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An Insight to Oral Health Condition and Management Strategies in Children with Autistic Spectrum Disorder 自闭症谱系障碍儿童口腔健康状况及管理策略的研究
Pub Date : 2023-04-27 DOI: 10.24018/ejdent.2023.4.2.209
R. Solomon, S. Priya, Aamuktha Pentala, Asra Nazreen
Autism spectrum disorder is a group of neurodegenerative disorders that is caused by a physiological disorder of the brain which represents a change in its shape and structure and is characterized by difficulties with social interaction & communication and by restricted & repetitive behavior.Autism spectrum disorder (ASD) presents with behavioral characteristics that can occur in the early developmental stages of individuals. Autism symptoms appear in the majority of children between the ages of 12 and 18 months. Early indicators of autism include challenges faced by the individual in making eye contact, being unresponsive to his or her name, having difficulty following another person's gaze or in pointing a finger to an item and having poor imitation with nonverbal communication issues. Because most parents are unaware of these "early" indicators of autism, majority of the children with autism do not receive a diagnosis until they reach the age of 3. Dental issues such as bruxism, non-nutritive chewing, tongue thrusting, masochistic behaviors, erosion, xerostomia, dental caries, gingival disorders and delayed tooth eruption are common in children with ASD. These children present with an unusual response to stimuli making it difficult for the parents/caretakers to maintain their child's oral hygiene and poses a challenge for dentists to operate on the child. Therefore, it is important to prevent or intervene in any kind of dental disease at an early stage. The current review article focuses on children with Autism Spectrum Disorder (ASD) and the oral hygiene concerns they face, as well as describes the various therapy options for these individuals.
自闭症谱系障碍是一组神经退行性疾病,由大脑的生理障碍引起,表现为大脑形状和结构的改变,其特征是社会互动和沟通困难,行为受限和重复。自闭症谱系障碍(ASD)表现出在个体早期发育阶段可能出现的行为特征。自闭症症状出现在大多数12到18个月大的孩子身上。自闭症的早期指标包括个体在眼神交流方面面临的挑战,对他或她的名字没有反应,难以跟随他人的目光或用手指指向物品,模仿能力差,有非语言交流问题。因为大多数父母不知道这些自闭症的“早期”指标,大多数自闭症儿童直到3岁才得到诊断。牙齿问题,如磨牙,非营养性咀嚼,刺舌,受虐行为,糜烂,口干症,龋齿,牙龈疾病和牙齿延迟长出在ASD儿童中很常见。这些儿童对刺激物有不寻常的反应,使父母/监护人难以保持孩子的口腔卫生,并对牙医为孩子做手术构成挑战。因此,在早期预防或干预任何一种牙病是很重要的。目前的综述文章主要关注自闭症谱系障碍(ASD)儿童和他们面临的口腔卫生问题,以及对这些个体的各种治疗选择。
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引用次数: 0
Impact of the COVID-19 Pandemic on the Provision of Dental Care by the Public Dental Services of Cyprus COVID-19大流行对塞浦路斯公共牙科服务机构提供牙科护理的影响
Pub Date : 2023-04-26 DOI: 10.24018/ejdent.2023.4.2.227
C. Charalambous, A. Syngelakis, M. Kantaris
Background: During 2020 dentists were included in the group of health professionals that were directly affected by the pandemic. This study aimed to capture the impact of the pandemic in the provision of dental care through the Public Dental Services (PDS) of Cyprus in 2020 and 2021 (during pandemic) compared to 2019 (pre pandemic). More specifically, it examined the consequences in the number of visits, the average number of patients per day, the proportion of new patients to the total number of visits, and the type of services provided. Methodology: Statistical data from the PDS were analyzed with the help of SPSS2.Results: Cyprus PDS statistics show a national decline in the number of visits of 41.3% in 2020 compared to 2019 (p < 0.01) and a further decline of 9.6% in 2021 (compared to 2020). The decline in the average number of patients per day (37.6%) in 2019-21 was less than the decline in the average number of visits (47.0%). Similarly, there was a 34.7% decrease in work volume (p < 0.01) between 2019 and 2020 and a further 2.8% decrease in 2021. These decreases were not consistent both between different types of centres and between different districts.In terms of