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L’afrique à L’épreuve de la Pandémie de la Covid-19 Point de Vue Socio-Culturel 从社会文化角度看,非洲面临Covid-19大流行的考验
Pub Date : 2021-07-08 DOI: 10.33140/jodh.05.03.01
Cette brève réflexion relative à l’évolution de la pandémie du COVID-19 dans le monde vise à montrer qu’outre l’important déséquilibre qui existe entre le Nord et le Sud de la planète dans l’accès aux soins et à la vaccination, est de surcroît compliqué par des croyances religieuses et culturelles qui hypothèquent une prise en charge efficiente de la pandémie. L’exemple algérien ici évoqué est de ce point de vue édifiant.
这短暂的思考关于流行病的演变COVID-19全世界旨在说明,除了巨额失衡的北部和南部之间的行星在获得卫生保健和预防接种,而且复杂的是宗教和文化信仰,高效吸收流行严重衰退。从这个角度来看,阿尔及利亚的例子很有启发性。
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引用次数: 0
Feet Load Distribution in Subjects with Mandibular Rotations 下颌骨旋转受试者足部负荷分布
Pub Date : 2021-07-08 DOI: 10.33140/jodh.05.03.02
This study was carried out to evaluate the load distribution along the two feet in subjects with rotated mandibles. This study used the Staticus device from Smylist® to map the foot pressure loads after the three jump test. Data was obtained from 20 subjects. The Staticus data was acquired by the Smylist® analytic software and the load distribution patterns were obtained. Subjects were selected so as to have at least 75% of them exhibiting an asymmetrical vertically displaced pattern. The Smylist® concept has presented a logical sequence of events which leads from a rotated mandible to overloading of one leg based on the complexity of the mandibular rotation. This is the first study ever to digitally ascertain the variation in the load patterns. It was found that in the subjects who exhibited a vertical foot position discrepancy also had a discrepancy in the load patterns and mandibular rotations.
本研究的目的是评估下颌骨旋转受试者的两足负荷分布。本研究使用Smylist®的Staticus设备绘制三跳试验后足部压力载荷图。数据来自20名受试者。静态数据由Smylist®分析软件获取,得到负载分布模式。受试者的选择使至少75%的受试者表现出不对称的垂直移位模式。Smylist®概念提出了一个逻辑序列的事件,导致从一个旋转的下颌骨到一个腿的过载基于下颌骨旋转的复杂性。这是有史以来第一次以数字方式确定负载模式变化的研究。研究发现,在表现出垂直足位差异的受试者中,载荷模式和下颌旋转也存在差异。
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引用次数: 0
Plunging Ranula as Initial Manifestation of HIV-AIDS: A Case Report and Literature Review HIV-AIDS的早期表现:1例报告及文献复习
Pub Date : 2021-07-08 DOI: 10.33140/jodh.05.03.03
Introduction: Ranulas are defined as the extravasation of mucus into an intraoral cystic cavity produced by an injury to the excretory ducts or the acini of the sublingual gland. Plunging ranulas are generated when the salivary collection penetrates the mylohyoid through a dehiscence of its fibers, invading the submandibular space. The close relationship between these lesions and HIV-AIDS infection has been reported since 2004, with a 75.88% rate of positive cases. The objective of this article is to present the management of patient with a plunging ranula, which made it possible to address the diagnosis of HIV-AIDS. Case Report: A 28-year-old male patient presented with a painless and fluctuating swelling in the laterocervical space and the floor of the mouth, which produced dysphagia and dyslalia. Serological tests for HIV were carried out and had a reactive result. Surgical treatment was performed via intraoral approach, with a favorable evolution at 12 months of follow-up. Conclusion: Ranulas, and particularly plunging ranulas, should be considered in the group of oral lesions associated with HIVAIDS infection, as they may even be the initial manifestation of the disease.
