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Modification of Dental Care for Patients with Cardiac Disease 心脏病患者牙科护理的改进
Pub Date : 2016-09-30 DOI: 10.4172/2247-2452.1000923
Madhav Kamath, K. Mala, M. Thomas
Patients suffering from cardiovascular disease are vulnerable to physical and emotional stress. If, in addition, the patients have to undergo dental treatment, it will add to their stress. Cardiac patients may collapse in the dental clinic due to various cardiac emergencies or drug interactions. Hence, patients with cardiac disease may pose a significant risk in dental clinics. Multidisciplinary approach while treating medically compromised dental patients is mandatory to reduce complications and to achieve satisfactory results. This article gives an overview of inter-relationship of cardiac and dental pathogenesis and also aims to make recommendations that need to be followed in dental clinics while treating patients with associated cardiac problems.
患有心血管疾病的患者容易受到身体和精神压力的影响。此外,如果患者必须接受牙科治疗,这将增加他们的压力。心脏病患者可能在牙科诊所因各种心脏紧急情况或药物相互作用而晕倒。因此,患有心脏病的病人在牙科诊所可能会有很大的风险。在治疗医学上受损的牙科患者时,必须采用多学科方法,以减少并发症并取得满意的结果。本文概述了心脏和牙齿发病机制的相互关系,并旨在提出牙科诊所在治疗相关心脏问题患者时需要遵循的建议。
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引用次数: 8
Oral Hygiene in Children with Epilepsy: Effect of Interleukin-1β and VEGFLevels in Gingival Crevicular Fluid 癫痫患儿口腔卫生:牙龈沟液Interleukin-1β和vegf水平的影响
Pub Date : 2016-09-30 DOI: 10.4172/2247-2452.1000926
G. Duruk, H. Aksoy, Taskin Gurbuz, E. Laloğlu, H. Tan
Aim: Biochemical parameters in gingival crevicular fluid (GCF) are affected by some systemic diseases and poor oral hygiene. The aim of this study was to evaluate the total amounts of Interleukin-1β (IL-1β) and vascular endothelial growth factor (VEGF) in GCF in children with epilepsy. Material and methods: 80 children with epilepsy in free seizure period (Test group) and 80 healthy children (Control group) were evaluated. Gingival index (GI), plaque index (PI), probing depth (PD), clinical attachment level (CAL) was measured. GCF was collected and its volume was measured. The total amounts of IL-1β and VEGF in GCF were analyzed in Biochemistry Laboratory. Results: The biochemical (IL-1β and VEGF) and clinic parameters (GI, PI, PD and GCF volume) were significantly higher in the children with epilepsy compared with healthy children (p<0.0001). When the epilepsy patients were divided into groups according to the drug used in this study, there were no significant differences in GCF levels of IL-1β and VEGF among the drug groups. Conclusion: According to these results it may be suggested that patients need an optimal oral care in epilepsy.
