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Pediatric leukemia 小儿白血病
Pub Date : 2015-01-01 DOI: 10.4103/2321-6646.151841
KL Girish Babu, G. Doddamani, J. Mathew, K. Jagadeesh, L. K. Kumaraswamy Naik
Leukemia, although a rare disease, exceeds a cause of death from many of the acute communicable diseases because of its fatal character. It is characterized by widespread, rapid, and disorderly proliferation of leukocytes. In India, leukemia is the most common childhood cancer with a relative proportion varying between 25% and 40% and continues to be the largest contributor to cancer-related mortality in children. This paper reviews the etiology, risk factors, diagnosis, oral complications, and prognosis of pediatric leukemia.
白血病虽然是一种罕见的疾病,但由于其致命的特点,在许多急性传染病中超过了死亡原因。它的特点是白细胞广泛、迅速、无序地增殖。在印度,白血病是最常见的儿童癌症,相对比例在25%至40%之间,并且仍然是儿童癌症相关死亡率的最大贡献者。本文综述了小儿白血病的病因、危险因素、诊断、口腔并发症及预后。
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引用次数: 3
What do parents say about their children′s oral health on twitter? 父母在推特上对孩子的口腔健康说了些什么?
Pub Date : 2015-01-01 DOI: 10.4103/2321-6646.151842
Shirin A. Mullen, B. Gerbert, Natalie Heaivilin, B. Lin, Jens Page, J. Tsoh
Using twitter, a social networking platform, this study examined parents′ perceptions and behaviors related to their child′s oral health. Publically available tweets on twitter were extracted from 14 randomly selected nonconsecutive days in December 2012 and January 2013. A total of 1073 tweets meeting the search criteria were included and analyzed. Parents frequently described events related to their children′s dental eruption, exfoliation, and grinding on twitter, which accounted for close to half of the tweets. One in three (32%) concerns that parents raised was related to one of these events. Concerns about dental esthetics represented the largest category of concerns (28%) that parents had. The most frequent actions described were related to dental visits (61%) and caries prevention (33%). More than half of the tweets contained an associated attitude of the parents themselves or their children (57%) with 2 in 3 attitudes related to dental settings, such as dental visits, being negative. Twitter can serve as a rich source of data on parental perceptions and behaviors related to their child′s oral health. Future research is warranted to better understand how social media can facilitate parental positive attitudes and oral health promotion behaviors.
利用社交网络平台twitter,这项研究调查了父母对孩子口腔健康的看法和行为。从2012年12月和2013年1月随机抽取14个非连续的日子,提取twitter上公开的tweets。总共纳入并分析了1073条符合搜索条件的推文。父母经常在推特上描述与孩子的牙齿长牙、脱落和磨牙有关的事件,这些事件占推文的近一半。父母提出的担忧中有三分之一(32%)与这些事件之一有关。对牙齿美观的担忧是父母最大的担忧类别(28%)。最常见的行为是看牙医(61%)和预防龋齿(33%)。超过一半的推文包含了父母自己或孩子的相关态度(57%),其中三分之二的态度与牙科设置有关,比如看牙医,是消极的。Twitter可以作为一个丰富的数据来源,了解父母对孩子口腔健康的看法和行为。未来的研究有必要更好地了解社交媒体如何促进父母的积极态度和口腔健康促进行为。
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引用次数: 2
Internal resorption in an incisor with dens invaginatus 内凹牙切牙的内吸收
Pub Date : 2014-09-01 DOI: 10.4103/2321-6646.145586
Z. Kırzıoglu, Z. Çiftçi
Dens invaginatus is a developmental malformation of teeth that most commonly affects permanent maxillary lateral incisor. The clinical importance of dens invaginatus results from the risk of pulpal disease. The presence of dens invaginatus with internal resorption is extremely rare. Hence, all clinicians should be aware of this anomally. The present case describes the treatment and prognosis of an unusual case of dens invaginatus with internal resorption in a maxillary lateral incisor. Endodontic treatment with using Gutta-percha and root canal sealer was considered successful at the 7-year follow-up.
