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Effect of oral health behavior and demographic variables on gingival health in 11-16-year-old school children in Chandigarh, India: A cross-sectional study 口腔健康行为和人口统计学变量对印度昌迪加尔11-16岁学龄儿童牙龈健康的影响:一项横断面研究
Q1 Medicine Pub Date : 2019-03-10 DOI: 10.1111/jicd.12405
Urvashi Sharma, Namrata Gill, Anubha Gulati, Sidhi Passi, Leena Verma, Ikreet S. Bal, Rosy Arora, Archna Agnihotri, Krishan Gauba

Aims

The aims of the present study were to assess the prevalence and pattern of gingival bleeding on probing (BOP) and to evaluate the effect of oral health behavior and demographic determinants on gingival health in 11-16-year-old school children in Chandigarh, India.

Methods

A cross-sectional study, using stratified random sampling, was conducted across two age groups, 11-13 years and 14-16 years, and two socioeconomic strata: upper and lower. The World Health Organization (WHO) Oral Health Questionnaire for Children was used to record the data, and the WHO Community Periodontal Index (modified) was used to assess gingival BOP.

Results

Among all the 2294 children examined, an estimated 54.2% had gingival BOP. The odds of BOP were also higher in the younger age group (odds ratio [OR]: 1.261, 95% confidence interval [CI]: 1.068-1.487, = 0.006), higher for boys (OR: 1.200, 95% CI: 1.017-1.416, = 0.031), and lower in the upper strata (OR: 0.805, 95% CI: 0.682-0.951, = 0.011). Gingival BOP was 58.5% in the mandibular and 41.5% in the maxillary arch (< 0.0001); χ2-test found tooth cleaning frequency to be a significant contributing factor for gingival BOP (= 0.014).

Conclusions

An inverse co-relation of gingival BOP with age, socioeconomic status, and a higher prevalence in boys was observed, necessitating periodic preventive dental education, particularly focusing on the target group. Additionally, early screening and prompt treatment to intercept the disease is advocated.

本研究的目的是评估在印度昌迪加尔11-16岁学龄儿童牙诊时牙龈出血(BOP)的患病率和模式,并评估口腔健康行为和人口统计学决定因素对牙龈健康的影响。方法采用分层随机抽样的横断面研究方法,对11-13岁和14-16岁两个年龄组、上层和下层两个社会经济阶层进行研究。使用世界卫生组织(WHO)儿童口腔健康问卷记录数据,并使用WHO社区牙周指数(修订)评估牙龈BOP。结果在接受检查的2294名儿童中,估计有54.2%的儿童患有牙龈BOP。低龄组发生BOP的几率也较高(比值比[OR]: 1.261, 95%可信区间[CI]: 1.068 ~ 1.487, P = 0.006),男童较高(比值比:1.200,95% CI: 1.017 ~ 1.416, P = 0.031),上层较低(比值比:0.805,95% CI: 0.682 ~ 0.951, P = 0.011)。下颌牙龈BOP为58.5%,上颌弓为41.5% (P <0.0001);χ2检验发现,清洁牙齿频率是影响牙龈BOP的重要因素(P = 0.014)。结论牙龈BOP与年龄、社会经济地位和男孩患病率呈反比关系,有必要对目标人群进行定期预防性牙科教育。此外,提倡早期筛查和及时治疗以拦截疾病。
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引用次数: 3
Influence of proper or reciprocating optimum torque reverse kinematics on cyclic fatigue of four single files 适当或往复最佳转矩反向运动学对四单锉循环疲劳的影响
Q1 Medicine Pub Date : 2019-03-07 DOI: 10.1111/jicd.12409
Eugenio Pedullà, Emanuele Ambu, Fabio Rovai, Seok-Woo Chang, Federico Campedelli, Giacomo Corsentino, Silvia Rapisarda, Giusy R. M. La Rosa, Simone Grandini

Aim

The aim of the present study was to evaluate the resistance to cyclic fatigue of heat-treated single files used in proper or in reciprocating optimum torque reverse motions.

