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Academic to AI-cademic: Challenges and Recommendations of Artificial Intelligence in Medical Writing 从学术到 AI-学术:人工智能在医学写作中的挑战与建议
Q4 Medicine Pub Date : 2024-03-29 DOI: 10.4103/jdmimsu.jdmimsu_701_23
Waqar M. Naqvi, Sakshi P. Arora, Aishwarya A. Pashine, Mamdouh Gabr
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引用次数: 0
Comparison of clinical performance of i-gel® and Ambu® AuraGain™ in pediatric patients: A randomized controlled study i-gel®和Ambu®AuraGain的临床性能比较™ 儿科患者:一项随机对照研究
Q4 Medicine Pub Date : 2023-07-01 DOI: 10.4103/jdmimsu.jdmimsu_217_23
Sarayu Venkatesan, D. Dwivedi, M. Mateen, Saurabh Sud, Bhavna Hooda, Shalendra Singh
Background: I-gel® is a prototype among the second-generation supraglottic airway devices (SADs). The Ambu® AuraGain™ is a fairly new, single use, second-generation SAD with a preformed shape. Aim: To compare the oropharyngeal sealing pressure (OSP) of i-gel® and AuraGain™ in young children weighing between 5 and 20 kg. Materials and Methods: This study was conducted as a single-blinded randomized control trial at a tertiary care center over the period of 18 months. Forty children, aged between 6 months and 6 years, weighing 5–20 kg, belonging to the American Society of Anesthesiologists (ASA) Physical Status I, II, and III, undergoing elective surgical procedures, were randomized into two groups: the i-gel® group and Ambu® AuraGain™ group. The primary goal was measuring OSP at 1 min postinsertion and its change at 10 min. The secondary objectives were insertion time, success rate at first attempt, the degree of ease of gastric tube insertion, and perioperative adverse effects. Results: The mean OSP was significantly higher (P < 0.05) in the i-gel group (i.e., 20.0 ± 3.24 at 1 min and 23.45 ± 3.66 at 10 min) as compared to Ambu® AuraGain™ (16.70 ± 3.10 and 19.95 ± 3.1 at 1 and 10 min, respectively). The insertion time and success and complications rate for device placement were comparable. The resistance when inserting gastric tube was significantly higher in the i-gel® group (70%) as compared to the Ambu® AuraGain™ group (20%) in our study (P < 0.05). Conclusion: Our study suggests that i-gel® is superior in achieving OSP, whereas gastric tube insertion is easy with the use of Ambu® AuraGain™.
背景:I-gel®是第二代声门上气道装置(SAD)的原型。Ambu®AuraGain™ 是一种全新的一次性第二代SAD,具有预制形状。目的:比较i-gel®和AuraGain的口咽密封压力(OSP)™ 材料和方法:本研究在三级护理中心进行了为期18个月的单盲随机对照试验。40名儿童,年龄在6个月至6岁之间,体重5-20公斤,属于美国麻醉师协会(ASA)身体状况I、II和III,正在接受选择性手术,被随机分为两组:I-gel®组和Ambu®AuraGain™ 组主要目标是在插入后1分钟测量OSP,并在10分钟测量其变化。次要目标是插入时间、首次尝试的成功率、插管的容易程度和围手术期不良反应。结果:与Ambu®AuraGain相比,i-gel组的平均OSP显著更高(P<0.05)(即1分钟时为20.0±3.24,10分钟时为23.45±3.66)™ (1分钟和10分钟时分别为16.70±3.10和19.95±3.1)。植入时间、装置放置的成功率和并发症发生率具有可比性。与Ambu®AuraGain相比,i-gel®组插入胃导管时的阻力显著更高(70%)™ 结论:我们的研究表明i-gel®在实现OSP方面更为优越,而使用Ambu®AuraGain则更容易插入胃导管™.
