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Minimal Intervention in A Baby after Severe Intrusive Luxation: A Case Report 婴儿严重侵入性脱位后的最小干预:1例报告
Pub Date : 2022-12-23 DOI: 10.24018/ejdent.2022.3.5.208
Daline Oliveira Carneiro, Taynara Ferreira Costa, Alessandra Castro Alves
This report describes a case of a 20-month-old baby with severe intrusive luxation. Axial displacement of the teeth in the labial direction was found through the lateral radiograph of nose. Minimal intervention treatment was proposed by periodic follow-up. After 30 days, the teeth started to re-erupt spontaneously without the need for surgical or orthodontic assistance. At eight months, it had erupted completely, showing slight gyroversion of the left upper central incisor. The mother was alerted to monitor the permanent eruption. Conservative treatment in this case of severe dislocation in a baby showed a clinically satisfactory result.
本文报告一例20个月大的婴儿严重侵入性脱位。通过鼻侧位片发现牙齿在唇方向轴向移位。通过定期随访提出最小干预治疗方案。30天后,牙齿开始自发地重新长出,无需手术或正畸辅助。8个月时完全出牙,左上中门牙轻微回旋。母亲接到警报,要监视永久喷发。保守治疗的情况下,严重脱位的婴儿显示了临床满意的结果。
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引用次数: 0
Volumetric Evaluation of 3D Models Generated by Different Surface Treatment Protocols 不同表面处理方案生成的三维模型的体积评估
Pub Date : 2022-12-23 DOI: 10.24018/ejdent.2022.3.5.229
William S. Carvalho, V. D. S. M. Almeida, L. Provedel, A. Maciel, V. Sarmento
The objective of this study was to compare the volume of three-dimensional (3D) models generated by different scanners and computational modeling protocols. Eight dry mandibles were scanned by five different computed tomography (CT) scanners and by a 3D-scanner. Three-dimensional models were generated, received different surface treatment processes, and the final volume of the 3D models was compared. The results show that there was no significant difference among the volume of the 3D models generated by the different CT scanners and surface treatment techniques, however, the model volume generated by the 3D-scanner show the highest volume. It can be concluded that the different combinations of surface treatment protocols did not determine differences in the model volume generated by different CT and CBCT scanners and that the 3D-scanner determined the highest volume models.
本研究的目的是比较不同扫描仪和计算建模协议生成的三维(3D)模型的体积。通过五种不同的计算机断层扫描(CT)扫描仪和3d扫描仪扫描了8个干燥的下颌骨。生成三维模型,接受不同的表面处理工艺,并对三维模型的最终体积进行比较。结果表明,不同CT扫描仪和表面处理技术生成的三维模型体积没有显著差异,但3D扫描仪生成的模型体积最大。可以得出结论,不同的表面处理方案组合并没有决定不同CT和CBCT扫描仪生成的模型体积的差异,3d扫描仪确定了最大体积的模型。
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引用次数: 0
Oral Rehabilitation of Down Syndrome Patients by Dental Implants: A Systematic Review 种植牙对唐氏综合征患者口腔康复的系统评价
Pub Date : 2022-12-23 DOI: 10.24018/ejdent.2022.3.5.232
Hanan Oubenyahya
Objectives: Down Syndrome patients are a particularly vulnerable group to teeth loss and periodontal disease. Therefore, the need for prosthetic rehabilitation is only a matter of time. The aim of this systematic review is to assess and summarize the available literature regarding the outcome of dental implants in patients with Down Syndrome.Materials and Methods: An electronic search was performed in Pubmed-Medline, Lilacs, and Cochrane Library. Search terms used were: “dental implant” OR “implant rehabilitation” AND “down syndrome”. Articles reporting the placement of implants in patients with down syndrome up until 2022 were included. Results: A total of 15 studies (10 case reports, 4 retrospective studies and 1 prospective study) comprising 234 implants placed in 61 patients were included. Implant failure occurred for 45 implants, leading to a survival rate of 80.7%. 12 studies out of 15 reported their results after a follow up period of 6 months to 4 years. Conclusion: The limited body of evidence suggests a survival rate of implants in Down Syndrome patients that is lower than among the general population. While several risk factors could explain these failures, there is still much to be answered regarding the mechanisms leading to implant rejection. A careful approach by dental practitioners should be the norm until better designed future studies with longer follow up periods can further shed light on the outcomes of implant therapy in Down Syndrome patients.