目的:龈沟液(GCF)生化指标受某些全身性疾病和口腔卫生不良的影响。本研究的目的是评估癫痫患儿GCF中白细胞介素-1β (IL-1β)和血管内皮生长因子(VEGF)的总量。材料与方法:选取80例自由发作期癫痫患儿(试验组)和80例健康儿童(对照组)进行评价。测量牙龈指数(GI)、菌斑指数(PI)、探探深度(PD)、临床附着水平(CAL)。收集GCF并测定其体积。生化实验室检测GCF中IL-1β和VEGF的总量。结果:癫痫患儿的生化指标(IL-1β、VEGF)及临床指标(GI、PI、PD、GCF体积)均显著高于健康儿童(p<0.0001)。根据本研究使用的药物对癫痫患者进行分组时,各组间IL-1β和VEGF的GCF水平无显著差异。结论:根据这些结果,提示癫痫患者需要优化口腔护理。
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引用次数: 0
Marfan's Syndrome: General Informations and Odontologic Manifestations 马凡氏综合征:一般信息和牙科学表现
Pub Date : 2016-09-30 DOI: 10.4172/2247-2452.1000932
Antônio Ernando Carlos Ferreira Junior, Lorena Walesca Macedo Rodrigues, M. Verde, P. Rebouças
Marfan syndrome (MS) is a multisystemic, inherited disorder of the connective tissue. It is caused by mutations in the gene FBN1, encoding fibrillin, a major component of microfibrils. Thus, this disturbance causes effects in many systems composed of connective tissue such as skeletal and cardiovacular mainly. The skeletal phenotype of patients with Marfan syndrome is characterized by tall stature, joint hypermobility, ligamentous laxity, protrusion acetabular arms and long legs, disproportionate fingers (arachnodactyly) dolichocephaly, high palate, scoliosis, protrusion (pectus carinatum) or depression ( pectus excavatum) of the sternum; decreasing the relationship between the upper and lower third of the skeleton and espondilolistesis. The main cardiovascular manifestations are mitral valve prolapse and aortic dilation, and these increases the risk of dissection and rupture of the aorta and aortic regurgitation. Orofacial characteristics are frequently described and used in the diagnosis of the syndrome. The orofacial defects more prevalent are constriction of the maxilla and high palate, with concomitant dental crowding, posterior cross bite and open bite. The cranium and the face is present Benthic, usually the dolicocephalic and type II malocclusion is often found. The maxillary constriction can influence the increase in nasal resistance, which can cause severe obstructive sleep apnea, which has a high prevalence in These Patients who are respirators mouth often. The looseness of the capsular ligaments and muscles can hyperextensibility contribute to dysfunction and habitual movements or subluxation of the temporomandibular joint. Dental treatment of these patients is mainly focused on the resolution of orthopedic disorders, which include features like dolichocephaly, upper deep palate and occurrence of obstructive apnea. It is important to know the systemic features that accompany the syndrome to enable safe and proper treatment.
马凡氏综合征(MS)是一种多系统的遗传性结缔组织疾病。它是由FBN1基因突变引起的,该基因编码微原纤维的主要成分原纤维蛋白。因此,这种干扰在许多结缔组织系统中引起影响,如骨骼和心血管系统。马凡氏综合征患者骨骼表型的特点是身材高大、关节活动过度、韧带松弛、髋臼臂突出、腿长、手指不成比例(蛛关节)头多畸形、上颚高、脊柱侧凸、胸骨突出(胸骨隆起)或凹陷(胸骨漏斗);降低了上、下三分之一的骨骼与骨膜分裂之间的关系。主要的心血管表现为二尖瓣脱垂和主动脉扩张,这增加了主动脉剥离、破裂和主动脉反流的风险。口腔面部特征经常被描述并用于该综合征的诊断。颌面缺损多见于上颌骨缩窄、上颚高,并伴有牙块拥挤、后交叉咬合和开咬合。头盖骨和面部呈底栖,通常为头侧畸形和II型错颌畸形。上颌收缩会影响鼻腔阻力的增加,从而导致严重的阻塞性睡眠呼吸暂停,这在经常使用呼吸机的患者中发病率很高。关节囊韧带和肌肉的松弛可导致颞下颌关节功能障碍和习惯性运动或半脱位。这些患者的牙科治疗主要集中在骨科疾病的解决上,包括多头畸形、上深腭和阻塞性呼吸暂停的发生。重要的是要了解伴随综合征的全身特征,以便进行安全和适当的治疗。
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引用次数: 0
Investigation Of Viral Infectious Diseases In Oral-Maxillofacial SurgeryPatients: Is Screening for these Infectious Diseases Necessary? 口腔颌面外科患者病毒性传染病的调查:是否有必要筛查这些传染病?