Methods

Ninety-six HyFlex electrical discharge machining (EDM), Reciproc R25 (Rec), WaveOne Primary (WO), and WaveOne Gold (WOG) Primary were used. Resistance to cyclic fatigue was determined by recording time to fracture in a stainless steel artificial canal. Differential scanning calorimetric analysis was performed. Data were analyzed by two-way analysis of variance and Bonferroni post-hoc tests at 0.05.

Results

In both movements, HyFlex EDM showed higher time to fracture than other files (< 0.0001). Rec showed higher time to fracture than WO (< 0.0001), while WOG showed higher cyclic fatigue resistance than Rec and WO with both movements (< 0.005).

Conclusions

Reciprocating optimum torque reverse motion improved significantly cyclic fatigue resistance of gold and controlled memory wire single files.

目的评价热处理单根锉在适当和往复最佳转矩反向运动下的抗循环疲劳性能。方法96例采用HyFlex电火花加工(EDM)、Reciproc R25 (Rec)、WaveOne Primary (WO)和WaveOne Gold (WOG) Primary。通过记录不锈钢人工管的断裂时间来测定其抗循环疲劳性能。差示扫描量热分析。数据分析采用双向方差分析和Bonferroni事后检验,0.05。结果在两种运动中,HyFlex EDM的骨折时间均高于其他锉(P <0.0001)。Rec的骨折时间明显高于WO (P <0.0001),而在两种运动下,WOG的抗循环疲劳性能均高于Rec和WO (P <0.005)。结论往复最佳转矩反向运动可显著提高金丝和受控记忆丝单锉的抗循环疲劳性能。
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引用次数: 3
Comparison of three different apex locators in determining the working length of mandibular first molar teeth with irreversible pulpitis compared with an intraoral periapical radiograph: A block randomized, controlled, clinical trial 不可逆性牙髓炎患者下颌第一磨牙牙尖周x线片与三种不同牙尖定位仪测定工作长度的比较:一项随机对照临床试验
Q1 Medicine Pub Date : 2019-03-05 DOI: 10.1111/jicd.12408
Sadashivam Vanitha, I. Anand Sherwood

Aim

The aim of the present study was to assess the clinical accuracy APEX and 0.5 marks of three different apex locators – iPex II, Root ZX, and Apex ID – before and after canal preparation in the mandibular first molar.

Methods

Sixty patients between the ages of 13-60 years participated in the study. After access gaining and canal preparation stages files were inserted with the apex locator clip attached until the electronic apex locators (EALs) shows readings of APEX and 0.5 marks and same is confirmed with periapical radiographs. Eighteen apex locator readings were recorded from each tooth, and 1080 readings were obtained from the 60 patients.

Results

Differences among readings from apex locators and radiographic readings were assessed using paired t test. Only in two patients (1 male and 1 female) were the APEX mark readings different from the radiograph estimation. When the 0.5 mark readings of three different EALs were compared with each other, we could observe that the readings from Root ZX differed significantly (P < 0.05).

Conclusions

In the present study, we observed the negligible differences in readings between the EAL at the APEX mark readings, coinciding with the radiographic observation. Clinically, we recommend the apical foramen be located with the apex locators’ APEX mark readings prior to identifying the apical constriction position.

目的评价iPex II、Root ZX、APEX ID三种不同的牙尖定位器在下颌第一磨牙根管预备前后的临床准确性。方法选取年龄在13 ~ 60岁之间的60例患者进行研究。在获得通道和根管准备阶段后,插入带有尖定位夹的文件,直到电子尖定位器(EALs)显示apex和0.5分的读数,并与根尖周围x线片确认。每颗牙齿记录了18个顶点定位仪读数,60名患者获得了1080个读数。结果采用配对t检验评估顶点定位仪读数与x线摄影读数之间的差异。只有2例患者(1男1女)的APEX标记读数与x线片估计不同。当比较三种不同EALs的0.5标记读数时,我们可以观察到Root ZX的读数差异显著(P <0.05)。结论在本研究中,我们观察到EAL与APEX标记读数之间的读数差异可以忽略不计,与x线观察相吻合。临床上,我们建议在确定根尖收缩位置之前,先用顶点定位器的顶点标记读数来定位根尖孔。
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引用次数: 5
Effect of waterpipe smoking on peri-implant health: A systematic review and meta-analysis 水烟吸烟对种植体周围健康的影响:一项系统回顾和荟萃分析
Q1 Medicine Pub Date : 2019-03-04 DOI: 10.1111/jicd.12403
Zohaib Akram, Fawad Javed, Fahim Vohra

