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Clinical and Laboratory Evaluation of the Fit Accuracy of Metal Frameworks of Removable Partial Denture Fabricated from Two Different Pattern Materials 两种不同模式材料制备的可摘局部义齿金属支架的配合精度的临床和实验室评价
Pub Date : 2019-01-01 DOI: 10.35248/2247-2452.19.18.1065
M. Abdelfattah
Objective: The purpose behind this conducted study was clinical and laboratory assessments of the fit accuracies of cobaltchromium frameworks for removable partial dentures fabricated by traditional lost wax technique (TT), and the Light Cure Modeling Material Technique (LCMT). Materials and Methods: Sixteen healthy male Kennedy class I patients were selected from the specialty clinics in the Faculty of Dentistry, Taif University. The patients were divided into two Groups eight patients each; Group I: their metallic framework was constructed from the traditional lost wax patterns technique (TT), Group II: their metallic framework was fabricated by Light Cure Modeling Material Technique (LCMT). Conventional clinical and laboratory steps for construction of metallic partial denture were followed. The frameworks resulted from the two pattern materials were tested clinically and laboratory for fit accuracies and the results were statistically analyzed using the two-tailed t-tests. Results: Clinical results show an appropriate thickness of the impression materials and improved fit accuracy of the Light cure group in comparison to the traditional wax pattern group. Laboratory findings also showed that the Light cure group has significantly smaller mean gap values than the traditional wax pattern group. Conclusions: The fit accuracies of cobalt-chromium frameworks of removable partial denture fabricated from LCMT are better than that fabricated from TT.
目的:本研究的目的是评估传统失蜡技术(TT)和光固化成型材料技术(LCMT)制备的钴铬框架用于可摘局部义齿的临床和实验室拟合精度。材料与方法:选取Taif大学牙科学院专科门诊的健康男性Kennedy I级患者16例。患者分为两组,每组8例;第一组:金属框架采用传统的失蜡模技术(TT)构建,第二组:金属框架采用光固化建模材料技术(LCMT)制造。遵循金属局部义齿的常规临床和实验室步骤。对两种模式材料形成的框架进行临床和实验室拟合准确性检验,并使用双尾t检验对结果进行统计分析。结果:与传统蜡模组相比,光固化组印模材料厚度合适,贴合精度提高。实验结果还显示,光固化组的平均间隙值明显小于传统蜡模组。结论:LCMT材料制备的钴铬支架可摘局部义齿的配合精度优于TT材料。
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引用次数: 2
Knowledge of Teacher and Dentistry Students of a Brazilian University about a Human Teeth Bank 巴西一所大学的牙科教师和学生对人类牙齿库的了解
Pub Date : 2019-01-01 DOI: 10.35248/2247-2452.19.18.1059
Valadas Lar, Andrade Ls, Silva Ffc, Macedo Jf, Pinheiro Ls, Lobo Pld, Girao Junior Fj, Menezes Lmb
Human Tooth Banks (HTB) tries to overbear academic activities by providing human teeth, which are fundamental for preclinical, clinical and experimental applications. This study, which took place at the Federal University of Ceara-UFC, considered the cognition of students and professors of Dentistry on HTB. Aim: This study aimed at the investigation of the reality and importance of this tool for the undergraduate course, research as well as for the legal acquisition of this dental organ. Methods: This is a quantitative study, that a semi-structured questionnaire was used. The Statistical Package for the Social Sciences program analyzed all the data, considering the reliability of 95% and using Fisher’s Exact test or the Person Chi-square test. Results: Although only 6.4% of the participants were familiarized with HTB, 99.1% considered their existence important. As for the use of human teeth, 93.5% reported having used HTB during the course, but only 41.1% requested authorization to handle. Conclusion: The knowledge of students and professors of Dentistry about HTB and its legality in obtaining this body is insufficient, although the use of human teeth and its high importance is attributed to the existence of HTB in dental schools.