牙凹是一种发育畸形的牙齿,最常见的影响永久上颌侧切牙。牙槽内陷的临床重要性来自于牙髓疾病的风险。内陷牙槽合并内吸收是极为罕见的。因此,所有临床医生都应该意识到这种异常。本病例描述了治疗和预后的一个不寻常的情况下凹牙与内吸收在上颌侧切牙。在7年的随访中,使用杜仲胶和根管密封剂进行根管治疗被认为是成功的。
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引用次数: 1
Is computer aided design-computer aided manufacturing including to Pediatric Dentistry? 计算机辅助设计-计算机辅助制造包括儿童牙科吗?
Pub Date : 2014-09-01 DOI: 10.4103/2321-6646.145591
R. Uzgur
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引用次数: 1
A retrospective study of nontraumatic dental condition-related visits to dental hospital emergency service 非创伤性牙病相关的牙科医院急诊就诊回顾性研究
Pub Date : 2014-09-01 DOI: 10.4103/2321-6646.145582
M. Sari, A. Koyuturk, L. Tomak, B. Ozmen, U. Tokay
This study aims to evaluate patients with nontraumatic dental condition-related visits to the dental hospital emergency service as well as the associate factors. Between June 2007 and June 2011, automation-system based data from 147.840 patients 62.4% were males, 37.6% were females who were admitted to Samsun Dental Hospital Emergency Service in Turkey with nontraumatic dental conditions were retrospectively analyzed. Demographic characteristics of the patients, date and time of admission to the emergency service, the International Classification of Diseases-9 codes and treatment administered to the patients on admission were recorded. The most common complaints on admission were pulpal and periapical tissue diseases in 29.377 patients (74.0%). A total of 45.5% were admitted in out-of-hours emergencies, while 26% were admitted in working hours and 28.5% were admitted on weekends. Patients in the 19-30 age groups had the highest rate for admission in out-of-hours emergencies on weekdays. There was no significant difference in monthly admission rates among the patients. The number of patients who were admitted to emergency service was significantly lower. Our study results indicate that there is an insufficient demand for dental care in Turkish population. We suggest that the number of patients who are admitted to the dental hospital emergency service may be reduced by increased awareness of oral and dental care.
本研究旨在评估非创伤性牙病患者到牙科医院急诊就诊的情况及其相关因素。回顾性分析2007年6月至2011年6月期间,土耳其Samsun牙科医院急诊中心收治的147.840例非创伤性牙齿疾病患者(62.4%为男性,37.6%为女性)基于自动化系统的数据。记录了患者的人口统计学特征、急诊服务的入院日期和时间、国际疾病分类-9代码以及入院时患者所接受的治疗。29.377例(74.0%)患者入院时最常见的主诉是牙髓及根尖周组织疾病。45.5%是在非工作时间急诊入院,26%是在工作时间入院,28.5%是在周末入院。19-30岁年龄组的患者在工作日的非工作时间急诊住院率最高。两组患者的月入院率无显著差异。入院接受急诊服务的患者人数明显减少。我们的研究结果表明,土耳其人口对牙科保健的需求不足。我们建议,通过提高对口腔和牙科保健的认识,入院牙科医院急诊服务的患者人数可能会减少。
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引用次数: 1
Management of incomplete transposition of mandibular lateral incisor using removable appliances: Two case reports 下颌侧切不完全转位用可移动矫治器治疗:2例报告
Pub Date : 2014-09-01 DOI: 10.4103/2321-6646.145589
S. Savaş, Nazli Candabakoglu, E. Kucukyilmaz, I. Veli
The aim of this case report was to present treatment of two cases involving the incomplete transposition of a mandibular lateral incisor to a canine site using two different removable appliances. The two 8-year-old girls were referred to our clinic from a general dentist with a complaint of a malpositioned permanent mandibular lateral incisor. Based on the clinical and radiographic examination, a treatment plan was devised. The plan was to correct the transposition and the axial inclination and rotation of the lateral incisor with a removable appliance as the patient was in the mixed dentition stage. The appliances were constructed with 2 adams clasps and a modified vestibular arch on which a crimpable hook was welded. A button was attached to the lingual surfaces of the lateral incisors, and a 1/8 light elastics was placed between the button and crimpable hook in both two patients. The patients were evaluated every 2 weeks with an appointment. At the end of the treatment, the ectopically erupted lateral incisors were uprighted and aligned in their normal positions in the dental arch. In early mixed dentition period, if transposition is suspected, with early and correct diagnosis and with sufficient forethought a pediatric dentist may avoid the need for fixed orthodontic treatment.