treatments offered nationwide, the largest decrease in 2020 was in dental scaling (53.5%), followed by dental examinations (47.9%), composite fillings (47.5%) and amalgam (45.4%). The share of the most affected dental treatment (scaling, examination, composite and amalgam) in the total workload has decreased from 51% in 2019 to 40% in 2020 (p < 0.01). The least affected dental work in 2020 was temporary fillings, which increased by 6.6%. In 2021, the profile of care provision changed as there was an increase in composite fillings, up 45.7% compared to 2020 (p<0.01), while all other types of dental work continued to decline. The share of the most affected dental treatments (scaling, examination, composite and amalgam) in the total workload increased (from 40% in 2020 to 43.9% in 2021), but still significantly lower than in 2019 (pre-pandemic - 51%). Interestingly, the share of extractions in total workload increased from 16.6% in 2019 to 21.5% in 2021.Conclusion: The COVID-19 pandemic and the subsequent restrictive measures imposed had a negative impact on the provision and seeking of dental care by the PDS. The decline in the frequency of dental visits, if sustained over a longer period of time and not reversed, will have a negative impact on the level of oral health of people living in Cyprus and will increase the unmet need for dental care. The increase in extractions is expected to have a negative impact on the level of oral health, as it is the most radical dental treatment and the need for prosthetic rehabilitation will also increase. In addition, the economic impact of COVID-19 and the global economic instability, which has reduced family incomes, is expected to drive more patients to the public sector, where fees are quite low, adding to already burdened waiti
背景:在2020年期间,牙医被纳入直接受大流行影响的卫生专业人员群体。本研究旨在捕捉2020年和2021年(大流行期间)与2019年(大流行前)相比,通过塞浦路斯公共牙科服务(PDS)提供牙科保健的大流行影响。更具体地说,它审查了就诊次数、每天平均就诊人数、新患者占就诊总人数的比例以及所提供的服务类型等方面的影响。方法:采用SPSS2软件对PDS的统计数据进行分析。结果:塞浦路斯PDS统计数据显示,与2019年相比,2020年全国访问量下降41.3% (p < 0.01), 2021年进一步下降9.6%(与2020年相比)。2019-21年度日均就诊人数下降37.6%,低于日均就诊人数下降47.0%。同样,2019年至2020年期间,工作量减少了34.7% (p < 0.01), 2021年进一步减少了2.8%。这些下降在不同类型的中心和不同地区之间并不一致。在全国范围内提供的治疗方法中,2020年下降幅度最大的是牙科洗牙(53.5%),其次是牙科检查(47.9%)、复合填充物(47.5%)和汞合金(45.4%)。受影响最大的牙科治疗(洗牙、检查、复合和汞合金)占总工作量的比例从2019年的51%下降到2020年的40% (p < 0.01)。2020年受影响最小的牙科工作是临时补牙,增加了6.6%。2021年,由于复合填充物的增加,护理提供的情况发生了变化,与2020年相比增长了45.7% (p<0.01),而所有其他类型的牙科工作继续下降。受影响最严重的牙科治疗(洗牙、检查、复合和汞合金)在总工作量中所占的比例有所增加(从2020年的40%增加到2021年的43.9%),但仍远低于2019年(大流行前为51%)。有趣的是,提取在总工作量中的份额从2019年的16.6%增加到2021年的21.5%。结论:2019冠状病毒病疫情及后续实施的限制措施,对住院医师提供和寻求牙科保健产生了负面影响。看牙医次数的下降如果持续较长时间而不加以扭转,将对居住在塞浦路斯的人的口腔健康水平产生不利影响,并将增加未得到满足的牙科保健需求。拔牙人数的增加预计会对口腔健康水平产生负面影响,因为拔牙是最彻底的牙科治疗方法,而且对假肢康复的需求也会增加。此外,2019冠状病毒病的经济影响和全球经济不稳定导致家庭收入减少,预计将迫使更多患者前往收费相当低的公共部门,使已经不堪重负的候诊名单雪上加霜。预计社会经济地位较低的人负担最重,这将加剧口腔卫生不平等。
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引用次数: 0
Dental Fear in Adult Patients: A Case Report 成人患者的牙齿恐惧:1例报告
Pub Date : 2023-04-13 DOI: 10.24018/ejdent.2023.4.2.256
Aliki Rontogianni, A. Mitsea, K. Karayianni
Dental fear is described as the situation that includes feelings of tension, fear, anxiety all three have as a result patients' reluctance to maintain a stable relationship with dental care or makes the dental visit particularly unpleasant. Dental fear appears to have adverse effects on patients' oral health. Dental fear may cause delay in dental treatment thus creating a vicious cycle. The frequency of dental fear in a sample of adult patients seems to be high and appears to be related to certain epidemiological characteristics such as gender, age, education, place of residence. The aim of the study is to present a case of an adult woman 44 years old that had an extremely bad oral health because she was suffering from dental fear, from her adolescence and had more than 20 years to visit the dentist asking for treatment.
