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A Study of the Quality of Finish of Lingual versus Labial Bracket Systems As MeasuredBy the Objective Grading System: A Retrospective Study in a University OrthodonticClinic 用客观分级系统评价舌牙和唇牙托架系统完成质量的研究:一所大学正畸诊所的回顾性研究
Pub Date : 2019-10-12 DOI: 10.33140/jodh.03.02.11
Objective: The purposes of this study were to determine the quality of final orthodontic treatment outcome and average treatmenttime with fixed lingual brackets compared to labial brackets. Our hypothesis was that labial fixed appliances produce a higher qualityof final treatment outcome, and a shorter average treatment time compared to lingual fixed appliances.Materials and Methods: This was a retrospective study of matched pairs. Records of twenty subjects treated with lingual applianceswere included. These were paired with twenty patient records of subjects in fixed labial appliances with matching initial discrepancyindex (DI) (±5 points), Angle classification (within one-half step), number of extracted teeth, and age. Final models were scoredusing the eight criteria of the American Board of Orthodontics’ Objective Grading System (OGS) and treatment time was recordedin number of days.Results: The mean difference in OGS scores between groups was 2.00 ± 8.89 points with a mean OGS score of the labial and lingualfixed appliance groups of 21.6 ± 7.45 and 19.6 ± 6.43, respectively. This difference was not statistically significant (p = 0.33). Lingualsubjects’ treatment time was an average of 4.25 ± 213.78 days less compared to their matched labial subjects. This difference wasnot significant (p = 0.93). A statistically significant difference was found in the buccolingual inclination subcategory of the OGS. Themean difference in the buccolingual inclination score of lingual subjects was 1.90 ± 3.52 points higher than labial subjects (p = 0.03).Conclusion: Lingual fixed appliance subjects had no significant difference in treatment time and / or treatment outcome as measuredby OGS when paired with labial fixed appliance subjects, however, they did have significantly higher buccolingual inclinationdiscrepancies.
目的:本研究的目的是确定固定舌托与唇托的最终正畸治疗结果和平均治疗时间的质量。我们的假设是,与舌部固定矫治器相比,唇部固定矫治器产生更高质量的最终治疗结果,并且平均治疗时间更短。材料与方法:本研究为回顾性研究。包括20例使用舌矫治器治疗的患者的记录。这些数据与20例使用固定唇部矫治器的患者记录进行配对,初始差异指数(DI)(±5点)、角度分类(半步内)、拔牙数和年龄相匹配。采用美国正畸委员会客观评分系统(OGS)的8项标准对最终模型进行评分,并记录治疗时间(天数)。结果:两组OGS评分平均差异为2.00±8.89分,其中唇部固定器组OGS评分平均为21.6±7.45分,舌部固定器组OGS评分平均为19.6±6.43分。差异无统计学意义(p = 0.33)。语言组的治疗时间比唇部组平均少4.25±213.78天。差异无统计学意义(p = 0.93)。在OGS的颊语倾向亚类别中发现有统计学意义的差异。舌性组颊舌倾斜度评分比阴唇组高1.90±3.52分(p = 0.03)。结论:舌固定矫治器组与唇固定矫治器组在OGS测量的治疗时间和/或治疗结果上无显著差异,但舌侧倾斜度差异明显较大。
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引用次数: 0
Amelogenesis Imperfecta: Longevity of Clinical Treatment in Pediatric Dentistry 发育不全:儿童牙科临床治疗的寿命
Pub Date : 2019-10-12 DOI: 10.33140/jodh.03.02.12
Amelogenesis Imperfecta (AI) is a rare, hereditary disorder that causes a defect in enamel mineralization in the primary andpermanent dentitions. Amelogenesis imperfecta is generally categorized as hypoplastic, hypocalcified, or hypomaturationform based on the primary enamel defect. However, distinctive clinical features may be seen in each variant. Moreover,compromised esthetic appearances, tooth sensitivity and loss of occlusal vertical dimension are the common clinicalproblems observed in these variants. The objective of this review was to discuss the management strategies for patients withamelogenesis imperfecta. Definite diagnosis and adequate treatment planning are ensured for patients clinically presentedwith different forms of AI. Clinicians should provide preventive care and establish an early permanent therapy plan forthese patients. Nevertheless, an interdisciplinary approach is required to improve both esthetic and functions. Moreover,there is a need for long-lasting restorative solutions for AI patients.
