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Attitude of General and Specialist Dental practitioners towards Radiation Safety Principles 普通牙医及专科牙医对辐射安全原则的态度
Pub Date : 2021-06-14 DOI: 10.22038/JDMT.2021.53506.1400
S. Mortazavi, A. Yazdi, Gholamhassan Rahmannia
Introduction: The objective of this study was to determine the attitude of dental practitioners towards radiation protection principles and radiographic techniques. We aimed to assess whether dentists’ specialty and university membership impacted the conducts of radiologic practice. Methods: A total of 232 dental offices with intraoral radiographic devices in Mashhad, Iran were randomly selected. Demographic characteristics of dentists as well as radiographic equipment and techniques were recorded. Participants were grouped according to specialty and faculty membership. Chi-square tests were used for statistical analysis and comparison of groups by Statistical Package SPSS v.23. Results: 190 dentists (81.9%) were in general dental practice (GDP) and the remaining 42 (18.1%) worked as specialists in different fields. A significant difference was noted regarding the use of digital sensors between general and specialist dentists (16.8% vs. 35.7%, respectively). Paralleling technique using film holders was employed by 28.6% of specialists and 10% of the general dentists (p<0.05). Half of the specialists used routine thyroid shielding; however, only 28.4% of the GDPs followed this practice (p<0.05). Among the specialists, 19 (45.2%) had faculty membership. Use of a rectangular collimation, long cone, and thyroid shield, except variable exposure time were more common in non-faculty members, although not significantly different. Conclusion: Although most dentists did not follow the standard radiological guidelines, it was noticeable that specialist dentists used more appropriate radiographic techniques. Attention should be focused on under- and postgraduate education and employing strict policies for dental radiologic safety measures.
前言:本研究的目的是确定牙科医生对辐射防护原则和放射摄影技术的态度。我们的目的是评估牙医的专业和大学会员资格是否影响放射学实践的行为。方法:随机选取伊朗马什哈德市232家有口腔内x线设备的牙科诊所。记录了牙医的人口统计学特征以及放射照相设备和技术。参与者根据专业和教员进行分组。统计学分析和组间比较采用χ 2检验,统计软件为SPSS v.23。结果:190名牙医(占GDP的81.9%)从事普通牙科工作,其余42名牙医(占18.1%)从事不同领域的专科工作。在数字传感器的使用方面,普通牙医和专科牙医之间存在显著差异(分别为16.8%和35.7%)。28.6%的专科医生和10%的普通牙医采用平行膜夹技术(p<0.05)。一半的专家使用常规甲状腺屏蔽;然而,只有28.4%的gdp遵循了这一做法(p<0.05)。在专家中,有19人(45.2%)是教员。使用矩形准直,长锥和甲状腺屏蔽,除了可变的曝光时间在非教师中更常见,尽管没有显着差异。结论:虽然大多数牙医没有遵循标准的放射学指南,但值得注意的是,专科牙医使用了更合适的放射学技术。应重视本科生和研究生教育,并采取严格的牙科放射安全措施政策。
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引用次数: 0
In Vitro Fracture Resistance of Permanent Molars with Undermined Walls Restored With Different Materials and Techniques 不同材料和技术修复恒磨牙破坏壁的体外抗折性研究
Pub Date : 2021-06-01 DOI: 10.22038/JDMT.2021.57532.1442
Z. Mohammadzadeh, Hamideh Sadat Mohammadipoor, F. Khorakian
Introduction: Restoration of freshly erupted permanent first molars with extensive caries is a challenge in pediatric dentistry. This study aimed to compare the fracture resistance of permanent molars with undermined walls restored with amalgam and composite resin along with cusp reduction, reinforcement of the walls with glass ionomer (GI) or no further intervention. Methods: This experimental in-vitro study evaluated 72 freshly extracted sound human third molars with almost equal dimensions. After cavity preparation, the teeth were then randomly divided into three groups. In group 1, the undermined area was reinforced with light-cure GI. Group 2 received a 2 mm cuspal cap, and group 3 received no intervention. Half of the teeth in each group were restored with composite resin and the other half with amalgam. The teeth then underwent thermocycling and their fracture resistance was measured by a universal testing machine. Data were analyzed using two-way ANOVA. Results: No significant difference was noted in fracture resistance among three procedures in teeth restored with composite (P=0.589). However, this difference was significant in teeth restored with amalgam (P=0.001). Conclusion: The current results indicated when esthetics is not a priority, applying amalgam restorations with GI-reinforced undermined walls might be suitable for restoration of freshly erupted permanent first molars with extensive caries.
