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3D Printing Characteristics and Mechanical Properties of a Bio Scaffold Obtained from a Micro-CT Scan, Using the Fused Deposition Modeling Technique 利用熔融沉积建模技术,通过微ct扫描获得生物支架的3D打印特性和机械性能
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-10-05 DOI: 10.15517/ijds.2022.52671
Natalia González-Sánchez, Nicole Jensen-Líos, Diana Hernández-Montoya, José Esteban Campos Zumbado, Jorge Oviedo-Quirós
The objective is to determine which biopolymer has the best 3D printing characteristics and mechanical properties for the manufacture of a bioscaffold, using the fused deposition printing technique, with models generated from a Micro-CT Scan. Through an experimental exploratory study, the 3D printing of a bioscaffold was carried out using the fused deposition modeling (FDM) technique, from an STL file obtained from a Micro-CT scan taken from a bovine iliac crest bone structure Three study groups of the analyzed biopolymers were carried out with thirteen printed structures of each one. The first is made of 100% PLA. The second, 90B, is composed of 20g of polylactic acid per 1g of diatom extract, and the third, 88C, differs from the previous one in that it also contains 1g of calcium phosphate. The 39 printed structures underwent a visual inspection test, which required the fabrication of a gold standard scaffold in resin, with greater detail and similarity to the scanned bone structure. Finally, the structures were subjected to a compressive force (N) to obtain the modulus of elasticity (MPa) and compressive strength (MPa) of each one of them. A statistically significant difference (p=0.001) was obtained in the printing properties of the biomaterial 88C, compared to 90B and pure PLA. The 88C biopolymer presented the best 3D printing characteristics using the fused deposition printing technique, from stereolithographic models obtained with Micro-CT Scan. In addition, the 88C biopolymer presented the best mechanical properties compared to the other groups of materials. Although the difference between these was not statistically significant (p=0.388), in the structures of the 88C biomaterial, values of compressive strength (8,84692 MPa) and modulus of elasticity (43,23615 MPa) were similar to those of cancellous bone in the jaws could be observed. In conclusion, the biomaterial that exhibited the best printing and mechanical characteristics to produce a 3D printed bio scaffold using the fused deposition technique from stereolithographic models obtained from a Micro-CT Scan was the 88C biopolymer. Because of this result, the 88C biomaterial has the potential to be used in the manufacture of bioscaffolds in tissue engineering.
目的是确定哪种生物聚合物具有最佳的3D打印特性和机械性能,用于制造生物支架,使用熔融沉积打印技术,并通过Micro-CT扫描生成模型。通过一项实验性探索性研究,利用融合沉积建模(FDM)技术,从牛髂骨骨结构的Micro-CT扫描获得的STL文件中进行了生物支架的3D打印。第一种是100% PLA。第二种是90B,每1g硅藻提取物中含有20g聚乳酸;第三种是88C,与前一种不同的是,它还含有1g磷酸钙。这39个打印的骨骼结构经过了视觉检查测试,这需要用树脂制造一个金标准支架,与扫描的骨骼结构有更大的细节和相似性。最后,对各结构施加一个压缩力(N),得到各结构的弹性模量(MPa)和抗压强度(MPa)。与90B和纯PLA相比,生物材料88C的打印性能有统计学意义(p=0.001)。使用熔融沉积打印技术,从Micro-CT扫描获得的立体光刻模型中,88C生物聚合物呈现出最佳的3D打印特性。此外,88C生物聚合物与其他材料相比,表现出最好的力学性能。虽然两者之间的差异无统计学意义(p=0.388),但在88C生物材料的结构中,抗压强度(8,84692 MPa)和弹性模量(43,23615 MPa)与颌骨松质骨相似。综上所述,使用熔融沉积技术从Micro-CT扫描获得的立体光刻模型中获得3D打印生物支架,88C生物聚合物表现出最佳的打印和机械特性。由于这一结果,88C生物材料具有用于组织工程生物支架制造的潜力。
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引用次数: 0
Knowledge, Attitudes, and Experiences of a Group of Turkish Dentists regarding Child Abuse 一群土耳其牙医关于虐待儿童的知识、态度和经验
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-10-04 DOI: 10.15517/ijds.2022.52660
D. Ceyhan
Child abuse is a universal problem with critical lifelong effects. This study aimed to evaluate knowledge, attitudes, experiences of dentists regarding child abuse and to increase relevant awareness of them. A self-administered questionnaire with 48 questions about dentists’ personal and educational information and their level of knowledge, attitudes, experiences on child abuse was implemented. Out of targeted 305 participants, 183 (60.0%) returned completely filled out questionnaires. Majority of participants knew signs and symptoms of child abuse. Of the participants, more than half were well-informed on what to do, however, one quarter had no knowledge about where to report in case of child abuse. In identifying child abuse, 39.3% of the participants found themselves inadequate. The most commonly stated reason for low rate of reporting was hesitancy to identify the case as abuse, and all participants needed more training. Only 12 (6.6%) participants suspected a case of child abuse. Dentists who had children and were long-time experienced and generalist did not have sufficient knowledge about legal obligations, signs and symptoms of child abuse (p<0.05). Arrangements and training programs to increase knowledge, awareness, and responsibility levels of dentists about child abuse appear to be a critically important topic.
