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Effect of Dental Distance from Implant and MAR Algorithm on the Detection of Vertical Root Fracture in CBCT Images 牙与种植体距离及MAR算法对CBCT图像牙根垂直断裂检测的影响
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-01-16 DOI: 10.15517/ijds.2023.53751
F. Salemi
Three-dimensional cone-beam computed tomography (CBCT) has an important role in the detection of vertical root fractures (VRFs). The effect of artifact generation by high-density objects like dental implants on image quality was well documented. This study aimed to assess the effect of tooth-implant distance and the application of metal artifact reduction (MAR) algorithm on the detection of VRFs on CBCT scans. This study was conducted on 20 endodontically treated single-rooted teeth. VRFs were induced in 10 teeth, while the other 10 remained intact. The implant was inserted in the right second premolar socket area, and two teeth were inserted in right canine and right first premolar sockets area randomly and underwent CBCT with and without the application of MAR algorithm. SPSS 21 was used to analyze the results (alpha=0.05). According to the findings of this study, all four variables of sensitivity, specificity, accuracy, and positive predictive values in diagnosis were higher in cases without MAR software at both close(roots in first premolar sockets) and far distances (roots in canine sockets) from the implant. However, the highest rate of diagnosis accuracy of the first and second radiologists was in the far distance group from the implant without MAR, and the lowest rate of diagnosis accuracy in the first and second radiologists was in the close distance to the implant. Applying MAR algorithm had no positive effect on detection of VRFs on CBCT scans in both close and distant scenarios.
三维锥束计算机断层扫描(CBCT)在垂直根骨折(VRFs)检测中具有重要作用。高密度物体(如种植牙)产生的伪影对图像质量的影响已有文献记载。本研究旨在评估牙种植体距离和金属伪影还原(MAR)算法对CBCT扫描中vrf检测的影响。本研究以20颗经根管治疗的单根牙为研究对象。在10颗牙齿中诱导vrf,而其他10颗保持完整。种植体在右侧第二前磨牙槽区种植,随机在右侧犬齿区和右侧第一前磨牙槽区种植两颗牙,分别应用MAR算法和不应用MAR算法进行CBCT检查。采用SPSS 21软件对结果进行分析(alpha=0.05)。根据这项研究的结果,在没有MAR软件的情况下,在距离种植体近(第一前磨牙槽根)和远(犬牙槽根)的情况下,诊断的敏感性、特异性、准确性和阳性预测值的所有四个变量都更高。然而,一、二放射科医师诊断准确率最高的是距离种植体较远的无MAR组,一、二放射科医师诊断准确率最低的是距离种植体较近的组。在近距离和远距离场景下,应用MAR算法对CBCT扫描的vrf检测均无积极影响。
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引用次数: 0
Shaving of the Plaster Working Dies Reusing the Final Silicone Impression. A Coupling Technique 重新使用最后的硅胶模的石膏工作模的剃须。耦合技术
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-11-29 DOI: 10.15517/ijds.2022.53258
Juan Carlos Ramírez Barrantes
One of the most predominant challenges in oral rehabilitation is to predict the functional and aesthetic results of dental restorations. The success of the treatment depends on the correct execution of the different clinical and technical procedures performed at the dental laboratory. One of the fundamental steps is the final impression to obtain a precise replica of the cervical termination line. The correct diagnosis for the approach regarding the gingival tissues, the fidelity of the dental impression, and the shaving of the gingival margins in the working model will allow the establishment of a complete protocol for the diagnosis, planning, and execution of the treatment, potentiating more predictable results in the different clinical cases. The aim of this case report was to propose an alternative technique for undergraduate students regarding the shaving procedure of the working dies, obtaining an improved fitting in the marginal adaptation of the prosthetic parts performed at the laboratory.