目的:唐氏综合征患者是牙齿脱落和牙周病的特别脆弱群体。因此,需要假肢康复只是时间问题。本系统综述的目的是评估和总结关于唐氏综合征患者种植牙的结果的现有文献。材料与方法:在Pubmed-Medline、Lilacs和Cochrane图书馆进行电子检索。搜索词是:“牙科种植体”或“种植体康复”和“唐氏综合症”。截至2022年,报告唐氏综合征患者植入植入物的文章被纳入其中。结果:共纳入15项研究(10例病例报告,4项回顾性研究和1项前瞻性研究),包括61例患者的234个种植体。45例种植体失败,成活率80.7%。15项研究中有12项在随访6个月到4年后报告了他们的结果。结论:有限的证据表明,种植体在唐氏综合征患者中的存活率低于普通人群。虽然有几个风险因素可以解释这些失败,但关于导致植入排斥的机制仍然有很多问题需要回答。牙科医生的谨慎做法应该成为规范,直到更好地设计未来的研究,更长的随访期,可以进一步阐明种植体治疗唐氏综合征患者的结果。
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引用次数: 0
Evaluation of Periodontal Pocket Depth around Single Tooth Implant with Cement and Screw-retained Implant Prosthesis 单牙种植体骨水泥与螺钉固定种植体修复的牙周袋深度评价
Pub Date : 2022-12-23 DOI: 10.24018/ejdent.2022.3.5.218
M. A. Rahman, S. Zaman, C. Das, M. A. Hossain, F. Tauhid, Md. Humayun Kabir, Md. Amzad Hossain
This clinical trial was planned to examine the long-standing clinical achievement of dental implants equipped either with cemented or screw-retained systems. A total of 100 teeth were selected based on the following inclusion criteria: should have a particular implant by means of cement and screw implant prosthesis, participants should have superior oral hygiene, non-alcoholic and non-smoker patients, and aged between 20 - 65 years. They were separated into two groups; 50 teeth were cemented (group A) and 50 by a screw (group B) system. At least 24 months evaluation was integrated to measure the periodontal pocket depth. Statistical analysis was done by using SPSS (Statistical Package for Social Science) where comparisons were assess by using the Chi-square test, Fisher's exact test; a P-value <0.05 was considered significant. It was found that at six months, periodontal pocket depth was increased in 2.0% of teeth in Group-A, but none in Group-B. Periodontal pocket depth increased significantly in group A (20%) at 12 months comparing to group B (4.0%). In the same way, at 18 and 24 months, teeth in group-A had significantly higher periodontal pockets (64.0% and 84.0%, respectively) than in group-B (8.0% and 32.0%, respectively). It can be stated that comparing to the cemented implant, the screw implant prosthesis perform better in terms of their periodontal pocket depth.