介绍:修复新出的恒磨牙广泛龋是儿童牙科的一个挑战。本研究的目的是比较用银汞合金和复合树脂修复的恒磨牙的抗骨折性,并将牙尖复位,用玻璃离聚体(GI)加固牙壁或不进行进一步干预。方法:对72颗新鲜提取的、尺寸基本相等的健全人第三磨牙进行体外实验研究。牙体预备后,随机分为三组。1组损伤区采用光固化GI加固。组2给予2 mm尖帽,组3不进行干预。两组各有一半用复合树脂修复,另一半用银汞合金修复。然后对牙齿进行热循环,并用万能试验机测量其抗断裂能力。数据分析采用双向方差分析。结果:复合材料修复牙体三种修复方式的抗折性差异无统计学意义(P=0.589)。然而,这一差异在汞合金修复的牙齿中是显著的(P=0.001)。结论:目前的研究结果表明,当美观不是优先考虑的时候,应用汞合金修复gi增强破坏壁可能是合适的修复新出的恒磨牙广泛龋。
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引用次数: 0
Fluoride Release and Recharge in Conventional Varnishes, Compared to a Giomer and a Resin Modified Glass Ionomer 与异构体和树脂改性玻璃离聚体比较,传统清漆中的氟化物释放和回流
Pub Date : 2021-06-01 DOI: 10.22038/JDMT.2021.44814.1331
Salmerón-Valdés Elias Nahum, Scougall Vilchis Rogelio Jose, Lara-Carrillo Edith, Toral-Rizo Victor Hugo, Velasquez-Enriquez Ulises, Morales-Valenzuela Adriana Alejandra
Introduction: Fluoride varnishes are used for caries prevention and treatment of dentin hypersensitivity, and its main purpose is to prolong the contact time between fluoride and tooth. The present study aimed to compare the amount of fluoride released and recharge from three conventional varnishes with resin-modified glass ionomer (RMGI).  Methods: This experimental in vitro study was carried on blocks of human teeth extracted for orthodontic reasons. Three commercially available fluoride varnishes (Fluor protector (FP), Duraphat (DP), Clinpro White Varnish (CWV)) a Giomer (PRG-Barrier Coat), and an RMGI (Clinpro XT) were applied in these blocks, divided into five groups (eight samples each one). The readings were carried out using an ion-selective electrode and a potentiometer. After 30 days of study, the recharge capacity of these materials was evaluated immersing the samples in 20,000 parts per million (ppm) sodium fluoride gel. Results: Significant differences were found when comparing FP with the rest of the materials analyzed in this study since it released the lowest amount of fluoride with 1.01 ppm. The Giomer released 1.90 ppm, whereas CWV and DP released the highest amount of fluoride with 5.41 ppm and 4.76 ppm, respectively. The RMGI was more constant during the first five days and demonstrated a greater recharge capacity. Conclusion: All varnishes demonstrated the greatest fluoride release during the first 24 h, and a marked decrease was observed after this period. The RMGI presented a considerable amount of fluoride and the best capacity for recharge.
