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Effect of Different Levels of Salivary pH on the Shear Bond Strength of Two Orthodontic Adhesive Systems for Bracket Placement: An In-vitro Study 不同唾液pH水平对两种正畸托槽粘接系统剪切结合强度的影响:体外研究
Q3 Dentistry Pub Date : 2020-01-01 DOI: 10.4103/jofs.jofs_109_19
Angelita Carpio Contreras, Abraham López, L. Arriola-Guillén
Introduction: The aim of this study was to compare the effect of four different salivary pH levels on the shear bond strength (SBS) of two orthodontic adhesive systems for bracket placement. Materials and Methods: This in-vitro experimental study was performed on 72 premolars extracted for orthodontic reasons. They were randomly assigned into two groups according to the adhesive system employed: Orthocem (light-cure adhesive, FGM®) or Transbond-XT (3M Unitek). Each group involved nine specimens incubated in artificial saliva at four pH levels regarding previous studies: acidic pH (4.8 and 5.8), control pH (6.8) and alkaline pH (7.8), during two months. Once removed, shear bond strength with a universal testing machine was applied. The SBS comparisons between adhesive systems was obtained using t-test and for salivary pH levels in each group one-way ANOVA and Tukey tests were used (P < 0.05). Results: Transbond-XT adhesive system showed the greater SBS, mainly in the neutral salivary pH (11.18 ± 2.82 Mpa) followed by the alkaline (10.33 ± 2.49 Mpa) (P > 0.05). Significant differences were found regarding to both acidic pH levels (pH 4.8 and 5.8) with values between 6 and 8 MPa (P < 0.05). Moreover, Orthocem adhesive system had lower SBS values, with greater value in the neutral salivary pH (6.24 Mpa), don’t achieved significant differences with the other pH levels; 4.74 Mpa for pH 4.8 and 5.05 Mpa for pH 5.8. Conclusion: Transbond XT orthodontic adhesive system showed only greater values of SBS only for the control and alkaline pH levels; for acidic pH levels there was no difference between the two systems. This situation must be taken into account by clinicians.
引言:本研究的目的是比较四种不同唾液pH水平对两种用于托槽放置的正畸粘合剂系统的剪切结合强度(SBS)的影响。材料与方法:对72颗因正畸原因拔除的前磨牙进行体外实验研究。根据使用的粘合剂系统,他们被随机分为两组:Orthocem(光固化粘合剂,FGM®)或Transbond XT(3M Unitek)。根据之前的研究,每组包括9个在人工唾液中培养的样本,其pH值为四个水平:酸性pH值(4.8和5.8)、对照pH值(6.8)和碱性pH值(7.8),为期两个月。移除后,使用通用试验机施加剪切结合强度。结果:Transbond-XT粘合剂系统显示出更大的SBS,主要在中性唾液pH(11.18 ± 2.82Mpa),然后是碱性(10.33 ± 2.49Mpa)(P>0.05)。两种酸性pH水平(pH 4.8和5.8)的值在6-8之间存在显著差异 此外,Orthocem粘合剂体系的SBS值较低,在中性唾液pH(6.24Mpa)下的SBS值较大,与其他pH水平没有显著差异;pH 4.8时为4.74Mpa,pH 5.8时为5.05Mpa。结论:Transbond-XT口腔正畸粘合剂体系仅在对照和碱性pH水平下显示出较大的SBS值;对于酸性pH水平,两个系统之间没有差异。临床医生必须考虑到这种情况。
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引用次数: 1
Study on TNFRSF mRNA Alterations and P53 Mutation in Head and Neck Squamous Cell Carcinoma 头颈部鳞状细胞癌TNFRSF mRNA表达及P53突变的研究
Q3 Dentistry Pub Date : 2020-01-01 DOI: 10.4103/jofs.jofs_139_19
T. Rooban, Immanuel Joseph, S. Preetha, Joshua Elizabeth, Umadevi Krishna Rao, K. Ranganathan
