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COVID-19 Pandemic and Dental Research: the Two Sides of the Aftermath COVID-19大流行和牙科研究:后果的两面
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-08-23 DOI: 10.15517/ijds.2022.52233
D. Chavarría-Bolaños
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引用次数: 0
Knowledge, Attitudes and Practices Related to Oral Health in First-Year University Students of the Paraíso Campus of the University of Costa Rica 哥斯达黎加大学Paraíso校区一年级学生口腔健康相关知识、态度和行为
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-08-19 DOI: 10.15517/ijds.2022.52197
J. Barahona-Cubillo, Cinthya Rojas-Brenes, Cristina Barboza-Solís
People’s knowledge, attitudes, and practices related to health are built throughout life, particularly during childhood and adolescence, and they reflect the practices of their family and social circle. The aim of this study was to identify the levels of knowledge, attitudes, and practices related to oral health of first-year university students at the Paraíso Campus of the University of Costa Rica. This was done through a questionnaire of closed questions that would allow oral health educational strategies to be established in the future for this population group. For this purpose, a cross-sectional descriptive study was conducted, where 70 first-year students of the Paraíso Campus participated in the first semester of the year 2019.  For data collection, a survey of 22 closed questions on knowledge, attitudes, and practices about oral health was applied, and a score on oral health knowledge was subsequently performed, based on the answers to the questions. According to the results, the level of knowledge shown about oral health is low, since the average knowledge score (7.02 points) was less than half of the maximum score (17 points). The greatest deficiency in knowledge was evidenced in topics, such as, dental biofilm, gingivitis, use of fluorides, and the role of saliva. In addition, several practices that affect the condition of the oral cavity were identified, such as harmful habits, inadequate nutrition, and poor oral hygiene habits. In this study, a general lack of knowledge was identified regarding basic concepts of oral health in young university students, who are not clear about the role of some protective or risk factors related to the main oral diseases.
人们与健康有关的知识、态度和做法是在一生中,特别是在童年和青春期形成的,它们反映了其家庭和社交圈的做法。本研究的目的是确定Paraíso哥斯达黎加大学校园一年级大学生的口腔健康知识、态度和实践水平。这是通过一份封闭式问题调查问卷来完成的,这将使未来为这一人群制定口腔健康教育策略。为此,我们进行了一项横断面描述性研究,在2019年的第一学期,Paraíso校区的70名一年级学生参加了这项研究。为了收集数据,对22个关于口腔健康的知识、态度和实践的封闭式问题进行了调查,随后根据问题的答案对口腔健康知识进行了评分。结果显示,对口腔健康的知识水平较低,平均知识得分(7.02分)不到满分(17分)的一半。知识的最大不足体现在诸如牙齿生物膜、牙龈炎、氟化物的使用和唾液的作用等主题上。此外,还发现了一些影响口腔状况的习惯,如有害的习惯、营养不足和不良的口腔卫生习惯。本研究发现,青年大学生普遍对口腔健康的基本概念缺乏了解,对一些与主要口腔疾病相关的保护或危险因素的作用不清楚。
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引用次数: 0
Retromolar Canal Diagnosed by Cone-Beam Computed Tomography and its Influence in Inferior Alveolar Nerve Block 锥形束ct诊断磨牙后管及其对下牙槽神经阻滞的影响
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-08-17 DOI: 10.15517/ijds.2022.52179
E. Costa, J. H. Fortes, P. Cruvinel, H. Gaêta-Araujo, Lucas Moreira Mendonça, B. N. de Freitas, V. Pedrazzi, C. Oliveira-Santos, C. Tirapelli
The aim of this study was to observed the anesthetic efficacy of the alveolar nerve block on nine patients that CBCT diagnosed unilateral retromolar canal on a double-blind, split-mouth approach. The assessments of patient response to thermal (pulp vitality test) and pressure (compression of soft tissue) stimuli were carried out before and 5 minutes after the inferior alveolar nerve block procedure, using both visual analog scale (VAS) and Mc Gill pain questionnaires (McG). The mean percentage of patient response decreased after alveolar nerve block, according to both VAS and McG, and was statistically similar among hemi mandibles with and without retromolar canal (Wilcoxon>0.05); however, those without retromolar canal presented greater reduction in patient response in 6 out of 9 cases. Therefore, the retromolar canal is not a determinant factor of inferior alveolar nerve block failure.
