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The Relationships between SORD -888G>C Gene Polymorphism and Diabetic Retinopathy in a South Sumatran Malay Population 南苏门答腊马来人SORD -888G>C基因多态性与糖尿病视网膜病变的关系
Pub Date : 2017-09-30 DOI: 10.24896/JRMDS.2017533
Ramzi Amin, Faika Novadianaz, Yuwono Yuwono, H. Permana, A. Kartasasmita, D. Hilmanto
The sorbitol dehydrogenase (SORD) enzyme has 2 promoter regions with polymorphisms at  -1214 C>G (rs2055858) and -888 G>C (rs3759890), which have a complete imbalance, related to gene expression in retinal cells of diabetic patients, and more likely to have a role in diabetic retinopathy (DR) pathogenesis. The SORD -888G>C genotype occurs more often in Japanese DR patients than in patients without complications. A relationship between DR and the G allele in -888G>C polymorphism is observed in Diabetes Mellitus (DM) type-2 patients. This study aims to elucidate the relationship between the SORD -888 G>C gene polymorphism to the occurrence of DR cases in Malay population in South Sumatra. This is a case-control study. Malay DM type-2 patients who undergo direct ophthalmoscopy and fundus imaging in the Dr. Mohammad Husein Central General Hospital eye clinic in Palembang, South Sumatra, Indonesia were the subjects of this study. Patient DNA was isolated from blood samples, PCR analyzed and sequenced in order to determine the polymorphism frequencies of the SORD -888 G>C gene. The results showed that every subject had GG genotype in SORD -888 G>C gene promoter. There was no observable polymorphism in SORD -888G>C gene in the authentic Malay population in South Sumatra.
山梨糖醇脱氢酶(SORD)酶有2个启动子区域,多态性位点在-1214 G> G (rs2055858)和-888 G>C (rs3759890),这两个启动子区域完全不平衡,与糖尿病患者视网膜细胞的基因表达有关,更有可能在糖尿病视网膜病变(DR)的发病机制中发挥作用。SORD -888G >c基因型在日本DR患者中比在无并发症患者中更常见。在糖尿病(DM) 2型患者中观察到DR与-888G>C多态性中的G等位基因之间的关系。本研究旨在阐明南苏门答腊岛马来人群中SORD -888 G>C基因多态性与DR发病的关系。这是一项病例对照研究。在印度尼西亚南苏门答腊岛巨港的Dr. Mohammad Husein中央综合医院眼科诊所接受直接眼科镜检查和眼底成像的马来2型糖尿病患者是本研究的对象。从血样中分离患者DNA,进行PCR分析和测序,以确定SORD -888 G>C基因的多态性频率。结果显示,所有受试者在SORD -888 G>C基因启动子中均为GG基因型。南苏门答腊马来人原生群中sold -888G >c基因无明显多态性。
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引用次数: 0
Comparison of Intertan Nail Vs Proximal Femoral Nail in Proximal Femoral Fractures A Prospective Comparative Study 股骨近端骨折中Intertan钉与股骨近端钉的比较——一项前瞻性比较研究
Pub Date : 2017-06-30 DOI: 10.24896/JRMDS.V5I2.277
Sonu Mehta, Shoaib Shaikh, S. Bhonsle, R. Agrawal, A. Bhatnagar, S. Rathore
Incidence of peritrochanteric fractures has increased significantly during recent decades and this tendency will probably continue in the near future due to rising age of the population. Closed methods of treatment have shown higher mortality rates & have largely been abandoned. Rigid internal fixation and early mobilization has been standard method of treatment. This study is intended to compare the results of surgical treatment, to assess and compare the functional and radiological outcomes after proximal femoral fracture fixation using PFN and Intertan nail. Our study included 40 patients having peritrochantric femur fractures, segregated into two groups (on the basis of the intramedullary device to be used to  fix the fracture – Proximal femoral nail and Intertan Nail).  Selected parametric values of samples were recorded for the two groups, analyzed and compared for rate of union, complications, and functional outcomes between proximal femoral fracture patients of two groups. Finally, assessment between two groups of treatment was made to identify the significance of effect of either treatment modalities. There were 13 excellent, 5 Good and 2 Fair results in Intertan group with no poor results. In PFN group there were 11 excellent, 5 Good, 3 Fair and 1 poor results. We concluded that Intertan Nail is a good implant for the treatment of peritrochanteric fractures of femur. The results are comparable to AO proximal femoral nail.