Pub Date : 2016-09-30 DOI: 10.4172/2247-2452.1000929
S. Sukegawa, T. Kanno, N. Katase, A. Shibata, Y. Sukegawa-Takahashi, Y. Furuki
Objectives: We assessed the percentage of patients with hepatitis B virus (HBV), hepatitis C virus (HCV), or human immunodeficiency virus (HIV) infection diagnosed by preoperative screening, and estimated the cost of screening. Methods: We retrospectively analyzed elective surgical cases in our-maxillofacial surgery department between April 2012 and March 2015. We also compared the number of HBV+, HCV+, and HIV+ patients identified by preoperative screening to those identified through a preoperative interview and questionnaire. We also compared the prevalence of HBV and HCV infections by age, sex, and the eleven commonest dental diagnoses. Results: Of 4469 patients, 34 (0.76%) and 90 (2.01%) patients were seropositive for hepatitis B surface antigen (HBsAg) and HCV, respectively. Five (0.59%) of 845 patients exhibited HIV-1/2 antibody. The self-reported rates were as follows: HBV, 47.1% (16/34); HCV, 64.4% (58/90); and HIV, 60% (3/5). The odds ratio for HBsAg was not significant, irrespective of age. HCV antibody was more prevalent in patients with alveolar disorders and impacted teeth, after adjustment for age. The annual cost for screening was ¥12,750,000 (US $127,500 at an exchange rate of US $1 = ¥100). Conclusion: Given the high cost, low prevalence, and the real likelihood of seroconversion after testing, screening for HBV, HCV, and HIV infections in patients requiring dental and oral-maxillofacial surgery is impractical. Universal precautions, with post-exposure prophylaxis (PEP) as needed, remain the method of choice for minimizing risk to practitioners.
目的:我们评估通过术前筛查诊断出乙型肝炎病毒(HBV)、丙型肝炎病毒(HCV)或人类免疫缺陷病毒(HIV)感染的患者的百分比,并估计筛查的费用。方法:回顾性分析2012年4月至2015年3月我院颌面外科择期手术病例。我们还比较了术前筛查确定的HBV+、HCV+和HIV+患者数量与术前访谈和问卷调查确定的患者数量。我们还按年龄、性别和11种最常见的牙科诊断比较了HBV和HCV感染的患病率。结果:4469例患者血清乙型肝炎表面抗原(HBsAg)阳性34例(0.76%),HCV阳性90例(2.01%)。845例患者中有5例(0.59%)出现HIV-1/2抗体。自我报告率如下:HBV, 47.1% (16/34);Hcv, 64.4% (58/90);艾滋病毒占60%(3/5)。与年龄无关,HBsAg的优势比无统计学意义。经年龄调整后,HCV抗体在有牙槽疾病和埋伏牙的患者中更为普遍。每年筛查费用为12,750,000日元(按1美元= 100日元的汇率计算为127,500美元)。结论:考虑到成本高、患病率低以及检测后血清转化的真实可能性,在需要牙科和口腔颌面外科手术的患者中筛查HBV、HCV和HIV感染是不切实际的。普遍的预防措施,根据需要进行暴露后预防(PEP),仍然是将从业人员风险降到最低的首选方法。
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引用次数: 0
Keratocystic Odontogenic Tumor Involving Coronoid Process and Condyle 累及冠突和髁的角化囊性牙源性肿瘤
Pub Date : 2016-09-30 DOI: 10.4172/2247-2452.1000922
Uday Shankar Yaga, Prashanth Panta, Ashwini Kumar Mengji, B. Radhika, Swetha Soankamble, Swathi Esther, S. Imran, T. Reddy
Keratocystic odontogenic tumor (KCOT) is a peculiar entity affecting the jaw bones. It is a benign intraosseous neoplasm of jaws that shows a very high recurrence rate. It is locally aggressive and is lined by keratinized stratified squamous epithelium. The most important feature that separates KCOTs and other odontogenic cysts and tumors is the presence of microcysts also called as daughter cysts. Daughter cysts are the main source of recurrence, and they complicate the treatment plan to a great extent. KCOT is commonly seen in the posterior mandible and ramus area and rarely the condyle. In this paper, we present the case of a 25 year old female patient with KCOT involving the condyle and coronoid process along with relevant review of literature. This patient was subjected to marsupialisation, and is followed up once in 3 months.
