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Dens Invaginatus: Literature Review and Case Report 牙槽内陷:文献回顾及病例报告
Pub Date : 2023-08-31 DOI: 10.24018/ejdent.2023.4.4.275
Wissal Kabbassi, Jalila Hammouti, Hind Ramdi
Dens invaginatus (DI) represents a structural defect in the tooth, resulting from invagination of enamel organ into the dental papilla. This rare anomaly, which often goes unnoticed during a clinical examination, is a risk factor for the development of carious lesions and consequently pulpopathies. The knowledge of this type of lesions allows to ensure early diagnosis and thus avoid any complications. This article represents a case report of dens invaginatus along with a literature review regarding etiology, classification, clinical appearance, and diagnosis. It provides also guidelines for decision-making and treatment of invaginated teeth
牙内凹牙是由于牙釉质器官内陷到牙乳头而引起的一种牙齿结构缺陷。这种罕见的异常,在临床检查中经常被忽视,是发展成龋齿病变和牙髓病变的危险因素。了解这种类型的病变可以确保早期诊断,从而避免任何并发症。本文报告一个凹牙的病例,并对其病因、分类、临床表现和诊断进行文献回顾。它还提供了决策和治疗内陷牙的指导方针
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引用次数: 0
Surgical Root Coverage of Miller’s Class III Using Free Gingival Autograft (A Case Report) 自体游离牙龈移植修复Miller氏ⅲ类牙根(附1例报告)
Pub Date : 2023-08-31 DOI: 10.24018/ejdent.2023.4.4.253
Mulyati Mulyati, K. Agung, P. Yunita
Background: Gingival recession is a condition where the root surface of the tooth is exposed due to migration of the gingival margin and junctional epithelium in an apical direction. The problem that patients often complain about due to gingival recession is an aesthetic problem, especially if the recession occurs in the upper anterior teeth. In addition, gingival recession can also cause dentine hypersensitivity due to the exposure of the root surface that was previously covered by the gingiva. One of the treatment options for patients with gingival recession is free gingival autograft surgery. Purpose: The goal of this article is to explain how to manage gingival recession therapy with free gingival autograft surgery in patients with Miller Class III recession. Case: A 29-year-old female patient came to RSGM Airlangga University with complaints of hypersensitivity in the front teeth at the lower jaw. The last scaling took place about 6 months ago. The patient does not have a history of systemic diseases, such as hypertension and diabetes, and the patient does not have allergies to either drugs or food. Case Management: Based on the examination that has been carried out, the treatment option for Miller's class III gingival recession in the tooth region 41 is agreed to be a free gingival autograft. Conclusion: One of the root coverage treatment options is free gingival autograft, where this procedure can also increase the width of the attached gingiva.
背景:牙龈退缩是由于牙龈边缘和结合上皮向根尖方向移动而使牙根表面暴露的一种情况。患者经常抱怨的问题是由于牙龈退缩是一个美学问题,特别是如果退缩发生在上前牙。此外,由于牙根表面被牙龈覆盖,牙龈退缩也会引起牙本质过敏。牙龈萎缩患者的治疗选择之一是自体游离牙龈移植手术。目的:本文的目的是解释如何处理游离自体牙龈移植手术治疗牙龈萎缩的患者米勒III类退缩。病例:一名29岁女性患者以下颚门牙过敏就诊。最后一次扩容发生在6个月前。患者无高血压、糖尿病等全身性疾病史,对药物或食物均无过敏史。病例处理:根据已进行的检查,41牙区Miller's III级牙龈退缩的治疗选择是游离自体牙龈移植。结论:游离自体牙龈移植是牙根覆盖治疗的一种选择,这种方法也可以增加附着龈的宽度。
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引用次数: 0
Managing Maxillofacial Defects with Hollow Closed Bulb Obturator Prosthesis 空心闭孔修复颌面部缺损
Pub Date : 2023-08-31 DOI: 10.24018/ejdent.2023.4.4.286
Sanaa Rimaoui, Soukaina Oujdad, Samira Bellemkhannate
Maxillary resection surgery in response to tumour processes often results in loss of substance, leading to bucco-nasal or bucco-naso-sinus communication. The resulting consequences are significant, including difficulties with eating, with food and fluids leaking out, phonetic problems resulting in a nasal voice and incomprehensible speech. These problems are compounded by aesthetic problems such as sagging skin, asymmetry and facial disfigurement, particularly in cases where the facial tissues are affected. This article describes the case of a patient with maxillary bone loss associated with a deficit of jugal covering tissues. We decided to fabricate a cast metal partial denture with a hollow obturator, and we will detail the steps involved in its fabrication and describe the impression techniques used. Given the absence of a mandibular prosthetic corridor, we will also describe our approach to rehabilitating the mandibular arch to prevent food and fluid spillage through the jugal gap. In this context, our main objective was to ensure a watertight seal to guarantee optimal function.