近几十年来,股骨转子周围骨折的发生率显著增加,由于人口年龄的增长,这种趋势在不久的将来可能会持续下去。封闭的治疗方法显示出较高的死亡率,因此基本上已被放弃。刚性内固定和早期活动已成为标准的治疗方法。本研究旨在比较手术治疗的结果,评估和比较PFN和Intertan钉固定股骨近端骨折后的功能和放射学结果。我们的研究包括40例股骨转子周围骨折患者,分为两组(根据髓内装置固定骨折-股骨近端钉和股骨内钉)。记录两组样本的选定参数值,分析比较两组股骨近端骨折患者的愈合率、并发症和功能结局。最后,对两组治疗进行评估,以确定两种治疗方式效果的显著性。Intertan组优等13例,良好5例,一般2例,无不良结果。PFN组优11例,良5例,一般3例,差1例。我们认为Intertan钉是治疗股骨转子周围骨折的良好植入物。结果与AO股骨近端钉相当。
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引用次数: 1
The effect of intravenous fluid therapy in icteric neonates during phototherapy: A randomized clinical trial - 光疗期间静脉输液治疗黄疸新生儿的效果:一项随机临床试验
Pub Date : 2017-06-30 DOI: 10.24896/JRMDS.V5I2.281
D. Kheirkhah, M. Sharif
Jaundice is the most prevalent neonatal clinical complication.  One of the causes of this disease is the insufficiency of mother's milk to feed the neonate.  Therefore, fluid therapy is considered as one of the useful intervention to alleviate jaundice.  This study was designed to examine the effect of intravenous fluid therapy on icteric neonates who are also treated by phototherapy. A clinical research was conducted on 100 icteric neonates hospitalized in the hospitals of the city of Kashan during the year 2014. They were randomly assigned into two equal groups of intervention and control groups. The case group was treated by photo plus fluid therapy whereas the control group was treated by the phototherapy only. The bilirubin level of neonates was measured at admission, 6, 12 and 24 hours after the start of the treatment in both groups. The rebound bilirubin level was measured 12 hours after the termination of the phototherapy. The results of analysis indicated that there was no significant difference in the bilirubin decrease between the photo plus fluid therapy and the phototherapy-only group after 6, 12 and 24 hours of treatment (p>0.05). However, when the bilirubin level of the treated group was very high there was a significant difference between the bilirubin decrease of the photo plus fluid therapy and the phototherapy group alone after 6, 12 and 24 hours of treatment (p<0.05). The level of bilirubin rebound in the photo plus fluid therapy was more than the control group and needed-phototherapy again; therefore, the time for the phototherapy in the photo plus fluid therapy was longer than the control group. Despite the fact that using fluid therapy in the group with very high level of bilirubin causes decrease of bilirubin level, it leads to the increase of bilirubin rebound and the need to use phototherapy again.  Therefore, this treatment is useful for the cases of severe jaundice that require blood transfusion even though it results in longer periods of phototherapy and the length of hospitalization.