本临床试验计划检查牙种植体配备骨水泥或螺钉保留系统的长期临床成果。根据以下入选标准,共选择100颗牙齿:应采用特定的种植体,采用骨水泥和螺钉种植体修复,参与者应具有良好的口腔卫生,非酒精和非吸烟者,年龄在20 - 65岁之间。他们被分成两组;50颗牙采用骨水泥(A组),50颗牙采用螺钉系统(B组)。结合至少24个月的评估来测量牙周袋深度。使用SPSS (Statistical Package for Social Science)进行统计分析,其中使用卡方检验(Fisher精确检验)评估比较;p值<0.05为显著性。6个月时,a组牙周袋深度增加2.0%,而b组牙周袋深度没有增加。与B组(4.0%)相比,A组12个月时牙周袋深度显著增加(20%)。同样,在18个月和24个月时,a组的牙周袋率分别为64.0%和84.0%,明显高于b组(8.0%和32.0%)。可见,与骨水泥种植体相比,螺钉种植体在牙周袋深度方面表现更好。
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引用次数: 0
Effect of Heated Irrigating Solutions on the Cyclic Fatigue Resistance of Reciprocating Endodontic Files 加热冲洗液对往复根管锉抗循环疲劳性能的影响
Pub Date : 2022-12-23 DOI: 10.24018/ejdent.2022.3.5.226
Renan A. Bohaienko, Américo C. Bortolazzo, R. Consani, R. Vivan, Fabrício R. Silva, Simonides Consani
Objectives: The aim of this study was to evaluate the effect of heated irrigating solutions on the cyclic fatigue resistance of reciprocating endodontic files.Materials and Methods: Reciproc Blue, ProDesign S and X1-Blue files were immersed in the irrigating solutions 5.25% NaClO and 2% chlorhexidine digluconate gel heated in oven at 37ºC for 10 min. In same conditions, saline solution was considered as control.  The following groups (n=15) were considered: RSs (Reciproc Blue + saline solution); RNa (Reciproc Blue + 5.25% NaClO); RCd (Reciproc Blue + 2% Chlorhexidine digluconate gel); PSs (ProDesign S + saline solution); PNa (ProDesign S + 5.25% NaClO); PCd (ProDesign S + 2% Chlorhexidine digluconate gel; XSs (X1-Blue + Saline solution); XNa (X1-Blue + 5.25% NaClO) and XCd (X1 Blue + 2% Chlorhexidine digluconate gel). Cyclic fatigue test was performed in a device with a 60 degrees curved canal and 5 mm radius immersed in water at 37ºC. The time for file failure was recorded in seconds to calculate the number of cycles to fracture (NCF). Data were submitted to ANOVA followed by Tukey's test (α=0.05%) comparing split plots (SPSS 26.0). Results: There was no statistically significant difference for NCF between irrigating solutions and control in all file types. ProDesign S showed greater and significant difference when compared to Reciproc Blue and X1 Blue in all irrigating solutions and control.Conclusions: NCF value in each file type was not influenced by the solutions. Among file types, the NCF value was higher for ProDesign S and lower for X1-Blue in all solutions.Clinical Relevance: Heated irrigating solutions is not a relevant factor in relation to fracture resistance of reciprocating endodontic files; however, the fracture was influenced by the file types.
目的:研究加热灌洗液对往复根管锉抗循环疲劳性能的影响。材料与方法:将Reciproc Blue、ProDesign S和X1-Blue锉浸入5.25% NaClO和2%二光酸氯己定凝胶的冲洗液中,37℃烤箱加热10 min。同样条件下,以生理盐水为对照。考虑以下组(n=15): RSs (Reciproc Blue +生理盐水);RNa (Reciproc Blue + 5.25% NaClO);RCd (Reciproc Blue + 2%二光酸氯己定凝胶);PSs (ProDesign S +生理盐水);PNa (ProDesign S + 5.25% NaClO);PCd (ProDesign S + 2%二光酸氯己定凝胶;XSs (X1-Blue +生理盐水溶液);XNa (X1-Blue + 5.25% NaClO)和XCd (X1 Blue + 2%二光酸氯己定凝胶)。循环疲劳试验采用60度弯管、5 mm半径的装置浸泡在37℃的水中。文件失效时间以秒为单位记录,以计算断裂周期数(NCF)。数据进行方差分析,然后进行Tukey检验(α=0.05%),比较分裂图(SPSS 26.0)。结果:在所有文件类型中,灌洗液与对照的NCF无统计学差异。与Reciproc Blue和X1 Blue相比,ProDesign S在所有灌洗液和对照中均表现出更大且显著的差异。结论:各文件类型的NCF值不受溶液的影响。在所有文件类型中,ProDesign S的NCF值较高,X1-Blue的NCF值较低。临床意义:加热冲洗液与往复根管锉的抗折性无关;然而,骨折受锉型的影响。
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引用次数: 0
Impact of COVID-19 Pandemic Lockdown on Clinical Dental Practice in Nigeria COVID-19大流行封锁对尼日利亚临床牙科实践的影响
Pub Date : 2022-10-23 DOI: 10.24018/ejdent.2022.3.4.202
I. Menakaya, A. Abah, Gloria Okeoghenemaro Agboghoroma, N. Menakaya
