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In vitro Evaluation of the Cytotoxicity of Chairside CAD/CAM Block Materials for Fabricating Dental Restorations 用于制作牙科修复体的椅旁 CAD/CAM 块状材料的细胞毒性体外评估
IF 0.8 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-06-08 DOI: 10.4103/jpbs.jpbs_334_24
S. Sultan, Mazen Anwar Abdullah Albadi, Faris Salah Alhassan, Sherif Elsharkawy
ABSTRACT The increasing utilization of chairside computer-aided design/computer-aided manufacturing (CAD/CAM) block materials in dentistry necessitates a comprehensive evaluation of their cytotoxicity to ensure patient safety. This study aimed to assess the cytotoxic effects of commonly used chairside CAD/CAM block materials for fabricating dental restorations. Several chairside CAD/CAM block materials including zirconia, lithium disilicate, and resin-based composites were evaluated for cytotoxicity using an in vitro model. Human gingival fibroblasts were cultured and exposed to extracts from each material. Cytotoxicity was assessed using MTT assay after 24, 48, and 72 hours of exposure. Additionally, cell morphology and viability were examined using microscopy. The MTT assay revealed varying degrees of cytotoxicity among the tested materials. Zirconia demonstrated the least cytotoxicity with cell viability of 85% ± 5%, 82% ± 4%, and 79% ± 6% at 24, 48, and 72 hours, respectively. Lithium disilicate exhibited moderate cytotoxicity with cell viability of 70% ± 6%, 65% ± 7%, and 60% ± 5% at the corresponding time points. Resin-based composites displayed the highest cytotoxicity with cell viability of 55% ± 8%, 45% ± 6%, and 40% ± 4% at 24, 48, and 72 hours, respectively. Microscopic examination revealed altered cell morphology and reduced cell viability in the presence of resin-based composites. Chairside CAD/CAM block materials exhibit varying degrees of cytotoxicity, with zirconia demonstrating the least and resin-based composites showing the highest cytotoxic effects. These findings underscore the importance of considering cytotoxicity profiles when selecting CAD/CAM materials for dental restorations to ensure patient safety and biocompatibility.
摘要 牙科中越来越多地使用椅旁计算机辅助设计/计算机辅助制造(CAD/CAM)块状材料,因此有必要对其细胞毒性进行全面评估,以确保患者安全。本研究旨在评估用于制作牙科修复体的常用椅旁 CAD/CAM 块状材料的细胞毒性效应。 采用体外模型对包括氧化锆、二硅酸锂和树脂基复合材料在内的几种椅旁 CAD/CAM 块状材料进行了细胞毒性评估。培养人牙龈成纤维细胞并使其接触每种材料的提取物。暴露 24、48 和 72 小时后,使用 MTT 法评估细胞毒性。此外,还使用显微镜检查了细胞形态和活力。 MTT 试验显示,受试材料具有不同程度的细胞毒性。氧化锆的细胞毒性最小,在 24、48 和 72 小时内细胞存活率分别为 85%±5%、82%±4% 和 79%±6% 。二硅酸锂显示出中等程度的细胞毒性,在相应的时间点,细胞存活率分别为 70% ± 6%、65% ± 7% 和 60% ± 5%。树脂基复合材料的细胞毒性最高,在 24、48 和 72 小时内,细胞存活率分别为 55%±8%、45%±6% 和 40%±4% 。显微镜检查显示,在树脂基复合材料的作用下,细胞形态发生改变,细胞存活率降低。 椅旁 CAD/CAM 块体材料表现出不同程度的细胞毒性,氧化锆的细胞毒性最小,而树脂基复合材料的细胞毒性最高。这些发现强调了在选择用于牙科修复的 CAD/CAM 材料时考虑细胞毒性特征以确保患者安全和生物相容性的重要性。
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引用次数: 0
In vitro Assessment of the Antimicrobial Properties of Orthodontic Bonding Materials 正畸粘接材料抗菌性能的体外评估
IF 0.8 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-06-08 DOI: 10.4103/jpbs.jpbs_326_24
M. K. Alam, M. Y. Hajeer, M. Z. Alfuhigi, F. A. Eldosary, F. N. Alsenani, L. N. Alsayil