The aim of the present review was to evaluate the effect of waterpipe smoking (WS) on clinical peri-implant inflammatory parameters compared to non-smokers (NS) with dental implants. Literature searches were performed using bibliographic databases up to May 2018. Primary outcomes included peri-implant bone loss (PIBL), while secondary outcomes were probing depth (PD), plaque index, and bleeding on probing. Relative risk (RR) and 95% confidence intervals (CI) for each PIBL and PD were estimated by a random-effect model. Four retrospective case-control studies were included in the qualitative and quantitative syntheses. All of the included studies showed statistically-significantly worse peri-implant outcomes in WS compared to NS. Considering the effects of WS on peri-implant parameters, significant heterogeneity for PIBL (Q-value = 34.21, P < 0.0001, I2 = 94.16%) and PD (Q-value = 51.97, P < 0.0001, I2 = 96.15%) was observed between both groups. The overall RR for PIBL (RR = 3.32, 95% CI = 1.01-3.97, P = 0.001) and PD (RR = 3.40, 95% CI = 1.91-7.17, P = 0.001) were significant between WS and NS groups. WS has detrimental effect on peri-implant health. Clinicians should instruct and advise patients about poor prognosis and peri-implant diseases caused by WS.

本综述的目的是评估水烟吸烟(WS)对种植体周围临床炎症参数的影响,与不吸烟(NS)的种植体进行比较。文献检索使用书目数据库进行,截止到2018年5月。主要结果包括种植体周围骨质流失(PIBL),次要结果包括探探深度(PD)、斑块指数和探探时出血。通过随机效应模型估计每个PIBL和PD的相对风险(RR)和95%置信区间(CI)。定性和定量综合纳入了四项回顾性病例对照研究。所有纳入的研究均显示WS患者种植体周围的预后比NS患者差。考虑到WS对种植体周围参数的影响,PIBL的异质性显著(q值= 34.21,P <0.0001, I2 = 94.16%)和PD(核反应能量= 51.97,P & lt;0.0001, I2 = 96.15%)。WS组和NS组PIBL (RR = 3.32, 95% CI = 1.01-3.97, P = 0.001)和PD (RR = 3.40, 95% CI = 1.91-7.17, P = 0.001)的总RR差异均有统计学意义。WS对种植体周围的健康有不利影响。临床医生应指导和建议患者预后不良和WS引起的种植体周围疾病。
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引用次数: 16
Peri-implantitis risk factors: A prospective evaluation 种植体周围炎危险因素:前瞻性评价
Q1 Medicine Pub Date : 2019-02-07 DOI: 10.1111/jicd.12398
Anthony Mazel, Souad Belkacemi, Patrick Tavitian, Grégory Stéphan, Delphine Tardivo, Jean Hugues Catherine, Gérard Aboudharam

Aim

The aim of the present study was to create a tool to evaluate the risk of peri-implantitis according its severity.

Methods

After ethics committee approval, 43 patients provided signed consent and were included prospectively. Forty-five observations were recorded. The following criteria were recorded: number of implant faces showing bleeding and/or suppuration, pocket depth on at least two faces of the implant, bone loss as a function of the length of the implant evaluated on X-rays, number of implant faces with bacterial plaque, the parameters required for determination of excess cement (screwed or sealed prosthesis, burying of sealed prostheses), periodontal status, glycemia, and annual consumption of tobacco. Each of these parameters was plotted on a chart using Microsoft Excel.

Results

Seventeen of 45 (37.8%) cases were identified as having high peri-implantitis risk, two of 45 (4.4%) had low risk, and 11 of 45 (24.4%) had moderate risk; 33.3% patients did not have peri-implantitis and were considered at very low risk.

Conclusion

The observed results applied to the evaluation model are an effective diagnostic tool in assessing the risk of peri-implantitis. The tool takes into account parameters, which have not been taken into account until now. The information is automatically processed and allows early management of peri-implantitis.

