Pub Date : 2022-04-28DOI: 10.17126/joralres.2022.027
B. Venegas, Sandra J. Rueda, Marco Flores, Víctor Beltrán
Objective: To contribute to early diagnosis of lesions in older patients, including potentially malignant lesions or those suspected of oral cancer by support of a web-based teledentistry platform. Material and Methods: This report contains information from 27 patients with oral lesions out of a total of 135 who received mobile dental care. Specialists who participated in the study involved professionals from the disciplines of periodontics, temporomandibular disorders, oral implantology, oral radiology, oral pathology and geriatrics. Referral consultations were carried out synchronously or asynchronously. Clinical information sent to oral pathology specialists involved a medical history and a traditional description of the lesion which considered size, color, limits, symptomatology, type of surface, consistency, location, and evolution. This information was complemented with a three-dimensional representation of the lesion, simulating an extra/intra oral clinical examination including a marker tool that allows to perform the anatomical-referencing of oral lesions. Results: 27 consultations from 26 patients were evaluated for oral pathology lesions. 12 lesions were diagnosed as reactive, 5 were infectious lesions, 4 of vascular etiology, 3 pigmented lesions (amalgam tattoo and smoking-related melanosis) and 3 potentially malignant lesions. The most frequent location was the tongue with 8 cases, followed by the gingiva and jugal mucosa, each with 5 cases. Four lesions required biopsy and histopathological report. Conclusion: A teledentistry platform including digital representations of oral lesions using different digital markers, also associated with a mobile system to provide dental care, constitutes an excellent tool to treat patients that present oral lesions with potential cancer risk.
{"title":"Prevention of oral cancer through the implementation of a teledentistry platform for the elderly.","authors":"B. Venegas, Sandra J. Rueda, Marco Flores, Víctor Beltrán","doi":"10.17126/joralres.2022.027","DOIUrl":"https://doi.org/10.17126/joralres.2022.027","url":null,"abstract":"Objective: To contribute to early diagnosis of lesions in older patients, including potentially malignant lesions or those suspected of oral cancer by support of a web-based teledentistry platform. Material and Methods: This report contains information from 27 patients with oral lesions out of a total of 135 who received mobile dental care. Specialists who participated in the study involved professionals from the disciplines of periodontics, temporomandibular disorders, oral implantology, oral radiology, oral pathology and geriatrics. Referral consultations were carried out synchronously or asynchronously. Clinical information sent to oral pathology specialists involved a medical history and a traditional description of the lesion which considered size, color, limits, symptomatology, type of surface, consistency, location, and evolution. This information was complemented with a three-dimensional representation of the lesion, simulating an extra/intra oral clinical examination including a marker tool that allows to perform the anatomical-referencing of oral lesions. Results: 27 consultations from 26 patients were evaluated for oral pathology lesions. 12 lesions were diagnosed as reactive, 5 were infectious lesions, 4 of vascular etiology, 3 pigmented lesions (amalgam tattoo and smoking-related melanosis) and 3 potentially malignant lesions. The most frequent location was the tongue with 8 cases, followed by the gingiva and jugal mucosa, each with 5 cases. Four lesions required biopsy and histopathological report. Conclusion: A teledentistry platform including digital representations of oral lesions using different digital markers, also associated with a mobile system to provide dental care, constitutes an excellent tool to treat patients that present oral lesions with potential cancer risk.","PeriodicalId":16625,"journal":{"name":"Journal of Oral Research","volume":"67 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79846875","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}
Pub Date : 2022-03-29DOI: 10.17126/joralres.2022.015
Veronica Viloria, Carlos Millán-Golindano, Josmar García, L. Molina, Jose Gregorio Melillove, Ramses Palma
Introduction: Body piercings consist of small holes made with a needle in different parts of the skin or body to introduce a jewel or decorative element. In the oral cavity, most piercings are placed in the tongue. However, some complications may occur, and surgical techniques must be used for their removal. These complications present a certain degree of difficulty due to their position and may challenge the ability of the clinician to access the specific anatomical location. The different imaging techniques, from simple radiography to intraoperative techniques such as image intensifiers, have become an extremely useful tool for locating an object in the three dimensions of space, allowing safe location and extraction. Objective: The aim of this study is to report the case of a complication of a body piercing in the oral cavity and how the use of imaging was decisive for surgical planning and for the quick and effective resolution of the case. Material and Methods: A 14-year-old female patient came looking for treatment. Her mother reported the onset of the condition after the insertion of a needle-like metallic object while performing an artistic perforation in the lingual region. Since the girl was unable to extract the object, she sought medical advice at the Carlos Arvelo Military Hospital in Caracas, Venezuela. Subsequently, an imaging study was performed by means of a Computed Tomography to locate the metallic object. It was observed that the foreign body had migrated to the floor of the mouth/sublingual region, requiring the area to be surgically approached. It was also decided to use an intraoperative image intensifier. The removal of the object was performed satisfactorily. Conclusion: The extraction of foreign bodies placed in the lingual and sublingual region represents a challenge for the clinician due to the number of important anatomical structures that pass through that area. This makes clinicians plan their surgical removal using pre- and intraoperative imaging, to find a less traumatic location, reduce surgical time as well as the risk of damaging adjacent anatomical structures.