氟化物清漆用于预防龋齿和治疗牙本质过敏,其主要目的是延长氟化物与牙齿的接触时间。本研究旨在比较树脂改性玻璃离子单体(RMGI)的三种传统清漆的氟化物释放量和回灌量。方法:本实验是对因正畸原因拔除的人牙块进行体外实验研究。三种市售氟化物清漆(氟保护剂(FP), Duraphat (DP), Clinpro White Varnish (CWV)), Giomer (PRG-Barrier Coat)和RMGI (Clinpro XT)应用于这些区块,分为五组(每组8个样品)。使用离子选择电极和电位器进行读数。经过30天的研究,将样品浸泡在百万分之20,000 (ppm)的氟化钠凝胶中,评估这些材料的充电能力。结果:将FP与本研究分析的其他材料进行比较时发现了显著差异,因为它释放的氟化物量最低,为1.01 ppm。Giomer的氟化物排放量为1.90 ppm,而CWV和DP的氟化物排放量最高,分别为5.41 ppm和4.76 ppm。RMGI在前5天更稳定,表现出更大的充电能力。结论:所有清漆在前24小时氟化物释放量最大,之后氟化物释放量明显减少。RMGI表现出相当大的氟化物量和最佳的补给能力。
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引用次数: 3
Does The Working Length Change When Using The XP-Endo Shaper File at Different Operating Temperatures? XP-Endo塑形器文件在不同的工作温度下工作长度会发生变化吗?
Pub Date : 2021-06-01 DOI: 10.22038/JDMT.2021.56500.1436
M. Elsadat, Ashraf S. Refai, Taher M. Islam
Introduction: This study was directed to evaluate the effect of different operating temperatures on the change in working length when using the XP-endo shaper file. Methods: A total of 20 plastic blocks with16 mm curved canals were used in this study. The working length was adjusted to be 15 mm using a customized Teflon stopper (10mm in length) which was used with all files in the study. The preparation was done using the XP-endo shaper file (FKG, La Chaux-de-Fonds, Switzerland) according to the manufacturer’s instructions. The blocks were divided into 2 groups: Group 1: body temperature, Group 2: room temperature. Pre and post instrumentation imaging of the blocks was done using the stereomicroscopy at 8x. The images were superimposed to create a composite image on which the evaluation of working length change was done. Mann-Whitney U test was used to compare the change in working length in the two groups. Results: There was no statistically significant difference between the two groups (P ≤ 0.05). Conclusions: Within the parameters of this study, although both groups showed an increase in working length when using the XP-endo shaper file, the operating temperature did not have an effect.
简介:本研究旨在评估使用XP-endo成形锉时不同操作温度对工作长度变化的影响。方法:采用20个塑料块,16 mm弯曲管。使用定制的特氟龙塞(长度为10mm)将工作长度调整为15mm,该塞用于研究中的所有锉刀。根据制造商的说明,使用XP-endo成形锉(FKG, La Chaux-de-Fonds,瑞士)完成准备工作。将积木分为两组:第一组:体温,第二组:室温。使用8倍体视显微镜对块体进行前后仪器成像。将图像叠加成复合图像,并对其进行工作长度变化的评价。采用Mann-Whitney U检验比较两组工作时长的变化。结果:两组比较差异无统计学意义(P≤0.05)。结论:在本研究的参数范围内,虽然两组在使用XP-endo塑形锉时均表现出工作长度的增加,但操作温度没有影响。
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引用次数: 0
Comparing the Adhesion Capability of Periodontal Ligament Fibroblast Cells to Nano-hydroxyapatite Silicate-Based Cement and Silicate-Based Cement Alone 牙周韧带成纤维细胞与纳米羟基磷灰石硅酸盐基水泥和单独硅酸盐基水泥的粘附能力比较
Pub Date : 2021-06-01 DOI: 10.22038/JDMT.2021.54641.1414
H. Khorshidi, Shahab Honar, S. Raoofi, N. Azarpira
Introduction: Silicate-based cement alone and Hydroxyapatite as bone filling materials lead to successful results in implant dentistry and regenerative medicine. The purpose of this study was to compare the adhesion capability of periodontal ligament fibroblast cells (PDLFC) to the Nanohydroxyapatite silicate-based cement and silicate-based cement alone in vitro. Methods: Primary cell cultures of PDLFCs were obtained from clinically healthy third molars teeth. These third molars were either extracted for orthodontic reasons or extracted due to the impaction of teeth. Cells subcultured at a density of 10000 cells/well in 24-well plates. Methyl-tetrazolium bromide (MTT) assay was performed to evaluate the survival and proliferation of fibroblasts on 24h, 72h, and 1week after the cell culture. Scanning Electron Microscopy (SEM) analysis was used to examine the morphology of PDLFCs on the two scaffolds. Results: Cells were found growing in close proximity to both minerals but in terms of fibroblast cell attachment. Adding Nanohydroxyapatite did not improve cellular proliferation and silicate-based cement alone showed superior cellular proliferation in 72 hours. After 24h and 1week both minerals showed the same response. Conclusion: Although both Nanohydroxyapatite silicate-based cement and silicate-based cement alone are biocompatible, but nanohydroxyapatite silicate-based cement did not show improved biological activities when compared with silicate-based cement.
