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Infiltrating Resins, Noninvasive Treatment of White Spot Lesions: A Case Report 浸润性树脂无创治疗白斑病变1例报告
Pub Date : 2023-08-29 DOI: 10.5005/jp-journals-10062-0165
Rubén Darío Miranda-Carreño, J. A. Rodríguez-Chávez, Abigailt Flores-Ledesma
A bstrAct Demineralization of tooth enamel causes milky, opaque white-spot lesions (WSL). Aim: The aim was to use infiltrating resin as a noninvasive technique on the removal of WSL. Case description: An 18-year-old female patient presented to a dental consultation complaining about “the spots in her front teeth”; the patient had recently finished her orthodontic treatment. The clinical examination identified WSL on the vestibular surfaces of teeth 11, 21, and 22. A minimally invasive treatment was selected with infiltrating resin (ICON Smooth surface, DGM, Germany). After absolute isolation of the upper anterior sector, the teeth with the WSL were conditioned with 15% hydrochloric acid for 2 minutes and rinsed with abundant profuse water for 30 seconds. Ethanol was applied for 30 seconds and volatilized with oil-free air for 20 seconds. The infiltrating resin was placed and left to act for 3 minutes to allow infiltration in the previously etched area. The excess resin was removed, and light cured for 40 seconds with a LED light-curing lamp (Bluephase N® MC, Ivoclar Vivadent, 800 mW/cm 2 , 430–490 nm). Conclusion: The WSL were successfully removed, stopping the demineralization process. The use of infiltrating resins is an excellent noninvasive treatment to eliminate WPL timely with excellent clinical results. Clinical significance: One of the challenges in dental esthetics are visible WSL in the anterior region. Considering the minimally invasive treatments, the use of infiltrating resins is indicated to treat these WSL, as an indication of an initial caries or certain degrees of fluorosis.
牙釉质脱矿导致乳白色、不透明的白斑病变。目的:目的是利用浸润树脂作为一种无创技术去除WSL。病例描述:一名18岁的女性患者就诊于牙科诊所,抱怨“门牙上有斑点”;病人最近完成了她的正畸治疗。临床检查在第11、21、22牙前庭表面发现WSL。采用浸润性树脂(ICON Smooth surface, DGM, Germany)微创治疗。上前段绝对分离后,带WSL的牙齿用15%盐酸处理2分钟,用大量的水冲洗30秒。乙醇作用30秒,用无油空气挥发20秒。将渗透树脂放置并静置3分钟,使其渗入先前蚀刻的区域。去除多余的树脂,用LED光固化灯(Bluephase N®MC, Ivoclar Vivadent, 800 mW/cm 2,430 - 490 nm)光固化40秒。结论:成功地清除了WSL,停止了脱矿过程。浸润树脂是一种很好的无创治疗方法,可以及时消除WPL,临床效果良好。临床意义:牙齿美学的挑战之一是可见的WSL在前区。考虑到微创治疗,建议使用浸润树脂治疗这些WSL,作为初步龋齿或一定程度的氟中毒的指示。
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引用次数: 0
A Systematic Approach to the Diagnosis of Gingival Enlargements 牙龈肿大的系统诊断方法
Pub Date : 2023-08-29 DOI: 10.5005/jp-journals-10062-0170
D. Bali, Nymphea Pandit, Vishakha Grover, Shalini Gugnani, Ankita Ranjan
A bstrAct Aim: Gingival enlargement (GE) is a very frequent condition to be witnessed in routine clinical practice. With a wide array of factors responsible for this clinical situation, it is imperative to identify the precise nature of the causative factor and underlying disease process. Background: Continuous lifestyle alterations and clinical dental practice over a period of time have seen many new behaviors, disease conditions, and dental treatment options associated with GEs. The existing classification system for the assessment and treatment planning of GEs essentially has been proposed almost half a century ago and thus does not accommodate the newer variants reported by the authors in the form of case reports. Largely all such conditions, which do not fall under the major categories, are grouped under the broad heading of “idiopathic GEs.” This grossly affects the clinicians’ acumen to comprehend the subtle differences in etiology and pathogenesis of GEs and to provide precise personalized patient care to these patients. Review results: This article showcases the newer variants of GEs as published in the literature over the last 60 years. Conclusion: This review provides a contemporary comprehensive update to include the variants as novel categories or subcategories for better identification, diagnosis, and management of these cases. Clinical significance: With the continuous surge of advances in knowledge of periodontal disease pathogenesis and novel diagnostic/therapeutic methods, a multitude of variants of GE conditions have been witnessed in recent clinical practice. There is a significant need for periodic expansion and update of the variants for GE conditions for precise identification and management of these conditions.