Introduction: Head and neck squamous cell cancer (HNSCC) is a common cancer worldwide. It has been associated with TP53 mutation and chronic inflammation. The control genes of inflammation, Tumor Necrosis Factor Receptor Superfamily (TNFRSF) in HNSCC has not been widely reported. The impact of the TNFRSF and survival and cell death regulation signalling (SCDRS) can be studied at protein, gene, mRNA and transcription level. In this manuscript, the association of mRNA of TNFRSF and SCDRS genes in treatment naïve HNSCC with TP53 mutation is studied. Materials and Methods: TP53 mutation, tobacco use and mRNA levels of TNFRSF and SCDRS genes of 520 HNSCC cases were collated and analysed. Statistical and differential expression (DE) analysis was performed. Results: A total of 12 genes of the 51 genes studied were DE between TP53 subgroups. They were SCDRS genes (BAD, CASP9, GSK3B, NFKB2, TGFBR1, TGFBR2) and TNFRSF genes (TNFRSF10A/11B/14/25/6B/9). The network analysis and subsequent KEGG pathway analysis identified several key pathways including vital cancer pathways and transcriptional pathways in cancer. The key genes in the network that modulate TNFRSF and SCDRS mRNA expression in wild and mutant TP53 situation are presented. Conclusion: The present work identified certain key TNFRSF and SCDRS mRNAs that could differ based on TP53 status and count with tobacco use. Also this study identified certain pathways where the gene network could potentially alter the HNSCC progression, treatment response and prognosis. This adds to our knowledge of TP53 and inflammation in HNSCC carcinogenesis.
简介:癌症(HNSCC)是世界范围内常见的癌症。它与TP53突变和慢性炎症有关。HNSCC中的炎症控制基因,肿瘤坏死因子受体超家族(TNFRSF)尚未被广泛报道。TNFRSF和存活和细胞死亡调节信号传导(SCDRS)的影响可以在蛋白质、基因、mRNA和转录水平上进行研究。本文研究了TNFRSF和SCDRS基因在治疗早期HNSCC中的mRNA与TP53突变的关系。材料和方法:对520例HNSCC患者的TP53突变、烟草使用情况以及TNFRSF和SCDRS基因的mRNA水平进行了整理和分析。进行统计学和差异表达(DE)分析。结果:研究的51个基因中,共有12个基因在TP53亚组之间存在DE。它们是SCDRS基因(BAD、CASP9、GSK3B、NFKB2、TGFBR1、TGFBR2)和TNFRSF基因(TNFRSF10A/11B/14/25/6B/9)。网络分析和随后的KEGG通路分析确定了几个关键通路,包括癌症中重要的癌症通路和转录通路。介绍了在野生和突变体TP53情况下调节TNFRSF和SCDRS mRNA表达的网络中的关键基因。结论:本工作确定了某些关键的TNFRSF和SCDRS mRNA,它们可能因TP53状态和烟草使用计数而不同。此外,这项研究还确定了基因网络可能改变HNSCC进展、治疗反应和预后的某些途径。这增加了我们对HNSCC致癌过程中TP53和炎症的了解。
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引用次数: 0
Cone Beam CT Evaluation of Bilateral Maxillary Sinus Hypoplasia with Unilateral Mandibular Hypertrophy 锥束CT评价双侧上颌窦发育不良伴单侧下颌骨肥大
Q3 Dentistry Pub Date : 2020-01-01 DOI: 10.4103/jofs.jofs_66_19
M. Bindakhil, M. Mupparapu
Maxillary sinus hypoplasia (MSH) is a rare condition characterized by underdevelopment or decrease in the volume of the maxillary sinus. It is thought that MSH may be embryological in origin but acquired etiologies have also been discussed in the literature. MSH is usually detected upon radiographic examination of the maxillofacial area. Three types have been described based on variations in sinus anatomy. A case of bilateral maxillary sinus hypoplasia with concurrent hemimandibular hypertrophy is presented, and pertinent clinical and cone beam computed tomography findings are reported.