硅酸盐水泥和羟基磷灰石作为骨填充材料在种植牙科和再生医学中取得了成功的结果。本研究的目的是比较牙周韧带成纤维细胞(PDLFC)与纳米羟基磷灰石硅酸盐基水泥和单独硅酸盐基水泥的体外粘附能力。方法:从临床健康的第三磨牙中获得PDLFCs原代细胞培养。这些第三磨牙要么是由于正畸原因,要么是由于牙齿嵌塞而被拔除。细胞在24孔板中传代,密度为10000个细胞/孔。采用甲基溴化四氮唑(MTT)测定成纤维细胞在培养后24小时、72小时和1周的存活和增殖情况。采用扫描电镜(SEM)分析了两种支架上pdlfc的形态。结果:细胞在两种矿物质附近生长,但在成纤维细胞附着方面。添加纳米羟基磷灰石不能促进细胞增殖,单独添加硅酸盐水泥在72小时内表现出更好的细胞增殖。24小时和1周后,两种矿物质表现出相同的反应。结论:虽然纳米羟基磷灰石硅酸盐基水泥和单独的硅酸盐基水泥都具有生物相容性,但纳米羟基磷灰石硅酸盐基水泥与硅酸盐基水泥相比并没有表现出更好的生物活性。
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引用次数: 0
Antimicrobial Efficacy of 2.5% Sodium Hypochlorite, 2% Chlorhexidine, and 1.5% Hydrogen Peroxide on Enterococcus Faecalis in Pulpectomy of Necrotic Primary Teeth 2.5%次氯酸钠、2%氯己定和1.5%过氧化氢对坏死性乳牙髓切除术中粪肠球菌的抗菌效果
Pub Date : 2021-06-01 DOI: 10.22038/JDMT.2021.55209.1420
I. Parisay, M. Talebi, Shamime Asadi, Ali Sharif moghadam, Mohammad Nikbakht
Introduction: The success of the endodontic treatment is closely associated with eliminating endodontic microbiota especially bacteria like Enterococcus Faecalis (E. Faecalis). Irrigation solutions are suggested for this purpose but there are contraries regarding irrigations and their concentrations. This study aimed to compare antibacterial efficacy of irrigations including 2.5% Sodium hypochlorite (NaOCl), 2% Chlorhexidine (CHX), and 1.5% Hydrogen peroxide (H2O2).  Methods: Fifty deciduous human extracted teeth were divided into 3 groups of 15 teeth, 2.5% NaOCl, 2% CHX, 1.5% H2O2, and 5 teeth in the negative control group. Later, root canals were inoculated by E. Faecalis. After cleaning and shaping, we irrigated the root canals of the teeth in each group with NaOCl, CHX, and H2O2. Samples were obtained again and sent for microbiological evaluation. Wilcoxon signed-rank test, Paired sample T-test, and Kruskal–Wallis were used to analyze data. Results: All 3 groups showed significant bacterial reduction (p <0.05). NaOCl and CHX showed no significant difference (P=0.415). But the reduction of these 2 groups was higher than H2O2 (p Conclusions: 2.5% NaOCl and 2% Chlorhexidine showed considerable efficacy against E. Faecalis while 1.5% Hydrogen peroxide was not able to eradicate all of E. Faecalis colonies. Hence, NaOCl and CHX solutions can be used for decontamination of infected root canals