人类牙齿库(HTB)试图通过提供人类牙齿来超越学术活动,这是临床前,临床和实验应用的基础。本研究在Ceara-UFC联邦大学进行,考虑了牙科学生和教授对HTB的认知。目的:本研究旨在探讨该工具在本科教学、科研以及合法获取该口腔器官方面的现实意义和重要性。方法:采用半结构化问卷进行定量研究。社会科学项目的统计软件包分析了所有数据,考虑到95%的可靠性,并使用Fisher 's Exact检验或Person卡方检验。结果:虽然只有6.4%的参与者熟悉HTB,但99.1%的参与者认为HTB的存在是重要的。在使用人牙方面,93.5%的人报告在过程中使用过hhtb,但只有41.1%的人要求授权处理。结论:牙科学校中存在人牙的存在,但学生和教授对人牙的使用及其获取人体的合法性认识不足。
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引用次数: 2
Radiographic Analysis of Posterior Airway Variation, Gonial Angle, Mandibular Length and Facial Height in Patients Submitted to Vertical Mandible Osteotomy 行下颌骨垂直截骨术患者后气道变化、角、下颌长度和面部高度的影像学分析
Pub Date : 2019-01-01 DOI: 10.35248/2247-2452.19.18.1062
I. Filho, E. Kassis, Diego César Marques, Luciana Fortes Tosto Dias, Arthur Albuquerque Barros, RogAArio Luiz de AraAAjo Vian, Pedro Miguel Nunes, C. Carmo, HAAlcio Tadeu Ribeiro
Introduction: Facial deformities have always attracted the attention of surgeons, and the most prominent is the so-called mandibular prognathism. It is a fact that the stability of any osteotomy of the mandibular branch is affected by the amount of retrusion, the fixation method, and the growth. Objective: The objective of the present study was to evaluate radiographically the variations of pharyngeal airspace, facial height, mandibular length and gonial angle in patients with Class III dento-skeletal deformity submitted to vertical osteotomy of the mandibular branch for indentation. Methods: Analysis of Teleradiographs done before and after Jaw Vertical Osteotomy of 39 patients (20 females and 19 males). In the present retrospective study, we evaluated quantitatively lateral cephalometric radiographs of patients of both genders, who needed to undergo vertical osteotomy of the mandibular branch to correct dento-skeletal deformity of the Class III type, whose purpose was to mandibular retreat. Results: There were mandibular retreatments with a decrease in mandibular length (100%) with a change in the amount of indentation in millimeters with an amplitude of 2 mm to 22 mm and linear (23.1%) or rotational movement (time: 30.8%; counterclockwise: 44%). The cases submitted to Mandibular Intraoral Vertical Osteotomy showed a reduction of the Gonial Angle in 13 cases. The parametric linear regression test revealed for all variables that there was no significant statistical difference between the SN_pre and SN_post variables; AF_pre and AF_post; CM_pre and CM_post; EA_pre and EA_post, and between AG_pre and AG_post, with p<0.05. Conclusion: After evaluating radiographically the pharyngeal airspace, facial height, mandibular length, and gonial angle, it was analyzed that there were mandibular retreatments with decreased mandibular length with a change in the amount of indentation and linear or rotational movement.
面部畸形一直是外科医生关注的焦点,其中最突出的就是所谓的下颌前突。事实上,任何下颌骨分支截骨术的稳定性都受到后缩量、固定方法和生长的影响。目的:本研究的目的是评估放射学的变化咽空域,面部高度,下颌骨长度和角在III类牙骨骼畸形患者接受垂直截骨下颌分支压痕。方法:对39例患者(女20例,男19例)颌骨垂直截骨术前后的x线摄影资料进行分析。在本回顾性研究中,我们定量评估了需要行下颌分支垂直截骨术以纠正III类牙骨畸形的患者的侧位头颅x线片,其目的是使下颌后退。结果:下颌骨再植术中,下颌骨长度减少(100%),压痕量以毫米为单位变化(幅度为2 ~ 22 mm),线性运动(23.1%)或旋转运动(30.8%);逆时针方向:44%)。下颌骨口内垂直截骨术中有13例的角角复位。参数线性回归检验显示,SN_pre和SN_post变量间差异无统计学意义;AF_pre和AF_post;CM_pre和CM_post;EA_pre与EA_post之间,以及AG_pre与AG_post之间,p<0.05。结论:通过对咽腔、面部高度、下颌骨长度和角的x线片评估,分析下颌骨长度随压痕量和线性或旋转运动的变化而减少的再行治疗。
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引用次数: 0
Comparison of 980 nm Diode Laser and Q-Mix Solution Alone and in Combination on Removal of Smear Layer from Root Canal Surface; a Scanning Electron Microscope Study 980 nm二极管激光与Q-Mix溶液单独及联合去除根管表面涂抹层的比较a扫描电子显微镜研究
Pub Date : 2019-01-01 DOI: 10.35248/2247-2452.19.18.1072