上颌窦发育不全(MSH)是一种罕见的情况,其特征是上颌窦发育不足或体积减少。人们认为MSH可能起源于胚胎,但文献中也讨论了后天病因。MSH通常是在颌面部的放射学检查中检测到的。根据鼻窦解剖结构的变化,已经描述了三种类型。报告了一例双侧上颌窦发育不全伴半下颌肥大的病例,并报告了相关的临床和锥形束计算机断层扫描结果。
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引用次数: 1
Oral Medicine Achieves Specialty Recognition by the American Dental Association 口腔医学获得美国牙科协会的专业认可
Q3 Dentistry Pub Date : 2020-01-01 DOI: 10.4103/jofs.jofs_40_20
E. Stoopler
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引用次数: 2
Aspiring a Paradigm Shift in the Current Understanding of Oral Health Promotion by Testing the Possibility of Deriving Requisite Manpower Using Basic Clinical Data: An Epidemiological Investigation 以流行病学调查为基础的临床资料,测试获得必要人力的可能性,以期改变目前对口腔健康促进的认识
Q3 Dentistry Pub Date : 2020-01-01 DOI: 10.4103/jofs.jofs_28_20
V. Chandu, V. Mullapudi, Srinivas Pachava, V. Viswanath
Introduction: Majority of rural dental outreach programs focus on screening the subjects attending the programs and providing oral health education for them. There has only been limited emphasis on the provision of care as a part of the outreach activities for the geographically disadvantaged rural population. The objective of this study is to check whether the basic clinical data as collected in the form of number of decayed teeth can be a valid and reliable predictor in calculation of requisite time for provision of restorative services by developing a predicting equation from the data obtained on 400 subjects in outreach activities and subsequently testing the predicting general linear equation for predictive accuracy. Materials and Methods: The number of decayed teeth in each of the participants was recorded along with collection of demographic data from the study participants. Data obtained from the 400 participants was used to generate a predicting equation after running a backward stepwise multiple linear regression. The equation was subsequently tested among a subsample of 200 participants from the exploratory sample and an independent validatory sample of 200. SPSS version 20 software, multiple linear regression, Wilcoxon signed rank test, Mann Whitney U test were used in data analysis. Results: Number of decayed teeth was observed to be a single, significant predictor of the man hours required in provision of restorative care. The predicting equation generated had good predictive accuracy and predictive stability as observed from the non-significant differences between the requisite time calculated using the predicting equation and that clinically determined by the calibrated examiner among both the subsample of exploratory sample and the validatory sample. Conclusion: The predicting equation generated in this study accurately and consistently estimated the requisite man hours necessary for provision of restorative oral health care in outreach programs.
简介:农村口腔外展项目的重点是对参加项目的对象进行筛查,并对其进行口腔健康教育。作为对地理上处于不利地位的农村人口的外联活动的一部分,只有限地强调提供护理。本研究的目的是检验以蛀牙数形式收集的基本临床数据是否可以作为计算提供修复服务所需时间的有效可靠的预测因子,通过从400名被试的外展活动中获得的数据建立预测方程并随后测试预测的一般线性方程的预测准确性。材料和方法:记录每位参与者的蛀牙数量,并收集研究参与者的人口统计数据。从400名参与者中获得的数据被用于在运行反向逐步多元线性回归后生成预测方程。该方程随后在200个探索性样本和200个独立验证样本的子样本中进行了测试。采用SPSS 20版软件、多元线性回归、Wilcoxon sign rank检验、Mann Whitney U检验进行数据分析。结果:观察到蛀牙数量是提供恢复性护理所需工时的单一显著预测因子。从使用预测方程计算的所需时间与校准审查员在探索性样本和验证性样本的子样本中临床确定的所需时间之间的无显著差异可以看出,所生成的预测方程具有良好的预测准确性和预测稳定性。结论:本研究生成的预测方程准确且一致地估计了在外展项目中提供恢复性口腔保健所需的必要工时。