Background: The COVID-19 pandemic has had profound effects on oral healthcare services globally. Objective: The main objective of this study was to determine the impact of COVID -19 pandemic lockdown on clinical dental practice in Nigeria and discuss how adverse impact could be mitigated. Methods: A cross-sectional self-administered pre-tested questionnaire-based survey of consenting dental practitioners from different States and 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%. While only about 47% of respondents in public sector practice had their clinics shut down, all the respondents in private sector practice (100%) had their clinics closed down during the pandemic lockdown and the difference was statistically significant (p=0.000). Majority of respondents in private sector practice (65.4%) experienced income loss compared to 24.1% of respondents in public sector practice and this difference was also statistically significant (p=0.000). Conclusion: The COVID-19 pandemic was associated with government instituted lockdown periods with attendant scaling down or outright closure of dental clinical practices in Nigeria. The private sector practice bore the brunt of the adverse impacts of the pandemic lockdown in terms practice shutdowns and attendant economic losses. The adverse impact of COVID-19 pandemic lockdown on clinical dental practice could be mitigated by the incorporation of teledentistry into routine dental practice.
背景:2019冠状病毒病大流行对全球口腔卫生保健服务产生了深远影响。目的:本研究的主要目的是确定COVID -19大流行封锁对尼日利亚临床牙科实践的影响,并讨论如何减轻不利影响。方法:横断面自我管理预测试问卷为基础的调查同意牙科医生从不同的国家和地缘政治区域在尼日利亚的研究采用。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%。在公共部门执业的受访者中,只有约47%的人的诊所被关闭,而在大流行封锁期间,私营部门执业的所有受访者(100%)的诊所都被关闭,差异具有统计学意义(p=0.000)。私营部门执业的大多数受访者(65.4%)经历了收入损失,而公共部门执业的受访者中这一比例为24.1%,这一差异也具有统计学意义(p=0.000)。结论:2019冠状病毒病大流行与尼日利亚政府实施的封锁期有关,这些封锁期伴随着牙科诊所的缩减或完全关闭。在疫情封锁的不利影响中,私营部门的做法首当其冲,造成了业务关闭和随之而来的经济损失。通过将远程牙科纳入常规牙科实践,可以减轻COVID-19大流行封锁对临床牙科实践的不利影响。
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引用次数: 0
Resonance Frequency Analysis for Immediately Placed Dental Implants Replacing Periapically Infected Teeth 即刻种植体置换根尖周感染牙的共振频率分析
Pub Date : 2022-10-23 DOI: 10.24018/ejdent.2022.3.4.214
M. Abdulmunem
Aims: There is a controversy regarding the indication of implant insertion into the sockets of infected teeth. This study aimed to evaluate the outcome of immediate implants replacing periapically infected teeth utilizing Resonance Frequency Analysis (RFA) method.Materials and Methods: Preoperatively, clinical, and radiographic examination accomplished for the patients. After anesthetizing the surgical area, the accused tooth extracted, and the socket curetted by surgical curette to remove the periapical lesion then irrigated by normal saline solution.  The implant inserted into its prepared site. Beta-tricalcium phosphate (β-TCP) (combined by collagen membrane) used to fill gaps ≥ 2 mm and to repair bone defects. Implant stability quotient (ISQ) values were measured for the implants during surgery and after 16 weeks. Postoperative clinical and radiographic evaluation were conducted for each patient.Results: Fourteen implants out of 41 immediate implants (34.1%) had been inserted in the extraction sockets of teeth have chronic periapical lesions (infected sites), T-test showed no significant difference in implant stability (ISQ value) between implant placed in infected and non-infected sites neither at baseline nor at 16-weeks. Paired t-test showed highly significant increase in implant stability (ISQ value) of implants placed in infected sites while in the other implants the mean ISQ value increased with no significant difference during the healing period. The success rate was 100% after 4 years of implantation.Conclusions: Presence of periapical lesion is not a contraindication to place immediate implant when properly managed and can provide similar survival rate to that of implants inserted into healthy sockets.