摘要目的:牙龈肿大是临床上常见的一种疾病。由于导致这种临床情况的因素多种多样,因此必须确定病因和潜在疾病过程的确切性质。背景:在一段时间内,生活方式的持续改变和临床牙科实践已经看到了许多与GEs相关的新的行为,疾病状况和牙科治疗选择。现有的GEs评估和治疗计划分类系统基本上是在近半个世纪前提出的,因此不能适应作者以病例报告的形式报告的新变体。基本上所有这些不属于主要类别的情况都归在“特发性GEs”的大标题下。这严重影响了临床医生理解GEs病因和发病机制的细微差异,并为这些患者提供精确的个性化患者护理的敏锐度。回顾结果:这篇文章展示了在过去60年中发表在文献中的GEs的新变体。结论:本综述提供了一个当代的全面更新,包括变异作为新的分类或亚分类,以更好地识别,诊断和管理这些病例。临床意义:随着牙周病发病机制知识的不断进步和新的诊断/治疗方法的不断发展,在最近的临床实践中已经见证了多种变异的牙周病。为了精确识别和管理这些条件,有必要定期扩展和更新GE条件的变体。
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引用次数: 0
Pain Perception during Intrapulpal Anesthesia: A Systematic Literature Review 髓内麻醉时的疼痛感知:系统的文献综述
Pub Date : 2023-08-29 DOI: 10.5005/jp-journals-10062-0168
Krithika Chakravarthy, Subramanian Jagannathan, Venkata Madhavi Lalitha
A bstrAct Intrapulpal injections are a blessing in disguise to endodontists. Every endodontist would have successfully achieved pain relief in cases by administering intrapulpal injections. The satisfaction of painless pulp extirpation to the dentist and comfortable endodontic treatment experienced by the patient following intrapulpal anesthesia cannot be emphasized more. At the same time, intrapulpal injections are themselves extremely painful. The objective of this systematic review is to determine the pain associated with the administration of intrapulpal injections through a systematic review.
髓内注射对牙髓医生来说是塞翁失马焉知非福。每一位牙髓医生都会成功地通过髓内注射来缓解疼痛。牙髓内麻醉后患者对牙髓无痛拔牙的满意和对牙髓治疗的舒适体验再强调不过了。同时,髓内注射本身就非常痛苦。本系统综述的目的是通过系统综述确定与髓内注射相关的疼痛。
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引用次数: 0
Analysis of C-reactive Protein Level as a Monitoring Tool in Patients with Odontogenic Space Infection: A Prospective Clinical Study c反应蛋白水平作为牙源性间隙感染患者监测工具的分析:一项前瞻性临床研究
Pub Date : 2023-08-29 DOI: 10.5005/jp-journals-10062-0164
Ravinder Solanki, Neha Saini, Mahesh Goel, Vijay Kumar Maliwad, Antariksh Deep
Aim: The aim of this study was to do analysis of C-reactive protein (CRP) level as an efficacy of treatment in odontogenic space infection in indoor patients to measure the severity of infection so that medicinal treatment response can be assessed and subsequently to avoid excessive postoperative antibiotic treatment given to the patients. Materials and methods: A total number of 40 indoor patients of 17–50 years of age were analyzed for CRP levels as monitoring tools in odontogenic fascial space infection in the Department of Oral and Maxillofacial Surgery, PGIDS, in collaboration with the Department of Microbiology, PGIMS, to measure the severity of infection and to assess medicinal treatment response. Results: The severity of infection and effectiveness of the treatment regime were determined using the correlation between clinical parameters and laboratory values of serum CRP, which explained the direct and linear relation between CRP and size of swelling, with CRP being a significant predictor of size of swelling ( p < 0.05). The data for mouth opening explained an inverse relation between CRP and mouth opening. Conclusion: The findings of this prospective analysis indicate that CRP can be served as effective markers for determining the severity of fascial space infections of odontogenic origin. Serum CRP reflects the immediate effect of the treatment and acts as a significant predictor of the severity of infection and effectiveness of the treatment regime, which can be incorporated as a monitoring tool for managing patients with fascial space infections of odontogenic origin. Clinical significance: Looking at the scarcity of studies pertaining to CRP levels in odontogenic space infection patients, this prospective analysis study was conducted to monitor the levels of CRP level in odontogenic space infection patients to throw further light in this direction.