目的本研究的目的是建立一种工具,根据其严重程度来评估种植体周围炎的风险。方法经伦理委员会批准,43例患者签署同意,纳入前瞻性研究。记录了45次观察。记录以下标准:出现出血和/或化脓的种植体面数,至少两面种植体的口袋深度,x射线评估的种植体长度的骨损失,有细菌菌斑的种植体面数,确定过量水泥所需的参数(螺钉或密封的假体,密封假体的掩埋),牙周状况,血糖和年烟草消费量。每个参数都用Microsoft Excel绘制在图表上。结果45例患者中,高危17例(37.8%),低危2例(4.4%),中度危11例(24.4%);33.3%的患者没有种植体周围炎,被认为是非常低的风险。结论该评价模型的观察结果是评估种植体周围炎风险的有效诊断工具。该工具考虑了参数,这些参数直到现在还没有被考虑到。这些信息被自动处理,并允许种植体周围炎的早期管理。
{"title":"Peri-implantitis risk factors: A prospective evaluation","authors":"Anthony Mazel,&nbsp;Souad Belkacemi,&nbsp;Patrick Tavitian,&nbsp;Grégory Stéphan,&nbsp;Delphine Tardivo,&nbsp;Jean Hugues Catherine,&nbsp;Gérard Aboudharam","doi":"10.1111/jicd.12398","DOIUrl":"10.1111/jicd.12398","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aim of the present study was to create a tool to evaluate the risk of peri-implantitis according its severity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>After ethics committee approval, 43 patients provided signed consent and were included prospectively. Forty-five observations were recorded. The following criteria were recorded: number of implant faces showing bleeding and/or suppuration, pocket depth on at least two faces of the implant, bone loss as a function of the length of the implant evaluated on X-rays, number of implant faces with bacterial plaque, the parameters required for determination of excess cement (screwed or sealed prosthesis, burying of sealed prostheses), periodontal status, glycemia, and annual consumption of tobacco. Each of these parameters was plotted on a chart using Microsoft Excel.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seventeen of 45 (37.8%) cases were identified as having high peri-implantitis risk, two of 45 (4.4%) had low risk, and 11 of 45 (24.4%) had moderate risk; 33.3% patients did not have peri-implantitis and were considered at very low risk.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The observed results applied to the evaluation model are an effective diagnostic tool in assessing the risk of peri-implantitis. The tool takes into account parameters, which have not been taken into account until now. The information is automatically processed and allows early management of peri-implantitis.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16204,"journal":{"name":"Journal of Investigative and Clinical Dentistry","volume":"10 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/jicd.12398","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36930841","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: 7
Non-oral, aerobic, Gram-negative bacilli in the oral cavity of Thai HIV-positive patients on Highly-active anti-retrovirus therapy medication 高活性抗逆转录病毒药物治疗的泰国hiv阳性患者口腔中的非口服、需氧、革兰氏阴性杆菌
Q1 Medicine Pub Date : 2019-01-30 DOI: 10.1111/jicd.12387
Pratanporn Arirachakaran, Sureeat Luangworakhun, Georgios Charalampakis, Gunnar Dahlén
Abstract In the present study, we identified and evaluated the antibiotic susceptibility of 96 independent, aerobic, Gram‐negative bacillus isolates from 255 Thai HIV‐positive adults who were on Highly‐active anti‐retrovirus therapy (HAART) medication. Another 46 isolates from HIV non‐HAART individuals, vertically transmitted HIV‐positive individuals, and non‐HIV controls were included for comparison. A total of 103 strains were tested for antibiotic susceptibility using disc diffusion for screening and E‐test for minimal inhibitory concentration determination, with special attention on extended‐spectrum beta‐lactamase (ESBL) isolates. Pseudomonas aeruginosa, Pseudomonas luteola, Burkholderia cepacia, Aeromonas hydrophila, Klebsiella, and Enterobacter species were the most common bacteria. All strains were resistant against penicillin, amoxicillin, clindamycin, and metronidazole. No ESBL isolates were found.
在本研究中,我们从255名接受高活性抗逆转录病毒治疗(HAART)的泰国hiv阳性成人中鉴定并评估了96株独立的需氧革兰氏阴性芽孢杆菌的抗生素敏感性。另外46株HIV非haart个体、垂直传播HIV阳性个体和非HIV对照进行比较。采用纸片扩散法筛选103株菌株,采用e -试验法测定最小抑菌浓度,重点对广谱β -内酰胺酶(ESBL)菌株进行了药敏试验。铜绿假单胞菌、黄苔假单胞菌、洋葱伯克氏菌、嗜水气单胞菌、克雷伯氏菌和肠杆菌是最常见的细菌。所有菌株均对青霉素、阿莫西林、克林霉素和甲硝唑耐药。未发现ESBL分离株。
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引用次数: 7
Impact of a non-fluoridated microcrystalline hydroxyapatite dentifrice on enamel caries progression in highly caries-susceptible orthodontic patients: A randomized, controlled 6-month trial 非氟化微晶羟基磷灰石牙膏对高度易患龋齿的正畸患者牙釉质龋齿进展的影响:一项为期6个月的随机对照试验
Q1 Medicine Pub Date : 2019-01-30 DOI: 10.1111/jicd.12399
Ulrich Schlagenhauf, Karl-Heinz Kunzelmann, Christian Hannig, Theodor W. May, Helmut Hösl, Mario Gratza, Gabriele Viergutz, Marco Nazet, Sebastian Schamberger, Peter Proff