黄疸是最常见的新生儿临床并发症。造成这种疾病的原因之一是母乳不足,无法喂养新生儿。因此,液体疗法被认为是缓解黄疸的有效干预措施之一。本研究旨在探讨静脉输液治疗对黄疸新生儿同时接受光疗治疗的效果。对2014年在卡尚市医院住院的100例黄疸新生儿进行了临床研究。他们被随机分为两组,干预组和对照组。病例组采用光疗加液体疗法,对照组仅采用光疗。两组新生儿在入院、治疗开始后6小时、12小时和24小时测量胆红素水平。光疗结束12小时后测定反弹胆红素水平。分析结果显示,在治疗6、12、24小时后,光加液治疗组与光加液治疗组的胆红素下降量无显著差异(p < 0.05)。而当治疗组胆红素水平非常高时,治疗6、12、24小时后,光加液治疗组胆红素下降量与单独光疗组比较差异有统计学意义(p<0.05)。光疗加液治疗组胆红素反弹水平高于对照组,需再次光疗;因此,光加液疗法中的光疗时间比对照组长。尽管在胆红素水平非常高的组使用液体疗法会导致胆红素水平下降,但这会导致胆红素反弹增加,需要再次使用光疗。因此,这种治疗方法对需要输血的严重黄疸病例是有用的,尽管它会导致更长的光疗时间和住院时间。
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引用次数: 0
The Relatioships Among Leptin, Resistin, Visfatin, Transforming Growth Factor (TGF)-β Level and The Severity Grade of Osteoarthritis in Osteoarthritis Patients with Obesity 肥胖骨关节炎患者瘦素、抵抗素、内脏脂肪素、转化生长因子β水平与骨关节炎严重程度的关系
Pub Date : 2017-06-30 DOI: 10.24896/JRMDS.V5I2.266
Radiyati Umi Partan, R. Hidayat, Muhammad Mukti
Obesity is risk factor for osteoarthritis (OA), that increased production of adipokine from adipocyte, such as leptin, adiponectine, resistin and visfatin. Some studies showed there was a relationship between adipokine level in sinovial fluid and incidence of OA. To determine the relationships among leptin, resisitin, visfatin, TGF-β level  and the severity grade of osteoarthritis in osteoarthritis patients with obesity. Observational case-series study. The ethical clearance of this study had been approved by bioethics and humaniora unit Faculty of Medicine Sriwijaya University, Indonesia. Osteoarthritis patients with obesity in Internal Medicine Outpatient Dr. Mohammad Hoesin General Hospital, Palembang, South Sumatera, Indonesia were selected as subjects in this study, from April 2013 – February 2014. Level of TGF-β, leptin, resistin and visfatin were assayed by ELISA. The relationships was analysis by correlation-spearman rho test, p<0,05. There was moderate correlation among leptin, resistin, TGF-β  level and the severity grade of OA in male and female patients. It was strong correlation among leptin, resistin, TGF-β  level in sinovial and the severity grade of OA Kellgren-Lawrence in female patients .There was relationships among  leptin, resistin, TGF-β level and the severity grade of OA.
肥胖是骨关节炎(OA)的危险因素,骨关节炎增加了脂肪细胞产生的脂肪因子,如瘦素、脂联素、抵抗素和内脂蛋白。一些研究表明,窦液中的脂肪因子水平与OA的发生率之间存在关系。探讨肥胖骨关节炎患者瘦素、粘膜炎素、内脂素、转化生长因子-β水平与骨关节炎严重程度的关系。观察性病例系列研究。这项研究的伦理许可已获得印度尼西亚斯里维贾亚大学医学院生物伦理学和人文学科部门的批准。2013年4月至2014年2月,印度尼西亚南苏门答腊岛巨港Mohammad Hoesin综合医院内科门诊肥胖骨关节炎患者被选为本研究的受试者。ELISA法检测血清TGF-β、瘦素、抵抗素和内脂蛋白水平。相关分析采用spearman rho检验,p<0.05。瘦素、抵抗素、转化生长因子-β水平与男性和女性OA的严重程度之间存在中度相关性。窦内瘦素、抵抗素、转化生长因子-β水平与女性OA Kellgren-Lawrence的严重程度密切相关,与OA的严重程度相关。
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引用次数: 0
Correlation serum level of 25(OH)D and bone density in type 2 diabetes mellitus patients 2型糖尿病患者血清25(OH)D水平与骨密度的相关性
Pub Date : 2017-06-30 DOI: 10.24896/JRMDS.V5I2.267
M. Reagan, S. Darma, Alwi Shahab, Radiyati Umi Partan, H. Hermansyah
Bone density has positive relationship with levels of vitamin D, that reduce the risk of fracture. Some studies shows that vitamin D deficiency is not only related to skletal disease, but also to non-skletal disease such as T2DM. Vitamin D plays an important role in the regulation of blood glucose through the effect of pancreatic beta cell secretion and insulin sensitivity. To investigate correlation between serum level of 25(OH)D and bone density in type 2 diabetes mellitus patients. Observational study with cross sectional design at Internal Medicine Polyclinic Dr. Mohammad Hoesin Palembang Hospital from November 2014 to April 2015, and the result analyzed with statistical correlation. The subjects were taken by consecutive sampling in patients with T2DM who met inclusion criteria. Of 380 people who sought medication, 42 subjects met the inclusion criteria. There were 22 patients with low bone density (19 osteopenia and 3 osteoporosis), and 20 patients with normal bone density. Mean serum level of 25(OH)D in group with normal BMD of lumbar and femur was  19.48±6.75ng/ml, and in group with osteopenia and osteoporosis was 21.54±6.14ng/ml and 17.17±5.66ng/ml respectively. There was no significant correlation of 25(OH)D serum level with lumbar and femur bone density (p<0.05). There is no correlation between levels of 25(OH)D serum and bone density in T2DM patients at Internal  Medicine Polyclinic of Mohammad Hoesin Hospital.