角化囊性牙源性肿瘤(KCOT)是一种影响颌骨的特殊肿瘤。它是一种良性颌骨骨内肿瘤,复发率非常高。它是局部侵袭性的,由角化的层状鳞状上皮排列。区分kcot与其他牙源性囊肿和肿瘤的最重要特征是存在微囊肿,也称为子囊肿。子囊肿是复发的主要原因,在很大程度上使治疗方案复杂化。KCOT常见于下颌骨后支区,很少见于髁突。在本文中,我们提出了一个25岁的女性患者KCOT累及髁突和冠突的病例,并对相关文献进行了复习。该患者接受有袋化手术,每3个月随访1次。
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引用次数: 0
Phytosolutions for Enterococcus faecalis in Endodontics: An Update 牙髓学中粪肠球菌的植物溶液:最新进展
Pub Date : 2016-09-30 DOI: 10.4172/2247-2452.1000933
Al-Moosawi As, S. Bedi, K. Almas
Background: The key reason for failure of an endodontic treatment is incomplete debridement and sterilization because of complex root canal system anatomy which makes elimination of micro-organisms difficult. In spite of the chemical and mechanical debridement of root canals, studies have reported that some microbes like Enterococcus faecalis thrive in periapical lesions, triggering a failure of an endodontic treatment. Considering the vanity, adverse effects and toxicity issues of synthetic medications, the herbal alternatives have been sought for endodontic irrigation. Objectives: To review the current evidence on the efficacy of different plant derivatives against Enterococcus faecalis. Materials and methods: Studies were identified through systematic search of the following electronic databases: PubMed, Web of Science, Scopus, Google Scholar and Cochrane database of systematic reviews. The results from the relevant published literatures are discussed. Summary and Conclusion: The conclusion drawn from in vitro and in vivo studies seems encouraging and as proven in clinical studies, Propolis and Salvadora persica have been proven to be efficacious against Enterococcus faecalis. More laboratory and clinical research is required to assess the safety, efficacy and biocompatibility of other plant extracts, before finally recommending them as alternative endodontic irrigants.
背景:根管系统解剖结构复杂,微生物清除困难,导致根管治疗失败的主要原因是清创术和灭菌不彻底。尽管对根管进行化学和机械清创,但有研究报道,一些微生物,如粪肠球菌,在根尖周围病变中大量繁殖,导致根管治疗失败。考虑到合成药物的虚荣度、不良反应和毒性问题,人们一直在寻求草药替代品来进行牙髓冲洗。目的:综述不同植物衍生物抗粪肠球菌作用的研究进展。材料和方法:通过系统检索以下电子数据库:PubMed、Web of Science、Scopus、Google Scholar和Cochrane系统综述数据库来确定研究。讨论了相关已发表文献的结果。摘要与结论:体外和体内研究得出的结论令人鼓舞,并且在临床研究中证实蜂胶和木耳对粪肠球菌有效。需要更多的实验室和临床研究来评估其他植物提取物的安全性、有效性和生物相容性,然后才最终推荐它们作为替代的牙髓冲洗剂。
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引用次数: 7
Dental Sealant placement: A Comparison technique 牙齿密封剂的放置:一种比较技术
Pub Date : 2016-09-19 DOI: 10.4172/2247-2452.C1.038
S. Chitre
D pretreatment methods have been investigated with the intention of enhancing the effectiveness of etching enamel surface and improving sealant retention,and the tight micromenhanical adhesion to enamel surface essential for their success. However, to the date there has not been a gold standard for cleaning pits and fissures prior to the application of etchant and sealant. A report from American Dental Association Council on Scientific Affairs stated: There is limited evidence in favor of using air abrasion as a cleaning method before acid etchnig to improve sealant retention. Objectives: Audience will have a better understanding on current sealant recommendation,they will gain knowledge of different fissure pretreatment methods and be able to place sealants using different fissure pretreatment methods..