本研究的目的是观察9例双盲、裂口入路CBCT诊断为单侧磨牙后管的患者的牙槽神经阻滞的麻醉效果。采用视觉模拟量表(VAS)和McG疼痛问卷(McG)评估患者在下牙槽神经阻滞手术前和手术后5分钟对热(牙髓活力测试)和压力(软组织压迫)刺激的反应。根据VAS和McG,患者在牙槽神经阻滞后的平均反应百分比下降,在有和没有后磨牙管的半下颌之间具有统计学意义相似(Wilcoxon>0.05);然而,没有后磨牙管的患者在9例中有6例患者反应更大。因此,磨牙后管不是下牙槽神经阻滞失败的决定性因素。
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引用次数: 0
Prevalence of Tooth Loss, Bleeding on Probing and Malocclusion as Oral Disease Indicators in Costa Rican Male Adolescents: a Cross Sectional Study 哥斯达黎加男性青少年牙齿脱落、探牙出血和错牙合患病率作为口腔疾病指标:一项横断面研究
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-07-19 DOI: 10.15517/ijds.2022.51871
J. Barahona-Cubillo, Cinthya Rojas-Brenes, Tony Sánchez-Achío, Sonia Stradi-Granados, Cristina Barboza-Solís
The evidence to characterize oral health during adolescence in Costa Rica is limited. This lack of adequate research makes it difficult to develop appropriate health policies for this subgroup of the population. This is particularly important because adolescence is the period during which good health habits must take root in order to foster good physical and cognitive development. This study aims to determine the prevalence of tooth loss, bleeding on probing and malocclusion in Costa Rican male adolescents at the “Colegio Técnico Profesional San Agustín” (St. Augustine’s Technical High School) located in the province of Cartago. Data was collected from 428 male adolescents aged 12-22 years in a cross-sectional study during 2019. Prevalence of tooth loss was calculated as the number of individuals having lost at least one tooth. The average number of teeth lost by individuals was also recorded. The bleeding on probing was an indicator used as a proxy parameter for monitoring periodontal health where the presence of bleeding on probing and calculus was also recorded. Malocclusion was measured using the Dental Aesthetic Index (DAI). The results showed that the prevalence of tooth loss, bleeding on probing and malocclusion was of 19%, 70.0% and 98%, respectively. It was also found that 81% of the participants had all their teeth, 11% had lost 1 tooth, 8% had lost more than one tooth of which 0.5% had lost more than 5 teeth. Considering a general classification of periodontal problems based on bleeding on probing and presence of calculus, the prevalence of periodontal problems increases to 92%. Regarding the DAI, the category identifying a very severe malocclusion was the most prevalent in the sample (88%). It is alarming the high prevalence of tooth loss, bleeding on probing, and malocclusions in a sample of Costa Rican male adolescents, compared to similar studies in other countries. The overarching conclusion of this study is that oral diseases represent an important health problem that urgently need proper public health action.
哥斯达黎加青少年口腔健康特征的证据有限。由于缺乏充分的研究,因此难以为这一人口亚群制定适当的卫生政策。这一点尤其重要,因为青春期是良好的健康习惯必须扎根的时期,以便促进良好的身体和认知发展。本研究的目的是确定位于carago省的“Colegio tsamicnico professionalsan Agustín”(圣奥古斯丁技术高中)的哥斯达黎加男性青少年牙齿脱落、探牙出血和错牙合的患病率。在2019年的一项横断面研究中,从428名12-22岁的男性青少年中收集了数据。牙齿脱落的患病率计算为至少失去一颗牙齿的人数。每个人的平均牙齿脱落数也被记录下来。探诊出血是监测牙周健康的一个指标,同时也记录了探诊和牙石出血的情况。采用牙美容指数(DAI)测量错牙合。结果显示,牙周脱落率为19%,牙探出血率为70.0%,牙合错率为98%。81%的人牙齿完好,11%的人牙齿脱落1颗,8%的人牙齿脱落1颗以上,其中0.5%的人牙齿脱落超过5颗。考虑到牙周问题的一般分类基于探诊出血和结石的存在,牙周问题的患病率增加到92%。关于DAI,识别非常严重错颌畸形的类别在样本中最普遍(88%)。与其他国家的类似研究相比,令人震惊的是,哥斯达黎加男性青少年样本中牙齿脱落、探牙时出血和咬合错误的发生率很高。本研究的总体结论是,口腔疾病是一个重要的健康问题,迫切需要采取适当的公共卫生行动。
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引用次数: 0
Irrigation Protocols Effects on Radicular Dentin: Cleaning, Disinfection and Remaining Ultrastructure 冲洗方案对根状牙本质的影响:清洁、消毒和剩余超微结构
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-07-19 DOI: 10.15517/ijds.2022.51869
Jessie F. Reyes-Carmona
A successful endodontic treatment requires a combination of satisfactory mechanical instrumentation, adequate irrigation protocols, and three-dimensional obturation of the canal system. Irrigation is considered the most critical procedure to ensure cleaning and disinfection. To date, a large variety of irrigants has been proposed. However, sodium hypochlorite (NaOCl) remains the gold standard. In order to achieve complete cleaning and disinfection, final irrigation with EDTA and ultrasonic devices has been used as an ideal protocol. Most endodontic research focuses on the cleaning and antibacterial properties of the irrigant solutions. Recent evidence demonstrated that the irrigation protocols cause erosion, affecting the radicular dentin ultrastructure. This article aims to describe the clinical features of the present knowledge concerning the effect of irrigation protocols on radicular dentin.