骨密度与降低骨折风险的维生素D水平呈正相关。一些研究表明,维生素D缺乏不仅与skletal疾病有关,还与T2DM等非skletal病有关。维生素D通过胰腺β细胞分泌和胰岛素敏感性在调节血糖中发挥重要作用。探讨2型糖尿病患者血清25(OH)D水平与骨密度的相关性。2014年11月至2015年4月在内科综合诊所Mohammad Hoesin Palembang医生医院进行的横断面设计观察研究,并对结果进行统计相关性分析。受试者是通过对符合纳入标准的T2DM患者进行连续采样而获得的。在380名寻求药物治疗的人中,有42名受试者符合纳入标准。骨密度低的患者有22例(骨质减少19例,骨质疏松3例),骨密度正常的患者有20例。腰椎和股骨BMD正常组血清25(OH)D平均水平为19.48±6.75ng/ml,骨质疏松组和骨质疏松组分别为21.54±6.14ng/ml和17.17±5.66ng/ml。Mohammad Hoesin医院内科综合诊所T2DM患者血清25(OH)D水平与腰椎和股骨骨密度无显著相关性(p<0.05)。
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引用次数: 1
Nursing Professional Ethics Education Using a Superior Method- Lecture or Multimedia - 运用先进方法进行护理职业道德教育——讲座或多媒体-
Pub Date : 2017-06-30 DOI: 10.24896/jrmds.v5i2.282
Khalili Arash, Habibi pour Behzad, Saeedeh Almasi, N. Alimohammadi, M. Zoladl, Fariba Ebrahimi Horyat
Professional ethics implies abiding by ethical standards of nursing profession; to achieve this, there is a need for an appropriate method of teaching ethics. The aim of this study is to select a preferred method to train nursing professional ethics. A quasi-experimental study of two groups of before and after was used while nursing students were trained into two groups of multimedia software and Lecture. At first, all students were selected based on a census method; then random assignment was used to allocate them to the two groups. The number of samples in each group was 30. Using the nursing professional ethics questionnaire and after verifying the content validity and reliability, the tests were performed in three time spans of before training, immediately after training and four weeks after training. Data analysis was performed using t-test and variance analysis via SPSS software version 20. No statistically significant difference was observed between sex, academic semester, field interest, and knowledge but statistically significant difference was observed between age(p=0/000). The findings a statistically significant difference in mean scores of pre-test and post-test in multimedia group (p=0.025), mean scores of post-test in multimedia and durability of multimedia (p=0.001) and mean score of durability in Lecture and multimedia (p=0.009). Multimedia method is indicated to be more effective to teach professional ethics and can be used as such.