虐待儿童是一个普遍存在的问题,会对人的一生产生严重影响。本研究旨在评估牙医对儿童虐待的知识、态度和经验,并提高他们的相关意识。一份由牙医自行填写的问卷,共48个问题,内容涉及牙医的个人及教育资料,以及他们对虐待儿童的知识水平、态度和经历。在305名目标参与者中,183人(60.0%)完整填写了问卷。大多数参与者都知道虐待儿童的迹象和症状。在参与者中,超过一半的人知道该怎么做,然而,四分之一的人不知道在发生虐待儿童的情况下该去哪里报告。在识别虐待儿童方面,39.3%的参与者认为自己做得不够。报告率低的最常见原因是不愿将案件确定为虐待,所有参与者都需要更多的培训。只有12人(6.6%)怀疑是虐待儿童。有孩子且经验丰富的牙医对虐待儿童的法律义务、体征和症状缺乏足够的了解(p<0.05)。安排和培训计划,以提高牙医对虐待儿童的知识、意识和责任水平,似乎是一个至关重要的话题。
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引用次数: 1
Comparison of Two Obturation Techniques on Adhesion and Proliferation of Human Periodontal Ligament Fibroblasts 两种封闭技术对人牙周韧带成纤维细胞粘附和增殖的影响
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-09-27 DOI: 10.15517/ijds.2022.52583
Febe C. Vázquez Vázquez, Lourdes Y. Avalos Piña, Alejandra Rodríguez Hidalgo, A. Pozos-Guillen, Patricia González‐Alva, M. Montero-Aguilar, D. Chavarría-Bolaños, Marco A. Álvarez Pérez
The present study aimed to compare the adhesion and proliferation of human periodontal ligament fibroblasts (hPDL) in transverse sections of the teeth sealed with two different obturation techniques, BioRoot RCS/hydraulic obturation (HO) and AH-Plus/continuous-wave condensation (CWC). The techniques were tested using an in vitro model to simulate the interaction between periodontal tissues and the materials. The root canals were instrumented and sterilized. A total of 15 samples were obturated with BioRoot RCS/HO and 15 samples with AH-Plus/CWC. Then, roots were sectioned to obtain obturated teeth slices, and hPDL cells were seeded onto the root slices. The results were obtained at intervals of 4 and 24 h for cell adhesion; and at 3,7,14, and 21 days for cell proliferation. Empty cell culture plates were use as controls. The cell adhesion was increased at 4 and 24 h for both groups, with an increased response observed in the BioRoot RCS/HO group (p<0.05). The difference in cell proliferation was also found between experimental groups. After 14 days of culture, BioRoot RCS/HO group showed an increase response than control and AH-Plus/CWC groups (p<0.05), and after 21 days both groups behaved better than control group, with an increased response observed in the BioRoot RCS/HO group. This study demonstrated that both root canal sealers allow the attach and growth of periodontal ligament fibroblasts, with an increased biological response in the BioRoot RCS/HO group.