{"title":"Importance of the use of pre- and intra-operative imaging as a tool for planning foreign body removal in the floor of the mouth: A Case Report.","authors":"Veronica Viloria, Carlos Millán-Golindano, Josmar García, L. Molina, Jose Gregorio Melillove, Ramses Palma","doi":"10.17126/joralres.2022.015","DOIUrl":"https://doi.org/10.17126/joralres.2022.015","url":null,"abstract":"Introduction: Body piercings consist of small holes made with a needle in different parts of the skin or body to introduce a jewel or decorative element. In the oral cavity, most piercings are placed in the tongue. However, some complications may occur, and surgical techniques must be used for their removal. These complications present a certain degree of difficulty due to their position and may challenge the ability of the clinician to access the specific anatomical location. The different imaging techniques, from simple radiography to intraoperative techniques such as image intensifiers, have become an extremely useful tool for locating an object in the three dimensions of space, allowing safe location and extraction. Objective: The aim of this study is to report the case of a complication of a body piercing in the oral cavity and how the use of imaging was decisive for surgical planning and for the quick and effective resolution of the case. Material and Methods: A 14-year-old female patient came looking for treatment. Her mother reported the onset of the condition after the insertion of a needle-like metallic object while performing an artistic perforation in the lingual region. Since the girl was unable to extract the object, she sought medical advice at the Carlos Arvelo Military Hospital in Caracas, Venezuela. Subsequently, an imaging study was performed by means of a Computed Tomography to locate the metallic object. It was observed that the foreign body had migrated to the floor of the mouth/sublingual region, requiring the area to be surgically approached. It was also decided to use an intraoperative image intensifier. The removal of the object was performed satisfactorily. Conclusion: The extraction of foreign bodies placed in the lingual and sublingual region represents a challenge for the clinician due to the number of important anatomical structures that pass through that area. This makes clinicians plan their surgical removal using pre- and intraoperative imaging, to find a less traumatic location, reduce surgical time as well as the risk of damaging adjacent anatomical structures.","PeriodicalId":16625,"journal":{"name":"Journal of Oral Research","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84886339","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}
Objetive: The purpose of this study was to perform a comprehensive, multifaceted assessment of the attitudes of dentists and the dominant factors influencing their decisions regarding antibiotic prescription guidelines and applications in the dental teaching hospitals of Peshawar, Pakistan. Material and Methods: A questionnaire was distributed to 250 dental practitioners working in the four main teaching dental hospitals in Peshawar. Dental practitioners were asked to provide answers to parameters influencing their decision towards the need to prescribe antibiotics. The questionnaire further aimed to evaluate how aware the dental clinicians were of antibiotic prophylaxis guidelines and whether they considered themselves adequately trained and confident while prescribing the said medications. Results: Out of the 250 questionnaires sent to the practitioners, 219 (88%) forms were returned. From the total, 109 (49.8%) of the respondents were males, and 23% of the dentists were found to prescribe antibiotics to their patients upon their insistence and antibiotic selection was found to be done based on the patient’s socio-economic status. A considerable percentage of the respondents (71%) preferred to rely on an expert opinion from their seniors or professors for prescribing the correct antibiotics while 30% of the respondents were found to prescribe them empirically. The survey further explored the dental practitioners’ knowledge on calculating the dose of the selected antibiotic based on a patient’s height and weight where only 19% of the respondents were found to present with some factual knowledge. The questionnaire also reviewed the dental practitioners’ awareness regarding antibiotic prophylaxis guidelines; 72% responded positively, 42% admitted to not using the guidelines in their routine clinical practice while 84% of the respondents confirmed unawareness towards the use of any guidelines. Conclusion: There seems to be a clear defect in the education and awareness of dentists concerning antibiotic guidelines influencing their attitudes and this study highlights the importance of gauging the severity of this problem.