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引用次数: 0
A Finite Element Analysis of Biomechanics in Distraction Osteogenesis of Ascending Ramus Lengthening between Males and Females—A Comparative Study 男性和女性上行支延长牵张成骨的生物力学有限元分析——比较研究
Q3 Dentistry Pub Date : 2020-01-01 DOI: 10.4103/jofs.jofs_97_19
A. Al-Khatib, Lamiaa A. Hasan, M. Alrawi, E. Alhajar
Introduction: The asymmetry of mandibular ascending ramus leads to serious orthodontic problems in the dentofacial complex. This study was aimed to assess the effects of gender bone properties difference on biomechanics of distraction osteogenesis that used for ascending ramus lengthening with different forces. Materials and Methods: A 3D mandibular model was constructed and an oblique osteotomy line was made. The force was applied perpendicular to the osteotomy line in a bidirectional manner with three different distraction rates (5 mm, 10 mm and 15 mm). Results: Male and female models showed the same maximum Von Mises stress value and the same distribution with the same force, the maximum stress value for 5mm, 10mm and 15mm rates were greater than the ultimate tensile stress for the human bone. The displacement within the three rates in X, Y and Z directions was higher for male than female. The displacements in all three directions were more prominent in the mandibular chin area. Conclusion: No gender difference in stress values and distribution with more anterior displacement in male than female. This site of distraction results in forward and anti-clockwise rotation of the mandible resulting in reducing anterior facial height.
下颌升支的不对称导致牙面复合体的严重正畸问题。本研究旨在评估性别骨特性差异对不同力量牵张成骨术用于升支延长生物力学的影响。材料与方法:建立三维下颌骨模型,制作斜截骨线。以三种不同的牵张率(5mm, 10mm和15mm)垂直于截骨线双向施加力。结果:男女模型Von Mises最大应力值相同,受力分布相同,5mm、10mm、15mm速率下的最大应力值均大于人骨极限拉应力。在X、Y和Z三个方向上,男性的位移率高于女性。三个方向的移位在下颌区域更为明显。结论:应力值及分布无性别差异,且男性前移位多于女性。这个牵张部位导致下颌骨向前和逆时针旋转,从而降低面部前高度。
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引用次数: 4
Disinfection Trends of Dental X-ray Machines in North American Dental Schools 北美牙科学校牙科x光机消毒趋势
Q3 Dentistry Pub Date : 2020-01-01 DOI: 10.4103/jofs.jofs_39_20
M. Mupparapu, Angela D Lo
Introduction: This study evaluates the trends in the disinfection of the dental X-ray machines in North American dental schools. The methods of disinfection were compared to the Centers for Disease Control (CDC) guidelines. Materials and Methods: A survey posed the question of whether plastic barrier wrap, bag, disinfecting wipes, or a combination were used for infection control of the tube head. Additional information was gathered from the dental schools’ infection policy guides and clinic manuals available online. Results: Of the forty-two Canadian and US dental schools surveyed, 24% used disinfectant wipes, 19% used bags, 19% used plastic surface barriers, and 38% used a combination. Conclusion: The majority of schools used a combination of the three methods, and all institutions abided by the CDC guidelines. As bags are more cumbersome to use with a rectangular collimator, wipes and barriers are arguably better methods to disinfect the X-ray tube head.