牙科恐惧被描述为一种情况,包括紧张、恐惧、焦虑的感觉,这三种感觉都是患者不愿与牙科护理保持稳定关系的结果,或者使牙科就诊特别不愉快。牙科恐惧似乎对患者的口腔健康有不利影响。对牙医的恐惧可能会导致牙科治疗的延误,从而形成恶性循环。在成年患者样本中,牙齿恐惧的频率似乎很高,似乎与某些流行病学特征有关,如性别、年龄、教育程度、居住地。这项研究的目的是提出一个44岁的成年女性的案例,她的口腔健康状况非常糟糕,因为她从青春期开始就患有牙科恐惧症,并且有20多年的时间去看牙医要求治疗。
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引用次数: 0
Technologies Applied to Diagnosis and Treatment of Bruxism and Sleep Bruxism: Literature Review 磨牙症和睡眠磨牙症的诊断与治疗技术:文献综述
Pub Date : 2023-04-13 DOI: 10.24018/ejdent.2023.4.2.241
Luciana Cristina Peixoto Lemos Freitas, C. S. Galvão, Amilcar Chagas Freitas Júnior, Laércio Almeida de Melo, Tasiana Guedes de Souza, Érika Oliveira de Almeida
Bruxism is considered an involuntary parafunctional habit. Sleep bruxism (SB) is characterized as an activity of the chewing muscles during sleep in healthy individuals, while bruxism in wakefulness (BV) is defined as an activity of the chewing muscles generating repetitive or sustained tooth contact and/or static and/or dynamic muscle contraction. This article is intended to carry out a literature review comparing current devices that help in the diagnosis and treatment of BS and BV, emphasizing scientific evidence. A literature review was carried out in the period from 2018 to 2020. In order to optimize diagnosis and treatment, new technologies have been proposed, acting directly to assess muscle contraction. Among them, the Brux off and Bite Strip have been used for the diagnosis of sleep bruxism, for the treatment of sleep bruxism the Grindcare, and for the treatment of bruxism during wakefulness, the Neuro up and the Unstrike your teeth. The technologies presented show promising results due to their practicality and ease, helping patients to diagnose and treat bruxism. However, more studies need to be carried out, presenting larger samples and with longer periods that will prove the real effectiveness of these new technologies.
磨牙症被认为是一种不自觉的功能失调习惯。睡眠磨牙症(SB)的特征是健康个体睡眠时咀嚼肌的活动,而清醒时磨牙症(BV)被定义为咀嚼肌的活动,产生重复或持续的牙齿接触和/或静态和/或动态肌肉收缩。本文旨在对目前有助于BS和BV诊断和治疗的器械进行文献综述,强调科学证据。在2018年至2020年期间进行了文献综述。为了优化诊断和治疗,已经提出了新的技术,直接评估肌肉收缩。其中Brux off和Bite Strip被用于诊断睡眠磨牙,Grindcare用于治疗睡眠磨牙,Neuro up和Unstrike your teeth用于治疗清醒时的磨牙。所介绍的技术由于其实用性和易用性而显示出良好的效果,可以帮助患者诊断和治疗磨牙症。然而,需要进行更多的研究,提供更大的样本和更长的时间来证明这些新技术的真正有效性。
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引用次数: 0
Dentin Hypersensitivity Management Using Herbal Products: A Systematic Review 使用草药产品管理牙本质过敏:系统回顾
Pub Date : 2023-04-10 DOI: 10.24018/ejdent.2023.4.2.247
Zafeiria Mavrogiannidou, Genovefa Tsompani, Menelaos Anastasopoulos, Androniki Nasta, Stefania Poirazi, Aikaterini Georgiadou
Introduction: Dentin hypersensitivity is a common and clinically significant issue, that many clinicians come across. There is currently a variety of available treatments. Over the past years, the use of herbal products in the medical and dental field has increased. The aim of this systematic review was to assess if the use of herbal products is more effective than conventional products, which are currently being used, in the management of dentin hypersensitivity.Methods: A systematic electronic search was performed in MEDLINE-PubMed, Scopus, and Web of Science up to December 2022. The quality of studies was assessed using the Risk of Bias tool version 2.Results: A total of 2325 publications were identified, and 10 studies fulfilled all the inclusion criteria. Only randomized controlled trials addressed the management of dentin hypersensitivity using herbal oral products, while fulfilling the inclusion criteria. Conclusion: Within the limitations of this review, it was concluded that herbal products may not provide superior benefits reducing the symptoms of dentin hypersensitivity when compared with conventional products. Future studies, properly designed, are needed to determine the safety and efficacy of herbal products.