口腔康复中最主要的挑战之一是预测口腔修复的功能和美学结果。治疗的成功取决于在牙科实验室进行的不同临床和技术程序的正确执行。其中一个基本步骤是最后的印象,以获得宫颈终止线的精确复制品。正确诊断入路的牙龈组织,牙印的保真度,以及工作模型中牙龈边缘的刮除,将允许建立一个完整的诊断方案,计划和执行治疗,在不同的临床病例中增强更可预测的结果。本案例报告的目的是为本科生提出一种关于工作模具剃须过程的替代技术,在实验室进行的假体部件的边缘适应中获得改进的拟合。
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引用次数: 0
The Troublesome and Delicate Relationship Between Scientific Evidence, Social Media and State-of-the-Art Clinical Practices 科学证据、社交媒体和最先进的临床实践之间棘手而微妙的关系
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-11-22 DOI: 10.15517/ijds.2022.53204
Jorge Soto-Montero
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引用次数: 0
Methylation Analysis of Rb, P16, MGMT, and hMLH-1in Mucoepidermoid Carcinomas. A Pilot Study 粘液表皮样癌中Rb、P16、MGMT和hmlh -1的甲基化分析。一项初步研究
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-11-21 DOI: 10.15517/ijds.2022.53197
Luis A. Martínez-Marcial, L. F. Jacinto-Alemán, David A Trejo-Remigio, C. M. Ramírez-Martínez, E. Leyva-Huerta
Mucoepidermoid carcinoma (MC) is the most common malignant epithelial neoplasm in the salivary glands. This neoplasm has varying proportions of mucous, epidermoid, intermediate, columnar, and clear cells. MCs have been associated with CRTC1-MAML2 genes; however, their pathogenesis is uncertain. Recently, epigenetic changes have been considered a possible aetiologic factor. To identify the methylation state of RB, P16, MGMT, and hMLH genes in the three severity grades of MC were used five MCs and one healthy minor salivary gland as a control group (CG) obtained from the Pathology and Oral Medicine Laboratory and analyzed using MS-PCR to compare the presence or absence of methylation in promotor regions. The Kruskal-Wallis test was performed, with p≤0.05 considered significant. CG was employed as the normalizer of methylation levels. All assays were performed in triplicate. The mean age of our population was 52.6±18.6 years old; the total population was female and included 2 low grade, 2 intermediate grade, and 1 high grade levels of severity. When comparing the methylation status of the three histopathological grades of MC against the control, statistically significant differences were observed in Rb-M, MGMT-M, and hMLH-1-NM for high-grade severity, with p values of 0.03, 0.05, and 0.04, respectively. Methylation is a possible mechanism for pathogenesis processing of high-grade MC. However, a larger sample population is necessary to validate this finding.
黏液表皮样癌(MC)是唾液腺最常见的恶性上皮肿瘤。这种肿瘤有不同比例的粘液细胞、表皮样细胞、中间细胞、柱状细胞和透明细胞。MCs与CRTC1-MAML2基因有关;然而,其发病机制尚不清楚。最近,表观遗传变化被认为是一个可能的病因。为了确定三个严重程度的MC中RB、P16、MGMT和hMLH基因的甲基化状态,我们使用病理学和口腔医学实验室获得的5个MC和1个健康的小唾液腺作为对照组(CG),使用MS-PCR分析比较启动子区域甲基化的存在或不存在。采用Kruskal-Wallis检验,p≤0.05为显著性。采用CG作为甲基化水平的正规化剂。所有试验均为三份。人口平均年龄为52.6±18.6岁;总体为女性,包括2例低度、2例中度和1例重度。将三个组织病理学级别MC的甲基化状态与对照组进行比较,Rb-M、MGMT-M和hMLH-1-NM的高级别严重程度差异有统计学意义,p值分别为0.03、0.05和0.04。甲基化是高级别MC发病过程的可能机制。然而,需要更大的样本群体来验证这一发现。
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引用次数: 0
Elimination of E. faecalis and C. albicans Biofilm: A Comparison Between Single and Multiple File Systems in an Ex Vivo Study 粪肠杆菌和白色念珠菌生物膜的消除:在离体研究中单个和多个文件系统的比较
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-11-15 DOI: 10.15517/ijds.2022.53153
V. Méndez-González, Claudia Casillas-Contreras, M. Vitales-Noyola, D. Alvarado-Hernández, A. González-Amaro, A. Aragón-Piña, A. Pozos-Guillen
To evaluate whether the WaveOne Gold and Reciproc single file instrumentation systems, are effective in reducing the microbial load of a mixed biofilm and the cleaning of apical third compared to the Twisted File Adaptive system (multiple-file system). Seventy mesial roots of the first and second molars were included and randomly divided into three experimental groups (n=20, n=10 controls). Biofilms were formed inside canals over 31 days. After instrumentation with the unique file systems, WaveOne Gold and Reciproc and the multiple file system Twisted File Adaptive, using 2.25% sodium hypochlorite as an irrigant in all cases, a count of colony forming units was performed using serial dilutions, cleaning of the apical third was evaluated using scanning electron microscopy. Comparisons amongst groups were made by using parametric and non-parametric statistics, according to a normal or non-normal data distribution, respectively.  No significant differences in the reduction of the microbial load after employing a single-file system in comparison to the multiple-file system were found; in addition, the cleaning of the apical third was similar for the three different instrumentation systems. The single-file system is equal in effectiveness compared with the multiple-file system in reducing the microbial load.