简介:本研究评估了北美牙科学校牙科x光机消毒的趋势。消毒方法与疾病控制中心(CDC)指南进行了比较。材料与方法:对管头感染控制是否使用塑料屏障膜、消毒袋、消毒湿巾或两者结合的问题进行调查。从牙科学校的感染政策指南和诊所在线手册中收集了更多信息。结果:在接受调查的42所加拿大和美国牙科学校中,24%使用消毒湿巾,19%使用塑料袋,19%使用塑料表面屏障,38%使用两者的组合。结论:大多数学校采用三种方法相结合,所有机构均遵守CDC指南。由于使用矩形准直仪时使用消毒袋比较麻烦,湿巾和屏障无疑是消毒x射线管头的更好方法。
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引用次数: 0
“Estimation of Midkine Levels in Gingival Crevicular Fluid and Serum in Periodontal Health, Disease and After Treatment” − A Clinico Biochemical Study “在牙周健康、疾病和治疗后评估龈沟液和血清中的中间因子水平”−一项临床生化研究
Q3 Dentistry Pub Date : 2019-07-01 DOI: 10.4103/jofs.jofs_149_19
D. Reddy, V. Vineetha, Dodla Alekya, M. Sameevulla, N. Reddy, D. Babu
Introduction: The objective of the present study was to evaluate the role of Midkine in periodontal disease progression and also to investigate the effect of periodontal therapy on Midkine concentration in serum and gingival crevicular fluid (GCF). Materials and Methods: Clinical parameters including gingival index, pocket probing depth, clinical attachment level were recorded for 60 subjects divided into four equal groups Group I (healthy), Group II (gingivitis), Group III (chronic periodontitis), and Group IV (post treatment group). Scaling and root planning were performed and GCF and serum were collected initially and after 8 weeks of treatment. Midkine levels were estimated using enzyme-linked immunosorbent assay. Results: The mean Midkine concentration in GCF and serum was found to be the highest in group III, and significantly defers from group-I, II, and IV. The results of present study also suggest that Midkine levels increased progressively in GCF and serum from healthy to periodontitis subjects and levels decreased considerably after scaling and root planning. Conclusion: As the periodontal disease progresses, there is a substantial increase of Midkine concentrations in serum and GCF. The data indicate that high GCF and serum levels of Midkine are at significantly greater risk for progression of periodontitis However, controlled, longitudinal studies are needed to confirm this possibility.
本研究的目的是评估Midkine在牙周病进展中的作用,并探讨牙周治疗对血清和龈沟液(GCF)中Midkine浓度的影响。材料与方法:将60例受试者分为健康组、牙龈炎组、慢性牙周炎组和治疗后组,记录其牙龈指数、牙袋探探深度、临床依恋水平等临床参数。治疗初期和治疗8周后分别进行刮治和根规划,收集GCF和血清。使用酶联免疫吸附法估计Midkine水平。结果:GCF和血清中Midkine的平均浓度在III组最高,明显低于i、II和IV组。本研究结果还表明,从健康到牙周炎患者,GCF和血清中Midkine的水平逐渐升高,而在刮治和牙根计划后,其水平明显下降。结论:随着牙周病的进展,血清和牙周液中Midkine浓度显著升高。数据表明,高GCF和血清Midkine水平显著增加牙周炎进展的风险。然而,需要对照的纵向研究来证实这种可能性。
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引用次数: 0
Effects of Vitamin D in Alveolar Bone Remodeling on Osteoblast Numbers and Bone Alkaline Phosphatase Expression in Pregnant Rats During Orthodontic Tooth Movement 维生素D在牙槽骨重建中对孕大鼠正畸牙齿运动过程中成骨细胞数量和骨碱性磷酸酶表达的影响
Q3 Dentistry Pub Date : 2019-07-01 DOI: 10.4103/jofs.jofs_10_19
Puteri Nazirah Megat Badarul Hisham, I. Narmada, A. Alida, Dwi Rahmawati, A. Nugraha, N. Putranti
Introduction: The vitamin D effect on orthodontic tooth movement in pregnant women remains unknown. The aim of this study was to investigate the post administration of vitamin D effect on osteoblast numbers and bone alkaline phosphatase (BALP) expression in the tension side in pregnant rats during orthodontic tooth movement. Materials and Methods: This study was an in vivo animal experiment; 28 healthy female Wistar rats (Rattus norvegicus) (16–20 weeks’ old) were divided into four groups, with or without intramuscular administration of vitamin D, which were to be observed after 7 and 14 days. Pregnancy was induced with pregnant mare serum gonadotropin and human chorionic gonadotropin. Nickel–titanium coil springs with 30 g/mm2 of force were connected between the right maxillary incisors and the right maxillary first molar. After 7 and 14 days, the animals were sacrificed. Statistical Analysis Used: Analysis of variance with post hoc test (P < 0.05) was performed based on the results of a Levene’s test and a Kolmogorov–Smirnov test (P > 0.05). Results: The highest number of osteoblasts occurred in the C-7 group with mean ± standard deviation of 20.54 ± 8.4. Statistically significant differences were seen in decreased osteoblast number between groups (P = 0.001, P < 0.05). The highest BALP expression was in the E-7 group (3.40 ± 1.625). Nevertheless, no statistically significant difference was observed between the groups (P = 0.240, P > 0.05) in the expression of BALP. Conclusion: The post administration of vitamin D during orthodontic tooth movement in pregnant rats produced no significant enhancement on BALP expression and osteoblast number.