ABSTRACT Orthodontic bonding materials are extensively used in dentistry, but their antimicrobial properties are of growing concern due to the risk of biofilm formation and associated complications. Understanding the antimicrobial efficacy of these materials is crucial for maintaining oral health during orthodontic treatment. In this in vitro study, we evaluated the antimicrobial properties of various orthodontic bonding materials against common oral pathogens. Samples of bonding materials were prepared and exposed to microbial strains including Streptococcus mutans, Porphyromonas gingivalis, and Candida albicans. Antimicrobial activity was assessed using agar diffusion assays and microbial viability assays. The tested orthodontic bonding materials exhibited varying degrees of antimicrobial activity. Material A showed a zone of inhibition of 12 mm against S. mutans, 8 mm against P. gingivalis, and 6 mm against C. albicans. Material B exhibited slightly higher antimicrobial activity with inhibition zones of 14 mm, 10 mm, and 8 mm against S. mutans, P. gingivalis, and C. albicans, respectively. Material C displayed the highest antimicrobial activity, with inhibition zones of 16 mm against S. mutans, 12 mm against P. gingivalis, and 10 mm against C. albicans. Microbial viability assays confirmed the efficacy of these materials in reducing microbial growth. Our findings demonstrate that orthodontic bonding materials possess varying degrees of antimicrobial properties. Material C exhibited the highest efficacy against the tested microbial strains. Incorporating antimicrobial agents into orthodontic bonding materials may contribute to the prevention of oral infections during orthodontic treatment.
摘要 正畸粘接材料被广泛应用于牙科领域,但由于其具有形成生物膜和相关并发症的风险,其抗菌特性日益受到关注。了解这些材料的抗菌功效对于在正畸治疗期间保持口腔健康至关重要。 在这项体外研究中,我们评估了各种正畸粘接材料对常见口腔病原体的抗菌性能。我们制备了粘接材料样品,并将其暴露在微生物菌株(包括变异链球菌、牙龈卟啉单胞菌和白色念珠菌)中。使用琼脂扩散试验和微生物活力试验对抗菌活性进行了评估。 测试的正畸粘接材料表现出不同程度的抗菌活性。材料 A 对变异牙齿螺杆菌的抑制区为 12 毫米,对牙龈脓杆菌的抑制区为 8 毫米,对白癣菌的抑制区为 6 毫米。材料 B 的抗菌活性略高,对变异杆菌、牙龈脓疱病和白僵菌的抑制区分别为 14 毫米、10 毫米和 8 毫米。材料 C 显示出最高的抗菌活性,对变异杆菌的抑制区为 16 毫米,对牙龈脓毒性杆菌的抑制区为 12 毫米,对白癣菌的抑制区为 10 毫米。微生物活力测定证实了这些材料在减少微生物生长方面的功效。 我们的研究结果表明,正畸粘接材料具有不同程度的抗菌特性。材料 C 对测试的微生物菌株具有最高的功效。在正畸粘接材料中加入抗菌剂可能有助于预防正畸治疗过程中的口腔感染。
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引用次数: 0
Evaluation of Cone Beam Computerized Tomography: Effects of Maxillary Bones and Their Influence on the Point of Next Teeth and Canine Development 锥形束计算机断层扫描评估:上颌骨的作用及其对下牙尖和犬齿发育的影响
IF 0.8 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-06-07 DOI: 10.4103/jpbs.jpbs_245_24
Gauravardhan Kulkarni, Ram Kishore Ratre, Suran Pushpa, Suneetha Pobbithi, Parag S. Deshmukh, Rakesh Nagaraju, Nandita Gautam
ABSTRACT In this study, individuals with unilateral palatally shifted canines had cone beam computed tomography (CBCT) image palatally displaced canine (PDC) and non-PDC sides investigate the anatomy of their upper teeth adopting a “surface matching” approach. The CBCT scans of an overall of 28 people with unilateral PDC were chosen. Every single tooth in research was broken down and turned into a three-dimensional structure utilizing identical research programs, which made it possible to quantify the total length of the tooth root. Assessing the lateral incisor (LI) roots quantities and widths of the control category, non-PDC side, and PDC sides revealed statistically significant variations (P < 0.001). Compared to contra-lateral LIs, LIs next to PDCs possess small roots. In addition, patients with unilateral PDCs had structural abnormalities between their canines and LIs.
