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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 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 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 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 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
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 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 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 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 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 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 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
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Odovtos - International Journal of Dental Sciences
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