Quratul-Ain Zafar, Waqas Javied Malik, Saima Azam
Aim: The aim of this study was to compare the efficacy of 980 nm diode laser and QMix 2in1 solution (DENTSPLY Tulsa Dental Specialties) alone and in combination, for smear layer removal from the root canals. Background: Smear layer is an amorphous layer formed on root canal walls following instrumentation. This layer should be removed as it can harbor bacteria and bacterial products and prevents the penetration of intracanal medicaments into the dentinal tubules. Irrigation agitation techniques have been proposed recently to remove smear layer from root canals more efficiently. The diode laser has the potential for irrigant activation and studies are needed to establish their efficacy for smear layer removal especially from apical thirds of canals. Methods: Forty extracted single-rooted permanent human teeth were used. Root canals were prepared to full working length using manual K-files (MANI) till 40K. Prepared teeth were divided into four groups (n=10): Group 1, no irrigation; Group 2, QMix 2in1 solution; Group 3, diode laser; Group 4, QMix 2in1 in combination with a diode laser. The roots were split longitudinally and prepared for scanning electron microscopic (SEM) investigation. The split roots were examined for remaining smear layer at the coronal, middle, and apical portion of each canal under a scanning electron microscope (JSM5910, JEOL, Japan) at 1000x magnification. Results: Smear layer removal was scored according to Guttman rating system for remaining smear layer scores (Gutmann et al.). Diode laser in combination with QMix solution had the least smear layer scores. Conclusions: Diode laser irradiation in combination with QMix 2in1 solution effectively removes smear layer from apical thirds of root canals.
目的:本研究的目的是比较980 nm二极管激光和QMix 2in1溶液(DENTSPLY Tulsa Dental Specialties)单独和联合去除根管涂片层的效果。背景:涂片层是根管预备后在根管壁上形成的无定形层。这一层应该被移除,因为它可能隐藏细菌和细菌产物,并阻止肛管内药物进入牙本质小管。为了更有效地清除根管内的涂抹层,近年来提出了灌溉搅拌技术。二极管激光器具有灌溉激活的潜力,需要研究确定其去除脏污层的有效性,特别是从根尖三分之一的管道。方法:选择40颗拔除的人单根恒牙。使用手动k -锉(MANI)将根管准备到完全工作长度,直到40K。预备牙分为4组(n=10): 1组,不冲洗;第二组,qmix2in1溶液;第三组,二极管激光器;第4组,qmix2in1与二极管激光器组合。根纵裂,准备扫描电镜(SEM)研究。在扫描电子显微镜(JSM5910, JEOL, Japan)下,1000倍放大镜下检查每根根冠状、中间和根尖部分剩余的涂片层。结果:根据Guttman剩余涂抹层评分系统对涂抹层去除进行评分(Gutmann et al.)。二极管激光器与QMix溶液联合使用时,涂抹层分数最低。结论:二极管激光照射联合qmix2in1溶液可有效去除根管根尖三分之一的涂片层。
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引用次数: 2
Dysphagia as the Only Symptom in Submandibular Gland Sialolithiasis: A Case Report 吞咽困难是颌下腺涎石症的唯一症状:1例报告
Pub Date : 2019-01-01 DOI: 10.35248/2247-2452.19.18.1078
Rie Hirai Araie, H. Kinoshita, R. Makihara, Megumi Yoshioka, T. Ogasawara
Sialoliths are a common occurrence in salivary glands. Here, we report a case of a giant submandibular gland sialolith in a patient presented with dysphagia as the only symptom. The sialolith measured 24 mm in length and weighed 4.7 g. A preoperative computed tomography scan revealed displacement of the hyoid bone at rest position on the non-affected side. The right submandibular gland that contained the sialolith was extirpated under general anesthesia, following which, the symptoms of dysphagia were resolved. However, no improvement in displacement was noted postoperatively. Dysphagia may have occurred due to disturbances in hyoid bone movements caused by the large sialolith. The absence of any changes in the position of the displaced bone at rest after removal of the sialolith may be attributed to the fixation of the bone in the underlying tissues due to the long-term existence of the sialolith.