成功的根管治疗需要令人满意的机械器械、适当的灌洗方案和根管系统的三维封闭相结合。灌溉被认为是确保清洁和消毒的最关键的程序。迄今为止,已经提出了各种各样的灌溉方法。然而,次氯酸钠(NaOCl)仍然是黄金标准。为了达到彻底的清洗和消毒,采用EDTA和超声装置进行最终冲洗是一种理想的方案。大多数牙髓学研究集中在冲洗液的清洁和抗菌性能上。最近的证据表明,灌溉方案造成侵蚀,影响根状牙本质的超微结构。这篇文章的目的是描述的临床特点,目前的知识有关的影响冲洗方案对根状牙本质。
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引用次数: 0
Stress Distribution in Occlusal Veneers with Different Finish Lines When Applying Vertical and Tangential Forces 施加垂直力和切向力时不同终点线咬合贴面的应力分布
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-07-18 DOI: 10.15517/ijds.2022.51841
Jimmy Aliaga, Rosa S. Caro M., Mónica Hermoza N.
To evaluate stress distribution when applying vertical and tangential forces to 1mm thick occlusal veneers with different finish lines preparations, using the finite element method. One extracted third molar was prepared for occlusal veneers, firstly without any bevel. It was scanned in order to design two groups of lithium disilicate (G1A, G2A) and composite resin (G1B, G2B) occlusal veneers. Then, the third molar preparation was modified, beveling the finish line and it was subsequently scanned again to design the occlusal veneer groups with bevel (LD: G3A, G4A and CR: G3B, G4B). The four groups were subjected to different forces (400 N vertical and 900 N tangential). At 400 N, the non-beveled veneers showed slightly higher Von Mises stress values (G1A: 783 MPa and G1B 736.5 MPa) than the beveled veneers (G3A: 685.7 MPa and G3B: 675.8 MPa). However, when 900 N tangential forces were applied, the beveled occlusal veneers showed higher Von Mises stress values (G4A: 4297 MPa and G4B: 4133 MPa) than the non-beveled occlusal veneers (G2A: 2581.1 MPa and G2B: 3519.1 MPa). Furthermore, it was observed that the tissue under the occlusal veneers with bevel showed higher Von Mises stress values than the models without any bevel. Beveled and non-beveled occlusal veneers of lithium disilicate and composite resin presented similar stress distribution values when vertical forces of 400 N were applied; whereas with tangential forces of 900 N applied near to the finish line, the beveled groups presented notably higher stress values than the non-beveled groups. However, both finish line preparations presented adequate values for possible clinical performance.