本病例报告的目的是提出两个病例的治疗涉及不完全转位的下颌侧切牙到犬科部位使用两种不同的可移动的器具。这两名8岁的女孩从一位普通牙医转介到我们的诊所,投诉永久下颌侧切牙错位。根据临床和影像学检查,制定了治疗方案。当患者处于混合牙列阶段时,计划使用可移动矫治器纠正移位和侧切牙的轴向倾斜和旋转。这些器具由2个亚当斯卡环和一个改良的前庭弓组成,在前庭弓上焊接了一个可卷曲的钩。两例患者均在侧切牙舌面附着一个钮扣,钮扣与可折钩之间放置1/8轻弹性。患者每2周接受一次预约评估。在治疗结束时,异位突出的侧切牙在牙弓的正常位置上挺直并对齐。在早期混合牙列期,如果怀疑转位,在早期正确的诊断和充分的预见下,儿科牙医可以避免固定正畸治疗的需要。
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引用次数: 1
Patterns and reasons for childhood tooth extraction in Northwest Nigeria 尼日利亚西北部儿童拔牙的模式和原因
Pub Date : 2014-09-01 DOI: 10.4103/2321-6646.145578
O. Taiwo, A. Sulaiman, M. Obileye, A. Akinshipo, Alfred Osamudiame Uwumwonse, O. O. Soremi
Childhood tooth extraction is widespread in developing nations especially in sub-Saharan African owing to high prevalence of oral diseases in the population. Purpose of this study is to analyze the reasons and pattern of tooth extraction among children from Northwest Nigeria. Case records of children <14 years seen at the dental clinic of the Federal Medical centre, Gusau, Zamfara state between January 2011 and December 2012 were retrieved from the Medical Records Department and analyzed for analyzed for gender, age, indication for extraction and tooth/teeth extracted. A total of 181 teeth were extracted in 127 patients (1.4 extractions per patients) over a 2 years study period. There were 66 (51.9%) males and 61 (48.1%) females (M:F = 1.08:1). Dental caries and its sequelae 141 (77.9%) was the leading aetiology for tooth extraction followed by trauma 24 (13.3%). Permanent teeth 121 (66.9%) were twice frequently extracted than primary teeth 60 (33.1%). Mandibular teeth 112 (61.9%) were more commonly extracted than maxillary teeth 69 (38.1%). Posterior teeth 115 (63.5%) extractions nearly double that of anterior teeth 66 (36.5%). First permanent molar extraction predominates 51 (28.1%). Majority of the extractions occurred in the 6-9 years age group 96 (53%). Mandibular posteriors constituted the principal teeth removed in the 6-9 years and 10-13 years age groups. In contrast, maxillary anteriors were the main teeth extracted in the younger age group of 0-5 years. For maxillary anteriors trauma was the highest indication for tooth extraction. In conclusion, dental caries and its sequelae was the primary reason for tooth extraction in the study across all age groups and trauma accounted significantly for removal of maxillary anteriors. Thus, there is a need to critically embark on public enlightenment campaign on preventive oral health.