与Twisted file Adaptive系统(多文件系统)相比,评估WaveOne Gold和Reciproc单文件仪器系统在减少混合生物膜的微生物负荷和根冠三分之一的清洁方面是否有效。选取70例第一、第二磨牙近中根,随机分为3个实验组(n=20,对照组n=10)。生物膜在31天内形成。使用WaveOne Gold和Reciproc独特的文件系统以及Twisted file Adaptive多文件系统,在所有情况下使用2.25%次氯酸钠作为冲洗剂,使用连续稀释进行菌落形成单位计数,使用扫描电子显微镜评估根尖三分之一的清洁情况。组间比较分别根据正态或非正态数据分布,采用参数统计和非参数统计进行。采用单文件系统与多文件系统相比,在减少微生物负荷方面没有发现显著差异;此外,对于三种不同的仪器系统,顶端三分之一的清洗是相似的。单文件系统与多文件系统在减少微生物负荷方面的效果相同。
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引用次数: 0
Acute Osteomyelitis in Torus of Systemically Compromised Patients: Case Series 全身性损害患者的急性骨髓炎:病例系列
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-11-04 DOI: 10.15517/ijds.2022.53064
Yadira V. Boza-Oreamuno, A. López-Soto
The torus are benign bony prominences that generally do not require treatment, however, they can occasionally present osteomyelitis (OM). The objective of this article is to describe the timely management of torus osteomyelitis through a series of clinical cases. Three patients with OM are reported. Two cases of men aged 66 and 69, diabetics, as well as a 57-year-old woman with a history of basal cell carcinoma of the nose. All had torus ulcers associated with trauma and without resolution of the same. In the three cases, a biopsy was performed to confirm the diagnosis and they were treated with anti-inflammatory drugs and antibiotic therapy, achieving complete resolution. Uncontrolled diabetes mellitus and trauma can favor the development of OM in patients with bone exostoses, therefore, when there are signs of infection in these structures, it is imperative to suspect the condition and offer treatment.
环体为良性骨突出,通常不需要治疗,但偶尔会出现骨髓炎(OM)。本文的目的是通过一系列的临床病例来描述环状骨髓炎的及时处理。报告3例OM患者。两例年龄分别为66岁和69岁的男性糖尿病患者,以及一名有鼻基底细胞癌病史的57岁女性。所有患者均有创伤相关的环面溃疡,且未痊愈。在三个病例中,进行了活检以确认诊断,并给予抗炎药物和抗生素治疗,完全解决了问题。不受控制的糖尿病和创伤可促进骨外植体患者OM的发展,因此,当这些结构有感染迹象时,必须怀疑这种情况并提供治疗。
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引用次数: 0
Depth of Cure, Mechanical Properties and Morphology of Dual-Cure Bulk-Fill Composites 双固化大块填充复合材料的固化深度、力学性能和形貌
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-10-31 DOI: 10.15517/ijds.2022.52970
Ayca Sarialioglu Gungor, A. Durmuş, B. Zengin Kurt, Safiye Selin Köymen, N. Dönmez
This study evaluated selected structural and physical properties, such as degree of conversion (DC), Vickers hardness (VHN), and compression strength (CS), of three new dual-cure bulk-fill resin-based composites (RBCs; ACTIVA, HyperFIL, and Fill-Up) and compared them to those of a conventional RBC (Filtek Z250) at three clinically relevant depths. Samples (n=180) were prepared in three depths (2,4, and 6mm). Fourier-transform infrared spectroscopy (FTIR) analysis and VHN and CS tests were performed. The DC value was calculated by considering the relative change in the aliphatic C=C peaks. The fractured surfaces of representative samples were characterized using scanning electron microscopy (SEM). Data were statistically evaluated using two-way analysis of variance and post hoc Bonferroni tests (p<0.05). According to the VHN results, Filtek Z250 showed the highest bottom/top hardness ratio (97.94±1.01) at 2mm thickness and ACTIVA showed the lowest bottom/top hardness ratio (43.48±5.64) at 6mm thickness (p<0.001). According to the FTIR results, the DC decreased with increasing thickness in all materials (p<0.05). Filtek Z250 showed the highest (301±12.4 MPa) and ACTIVA exhibited the lowest (232±17.2 MPa) CS values at 2mm thickness (p<0.05). The lowest CS values were obtained for ACTIVA, and the highest values were obtained for Filtek Z250 for samples with thicknesses of 4 and 6mm, respectively (p<0.05). The structural features of restorative composites, such as the resin chemistry and filler type and content, and the operational parameters (i.e., material thickness and curing conditions) strongly affect crosslinking reactions and thus the DC, VHN, and CS values.