简介:牛痘的定义是由于排泄管或舌下腺腺泡损伤引起的粘液外渗到口腔内囊腔。当唾液液集合穿过下颌舌骨骨纤维的裂缝,侵入下颌下间隙时,就产生了下垂的小结节。自2004年以来,这些病变与HIV-AIDS感染密切相关,阳性病例率为75.88%。这篇文章的目的是目前的管理病人与一个暴跌的ranula,这使得有可能解决的诊断艾滋病毒艾滋病。病例报告:一位28岁的男性患者表现为颈部外侧间隙和口腔底部无痛和波动性肿胀,产生吞咽困难和诵读困难。对艾滋病毒进行了血清学检测,结果呈阳性。手术治疗通过口内入路进行,随访12个月进展良好。结论:在与hiv感染相关的口腔病变组中,应考虑牛皮,特别是下陷牛皮,因为它们甚至可能是该疾病的最初表现。
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引用次数: 0
Ankylosis of the Temporomandibular Joint (TMJ) Update and its treatment 颞下颌关节强直(TMJ)最新进展及其治疗
Pub Date : 2021-06-30 DOI: 10.15406/jdhodt.2021.12.00549
Francisca Durán, Francisca Hormazábal
In dentistry, temporomandibular joint (TMJ) ankylosis is a rare pathology where no consensus of global population data has been found and therefore has presented a challenge for professionals, since there are no treatment sequence protocols standardized. The objective is to carry out a literature review and update of the diagnosis of ankylosis, considering its clinical characteristics, classification, etiology, and epidemiology. Giving special emphasis to the types of treatments used and concluding that GAP interpositional arthroplasty and TMJ reconstruction arthroplasty would be the best options to improve maximum oral opening in a patient with ankylosis, thus allowing him to recover function and aesthetics.
在牙科领域,颞下颌关节(TMJ)强直是一种罕见的病理,全球人口数据尚未达成共识,因此对专业人员提出了挑战,因为没有标准化的治疗顺序方案。目的是进行文献综述和更新的诊断强直,考虑其临床特点,分类,病因学和流行病学。特别强调所使用的治疗类型,并得出结论,GAP间置关节置换术和TMJ重建关节置换术是改善强直患者最大口腔开口的最佳选择,从而使其恢复功能和美观。
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引用次数: 1
Esthetic ceramic veneers for spaced anterior teeth utilizing the RED proportion; a case report with three years follow-up 利用RED比例对间隔前牙进行美观的陶瓷贴面;病例报告及三年随访
Pub Date : 2021-03-14 DOI: 10.15406/jdhodt.2021.12.00548
Haifa Barakah
Discrepancy between a large jaw size and small teeth results in a spaced alignment of teeth. Orthodontic treatment to correct such cases will not be sufficient for esthetic results of anterior teeth. Restorative treatment may be the ideal solution to reshape small teeth in well planned proportion to fit the size of the jaw and enhance the appearance of the patient smile. This paper presents the process of restoring spaced anterior teeth with minimally prepared ceramic veneers using the RED proportion.
大的下颌尺寸和小的牙齿之间的差异导致牙齿排列的间隔。正畸治疗纠正这些情况将不足以达到前牙的美观效果。修复治疗可能是理想的解决方案,重塑小牙齿的计划比例,以适应颌骨的大小和提高病人的微笑外观。本文介绍了采用RED比例的最小制备陶瓷贴面修复前牙间隙的过程。
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引用次数: 1
Restoring a fractured incisor of a teenager with partial veneer 修复青少年门牙骨折的部分贴面
Pub Date : 2021-03-11 DOI: 10.15406/jdhodt.2021.12.00544
D. Hadyaoui, Yosra Farhat, Imen Kalghoum, Yosra Gasara, Z. Nouira, B. Harzallah, M. Chérif
Since trauma is a common incident that adolescents are faced with, the post-traumatic therapeutic solution presents a challenge for the clinicians .This case report demonstrates how a young patient with minimal extended fracture of incisor was rehabilitated with non-invasive adhesive restoration known as partial veneer or chip with Feld spathic porcelain. Those restorations fit into the anatomy and shape of the teeth perfectly and restore only the fractured part which integrates in tissue economy dynamic. Feldspathic porcelain is the material that best reproduces the characteristics of enamel, in terms of surface properties, modulus of elasticity, resistance to fracture and the reproduction of the optical properties of the dental structure, especially at minimal thickness. In this paper we describe the details of the treatment and the final result which was aesthetic and surpass the patient’s expectation.
