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Oral Health Care [Working Title]最新文献

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Ulcerative Lesions of the Oral Cavity 口腔溃疡性病变
Pub Date : 2021-11-19 DOI: 10.5772/intechopen.101215
N. Yıldırımyan
Apart from dental and periodontal diseases, oral mucosal lesions are also frequently encountered by both general dentists and dental specialists in outpatient clinics. Although these soft tissue lesions may only reveal a localized issue, sometimes they may be the only sign of a more serious underlying systemic condition. Thus, oral ulcerations pose a unique diagnostic challenge for healthcare providers and should be cautiously handled when they last for more than two weeks, even after any possible traumatic etiologies are eliminated. There are many different classifications regarding oral ulcerations based on their etiologic or clinical features. In order to provide a logical and simple stepwise guidance to accurate diagnosis, this chapter will categorize and explain these lesions based on their clinical properties.
除了牙齿和牙周病外,普通牙医和牙科专家在门诊诊所也经常遇到口腔黏膜病变。虽然这些软组织病变可能只显示局部问题,但有时它们可能是更严重的潜在全身性疾病的唯一迹象。因此,口腔溃疡对医疗保健提供者来说是一个独特的诊断挑战,即使在消除了任何可能的创伤性病因后,当口腔溃疡持续超过两周时,也应谨慎处理。根据其病因或临床特征,口腔溃疡有许多不同的分类。为了提供一个合乎逻辑的和简单的逐步指导准确的诊断,本章将分类和解释这些病变基于他们的临床特征。
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引用次数: 0
Empirical Study on Medical Information and Communication Technology System in Dentistry in Southeast Asia 东南亚地区牙科医疗信息通信技术系统的实证研究
Pub Date : 2021-11-13 DOI: 10.5772/intechopen.101080
I. Nakajima, K. Ejima, Y. Arai, Kunihito Matsumoto, K. Honda, H. Aboshi, Marina Hamaguchi, Akao Lyvongsa, Bounnhong Sidaphone, Somphone Phanthavong, Chanthavisao Phanthanalay, Souksavanh Vongsa
In the field of dentistry, diagnoses based on data obtained using medical imaging modalities such as digital panoramic radiography and cone beam computed tomography (CBCT) have been widely recommended for advanced dental care. In Lao People’s Democratic Republic (Laos), there are place where advanced dental imaging devices are available in only one university dental hospital. The establishment of an information and communication technology (ICT) system has been expected as telemedicine system, for sharing medical imaging data among medical institutions in Laos. Recently, regional medical cooperation using telemedicine has been developed in Japan, and medical imaging data have been provided and shared among medical institutions, by using a mobile tablet terminal application. Therefore, we have carried out the empirical research on the telemedicine system with the university in Laos. The technologies and research results from our project will be presented in this chapter.
在牙科领域,基于医学成像方式(如数字全景放射摄影和锥束计算机断层扫描(CBCT))获得的数据进行诊断已被广泛推荐用于高级牙科护理。在老挝人民民主共和国(老挝),只有一所大学牙科医院有先进的牙科成像设备。信息和通信技术(ICT)系统的建立有望成为远程医疗系统,以便在老挝的医疗机构之间共享医疗成像数据。最近,日本开展了利用远程医疗的区域医疗合作,通过移动平板终端应用程序在医疗机构之间提供和共享医疗影像数据。因此,我们与老挝大学开展了远程医疗系统的实证研究。本章将介绍我们项目的技术和研究成果。
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引用次数: 0
Oral Cancer around Dental Implants: Are the Clinical Manifestations and the Oncogenic Mechanisms Unique? 种植牙周围的口腔癌:临床表现和致癌机制是否独特?
Pub Date : 2021-11-11 DOI: 10.5772/intechopen.101156
Gabriela Lopes Dos Santos, Kaique Preto Alberto, Silas Antonio Juvêncio de Freitas Filho, Kellen Cristine Tjioe, Denise Tostes Oliveira
Osseointegrated implants have been an optimal treatment option for dental rehabilitation of fully or partially edentulous patients. Although peri-implantitis remains as the most common local risk factor for dental implant failure, the development of oral cancer involving the soft tissue around the titanium may lead to early implants loss and impact the quality of life of the patient negatively. Oral squamous cell carcinoma (OSCC) is the most common malignancy among head and neck tumors. It has higher prevalence in men over 50 years old, and in tobacco and/or alcohol users. Unfortunately, oral cancer is often detected in advanced stages, when the treatment options are limited. Thus, OSCC typically has poor prognosis. Despite the recent advances in oral carcinogenesis understanding, the relationship between dental implants and the development of malignant lesions around them is not completely understood. It has been suggested that the titanium corrosion occurring at the top of dental implants causes the release of metal ions. These ions might lead to oral epithelial genetic damage and higher susceptibility of normal mucosa to malignant transformation. The aim of this chapter was to review the clinical characteristics, diagnosis, and the possible carcinogenic mechanisms involved in oral cancer around dental implants.