上颌肿瘤切除手术通常会导致物质丢失,导致颊鼻或颊鼻窦相通。由此产生的后果是严重的,包括进食困难、食物和液体泄漏、语音问题导致鼻音和听不懂的话。这些问题与诸如皮肤松弛、不对称和面部毁容等美学问题,特别是在面部组织受到影响的情况下,更加复杂。这篇文章描述的情况下,患者上颌骨质流失与法律覆盖组织的缺陷有关。我们决定制作一个带空心闭孔的铸造金属局部义齿,我们将详细介绍其制作的步骤,并描述所使用的印模技术。鉴于下颌假体通道的缺失,我们也将描述我们修复下颌弓以防止食物和液体通过下颌间隙溢出的方法。在这种情况下,我们的主要目标是确保水密密封,以保证最佳的功能。
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引用次数: 0
Prevalence of Dental Caries among Adult Patients in Bungoma County, Kenya 肯尼亚本戈马县成年患者龋齿患病率
Pub Date : 2023-08-24 DOI: 10.24018/ejdent.2023.4.4.273
Caren M. Sumba, D. Kokonya, B. Wesonga
Globally, dental caries has affected nearly 100% of adult teeth.  Dental caries is caused when microbial biofilm converts free sugar contained in such foods and drinks into acid which corrodes the tooth structure. In Kenya, the prevalence is 34%. This high prevalence has led to the negative impact associated with the disease. Therefore, this study’s main aim was to determine the prevalence of dental caries among adult patients in Bungoma County, Kenya. This study was conducted in Bungoma County and adopted a cross-sectional design. The target population was adult dental patients and the key informants were the dentist and dental technologist. Participants were selected using multistage sampling techniques. The sample size of 347 dental patients was arrived at using Cochran’s formula. Data were collected using the WHO-modified assessment questionnaire. WHO DMFT index checklist was also used. Data were analysed using descriptive and inferential statistics with the aid of the Statistical Package for Social Sciences 25.0. Data were presented using tables and figures. Logistic regression was used to determine the direction of the association at the significance level set at 0.05. Thematic analysis was used to analyse qualitative data. The researcher observed the ethical principles applicable to the study.  The prevalence of dental caries among adult patients was 43.7% with a mean total DMFT index of 3.249 which signifies a moderate distribution among the adult population. Kimilili sub-county hospital had a moderate mean DMFT index of 4.47 and Webuye County hospital had a low mean DMFT index of 1.585. Dental caries was more prevalent in youths aged between 18 years to 35 years (60.1%). Moreover, the female gender has more dental caries prevalence at 57.4% as compared to male patients. The prevalence of dental caries is more prone among the rural (56.8%) as compared to the urban (43.2%). According to incomes, individuals who earn more than Ksh. 23,750 have a higher prevalence of 65.6%) than those who earn less than Ksh. 23,750 (34.4%). Dental caries is more prominent in the lower jaw. Those who do not brush their teeth were 4 times more likely to develop dental caries as compared to those who practise good oral hygiene practices (OR =3.0). Those who consume sugary foods and drinks frequently (OR: 2.4) and those who smoke tobacco (OR: 2.0) were times more likely to develop dental caries compared to those who did not consume sugary foods and smoke tobacco. Conclusion: The