deciduous incisors are frequently the teeth most commonly affected either by dental caries or due to the impact of trauma. In such cases, there may be complete coronary destruction of teeth. As they erupt around 7½–9 months of age and the roots only complete at approximately 18–24 months, pulp involvement may occur even before the end of this process. Hereby, we highlight the case of a 15-month-old male patient who reported with a history of trauma. Treatment plan of apexification was made after confirming with multiple radiographs. Root-end closure was obtained after a period of 7 months.
上乳门牙通常是最常受龋齿或外伤影响的牙齿。在这种情况下,可能会有完全的冠状动脉破坏牙齿。由于牙髓在7½-9个月大时长出,而牙根在18-24个月大时才完全形成,因此牙髓甚至可能在这一过程结束之前就已经受到影响。在此,我们强调的情况下,一个15个月大的男性患者谁报告的历史创伤。经多次x线片确认后制定根尖矫正的治疗方案。7个月后获得根端闭合。
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引用次数: 0
Trends in the patterns of maxillofacial fractures in Kolkata 加尔各答颌面骨折模式的趋势
Pub Date : 2020-10-01 DOI: 10.4103/INPC.INPC_40_20
G. Das, Dhritiman Pathak, Bharat Shukla, R. Shukla, D. Patel, K. Mondal
Background:- The maxillofacial skeleton is commonly fractured due to its prominent position. Maxillofacial fractures lead to cosmetic disfigurement as well as problems in oral functioning. Aim: The aim of this study was to determine the incidence, etiology, mode, and the pattern of fractures in the maxillofacial region. Methods: A retrospective study of maxillofacial injuries at ESIC Medical College and Hospital, Joka (Kolkata) between Feb 2018 to April 2019 was conducted and data extracted from patients who were either treated in emergency room or in outpatient department. Results and Conclusion: The study concluded that better road safety laws need to be enforced along with the improvement of the education and socio-economic setup.
背景:颌面部骨骼因其突出的位置而常发生骨折。颌面部骨折不仅会导致口腔功能的问题,而且会导致美观的毁容。目的:本研究的目的是确定颌面骨折的发生率、病因、模式和类型。方法:回顾性研究2018年2月至2019年4月在加尔各答约卡ESIC医学院和医院进行的颌面损伤病例,数据提取自急诊室或门诊患者。结果和结论:研究得出的结论是,随着教育和社会经济环境的改善,需要加强道路安全法律的执行。
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引用次数: 0
Temporomandibular disorders: An updated review 颞下颌疾病:最新综述
Pub Date : 2020-10-01 DOI: 10.4103/ijpcdr.ijpcdr_42_20
M. Mahabob
A group of conditions related to temporomandibular joint (TMJ) is called as “temporomandibular disorder” (TMD). Several attempts were made to classify TMD based on the frequency of occurrence, etiology, and anatomy, but they have had some shortfalls, and one mostly accepted is diagnostic criteria/TMD classification. TMD is a group of clinical problems; it involves either TMJ or its associated structures separately or combination. Any factor that affects one part of the system is likely to have an impact on the other parts also, so it is essential to approach carefully when considering likely signs and symptoms of TMD. About 20%–30% of the adult populations are affected to some degree of TMD, and it is predominately affected young and middle-aged adults. The prevalence rate of TMD problems twice common in females than the males. The etiology of TMD is inconclusive, and now, it has been accepted that multiple factors play a role in TMD. Since it is multifactorial, treatment should be planned according to that and varies patient to patient. Majority of the patients having mild-to-moderate TMD and conservative treatment approach over surgery results in satisfactory outcomes. The aim of this review is to evaluate the recent updates and propose solutions for patients with TMD.
与颞下颌关节(TMJ)有关的一组疾病被称为“颞下颌关节紊乱”(TMD)。根据TMD的发生频率、病因学和解剖学对TMD进行了几种分类,但它们都有一些不足,其中最被接受的是诊断标准/TMD分类。TMD是一组临床问题;它涉及TMJ或其相关结构单独或组合。任何影响系统一部分的因素都可能对其他部分产生影响,因此在考虑TMD的可能体征和症状时,必须仔细对待。约有20%-30%的成年人不同程度地患有TMD,以中青年为主。女性的TMD患病率是男性的两倍。TMD的病因尚不明确,目前认为多种因素在TMD中起作用。由于它是多因素的,治疗应根据这一点来计划,并因人而异。大多数轻中度TMD患者采用保守治疗优于手术治疗,结果令人满意。这篇综述的目的是评估最近的最新进展,并为TMD患者提出解决方案。
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引用次数: 0
Effect of fluoride- and nonfluoride-remineralizing agents in white spot lesions in mentally retarded children: A parallel randomized clinical trial 氟和非氟再矿化剂对弱智儿童白斑病变的影响:一项平行随机临床试验
Pub Date : 2020-07-01 DOI: 10.4103/INPC.INPC_31_20
Mayank Das, L. Krishna Reddy, Sanjay Singh, A. Dubey, Avnica Agarwal, Mandar Todkar
Background: Dental caries is one of the prevalent oral diseases among mentally retarded children, and restorative, preventive treatment needs are unmet. Materials and Methods: The study was a double-blinded, parallel, randomized clinical trial. A total of 150 participants aged 7–12 years were selected. Unpaired t-test and repeated measures analysis of variance test were used for analysis. Results: In Group A, at 12 months, 97.2% active and 2.8% inactive lesions were reported. In Group B, at 9 and 12 months, 98.6% and 94.3% active and 1.4% and 5.7% inactive white spot lesions (WSLs) were seen. Conclusion: Fluoride- and nonfluoride-remineralizing agents reported a slight reduction in active WSLs.
背景:龋病是智障儿童口腔常见病之一,其修复性、预防性治疗需求未得到满足。材料与方法:本研究为双盲、平行、随机临床试验。共有150名7-12岁的参与者被选中。分析采用非配对t检验和重复测量方差分析。结果:A组12个月时活动性病变97.2%,非活动性病变2.8%。B组在9月和12月时,活动性白斑病变分别为98.6%和94.3%,非活动性白斑病变分别为1.4%和5.7%。结论:氟化物和非氟化物再矿化剂报告了活性wsl的轻微减少。
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引用次数: 1
期刊
International Journal of Preventive and Clinical Dental Research
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