为了提高牙釉质表面的刻蚀效果和提高密封剂的保留率,研究了D预处理方法,并对其成功的关键是与牙釉质表面紧密的微机械粘附进行了研究。然而,到目前为止,在使用蚀刻剂和密封剂之前,还没有一个清洁凹坑和裂缝的黄金标准。美国牙科协会科学事务委员会的一份报告指出:支持在酸蚀之前使用空气磨损作为清洁方法以改善密封剂保留的证据有限。目的:让观众更好地了解目前的密封胶推荐,了解不同的裂缝预处理方法,并能够使用不同的裂缝预处理方法放置密封胶。
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引用次数: 2
Interleukin-1,8 and Psychological Factors in Patients with Benign MigratoryGlossitis 白介素1,8与良性迁移性舌炎患者的心理因素
Pub Date : 2016-08-31 DOI: 10.4172/2247-2452.1000910
P. Ghalayani, Milad Alikhani, Aliasghar Naderi
Objective: Benign migratory glossitis is a immunologic-psychologic disease with unknown etiology. Aim of this study is evaluation of salivary IL-1 and Il-8 levels in these patients. Study Design: A case-control study was performed on 170 participants (85 with BMG, 85 controls). Unstimulated whole saliva was collected, and interleukin 8 (IL-8) and interleukin 1(IL-1) concentrations were measured. Anxiety level was measured using psychologic and physiologic testing instruments. An independent t test and a Pearson correlation analysis were performed with SPSS. Results: There was a significant difference between the 2 groups regarding the salivary concentrations of IL8 (P ≤ .006) and IL-1 (P ≤ .002). The concentration of salivary cortisol and state and trait anxiety levels in the BMG group were significantly higher than those in the control group (P ≤ .001). Conclusions: Immunologic and psychologic parameters appear associated with BMG and may constitute risk factors of this condition.
目的:良性迁移性舌炎是一种病因不明的免疫心理疾病。本研究的目的是评估这些患者唾液IL-1和Il-8的水平。研究设计:对170名参与者进行病例对照研究(85名BMG患者,85名对照组)。采集未受刺激的全唾液,测定白细胞介素8 (IL-8)和白细胞介素1(IL-1)的浓度。使用心理和生理测试仪器测量焦虑水平。采用SPSS进行独立t检验和Pearson相关分析。结果:两组患者唾液中白细胞介素8 (P≤0.006)、白细胞介素1 (P≤0.002)含量差异有统计学意义。BMG组唾液皮质醇浓度、状态焦虑和特质焦虑水平均显著高于对照组(P≤0.001)。结论:免疫和心理参数似乎与BMG相关,并可能构成该疾病的危险因素。
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引用次数: 1
Awareness, Attitude and Vaccination Status Regarding Hepatitis B amongStaff Nurses of a Teaching Hospital in North India 印度北部某教学医院护士对乙型肝炎的认识、态度及疫苗接种状况
Pub Date : 2016-08-31 DOI: 10.4172/2247-2452.1000916
A. Kaur, R. Gambhir, Simarpreet Singh, J. Goyal
Background: Hepatitis B is a well-documented occupational hazard for health care workers, including both doctor and paramedical personals. Vaccination is the best way by which one can arm oneself against Hepatitis B virus (HBV) infection. The present study was conducted to assess awareness, attitude and vaccination status of staff nurses of a teaching hospital in north India. Materials and Method: All the staff nurses (170) who gave consent to participate in the study were enrolled in the study. A self-structured close ended questionnaire comprising of three parts was used to collect information. First part comprised of questions on demography, second part assessed subjects’ awareness regarding HBV infection and third part comprised of questions on immunization status. Chi-square test and multiple linear regression analysis were used for statistical analysis. Results: The mean age of the study subjects was 24.9 ± 6.8 years. Awareness regarding HBV infection was present among 94.7% (161) of subjects. Universal Precautions were followed by 81.8% (139) of subjects. Only 18.8% (32) subjects were following correct method of disposal of Biomedical Waste (BMW). The odds of getting immunized were 4.46 times greater in subjects who had awareness of Hepatitis B infection than those who did not. Conclusion: Awareness regarding HBV injection and its coverage was high among the subjects. Very few subjects were aware regarding correct route of transmission emphasizing the need for effective intervention programmes designed to increase knowledge about HBV infection.