无釉质发育不全症(AI)是一种罕见的遗传性疾病,可导致原牙和恒牙釉质矿化缺陷。基于原牙釉质缺损,无釉质发育不全通常分为发育不全、钙化不全或不饱和。然而,在每个变体中可以看到不同的临床特征。此外,美观受损,牙齿敏感和咬合垂直尺寸的丧失是这些变异中常见的临床问题。本综述的目的是讨论淀粉原性不完全性患者的治疗策略。确保临床表现为不同形式的AI患者有明确的诊断和充分的治疗计划。临床医生应该为这些患者提供预防性护理,并建立一个早期的永久性治疗计划。然而,需要跨学科的方法来改善美学和功能。此外,还需要为人工智能患者提供持久的恢复性解决方案。
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引用次数: 1
Role of stem cells in oral cancer 干细胞在口腔癌中的作用
Pub Date : 2019-10-04 DOI: 10.15406/jdhodt.2019.10.00499
R. Khan, Abdullah Chandra Talari
Stem cells are undifferentiated cells that have the ability to perpetuate themselves through self-renewal, repairing of damaged tissue and to generate mature cells of a particular tissue through differentiation. In humans, there are broadly two types of stem cells embryonic stem cells, which are derived from the inner cell mass of the blastocyst, are omnipotent and maintain their telomerase length thus capable of unlimited self-renewal. The second one is adult stem cells which are tissue specific have less capacity for self-renewal and ability to maintain their telomeres is limited and not sufficient to prevent their senescence therefore are at high risk of malignant transformation. Because over expression of telomerase activity in normal mesenchymal stem cells is correlated with accumulation of mutations.4,5
干细胞是一种未分化的细胞,具有通过自我更新、修复受损组织和通过分化产生特定组织的成熟细胞的能力。在人类中,大致有两种类型的干细胞胚胎干细胞来源于囊胚的内部细胞群,是全能的,并保持其端粒酶的长度,因此能够无限自我更新。二是成体干细胞具有组织特异性,自我更新能力较弱,维持端粒的能力有限,不足以防止衰老,因此恶性转化的风险较高。因为正常间充质干细胞中端粒酶活性的过度表达与突变的积累有关
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引用次数: 0
Influence of the Variable Loading Factor on the Masticatory System and theTemporomaxilar Joint and Its Correlation with the Clinic 可变负荷因子对咀嚼系统和颞颌关节的影响及其与临床的相关性
Pub Date : 2019-10-01 DOI: 10.33140/jodh.03.02.10
The integral analysis of the Temporomandibular Joint (TMJ) and the osteo-ligament-articular and muscular structures wascarried out together with their associated neural network. This determined the high degree of correlation of the factors thataffect the dynamic-functional balance of the Temporomandibular System (TMS) and the self-dynamics of the System.Finite element studies were used to represent the effects of load factors (G forces) in the laboratory and over military combataircraft, to try to extrapolate the results to field work. The dynamic parameters of the TMJ were measured, using a variableload factor (force G) imposed on the pilots in a sequence of military flights.The application of sustained load factor allowed to visualize in a short period of time, what would take a researcher years toobserve, about the typical anomalies of the temporomandibular system and the associated dynamic structures in a patient,besides being able to study the relaxation time that the masticatory system needs, in order to recover its physiological stability,understanding which are the adaptation mechanisms for it.It was determined that not only asymmetric efforts (responsible for the multiple positions of each tooth or dental prosthesis),are responsible for generating harmful loads on the Temporomandibular System, but also have a high degree of correlation,in general, with the damage caused at the TMJ, due to alterations in biomechanical lever systems.Therefore, the methodology of dental treatments must be reconsidered, starting from functional recovery, through appropriatebiomechanical mechanisms, to then give way to the corresponding dental rehabilitation, which will result in the functionalstability of the masticatory system, dental-prosthetic rehabilitation and the balance integral of the body understanding themasticatory system, as an integral part of a Whole (Holistic Vision).