prevalence of dental caries among adults is moderate with the prevalence being higher in youths, female, low-income earners (< ksh.23,750) and rural dwellers. In terms of the jaws, the lower jaw is more susceptible to caries attack compared to the upper jaw and also the posterior teeth (premolar and molars) are more susceptible to caries compared to the upper jaw. Recommendation: There is a need to conduct a community-based campaign even through Chiefs’ Barazas on the importance of p
在全球范围内,龋齿几乎影响了100%的成年牙齿。蛀牙是由于微生物生物膜将食物和饮料中的游离糖转化为酸,从而腐蚀牙齿结构。在肯尼亚,患病率为34%。这种高流行率导致了与该疾病相关的负面影响。因此,本研究的主要目的是确定肯尼亚本戈马县成年患者中龋齿的患病率。本研究在邦戈马县进行,采用横断面设计。调查对象为成年牙科患者,主要调查对象为牙科医师和牙科技师。使用多阶段抽样技术选择参与者。使用科克伦公式得出了347名牙科患者的样本量。使用世卫组织修订的评估问卷收集数据。还使用了世卫组织DMFT指数检查表。在社会科学统计包25.0的帮助下,使用描述性和推断性统计分析数据。数据以表格和图表的形式呈现。在显著性水平设置为0.05时,采用逻辑回归来确定相关性的方向。采用专题分析对定性数据进行分析。研究者遵守了适用于这项研究的伦理原则。成人患者龋患病率为43.7%,DMFT指数均值为3.249,在成人人群中分布适中。基米利利县附属医院DMFT平均指数中等,为4.47,韦布业县医院DMFT平均指数较低,为1.585。龋齿在18至35岁的年轻人中更为普遍(60.1%)。此外,女性患龋率为57.4%,高于男性。农村龋齿患病率(56.8%)高于城市(43.2%)。按收入划分,收入超过23,750肯尼亚先令的人的患病率(65.6%)高于收入低于23,750肯尼亚先令的人(34.4%)。龋齿在下颌更为突出。不刷牙的人患龋齿的可能性是养成良好口腔卫生习惯的人的4倍(OR =3.0)。那些经常食用含糖食物和饮料的人(OR值:2.4)和吸烟的人(OR值:2.0)患龋齿的可能性是不食用含糖食物和不吸烟的人的两倍。结论:成人龋患病率中等,青年、女性、低收入人群(< 23,750 ksh)和农村居民龋患病率较高。就颌骨而言,下颌比上颌更容易患龋齿,后牙(前磨牙和臼齿)也比上颌更容易患龋齿。建议:有必要开展一项以社区为基础的运动,甚至通过酋长的Barazas,宣传本戈马县适当口腔卫生习惯的重要性。
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引用次数: 0
Rate of Enterococcus Faecalis in Saliva and Failed Root Canal Treated Teeth—In Vivo Study 唾液中粪肠球菌率与根管治疗失败牙的体内研究
Pub Date : 2023-08-23 DOI: 10.24018/ejdent.2023.4.4.288
Tahmida Hoque, Mozammal Hossain, Sharmin Mahmud, Ahmed Abu Saleh, Mohammad Ali Asgor Moral
Various bacteria were discovered in the root canal system that had been treated, where Enterococci were prevalent and heavily to blame for the failure. For the purpose of achieving clinical success, research is required to determine the prevalence of Enterococcus faecalis in the space between saliva and a root canal. This observational cross-sectional analytical study’s objective was to examine the prevalence of E. faecalis in saliva and in the root canals of teeth that required retreatment after prior endodontic treatment. The patient was chosen for re-RCT from the OPD of the BSMMU Department of Conservative Dentistry and Endodontics. First, a sample of saliva was taken. The carious lesion and coronal restoration were inactivated, the damaged tooth was isolated, and it was decontaminated.Without using a chemical solvent, the root canal filling was removed. A radiograph was used to measure and confirm the canal’s length. The microbiology lab received the paper points and saliva samples for culture (Enterococcus faecalis identification). According to the findings, saliva samples contained 11 (25%) and root canal samples had 27 (61.4%) instances of Enterococcus faecalis. There was a significant difference between the two samples (p 0.05).In patients who needed a repeat RCT, Enterococcus faecalis is far more common in the root canal than in the patient’s saliva.