牙本质过敏是一个常见的和临床意义重大的问题,许多临床医生遇到。目前有多种可用的治疗方法。在过去的几年里,草药产品在医疗和牙科领域的使用有所增加。本系统综述的目的是评估草药产品在治疗牙本质过敏方面是否比目前使用的传统产品更有效。方法:系统电子检索截至2022年12月的MEDLINE-PubMed、Scopus和Web of Science。使用风险偏倚工具第2版评估研究质量。结果:共纳入文献2325篇,其中10篇符合全部纳入标准。只有随机对照试验在满足纳入标准的情况下,使用草药口服产品处理牙本质过敏。结论:在本综述的局限性内,得出的结论是,与传统产品相比,草药产品在减轻牙本质过敏症状方面可能没有优越的疗效。未来需要适当设计的研究来确定草药产品的安全性和有效性。
{"title":"Dentin Hypersensitivity Management Using Herbal Products: A Systematic Review","authors":"Zafeiria Mavrogiannidou, Genovefa Tsompani, Menelaos Anastasopoulos, Androniki Nasta, Stefania Poirazi, Aikaterini Georgiadou","doi":"10.24018/ejdent.2023.4.2.247","DOIUrl":"https://doi.org/10.24018/ejdent.2023.4.2.247","url":null,"abstract":"\u0000Introduction: Dentin hypersensitivity is a common and clinically significant issue, that many clinicians come across. There is currently a variety of available treatments. Over the past years, the use of herbal products in the medical and dental field has increased. The aim of this systematic review was to assess if the use of herbal products is more effective than conventional products, which are currently being used, in the management of dentin hypersensitivity.\u0000\u0000\u0000Methods: A systematic electronic search was performed in MEDLINE-PubMed, Scopus, and Web of Science up to December 2022. The quality of studies was assessed using the Risk of Bias tool version 2.\u0000\u0000\u0000Results: A total of 2325 publications were identified, and 10 studies fulfilled all the inclusion criteria. Only randomized controlled trials addressed the management of dentin hypersensitivity using herbal oral products, while fulfilling the inclusion criteria. \u0000\u0000\u0000Conclusion: Within the limitations of this review, it was concluded that herbal products may not provide superior benefits reducing the symptoms of dentin hypersensitivity when compared with conventional products. Future studies, properly designed, are needed to determine the safety and efficacy of herbal products.\u0000","PeriodicalId":197045,"journal":{"name":"European Journal of Dental and Oral Health","volume":" June","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120829307","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
Safety Precaution and Infection Control Practices among Dental Practitioners in Nigeria during the COVID-19 Pandemic 2019冠状病毒病大流行期间尼日利亚牙科医生的安全预防和感染控制措施
Pub Date : 2023-04-04 DOI: 10.24018/ejdent.2023.4.2.211
I. Menakaya, N. Menakaya, A. Abah, Gloria Okeoghenemaro Agboghoroma
Background: COVID-19 remains a major public health threat globally and dental practitioners are particularly at risk due to the proximity of care givers to the patient and the generation of aerosols during many dental treatment procedures. Dental practitioners are therefore required to strictly observe standard universal precautions in their clinical practice.Objectives: To determine the safety precaution and infection control practices among dental practitioners in Nigeria during the COVID-19 Pandemic. Methods: A cross-sectional self-administered pre-tested questionnaire based survey of consenting dental practitioners from different geopolitical zones in Nigeria was employed for the study. Study participants were recruited by non-random convenience sampling. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 20. Results: A total of 105 out of 142 respondents completed and returned the survey questionnaire giving a response rate of 74%. About 24-55% of study respondents performed aerosol/splatter/droplet generating procedures. Hand hygiene and donning of face mask were the most common safety practices while the use of face shield and N95 facemask were common infection control practices. Over 60% of respondents practiced triaging of patients, pre-procedural mouth rinse and donning of disposable surgical gowns. Almost half of the respondents practiced decontamination of the clinic work environment and over 70% of respondents used N95 masks.Conclusion: Aerosol generating procedures were not uncommon dental practices in Nigeria during COVID-19 pandemic. However, use of N95 mask was relatively high and there was a reasonable level of practice of basic standard COVID-19 safety measures and infection prevention and control guidelines.