Aim

The aim of the present randomized, controlled trial was to compare the impact of the regular use of a fluoride-free microcrystalline hydroxyapatite (HAP) dentifrice and a 1400 ppm fluoride control dentifrice on caries progression in 150 highly caries-active orthodontic patients.

Methods

The primary outcome was the occurrence of lesions with International Caries Detection and Assessment System (ICDAS) ≥code 1 on the vestibular surfaces of teeth 15-25 within 168 days after fixation of orthodontic brackets. Secondary outcomes were lesion development ICDAS ≥code 2, the plaque index, and the gingival index.

Results

In total, 147 patients were included in the intent-to-treat (ITT) analysis; 133 finished the study per protocol (PP). An increase in enamel caries ICDAS ≥code 1 was observed in 56.8% (ITT) and 54.7% (PP) of the HAP group participants compared with 60.9% (ITT) and 61.6% (PP) of the fluoride control group. Non-inferiority testing (ITT and PP) demonstrated the absence of a significant difference between the groups. No significant differences in secondary outcomes were observed between the groups.

Conclusion

In highly caries-active patients, the impact of the regular use of a microcrystalline HAP dentifrice on caries progression is not significantly different from the use of a 1400 ppm fluoride toothpaste (ClinicalTrials.gov: NCT02705456).

目的:本随机对照试验的目的是比较常规使用无氟微晶羟基磷灰石(HAP)牙膏和1400ppm氟对照牙膏对150例高龋活跃正畸患者龋进展的影响。方法观察正畸托槽固定后168 d内15 ~ 25牙前庭面出现国际龋齿检测与评估系统(ICDAS)≥1级病变的情况。次要结局是病变发展ICDAS≥code 2、菌斑指数和牙龈指数。结果147例患者被纳入意向治疗(ITT)分析;133人完成了每个方案(PP)的研究。与氟对照组的60.9% (ITT)和61.6% (PP)相比,HAP组的56.8% (ITT)和54.7% (PP)的牙釉质龋ICDAS≥代码1增加。非劣效性检验(ITT和PP)显示两组间无显著差异。两组间次要结局无显著差异。结论:在龋齿高度活跃的患者中,定期使用微晶HAP牙膏对龋齿进展的影响与使用1400ppm氟牙膏没有显著差异(ClinicalTrials.gov: NCT02705456)。
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引用次数: 39
Preventive effects of carbon dioxide laser and casein phosphopeptide amorphous calcium phosphate fluoride varnish on enamel demineralization: A comparative, in vitro study 二氧化碳激光与酪蛋白磷酸肽无定形磷酸钙氟化漆预防牙釉质脱矿效果的体外比较研究
Q1 Medicine Pub Date : 2019-01-28 DOI: 10.1111/jicd.12400
Moufida Abufarwa, Amal Noureldin, Taha Azimaie, Phillip M. Campbell, Peter H. Buschang

Aim

The aim of the present study was to compare the effects of carbon dioxide (CO2) laser and casein phosphopeptide amorphous calcium phosphate (CPP-ACP)fluoride varnish on enamel demineralization.