对颞下颌关节(TMJ)、骨-韧带-关节和肌肉结构及其相关神经网络进行了整体分析。这决定了影响颞下颌系统(TMS)动态功能平衡和系统自动态的因素之间的高度相关性。在实验室和军用战斗机上使用有限元研究来表示载荷因子(G力)的影响,试图将结果外推到现场工作。在一系列军事飞行中,采用可变载荷因子(力G)对飞行员施加压力,测量了TMJ的动态参数。持续负荷因子的应用可以在短时间内可视化,这需要研究人员花费数年的时间来观察,关于患者的颞下颌系统和相关动态结构的典型异常,除了能够研究咀嚼系统需要的放松时间,以恢复其生理稳定性,了解哪些是适应机制。我们确定,不对称的作用力(导致每颗牙齿或义齿的多个位置)不仅会对颞下颌系统产生有害负荷,而且由于生物力学杠杆系统的改变,通常与TMJ造成的损伤有高度的相关性。因此,必须重新考虑牙科治疗的方法,从功能恢复开始,通过适当的生物力学机制,然后让位给相应的牙科康复,这将导致咀嚼系统的功能稳定,牙齿-假肢康复和身体理解咀嚼系统的平衡整体,作为一个整体的组成部分(整体视觉)。
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引用次数: 0
Prevalence of enamel defects in premature children, care and treatment options 早产儿牙釉质缺陷的患病率、护理和治疗方案
Pub Date : 2019-09-24 DOI: 10.15406/jdhodt.2019.10.00498
Sara Alshammery, Mais Alomran, N. Alturki
the development of the teeth, which may appear as hypoplasia of the enamel, diffuse or marked opacity, and hypomineralization of the enamel. Affected patients are usually suffer from poor esthetics , sensitivity in higher levels, some masticatory function issue and lower self-esteem , high caries susceptibility due to irregularities on the tooth surface. Can be improved by treatments such as enamel microabrasion, bleaching, composite resin bonding, and the combination of some or all of these techniques.
牙齿的发育,可能表现为牙釉质发育不全,弥漫性或明显的不透明,以及牙釉质矿化程度低。患者通常审美不佳,敏感程度较高,有咀嚼功能问题,自尊心较低,牙面不规则,易患龋。可以通过牙釉质微磨蚀、漂白、复合树脂粘接以及这些技术的部分或全部结合来改善。
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引用次数: 0
Dentistry for Egyptians with Special Needs 为有特殊需要的埃及人提供牙科服务
Pub Date : 2019-09-16 DOI: 10.33140/jodh.03.02.08
There are approximately 12 million residents with disabilities in Egypt. Despite national legislation to assure individuals withdisabilities, neededservices are difficult to secure since social views exclude them from functioning as member of a community.The general social outlook to patients with disabilities ranges from barriers which restrict the inclusion and normalizationin society to general limitation in the availability dental services. Specifically, in terms of oral health care, there is limitedpreparation of dental students in Egypt (particularly, exposure in predoctoral training programs) to provide care for thispopulation. Examples of dental education accreditation standards in other counties are used as models for the improvement ofdentals students in Egypt to provide services for these individuals. Further emphasis is needed to prepare dentists (includingthose in current practice) and healthcare professionals to provide, healthcare for patients with special health care needs. Thisarticle explores the gaps from social stigma to predoctoral training in Egypt in an effort to improve oral care and generalhealthcare for patients with special need.
埃及大约有1200万残疾人。尽管国家立法为残疾人提供保障,但由于社会观点将他们排除在社区成员之外,他们很难获得所需的服务。对残疾患者的一般社会前景范围从限制社会融入和正常化的障碍到可获得牙科服务的普遍限制。具体来说,在口腔保健方面,埃及的牙科学生(特别是博士前培训项目)为这一人群提供护理的准备有限。其他国家的牙科教育认证标准的例子被用作改进埃及牙科学生为这些个人提供服务的模式。需要进一步强调准备牙医(包括目前的实践)和医疗保健专业人员,为有特殊医疗保健需求的患者提供医疗保健。这篇文章探讨了差距从社会耻辱到博士前培训在埃及的努力,以改善口腔护理和一般医疗保健患者有特殊需要。
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引用次数: 1
Can we eradicate dental caries? 我们能根除蛀牙吗?