骨整合种植体已成为全牙或部分无牙患者牙科康复的最佳治疗选择。虽然种植体周围炎仍然是牙种植体失败最常见的局部危险因素,但涉及钛周围软组织的口腔癌的发展可能导致早期种植体丢失,并对患者的生活质量产生负面影响。口腔鳞状细胞癌是头颈部肿瘤中最常见的恶性肿瘤。在50岁以上的男性以及吸烟和/或酗酒者中发病率较高。不幸的是,口腔癌通常在晚期才被发现,此时治疗选择有限。因此,OSCC通常预后较差。尽管近年来对口腔癌变的了解有所进展,但种植体与周围恶性病变之间的关系尚不完全清楚。有人认为,钛腐蚀发生在牙种植体的顶部导致金属离子的释放。这些离子可能导致口腔上皮基因损伤,使正常黏膜更容易发生恶性转化。本章的目的是回顾临床特点,诊断和可能的致癌机制涉及种植牙周围口腔癌。
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引用次数: 0
Oral Health Problems of Thai People Reported by Khon Kaen University Staffs during 1984 to 2020 1984年至2020年孔敬大学工作人员报告的泰国人口腔健康问题
Pub Date : 2021-10-22 DOI: 10.5772/intechopen.100355
Amornrat Ratanasiri, T. Nutravong, S. Chatrchaiwiwatana, A. Poosari, Thawalrat Ratanasiri, Kanokporn Wongchalee
To improve the efficiency of the dental care service system in Thailand. To synthesize content from Khon Kaen University (KKU) staffs and students’ research and presentations from 1984 to 2020 about oral health hygiene and related diseases. Sixteen publications and presentations by KKU staffs and their students about oral health problems and management were retrieved, reviewed and analyzed. Poor oral health of people in the northeast of Thailand is found in every age group: children, adults and the aging, both male and female. There are still many oral health problems of Thai people in the northeast. KKU Field Works, Projects and Research were able to help reduce these oral health problems. An appropriate preventive oral health program needs to be developed and implemented in Northeastern Thailand.
提高泰国牙科保健服务体系的效率。目的:综合孔敬大学师生1984 ~ 2020年口腔卫生及相关疾病的研究报告内容。本文检索、回顾和分析了16篇由我校教职员和学生发表的关于口腔健康问题和管理的论文和报告。在泰国东北部,每个年龄组的人都存在口腔健康状况不佳的问题:儿童、成年人和老年人,男女都有。在泰国东北部,人们仍然存在许多口腔健康问题。KKU的实地工作、项目和研究能够帮助减少这些口腔健康问题。需要在泰国东北部制定和实施适当的预防性口腔卫生规划。
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引用次数: 0
Variability of Saliva Viscosity - Potential Impact 唾液粘度的变异性-潜在的影响
Pub Date : 2020-10-20 DOI: 10.5772/intechopen.93933
Lara Eltze, Maren Eltze, Antonio G. García
As novel COVID-19 testing develops, saliva has become of increasing interest as an alternate biological sample for rapid testing. The appeal in saliva-based testing lies within the ease of which samples are collected, as well as patient comfort throughout the collection process. With this, it has become increasingly important to delineate the characteristics of saliva viscosity due to its effects on the movement and interactions of the substances and molecules found within it. The characteristics that affect saliva viscosity include the presence of aggregates, variations in temperature, and time elapsed between sample collection and testing. Understanding how physicochemical properties and temperature affect saliva’s viscosity are important in generating guidelines for proper sample handling in saliva testing to ensure consistent and reliable results. In this study, passive sampling of saliva was analyzed. This type of collection ensures a more uniform saliva composition, suggesting that variations in viscosity can be attributed solely to modifications in saliva handling post-collection. The data suggested that saliva viscosity is greatest immediately following collection of the saliva sample, increases with higher quantities of aggregates in saliva, and decreases tremendously when the sample has been frozen and thawed to room temperature. These findings suggest that to ensure accuracy and uniformity in quantitative saliva-based test results, protocols should favor the testing of a sample immediately following its collection. The implications of these results in optimizing saliva testing are far reaching. The value of saliva based testing extends far beyond COVID-19 or other disease testing. It is also gaining utility in understanding daily fluctuations in hydration state and in other wellness applications.
随着新型COVID-19检测技术的发展,唾液作为快速检测的替代生物样本越来越受到关注。唾液检测的吸引力在于样本采集的便利性,以及整个采集过程中患者的舒适度。因此,由于唾液黏度对其内部物质和分子的运动和相互作用的影响,描述唾液黏度的特征变得越来越重要。影响唾液粘度的特征包括聚集物的存在、温度的变化以及样品收集和测试之间的时间间隔。了解物理化学性质和温度如何影响唾液的粘度,对于制定正确的唾液测试样品处理指南,以确保一致和可靠的结果是很重要的。在本研究中,对唾液的被动采样进行了分析。这种类型的收集确保了更均匀的唾液成分,这表明粘度的变化可以完全归因于收集后唾液处理的变化。数据表明,唾液黏度在收集唾液样本后立即达到最大,随着唾液中聚集物数量的增加而增加,当样本被冷冻和解冻到室温时,黏度急剧下降。这些发现表明,为了确保定量唾液检测结果的准确性和一致性,方案应该有利于在采集样本后立即进行检测。这些结果对优化唾液测试的影响是深远的。基于唾液的检测的价值远远超出了COVID-19或其他疾病的检测。它在了解日常水合状态波动和其他健康应用方面也越来越实用。
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引用次数: 0
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Oral Health Care [Working Title]
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