引言:维生素D对孕妇正畸牙齿运动的影响尚不清楚。本研究的目的是研究维生素D给药后对妊娠大鼠正畸牙齿运动过程中张力侧成骨细胞数量和骨碱性磷酸酶(BALP)表达的影响。材料与方法:本研究为动物体内实验;28只健康雌性Wistar大鼠(褐家鼠)(16-20周龄)被分为四组,有或没有肌肉注射维生素D,分别在7天和14天后观察。孕马血清促性腺激素和人绒毛膜促性腺激素诱导妊娠。镍钛螺旋弹簧,带30 g/mm2的力连接在右上颌切牙和右上颌第一磨牙之间。在7和14天后,处死动物。使用的统计分析:根据Levene’s检验和Kolmogorov–Smirnov检验的结果进行方差分析(P<0.05)。结果:C-7组成骨细胞数量最多,平均 ± 20.54的标准偏差 ± 8.4成骨细胞数量的减少在各组间有统计学意义(P = 0.001,P<0.05)。E-7组BALP表达最高(3.40 ± 1.625),但两组间差异无统计学意义(P = 0.240、P>0.05)。结论:在孕鼠正畸牙齿移动过程中给予维生素D后,BALP表达和成骨细胞数量没有显著增加。
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引用次数: 10
Computer-Assisted Learning vs. Small Group Tutorials in Periodontal Charting: A Randomized Controlled Trial in a Malaysian Dental School 牙周图的计算机辅助学习与小组辅导:马来西亚牙科学校的随机对照试验
Q3 Dentistry Pub Date : 2019-07-01 DOI: 10.4103/jofs.jofs_115_19
B. S. Thomas, M. Alexander, M. NurSulwana, H. Yap
Introduction: Dental education, like most fields of healthcare education, embraces all three domains of learning − cognitive, psychomotor and affective. The aim of this study was to determine whether computer-assisted learning (CAL) can replace face-to-face teaching with reference to acquiring theoretical as well as practical skills in periodontal charting in dentistry. Material and Methods: A total of 70 year 4 dental students were randomly assigned to CAL and Small Group Tutorial (SGT) groups. Following the sessions, they underwent theoretical knowledge as well as practical skills evaluation tests. Pre- and post-tests Confidence Log Questionnaires (CLQ) were completed by the students. Results: CAL and SGT were equally effective from the theoretical knowledge aspect. SGT group did better in some aspects of practical skills acquisition. Conclusion: There was no statistical difference in the theoretical knowledge acquired by the different methods, whereas small group teaching was more effective in gaining certain psychomotor skills in periodontal charting, leading us to conclude that face-to-face teaching seems to be having an upper hand when it comes to teaching periodontal charting.
引言:牙科教育与大多数医疗保健教育领域一样,涵盖了认知、心理运动和情感三个学习领域。本研究的目的是确定计算机辅助学习(CAL)是否可以取代面对面教学,以获得牙科牙周图的理论和实践技能。材料和方法:将70名4年级的牙科学生随机分为CAL组和小组辅导组。课程结束后,他们接受了理论知识和实践技能评估测试。测试前和测试后的信心日志问卷(CLQ)由学生完成。结果:CAL和SGT在理论知识方面效果相当。SGT组在实践技能获取的某些方面做得更好。结论:不同方法获得的理论知识没有统计学差异,而小组教学在获得牙周图的某些心理运动技能方面更有效,这使我们得出结论,在牙周图教学中,面对面教学似乎占了上风。
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引用次数: 0
期刊
Journal of Orofacial Sciences
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