目的:关于感染牙槽内种植体的指征存在争议。本研究旨在利用共振频率分析(RFA)方法评估即刻种植体替代根尖周感染牙齿的效果。材料与方法:完成术前、临床及影像学检查。麻醉手术区域后,拔牙,用手术刀刮除牙槽,去除根尖周病变,然后用生理盐水冲洗。植入物插入准备好的部位。β-磷酸三钙(β-TCP)(结合胶原膜)用于填充≥2mm的间隙,修复骨缺损。在手术期间和16周后测量种植体稳定商(ISQ)值。对每位患者进行术后临床及影像学评价。结果:41个即刻种植体中有14个(34.1%)种植在慢性根尖周病变(感染部位)的拔牙槽内,在基线和16周时,t检验显示种植体在感染部位和非感染部位的稳定性(ISQ值)无显著差异。配对t检验显示,在感染部位放置种植体的种植体稳定性(ISQ值)显著增加,而在其他种植体的平均ISQ值在愈合期间无显著差异。植入4年后,成功率为100%。结论:如果处理得当,根尖周围病变并不是立即植入种植体的禁忌症,并且可以提供与健康种植体相似的成活率。
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引用次数: 0
How Have Recent Pandemics Affected Oral Health: A Systematic Review using Narrative Synthesis of the Literature from 2011-2021 最近的流行病对口腔健康有何影响?2011-2021 年文献叙事综合系统回顾
Pub Date : 2022-10-23 DOI: 10.24018/ejdent.2022.3.4.213
R. England, Belma Muhamedagić, S. Bissett, L. Nnyanzi, F. Zohoori
Introduction: Pandemics have affected and will continue to affect humankind. Historically the Human Immunodeficiency Virus changed the way dental clinics operate and the COVID-19 pandemic led to an unprecedented closure of dental clinics leading to short- and long-term impact on oral health. Aim: To assess the impact on oral health and related behaviours related to modern pandemics. Method: A literature search across eighteen electronic databases was conducted. Three reviewers screened 2029 articles against inclusion criteria and assessed quality. Included articles underwent thematic analysis, followed by narrative synthesis to describe the results. Results: Forty-eight articles were included that identified themes: (i) oral health related quality of life, (ii) stress and pandemics, (iii) oral health behaviours, (iv) social capital, (v) access to oral healthcare, (vi) fear as a barrier to accessing oral healthcare and (vii) teledentistry. Conclusion: Pandemics present multiple challenges to both individuals and oral health professionals that impact on oral health and these challenges disproportionately affect the most vulnerable communities. However, with the right support, these impacts can be mitigated through social capital and support to establish healthy routines. The use of digital technologies should be promoted to reach all communities before the next pandemic arrives.