在治疗过的根管系统中发现了各种各样的细菌,其中肠球菌很普遍,是治疗失败的主要原因。为了取得临床成功,需要研究粪便肠球菌在唾液和根管之间的流行情况。这项观察性横断面分析研究的目的是检查粪便肠杆菌在唾液和在先前根管治疗后需要再治疗的牙齿根管中的患病率。患者从BSMMU保守牙科和牙髓科的OPD中选择进行重新随机对照试验。首先,采集了唾液样本。灭活龋齿及冠状修复体,隔离损伤牙,消毒。不使用化学溶剂,根管填充物被移除。用x光片测量并确认了根管的长度。微生物实验室收到纸点和唾液样本进行培养(粪肠球菌鉴定)。根据研究结果,唾液样本含有11例(25%),根管样本含有27例(61.4%)粪肠球菌。两组间差异有统计学意义(p < 0.05)。在需要重复随机对照试验的患者中,粪肠球菌在根管中比在患者唾液中更常见。
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引用次数: 0
Evaluation of the Effectiveness of Tooth Whitening of Using Reservoir in Bleaching Trays as Compared to Using Bleaching Tray without the Reservoir: An Observational Clinical Trial 与不使用贮槽的漂白托盘相比,使用贮槽的漂白托盘牙齿美白效果的评价:一项观察性临床试验
Pub Date : 2023-07-28 DOI: 10.24018/ejdent.2023.4.4.280
T. Rabi, Mira Salloum
Background: Bleaching procedures have gained importance due to the increase in aesthetic demand. At-home bleaching procedures have become popular due to their ease of application at their own time. At-home bleaching procedures can be modified to increase effectiveness.Aim: The present study aims to compare the effectiveness of tooth whitening by using bleaching trays with reservoirs and ones without reservoirs.Materials and Methods: The present study is an observational clinical trial done on 24 patients in Palestine. All the caries-free participants with Canine shades darker than A2 were included in the present study. The sample was divided into two groups. One group received bleaching trays with a reservoir, another group received bleaching trays without a reservoir. 10% carbamide peroxide was used as a bleaching agent in both groups for 21 days with 3-hour wear of trays. The primary outcome measured in the study was color change using the spectrophotometer VITA Easyshade. The secondary outcomes measured in the study were post-bleaching gingival irritation and tooth sensitivity. Statistical analysis was done using SPSS software. T-test was done to compare the primary outcomes between the two groups and the Chi-square test was done to compare the secondary outcomes.Results: T-test showed that there is no significant difference between the color change in the two groups. The chi-square test showed that there is no significant difference in the occurrence of gingival irritation and tooth sensitivity between the two groups (P>0.05).Conclusion: There is no significant difference in color change between the bleaching tray with the reservoir and without the reservoir. There is no significant difference in the increase in gingival irritation or tooth sensitivity between the two groups. Further studies and meta-analyses need to be conducted to obtain more evidence-based data on the outcomes.
背景:由于审美需求的增加,漂白程序变得越来越重要。家庭漂白程序已成为流行,因为他们的方便应用在自己的时间。可以修改家庭漂白程序以提高效果。目的:比较带牙槽与不带牙槽的牙槽美白效果。材料和方法:本研究是一项对巴勒斯坦24例患者进行的观察性临床试验。所有犬色暗度大于A2的无龋受试者均被纳入本研究。样本被分成两组。一组使用带有储液器的漂白托盘,另一组使用没有储液器的漂白托盘。两组均使用10%过氧化脲作为漂白剂,使用21 d,牙盘磨损3小时。研究中测量的主要结果是使用VITA easysshade分光光度计测量颜色变化。研究中测量的次要结果是漂白后牙龈刺激和牙齿敏感。采用SPSS软件进行统计分析。两组间主要结局比较采用t检验,次要结局比较采用卡方检验。结果:t检验显示两组患者颜色变化无显著性差异。卡方检验显示,两组患者牙龈刺激及牙齿敏感发生率比较,差异无统计学意义(P>0.05)。结论:有贮液器与无贮液器的漂白托盘颜色变化无显著性差异。两组患者在牙龈刺激或牙齿敏感程度的增加方面无显著差异。需要进行进一步的研究和荟萃分析,以获得更多关于结果的循证数据。
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引用次数: 0
Comparison of Dental Caries and Tooth Loss Prevalence between Diabetic and Non-diabetic Patients: Kabul, Afghanistan 糖尿病和非糖尿病患者龋齿和牙齿脱落患病率的比较:喀布尔,阿富汗
Pub Date : 2023-07-03 DOI: 10.24018/ejdent.2023.4.4.281
Ozair Erfan, Hakima Mahmody
Background: Diabetes is a systematic disease that reduces the amount of fluid in the body and causes Xerostomia or dry mouth, which leads to dental caries. Besides, type 2 diabetes is an inflammation-related disease that negatively affects the inflammatory response to dental plaque, leading to intense periodontitis that, if untreated, results in total tooth loss.Aim and Purpose: This study aimed to evaluate the prevalence of dental caries and tooth loss by comparison in diabetic and non-diabetic patients.Material and Method: The cross-sectional study was carried out on 1391 OPD patients over 16 in two governmental hospitals, Kabul University Hospital and National and Specialized Stomatology Hospital. The needed information has been obtained through a questionnaire. Then the oral cavity and the teeth of patients were examined directly in a dental unit in sufficient light and using dental instruments such as dental mirrors and dental explorers. Afterward, data analysis was performed in IBM SPSS Statistic 25.0. Result: The finding of this study shows that 100% of examined patients were suffering from dental caries, and on average, at least there were six teeth lost in each patient. Besides, 55.51% of patients had diabetes with tooth defects. There was 29.92% tooth decay and 25.59% tooth loss, with a remarkable difference between anterior and posterior teeth, as the significant percentage of tooth decay and tooth loss in anterior teeth of diabetic patients than non-diabetics.