{"title":"Attitude of dentists towards the prescription of antibiotics in dental teaching hospitals of peshawar, pakistan: should we be concerned?","authors":"Shaina Zaman, Syed Imran Gilani, Siddiq Yousufi, Yasir Israr","doi":"10.17126/joralres.2022.016","DOIUrl":"https://doi.org/10.17126/joralres.2022.016","url":null,"abstract":"Objetive: The purpose of this study was to perform a comprehensive, multifaceted assessment of the attitudes of dentists and the dominant factors influencing their decisions regarding antibiotic prescription guidelines and applications in the dental teaching hospitals of Peshawar, Pakistan. Material and Methods: A questionnaire was distributed to 250 dental practitioners working in the four main teaching dental hospitals in Peshawar. Dental practitioners were asked to provide answers to parameters influencing their decision towards the need to prescribe antibiotics. The questionnaire further aimed to evaluate how aware the dental clinicians were of antibiotic prophylaxis guidelines and whether they considered themselves adequately trained and confident while prescribing the said medications. Results: Out of the 250 questionnaires sent to the practitioners, 219 (88%) forms were returned. From the total, 109 (49.8%) of the respondents were males, and 23% of the dentists were found to prescribe antibiotics to their patients upon their insistence and antibiotic selection was found to be done based on the patient’s socio-economic status. A considerable percentage of the respondents (71%) preferred to rely on an expert opinion from their seniors or professors for prescribing the correct antibiotics while 30% of the respondents were found to prescribe them empirically. The survey further explored the dental practitioners’ knowledge on calculating the dose of the selected antibiotic based on a patient’s height and weight where only 19% of the respondents were found to present with some factual knowledge. The questionnaire also reviewed the dental practitioners’ awareness regarding antibiotic prophylaxis guidelines; 72% responded positively, 42% admitted to not using the guidelines in their routine clinical practice while 84% of the respondents confirmed unawareness towards the use of any guidelines. Conclusion: There seems to be a clear defect in the education and awareness of dentists concerning antibiotic guidelines influencing their attitudes and this study highlights the importance of gauging the severity of this problem.","PeriodicalId":16625,"journal":{"name":"Journal of Oral Research","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87714213","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}
Pub Date : 2022-03-29DOI: 10.17126/joralres.2022.012
L. Cornejo, Marcela Inés Bella, P. Gigena, A. Ponce, N. Agüero, Elena Hilas
Objective: Oral health is a public health challenge that must be addressed by integrating its social and biological dimensions to adopt a dental practice with a sense of integrality that takes into account the needs and potentialities of each person and context. The objective of this study was to analyze the oral health status of schoolchildren in a socio-environmentally vulnerable urban area of the city of Córdoba, Argentina, within the framework of a comprehensive collective intervention, conducted in the period 2013-2015 at the María del Tránsito Cabanillas school. Material and Methods: The intervention was organized in 3 stages: diagnosis, collective design and implementation of oral health promotion strategies, and evaluation, applying qualitative and quantitative logics appropriate to the object of study. Diagnosis was carried out in 2013, performing a clinical-dental examination of schoolchildren aged 6 to 8 years and a participatory study of the school environment. Results: Based on the diagnostic data, the stage of collective design and implementation of promotion strategies and oral health care was carried out. The evaluation of the intervention was performed through the clinical-dental examination of schoolchildren aged 10 to 12 years who attended the school in 2015, and who, also having attended the same institution in 2013, participated in the diagnostic study and analysis of the qualitative records related to the intervention. Healthy clinical trends and positive assessments by the different actors were observed. Conclusion: The results encourage continuing conducting comprehensive intervention strategies for oral health promotion and care.