摘要 在这项研究中,采用 "表面匹配 "方法对单侧腭移位犬齿患者的腭移位犬齿(PDC)和非 PDC 侧进行了锥形束计算机断层扫描(CBCT)成像,以研究其上部牙齿的解剖结构。 研究选择了 28 位单侧 PDC 患者的 CBCT 扫描结果。利用相同的研究程序将研究中的每一颗牙齿分解并转化为三维结构,从而可以量化牙根的总长度。 对对照组、非 PDC 侧和 PDC 侧的侧切牙(LI)牙根数量和宽度进行评估后发现,其差异具有统计学意义(P < 0.001)。 与对侧侧切牙相比,PDC 旁边的侧切牙牙根较小。此外,单侧 PDC 患者的犬齿和 LIs 之间存在结构异常。
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引用次数: 0
Bridging the Healthcare Skill Gap: A Higher Education Perspective: A Data Base Research 缩小医疗保健技能差距:高等教育的视角:数据库研究
IF 0.8 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-06-07 DOI: 10.4103/jpbs.jpbs_257_24
S. Chowhan, M. Bagrecha, S. K. Sharma, Anu Sumi Issac, Darshana Bennadi, Vimal Satodiya, Rahul Tiwari
ABSTRACT There is a rising demand for highly qualified workers in today’s ever-changing healthcare job environment. Recognizing higher education’s critical role in closing the healthcare skill gap is critical for the long-term growth and prosperity of individuals, healthcare organizations, and the larger economy. Within the healthcare sector, education emerges as a pivotal mechanism to address the prevailing skill gap. Universities and colleges offer a wide range of academic programs meticulously designed to cultivate critical thinking, problem-solving capabilities, effective communication, and collaborative teamwork among students. Furthermore, higher education institutions actively collaborate with healthcare employers to tailor specialized programs that precisely align with the requirements of various healthcare roles. This paper delves into the multi-faceted ways in which universities and colleges can significantly contribute to mitigating the healthcare skills gap. The author emphasizes the critical role played by education in bridging this gap, ensuring that the healthcare workforce is suitably equipped to navigate the swiftly changing job market. By promoting partnerships with industry stakeholders, developing pertinent academic curricula, and offering continuous professional development opportunities, educational institutions empower individuals and healthcare organizations to excel within the dynamic landscape of healthcare delivery.
ABSTRACT 在当今不断变化的医疗保健工作环境中,对高素质人才的需求日益增长。认识到高等教育在缩小医疗保健技能差距方面的关键作用,对于个人、医疗保健机构和整个经济的长期发展和繁荣至关重要。 在医疗保健行业,教育是解决当前技能差距的关键机制。大专院校提供各种精心设计的学术课程,旨在培养学生的批判性思维、解决问题的能力、有效沟通和团队协作精神。此外,高等院校还积极与医疗保健雇主合作,量身定制符合各种医疗保健岗位要求的专业课程。 本文从多个方面深入探讨了高等院校如何为缩小医疗保健技能差距做出重要贡献。作者强调了教育在弥合这一差距方面所发挥的关键作用,以确保医疗保健劳动力具备适当的能力,能够在瞬息万变的就业市场中游刃有余。 通过促进与行业利益相关者的合作、开发相关的学术课程以及提供持续的职业发展机会,教育机构可以增强个人和医疗机构的能力,使其在医疗保健服务的动态环境中脱颖而出。
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引用次数: 0
Restoring Vitality: The Science and Practice of Pulp Revascularization in Endodontics 恢复活力:牙髓病学中牙髓再血管化的科学与实践
IF 0.8 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-06-07 DOI: 10.4103/jpbs.jpbs_79_24
Krishna P. Biswas, Dhaval Desai, K. V. Shetty, Delphia Thomas, Aditi Gupta, Sachin Metkari, Rashmi Laddha
ABSTRACT Pulp revascularization is an emerging treatment modality in endodontics aimed at preserving the vitality and function of immature permanent teeth with necrotic pulp and apical periodontitis. This review provides a comprehensive examination of the current state of pulp revascularization, encompassing its rationale, clinical procedures, indications, contraindications, advantages, limitations, and potential future prospects. By critically analyzing the existing literature and clinical experiences, this review aims to offer insights into the efficacy, challenges, and potential advancements in the field of pulp revascularization.