涎石是唾液腺的常见病。在此,我们报告一个以吞咽困难为唯一症状的巨大的下颌腺涎石患者。这块唾液石长24毫米,重4.7克。术前计算机断层扫描显示舌骨在非受累侧静止位置移位。在全身麻醉下切除含有涎石的右侧颌下腺,随后吞咽困难症状消失。然而,术后移位未见改善。吞咽困难的发生可能是由于巨大的唾液石引起舌骨运动紊乱。在移除唾液石后,移位的骨在静止状态下的位置没有任何变化,这可能是由于唾液石的长期存在使骨在底层组织中固定。
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引用次数: 0
Patient Child Carrier of Ectodermal Dysplasia: Multidisciplinary Clinical Resolution in Dentistry 外胚层发育不良患者儿童携带者:牙科多学科临床解决方案
Pub Date : 2019-01-01 DOI: 10.35248/2247-2452.19.18.1080
Juliana Larocca de Geus, Karla Aguiar Cabral Cunha, Gustavo Salem Ribeiro, Y. Pupo, G. D. Czlusniak
The aim of this case report was to rehabilitate the child patient bearer of Ectodermal Dysplasia (ED), using all available therapies in dentistry. This is a male patient, age 8, leucoderma, which sought dental care, followed by his mother, went to the pediatric dentistry clinic at the State University of Ponta Grossa, Parana, Brazil. We had to make anamnesis and clinical examination, where we noted the unusual anatomy and absence of some dental elements and dystrophic nails for scarce. We requested all documentation required to plan clinical treatment and procedures, involving pediatric dentistry, orthodontics, and surgery. Besides the oral rehabilitation, we observed an improvement in the self-esteem of the patient, who must be followed for future clinical approaches that can be applied according to the craniofacial growth.
本病例报告的目的是恢复儿童患者的外胚层发育不良(ED),使用所有可用的治疗在牙科。这是一名男性患者,8岁,患有白皮病,他寻求牙科治疗,随后他的母亲去了巴西巴拉那州蓬塔格罗萨州立大学的儿科牙科诊所。我们不得不进行回顾性检查和临床检查,在那里我们注意到不寻常的解剖结构和缺乏一些牙齿元素和营养不良的指甲。我们要求计划临床治疗和程序所需的所有文件,包括儿科牙科、正畸和外科。除了口腔康复外,我们还观察到患者自尊的改善,必须根据颅面生长情况进行后续临床治疗。
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引用次数: 0
Correlation between Fibromyalgia and Temporomandibular Dysfunctions - A Systematic Review. 纤维肌痛与颞下颌功能障碍的相关性:一项系统综述。
Pub Date : 2019-01-01 DOI: 10.35248/2247-2452.19.18.1068
Hellen Tomaz Araújo, Aline Kércia Adeodato Leitão, Victor Pinheiro Feitosa, Paulo Roberto Barroso Picanço, Eveline Guedes Fernandes, D. De Paula
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引用次数: 0
Use of 980nm Diode laser for lingual frenectomy: A case report 980nm二极管激光用于舌系带切除术1例
Pub Date : 2019-01-01 DOI: 10.35248/2247-2452.19.18.1069
Malik Waqas Javied, Zafar Quratul-Ain
A frenum is a soft tissue attachment of the labial, buccal and lingual mucosa to the jaw bones. Abnormalities in development of this soft tissue fold may present as a very short lingual frenum limiting the mobility of the tongue. This condition is termed as ankyloglossia or tongue tie. The surgical technique is used to reposition the frenum and correct the functional impairments caused by ankyloglossia. This case report presents a 30 years old male patient with impairment of speech due to the short lingual frenum. 980 nm diode laser was used for frenectomy which showed minimal pain and healing with no complications. Surgical procedures like frenectomy and biopsy of oral lesions can be effectively carried out using Diode laser.