由于创伤是青少年面临的常见事件,创伤后治疗方案对临床医生提出了挑战。本病例报告展示了如何使用非侵入性胶粘剂修复被称为部分贴面或菲尔德空间瓷片的门牙轻微延伸骨折的年轻患者。这些修复体完全符合牙齿的解剖结构和形状,只修复断裂部分,结合组织经济动态。长石瓷是最能再现牙釉质特性的材料,在表面特性、弹性模量、抗断裂性和再现牙齿结构的光学特性方面,尤其是在最小厚度下。在本文中,我们描述了治疗的细节和最终的结果是美观的,超出了病人的期望。
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引用次数: 0
Knowledge and ability assessment of endodontists to prescribe and analyze cone beam computed tomography 牙髓科医师处方及分析锥束电脑断层的知识及能力评估
Pub Date : 2021-03-11 DOI: 10.15406/jdhodt.2021.12.00545
Pedro Luiz de Carvalho, Monica Naomi Seko, Erick Alves dos Santos, Larissa Victória Barbosa Freitas, Edson Marcos Leal Soares Ramos, Afonso Celso Souza de Assis, Kunihiro Saito, João Marcelo Ferreira de Medeiros
Objective: To determine the prevalence of knowledge about cone-beam computed tomography (CBCT) by endodontists from the Metropolitan Area of Belém, Pará, Brazil. Material and methods: 151 questionnaires were spread containing 32 questions, 15 closed questions, 4 open and 13 mixed. Questions 1 to17 dealt with questions such as age; gender; geographic location where endodontists' office operates; year of graduation degree and of specialization in endodontics; owned equipment and questions about the conventional radiology practice at dental office. Questions 18 to 32 were related to knowledge about the CBCT and only those who reported having knowledge answered the questions 19 onwards. Results: 81 questionnaires were analyzed. 48 endodontists (59%) had some knowledge about CBCT, but among them, 5 never requested until that occasion. Regarding the radiation level, 76.75% have not any information about. The treatment plan of 36 (83.72%) those who requested CBCT changed. Conclusion: The CBCT imaging is slowly becoming an essential modality of imaging in the clinical practice of endodontists from the Metropolitan Area of Belém, Para, Brazil.
目的:了解巴西帕尔区贝尔萨姆市区牙髓科医师锥形束计算机断层扫描(CBCT)知识的普及程度。材料与方法:发放问卷151份,其中问题32个,封闭式问题15个,开放式问题4个,混合性问题13个。问题1至问题17涉及年龄等问题;性别;牙髓科诊所的地理位置;具有牙髓学专业毕业年份;拥有的设备和牙科诊所常规放射学实践的问题。问题18到32是关于CBCT的知识,只有那些报告有知识的人才回答了问题19以后的问题。结果:共分析问卷81份。48名牙髓医生(59%)对CBCT有一定的了解,但其中5名从未要求进行CBCT检查。关于辐射水平,76.75%的人不知道。36例(83.72%)要求CBCT的患者治疗方案发生改变。结论:CBCT正逐渐成为巴西帕拉州belsamim大都会区牙髓医生临床实践中必不可少的影像学手段。
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引用次数: 0
Mandibular lateral incisors with vertucci type III root canal configuration- a case report 下颌侧切牙呈凸型根管形态1例
Pub Date : 2021-01-12 DOI: 10.15406/jdhodt.2021.12.00543
Prabhleen Kaur Brar, R. Brar, Saurabh K. Gupta, Ramandeep Singh Gambhir
Background: Variations in the external morphologic features of the teeth occur in individuals and so does the internal morphology of the crown and the root. Mandibular anteriors are known to have aberrant canals. Based on the possible branching of the root canal system, root canal configurations of permanent teeth were divided into eight different types by Vertucci. Aim: This paper presents a rare case of successful endodontic treatment of mandibular lateral incisors with Vertucci type III canal morphology. Methods: Conventional root canal treatment was done for the mandibular anterior teeth. Results: The treatment was successful and the patient was asymptomatic on follow up, suggesting that conventional methods for root canal treatment are sufficient if proper diagnosis of canal anatomy is done. Conclusion: This case report highlights the importance of adequate pre-operative radiograph evaluation to treat any mandibular anterior tooth with variable anatomy.