摘要 牙髓再通术是牙髓病学中一种新兴的治疗方式,旨在保护牙髓坏死和根尖牙周炎的未成熟恒牙的活力和功能。本综述全面考察了牙髓再通术的现状,包括其原理、临床程序、适应症、禁忌症、优势、局限性和潜在的未来前景。通过对现有文献和临床经验的批判性分析,本综述旨在就牙髓血管重建领域的疗效、挑战和潜在进展提供见解。
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引用次数: 0
E3 Ubiquitin Ligases and Their Therapeutic Applications in Cancers: Narrative Review E3 泛素连接酶及其在癌症中的治疗应用:综述
IF 0.8 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-06-07 DOI: 10.4103/jpbs.jpbs_134_24
Azfar Jamal
ABSTRACT E3 ubiquitin ligases are a class of enzymes, essential for maintaining the equilibrium of cells by binding ubiquitin molecules to substrates to mark them for destruction. Since many cancer-related proteins, including both oncogenic and tumor-suppressive ones, are controlled by the ubiquitin-proteasome system, E3 ligases have drawn a great deal of interest as potential targets for the creation of anti-cancer drugs. This is because E3 ligases function as modules that select the substrates that are intended for degradation, giving them the ability to particularly affect proteins that are connected to cancer. Their molecular properties and the ways in which they work serve as the basis for these distinctions. Investment in the creation of bioactive substances that can target E3 ligases is essential given the crucial roles they play in cancer. These substances have the potential to be powerful cancer-fighting tools. In this review, we explore the crucial roles that E3 ligases play in the biology of cancer. We also examine the current bioactive substances that have been created to target different E3 ligases, emphasizing their potential as candidates for treating the cancers.
摘要 E3 泛素连接酶是一类酶,它通过将泛素分子与底物结合以标记底物被破坏,从而维持细胞的平衡。由于许多与癌症有关的蛋白质(包括致癌和抑癌蛋白质)都受泛素-蛋白酶体系统控制,E3连接酶作为抗癌药物的潜在靶点引起了人们的极大兴趣。这是因为 E3 连接酶的功能是作为模块选择要降解的底物,使它们能够特别影响与癌症有关的蛋白质。它们的分子特性和工作方式是这些区别的基础。鉴于 E3 连接酶在癌症中发挥的关键作用,投资开发针对 E3 连接酶的生物活性物质至关重要。这些物质有可能成为强大的抗癌工具。在本综述中,我们将探讨 E3 连接酶在癌症生物学中的关键作用。我们还研究了目前针对不同 E3 连接酶开发的生物活性物质,强调了它们作为治疗癌症候选药物的潜力。
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引用次数: 0
Comparison of Surgical Techniques for Correction of Mandibular Asymmetry in TMJ Ankylosis Patients 颞下颌关节强直患者下颌不对称矫正手术技术比较
IF 0.8 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-06-07 DOI: 10.4103/jpbs.jpbs_304_24
Samir Mansuri, S. Hemavathy, Annaluru Sri Sasank Tejaswee, Lakshmi Manasa Pappu, Harvey Thomas, Lipsa Bhuyan, Sunil Kumar Gulia
ABSTRACT Temporomandibular joint (TMJ) ankylosis frequently results in mandibular asymmetry, which impairs an affected person’s ability to function and look good. Because of the intricacy of TMJ ankylosis and the variety of surgical procedures available, correcting mandibular asymmetry surgically can be difficult. Patients with mandibular asymmetry and TMJ ankylosis who had surgery at a tertiary care facility between certain periods were the subject of a retrospective investigation. Medical records were used to gather information on patient demographics, pre-operative imaging, surgical methods, and post-operative results. Surgical methods included condylectomy with or without reconstruction, joint reconstruction with or without orthognathic surgery, and unilateral or bilateral mandibular distraction osteogenesis (MDO). Occlusion, patient-reported results, and facial symmetry made up the evaluation criteria. The study had a total of 50 patients, with different surgical method distributions. Comparing unilateral and bilateral MDO to condylectomy and joint reconstruction, notable gains in face symmetry and occlusion were seen. The largest complication rate was seen with condylectomy, mostly from recurrence and device-related issues, albeit the rates of other procedures varied as well. In conclusion, customized treatment planning is necessary for the correction of mandibular asymmetry in individuals with TMJ ankylosis. Although mandibular distraction osteogenesis produces better results for occlusion and facial symmetry, it is crucial to carefully weigh the risks involved. While still feasible treatments, condylectomy and joint reconstruction require strict monitoring for any consequences. In order to enhance patient care in this difficult patient group, future research should concentrate on improving treatment procedures and long-term results.