本研究旨在比较BioRoot RCS/水力封闭(HO)和AH-Plus/连续波冷凝(CWC)两种不同封闭技术对牙周韧带成纤维细胞(hPDL)在牙横切面的粘附和增殖的影响。采用体外模型模拟牙周组织与材料之间的相互作用,对这些技术进行了测试。根管固定并消毒。共有15个样本用BioRoot RCS/HO封闭,15个样本用AH-Plus/CWC封闭。然后,根切片获得封闭牙片,将hPDL细胞接种到根片上。细胞粘附时间间隔为4、24 h;在3、7、14和21天进行细胞增殖。空细胞培养板作为对照。4、24 h时,两组细胞黏附均增强,且BioRoot RCS/HO组反应增强(p<0.05)。实验组之间的细胞增殖也存在差异。培养14 d后,BioRoot RCS/HO组的应答率显著高于对照组和AH-Plus/CWC组(p<0.05),培养21 d后,两组均优于对照组,其中BioRoot RCS/HO组应答率显著高于对照组。本研究表明,两种根管密封剂都能促进牙周韧带成纤维细胞的附着和生长,BioRoot RCS/HO组的生物反应增强。
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引用次数: 0
Evaluation of Plaque Index, Gingival Index and Oral Health-Related Quality of Life in Obese Patiens 肥胖患者斑块指数、牙龈指数及口腔健康相关生活质量的评价
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-09-22 DOI: 10.15517/ijds.2022.52533
Gizem Ayan, B. Dayı
Obesity is a chronic disease that may be related to caries, periodontitis, xerostomia, and dental erosion, as well as increasing morbidity and mortality. The aim of this study was to evaluate the plaque index (Silness & Löe, 1964), the gingival index (Löe & Silness, 1963), and the oral health-related quality of life (OHRQoL) in obese patients. The study included 45 extremely obese, 45 obese, and 45 normal-weight individuals between the ages of 18 and 58. The plaque index and gingival index of the individuals were determined by clinical examination by probing. In addition, the Oral Health Impact Profile-14 (OHIP-14) questionnaire was used for the OHRQoL. The IBM SPSS Statistic 22.0 software program was used for the statistical evaluation of the study data. The plaque index and gingival index values were statistically higher in obese compared to normal weight individuals (p<0.05). Both plaque index and gingival index values were not statistically significant between the extremely obese and control groups (p>0.05). There was no statistically significant difference between the OHIP-14 total scores of the groups (p>0.05). Increased apparent plaque index and gingival index values in obese patients may adversely affect periodontal health.
肥胖是一种慢性疾病,可能与龋齿、牙周炎、口干症和牙齿侵蚀有关,也可能增加发病率和死亡率。本研究的目的是评估肥胖患者的菌斑指数(Silness & Löe, 1964)、牙龈指数(Löe & Silness, 1963)和口腔健康相关生活质量(OHRQoL)。这项研究包括45名极度肥胖、45名肥胖和45名体重正常的人,年龄在18岁到58岁之间。临床用探诊法测定个体的菌斑指数和牙龈指数。此外,OHRQoL采用口腔健康影响概况-14 (OHIP-14)问卷。采用IBM SPSS Statistic 22.0软件对研究数据进行统计评价。肥胖人群斑块指数和牙龈指数高于正常体重者(p0.05)。两组患者OHIP-14总分比较,差异无统计学意义(p>0.05)。肥胖患者明显菌斑指数和牙龈指数升高可能对牙周健康产生不利影响。
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引用次数: 0
Hemicrania continua and Temporomandibular Disorders Co-Presentation. Case Report 持续性偏头痛和颞下颌疾病的共同表现。病例报告
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-09-21 DOI: 10.15517/ijds.2022.52525
Andrés R. Cervantes-Chavarría, Rebeca Rojas-Guzmán
Hemicrania continua is an uncommon headache disorder that requires complete response to indomethacin for its diagnosis, that becomes on most of the cases chronic pain resilient to treatment. On the other hand, temporomandibular pain is very common on the general population and happens to be undiagnosed most of the time when headache or migraines are happening at the same time. In this case we aim to highlight the importance of treating all concomitant diagnosis for a better long-term prognosis. In this paper, a case of a 51-year-old male with chronic resilient facial pain is presented. The patient described right sided facial pain with six years of evolution that started with no triggers. The pain was described as constant bilateral pressure being