目的:口腔健康是一项公共卫生挑战，必须通过整合其社会和生物层面来解决，采用一种考虑到每个人和环境的需求和潜力的整体性牙科实践。本研究的目的是在2013-2015年期间在María del Tránsito Cabanillas学校进行的综合集体干预框架内，分析阿根廷Córdoba市一个社会环境脆弱城市地区学童的口腔健康状况。材料与方法:采用适合研究对象的定性和定量逻辑，将干预分为诊断、集体设计和实施口腔健康促进策略、评估3个阶段。2013年进行了诊断，对6至8岁的学童进行了临床牙科检查，并对学校环境进行了参与性研究。结果:基于诊断数据，开展了口腔保健推广策略的集体设计与实施阶段。干预的评估是通过对2015年在该校就读的10 - 12岁学龄儿童进行临床牙科检查，并对2013年在同一所学校就读的学龄儿童进行诊断研究，并分析与干预相关的定性记录。观察到健康的临床趋势和不同行为者的积极评价。结论:结果鼓励继续实施口腔健康促进和护理的综合干预策略。
{"title":"Promotion of oral health in schoolchildren in the framework of a comprehensive collective intervention, conducted in the period","authors":"L. Cornejo, Marcela Inés Bella, P. Gigena, A. Ponce, N. Agüero, Elena Hilas","doi":"10.17126/joralres.2022.012","DOIUrl":"https://doi.org/10.17126/joralres.2022.012","url":null,"abstract":"Objective: Oral health is a public health challenge that must be addressed by integrating its social and biological dimensions to adopt a dental practice with a sense of integrality that takes into account the needs and potentialities of each person and context. The objective of this study was to analyze the oral health status of schoolchildren in a socio-environmentally vulnerable urban area of the city of Córdoba, Argentina, within the framework of a comprehensive collective intervention, conducted in the period 2013-2015 at the María del Tránsito Cabanillas school. Material and Methods: The intervention was organized in 3 stages: diagnosis, collective design and implementation of oral health promotion strategies, and evaluation, applying qualitative and quantitative logics appropriate to the object of study. Diagnosis was carried out in 2013, performing a clinical-dental examination of schoolchildren aged 6 to 8 years and a participatory study of the school environment. Results: Based on the diagnostic data, the stage of collective design and implementation of promotion strategies and oral health care was carried out. The evaluation of the intervention was performed through the clinical-dental examination of schoolchildren aged 10 to 12 years who attended the school in 2015, and who, also having attended the same institution in 2013, participated in the diagnostic study and analysis of the qualitative records related to the intervention. Healthy clinical trends and positive assessments by the different actors were observed. Conclusion: The results encourage continuing conducting comprehensive intervention strategies for oral health promotion and care.","PeriodicalId":16625,"journal":{"name":"Journal of Oral Research","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77425856","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}
Pub Date : 2022-03-29DOI: 10.17126/joralres.2022.017
Nazargi Mahabob
Background: The incidence of abnormalities in asymptomatic people varies between 10.9% and 69.1%. The aim of this study was to assess the prevalence of pathologies in the maxillary sinuses using CBCT as a diagnostic tool in asymptomatic patients at King Faisal University’s dental clinical complex in Al Hasa, Saudi Arabia. Material and Methods: This retrospective cross-sectional study evaluated the CBCT images of 600 patients (male and female) and consisted of 1200 maxillary sinuses. The included patients ranged from 14–75 years old and were grouped into three age groups: (1) 14–30; (2) 31–60; (3) 61–75. The maxillary sinuses were observed for increased mucosal thickening, polypoidal mucosal thickening, polyps, and opacification changes. A correlation of these pathologic findings with age and gender was analyzed. Statistical analyses included a chi-square test and the significance level was p< 0.05. Results: The incidence of the pathological findings in maxillary sinuses observed was 27.7%. The most common abnormality observed was mucosal thickening (63.3%), followed by polypoidal mucosal thickening (18.4%), opacification (10.2%) and sinus polyps (8.1%). However, there was no significant correlation between different age groups or gender. Conclusion: The prevalence of pathologies in the maxillary sinuses is high in asymptomatic dental patients in this study; hence, dentists should be aware of them and evaluate the entire CBCT images comprehensively, as it will help with early diagnosis and treatment.