职业道德是指遵守护理职业的道德标准;要做到这一点,就需要一种合适的伦理教学方法。本研究的目的是选择一种首选的护理职业道德培养方法。采用前后两组准实验研究,对护生进行多媒体软件和讲座两组训练。首先,根据人口普查方法对所有学生进行选择;然后用随机分配的方法将他们分成两组。每组样本数量为30个。采用护理职业道德问卷,在对内容效度和信度进行验证后,分别在培训前、培训后和培训后四周三个时间段进行测试。数据分析采用t检验和方差分析,采用SPSS软件20版。性别、学期、专业兴趣、知识之间差异无统计学意义,年龄之间差异有统计学意义(p=0/000)。多媒体组前测和后测平均得分(p=0.025)、多媒体后测和多媒体持久性平均得分(p=0.001)、讲座和多媒体持久性平均得分(p=0.009)差异有统计学意义。多媒体教学是一种有效的职业道德教学方法,可以作为一种有效的职业道德教学手段。
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引用次数: 5
Hydrogen Peroxide Tooth Whitening Agent Alters the Protein Content of Enamel 过氧化氢牙齿增白剂会改变牙釉质的蛋白质含量
Pub Date : 2017-06-30 DOI: 10.24896/jrmds.v5i2.284
R. Mansouri, Nabil Khzam
Tooth whitening is a relatively quick, inexpensive and conservative treatment options for managing discoloured teeth and can be applied easily by dentists and patients. Bleaching agents at various concentrations have been marketed for dental office and home application. The aim of this study was to assess the effects of 30% hydrogen peroxide on the protein content of enamel. The effect of bleaching for 30 minutes with 30% hydrogen peroxide on the protein content of sound enamel was also investigated. Protein was extracted from the enamel by precipitation with trichoracetic acid after dissolution of the inorganic phase and the amount of protein was quantified using the Lowry and the Bradford protein assays. From 0.01g of sound enamel, the mean amount of protein detected using the Lowry, and the Bradford assays were50.56µg ± 0.06, and 3.08µg ± 0.01 respectively. After surface treatment of the enamel with 30% hydrogen peroxide, the mean protein values using same protein assays were 9.2 µg ± 0.04, and 1.2 µg ± 0.004 respectively. These results indicate that bleaching treatment with 30% hydrogen peroxide resulted in a significant reduction in protein content. The contribution of the protein modified or extracted from mature, sound enamel by bleaching with 30% hydrogen peroxide to the mechanical properties of enamel should be further investigated.
牙齿美白是一种相对快速、廉价和保守的治疗方法,可以很容易地由牙医和患者使用。各种浓度的漂白剂已在市场上销售,供牙科诊所和家庭使用。本研究的目的是评估30%过氧化氢对牙釉质蛋白质含量的影响。研究了30%双氧水漂白30分钟对健全牙釉质蛋白质含量的影响。无机相溶解后,用三乙酸沉淀法从牙釉质中提取蛋白质,用Lowry和Bradford蛋白测定法定量蛋白质的含量。在0.01g的声牙釉质中,采用Lowry法和Bradford法检测到的平均蛋白量分别为50.56µg±0.06和3.08µg±0.01。用30%过氧化氢对牙釉质进行表面处理后,采用相同的蛋白测定方法,平均蛋白值分别为9.2µg±0.04和1.2µg±0.004。这些结果表明,30%过氧化氢漂白处理导致蛋白质含量显著降低。成熟健全牙釉质经30%过氧化氢漂白修饰或提取的蛋白质对牙釉质力学性能的贡献有待进一步研究。
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引用次数: 0
Clinical manifestations of somatic pathology in patients with temporomandibular joint disorders 颞下颌关节疾病患者躯体病理的临床表现
Pub Date : 2017-06-30 DOI: 10.24896/JRMDS.V5I2.256
O. Volovar, V. Malanchuk, N. Lytovchenko, T. Kostiuk
Clinical examination results of 248 patients with temporomandibular joint disorders (mean age – 26.0±7.4 years) are shown. Clinical manifestations of cardiovascular diseases, tonsils condition (in particular, nasopharynx microbial flora), indicators of the acute phase reactions are studied. In a number of patients moderate, diffuse, myocardial metabolic alterations, rhythm disturbances (sinus arrhythmia, tachycardia, bradycardia, extrasystoles, His bundle branch block), mitral valve disease were revealed, which are the signs of connective tissue dysplasia and also severe tonsils hypertrophy, chronic tonsillitis, nasopharyngeal streptococcal and staphylococcal infection.