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引用次数: 0
Impact of peer-assisted early clinical exposure on learning in dental students 同伴辅助早期临床暴露对牙科学生学习的影响
Q4 Medicine Pub Date : 2023-07-01 DOI: 10.4103/jdmimsu.jdmimsu_278_23
A. Hande, Prajakta R. Zade, M. Gawande, Swati K. Patil, Archana Sonone, Aayushi Pakhale
Background: Early clinical exposure (ECE) would augment the clinical education quality in dental students. Although ECE has been practicing to reinforce learning, it has certain limitations. Mainly restrictions on resources due to inappropriate student-teacher ratio owing to less no of trained faculty in the department. The student-centered teaching method such as peer-assisted learning (PAL) can be used as a supporting modus operandi in the deliverance of the curriculum at the undergraduate level to augment the learning by ECE. Materials and Methods: The study population includes a cohort of 100 Students of I Bachelor of Dental Sciences (BDS) and 25 Students of II BDS. From I BDS, 50 students (Group A = experimental group) were selected as cases and 50 as controls (Group B = control group) by the simple random sampling. Twenty-five students were selected from II BDS on the basis of performance scale (high achievers) as peers. (Group A) students were exposed to the ECE module which was assisted by peers as an enhancement to didactic teaching-learning. Control group (Group B) students were exposed to conventional ECE, which is facilitated by faculty members/teachers. After the intervention, both the groups were evaluated for knowledge, skills, and attitude as posttest. Results: The significantly enhanced posttest score was observed in Group A (7.46 ± 1.32) as compared to Group B (3.98 ± 1.59). The mean objective structured practical examination score in Group A was improved as compared to Group B and the difference between them was also found statistically significant (P = 0.00). Conclusion: Peer-assisted ECE could be a better teaching-learning methodology than traditional teaching for dental students in the Indian Scenario.
背景:早期临床暴露(ECE)将提高牙科学生的临床教育质量。尽管欧洲经委会一直在努力加强学习,但也有一定的局限性。主要是由于该系没有受过培训的教师,师生比例不合适,资源受到限制。以学生为中心的教学方法,如同伴辅助学习(PAL),可以作为在本科阶段提供课程的辅助方法,以加强欧洲经委会的学习。材料和方法:研究人群包括100名口腔科学学士(BDS)一级学生和25名口腔科学二级学生。从I BDS中,采用简单随机抽样的方法,选择50名学生(A组=实验组)作为病例,50名学生作为对照(B组=对照组)。根据成绩量表(成绩优异者),从II BDS中选出25名学生作为同龄人。(A组)学生接触了欧洲经委会模块,该模块由同行协助,以加强教学。对照组(B组)的学生接触了由教员/教师促进的传统ECE。干预后,两组都进行了知识、技能和态度的后测评估。结果:与B组(3.98±1.59)相比,A组的后测成绩显著提高(7.46±1.32)。A组的平均目标结构化实践考试成绩与B组相比有所提高,差异也具有统计学意义(P=0.00)比印度情景中牙科学生的传统教学更为重要。
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引用次数: 0
Effect of microneedling and injectable platelet-rich fibrin on gingival phenotype – A case series 微针和注射富血小板纤维蛋白对牙龈表型的影响- A病例系列
Q4 Medicine Pub Date : 2023-07-01 DOI: 10.4103/jdmimsu.jdmimsu_407_22
P. Sonavane, J. Rai, Monali Amit Shah, M. Andharia
Introduction: Gingival phenotype is a crucial determinant of the periodontium. It not only maintains the health of the tissue but also plays a decisive role in the prediction of periodontal treatment outcomes. Thin gingival phenotype poses certain risks of poor periodontal treatment outcome in cases of implant, coronally advanced flap, and other root coverage procedures. Thus it becomes the duty of the clinician to deal with such cases by prior planning treatments which can improve the gingival phenotype and thereby enhancing the postperiodontal treatment outcomes to benefit patients. In this case series, a nonsurgical treatment modality microneedling (MN) and injectable platelet-rich fibrin (i-PRF) are employed in an attempt to increase the thickness of thin gingival phenotype. Methods: Five systemically healthy patients with thin gingival phenotypes were included in this study. The lower anterior teeth with split-mouth study pattern have been randomly allocated to nonsurgical treatment modality, i.e., MN alone and MN along with i-PRF. All the patients were followed up for 9 months. Outcomes Assessed: Gingival thickness (GT), Width of Keratinized Tissue (WKT), oral hygiene index, gingival index (GI), the patient reported outcome measures. Results: Both the groups showed an increase in the thickness of gingiva in 9-month follow-up. The mean increase of 0.62 mm in thickness was seen in Group 1 (42%), whereas Group 2 showed a 0.34 mm (27.3%) of increment. No difference is seen with respect to the change in the width of keratinized gingiva in both groups. Conclusion: MN along with i-PRF can provide an efficient nonsurgical option to clinicians to increase GT in cases of thin gingival phenotype.