摘要 颞下颌关节(TMJ)强直经常导致下颌不对称,影响患者的功能和美观。由于颞下颌关节强直的复杂性和手术方法的多样性,通过手术矫正下颌不对称可能很困难。 下颌不对称和颞下颌关节强直的患者在某些时期曾在一家三级医疗机构接受过手术,我们对这些患者进行了回顾性调查。通过病历收集了患者的人口统计学、术前影像学、手术方法和术后结果等信息。手术方法包括带或不带重建的髁突切除术、带或不带正颌手术的关节重建术以及单侧或双侧下颌骨牵引成骨术(MDO)。评估标准包括咬合情况、患者报告结果和面部对称性。 该研究共有50名患者,手术方法各不相同。将单侧和双侧MDO与髁突切除术和关节重建术进行比较,发现面部对称性和咬合情况明显改善。髁突切除术的并发症发生率最高,主要是复发和与装置相关的问题,尽管其他手术的并发症发生率也各不相同。 总之,要矫正颞下颌关节强直患者的下颌不对称,必须制定个性化的治疗方案。虽然下颌骨牵引成骨术在咬合和面部对称方面效果更好,但仔细权衡其中的风险也至关重要。髁突切除术和关节重建术虽然仍是可行的治疗方法,但需要严格监控其后果。为了加强对这一疑难患者群体的护理,未来的研究应集中于改善治疗程序和长期效果。
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引用次数: 0
Comparative Analysis of Various Irrigation Solutions in Root Canal Treatment 根管治疗中各种灌洗方案的比较分析
IF 0.8 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-06-07 DOI: 10.4103/jpbs.jpbs_276_24
M. Mirza, Kirti Sharma, Chitharanjan Shetty, Jayantika Gupta, Kinjal Padariya, Hitesh Chohan, Alen Pius
ABSTRACT “Root canal treatment (RCT)” is essential in preserving natural dentition by eliminating infection within the root canal system. Irrigation solutions play a crucial role in achieving successful RCT outcomes by facilitating disinfection and debris removal. An in vitro experimental design was employed to evaluate the irrigation solutions. Antimicrobial efficacy was assessed using agar diffusion assays against Enterococcus faecalis and Candida albicans. Tissue dissolution ability was evaluated by measuring the weight loss of dentin specimens. Cytotoxicity was assessed using cell viability assays with human periodontal ligament fibroblasts. NaOCl demonstrated the highest antimicrobial efficacy, while EDTA exhibited superior tissue dissolution ability. CHX and QMix displayed lower cytotoxicity compared to NaOCl and EDTA. The choice of irrigation solution in RCT should consider factors such as antimicrobial efficacy, tissue dissolution ability, and cytotoxicity. NaOCl remains effective but has high cytotoxicity, whereas CHX and QMix offer alternatives with lower cytotoxicity. EDTA is effective in tissue dissolution but should be used cautiously due to cytotoxic potential. Clinicians should weigh the benefits and limitations of each solution for optimal treatment outcomes.
摘要 "根管治疗(RCT)"对于通过消除根管系统内的感染来保护天然牙至关重要。冲洗溶液可促进消毒和碎屑清除,对成功实现 RCT 起着至关重要的作用。 我们采用了体外实验设计来评估冲洗液。使用琼脂扩散试验评估了对粪肠球菌和白色念珠菌的抗菌效果。组织溶解能力是通过测量牙本质样本的重量损失来评估的。细胞毒性是通过使用人类牙周韧带成纤维细胞进行细胞活力测定来评估的。 结果表明,NaOCl 的抗菌效力最高,而 EDTA 的组织溶解能力更强。与 NaOCl 和 EDTA 相比,CHX 和 QMix 的细胞毒性较低。 RCT 冲洗液的选择应考虑抗菌效果、组织溶解能力和细胞毒性等因素。NaOCl 仍然有效,但细胞毒性较高,而 CHX 和 QMix 则是细胞毒性较低的替代品。乙二胺四乙酸(EDTA)能有效溶解组织,但由于具有潜在的细胞毒性,应谨慎使用。临床医生应权衡每种溶液的优点和局限性,以获得最佳治疗效果。
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引用次数: 0
First Rib Fracture and Absence of Traumatic History in a Patient with Surgically Corrected Scoliosis: A Case Study 手术矫正脊柱侧凸患者第一肋骨骨折且无外伤史:病例研究
IF 0.8 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-06-07 DOI: 10.4103/jpbs.jpbs_103_24
F. Abuguyan
ABSTRACT This case report is unique due to the rare combination of a history of no trauma and a history of scoliosis correction surgery with instrumentation performed 1 year before presentation. A 23-year-old male patient presented to the emergency department in a stable condition and he looked well. He was able to walk without any limitation, but complained of left upper back pain for 2 days after a sneezing episode. The patient denied history of chest pain, shortness of breath, cough, palpitation, headache, dizziness, nausea, vomiting, and abdominal pain. The chest X-ray showed left first rib fracture, and computed tomography scan of the chest without contrast that was performed to diagnose rib fracture or complications confirmed the diagnosis. This case study concludes that the left first rib fracture is rare in postoperative scoliosis without a history of trauma.