Methods

Human teeth were randomly assigned to three groups. The enamel was treated with fluoride varnish, 10.6 μm CO2 laser, or no treatment (control), followed by 9 days of pH cycling. Baseline and final FluoreCam images were used to quantify the area, intensity, and impact of demineralization; cross-sectional microhardness was used to measure the mechanical properties of the enamel.

Results

There were statistically-significant changes in the area, intensity and impact of demineralization in the control and laser groups (< 0.05), but not in the fluoride group. The control group showed a significantly greater area and impact of enamel demineralization compared to the fluoride group. The area of demineralization in the laser group was significantly greater than that of the fluoride group. Enamel demineralization of the laser and control groups was comparable. The fluoride group showed statistically-significant harder enamel than the control at 20, 40, and 60 μm depths; the laser group enamel was significantly harder than the control at 20 and 40 μm depths. The fluoride group showed statistically-significant harder enamel than the laser group at 20 μm depth.

Conclusions

CPP-ACP fluoride varnish is more effective than CO2 in preventing enamel demineralization.

目的比较二氧化碳(CO2)激光与酪蛋白磷酸肽无定形磷酸钙(CPP-ACP)氟化漆对牙釉质脱矿的影响。方法将人牙随机分为3组。牙釉质分别用氟化物清漆、10.6 μm CO2激光处理或不处理(对照组),然后进行9天的pH循环。基线和最终FluoreCam图像用于量化脱矿的面积、强度和影响;采用横截面显微硬度法测定牙釉质的力学性能。结果对照组和激光组脱矿面积、强度及影响差异均有统计学意义(P <0.05),但不属于氟基团。与氟组相比,对照组的牙釉质脱矿面积和影响明显更大。激光组脱矿面积明显大于氟组。激光组与对照组牙釉质脱矿效果相当。氟组在深度为20、40和60 μm时牙釉质硬度显著高于对照组;激光组牙釉质在深度为20 μm和40 μm时硬度明显高于对照组。在20 μm深度处,氟组牙釉质硬度明显高于激光组。结论CPP-ACP氟化清漆预防牙釉质脱矿的效果优于CO2。
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引用次数: 3
Unerupted permanent incisors and associated dental anomalies 未出牙的恒门牙及相关的牙齿异常
Q1 Medicine Pub Date : 2019-01-28 DOI: 10.1111/jicd.12395
Chiewee Tan, Manikandan Ekambaram, Gillian H. M. Lee, Cynthia K. Y. Yiu

Aim

The aim of the present study was to investigate the association between unerupted permanent incisors and dental anomalies among children and adolescents.

Methods

The clinical records of patients between January 2005 and December 2014 were retrieved to identify those with unerupted permanent incisors. A retrospective audit on the presence or absence of any dental anomalies was done from all available records of the included patients.

Results

A total of 266 patients with 320 unerupted permanent incisors were identified from the 15 987 patients in the study. Among the unerupted permanent incisors, 222 (69.4%) were associated with dental anomalies, which was significantly higher than those showing an absence of dental anomalies (N = 98, 30.6%, < 0.001). For the unerupted maxillary central incisors, a significantly higher proportion was associated with supernumerary teeth (< 0.001). For the unerupted maxillary lateral incisors, a significantly higher proportion was associated with the ectopic eruption of permanent canines when compared with other dental anomalies (< 0.001). The presence of the ectopic eruption of permanent canine, double teeth, and hyperdontia was significantly higher among male patients with unerupted permanent incisors.

Conclusions

Unerupted permanent incisors were associated with supernumerary teeth and ectopic eruption of permanent canines. Specifically, a higher proportion of unerupted maxillary central incisors was associated with the presence of supernumerary teeth, whereas a higher percentage of unerupted maxillary lateral incisors was associated with the ectopic eruption of permanent canines.