背景:COVID-19仍然是全球主要的公共卫生威胁,由于护理人员靠近患者以及在许多牙科治疗过程中产生气溶胶,牙科医生面临的风险尤其大。因此,牙科医生在临床实践中必须严格遵守标准的普遍预防措施。目的:确定2019冠状病毒病大流行期间尼日利亚牙科医生的安全预防和感染控制措施。方法:横断面自我管理的预测试问卷为基础的调查同意牙科医生从尼日利亚不同的地缘政治区域为研究采用。研究参与者采用非随机方便抽样方式招募。数据分析使用社会科学统计软件包(SPSS)第20版。结果:142名受访者中有105人完成并交回调查问卷,回复率为74%。约24-55%的受访者进行了气溶胶/飞溅/液滴产生程序。手卫生和戴口罩是最常见的安全措施,而使用面罩和N95口罩是最常见的感染控制措施。超过60%的受访者对患者进行了分诊、手术前漱口和穿一次性手术服。近一半的受访者对诊所工作环境进行了消毒,超过70%的受访者使用N95口罩。结论:在COVID-19大流行期间,气溶胶产生程序在尼日利亚的牙科实践中并不罕见。但N95口罩使用率较高,对新冠肺炎基本标准安全措施和感染防控指南的执行水平较为合理。
{"title":"Safety Precaution and Infection Control Practices among Dental Practitioners in Nigeria during the COVID-19 Pandemic","authors":"I. Menakaya, N. Menakaya, A. Abah, Gloria Okeoghenemaro Agboghoroma","doi":"10.24018/ejdent.2023.4.2.211","DOIUrl":"https://doi.org/10.24018/ejdent.2023.4.2.211","url":null,"abstract":"\u0000Background: COVID-19 remains a major public health threat globally and dental practitioners are particularly at risk due to the proximity of care givers to the patient and the generation of aerosols during many dental treatment procedures. Dental practitioners are therefore required to strictly observe standard universal precautions in their clinical practice.\u0000\u0000\u0000Objectives: To determine the safety precaution and infection control practices among dental practitioners in Nigeria during the COVID-19 Pandemic. \u0000\u0000\u0000Methods: A cross-sectional self-administered pre-tested questionnaire based survey of consenting dental practitioners from different geopolitical zones in Nigeria was employed for the study. Study participants were recruited by non-random convenience sampling. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 20. \u0000\u0000\u0000Results: A total of 105 out of 142 respondents completed and returned the survey questionnaire giving a response rate of 74%. About 24-55% of study respondents performed aerosol/splatter/droplet generating procedures. Hand hygiene and donning of face mask were the most common safety practices while the use of face shield and N95 facemask were common infection control practices. Over 60% of respondents practiced triaging of patients, pre-procedural mouth rinse and donning of disposable surgical gowns. Almost half of the respondents practiced decontamination of the clinic work environment and over 70% of respondents used N95 masks.\u0000\u0000\u0000Conclusion: Aerosol generating procedures were not uncommon dental practices in Nigeria during COVID-19 pandemic. However, use of N95 mask was relatively high and there was a reasonable level of practice of basic standard COVID-19 safety measures and infection prevention and control guidelines. \u0000","PeriodicalId":197045,"journal":{"name":"European Journal of Dental and Oral Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122687633","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
Clinical, Radiographic, and Histological Evaluation of the Mineralized Plasmatic Matrix/Xenograft Mixture in Maxillary Sinus Floor Augmentation (A Randomized Controlled Clinical Trial) 矿化浆基质/异种移植物混合物在上颌窦底增强术中的临床、影像学和组织学评价(一项随机对照临床试验)
Pub Date : 2023-04-04 DOI: 10.24018/ejdent.2023.4.2.250
Hani Arakji, E. Osman, N. Aboelsaad, M. Shokry