由于人口中口腔疾病的高发,儿童拔牙在发展中国家,特别是在撒哈拉以南非洲普遍存在。本研究的目的是分析尼日利亚西北部儿童拔牙的原因和模式。从医疗记录部检索了2011年1月至2012年12月期间在扎姆法拉州古索联邦医疗中心牙科诊所就诊的14岁以下儿童的病例记录,并分析了性别、年龄、拔牙指征和拔牙情况。在2年的研究期间,127名患者共拔除181颗牙齿(每名患者1.4颗)。男性66例(51.9%),女性61例(48.1%)(M:F = 1.08:1)。龋齿及其后遗症141例(77.9%)是拔牙的主要原因,其次是外伤24例(13.3%)。恒牙121例(66.9%)是乳牙60例(33.1%)的2倍。下颌牙112颗(61.9%)比上颌牙69颗(38.1%)更常见。后牙115例(63.5%)是前牙66例(36.5%)的近两倍。第一恒磨牙拔牙占主导51(28.1%)。大多数拔牙发生在6-9岁年龄组96(53%)。下颌后牙是6-9岁和10-13岁年龄组的主要拔除牙。0 ~ 5岁年龄组以上颌前牙为主。上颌前外伤是拔牙的最高指征。综上所述,龋齿及其后遗症是研究中所有年龄组拔牙的主要原因,创伤是导致上颌前牙拔除的主要原因。因此,有必要认真开展关于预防性口腔健康的公众启蒙运动。
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引用次数: 12
Regional odontodysplasia crossing the midline: A unique case associated with bilateral impacted supernumerary teeth 跨中线的局部牙发育不良:一例与双侧多生牙阻生有关的独特病例
Pub Date : 2014-09-01 DOI: 10.4103/2321-6646.145585
L. Naik, P. Shetty, KL Girish Babu
Regional odontodysplasia (RO) is an uncommon developmental anomaly affecting a localized area of dentition, with distinctive clinical, radiographic, and histological findings. It is presumed to be the result of a developmental disturbance that locally affects the odontogenic ectodermal and mesodermal tissues. In general, it is limited to only one arch and sometimes it can occasionally cross the midline. Supernumerary teeth (ST) are mammalian developmental abnormalities characterized by the presence of extra teeth in addition to the normal eruption series. Here, we report a case of RO that affected right maxillary teeth crossing the midline and showed two maxillary bilateral impacted ST.
局部牙发育不良(RO)是一种罕见的影响局部牙列的发育异常,具有独特的临床、影像学和组织学表现。它被认为是局部影响牙源性外胚层和中胚层组织的发育障碍的结果。一般来说,它仅限于一个拱,有时它可以偶尔越过中线。多生牙齿(ST)是哺乳动物发育异常的特征,其特征是在正常的萌牙系列之外存在额外的牙齿。在此,我们报告一例右上颌牙齿穿过中线,并显示两个上颌双侧阻生ST。
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引用次数: 2
pH-value decrement of saliva-plaque solution after mixing with four customary used infant milk formulas: An in vitro study 唾液菌斑溶液与四种常用婴儿配方奶粉混合后ph值的降低:一项体外研究
Pub Date : 2014-09-01 DOI: 10.4103/2321-6646.145583
A. Nozari, F. Ghaderi, Saced Madadelahi
Infant milk formulas may cause tooth destruction by producing different organic acids after fermentation by oral microorganisms. The aim of this study was to investigate pH changes in children′s plaque-saliva solutions after fermenting four commonly used infant milk formulas. Plaque-saliva specimens of 25 children were sampled. Infant milk formulas including Bebelac 1, Nan 1, Nan 2 and Aptamil 2 were prepared and added to four respective tubes of saliva-plaque solutions. The pH of samples were measured at 10 min intervals (10-60) at 37°C. All infant milk formulas caused significant pH drop in all of the samples. Aptamil 2 and Bebelac 1 showed nearly the same pH drop and caused more pH value decrement than Nan 1 and Nan 2 after 30, and 60 min. The difference in pH decrement in solutions may be related to their different amounts of fat content as a preventive factor in acid production, as the amounts of other ingredients such as carbohydrate and protein were nearly the same.