背景:糖尿病是一种全身性疾病,它会减少体内的液体量,导致口干或口干,从而导致龋齿。此外,2型糖尿病是一种炎症相关疾病,会对牙菌斑的炎症反应产生负面影响,导致严重的牙周炎,如果不治疗,会导致牙齿全脱落。目的和目的:本研究旨在通过比较糖尿病和非糖尿病患者的龋齿和牙齿脱落的患病率。材料与方法:对喀布尔大学医院和国立口腔专科医院两家公立医院1391名16岁以上的门诊患者进行横断面研究。通过问卷调查获得了所需的信息。然后在充足的光线下,使用牙科镜和牙科探牙器等牙科仪器直接对患者的口腔和牙齿进行检查。之后用IBM SPSS Statistic 25.0进行数据分析。结果:本研究发现,100%的被检查患者患有龋齿,平均每位患者至少有6颗牙齿脱落。55.51%的患者合并糖尿病伴牙缺损。龋齿发生率为29.92%,牙齿脱落率为25.59%,前后牙差异显著,糖尿病患者的前牙龋齿和牙齿脱落率明显高于非糖尿病患者。
{"title":"Comparison of Dental Caries and Tooth Loss Prevalence between Diabetic and Non-diabetic Patients: Kabul, Afghanistan","authors":"Ozair Erfan, Hakima Mahmody","doi":"10.24018/ejdent.2023.4.4.281","DOIUrl":"https://doi.org/10.24018/ejdent.2023.4.4.281","url":null,"abstract":"\u0000Background: Diabetes is a systematic disease that reduces the amount of fluid in the body and causes Xerostomia or dry mouth, which leads to dental caries. Besides, type 2 diabetes is an inflammation-related disease that negatively affects the inflammatory response to dental plaque, leading to intense periodontitis that, if untreated, results in total tooth loss.\u0000\u0000\u0000Aim and Purpose: This study aimed to evaluate the prevalence of dental caries and tooth loss by comparison in diabetic and non-diabetic patients.\u0000\u0000\u0000Material and Method: The cross-sectional study was carried out on 1391 OPD patients over 16 in two governmental hospitals, Kabul University Hospital and National and Specialized Stomatology Hospital. The needed information has been obtained through a questionnaire. Then the oral cavity and the teeth of patients were examined directly in a dental unit in sufficient light and using dental instruments such as dental mirrors and dental explorers. Afterward, data analysis was performed in IBM SPSS Statistic 25.0. \u0000\u0000\u0000Result: The finding of this study shows that 100% of examined patients were suffering from dental caries, and on average, at least there were six teeth lost in each patient. Besides, 55.51% of patients had diabetes with tooth defects. There was 29.92% tooth decay and 25.59% tooth loss, with a remarkable difference between anterior and posterior teeth, as the significant percentage of tooth decay and tooth loss in anterior teeth of diabetic patients than non-diabetics.\u0000","PeriodicalId":197045,"journal":{"name":"European Journal of Dental and Oral Health","volume":"350 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123119538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Treatment of Maxillary Deficiency with Reverse Chin Cup: A Case Report 反颌杯治疗上颌缺陷1例
Pub Date : 2023-07-03 DOI: 10.24018/ejdent.2023.4.4.278
Maziar Farhadi, Ali Tashakor, R. Farjaminejad, A. Jamilian
Introduction: This case report aims to illustrate the dentoalveolar changes of a 13-year-old class III patient with maxillary deficiency treated with a Reverse Chin Cup appliance.one of the popular appliances for treating class III patients with deficient maxilla is facemask. In class III growing patients, treatment options include extraoral and intraoral devices. chin and forehead are used for extraoral anchorage supports. Case Presentation: The patient is a 13-year-old girl with a mild maxillary deficiency. She had an Angle Class III molar relationship. She refused to use a face mask due to its highly bulky size. The Reverse Chin Cup is attached to a removable appliance in the upper jaw, with Adams clasps on the first molars, the first premolars, and C-clasps on the upper central and lateral incisors for additional anchorage. Results: After the sixth month of treatment with a chin cup, SNA increased by 2°, and a positive overjet was achieved.Conclusion: This case demonstrates that the reverse chin cup appliance is a suitable alternative to facemasks in class III and maxillary deficient cases.