目的本研究的目的是探讨儿童和青少年未出牙恒切牙与牙齿畸形之间的关系。方法检索我院2005年1月~ 2014年12月的临床资料,对未出牙的恒切牙进行分类。回顾性审计的存在或不存在任何牙齿异常从所有可获得的记录纳入患者。结果在15 987例患者中,共鉴定出266例未出牙恒切牙320颗。未出牙恒切牙中有牙畸形222例(69.4%),明显高于无牙畸形者(N = 98, 30.6%, P <0.001)。对于未出牙的上颌中切牙,与多生牙相关的比例显著较高(P <0.001)。未出牙的上颌侧切牙与恒牙异位出牙的比例明显高于其他牙畸形(P <0.001)。未萌出恒门牙的男性患者出现恒犬牙异位萌出、双牙萌出和多牙症的比例明显较高。结论恒切牙未出牙与恒牙多生牙和恒牙异位出牙有关。具体来说,上颌中门牙未萌出的比例较高与多生牙有关,而上颌侧门牙未萌出的比例较高与恒牙异位萌出有关。
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引用次数: 1
Anti-inflammatory potential of a carvedilol gel in the pulpal tissue of rats after dental bleaching: A histopathological evaluation 卡维地洛凝胶在牙齿漂白后大鼠牙髓组织中的抗炎潜力:组织病理学评估
Q1 Medicine Pub Date : 2019-01-28 DOI: 10.1111/jicd.12401
Lidiane M. Louzada, André L. F. Briso, Francine Benetti, Letícia B. Vieira, Rogério de Castilho Jacinto, Elói Dezan-Júnior, Luciano T. A. Cintra

Aim

Carvedilol is an antioxidant that decreases inflammation in periodontitis. The hydrogen peroxide (H2O2) of bleaching gel causes inflammation and necrosis of the dental pulp. In the present study, we evaluated the anti-inflammatory potential of carvedilol in the pulp of rats after bleaching.

Methods

The right upper molars of rats received 35% H2O2 (1× 30 minutes), and the left upper molars were used as the control. Half of the rats received carvedilol gel (1× 10 minutes), forming the following groups: bleached, bleached followed by carvedilol (bleached+carvedilol), and control. After 2 and 30 days (N = 7 hemi-maxillae/group), the rats were killed for histological evaluation, and statistical tests were performed (< 0.05).

Results

After 2 days, the bleached group showed necrosis in the occlusal third of the coronal pulp, and in the bleached+carvedilol group, severe inflammation (> 0.05), both different from the control (< 0.05). In the middle third, the bleached group showed severe inflammation, and the bleached+carvedilol group showed moderate inflammation (> 0.05), with the only difference between the bleached and control groups (< 0.05). In the cervical third, the bleached group showed moderate inflammation, and the bleached+carvedilol group showed mild inflammation (> 0.05). The difference again was only between the bleached and control groups (< 0.05). At 30 days, there was no inflammation and a marked amount of tertiary dentin in bleached teeth (P > 0.05).

Conclusion

Carvedilol gel has the potential of minimizing H2O2 damage, especially in deep regions of the dental pulp of rats after bleaching.

卡维地洛是一种抗氧化剂,可以减少牙周炎的炎症。漂白凝胶中的过氧化氢(H2O2)会引起牙髓发炎和坏死。在本研究中,我们评估了卡维地洛在大鼠牙髓漂白后的抗炎潜力。方法大鼠右上磨牙接受35% H2O2 (1× 30 min)治疗,左上磨牙作为对照组。一半大鼠给予卡维地洛凝胶(1× 10分钟),分为漂白组、先漂白后卡维地洛组(漂白+卡维地洛)和对照组。分别于2、30 d (N = 7半颌/组)处死大鼠进行组织学评价,并进行统计学检验(P <0.05)。结果2 d后,漂白组冠状牙髓咬合三分之一处出现坏死,漂白+卡维地洛组出现严重炎症(P >0.05),均与对照组不同(P <0.05)。在中间三分之一,漂白组出现严重炎症,漂白+卡维地洛组出现中度炎症(P >0.05),漂白组与对照组之间仅有差异(P <0.05)。宫颈第三段,漂白剂组轻度炎症,漂白剂+卡维地洛组轻度炎症(P >0.05)。同样,这种差异只存在于漂白组和对照组之间(P <0.05)。第30天,漂白后的牙齿没有炎症,三级牙本质数量明显(P >0.05)。结论卡维地洛凝胶对大鼠牙髓漂白后深层H2O2损伤有一定的抑制作用。
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引用次数: 7
期刊
Journal of Investigative and Clinical Dentistry
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