worse on the right side, located on the temples, masseteric and preauricular areas; with an intensity of 6 on a scale of 0 to 10. It is accompanied by episodes of paroxysmal pulsating hemifacial pain with autonomic symptoms (rhinorrhea, conjunctival injections and lacrimation). The pain during exacerbations was located on the right periorbital and hemifacial area and with an intensity of 10 on a scale of 0 to 10, lasting a few minutes to more than 2 hours. After the clinical examination and pain history, the patient was given the diagnosis of hemicrania continua and masticatory myofascial pain.  He was started on Indomethacin 25mg twice a day and started on temporomandibular therapy (self-care, jaw exercises, motivation and advice for stress management). Three months after the first evaluation the patient reported total resolution of his symptoms. The main goal of this article is to highlight that the presence of temporomandibular disorders is common in patients with headaches, for which it is necessary to carry out a comprehensive approach for both entities, which include the therapies for treating axis I diagnosis and behavioral management for axis II, this including most of the time a multidisciplinary human centered approach.
持续性偏头痛是一种不常见的头痛疾病,需要对吲哚美辛完全有效才能诊断,这在大多数情况下对慢性疼痛的治疗有弹性。另一方面,颞下颌关节疼痛在普通人群中很常见,当头痛或偏头痛同时发生时,大多数时候都没有被诊断出来。在这种情况下,我们的目的是强调治疗所有伴随诊断的重要性,以获得更好的长期预后。在本文中,一个51岁的男性慢性弹性面部疼痛的情况下提出。患者描述右侧面部疼痛与六年的演变,开始没有触发。疼痛描述为右侧太阳穴、咬肌和耳前区持续的双侧压力加重;强度为0到10级中的6级。伴有阵发性搏动性半面部疼痛,伴有自主神经症状(鼻漏、结膜注射和流泪)。加重时疼痛位于右侧眶周和半面区,强度为10(0 ~ 10),持续数分钟至2小时以上。经临床检查及疼痛史,诊断为持续性偏头痛及咀嚼肌筋膜疼痛。他开始服用吲哚美辛25mg,每天两次,并开始进行颞下颌治疗(自我护理,下颌练习,激励和压力管理建议)。第一次评估后三个月,患者报告症状完全缓解。本文的主要目的是强调颞下颌紊乱在头痛患者中很常见,因此有必要对这两个实体进行综合治疗,其中包括治疗轴I诊断的治疗和轴II的行为管理,这包括大多数时间的多学科以人为中心的方法。
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引用次数: 0
Biomechanical and Chemical Behavior of Various Bioactive Materials in Class II Restorations 各种生物活性材料在II类修复体中的生物力学和化学行为
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-09-14 DOI: 10.15517/ijds.2022.52470
Juan Carlos Ramírez Barrantes, Francisco Javier Quesada Rojas
The aim of this in vitro study was to evaluate the biomechanical and chemical behavior of various bioactive materials in class II MOD restorations. Forty-eight standardized class II MOD cavities were prepared in sound extracted human molar teeth.  The specimens were divided into four groups according to the restorative material: Group 1 (Filtek™ Z350 XT), Group 2 (Biodentine™ as a liner, and then restored with Filtek™ Z350 XT), Group 3 (Cention N™), and Group 4 (Activa™ Bioactive-Restorative). The samples were tested for fracture resistance by subjecting them to a compressive load in a Universal testing Machine. The failure modes of each specimen were evaluated. The alkalinizing potential and calcium ion release of the materials were measured. SEM-EDAX analyses were also performed for all materials. Data were analyzed using ANOVA and post hoc Tukey test (p<0.05). Group 1 showed the higher fracture resistance (p<0.05). Group 3 had greater fracture resistance values but no statistical difference from Group 4. Biodentine™ showed greater biomineralization potential. Class II MOD restorations of Group 1 displayed the higher fracture resistance; however, it was highly associated with catastrophic failure. Conversely, Biodentine™ presented a more significant bioactivity potential, and its use, as in Group 2, promoted the most favorable failure mode.