采用有限元法对不同终点线制备的1mm厚咬合贴面施加垂直力和切向力时的应力分布进行评价。拔出一颗第三磨牙用于咬合贴面,首先没有任何斜面。扫描后设计两组二硅酸锂(G1A, G2A)和复合树脂(G1B, G2B)咬合贴面。然后,对第三磨牙进行修饰,使终点线呈斜角,随后再次扫描,设计有斜角的咬合贴面组(LD: G3A, G4A和CR: G3B, G4B)。四组小鼠分别受到400 N垂直力和900 N切向力的作用。在400 N时,非斜面贴面的Von Mises应力值(G1A: 783 MPa, G1B: 736.5 MPa)略高于斜面贴面(G3A: 685.7 MPa, G3B: 675.8 MPa)。然而,当施加900 N切向力时,坡口咬合贴片的Von Mises应力值(G4A: 4297 MPa和G4B: 4133 MPa)高于非坡口咬合贴片(G2A: 2581.1 MPa和G2B: 3519.1 MPa)。此外,我们还观察到,有斜角的咬合贴面下的组织比没有斜角的咬合贴面下的组织具有更高的Von Mises应力值。当垂直力为400 N时,斜口和非斜口的二硅酸锂和复合树脂咬合贴面的应力分布值相似;而在终点线附近施加900牛切向力时,斜面组的应力值明显高于非斜面组。然而,两种终点线制剂对可能的临床表现都有足够的价值。
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引用次数: 1
Minimally Invasive Dentistry: Step by Step of an Anterior Adhesive Bridge 微创牙科:一步一步的前牙粘接桥
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-07-18 DOI: 10.15517/ijds.2022.51843
Juan Carlos Ramírez Barrantes, Luis Enrique Obando Moreno
Fixed Partial Dentures (PPF/FPD) bonded with resin cement are viable alternatives based on the fundamentals of Minimally Invasive Dentistry (MIO). The conservative concept of preserving healthy dental tissue allows planning a minimally invasive restorative approach. Nowadays, remain uncertain how to replace teeth in patients with edentulous spaces that are not suitable for implant placement or with limited economic factors. The current ceramic systems provide greater bond strength to the substrate while offering an optimal aesthetic result. Clinical and laboratory investigations demonstrate the adequate long-term clinical performance of fixed partial dentures bonded with resin cement. The present clinical case will be approached in an even more conservative way, without the unnecessary removal of healthy dental tissue, replacing a tooth with a unitary fixed partial prosthesis in a patient not suitable for the placement of endosseous implants.
树脂水泥固接固定局部义齿(PPF/FPD)是基于微创牙科(MIO)基础的可行替代方案。保守的概念,保留健康的牙齿组织允许计划一个微创的修复方法。目前,对于不适合种植体或经济条件有限的无牙间隙患者,如何替代牙仍不确定。目前的陶瓷系统在提供最佳的美学效果的同时,为基板提供了更大的结合强度。临床和实验室研究表明树脂粘接固定义齿具有良好的长期临床效果。目前的临床病例将采用更为保守的方法,在不切除健康牙组织的情况下,对不适合植入内腔种植体的患者使用单一固定部分假体替代牙齿。
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引用次数: 0
Sociodemographic and Academic Characteristics of the Admission Profile of Students, Faculty of Dentistry, University of Costa Rica 2007-2014 哥斯达黎加大学2007-2014年牙科学院学生入学概况的社会人口统计学和学术特征
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-07-05 DOI: 10.15517/ijds.2022.51715
Natalia Gutiérrez-Marín, Cristina Castro-Sancho, Adrián Gómez-Fernández, A. López-Soto
The objective of this research was to determine some of the sociodemographic and academic characteristics of the students who entered the Dentistry career in the period 2007 to 2014. Data was collected from 673 student files. The variables considered were sex, admission age, marital status, children, nationality, place of origin, high school of origin, and admission exam score. The data was obtained from the database of the Student Applications System, the physical files, and the Supreme Electoral Tribunal of Costa Rica. Descriptive statistics were performed, establishing the absolute and relative frequency of the variables. The Mann-Whitney test was used to determine if there were statistically significant differences between the admission exam and the established sociodemographic variables (p<0,05, IC 95%). 68,4% of the students are female. The average age was 18.4 years (SD=2,41). 99,0% of the students are from Costa Rica. 99,3% were single and only 0,9% had children. The largest number of students entered through an admission exam (78.9%) and 50.7% studied at a public high school. Regarding the address, 77.9% of the subjects resided in the Greater Metropolitan Area. The average grade of the admission exam was 613,8 (SD=49,95). There was a statistically significant difference between the entrance exam grade and the different types of high schools of origin. The group of students who entered to train as Dentists at the University of Costa Rica from 2007 to 2014 was a population with an average age of entry of 18,4 years, Costa Rican, predominantly female, single, without children, from geographic areas within the Greater Metropolitan Area (GMA), graduated from public schools with an average admission exam grade of 612,2.