Introduction: Maxillary sinus pneumatization and alveolar ridge resorption following the extraction of posterior teeth make the installation of dental implants in the maxillary posterior region challenging. The direct sinus lift procedure proved to be a viable treatment option for such conditions. Aim of the study: to evaluate the mineralized plasmatic matrix/xenograft mixture in sinus elevation surgery.Materials and Methods: Eighteen patients were selected and randomly allocated into two groups; study group received a mineralized plasmatic matrix/xenograft mixture, while the control group received xenograft alone following sinus lifting.Results: The early wound healing index score showed a non-significant difference between both groups. Also, bone height was evaluated at the 6-month follow-up period, and there was a non-statistically significant difference. Core biopsies were taken for histological examination by H&E from both groups, revealing the presence of a more mature bone matrix in relation to the test group.Conclusion: The addition of mineralized plasmatic matrix to xenograft can speed up bone formation, thus reducing treatment duration.
后牙拔除后上颌窦气化和牙槽嵴吸收使种植体在上颌后牙区安装具有挑战性。直接鼻窦提升术被证明是一种可行的治疗方法。目的:探讨矿化质基质/异种移植物混合物在鼻窦抬高手术中的应用价值。材料与方法:选取18例患者,随机分为两组;研究组接受矿化浆质基质/异种移植物混合治疗,对照组在鼻窦提升后单独接受异种移植物治疗。结果:两组患者早期创面愈合指数评分差异无统计学意义。在随访6个月时对骨高度进行评估,差异无统计学意义。通过H&E对两组患者进行核心活检进行组织学检查,发现与实验组相比存在更成熟的骨基质。结论:矿化质基质能促进异种骨形成,缩短治疗时间。
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引用次数: 0
Retention Evaluation of Implant-Supported Palateless Maxillary Overdentures Retained by PEEK Telescopic Attachment PEEK套筒附着体对种植支撑无腭上颌覆盖义齿固位的评价
Pub Date : 2023-03-29 DOI: 10.24018/ejdent.2023.4.2.237
Balen Hamid Qadir, Kawan S. Othman, M. Mahmood
Background: Retention and stabilization of implant-supported overdenture is associated with more patient satisfaction, chewing capability, and oral health-related quality of life. There are a variety of implant retention systems which can be utilized to retain an implant overdenture. Telescopic attachments provide excellent retention resulting from friction.Objective: This study evaluates the retention force and fatigue resistance of ready-made polyether ether ketone (PEEK) telescopic attachment in different numbers and positions of dental implants in palateless maxillary overdenture.Method: Five edentulous maxillary models were fabricated from cold-cure poly methyl methacrylate resin. The study models were divided into two groups; the first group (3-implant supported overdenture) and the second group (4-implant supported overdenture). Each group is subdivided into subgroups according to the different implant positions. One palateless maxillary denture was constructed over each model. Ready-made PEEK telescope attachments correspond to implant abutments embedded in the inner surface of these overdentures. Initial anterior, posterior, and central retention values of overdentures were estimated and compared with the retention after 540 cycles of insertion and removal using a digital force gauge. One-way ANOVA testing was used to compare the means of the models of group one, an Independent sample t-test was used to compare the means of the models of group two, and a comparison of retention value between the groups and Paired sample t-test was applied for determining the difference between initial and secondary retention value (p<0.05).Results: The anterior retention value was significantly decreased when the dental implants were placed distally while the posterior and central retention values were significantly increased. Also, retention value increased as implant number increased; the lowest mean retention values were recorded with Group one and the highest values were with Group two. The final retention value was significantly decreased after 540 times insertion and removal. However, the values of secondary retention are still larger than the minimum retention value that was reported (5–7 N) to achieve sufficient patient satisfaction.Conclusion: The implant location and number affect the retention value of palateless maxillary overdenture. Continuous insertion and removal of the prosthesis for daily hygiene practice lead to decreases in retention values.