背景:乙型肝炎是卫生保健工作者(包括医生和医务辅助人员)的一种有充分证据的职业危害。接种疫苗是预防乙型肝炎病毒(HBV)感染的最佳途径。本研究旨在评估印度北部一家教学医院护士的疫苗接种意识、态度和状况。材料与方法:170名同意参加研究的护理人员全部纳入研究。使用自结构封闭式问卷收集信息,问卷由三个部分组成。第一部分包括人口学问题,第二部分评估受试者对HBV感染的认识,第三部分包括免疫状况问题。统计学分析采用卡方检验和多元线性回归分析。结果:研究对象平均年龄24.9±6.8岁。94.7%(161)的受试者对HBV感染有了解。81.8%(139)的受试者遵循了通用预防措施。只有18.8%(32)名受试者遵循了正确的生物医学废物处理方法(BMW)。知晓乙肝感染的受试者获得免疫接种的几率是未知晓者的4.46倍。结论:乙肝病毒注射的知晓率和覆盖率较高。很少有受试者知道正确的传播途径,强调需要制定有效的干预方案,以提高对乙型肝炎病毒感染的认识。
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引用次数: 1
Effect of Inhibition of Bacterial Proliferation by Neutral Electrolytic Water inDental Unit Waterlines 中性电解水对单位水系细菌增殖的抑制作用
Pub Date : 2016-08-31 DOI: 10.4172/2247-2452.1000911
S. Mishima, J. Sonobe, Katsu Takahashi, M. Nagao, S. Ichiyama, K. Bessho
Background: Microbial contamination in dental unit waterlines (DUWLs) has recently become an important issue in the field of dental infection control. Using neutral electrolytic water as a new disinfecting method has attracted considerable attention. However, long term data about the effect of using neutral electrolytic water in clinical settings are scarce. This is the first study to evaluate the long term effectiveness of inhibition of bacterial proliferation using the purification system to supply neutral electrolytic water to refine the waterworks in DUWLs. Methods: Before the study, we investigated the actual levels of bacterial contamination in DUWLs. Then we did thorough cleaning of DUWLs and water samples were collected 6 dental units. Three dental units assigned as Group A had purification systems that used neutral electrolytic water, and the other 3 units were the Control group. Water samples were collected from the gargle water, high-speed handpieces and the three-way syringe. We utilized the equipment in Group A, and both groups were maintained for daily clinic work for 14 months. We counted the bacterial colony forming units (cfu) for each sample and identified the pathogenic bacterial species. Results: 3 and 14 months later, no microbes were detected during the study period in Group A whereas numbers of cfu which grew from the Control group increased and glucose non-fermenting gram-negative rod of possible pathogenic organisms to human were identified in the control groups. Conclusions: The water purification system using neutral electrolytic water was effective to control the proliferation of bacteria and could maintain a hygienic environment in DUWLs.
背景:口腔单元水线微生物污染已成为口腔感染控制领域的一个重要问题。中性电解水作为一种新的消毒方法已引起人们的广泛关注。然而,关于在临床环境中使用中性电解水的效果的长期数据很少。这是第一个评估使用净化系统提供中性电解水来净化duwl自来水厂的细菌增殖抑制长期有效性的研究。方法:在研究之前,我们调查了duwl中细菌污染的实际水平。然后我们对duwl进行了彻底的清洁,并采集了6个牙单元的水样。3个牙科单位被指定为A组,其净化系统使用中性电解水,其他3个单位为对照组。从含漱水、高速手机和三向注射器中采集水样。A组使用该设备,两组均维持日常临床工作14个月。我们统计了每个样本的细菌菌落形成单位(cfu),并鉴定了致病菌种类。结果:3个月和14个月后,A组在研究期间未检出微生物,而对照组的cfu数量增加,对照组检测到可能致病性生物的葡萄糖非发酵革兰氏阴性棒。结论:中性电解水净化系统能有效控制细菌的繁殖,维持duwl的卫生环境。
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引用次数: 2
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Oral health and dental management
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