显示了248例颞下颌关节紊乱病患者(平均年龄-26.0±7.4岁)的临床检查结果。研究了心血管疾病的临床表现、扁桃体状况(尤其是鼻咽微生物菌群)、急性期反应指标。在一些患者中,发现了中度、弥漫性心肌代谢改变、心律失常(窦性心律失常、心动过速、心动过缓、早搏、希氏束支传导阻滞)、二尖瓣疾病,这是结缔组织发育不良的迹象,也是严重的扁桃体肥大、慢性扁桃体炎、鼻咽链球菌和葡萄球菌感染的迹象。
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引用次数: 2
An overview of the most common methods for assessing cell viability 评估细胞活力的最常用方法概述
Pub Date : 2017-06-30 DOI: 10.24896/JRMDS.V5I2.278
M. Shokrzadeh, Mona Modanloo
Measuring the proliferation and survival of cells is very important when studying the influence of various substances on cells. In this respect, several methods have been standardized to assess cell viability. These assays include common methods such as Trypan blue colorimetric method rather than the more complex ones such as MTT or XTT. Each of these methods has some merits and demerits compared to others.  Some factors such as cost, speed, sensitivity and the required equipment are involved in selecting the suitable procedure. Despite the simplicity and cost-effectiveness of cell morphology evaluation, the sensitivity of this method is not very high and it is not adequate for short-term effects of materials. Trypan blue method is a common practice in the assessment of cell viability due to damage to cell membrane. This method, like other methods depends on the integrity of the membrane (Lactate Dehydrogenase release and fluorescent assays), is ineffective where there is cell damage without membrane damage. Despite being highly accurate, cologenic, fluorescent and flow cytometry assays are expensive and laborious. MTT assay as a simple, robust, rapid and cost-effective method is able to simultaneously evaluate a large number of samples. XTT assay is newer and more sensitive than MTT method. But contrary to MTT, it is not suitable for all kinds of cells. Generally, MTT assay is widely used as a reliable method. The current study aims to provide an overview of the most common methods used to evaluate cell viability and also weigh up the pros and cons of each method.
在研究各种物质对细胞的影响时,测量细胞的增殖和存活是非常重要的。在这方面,已有几种方法被标准化以评估细胞活力。这些检测包括常见的方法,如台盼蓝比色法,而不是更复杂的方法,如MTT或XTT。这些方法各有优缺点。在选择合适的程序时,涉及到成本、速度、灵敏度和所需设备等因素。尽管细胞形态评价方法简单且具有成本效益,但该方法的灵敏度不是很高,不能满足材料的短期效应。台盼蓝法是评估细胞膜损伤后细胞活力的常用方法。与其他方法一样,这种方法依赖于膜的完整性(乳酸脱氢酶释放和荧光测定),在有细胞损伤而没有膜损伤的情况下无效。尽管准确度很高,但结肠原性、荧光和流式细胞术检测既昂贵又费力。MTT法是一种简便、可靠、快速、经济的检测方法,可同时检测大量样品。XTT法比MTT法更新,灵敏度更高。但与MTT相反,它并不适用于所有类型的细胞。一般来说,MTT法作为一种可靠的方法被广泛使用。目前的研究旨在概述用于评估细胞活力的最常用方法,并权衡每种方法的利弊。
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引用次数: 12
What Do We Know About Dentigerous Cysts in Children: A Review of Literature 我们对儿童含牙囊肿了解多少:文献综述
Pub Date : 2017-06-30 DOI: 10.24896/JRMDS.V5I2.283
Amani A. Al Tuwirqi, Nabil Khzam
Dentigerous cysts (DCs) known as follicular cysts are thought to be caused by a developmental abnormality derived from the reduced enamel epithelium (REE) of the tooth forming organ. DCs considered an epithelial lined developmental odontogenic cyst which usually occurs in the second and third decade of life. DCs are the second most prevalent cystic lesions of the jaw following the radicular cyst. They are associated with partially erupted, developing, supernumerary or impacted teeth. Locations wise in the jaw, the mandibular third molars followed by maxillary canines are preferred sites. Occurrence of DCs is commonly unilateral. Bilateral presence is generally observed in syndromic cases. Non-syndromic DCs occurring bilaterally or involving both arches at the same time is very rare.
被称为毛囊囊肿的牙质囊肿(DC)被认为是由牙齿形成器官的牙釉质上皮(REE)减少引起的发育异常引起的。DC被认为是一种上皮内衬的发育性牙源性囊肿,通常发生在生命的第二和第三个十年。树突状细胞是继根性囊肿之后第二常见的颌骨囊性病变。它们与部分萌出、发育中、多生或阻生的牙齿有关。在下颌的位置上,下颌第三磨牙和上颌犬齿是首选位置。DC的发生通常是单方面的。在综合征病例中通常观察到双侧存在。双侧或同时累及两个足弓的非综合征性DC非常罕见。
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引用次数: 6
期刊
Journal of Research in Medical and Dental Science
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