牙髓治疗的成功与否与消灭牙髓微生物群特别是粪肠球菌(E. Faecalis)等细菌密切相关。为此,建议采用灌溉方法,但在灌溉方法及其浓度方面存在相反的情况。本研究旨在比较2.5%次氯酸钠(NaOCl)、2%氯己定(CHX)和1.5%过氧化氢(H2O2)冲洗液的抗菌效果。方法:将50颗人乳拔牙分为3组,每组15颗牙,2.5% NaOCl, 2% CHX, 1.5% H2O2,阴性对照组5颗牙。随后,用粪肠杆菌接种根管。清洁定型后,分别用NaOCl、CHX、H2O2冲洗各组牙根管。再次获得样品并送去进行微生物学评估。采用Wilcoxon sign -rank检验、配对样本t检验和Kruskal-Wallis分析数据。结果:3组细菌数量均显著减少(p <0.05)。NaOCl与CHX差异无统计学意义(P=0.415)。结论:2.5% NaOCl和2%氯己定对粪肠球菌有较好的杀灭效果,而1.5%过氧化氢不能杀灭所有粪肠球菌菌落。因此,NaOCl和CHX溶液可用于消毒感染的根管
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引用次数: 5
Effect of Propolis Application in Root Canal Therapy for Decontamination; Reversible or Irreversible Coronal Discoloration? 蜂胶在根管去污治疗中的应用效果可逆的还是不可逆的冠状变色?
Pub Date : 2021-05-31 DOI: 10.22038/JDMT.2021.55422.1424
Z. Ahangari, M. Naseri, Samin Banihashem, Sara Namjou, L. Eftekhar
Introduction: Propolis is a resinous substance produced by honeybees. Despite antimicrobial properties, tooth discoloration has been reported during its application as intracanal medicament. The aim of this study was to assess the effect of intracanal propolis removal on crown discoloration. Methods: In this experimental study, after access cavity and canal preparation was performed in 40 intact anterior teeth, they were divided into three groups. In group 1 propolis was placed in the canal and pulp chamber while in group 2, it was applied into the canal only. The canals of third group were filled with distilled water as control. After six months, labial surfaces of all teeth were digitally photographed by a digital camera. Propolis was then completely removed and photography was repeated. Tooth color was evaluated in the labial surface using CIE Lab system and Photoshop software. Results: Overall color change (ΔE), change in lightness (ΔL), greenness-redness (Δa) and blueness-yellowness (Δb) were analyzed. ΔL and Δa values were significantly different in all three groups (p <0.001). The difference between groups 1 and 2 was not significant for ΔL or Δa, but groups 1 and 3 were significantly different in ΔL and Δa (p <0.001). Groups 2 and 3 were significantly different in ΔL and Δa (p <0.001). Conclusion: Coronal discoloration after six-month application of propolis as intracanal medicament was not reversed by its removal. Location of application of propolis (in the canal or both canal and pulp chamber) had no significant effect on degree of coronal discoloration.