{"title":"Prevalence of incidental pathologies in the maxillary sinus among a sample of asymptomatic dental patients using CBCT—a retrospective analysis","authors":"Nazargi Mahabob","doi":"10.17126/joralres.2022.017","DOIUrl":"https://doi.org/10.17126/joralres.2022.017","url":null,"abstract":"Background: The incidence of abnormalities in asymptomatic people varies between 10.9% and 69.1%. The aim of this study was to assess the prevalence of pathologies in the maxillary sinuses using CBCT as a diagnostic tool in asymptomatic patients at King Faisal University’s dental clinical complex in Al Hasa, Saudi Arabia. Material and Methods: This retrospective cross-sectional study evaluated the CBCT images of 600 patients (male and female) and consisted of 1200 maxillary sinuses. The included patients ranged from 14–75 years old and were grouped into three age groups: (1) 14–30; (2) 31–60; (3) 61–75. The maxillary sinuses were observed for increased mucosal thickening, polypoidal mucosal thickening, polyps, and opacification changes. A correlation of these pathologic findings with age and gender was analyzed. Statistical analyses included a chi-square test and the significance level was p< 0.05. Results: The incidence of the pathological findings in maxillary sinuses observed was 27.7%. The most common abnormality observed was mucosal thickening (63.3%), followed by polypoidal mucosal thickening (18.4%), opacification (10.2%) and sinus polyps (8.1%). However, there was no significant correlation between different age groups or gender. Conclusion: The prevalence of pathologies in the maxillary sinuses is high in asymptomatic dental patients in this study; hence, dentists should be aware of them and evaluate the entire CBCT images comprehensively, as it will help with early diagnosis and treatment.","PeriodicalId":16625,"journal":{"name":"Journal of Oral Research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85367543","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}
Pub Date : 2022-02-28DOI: 10.17126/joralres.2022.010
Larissa Moreira-Souza, Francisco Carlos-Groppo, F. Haiter-Neto, L. Asprino
Introduction: The aim of this study was to assess the agreement between oral and maxillofacial radiologists (OMFR) and oral and maxillofacial surgeons (OMFS) for the detection of bifid mandibular canal (BMC) and accessory mental foramen (AMF) using cone-beam computed tomography (CBCT). Material and Methods: This retrospective study involved 22 examiners (11 OMFR and 11 OMFS) who independently assessed 30 CBCT volumes from patients (n = 60 hemi-mandibles) under preoperative radiographic evaluation for implant placement. The examiners scored the presence of BMC and AMF in each hemimandible. The interexaminer agreements were assessed using Fleiss' kappa statistics. Results: For intra-examiner agreement, 40% of the sample was reevaluated. The interexaminer agreement between OMFR and OMFS was slight (0.12) for the detection of BMC and fair (0.24) for AMF. The agreement among OMFR for detection of BMC was fair (0.22), and it was slight among OMFS (0.15). The agreement among OMFR for detection of AMF was substantial (0.61), and among OMFS it was fair (0.22). Agreements between OMFR and OMFS were slight for BMC and fair for AMF, independently of the years of experience. Intraexaminer agreement ranged from 60% to 90% among OMFR and from 55% to 90% among OMFS. Conclusion: A slight and a fair agreement between OMFR and OMFS was found for the detection of BMC and AMF, respectively. In general, OMFR obtained higher agreement among themselves, mainly for detection of AMF.
{"title":"Interexaminer agreement between two dental specialties for the detection of bifid mandibular canal and accessory mental foramen in cone-beam computed tomography","authors":"Larissa Moreira-Souza, Francisco Carlos-Groppo, F. Haiter-Neto, L. Asprino","doi":"10.17126/joralres.2022.010","DOIUrl":"https://doi.org/10.17126/joralres.2022.010","url":null,"abstract":"Introduction: The aim of this study was to assess the agreement between oral and maxillofacial radiologists (OMFR) and oral and maxillofacial surgeons (OMFS) for the detection of bifid mandibular canal (BMC) and accessory mental foramen (AMF) using cone-beam computed tomography (CBCT). Material and Methods: This retrospective study involved 22 examiners (11 OMFR and 11 OMFS) who independently assessed 30 CBCT volumes from patients (n = 60 hemi-mandibles) under preoperative radiographic evaluation for implant placement. The examiners scored the presence of BMC and AMF in each hemimandible. The interexaminer agreements were assessed using Fleiss' kappa statistics. Results: For intra-examiner agreement, 40% of the sample was reevaluated. The interexaminer agreement between OMFR and OMFS was slight (0.12) for the detection of BMC and fair (0.24) for AMF. The agreement among OMFR for detection of BMC was fair (0.22), and it was slight among OMFS (0.15). The agreement among OMFR for detection of AMF was substantial (0.61), and among OMFS it was fair (0.22). Agreements between OMFR and OMFS were slight for BMC and fair for AMF, independently of the years of experience. Intraexaminer agreement ranged from 60% to 90% among OMFR and from 55% to 90% among OMFS. Conclusion: A slight and a fair agreement between OMFR and OMFS was found for the detection of BMC and AMF, respectively. In general, OMFR obtained higher agreement among themselves, mainly for detection of AMF.","PeriodicalId":16625,"journal":{"name":"Journal of Oral Research","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90611040","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}