引言:牙龈表型是决定牙周组织的重要因素。它不仅维持组织的健康,而且在预测牙周治疗结果方面发挥着决定性作用。在种植体、冠状动脉晚期皮瓣和其他牙根覆盖手术的情况下,牙龈表型薄会导致牙周治疗结果不佳。因此,临床医生有责任通过预先计划治疗来处理此类病例,这可以改善牙龈表型,从而提高牙周后的治疗结果,使患者受益。在该病例系列中,采用了非手术治疗模式微针(MN)和可注射的富含血小板的纤维蛋白(i-PRF),试图增加薄牙龈表型的厚度。方法:本研究包括5例牙龈表型较薄的系统健康患者。具有裂口研究模式的下前牙已被随机分配到非手术治疗模式,即单独的MN和与i-PRF一起的MN。所有患者均进行了9个月的随访。评估结果:牙龈厚度(GT)、角化组织宽度(WKT)、口腔卫生指数、牙龈指数(GI),患者报告的结果测量。结果:在9个月的随访中,两组的牙龈厚度都有所增加。第1组(42%)的厚度平均增加了0.62 mm,而第2组的厚度增加了0.34 mm(27.3%)。两组角化牙龈宽度的变化没有差异。结论:MN和i-PRF可以为临床医生提供一种有效的非手术选择,在牙龈表型较薄的情况下增加GT。
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引用次数: 0
Challenges faced by “health care workers” during COVID-19: A narrative review 新冠肺炎期间“医护人员”面临的挑战:叙述性综述
Q4 Medicine Pub Date : 2023-07-01 DOI: 10.4103/jdmimsu.jdmimsu_404_22
Prerna Baghel, Neha Gurbani, P. Muntode
The ability to handle life's challenges measures the strength of character. If we intend to rise through challenges, one has to be prepared for the change. A strong sense of duty among health-care workers (HCWs) was observed during COVID-19 pandemic when there was a high threat to their lives. We aimed to review the literature from PubMed, CENTRAL, Web of Science, and Google Scholar that describes the current situation and various challenges faced by the health-care providers and provides necessary recommendations that ensure health and well-being. It is believed that the findings of this study will be found useful by the government and higher agencies to formulate and implement new and better policies favoring and promoting the health-care workers. The obstacles that health-care practitioners are presently facing are far larger than those that they experience in their routine duties. Health-care personnel has a distinct and restricted responsibility to treat the COVID-19 epidemic, which can be traced back to a wide social compact and is firmly linked to specific reciprocal obligations that society owes to health-care providers. This article is organized into parts depending on the numerous sorts of obstacles that health-care employees experience, such as mental, physical, professional, spiritual, and vocational challenges. The existing and future levels of stress among HCWs are very concerning. As a result, immediate upskilling is essential, as many health-care providers believe they lack the knowledge and abilities needed to manage health concerns. However, it is critical to ensure that enough suitable resources are in place to assist HCWs throughout the pandemic's acute phase, as well as in the aftermath when demand will increase. A key rationale for investigating challenges faced by health-care workers is to strengthen our health system in every best possible way, also to strengthen the role of health-care workers by collection of their personal information COVID-19 related knowledge, personal health, nutrition, dietary supplementation, and job characteristics including psychological problem, work motivation, work pressure, physical abuse at work, conflicts, occupational hazards, length of working hours, communication challenges, language barriers, calm and composed behavior, and maintaining spiritual belief. The rationale will be based on the questionnaire including all types of challenges with multiple-choice questions discussing the problems faced during COVID-19.