婴儿配方奶粉经口腔微生物发酵后产生不同的有机酸,可能会破坏牙齿。本研究的目的是研究四种常用的婴儿配方奶粉发酵后儿童菌斑唾液溶液的pH值变化。对25例儿童的牙菌斑唾液标本进行了采样。制备Bebelac 1、Nan 1、Nan 2和Aptamil 2等婴儿配方奶粉,并分别加入四管唾液菌斑溶液中。在37℃下,每隔10分钟(10-60分钟)测量样品的pH值。所有的婴儿配方奶粉都导致所有样品的pH值显著下降。在30min和60min后,Aptamil 2和Bebelac 1的pH值下降幅度与Nan 1和Nan 2几乎相同,且pH值下降幅度更大。溶液中pH值下降的差异可能与它们的脂肪含量不同有关,因为它们的碳水化合物和蛋白质等其他成分的含量几乎相同,脂肪含量是防止酸产生的因素。
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引用次数: 2
Localization of the mandibular foramen of 8-18 years old children and youths with cone-beam computed tomography 8-18岁儿童及青少年的下颌孔定位
Pub Date : 2014-05-01 DOI: 10.4103/2321-6646.137677
Mustafa Altunsoy, O. Ağlarci, E. Ok, B. Nur, E. Gungor, M. Çolak
The aim of this study was to determine the location of mandibular foramen (MF) of 8-18 years old Turkish individuals by analyzing cone-beam computed tomography (CBCT) images. CBCT images of 63 females and 64 males with an age range of 8-18 years were examined. The distance of the MF to the anterior border of the ramus (A), posterior border of the ramus (P), inferior point of the mandibular incisura (MI), superior point of the curvature of the mandibular notch (MN), and the straight line of the cusps of the mandibular permanent molars (O) were measured and recorded. Data were analyzed by one-way analysis of variance (ANOVA), the Bonferroni test, independent t-test, and Student′s t-test at a significance level of P < 0.05. The MN-MF, MI-MF, A-MF, and MN-MF values of females aged 9, 13, 14, and 18 were statistically higher than those of males aged 9, 13, 14, and 18 (P < 0.05). There were no significant differences in the O-MF values or A-MF values among the age groups (P > 0.05); however, the P-MF, MI-MF, and MN-MF values increased with age (P < 0.05). This study concluded that the location of the MF is just posterior to the middle of the ramus, 2.5-3.6 mm above the occlusal plane of the molars. The P-MF, MI-MF, and MN-MF values increase with age.
本研究的目的是通过分析锥形束计算机断层扫描(CBCT)图像来确定8-18岁土耳其人下颌孔(MF)的位置。对年龄在8 ~ 18岁之间的63例女性和64例男性的CBCT图像进行了检查。测量下颌下颌下颌下颌下颌下颌支前缘(A)、支后缘(P)、下颌切牙下点(MI)、下颌切沟曲率上点(MN)、下颌恒磨牙尖尖直线(O)距离。数据分析采用单因素方差分析(ANOVA)、Bonferroni检验、独立t检验和Student’st检验,P < 0.05为显著性水平。9、13、14、18岁女性的MN-MF、MI-MF、A-MF、MN-MF值均显著高于9、13、14、18岁男性(P < 0.05)。各年龄组间O-MF值、A-MF值比较,差异均无统计学意义(P > 0.05);P- mf、MI-MF、MN-MF值随年龄增加而增加(P < 0.05)。本研究认为下颌支的位置位于支的正中后方,在磨牙咬合平面上方2.5-3.6 mm。P-MF、MI-MF、MN-MF值随年龄增大而增大。
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引用次数: 10
期刊
Journal of Pediatric Dentistry
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