本体外研究的目的是评估各种生物活性材料在II类MOD修复体中的生物力学和化学行为。在正常拔除的人磨牙上制备了48个标准化的II类MOD空腔。根据修复材料将标本分为四组:1组(Filtek™Z350 XT), 2组(Biodentine™作为衬垫,然后用Filtek™Z350 XT修复),3组(Cention N™)和4组(Activa™Bioactive-Restorative)。试样在万能试验机上承受压缩载荷,测试其抗断裂性能。对每个试件的破坏模式进行了评估。测定了材料的碱化电位和钙离子释放量。同时对所有材料进行SEM-EDAX分析。数据分析采用方差分析和事后Tukey检验(p<0.05)。1组患者抗骨折能力显著提高(p<0.05)。3组骨折阻力值高于4组,但与4组无统计学差异。Biodentine™显示出更大的生物矿化潜力。第1组ⅱ类MOD修复体具有较高的抗骨折性;然而,它与灾难性的失败高度相关。相反,Biodentine™表现出更显著的生物活性潜力,并且与第2组一样,其使用促进了最有利的失效模式。
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引用次数: 0
Bond Strength Comparison Among 10-MDP-Containing and Non-10-MDP-Containing Adhesives in Different Degrees of Dental Fluorosis 含10- mdp与不含10- mdp胶粘剂在不同程度氟斑牙中的粘结强度比较
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-09-12 DOI: 10.15517/ijds.2022.52446
Luis Javier Solís-Martínez, Karla Yareli Valles Flores, Nohé Vargas Chávez, O. Almeda-Ojeda, Víctor Hiram Barajas-Pérez, Edgar García-Torres
Dental fluorosis can cause changes in the enamel surface, conditioning its functionality and esthetics. The application of dental adhesives is a treatment option; however, their use on fluorotic teeth can result in limitations. The aim of this study was to compare the shear bond strength of two different adhesives, one with 10-MDP and one without 10-MDP, in different degrees of dental fluorosis.This is an in vitro study on dental enamel samples, a total of 180 samples with the inclusion criteria were treated, randomly divided into two groups of 90, according to the type of dental adhesive, where each group was again divided into three groups of 30 samples, representing different degrees of dental fluorosis according to the Thylstrup-Fejerskov index (Group I: TF1 and TF2; Group II: TF3; Group III: TF4). Normality tests, two-factor ANOVA, and post-hoc tests were used to determine differences between the groups, with a significance level of 95%. As results, a statistically significant difference was shown between the use of dental adhesive with 10-MDP and the three groups of dental fluorosis (p=0.011), in addition, a Tukey post-hoc test on the groups treated with 10-MDP adhesive revealed a statistically significant difference between group I versus group II, and group I versus group III, (p=<0.05). It is concluded that the use of adhesive systems with 10-MDP presents a better shear bond strength on enamel with dental fluorosis grades I and II in the Thylstrup-Fejerskov index.