应对生活挑战的能力衡量性格的力量。如果我们打算在挑战中崛起,就必须为变革做好准备。在新冠肺炎大流行期间,当医护人员的生命受到高度威胁时,他们表现出强烈的责任感。我们旨在回顾PubMed、CENTRAL、Web of Science和Google Scholar的文献,这些文献描述了医疗保健提供者的现状和面临的各种挑战,并提供了确保健康和福祉的必要建议。相信这项研究的结果将为政府和上级机构制定和实施有利于和促进医护人员发展的新的、更好的政策提供有用的信息。保健从业人员目前面临的障碍远远大于他们在日常工作中遇到的障碍。医疗保健人员在治疗新冠肺炎流行病方面负有独特而有限的责任,这可以追溯到广泛的社会契约,并与社会对医疗保健提供者的具体互惠义务密切相关。这篇文章根据医护人员所经历的各种障碍分为几个部分,如心理、身体、职业、精神和职业挑战。HCW目前和未来的压力水平非常令人担忧。因此,立即提高技能至关重要,因为许多医疗保健提供者认为他们缺乏管理健康问题所需的知识和能力。然而,至关重要的是,要确保有足够的适当资源在疫情的整个急性阶段以及需求增加后为HCW提供援助。调查医护人员面临的挑战的一个关键理由是,以一切可能的最佳方式加强我们的卫生系统,并通过收集医护人员的个人信息新冠肺炎相关知识、个人健康、营养、膳食补充和工作特征,包括心理问题、工作动机、,工作压力、工作中的身体虐待、冲突、职业危害、工作时间长短、沟通挑战、语言障碍、冷静沉着的行为以及保持精神信仰。基本原理将以问卷为基础,包括所有类型的挑战,选择题讨论新冠肺炎期间面临的问题。
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引用次数: 0
Transiting milestones in conventional composites: A headway for flowables 传统复合材料的过渡里程碑:流动性材料的进展
Q4 Medicine Pub Date : 2023-07-01 DOI: 10.4103/jdmimsu.jdmimsu_90_23
Mrinal Nadgouda, Aditya Patel, P. Nikhade, M. Chandak, Shraddha Patel
Flowable composite materials still need to be explored. Most literature generally addresses conventional composites, with little emphasis on flowables. This review article provides a concise overview of many essential characteristics of this helpful material. Newer generations of flowable composites incorporating improved mechanical properties such as higher compressive strength due to increased filler loading have come into practice in restorative dentistry recently. These provide benefits of improved handling properties and ease of placement into prepared cavities. This makes them unique and a novel material of choice in replacing traditional composite resins as a restorative material in endodontics.
可流动的复合材料仍有待探索。大多数文献通常涉及传统的复合材料,很少强调流动性。这篇综述文章简要概述了这篇有用材料的许多基本特征。新一代的可流动复合材料结合了改进的机械性能,例如由于填料负载的增加而具有更高的抗压强度,最近已在修复牙科中付诸实践。这些提供了改进的处理性能和易于放置到制备的空腔中的优点。这使它们成为一种独特的新型材料,可以取代传统的复合树脂作为牙髓修复材料。
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引用次数: 0
Root canal treatment of a mandibular second premolar with unusual anatomy: A rare case report 下颌第二前磨牙解剖异常的根管治疗:一例罕见病例报告
Q4 Medicine Pub Date : 2023-07-01 DOI: 10.4103/jdmimsu.jdmimsu_307_23
Prabhleen Brar, R. Brar, R. Vashisht, R. Gambhir
The mandibular premolars, typically, present with a single root and single root canal. However, several studies have shown greater diversities in the root canal system of mandibular premolars. Vertucci found two canals at the apex in 25.5% and three canals at the apex in 0.5% of the cases of 400 investigated premolars. The introduction of magnification in dentistry and the use of cone-beam computed tomography have greatly improved the success of root canal treatment. The present case report presents a case of successful root canal treatment of a mandibular second premolar with a single root canal that trifurcates and exits as three canals at the apex.
下颌前磨牙通常具有单一的根和单一的根管。然而,一些研究表明,下颌前磨牙的根管系统有更大的多样性。在所调查的400例前磨牙中,25.5%的病例中Vertucci在根尖处发现了两个根管,0.5%的病例中在根尖处找到了三个根管。牙科放大术的引入和锥形束计算机断层扫描的使用极大地提高了根管治疗的成功率。本病例报告介绍了一例下颌第二前磨牙的根管治疗成功的病例,该病例的单根根管在根尖处分叉并作为三根管退出。
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引用次数: 0
Evaluation of superoxide dismutase, an antioxidant enzyme, in oral squamous cell carcinoma: A systematic review and meta-analysis 抗氧化酶超氧化物歧化酶在口腔鳞状细胞癌中的评价:系统综述和荟萃分析
Q4 Medicine Pub Date : 2023-07-01 DOI: 10.4103/jdmimsu.jdmimsu_131_22
Arun Panwar, Shikha Ruhil, V. Keluskar, V. Jirge, S. L. Kumar, M. Sridhar
Objective: The objective is to qualitatively and quantitatively review the published literature on superoxide dismutase (SOD) levels in oral squamous cell carcinoma (OSCC). Materials and Methods: MEDLINE (via PubMed), SCOPUS, Science Direct, Cochrane Library, ProQuest, Google Scholar, and gray literature were comprehensively searched. Human clinical studies published between 2000 and 2021 were included. The Newcastle–Ottawa Scale was used to evaluate the risk of bias in the studies. Results: Of the 873 articles screened, six studies were included, evaluating 640 patients (554 OSCC cases and 113 controls). SOD levels in OSCC subjects were significantly lesser (P < 0.01) compared to healthy controls in spectrophotometry analysis, whereas its immuno-expression was significantly higher in the OSCC tissue samples in immunohistochemistry. In the meta-analyses related to SOD analysis by spectrophotometry, the overall effect size of tissue SOD in OSCC and control group were 8.51 and 11.62 U/mg protein, respectively. In the meta-analyses related to SOD analysis by immunohistochemistry, the overall effect size of tissue SOD in OSCC was 55.55% and 3.61% for cell staining, respectively. Conclusion: Decreased SOD levels in OSCC tissue samples in spectrophotometry and high immunoexpression in immunohistochemistry accurately reflect increased oxidative stress (OS) levels. Further studies are required to understand the increase in SOD levels in OSCC tissue. Correlation analysis between SOD levels and established clinicopathological prognostic markers could aid in formulation of OS-based prognostication and treatment planning.