背景:牙齿的外部形态特征在个体中发生变化,冠和根的内部形态也是如此。下颌前侧已知有异常管。根据根管系统可能存在的分支,Vertucci将恒牙的根管形态划分为8种不同的类型。目的:本文报道一罕见的牙髓治疗具有Vertucci III型管形态的下颌侧切牙的成功病例。方法:对下颌前牙进行常规根管治疗。结果:治疗成功,患者随访无症状,提示在根管解剖诊断正确的情况下,常规的根管治疗方法是足够的。结论:本病例报告强调了术前充分的x线片评估对治疗任何具有不同解剖结构的下颌前牙的重要性。
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引用次数: 0
Clinical evaluation of growth potentiality of autogenous costochondral graft in Temporomandibular joint on New Zealand white rabbit- an experimental study 新西兰大白兔颞下颌关节自体肋软骨移植物生长潜力的实验研究
Pub Date : 2021-01-12 DOI: 10.15406/jdhodt.2021.12.00542
Jachmen Sultana, Quazi Billur Rahman, E. Chowdhury, Nasrin Sultana Juyena, Abul Bashar
Background: Costochondral graft has been used as a substitute for a growth center in the damaged Temporomandibular joint (TMJ) in the growing children. But the relapse of the TMJ ankylosis along with facial deformity is the most common outcome after the surgery for the resorption or overgrowth of the graft. While an exploration of the human Temporomandibular joint seems to be unethical after reconstruction with an autogenous costochondral graft for study purposes, therefore we sought to determine the growth potential of the graft by clinical evaluation. Material and methods: An experimental study was done on 96 New Zealand white male rabbits, which were divided into batches. Each batch (total 2 batches) contained 24 experimental and 24 control rabbits of known ages and species; growing (3-4) and adult (12-18) months old. TMJ arthroplasty with a costochondral graft using either 1mm or 4 mm thickness of cartilaginous cap done in both age groups. Follow-up was done regularly in batches comparing with control up to 4th, 12th, and 24th weeks of surgery to find out any relationship of behavioral change, clinical presentation, and macroscopic growth of the graft. Results: There was a relationship among the rabbits with their behavioral change, clinical presentation, and presence of growth center in the graft. Growth was found in 60% cases, 40% was growing, and 20% in adults. Conclusions: Costochondral graft had a 60% growth potentiality. The failure rate of 40% may be due to some unknown factors. Grafts grew in a greater number of growing rabbits than adults. Long time follow-up had a strong role in the growth of the graft. In conclusion, clinical evaluation of the rabbit model provided a fair estimation of the growth process.