简介:本病例报告旨在说明13岁的III类上颌缺陷患者使用反颌杯矫治器治疗牙槽牙的变化。治疗上颌骨缺损的第三类患者常用的器械之一是面罩。在III类生长患者中,治疗选择包括口外和口内装置。下颌和前额用于口外锚固支撑。病例介绍:患者是一名13岁的女孩,患有轻度上颌缺陷。她有一个角III级的摩尔关系。由于口罩体积太大,她拒绝使用。反向下颌杯连接在上颌的可移动矫治器上,亚当斯卡箍在第一磨牙上,第一前磨牙上,c卡箍在上中门牙和侧门牙上,用于额外的固定。结果:下颌托杯治疗6个月后,SNA升高2°,达到正向覆盖。结论:本病例证明反颌杯矫治器是III类及上颌缺损患者替代面罩的理想术式。
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引用次数: 0
COVID-19’s Psychosocial Impact on American and Canadian Dental Students COVID-19对美国和加拿大牙科学生的心理社会影响
Pub Date : 2023-06-30 DOI: 10.24018/ejdent.2023.4.3.245
D. Schonwetter, Mê-Linh Lê, V. S. Mutalik, Jasbir D. Upadhyaya
Introduction: The COVID-19 pandemic has significantly affected dental education, contributing to adverse psychological outcomes, especially among dental students. In this cross-sectional study, the psychosocial state of American and Canadian dental students was explored, with special emphasis on affective, behavioral, and cognitive well-being, during and after the initial lockdown. Methods: Dental students were invited to participate in an online survey. The questions evaluated the pandemic’s effect on affective, behavioral, and cognitive responses, and learning experiences. Results: A total of 287 dental students completed the online survey. Sadness and anticipation were the strongest emotions experienced during and following the lockdown. Student worries were classified into external and internal stressors. Females demonstrated higher fear, students from larger dental schools held higher emotions of anticipation and disgust. American students held higher anticipation scores both during and following the lockdown. Canadian, third and fourth years, and students from small dental schools were more aware of which authority to contact if their patient, who presented for care, was suspected of COVID-19 infection which emphasizes the need for a preparedness protocol.Conclusions: More studies that explore the broader scope of psychological aspects are necessary. Monitoring and developing treatment strategies for emergent mental conditions among dental students is extremely important in pandemic crisis management. The study highlights the need for development of standardized protocols and pandemic related health education topics as well as psychological interventions to better prepare dental students globally during the time of crisis.