本研究的目的是确定2007年至2014年期间进入牙科职业的学生的一些社会人口统计学和学术特征。数据收集自673名学生的档案。考虑的变量包括性别、入学年龄、婚姻状况、子女、国籍、原籍地、高中和入学考试成绩。数据来自学生申请系统的数据库、实体档案和哥斯达黎加最高选举法庭。进行描述性统计,确定变量的绝对频率和相对频率。使用Mann-Whitney检验来确定入学考试与既定社会人口学变量之间是否存在统计学上的显著差异(p< 0.05, IC 95%)。68.4%的学生是女性。平均年龄18.4岁(SD=2,41)。99.0%的学生来自哥斯达黎加,99.3%的学生是单身,只有0.9%的学生有孩子。通过入学考试进入大学的学生最多(78.9%),公立高中的学生占50.7%。在住址方面,77.9%的调查对象居住在大都市区。高考平均成绩为613,8分(SD=49,95)。不同类型高中的入学考试成绩有统计学上的显著差异。2007年至2014年在哥斯达黎加大学接受牙医培训的学生群体平均入学年龄为18.4岁,哥斯达黎加人,主要是女性,单身,没有孩子,来自大大都会区(GMA)的地理区域,毕业于公立学校,平均入学考试成绩为612,2。
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引用次数: 0
Effect of Different Obturation Techniques on Sealer Penetration into Dentinal Tubules after Final Irrigation with XP-Endo Finisher File 不同充填技术对XP-Endo锉末次灌洗后牙本质小管内密封剂渗透的影响
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-07-04 DOI: 10.15517/ijds.2022.51699
E. Demir, S. Kamalı, Dilek Türkaydın
The first objective of this research was to evaluate the effectiveness of XP-Endo Finisher on dentinal tubule penetration of irrigation solution using confocal laser scanning microscopy. The main purpose of this research was to compare the effect of cold lateral condensation, continuous wave obturation and core-carrier based techniques on sealer penetration. Sixty mandibular premolars were prepared and allocated into two experimental groups (n=30) as the final irrigation technique and obturation technique experiment. In the final irrigation technique experiment, final irrigation was performed with XP-Endo Finisher, passive ultrasonic irrigation (PUI) and conventional needle irrigation (CNI) (n=10). The roots in the obturation technique experiment were also assigned into 3 groups and obturated with cold lateral condensation, continuous-wave obturation and core-carrier techniques (n=10). The most effective activation method, which emerged as a result of the first part of this study, was used as the final irrigation method in the obturation technique experiment. Then, all roots were sectioned in 1-mm-thick slices at 3mm from the apex for scanning. In terms of depth and percentage of material penetration, CNI exhibited significantly the lowest values and no significant difference was found between others. Also, there was no significant difference among obturation methods. In conclusion, XP-Endo Finisher and PUI are more effective than CNI on irrigant penetration. Sealer penetration into dentinal tubules is independent of obturation techniques.
本研究的第一个目的是利用共聚焦激光扫描显微镜评估XP-Endo Finisher对牙本质小管灌洗液渗透的有效性。本研究的主要目的是比较冷侧冷凝、连续波封闭和基于核心载体的技术对密封剂渗透的影响。预备60颗下颌前磨牙,分为两组(n=30),作为最后的灌洗技术和封闭技术实验。末次冲洗技术试验采用XP-Endo Finisher、被动超声冲洗(PUI)和常规针刺冲洗(CNI)进行末次冲洗(n=10)。封闭技术实验中的牙根也分为3组,分别采用冷侧缩、连续波封闭和核心载体技术进行封闭(n=10)。在本研究的第一部分中出现的最有效的激活方法被用作封闭技术实验的最终灌洗方法。然后,在离根尖3mm处将所有根切成1mm厚的薄片进行扫描。在深度和材料穿透百分比方面,CNI表现出最低的值,其他之间没有显著差异。不同封闭方法间无显著性差异。综上所述,XP-Endo Finisher和PUI对灌溉水渗透的影响优于CNI。封闭剂渗透到牙本质小管是独立的封闭技术。
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引用次数: 0
Anatomical Variant in Middle Turbinate: Concha Bullosa, Finding on Cone Beam Computerized Tomography 中鼻甲解剖变异:大耳甲,锥形束计算机断层扫描发现
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-06-27 DOI: 10.15517/ijds.2022.51544
Katherine M. Aguirre Alanya, Margarita A. Leandro Melgarejo, Vilma E. Ruiz-De Chacón
.
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引用次数: 0
期刊
Odovtos - International Journal of Dental Sciences
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