氟斑牙会引起牙釉质表面的变化,影响其功能和美观。使用牙胶粘剂是一种治疗选择;然而,它们在含氟牙齿上的使用可能会导致局限性。本研究旨在比较含10-MDP和不含10-MDP两种不同黏合剂在不同程度氟牙症中的剪切粘接强度。这是一项牙釉质样品的体外研究,共对180个符合纳入标准的样品进行处理,根据牙胶粘剂的类型随机分为两组,每组90个,其中每组再根据thylstrp - fejerskov指数分为三组,每组30个样品,代表不同程度的氟牙症(第一组:TF1和TF2;第二组:TF3;第三组:TF4)。采用正态性检验、双因素方差分析和事后检验来确定组间差异,显著性水平为95%。结果显示,使用含10-MDP牙胶粘剂与三组氟牙症的差异有统计学意义(p=0.011),并且对使用10-MDP牙胶粘剂组进行Tukey事后检验显示,1组与2组、1组与3组的差异有统计学意义(p=<0.05)。综上所述,10-MDP粘接体系对Thylstrup-Fejerskov指数I级和II级氟牙症牙釉质具有较好的剪切粘接强度。
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引用次数: 0
Patients Satisfaction with Dental Service, School of Dentistry, University of Costa Rica 病人对牙科服务的满意度,哥斯达黎加大学牙科学院
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-09-09 DOI: 10.15517/ijds.2022.52426
Natalia Gutiérrez-Marín, A. López-Soto
The objective of this research was to use the Dental Satisfaction Questionnaire to determine the level of patient’s satisfaction who come to the School of Dentistry of the University of Costa Rica.  The research was conducted with the entire population of patients who received dental care in the Undergraduate Student Clinics of the School of Dentistry between April and September 2021. A digital survey was generated with the questions of the DSQ and sociodemographic variables, which was sent by email.  Descriptive statistics were performed to establish the absolute and relative frequency, as well as measures of central tendency and variability, according to the nature of the variables. The Kolmogorov-Smirnov test was used in the conformity assessment of the data for the normal distribution. The relationships between the scores obtained from the Dental Satisfaction Questionnaire and the sociodemographic variables were analyzed using the Mann-Whitney U Test and the Kruskal-Wallis Test. A response rate of 36% was obtained. 98.5% of the subjects were satisfied with the services received. There was a statistically significant difference between the frequency of visits and the dental satisfaction scale (p=0.001). The scoring by type of clinic with regards to access, pain management, cost and availability were statistically significant (p=0.001, p=0.014, p=0.001, p=0.001, respectively). The differences in the relationship between the age groups and access was significant (p=0.014); in addition to that between education level and cost (p=0.001). A large majority of patients who come to the services of the School of Dentistry UCR are satisfied with the service received.
本研究的目的是使用牙科满意度问卷来确定哥斯达黎加大学牙科学院的患者满意度水平。该研究是在2021年4月至9月期间在牙科学院本科生诊所接受牙科护理的全部患者中进行的。数字调查产生了DSQ和社会人口变量的问题,并通过电子邮件发送。根据变量的性质,进行描述性统计以确定绝对频率和相对频率,以及集中趋势和变异性的测量。采用Kolmogorov-Smirnov检验对正态分布的数据进行符合性评定。采用Mann-Whitney U检验和Kruskal-Wallis检验分析牙科满意度问卷得分与社会人口学变量之间的关系。应答率为36%。98.5%的受试者对所获得的服务感到满意。就诊频率与牙科满意度量表差异有统计学意义(p=0.001)。不同类型诊所在可及性、疼痛管理、费用和可得性方面的评分均有统计学意义(p=0.001, p=0.014, p=0.001, p=0.001)。各年龄组与可及性的关系差异有统计学意义(p=0.014);此外,教育水平和成本之间的关系(p=0.001)。绝大多数来UCR牙科学院服务的患者对所获得的服务感到满意。
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引用次数: 0
Estimation of Dental Age Using the Kvaal Method with Digital Panoramic Radiographs in Peruvian Adults 用Kvaal方法和数字全景x线片估计秘鲁成年人的牙龄
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-09-08 DOI: 10.15517/ijds.2022.52413
Heikky N. Izaguirre-López, Daniel G. Suarez-Ponce, Milushka Quezada-Márquez, Violeta A. Nolberto-Sifuentes, Erika R. Alvarado-Muñoz
To determine the accuracy of the Kvaal method in the estimation of dental age through the analysis of digital panoramic radiographs of patients between 20 and 47 years of age who attended the stomatological clinic of the Universidad Científica del Sur, (2018 to 2019), Lima-Perú. 289 digital panoramic radiographs belonging to individuals of both sexes, aged 20 to 47 years were analyzed. Length and width measurements were obtained in the dental and pulp chamber in the upper central incisors. These data were subsequently evaluated by calculating the proportions between the pulp and root length of the upper central incisor by applying the formula of the method of Kvaal et al. to obtain the accuracy of the method in estimating dental age. Applying the formula of Kvaal et al. indicates that the relationship between the width of the pulp and the length of the root has a higher level of significance in relation to others proportions: M mean value of all ratios except T (-0.659) and W-L difference between W and L (-0.643). The coefficient of determination (r²) and standard error of estimation (SEE) using the original Kvaal formula is r²: 0.70, SEE: 4.90 years, then a modified Kvaal formula was proposed for the Peruvian population. The Method of Kvaal et al. has an accuracy of 1.24 in estimating the dental age of individuals, using the upper central incisor in digital panoramic radiographs.