蜂胶是蜜蜂生产的一种树脂状物质。尽管具有抗菌性能,但在其作为肛管内药物的应用过程中,已有牙齿变色的报道。本研究的目的是评估蜂胶去除对冠变色的影响。方法:在本实验研究中,对40颗完整前牙进行通道及根管预备后,将其分为三组。第1组蜂胶在根管和牙髓腔内放置,第2组蜂胶仅在根管内使用。第三组用蒸馏水灌入水渠作为对照。6个月后,用数码相机对所有牙齿的唇面进行数码拍照。然后将蜂胶完全去除,重复拍照。采用CIE Lab系统和Photoshop软件对唇面牙齿颜色进行评价。结果:分析了整体颜色变化(ΔE)、明度变化(ΔL)、绿红变化(Δa)和蓝黄变化(Δb)。三组间ΔL、Δa值差异有统计学意义(p <0.001)。1组和2组在ΔL和Δa上的差异无统计学意义,但1组和3组在ΔL和Δa上的差异有统计学意义(p <0.001)。2组和3组的ΔL和Δa差异有统计学意义(p <0.001)。结论:蜂胶作为管内药物应用6个月后冠状体变色不因去除蜂胶而发生逆转。蜂胶应用的位置(在根管内或根管和牙髓腔内)对冠状变色程度无显著影响。
{"title":"Effect of Propolis Application in Root Canal Therapy for Decontamination; Reversible or Irreversible Coronal Discoloration?","authors":"Z. Ahangari, M. Naseri, Samin Banihashem, Sara Namjou, L. Eftekhar","doi":"10.22038/JDMT.2021.55422.1424","DOIUrl":"https://doi.org/10.22038/JDMT.2021.55422.1424","url":null,"abstract":"Introduction: Propolis is a resinous substance produced by honeybees. Despite antimicrobial properties, tooth discoloration has been reported during its application as intracanal medicament. The aim of this study was to assess the effect of intracanal propolis removal on crown discoloration. Methods: In this experimental study, after access cavity and canal preparation was performed in 40 intact anterior teeth, they were divided into three groups. In group 1 propolis was placed in the canal and pulp chamber while in group 2, it was applied into the canal only. The canals of third group were filled with distilled water as control. After six months, labial surfaces of all teeth were digitally photographed by a digital camera. Propolis was then completely removed and photography was repeated. Tooth color was evaluated in the labial surface using CIE Lab system and Photoshop software. Results: Overall color change (ΔE), change in lightness (ΔL), greenness-redness (Δa) and blueness-yellowness (Δb) were analyzed. ΔL and Δa values were significantly different in all three groups (p <0.001). The difference between groups 1 and 2 was not significant for ΔL or Δa, but groups 1 and 3 were significantly different in ΔL and Δa (p <0.001). Groups 2 and 3 were significantly different in ΔL and Δa (p <0.001). Conclusion: Coronal discoloration after six-month application of propolis as intracanal medicament was not reversed by its removal. Location of application of propolis (in the canal or both canal and pulp chamber) had no significant effect on degree of coronal discoloration.","PeriodicalId":15640,"journal":{"name":"Journal of Dental Materials and Techniques","volume":"2 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2021-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77779154","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
Comparative Evaluation of Root Canal Working Length Determination with Three Methods: Conventional Radiography, Digital Radiography and Raypex6 Apex Locator: An Experimental Study 传统x线摄影、数字x线摄影及Raypex6根尖定位仪测定根管工作长度的实验研究
Pub Date : 2021-05-08 DOI: 10.22038/JDMT.2021.55126.1418
S. Mousavi, Amirali Zahedinejad, B. Kowsari, Erfan Kolahdouzan, Seyed Iman Mousavi, Sadegh Saeidian
Introduction: Determining working length had always been one of the most crucial factors in evaluating prognosis. Radiography as a gold standard way nowadays has some flaws like making a 3D object, image distortion, not measuring the exact location of apical foramen, and putting the patient in a direct X-ray exposure. Here, we compare these three ways in measuring working length of single canal teeth that are narrow. Methods: Initially thirty single canal teeth with narrow canals were selected. After preparing the access cavity, the teeth were mounted in alginate for measuring working length with an apex locator. After that, they mounted in chalk in order to determine the working length using conventional and digital radiographs. Finally, the teeth were removed from the mount and the exact working length assessed using a hand file to compare with the three mentioned methods. Results: This study showed that the mean measured working length of root canal therapy had a significant difference between the four methods (P=0.003). Bonferroni post hoc test showed that the mean exact working length of root canal therapy was significantly lower than measured working length of root canal therapy by conventional radiography (P=0.002), digital radiography (P=0.001) and Raypex6 apex locator (P=0.01). However, there was no significant difference between these three methods (P>0.05). Conclusion: The results of this study showed that the mean measured working length of root canal therapy had no significant difference between digital radiography, conventional radiography, and Raypex6 apex locator but these three methods had a significant difference with the exact teeth length