导言:大流行病已经并将继续影响人类。从历史上看,人类免疫缺陷病毒改变了牙科诊所的运作方式,COVID-19大流行导致牙科诊所前所未有的关闭,对口腔健康产生了短期和长期影响。目的:评估现代流行病对口腔健康和相关行为的影响。方法:对18个电子数据库进行文献检索。三名审稿人根据纳入标准筛选了2029篇文章并评估了质量。纳入的文章进行主题分析,然后进行叙事综合来描述结果。结果:纳入了48篇文章,确定了以下主题:(i)与口腔健康相关的生活质量,(ii)压力和流行病,(iii)口腔健康行为,(iv)社会资本,(v)获得口腔保健,(vi)恐惧是获得口腔保健的障碍,以及(vii)远程牙科。结论:流行病给个人和口腔卫生专业人员带来了影响口腔健康的多重挑战,这些挑战不成比例地影响了最脆弱的社区。然而,在适当的支持下,这些影响可以通过社会资本和支持建立健康的日常生活来减轻。应促进数字技术的使用,以便在下一次大流行到来之前覆盖所有社区。
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引用次数: 0
Resin Bonded Zirconia Bridge: Case Report Follow Up of 7 Years 树脂粘接氧化锆桥:1例7年随访
Pub Date : 2022-10-06 DOI: 10.24018/ejdent.2022.3.4.185
Houda Moussaoui, A. Mouhibi, Meriem Oualla, A. Andoh
Conventional bridges are considered the standard treatment for single missing teeth with a good clinical outcome, but it is an invasive treatment.The introduction of new ceramic materials becomes a useful treatment option for premolar and molar replacement, and high demand of conservative restoration with metal free materials has become more important for both, clinicians and patients.The present article is a case report that present a patient who was treated by a resin-bonded zirconia bridge showing a follow up of seven years.
传统牙桥是治疗单牙缺失的标准方法,临床效果良好,但具有一定的侵入性。新型陶瓷材料的引入成为前磨牙和磨牙置换的有效治疗选择,对于临床医生和患者来说,无金属材料保守修复的高需求变得更加重要。本文是一个病例报告,目前的病人谁是由树脂结合氧化锆桥治疗显示了7年的随访。
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引用次数: 0
Association between Periodontitis and Inflammatory Bowel Disease- Review of Current Literature on the Biologic Plausibility 牙周炎与炎症性肠病之间的关系——目前有关其生物学合理性的文献综述
Pub Date : 2022-09-29 DOI: 10.24018/ejdent.2022.3.4.200
Ganesh P R
Periodontitis, a chronic inflammatory disease of the supporting tissues of teeth, is etiologically associated with a subset of pathogenic organisms that thrive in the anoxic niche provided by the diseased periodontal pockets. These anaerobic gram-negative organisms resident in plaque biofilm and causing an overwhelming chronic inflammatory response in periodontal tissues have also been associated with other systemic chronic inflammatory diseases like cardiovascular, renal, and adverse pregnancy outcomes as per literature being published for the past twenty years or more. This paper aims to provide an overview on the biological plausibility of a strong association between systemic seeding of pathogenic oral bacteria and chronic bowel diseases like Inflammatory Bowel Diseases by reviewing recent literature from open-source journals on the same topic. Knowledge of the association between oral bacteria and gut inflammatory diseases will help in broadening the preventive and therapeutic options available currently by suggesting measures to suppress the systemic hyper-immune response.
牙周炎是一种牙齿支撑组织的慢性炎症性疾病,其病因学上与一组病原菌有关,这些病原菌在患病的牙周袋提供的缺氧生态位中茁壮成长。这些居住在菌斑生物膜中的厌氧革兰氏阴性菌在牙周组织中引起压倒性的慢性炎症反应,也与其他系统性慢性炎症性疾病有关,如心血管、肾脏和不良妊娠结局,根据过去20多年发表的文献。本文旨在通过回顾最近来自开源期刊的同一主题的文献,概述口腔致病性细菌的系统性播种与慢性肠病(如炎症性肠病)之间的强烈关联的生物学合理性。了解口腔细菌和肠道炎症性疾病之间的关系,将有助于扩大目前可用的预防和治疗选择,提出抑制全身超免疫反应的措施。
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引用次数: 0
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European Journal of Dental and Oral Health
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