本研究评估了三种新型双固化大块填充树脂基复合材料的结构和物理性能,如转化率(DC)、维氏硬度(VHN)和抗压强度(CS)。ACTIVA, HyperFIL和fill - fill),并将其与常规RBC (Filtek Z250)在三个临床相关深度进行比较。样品(n=180)在3个深度(2、4和6mm)制备。傅里叶变换红外光谱(FTIR)分析、VHN和CS测试。考虑脂肪族C=C峰的相对变化来计算DC值。采用扫描电子显微镜(SEM)对代表性样品的断裂表面进行了表征。采用双向方差分析和事后Bonferroni检验对数据进行统计学评价(p<0.05)。VHN结果显示,Filtek Z250在2mm厚度时底/顶硬度比最高(97.94±1.01),ACTIVA在6mm厚度时底/顶硬度比最低(43.48±5.64)(p<0.001)。FTIR结果显示,各材料的DC随厚度的增加而降低(p<0.05)。在2mm厚度下,Filtek Z250的CS值最高(301±12.4 MPa), ACTIVA的CS值最低(232±17.2 MPa) (p<0.05)。在样品厚度为4 mm和6mm时,ACTIVA的CS值最低,Filtek Z250的CS值最高(p<0.05)。恢复性复合材料的结构特征,如树脂化学、填料类型和含量,以及操作参数(即材料厚度和固化条件)强烈影响交联反应,从而影响DC、VHN和CS值。
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引用次数: 0
Knowledge and attitudes of Mexican dentists regarding COVID-19 墨西哥牙医对COVID-19的知识和态度
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-10-19 DOI: 10.15517/ijds.2022.52853
J. Bermeo-Escalona, B. Cerda-Cristerna
Dentists have a high risk of contracting COVID-19, they needed to be aware of the major challenge that represents the dental practice and COVID-19. Accordingly, this study aimed: 1) to investigate the knowledge of dentists regarding COVID-19, 2) to investigate the attitudes of dentists concerning the use of personal protective equipment and, 3) to investigate the attitudes of dentists on stopping their dental practices in the framework of a contingency plan for the COVID-19 outbreak.  An online cross-sectional survey was applied to dentists (n=822). Dentists in Mexico answered the survey, which was administered before the contingency plan for the COVID-19 outbreak. Results were analyzed with descriptive statistics and with a Chi-square test (P≤0.05). Of the respondents, 99% of dentists indicated knowing what COVID-19 is, knowing most, but not all, of its signs and symptoms and knowing its mode of transmission. The 89% of dentists indicated that they always used personal protective equipment. But they did not use always wear face masks, protective eyewear, face shields, disposable gowns, and caps. Dentists were aware of the risk of performing dental procedures during the COVID-19 outbreak. The 90% of dentists indicated that they would treat only patients requiring emergency treatment, and 10% indicated that they would not treat any patients. The dentists had limited knowledge about the COVID-19 disease. They did not use personal protective equipment consistently, and they indicated that they might continue working during the COVID-19 outbreak.
牙医感染COVID-19的风险很高,他们需要意识到牙医执业和COVID-19面临的主要挑战。因此,本研究的目的是:1)调查牙医对COVID-19的知识,2)调查牙医对个人防护装备使用的态度,3)调查牙医在COVID-19疫情应急计划框架下停止牙科执业的态度。对牙医进行在线横断面调查(n=822)。墨西哥的牙医回答了这项调查,这项调查是在COVID-19爆发的应急计划之前进行的。对结果进行描述性统计和卡方检验(P≤0.05)。在受访者中,99%的牙医表示知道什么是COVID-19,了解其大部分(但不是全部)体征和症状,并了解其传播方式。89%的牙医表示他们总是使用个人防护装备。但他们没有一直戴口罩、防护眼镜、面罩、一次性长袍和帽子。牙医意识到在COVID-19爆发期间进行牙科手术的风险。90%的牙医表示他们只会治疗需要紧急治疗的病人,10%的牙医表示他们不会治疗任何病人。牙医对COVID-19疾病的了解有限。他们没有一贯使用个人防护装备,并表示在COVID-19疫情期间可能会继续工作。
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引用次数: 0
The Effect of Whitening Toothpastes on Colour Change and Surface Roughness of Restorative Materials 美白牙膏对修复材料颜色变化及表面粗糙度的影响
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-10-12 DOI: 10.15517/ijds.2022.52728
B. Dayı, Fikriye Öçal
To examine the colour change and surface roughness of giomer, microhybrid composite and nanohybrid composite after brushing with whitening toothpastes. Disc-shaped samples of giomer, microhybrid composite and nanohybrid composite were divided into three subgroups(n=10), with the initial colour measured with a spectrophotometer and the surface roughness measured with a mechanical profilometer. The samples, which were immersed in coffee solution were brushed once a day with whitening toothpastes (Opalescence Cool Mint (OCM), Colgate Optic White Extra Power (COW) and Signal White Now Gold (SWN)) for 12 days. Colour change and surface roughness were measured again after the colouring-brushing cycle. All of the analyses were performed using appropriate statistical hypothesis tests. The highest increase in surface roughness was seen in the microhybrid composite group applied with SWN (p<0.05). The group with the least increase was the giomer group applied with SWN (p<0.05). While the least colour change was observed in the COW applied nanohybrid composite group (∆E00=1,814), the most colour change occurred in the COW applied giomer group (∆E00=5.943). After the use of whitening toothpastes, the roughness of giomer, microhybrid composite and nanohybrid composite surfaces was increased and a colour change above the clinically accepted value was observed.