目的:对口腔鳞状细胞癌(OSCC)超氧化物歧化酶(SOD)水平的相关文献进行定性和定量综述。材料和方法:综合检索MEDLINE(通过PubMed)、SCOPUS、Science Direct、Cochrane Library、ProQuest、Google Scholar和灰色文献。包括2000年至2021年期间发表的人类临床研究。纽卡斯尔-渥太华量表用于评估研究中的偏倚风险。结果:在筛选的873篇文章中,纳入了6项研究,评估了640名患者(554例OSCC病例和113名对照)。在分光光度分析中,OSCC受试者的SOD水平显著低于健康对照组(P<0.01),而在免疫组织化学中,其在OSCC组织样本中的免疫表达显著较高。在与分光光度法分析SOD相关的荟萃分析中,OSCC和对照组组织SOD的总效应大小分别为8.51和11.62 U/mg蛋白质。在与免疫组织化学SOD分析相关的荟萃分析中,OSCC中组织SOD对细胞染色的总体影响大小分别为55.55%和3.61%。结论:分光光度法检测OSCC组织中SOD水平的降低和免疫组织化学检测的高免疫表达准确地反映了氧化应激(OS)水平的升高。需要进一步的研究来了解OSCC组织中SOD水平的增加。SOD水平与已建立的临床病理预后标志物之间的相关性分析有助于制定基于OS的预后和治疗计划。
{"title":"Evaluation of superoxide dismutase, an antioxidant enzyme, in oral squamous cell carcinoma: A systematic review and meta-analysis","authors":"Arun Panwar, Shikha Ruhil, V. Keluskar, V. Jirge, S. L. Kumar, M. Sridhar","doi":"10.4103/jdmimsu.jdmimsu_131_22","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_131_22","url":null,"abstract":"Objective: The objective is to qualitatively and quantitatively review the published literature on superoxide dismutase (SOD) levels in oral squamous cell carcinoma (OSCC). Materials and Methods: MEDLINE (via PubMed), SCOPUS, Science Direct, Cochrane Library, ProQuest, Google Scholar, and gray literature were comprehensively searched. Human clinical studies published between 2000 and 2021 were included. The Newcastle–Ottawa Scale was used to evaluate the risk of bias in the studies. Results: Of the 873 articles screened, six studies were included, evaluating 640 patients (554 OSCC cases and 113 controls). SOD levels in OSCC subjects were significantly lesser (P < 0.01) compared to healthy controls in spectrophotometry analysis, whereas its immuno-expression was significantly higher in the OSCC tissue samples in immunohistochemistry. In the meta-analyses related to SOD analysis by spectrophotometry, the overall effect size of tissue SOD in OSCC and control group were 8.51 and 11.62 U/mg protein, respectively. In the meta-analyses related to SOD analysis by immunohistochemistry, the overall effect size of tissue SOD in OSCC was 55.55% and 3.61% for cell staining, respectively. Conclusion: Decreased SOD levels in OSCC tissue samples in spectrophotometry and high immunoexpression in immunohistochemistry accurately reflect increased oxidative stress (OS) levels. Further studies are required to understand the increase in SOD levels in OSCC tissue. Correlation analysis between SOD levels and established clinicopathological prognostic markers could aid in formulation of OS-based prognostication and treatment planning.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47785600","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
Exercise and cognition in elderly 老年人的运动与认知
Q4 Medicine Pub Date : 2023-07-01 DOI: 10.4103/jdmimsu.jdmimsu_515_22
Muhammad Akram, Muhammad Amjad Chishti, Syed Ali
In developed countries, the population is aging. The aging process brings forth a slew of physical and mental changes. There has been a progressive deterioration in the degree of cognitive processes closely tied to the aging process, which is most commonly associated with age-related disorders such as dementia, throughout time. Physical activity and exercise have been identified as a method for promoting older health, as well as encouraging the maintenance of functional ability and acting in the prevention and control of a variety of diseases. The benefits of physical activity in the preservation or even improvement of cognitive performance in both the old without cognitive impairment and the elderly with some degree of cognitive impairment or dementia have piqued researchers' interest in recent years. The goal of this study was to examine the effects of various types of physical activity and exercise on cognitive function in elderly people with and without prior cognitive impairment, to identify potential mechanisms underlying these effects, and to make exercise prescription recommendations to improve cognitive performance.