摘要 本病例报告十分罕见,既无外伤史,又在就诊前一年接受过脊柱侧弯矫正手术并安装了器械。急诊科接诊了一名 23 岁的男性患者,当时他的病情稳定,神情良好。他能够行走自如,但在一次打喷嚏后主诉左上背部疼痛两天。患者否认有胸痛、气短、咳嗽、心悸、头痛、头晕、恶心、呕吐和腹痛病史。胸部 X 光片显示左侧第一肋骨骨折,为诊断肋骨骨折或并发症而进行的胸部无造影剂计算机断层扫描证实了诊断结果。本病例研究的结论是,左侧第一肋骨骨折在无外伤史的脊柱侧弯术后患者中较为罕见。
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引用次数: 0
Assessment of the Impact of Different Surgical Techniques on Nerve Function and Sensation after Maxillofacial Surgery 评估不同手术技术对颌面外科手术后神经功能和感觉的影响
IF 0.8 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-06-07 DOI: 10.4103/jpbs.jpbs_415_24
Rajbir K. Randhawa, Ankita Dixit, Trisha Mehta, P. V. Bansal, Gagandeep S. Randhawa, Swarnav Patnaik
ABSTRACT One potential long-term side effect of surgery in the oral and maxillofacial region is neurosensory impairment. Due to their physical proximity to the surgical location, the lingual nerve (LN) and inferior alveolar nerve (IAN), two sensory segments of the trigeminal nerve, are always susceptible to damage during third molar extraction. Assessment of the impact of different surgical techniques on nerve function and sensation after maxillofacial surgery. There was retrieval of information from medical records of study participants regarding the presence of symptoms like paresthesia, numbness, loss of sensation in lower lip, difficulty in movement of tongue, and all other findings observed after 7 days of surgical procedures. Clinically neurosensory examinations were utilized to assess nerve damage. Pinprick testing and the two-point discrimination test were used. Seven male patients were found to have damage to LN while nine males suffered damage to trigeminal nerve. 12 female patients were found to have damage to LN while 16 females suffered damage to trigeminal nerve. In total 19 patients suffered damage to LN while 25 patients suffered damage to trigeminal nerve. The incidence of LN damage was 9.5%, and the incidence of trigeminal nerve damage was 12.5%.
摘要 口腔颌面部手术的一个潜在长期副作用是神经感觉障碍。舌神经(LN)和下牙槽神经(IAN)是三叉神经的两个感觉段,由于它们与手术位置非常接近,因此在第三磨牙拔除术中很容易受到损伤。 评估不同手术技术对颌面外科手术后神经功能和感觉的影响。 从研究参与者的病历中检索了有关下唇麻痹、麻木、失去知觉、舌头活动困难等症状的信息,以及手术 7 天后观察到的所有其他结果。临床神经感觉检查用于评估神经损伤。使用了针刺试验和两点辨别试验。 结果发现,7 名男性患者的唇神经受损,9 名男性患者的三叉神经受损。发现 12 名女性患者 LN 受损,16 名女性患者三叉神经受损。共有 19 名患者的淋巴结受损,25 名患者的三叉神经受损。 LN受损的发生率为9.5%,三叉神经受损的发生率为12.5%。
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引用次数: 0
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