背景:种植覆盖义齿的固位和稳定与患者满意度、咀嚼能力和口腔健康相关的生活质量有关。有多种种植体固位系统可用于固位种植体覆盖义齿。可伸缩的附件提供良好的保持,从而避免摩擦。目的:研究预制聚醚醚酮(PEEK)套筒附着体在无腭覆盖义齿不同种植体数量和位置下的固位力和抗疲劳性能。方法:采用冷固化聚甲基丙烯酸甲酯树脂制作5个无牙上颌模型。研究模型分为两组;第一组为3种植体支持覆盖义齿,第二组为4种植体支持覆盖义齿。每组根据种植体位置的不同再细分为亚组。在每个模型上构建一个无腭上颌义齿。现成的PEEK望远镜附件对应于嵌入这些覆盖义齿内表面的种植基台。使用数字力计估计覆盖义齿的初始前、后、中央固位值,并与540次插入和取出后的固位值进行比较。第一组模型均值比较采用单因素方差分析,第二组模型均值比较采用独立样本t检验,组间保留值比较采用配对样本t检验,确定初始和二次保留值的差异(p<0.05)。结果:种植体远端放置时,前牙固位值明显降低,后牙和中牙固位值明显增加。固位值随种植体数量的增加而增加;第一组的平均保留值最低,第二组的平均保留值最高。经540次插拔后,最终固位值明显降低。然而,二次保留值仍然大于最小保留值(5-7 N),以达到足够的患者满意度。结论:种植体的位置和数量影响无腭上颌覆盖义齿的固位价值。由于日常卫生习惯而不断插入和取出假体导致固位值下降。
{"title":"Retention Evaluation of Implant-Supported Palateless Maxillary Overdentures Retained by PEEK Telescopic Attachment","authors":"Balen Hamid Qadir, Kawan S. Othman, M. Mahmood","doi":"10.24018/ejdent.2023.4.2.237","DOIUrl":"https://doi.org/10.24018/ejdent.2023.4.2.237","url":null,"abstract":"\u0000Background: Retention and stabilization of implant-supported overdenture is associated with more patient satisfaction, chewing capability, and oral health-related quality of life. There are a variety of implant retention systems which can be utilized to retain an implant overdenture. Telescopic attachments provide excellent retention resulting from friction.\u0000\u0000\u0000Objective: This study evaluates the retention force and fatigue resistance of ready-made polyether ether ketone (PEEK) telescopic attachment in different numbers and positions of dental implants in palateless maxillary overdenture.\u0000\u0000\u0000Method: Five edentulous maxillary models were fabricated from cold-cure poly methyl methacrylate resin. The study models were divided into two groups; the first group (3-implant supported overdenture) and the second group (4-implant supported overdenture). Each group is subdivided into subgroups according to the different implant positions. One palateless maxillary denture was constructed over each model. Ready-made PEEK telescope attachments correspond to implant abutments embedded in the inner surface of these overdentures. Initial anterior, posterior, and central retention values of overdentures were estimated and compared with the retention after 540 cycles of insertion and removal using a digital force gauge. One-way ANOVA testing was used to compare the means of the models of group one, an Independent sample t-test was used to compare the means of the models of group two, and a comparison of retention value between the groups and Paired sample t-test was applied for determining the difference between initial and secondary retention value (p<0.05).\u0000\u0000\u0000Results: The anterior retention value was significantly decreased when the dental implants were placed distally while the posterior and central retention values were significantly increased. Also, retention value increased as implant number increased; the lowest mean retention values were recorded with Group one and the highest values were with Group two. The final retention value was significantly decreased after 540 times insertion and removal. However, the values of secondary retention are still larger than the minimum retention value that was reported (5–7 N) to achieve sufficient patient satisfaction.\u0000\u0000\u0000Conclusion: The implant location and number affect the retention value of palateless maxillary overdenture. Continuous insertion and removal of the prosthesis for daily hygiene practice lead to decreases in retention values.\u0000","PeriodicalId":197045,"journal":{"name":"European Journal of Dental and Oral Health","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130843640","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
Compound Odontoma-A Rare Case Report in A 17 Month Old Child 17月龄儿童复合型牙瘤1例报道
Pub Date : 2023-03-08 DOI: 10.24018/ejdent.2023.4.2.242
A. Hatiwsh, Abdul Morawala, Maha Saif Almesallam
Introduction: Odontomas are Hamartomatous lesions of odontogenic origin. They comprise of two varieties complex and compound. Aetiology of odontoma is multifactorial. Usually, odontomas are asymptomatic clinically and diagnosed only on routine radiographic imaging in children and young adolescents without any gender predominance. Mostly they may be associated with missing or impacted teeth or delayed eruption of a tooth.Case Report: The present case delineates an unusual presentation of the odontoma in a 17 months old male in lower anterior which was removed completely along with the capsule. Patient had reported no complications in a duration of 10 month follow-up.Conclusion: To ensure better prognosis, early diagnosis of odontomas and complete removal is necessary.