在发达国家,人口正在老龄化。衰老的过程会带来一系列生理和心理上的变化。随着时间的推移,与衰老过程密切相关的认知过程的程度逐渐恶化,这通常与痴呆症等与年龄相关的疾病有关。体育活动和锻炼已被确定为促进老年人健康、鼓励维持功能能力和预防和控制各种疾病的一种方法。近年来,体育锻炼对没有认知障碍的老年人和有一定程度认知障碍或痴呆的老年人的认知表现的保护甚至改善的好处引起了研究人员的兴趣。本研究的目的是研究各种类型的体育活动和锻炼对有或无认知障碍的老年人认知功能的影响,确定这些影响的潜在机制,并提出运动处方建议,以改善认知表现。
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引用次数: 0
Supplementation of platelet-derived products in distraction osteogenesis for alveolar ridge augmentation: A systematic review 补充血小板衍生产品在牵张成骨治疗牙槽嵴增强:系统综述
Q4 Medicine Pub Date : 2023-07-01 DOI: 10.4103/jdmimsu.jdmimsu_296_23
Ifra Iftikhar, P. Shrivastava, Shubham Datta, Apoorva Rana, D. Sybil
Background: Distraction osteogenesis (DO) is one of the recent tissue engineering techniques which have been utilized for alveolar ridge augmentation procedures. It makes use of tensional strains created within the fractured segments to initiate a cascade of responses ultimately resulting in the formation of new mature bone. Supplementation of platelet-derived products such as platelet-rich plasma and platelet-rich fibrin in DO could stimulate this cascade and accelerate the formation of new bone with improved quality. Materials and Methods: Literature search was performed on eminent databases for studies using platelet-derived products with DO in alveolar ridge augmentation. Data relating to bibliographic information, and study outcomes were extracted. A risk of bias assessment was performed for each study. Measures of outcome included increase in bone height, and any reported postoperative complications. Results: Planned alveolar height was reached in all the studies with an adequate amount of bone formation for the placement of dental implants. Studies reported long-term implant survival. Postoperative complications included displacement of fractured segments, temporary paresthesia, and scar formation. Conclusion: DO supplemented with platelet-derived products provides an ideal micro-environment for the recruitment of various signaling molecules and stem cell precursors inducing the formation of new bone. It circumvents the unpredictable outcomes and complications such as donor site morbidity, which is associated with conventional placement of bone grafts. However, the available literature is scarce in this area and further randomized studies are required to form a conclusive body of evidence to support the translatability of this innovative technique into clinical practice.
背景:牵张成骨术(DO)是近年来用于牙槽嵴增强手术的组织工程技术之一。它利用在骨折段内产生的拉伸应变来启动一连串的反应,最终导致新的成熟骨的形成。在DO中补充血小板衍生产品,如富血小板血浆和富血小板纤维蛋白,可以刺激这一级联反应,加速新骨的形成,提高骨质量。材料和方法:在著名的数据库中进行文献检索,研究使用含有DO的血小板衍生产品进行肺泡嵴增强。提取与书目信息和研究结果相关的数据。对每项研究进行偏倚风险评估。测量结果包括骨高的增加和任何报告的术后并发症。结果:所有的研究都达到了计划的牙槽高度,并有足够的骨形成来放置种植体。研究报告了种植体的长期存活。术后并发症包括骨折节段移位、暂时性感觉异常和瘢痕形成。结论:DO补充血小板衍生产物为募集各种信号分子和干细胞前体诱导新骨形成提供了理想的微环境。它避免了不可预测的结果和并发症,如供体部位的发病率,这是与传统的骨移植有关。然而,这一领域的文献很少,需要进一步的随机研究来形成结论性的证据,以支持这一创新技术在临床实践中的可翻译性。
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引用次数: 0
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Journal of Datta Meghe Institute of Medical Sciences University
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