导读:确定手术长度一直是评估预后最关键的因素之一。放射照相作为一种金标准方法,目前存在一些缺陷,如制作3D物体,图像失真,不能测量根尖孔的确切位置,以及将患者置于直接的x射线照射下。在这里,我们比较了这三种方法在测量窄单管牙的工作长度。方法:首先选择30颗狭窄根管的单根牙。在准备好通道腔后,牙齿安装在海藻酸盐中,用顶点定位器测量工作长度。之后,他们在粉笔上安装,以便使用传统和数字x光片确定工作长度。最后,将牙从支架上取下,并使用手锉评估准确的工作长度,与上述三种方法进行比较。结果:本研究显示四种方法根管治疗的平均测量工作长度差异有统计学意义(P=0.003)。Bonferroni事后检验显示,根管治疗的平均准确工作长度显著低于常规x线摄影(P=0.002)、数字x线摄影(P=0.001)和Raypex6根尖定位仪(P=0.01)测量的根管治疗工作长度。3种方法间差异无统计学意义(P>0.05)。结论:本研究结果显示,数字x线摄影、常规x线摄影和Raypex6根尖定位仪测量根管治疗的平均工作长度无显著差异,但三种方法与确切牙长有显著差异
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引用次数: 2
The Impact of Mandibular Advancement Surgery on Upper Lip Length in Class II Patients 下颌前移手术对II类患者上唇长度的影响
Pub Date : 2021-03-03 DOI: 10.22038/JDMT.2021.17642
Khadijeh Abdal, S. M. Mousavi, Meysam Noori, Parisa Kazemi
Introduction: One of the most common maxillofacial malformations is mandibular advancement, a class II malformation or malocclusion. One treatment is mandibular advancement surgery. This research aimed to investigate the effect of mandibular advancement surgery on upper lip length in class II patients. Methods: This retrospective study was conducted with 16 patients having class II malformations who underwent mandibular advancement surgery. Data analysis was conducted using SPSS 19. Results: Results showed that although height of philtrum increased after surgery, there was no significant difference in the height of the philtrum from before to after the mandibular advancement surgery (p > 0.05). Evaluation of the patients showed that although commissure height and vermilion height decreased after surgery, this difference was not statistically different(p > 0.05). However, there was a statistically significant difference between before and after commissure height (p <0.05) at camouflage in patients. There was also a statistically significant difference in height of philtrum and vermilion between before and after camouflage in patients (p <0.05). Conclusions: The results of this study suggest that mandibular advancement surgery plays a serious role in the clinical appearance of lip soft tissue, which can be used as a predictor of patient profile prior to surgery.
简介:最常见的颌面畸形之一是下颌前移,一种II类畸形或错颌。一种治疗方法是下颌前移手术。本研究旨在探讨下颌前移手术对II类患者上唇长度的影响。方法:对16例II类畸形行下颌骨前移手术的患者进行回顾性研究。使用SPSS 19进行数据分析。结果:结果显示,虽然术后中骨高度有所增加,但中骨高度与下颌前移手术前后比较,差异无统计学意义(p > 0.05)。对患者的评价显示,术后虽然连合高度和朱砂高度有所下降,但差异无统计学意义(p > 0.05)。但患者伪装时接触高度前后差异有统计学意义(p <0.05)。伪装前后患者中、朱颊高度差异有统计学意义(p <0.05)。结论:本研究结果提示,下颌前移手术对唇部软组织的临床表现有重要影响,可以作为术前患者状况的预测指标。
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引用次数: 0
Retrospective Evaluation of Position of Mental Foramen and Its Relationship with Gonial Angle Using Cone Beam Computed Tomography 圆锥束计算机断层扫描评价颏孔位置及其与角的关系
Pub Date : 2021-03-01 DOI: 10.22038/JDMT.2021.49596.1378
Farzaneh Ostovar Rad, S. Nemati, Z. Yousefi, Nadia Manavi
Introduction: Mental foramen (MF) appearance is quite diverse. Failure to properly diagnose and protect the nerve may result in its damage during medical procedures such as surgery and placement of dental implants. This study evaluated the position of MF and its relationship with gonial angle using cone beam computed tomography (CBCT) images. Methods: 128 gonial angles from 64 CBCT images were measured and divided into low-angle (≤125°) and high-angle (>125°) categories. MF was divided into five types considering its position in cross-sectional profiles: type A (under apex of first premolar); B (under apex of second premolar); C (between first and second premolars); D (anterior to first premolar); and E(posterior to second premolar).The length of mental canal and its buccolingual and superior-inferior position was also evaluated. Independent T-test and Chi-square tests were used with statistical significance set at p Results: The highest frequency of MF position in the high and low-gonial angle categories was type C and the lowest in high-angle and low-angle were type E and D, respectively. The position of the foramen and measurements of the mental canal was not affected by age, gender, or gonial angle (P>0.05). Conclusion: Position of MF was not found to be related to patients’ age, sex, or gonial angles. Since a precise determination of the MF position is difficult due to its different anatomical variations and also because of potential damages during the treatment procedures in this area, radiographic analysis and determining its location among different populations is necessary.