系带是唇、颊和舌粘膜附着在颌骨上的软组织。这种软组织褶皱的发育异常可能表现为极短的舌系带,限制了舌头的活动。这种情况被称为咬紧带或舌结。该手术技术用于重新定位系带并纠正由强直性咬合引起的功能障碍。本病例报告一例30岁男性患者,因舌系带短而出现语言障碍。采用980 nm二极管激光进行系带切除术,疼痛最小,愈合良好,无并发症。外科手术,如系带切除术和口腔病变活检可以有效地进行使用二极管激光。
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引用次数: 0
Association of Bacterial Endocarditis and Buccomaxillofacial Surgery: Review of Current Medical Literature 细菌性心内膜炎与颊颌面外科手术的关系:当前医学文献综述
Pub Date : 2019-01-01 DOI: 10.35248/2247-2452.19.18.1077
É. Paraguassu, Douglas Voss, Salomão Barauna Alcolumbre, Irlan Fern, es Bacelar, Emilio Daniel Pacheco de Sousa, J. Júnior
This review article seeks to provide additional information on bacterial endocarditis and Buccomaxillofacial Surgery and Traumatology procedures, as well as the main microorganisms involved in this feat, risk factors, and conditions and antibiotic prophylaxis. A bibliographic review was carried out, where scientific articles were obtained from the PubMed, Cochrane, Virtual Health Library and Scielo databases. Studies were conducted from 2000 to 2018 and included studies from the period 2013 to 2018, according to the descriptors: Bacterial Endocarditis-Prevalence-Prophylaxis-Bacterial, as well as the association of the terms, searched in English, Spanish and Portuguese. A total of 189 studies were carried out to carry out the research and included 13 articles. Data were analyzed from descriptive statistics. Through information exported in these works, it can be concluded that the best way to prevent an infective endocarditis is to know the patient by means of a well-made anamnesis, where the patient's health history is well evaluated and thus to identify some risk, and antibiotic prophylaxis is recommended for all dental patients of imminent risk, as well as more invasive surgery and buccomaxillofacial procedures.
这篇综述文章旨在提供更多关于细菌性心内膜炎和颊颌面外科和创伤学治疗的信息,以及涉及这一疾病的主要微生物、危险因素、条件和抗生素预防。我们进行了文献综述,从PubMed、Cochrane、Virtual Health Library和Scielo数据库中获得了科学文章。研究于2000年至2018年进行,包括2013年至2018年的研究,根据描述符:细菌性心内膜炎-患病率-预防-细菌,以及这些术语的关联,用英语、西班牙语和葡萄牙语搜索。本研究共进行了189项研究,包括13篇文章。数据采用描述性统计进行分析。通过这些工作输出的信息,可以得出结论,预防感染性心内膜炎的最佳方法是通过精心制作的记忆来了解患者,其中患者的健康史得到很好的评估,从而识别一些风险,并建议对所有迫在眉睫的风险牙科患者进行抗生素预防,以及更具侵入性的手术和颊颌面手术。
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引用次数: 5
Treatment Planning of Dental Implants in the Anterior Maxilla; Risk Assessment and Review of Soft Tissue along with Bone Preservation and Augmentation Techniques for Successful Clinical Outcomes 上颌前牙种植体的治疗方案软组织及骨保存和增强技术对成功临床结果的风险评估和回顾
Pub Date : 2019-01-01 DOI: 10.35248/2247-2452.19.18.1071
N. Obiechina
The anterior maxilla continues to present with high potential risk for esthetic failure, and as a result, there is a clear need for modifications that would allow for natural-looking restorations that are harmonious with the rest of the mouth. A number of changes in protocol for placing implants such as using a restorative-driven protocol, the performance of a risk assessment and addressing factors that could compromise esthetics such as deficiencies in bone and soft tissue using bone and soft tissue grafts to ensure adequate tissue volume are necessary for dental implant overall success in the anterior maxilla. Understanding of timing with regard to implant placement has also contributed to achieving esthetic success in the region. This article reviews modifications made in implant placement in the esthetic zone and how they can contribute to functional and esthetic success in the anterior maxilla.
前上颌骨继续呈现出审美失败的高潜在风险,因此,显然需要进行修改,以允许自然外观的修复,并与口腔的其他部分和谐一致。植入方案的一些变化,如使用修复体驱动方案,风险评估的执行以及解决可能损害美学的因素,如使用骨和软组织移植物来确保足够的组织体积,对于前上颌种植体的整体成功是必要的。对植入时间的理解也有助于在该地区取得美学上的成功。本文综述了在审美区种植体放置的修改以及它们如何有助于前上颌的功能和审美成功。
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引用次数: 2
期刊
Oral health and dental management
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