观察聚异构体、微杂化复合材料和纳米杂化复合材料用美白牙膏刷牙后的颜色变化和表面粗糙度。将异构体、微杂化复合材料和纳米杂化复合材料的圆盘状样品分为3个亚组(n=10),用分光光度计测量初始颜色,用机械轮廓仪测量表面粗糙度。将样品浸泡在咖啡溶液中,每天用美白牙膏(Opalescence Cool Mint (OCM)、高露洁光学白额外能量(COW)和Signal White Now Gold (SWN))刷牙一次,持续12天。涂色循环后再次测量颜色变化和表面粗糙度。所有分析均采用适当的统计假设检验进行。微杂化复合材料组表面粗糙度增加幅度最大(p<0.05)。增重最小的组为应用SWN的异构体组(p<0.05)。纳米杂化复合材料组颜色变化最小(∆E00= 1814),而异构体组颜色变化最大(∆E00=5.943)。使用美白牙膏后,异构体、微杂化复合材料和纳米杂化复合材料表面粗糙度增加,颜色变化高于临床可接受值。
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引用次数: 0
Tomographic Evaluation of Mandibular Buccal Shelf in Patients with Different Vertical Growth Pattern 不同垂直生长方式患者下颌颊架的断层成像评价
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-10-12 DOI: 10.15517/ijds.2022.52727
Luis Angel García-Gonzales, Vilma Elizabeth Ruiz-García de Chacón
The purpose of this research was the tomographic evaluation of the Mandibular Buccal Shelf (MBS) in orthodontic patients with different vertical growth pattern. An observational, descriptive, cross-sectional and retrospective study was conducted. Tomographic images of patients aged 14 to 40 years were observed and a database was formed with those that met the inclusion criteria. The sample size was 10 for each group according to vertical growth pattern (hypodivergent, normodivergent and hyperdivergent). Then four zones of frequent insertion of extralveolar mini-screws were selected in the MBS, taking as a reference the mesial and distal roots of the first and second mandibular molar. When comparing the characteristics of MBS between vertical growth patterns, between sexes and hemiarchs, no statistically significant differences were found. However, when the characteristics of MBS were compared according to the reference root, it was found that there were statistically significant differences. The vestibular area to the distal root of the second mandibular molar presented the highest values in terms of angulation, height and thickness. There are no significant differences in the bone characteristics of MBS according to vertical growth patterns, sexes or hemiarchs. Angulation, height and thickness progressively increase from the vestibular bone of the mesial root of the first mandibular molar to the distal root of the second molar.
本研究的目的是对不同垂直生长模式的正畸患者的下颌颊架(MBS)进行断层扫描评估。进行了一项观察性、描述性、横断面和回顾性研究。观察14 ~ 40岁患者的断层图像,并将符合纳入标准的患者建立数据库。根据垂直生长模式(低发散、无发散和超发散),每组取10个样本。然后以第一、第二磨牙的近中根和远中根为参照,在MBS中选择4个牙槽外微型螺钉的频繁插入区域。在垂直生长方式、性别和血源间比较MBS的特征时,没有发现统计学上的显著差异。然而,当根据参考根比较MBS的特性时,发现存在统计学上的显著差异。前庭区至下颌第二磨牙远根的角度、高度和厚度均最高。根据垂直生长方式、性别或血血管瘤,MBS的骨特征无显著差异。从下颌第一磨牙近中根的前庭骨到第二磨牙远中根,角度、高度和厚度逐渐增加。
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引用次数: 0
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Odovtos - International Journal of Dental Sciences
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