心理孔(MF)的形态是多种多样的。如果不能正确诊断和保护神经,可能会在外科手术和植入牙科植入物等医疗过程中导致神经损伤。本研究利用锥形束计算机断层扫描(CBCT)图像评估MF的位置及其与角的关系。方法:测量64张CBCT图像的128个角,将其分为低角(≤125°)和高角(>125°)两类。根据MF在横截面上的位置,将其分为5种类型:A型(位于第一前磨牙尖下);B(在第二前磨牙的先端下);C(在第一和第二前臼齿之间);D(第一前磨牙前);和E(第二前臼齿后)。同时评价了心理管的长度及其颊舌位置和上下位置。采用独立t检验和卡方检验,统计学意义设为p。结果:高、低角类别MF位置频率最高的为C型,高、低角类别MF位置频率最低的分别为E型和D型。孔的位置和心管的长度不受年龄、性别、角的影响(P>0.05)。结论:MF的位置与患者的年龄、性别、角度无关。由于MF的解剖结构不同,而且在治疗过程中该区域存在潜在的损伤,因此很难精确确定MF的位置,因此有必要进行放射学分析并确定其在不同人群中的位置。
{"title":"Retrospective Evaluation of Position of Mental Foramen and Its Relationship with Gonial Angle Using Cone Beam Computed Tomography","authors":"Farzaneh Ostovar Rad, S. Nemati, Z. Yousefi, Nadia Manavi","doi":"10.22038/JDMT.2021.49596.1378","DOIUrl":"https://doi.org/10.22038/JDMT.2021.49596.1378","url":null,"abstract":"Introduction: Mental foramen (MF) appearance is quite diverse. Failure to properly diagnose and protect the nerve may result in its damage during medical procedures such as surgery and placement of dental implants. This study evaluated the position of MF and its relationship with gonial angle using cone beam computed tomography (CBCT) images. Methods: 128 gonial angles from 64 CBCT images were measured and divided into low-angle (≤125°) and high-angle (>125°) categories. MF was divided into five types considering its position in cross-sectional profiles: type A (under apex of first premolar); B (under apex of second premolar); C (between first and second premolars); D (anterior to first premolar); and E(posterior to second premolar).The length of mental canal and its buccolingual and superior-inferior position was also evaluated. Independent T-test and Chi-square tests were used with statistical significance set at p Results: The highest frequency of MF position in the high and low-gonial angle categories was type C and the lowest in high-angle and low-angle were type E and D, respectively. The position of the foramen and measurements of the mental canal was not affected by age, gender, or gonial angle (P>0.05). Conclusion: Position of MF was not found to be related to patients’ age, sex, or gonial angles. Since a precise determination of the MF position is difficult due to its different anatomical variations and also because of potential damages during the treatment procedures in this area, radiographic analysis and determining its location among different populations is necessary.","PeriodicalId":15640,"journal":{"name":"Journal of Dental Materials and Techniques","volume":"07 1","pages":"44-53"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89705581","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
期刊
Journal of Dental Materials and Techniques
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