Pub Date : 2022-02-28DOI: 10.17126/joralres.2022.004
L. Khojastepour, Sahar Assar, Najmeh Movahhedian, M. Mahjoori-ghasrodashti, F. Ahrari
Purpose: This study aimed to determine the prevalence and length of the anterior loop (AL) of the inferior alveolar nerve, and evaluate the emergence direction of the mental nerve and the location of mental foramen in a group of Iranian patients. Material and Methods: This study was carried out on CBCT scans of 150 patients (57 males and 93 females; mean age 40.8 ±14.33 years). The presence and extent of the AL was determined in reconstructed images. The emergence path of the mental nerve was classified into three groups: anteriorly directed emergence, right-angled pattern of emergence, and posteriorly directed emergence. The location of mental foramen relative to adjacent premolars was determined. Results: AL was identified in 14.7% of the cases with a mean length of 1.39± 0.91 mm (range 0.25 to 3.50 mm). No significant differences were observed in the prevalence and extent of the AL between genders (p>0.05). The right-angled pattern of emergence was more dominant (43.7%). The most prevalent location of mental foramen was between the first and second premolars (68.3%). There was no significant association between the presence of AL with the path of emergence of the mental nerve (p=0.627) or the location of the mental foramen (p=0.100). Conclusion: The prevalence of anterior loop was relatively low in the present sample (14.7%) with a length range of 0.25 to 3.5 mm. Due to the importance of this anatomic variation in implant surgery, it is suggested to carefully assess CBCT images before the surgical procedure to avoid neurosensory complications.
目的:本研究旨在测定一组伊朗患者下牙槽神经前袢(AL)的流行程度和长度，评估精神神经的出现方向和精神孔的位置。材料和方法:本研究对150例患者进行CBCT扫描(男性57例，女性93例;平均年龄40.8±14.33岁)。在重建图像中确定AL的存在和程度。心理神经的涌现路径可分为前向涌现、直角型涌现和后向涌现三组。确定颏孔相对于邻近前磨牙的位置。结果:14.7%的病例诊断为AL，平均长度为1.39±0.91 mm (0.25 ~ 3.50 mm)。性别间AL患病率及程度差异无统计学意义(p>0.05)。以直角型羽化为主(43.7%)。第一、第二前磨牙之间为颏孔的最常见位置(68.3%)。AL的存在与精神神经出现路径(p=0.627)和精神孔位置(p=0.100)无显著相关性。结论:本标本前袢的发生率较低(14.7%)，长度范围为0.25 ~ 3.5 mm。由于这种解剖变异在植入手术中的重要性，建议在手术前仔细评估CBCT图像，以避免神经感觉并发症。
{"title":"A cone-beam computed tomography study to assess anterior loop and other anatomic variations in mental foramen area in an Iranian population","authors":"L. Khojastepour, Sahar Assar, Najmeh Movahhedian, M. Mahjoori-ghasrodashti, F. Ahrari","doi":"10.17126/joralres.2022.004","DOIUrl":"https://doi.org/10.17126/joralres.2022.004","url":null,"abstract":"Purpose: This study aimed to determine the prevalence and length of the anterior loop (AL) of the inferior alveolar nerve, and evaluate the emergence direction of the mental nerve and the location of mental foramen in a group of Iranian patients. Material and Methods: This study was carried out on CBCT scans of 150 patients (57 males and 93 females; mean age 40.8 ±14.33 years). The presence and extent of the AL was determined in reconstructed images. The emergence path of the mental nerve was classified into three groups: anteriorly directed emergence, right-angled pattern of emergence, and posteriorly directed emergence. The location of mental foramen relative to adjacent premolars was determined. Results: AL was identified in 14.7% of the cases with a mean length of 1.39± 0.91 mm (range 0.25 to 3.50 mm). No significant differences were observed in the prevalence and extent of the AL between genders (p>0.05). The right-angled pattern of emergence was more dominant (43.7%). The most prevalent location of mental foramen was between the first and second premolars (68.3%). There was no significant association between the presence of AL with the path of emergence of the mental nerve (p=0.627) or the location of the mental foramen (p=0.100). Conclusion: The prevalence of anterior loop was relatively low in the present sample (14.7%) with a length range of 0.25 to 3.5 mm. Due to the importance of this anatomic variation in implant surgery, it is suggested to carefully assess CBCT images before the surgical procedure to avoid neurosensory complications.","PeriodicalId":16625,"journal":{"name":"Journal of Oral Research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89655658","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}
Pub Date : 2022-02-28DOI: 10.17126/joralres.2022.006
Graciela García-Righetti, Adriana Islas-Tejera
Introduction: The World Health Organization (WHO) establishes that breast-feeding must be promoted, supported, and protected due to its benefits in maternal and child health and for the economic, environmental, family and community benefits it produces. Case Report: Ankyloglossia in the newborn can cause early cessation of breastfeeding. A clinical case of a 2-month-old baby, referred to the surgical team of the Dental Service of the Pereira Rossell Hospital Center, with difficulties in breastfeeding due to ankyloglossia is presented. Diagnosis and laser surgical treatment was performed. In the immediate postoperative period, there was an improvement, achieving breastfeeding without the aid of devices, and a progressive improvement during the month following the intervention occurred. Conclusion: Early diagnosis and timely intervention collaborate in the maintenance of lactation and in the progressive improvement of the process.