简介:牙瘤是牙源性错构瘤病变。它们包括复合和复合两种。牙瘤的病因是多因素的。通常,牙瘤在临床上无症状,仅在儿童和青少年的常规放射成像中诊断,没有任何性别优势。大多数情况下,它们可能与缺牙或阻生牙或牙齿延迟长出有关。病例报告:本病例描述了一个17个月大的男性下前牙瘤的不寻常表现,该瘤与被膜一起被完全切除。随访10个月,无并发症发生。结论:齿龈瘤的早期诊断和完全切除是保证预后的必要条件。
{"title":"Compound Odontoma-A Rare Case Report in A 17 Month Old Child","authors":"A. Hatiwsh, Abdul Morawala, Maha Saif Almesallam","doi":"10.24018/ejdent.2023.4.2.242","DOIUrl":"https://doi.org/10.24018/ejdent.2023.4.2.242","url":null,"abstract":"\u0000Introduction: Odontomas are Hamartomatous lesions of odontogenic origin. They comprise of two varieties complex and compound. Aetiology of odontoma is multifactorial. Usually, odontomas are asymptomatic clinically and diagnosed only on routine radiographic imaging in children and young adolescents without any gender predominance. Mostly they may be associated with missing or impacted teeth or delayed eruption of a tooth.\u0000\u0000\u0000Case Report: The present case delineates an unusual presentation of the odontoma in a 17 months old male in lower anterior which was removed completely along with the capsule. Patient had reported no complications in a duration of 10 month follow-up.\u0000\u0000\u0000Conclusion: To ensure better prognosis, early diagnosis of odontomas and complete removal is necessary.\u0000","PeriodicalId":197045,"journal":{"name":"European Journal of Dental and Oral Health","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131738789","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
Congenital Microcepgaly in One of Dizygotic Twins: Clinical Case Report 异卵双胞胎一例先天性小头畸形:临床病例报告
Pub Date : 2023-02-22 DOI: 10.24018/ejdent.2023.4.1.216
Mayana Narde Souza, Bianca Silva Castro, Joelson Ferreira Santana, Rafael A. Monteiro, B. C. Júnior, Marina Ferraz Neves Oliveira, Rita de Cássia Dias Viana Andrade, Maria da Conceição Andrade de Freitas
In addition to neuromotor, cognitive, vision and hearing impairments, it is also possible to observe dental occlusion and maxillofacial changes in children with microcephaly diagnosis. But, how about long-term effects on the craniofacial growth and development of children affected by this clinical condition in skeletal maturity? In this context, two clinical cases of teenage dizygotic twins will be presented, in which one had microcephaly, focusing on their oral and maxillofacial features.
除了神经运动、认知、视觉和听力障碍外,还可以观察小头畸形患儿的牙合和颌面变化。但是,这种骨骼成熟的临床状况对儿童颅面生长发育的长期影响又如何呢?在此背景下,将提出两个临床病例的青少年异卵双胞胎,其中一个有小头畸形,重点是他们的口腔和颌面特征。
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European Journal of Dental and Oral Health
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