2019冠状病毒病大流行严重影响了牙科教育,导致了不良的心理结果,特别是在牙科学生中。在这项横断面研究中,研究了美国和加拿大牙科学生的心理社会状态,特别强调了在最初的封锁期间和之后的情感、行为和认知健康。方法:邀请牙科学生参加在线调查。这些问题评估了大流行对情感、行为和认知反应以及学习经验的影响。结果:共有287名牙科学生完成了在线调查。悲伤和期待是封锁期间和之后最强烈的情绪。学生的焦虑分为外部压力和内部压力。女性表现出更高的恐惧,来自较大牙科学校的学生表现出更高的期待和厌恶情绪。在封锁期间和之后,美国学生的预期得分都更高。加拿大的三年级和四年级学生以及来自小型牙科学校的学生更清楚,如果他们就诊的病人怀疑感染了COVID-19,应该联系哪个当局,这强调了制定准备方案的必要性。结论:需要更多的研究来探索更广泛的心理层面。监测和制定牙科学生紧急精神状况的治疗策略在大流行病危机管理中极为重要。该研究强调有必要制定标准化规程和与大流行病有关的卫生教育主题以及心理干预措施,以便在危机时期更好地为全球牙科学生做好准备。
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引用次数: 0
Combination Effect of Collagen-Chitosan Hydrogel and Injectable Platelet-Rich Fibrin Fractionation on Osteoblast Migration and Proliferation 胶原-壳聚糖水凝胶联合注射富血小板纤维蛋白分离对成骨细胞迁移和增殖的影响
Pub Date : 2023-06-14 DOI: 10.24018/ejdent.2023.4.3.264
Mardha Ade Pritia, N. Fatimah, V. Karina, K. Murdiastuti
Injectable Platelet Rich Fibrin (i-PRF) is a popular periodontal regenerative therapy in dentistry. i-PRF centrifugation resulted in the fractionation of the yellow layer and buffy coat with a red layer. The red i-PRF contains a greater number of Growth Factor carrier cells than yellow layer, besides that liquid-PRF has a suitable consistency so it easy to combine with other biomaterials. Another biomaterial that can be combined with i-PRF is collagen-chitosan with hydrogel preparations. This study aims to determine the effect of a combination of collagen-chitosan hydrogel formulation with injection of platelet-rich fibrin fractionation on osteoblast cell migration and proliferation. This type of research was an experimental laboratory divided into 3 groups, which were given a combination of the collagen-chitosan hydrogel and i-PRF red layer, a combination of collagen-chitosan hydrogel and i-PRF yellow layer, and only a combination of collagen-chitosan hydrogel. Chitosan collagen hydrogel was prepared with a collagen/chitosan ratio of 25/75, then mixed with i-PRF fractionation with a ratio of 1:1. The cell proliferation test used CCK-8, while the cell migration test used scratch wound healing. Data were tested with One way ANOVA for cell migration and Two way ANOVA for cell proliferation, followed by a Post Hoc test. The results showed that migration of osteoblast cells after 24 hours in the combination group of chitosan collagen hydrogel and i-PRF red layer was higher than the other groups with significance (p<0.05). The results of osteoblast cell proliferation on days 1, 3, and 5 in the combination group of chitosan collagen hydrogel and i-PRF red layer were also higher than the other groups with significance (p<0.05). This study concluded that the combination of chitosan collagen hydrogel with injectable platelet-rich fibrin red layer had a more effect on increasing the migration and proliferation of osteoblast cells than the other groups.
注射富血小板纤维蛋白(i-PRF)是一种流行的牙周再生治疗方法。i-PRF离心法分离出黄色层和灰褐色层,其中有红色层。红色的i-PRF比黄色层含有更多的生长因子载体细胞,而且液体prf具有合适的浓度,因此易于与其他生物材料结合。另一种可以与i-PRF结合的生物材料是胶原-壳聚糖与水凝胶制剂。本研究旨在探讨胶原-壳聚糖水凝胶联合注射富血小板纤维蛋白分离物对成骨细胞迁移和增殖的影响。这种类型的研究是在实验实验室进行的,分为3组,分别给予胶原-壳聚糖水凝胶与i-PRF红色层的组合,胶原-壳聚糖水凝胶与i-PRF黄色层的组合,以及仅胶原-壳聚糖水凝胶的组合。制备出胶原/壳聚糖比为25/75的壳聚糖胶原水凝胶,并以1:1的比例与i-PRF分馏法混合。细胞增殖试验采用CCK-8,细胞迁移试验采用划痕创面愈合。用单因素方差分析(One way ANOVA)检测细胞迁移,用双因素方差分析(Two way ANOVA)检测细胞增殖,然后进行事后检验。结果表明,壳聚糖水凝胶与i-PRF红层联合组24 h后成骨细胞迁移量显著高于其他组(p<0.05)。壳聚糖水凝胶与i-PRF红层联合组成骨细胞增殖第1、3、5天的结果也显著高于其他组(p<0.05)。本研究表明,壳聚糖水凝胶与可注射富血小板纤维蛋白红层联合使用对成骨细胞的迁移和增殖的促进作用优于其他组。
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European Journal of Dental and Oral Health
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