{"title":"Tongue-tie in babies. Diagnosis and laser frenectomy. Case report","authors":"Graciela García-Righetti, Adriana Islas-Tejera","doi":"10.17126/joralres.2022.006","DOIUrl":"https://doi.org/10.17126/joralres.2022.006","url":null,"abstract":"Introduction: The World Health Organization (WHO) establishes that breast-feeding must be promoted, supported, and protected due to its benefits in maternal and child health and for the economic, environmental, family and community benefits it produces. Case Report: Ankyloglossia in the newborn can cause early cessation of breastfeeding. A clinical case of a 2-month-old baby, referred to the surgical team of the Dental Service of the Pereira Rossell Hospital Center, with difficulties in breastfeeding due to ankyloglossia is presented. Diagnosis and laser surgical treatment was performed. In the immediate postoperative period, there was an improvement, achieving breastfeeding without the aid of devices, and a progressive improvement during the month following the intervention occurred. Conclusion: Early diagnosis and timely intervention collaborate in the maintenance of lactation and in the progressive improvement of the process.","PeriodicalId":16625,"journal":{"name":"Journal of Oral Research","volume":"120 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78134756","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}
Pub Date : 2022-02-28DOI: 10.17126/joralres.2022.008
María Hernández-Carrera, Mónica Hernández-Chávez, Luis Jara-Reyes, Natalia Vilches-Blanco
Aim: To determine the type and frequency of sequelae in permanent teeth as a result of traumatic dental injuries in primary teeth in pediatric patients attended to at the Hospital Base Valdivia, between 2007 and 2012. Material and Methods: A descriptive study was conducted. The medical records of pediatric patients who were affected by traumatic dental injuries in primary teeth and went to the Sub-department of Dentistry of the Hospital Base Valdivia, Chile, were selected according to inclusion and exclusion criteria. The recorded data was: age of the child at the time of the accident, gender, affected primary tooth, type of traumatic dental injuries, and diagnosis of the permanent successor tooth. Descriptive statistics were performed. A chi-square test was used to establish differences between type of traumatic dental injuries and condition of the permanent tooth. Results: The most frequent diagnosis of traumatic dental injuries in primary dentition was subluxation. The primary tooth with the highest frequency of traumatic dental injuries was the right maxillary central incisor; 58.2% of the permanent successors presented some developmental disturbances. The most frequent sequelae observed in permanent teeth were chronological alterations of the eruption. Conclusion: There is a high frequency of sequelae in permanent dentition as a result of trauma in primary dentition. The most frequent sequel observed was chronological alteration of the eruption. It is fundamental to inform parents about the possible consequences that could arise and emphasize the importance of attending periodic follow up in order to prevent or minimize possible sequelae in permanent teeth.