为了确定Kvaal方法在估计牙齿年龄方面的准确性,通过分析在universsidad Científica del Sur牙科诊所就诊的20至47岁患者的数字全景x线片(2018年至2019年),Lima-Perú。本文分析了年龄在20 ~ 47岁的289张男女数字全景x线片。测量上中切牙牙室和牙髓室的长度和宽度。然后应用Kvaal等人的计算公式计算上中切牙牙髓与牙根长度的比例来评估这些数据,以获得该方法估算牙龄的准确性。应用Kvaal等人的公式可知,牙髓宽度与根长之间的关系相对于其他比例具有较高的显著性:除T(-0.659)和W-L之间的差值(-0.643)外,所有比例的均值均为M。采用原Kvaal公式的决定系数(r²)和估计标准误差(SEE)为r²:0.70,SEE: 4.90年,然后提出了秘鲁人口的修正Kvaal公式。Kvaal等人的方法在使用数字全景x线照片上的上中切牙估计个体牙齿年龄的准确性为1.24。
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引用次数: 1
Foreign Body Granuloma in the Maxillofacial Region: Report of an Unusual Case 颌面部异物肉芽肿1例报道
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-09-07 DOI: 10.15517/ijds.2022.52388
Mónica Orozco-Gallardo, E. Gutiérrez-Cortés, S. J. Vázquez-Alcaraz, A. D. Valdivia
This paper aimed to present a clinical case presenting an unusual periapical radiolucent lesion, its approach and treatment, and as an element of differential diagnosis in periapical pathology. Foreign body granuloma (FBG) is a tissue reaction that is triggered by the deposit of a foreign material affecting the skin and internal organs that the immune system tries to delimit and, if possible, eliminate. FBG may constitute a complication of a surgical procedure or a new pathology for the patient, which precedes an iatrogenic event causing diagnostic difficulties. This study presented an unusual periapical radiolucent lesion in a male patient with a periapical radiolucent area found in panoramic radiography; the lesion was enucleated, histopathologically confirming an FBG, which was the result of a biomaterial used in surgery for nasal polyps and deviated septum performed years before. This case shows us a very unusual presentation of an FBG within the maxillary bone after surgery for nasal polyps and deviated septum. The appropriate use of the available imaging tools and histopathological study and interpretation is emphasized, to be able to carry out a successful long-term treatment with the lowest chances of recurrence. In addition, an interdisciplinary approach is very important, which leads us to the comprehensive treatment of the patient. The proper use of diagnostic and imaging methods that we currently have, as well as knowledge of differential diagnoses, is essential to successfully diagnose and treat injuries in the maxillofacial area.
本文报告一罕见的根尖周围放射性病变的临床病例,其方法和治疗,并作为根尖周围病理鉴别诊断的一个要素。异物肉芽肿(FBG)是一种组织反应,由影响皮肤和内部器官的外来物质沉积引发,免疫系统试图划定并在可能的情况下消除。FBG可能是外科手术的并发症或患者的新病理,先于引起诊断困难的医源性事件。本研究报告一位男性患者在全景x线摄影中发现一个不寻常的根尖周围放射透光病变;病变被去核,组织病理学证实为FBG,这是多年前用于鼻息肉和鼻中隔偏曲手术的生物材料的结果。本病例向我们展示了鼻息肉和鼻中隔偏曲手术后上颌骨内异常的FBG。强调适当使用可用的成像工具和组织病理学研究和解释,以便能够以最低的复发机会进行成功的长期治疗。此外,跨学科的方法是非常重要的,这导致我们对病人的综合治疗。正确使用我们目前拥有的诊断和成像方法,以及鉴别诊断的知识,对于成功诊断和治疗颌面部损伤至关重要。
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引用次数: 0
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Odovtos - International Journal of Dental Sciences
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