背景:在成长中的儿童中,肋软骨移植已被用作受损颞下颌关节(TMJ)生长中心的替代物。但由于移植物的吸收或过度生长,术后最常见的结果是颞下颌关节强直复发并伴有面部畸形。为了研究目的,自体肋软骨移植物重建后对人类颞下颌关节的探索似乎是不道德的,因此我们试图通过临床评估来确定移植物的生长潜力。材料与方法:以96只新西兰雄性白兔为实验对象,分批进行实验研究。每批(共2批)实验兔和对照兔各24只,已知年龄和品种;生长(3-4个月)和成人(12-18个月)。颞下颌关节置换术采用1mm或4mm厚度的软骨帽,适用于两个年龄组。与对照组相比,定期随访至手术第4周、第12周和第24周,以了解移植物的行为改变、临床表现和宏观生长的关系。结果:家兔的行为改变、临床表现和移植物生长中心的存在与移植物的生长有一定的关系。60%的病例有生长,40%在生长,20%在成人。结论:肋软骨移植具有60%的生长潜力。40%的故障率可能是由于一些未知的因素。与成年兔相比,移植物在生长期生长的数量更多。长时间随访对移植物生长有很强的促进作用。总之,兔模型的临床评价提供了对生长过程的公平估计。
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引用次数: 1
Antimicrobial Activity of Angelica Dahurica Ethanol Extract Against Oral Bacteria 白芷乙醇提取物对口腔细菌的抑菌活性研究
Pub Date : 2021-01-09 DOI: 10.33140/jodh.05.01.01
Introduction: Angelica dahurica (A. dahurica) has the protective activity against dexamehasone-induced disorders, liver protective activity, antimutagenic activity, anti-inflammatory, anti-microbial, anti-oxidative, anti-asthmatic, and anti-cancer effects. Aims of the Study: This study aimed to investigate the synergistic antibacterial activity with existing antimicrobial agents against oral pathogen. Materials and Methods: The synergistic effects of 50% ethanol extract of A. dahurica (ADEE) were evaluated against oral bacteria, either alone or with antibiotics, via broth microdilution and time-kill method. Results: The minimal inhibitory concentrations (MICs) and minimum bactericidal concentrations (MBCs) values for ADEE, ampicillin and gentamicin against all the tested bacteria ranged between 62.5-1000/250-2000 μg/mL, 0.0625-16/0.25-32 μg/mL, and 4-128/16-256 μg/mL, respectively. The ADEE displayed synergism with ampicillin and gentamicin, with 8-fold reductions in the MIC/MBC. Furthermore, a time-kill study showed that the growth of the tested bacteria was completely attenuated after treatment with 1/2 MIC of ADEE with 1/2 MIC of antibiotics resulted from an increase of the rate of killing in units of CFU/mL to a greater degree than was observed with alone. Discussion and Conclusions: The results of this study demonstrate the antimicrobial and synergistic activity of ADEE and antibiotics against oral pathogens.
白芷(A. dahurica)具有抗地塞米松性疾病、保护肝脏、抗诱变、抗炎、抗微生物、抗氧化、平喘、抗癌等作用。研究目的:研究其与现有抗菌药物对口腔病原菌的协同抑菌活性。材料与方法:采用微量肉汤稀释法和时间杀伤法,考察了50%乙醇提取物(ADEE)单独或与抗生素联合对口腔细菌的增效作用。结果:ADEE、氨苄西林和庆大霉素对所有细菌的最小抑菌浓度(mic)和最小杀菌浓度(MBCs)分别为62.5 ~ 1000/250 ~ 2000 μg/mL、0.0625 ~ 16/0.25 ~ 32 μg/mL和4 ~ 128/16 ~ 256 μg/mL。ADEE显示出与氨苄西林和庆大霉素的协同作用,MIC/MBC降低了8倍。此外,一项时间杀伤研究表明,1/2 MIC的ADEE和1/2 MIC的抗生素处理后,被试细菌的生长完全减弱,单位为CFU/mL的杀灭率比单独使用的杀灭率增加得更大。讨论与结论:本研究结果证明了ADEE与抗生素对口腔病原菌的抑菌和协同作用。
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引用次数: 0
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Journal of dental health, oral disorders & therapy
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