{"title":"Sequelae in permanent dentition after trauma in primary dentition in patients assi-sted at Hospital Base Valdivia, Chile","authors":"María Hernández-Carrera, Mónica Hernández-Chávez, Luis Jara-Reyes, Natalia Vilches-Blanco","doi":"10.17126/joralres.2022.008","DOIUrl":"https://doi.org/10.17126/joralres.2022.008","url":null,"abstract":"Aim: To determine the type and frequency of sequelae in permanent teeth as a result of traumatic dental injuries in primary teeth in pediatric patients attended to at the Hospital Base Valdivia, between 2007 and 2012. Material and Methods: A descriptive study was conducted. The medical records of pediatric patients who were affected by traumatic dental injuries in primary teeth and went to the Sub-department of Dentistry of the Hospital Base Valdivia, Chile, were selected according to inclusion and exclusion criteria. The recorded data was: age of the child at the time of the accident, gender, affected primary tooth, type of traumatic dental injuries, and diagnosis of the permanent successor tooth. Descriptive statistics were performed. A chi-square test was used to establish differences between type of traumatic dental injuries and condition of the permanent tooth. Results: The most frequent diagnosis of traumatic dental injuries in primary dentition was subluxation. The primary tooth with the highest frequency of traumatic dental injuries was the right maxillary central incisor; 58.2% of the permanent successors presented some developmental disturbances. The most frequent sequelae observed in permanent teeth were chronological alterations of the eruption. Conclusion: There is a high frequency of sequelae in permanent dentition as a result of trauma in primary dentition. The most frequent sequel observed was chronological alteration of the eruption. It is fundamental to inform parents about the possible consequences that could arise and emphasize the importance of attending periodic follow up in order to prevent or minimize possible sequelae in permanent teeth.","PeriodicalId":16625,"journal":{"name":"Journal of Oral Research","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81374031","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}
Pub Date : 2022-01-30DOI: 10.17126/joralres.2022.005
C. Farfán, Camila Venegas, M. Lezcano, Ramón Fuentes
Introduction: Chewing is a learned orofacial function, important in the nutrition process of most mammals. It has been described that it can vary according to the characteristics of the individuals and the characteristics of the food. The aim of this study was to compare the kinematic cha-racteristics of mastication in subjects with different body mass index (BMI), including foods of different hardness in the analysis. Material and Methods: A cross-sectional observational study was con- ducted. The mastication of 3.7 g of peanut (soft food) and 3.7 g of carrot (hard food) was compared among three study groups formed according to BMI: normal weight (BMI 18.5-24.9), overweight (BMI 25-29.9) and obese (BMI ?30); each with 7 participants. The kinematics of the masticatory movement were assessed with a 3D Electromagnetic Articulograph, the characteristics analyzed were number of masticatory cycles, masticatory frequency, speed and area of the cycles. Results: No significant differences were noted among the study groups for the number of masticatory cycles, frequency or speed in the two foods studied. It was observed that when chewing carrot, the horizontal area of the masticatory cycles was significantly larger in the obese than in the overweight group. However, when chewing peanuts, this parameter did not present significant differences among the different groups. A comparison of the characteristics of mastication of the two foods revealed that the carrot chewing presented a significantly greater masticatory frequency and speed than the peanut chewing. Conclusion: This study demonstrated that food hardness influences the kinematic characteristics of mastication more than BMI, noting that hard foods are masticated faster and more frequently than soft foods and that masticatory frequency tends to increase with BMI.
{"title":"Masticatory function according to body mass index. Part I: kinematic analysis using different food textures","authors":"C. Farfán, Camila Venegas, M. Lezcano, Ramón Fuentes","doi":"10.17126/joralres.2022.005","DOIUrl":"https://doi.org/10.17126/joralres.2022.005","url":null,"abstract":"Introduction: Chewing is a learned orofacial function, important in the nutrition process of most mammals. It has been described that it can vary according to the characteristics of the individuals and the characteristics of the food. The aim of this study was to compare the kinematic cha-racteristics of mastication in subjects with different body mass index (BMI), including foods of different hardness in the analysis. Material and Methods: A cross-sectional observational study was con- ducted. The mastication of 3.7 g of peanut (soft food) and 3.7 g of carrot (hard food) was compared among three study groups formed according to BMI: normal weight (BMI 18.5-24.9), overweight (BMI 25-29.9) and obese (BMI ?30); each with 7 participants. The kinematics of the masticatory movement were assessed with a 3D Electromagnetic Articulograph, the characteristics analyzed were number of masticatory cycles, masticatory frequency, speed and area of the cycles. Results: No significant differences were noted among the study groups for the number of masticatory cycles, frequency or speed in the two foods studied. It was observed that when chewing carrot, the horizontal area of the masticatory cycles was significantly larger in the obese than in the overweight group. However, when chewing peanuts, this parameter did not present significant differences among the different groups. A comparison of the characteristics of mastication of the two foods revealed that the carrot chewing presented a significantly greater masticatory frequency and speed than the peanut chewing. Conclusion: This study demonstrated that food hardness influences the kinematic characteristics of mastication more than BMI, noting that hard foods are masticated faster and more frequently than soft foods and that masticatory frequency tends to increase with BMI.","PeriodicalId":16625,"journal":{"name":"Journal of Oral Research","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73529535","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}
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