Pub Date : 2019-09-16 DOI: 10.15406/jdhodt.2019.10.00497
M. Goldberg
Primary prevention includes all actions aiming to reduce the risk of new carious lesions. It uses individual prevention (food, hygiene, and vaccinations) and collective (drinking water distribution, waste disposal, food safety). This conception of prevention leads to a broad program improving the quality of life and reforming institutions, to assesses the dangers to humans of harmful work environments (toxic risk, lighting conditions, load handling, occupational stress and health) as well as physical or occupational constraints.
初级预防包括旨在减少新发龋齿损害风险的所有行动。它采用个人预防(食品、卫生和疫苗接种)和集体预防(饮用水分配、废物处理、食品安全)。这一预防概念导致了一项改善生活质量和改革机构的广泛方案,以评估有害工作环境(有毒风险、照明条件、负载处理、职业压力和健康)对人类的危险以及身体或职业限制。
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引用次数: 0
Extra Coronal Esthetic Restorations: Clinical Predictability in Pediatric Dentistry 冠状外美观修复:儿科牙科的临床可预测性
Pub Date : 2019-09-16 DOI: 10.33140/jodh.03.02.07
A variety of esthetic restorative materials has been introduced in the past decades for restoring primary incisors. However,knowledge of the specific strengths weakness and properties of each material will enhance the clinician’s ability to makethe relevant choice of selection for each individual personalized treatment plan. The objective of this review was to discussthe advancements in esthetic restorations for restoring primary incisors in a clinical situation. Individualized treatmentplanning and optimum professional judgement is essential for selecting the extra coronal restorations for primary dentition.Nevertheless, CAD/CAM crowns can be promising alternative options for full-coronal coverage. Moreover, long-termfollow-ups and further clinical trials are required to support the evidence.
在过去的几十年里,各种美观的修复材料已经被引入修复初级门牙。然而,了解每种材料的具体优点、缺点和特性将提高临床医生为每个个体个性化治疗方案做出相关选择的能力。本综述的目的是讨论美学修复在修复初级门牙的临床情况下的进展。个性化的治疗方案和最佳的专业判断是选择初级牙列冠外修复体的必要条件。然而,CAD/CAM冠可以作为全冠覆盖的备选方案。此外,需要长期随访和进一步的临床试验来支持这些证据。
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引用次数: 0
Silver Diamine Fluoride: What Does the Current Evidence Say? 氟化银二胺:目前的证据表明什么?
Pub Date : 2019-09-13 DOI: 10.33140/jodh.03.02.06
Silver Diamine Fluoride (SDF) is a colorless alkaline liquidcontaining silver particles and 38% (44,800 ppm) fluoride ion. SDFconsists of 25% silver, 8% ammonia, 5% fluoride, and 62% waterat pH 10. This is ultimately referred to as 38% SDF. Silver DiamineFluoride is a clinically applied treatment that helps in controllingactive dental caries and aids in preventing further progression ofthe disease [1].
氟化银二胺(SDF)是一种无色碱性液体,含有银颗粒和38% (44,800 ppm)的氟离子。sdf由25%的银、8%的氨、5%的氟化物和62%的pH值为10的水组成。这最终被称为38% SDF。二氟化银是一种临床应用的治疗方法,有助于控制活动性龋齿,并有助于预防疾病的进一步发展[1]。
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引用次数: 0
Evaluation of acupressure effect on reducing the need for dental injection in fixed prosthodontics 穴位按压对减少固定修复中牙注射需求的效果评价
Pub Date : 2019-09-02 DOI: 10.15406/jdhodt.2019.10.00495
Julio Queiroz, N. B. D. Melo, Sheyla Kátia Lúcio Dornelas Martins, Sergio D’ávila Lins Bezerra Cavalcanti, P. Campos, D. Melo, P. Bento
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引用次数: 0
期刊
Journal of dental health, oral disorders & therapy
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