目的:本研究的目的是分析c反应蛋白(CRP)水平作为室内患者牙源性间隙感染的治疗效果,以衡量感染的严重程度,从而评估药物治疗效果,避免患者术后过度给予抗生素治疗。材料与方法:对我院口腔颌面外科与微生物科合作收治的40例17-50岁的室内患者进行CRP水平监测,测量感染的严重程度,评价药物治疗效果。结果:通过血清CRP的临床参数与实验室值的相关性来判断感染的严重程度和治疗方案的有效性,解释了CRP与肿胀大小之间的直接线性关系,CRP是肿胀大小的显著预测因子(p < 0.05)。张口的数据解释了CRP与张口之间的反比关系。结论:本前瞻性分析结果提示CRP可作为判断牙源性筋膜间隙感染严重程度的有效标志物。血清CRP反映了治疗的即时效果,并作为感染严重程度和治疗方案有效性的重要预测指标,可作为治疗牙源性筋膜间隙感染患者的监测工具。临床意义:鉴于目前有关牙源性间隙感染患者CRP水平的研究较少,本前瞻性分析研究旨在监测牙源性间隙感染患者CRP水平,为这一研究方向提供进一步的线索。
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引用次数: 0
Efficacy of Colloidal Nanosilver Tooth Gel in the Management of Orodental Conditions: A Prospective, Randomized, Triple Arm, Parallel, Double-blind Controlled Interventional Clinical Study 纳米银胶体牙齿凝胶治疗口腔疾病的疗效:一项前瞻性、随机、三组、平行、双盲对照介入临床研究
Pub Date : 2023-08-29 DOI: 10.5005/jp-journals-10062-0166
Shashank Tiwari, S. Mahale, Amit Keshav Walvekar, Rajlaxmi D Patil, S. Harish, Anirudh Mehta, S. S. Jadhav
Objective: Poor orodental health is a root cause of various oral conditions, viz., dental caries, periodontal diseases, malocclusion, orofacial anomalies, and many more that result in pain, suffering, and even disability. Around 3.5 billion population suffers from one or the other dental condition globally. Moreover, poor orodental health also contributes to many systemic diseases. The newer therapeutic agents are needed to prevent dental caries and plaque formation and thereby protect teeth from further damage. Colloidal Nanosilver (SilverSol®) Tooth Gel is a colloidal nanosilver preparation along with xylitol and peppermint oil with a unique biodisruptive nanotechnology having multidimensional activity due to its wound healing and antimicrobial properties. Methodology: The present study was conducted on 120 patients suffering from different dental conditions to assess the efficacy of SilverSol® Tooth Gel. Results: SilverSol® showed a significant effect in almost all the conditions monitored in the patients. There was a reduction in extrinsic tooth stains and pocket depth score in the mouth by 58.6 and 52.2% respectively. Breath malodor also showed improvement as the score reduced by 66%. Altogether, it contributed to the overall oral health improvement by 69%. Conclusion: SilverSol® Tooth Gel is effective in several orodental conditions including periodontitis and gingivitis in comparison to chlorhexidine gel. Routine application of SilverSol® Tooth Gel will prevent these conditions and maintain the overall orodental health.
目的:口腔健康状况不佳是导致各种口腔疾病的根本原因,如龋齿、牙周病、错颌、口面异常等,这些疾病会导致疼痛、痛苦甚至残疾。全球约有35亿人患有一种或另一种牙齿疾病。此外,牙齿健康状况不佳也会导致许多全身性疾病。需要新的治疗药物来防止龋齿和牙菌斑的形成,从而保护牙齿免受进一步的损害。胶体纳米银(SilverSol®)牙齿凝胶是一种胶体纳米银制剂,与木糖醇和薄荷油一起使用,具有独特的生物破坏性纳米技术,由于其伤口愈合和抗菌特性,具有多维活性。方法:本研究对120例患有不同牙病的患者进行了研究,以评估SilverSol®牙齿凝胶的疗效。结果:SilverSol®在几乎所有监测的患者中都显示出显著的效果。口腔外牙斑和牙袋深度评分分别下降58.6%和52.2%。呼吸异味也有所改善,得分降低了66%。总的来说,它对整体口腔健康的改善贡献了69%。结论:与氯己定凝胶相比,SilverSol®牙齿凝胶对包括牙周炎和牙龈炎在内的几种口腔疾病有效。定期使用SilverSol®牙齿凝胶可以预防这些情况,并保持牙齿的整体健康。
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引用次数: 0
Educating Nursing Students about Pediatric Oral Health: An Interprofessional Education Collaboration 护生儿科口腔健康教育:跨专业教育合作
Pub Date : 2023-08-29 DOI: 10.5005/jp-journals-10062-0167
Elizabeth Berry, J. Unkel, John Harrison, Steve Melnic, Andrew Burris
bstrAct Aim: Despite dental caries in children being a large public health concern in the United States, there remains a lack of training of nondental healthcare professionals in pediatric oral health. An interprofessional learning experience for nursing students with pediatric dental residents was created to increase nursing students’ knowledge of pediatric oral health. The study’s purpose was to evaluate the effectiveness of an interdisciplinary education program targeting nursing students providing a didactic and clinical oral health program. Materials and methods: In 2016, 105 nursing students were recruited and presented oral health information in a didactic program, didactic and clinical program, clinical program, or no program. Nursing students were surveyed to assess their knowledge before and after the educational experiences. Results: There was a significant improvement in children’s oral health knowledge for nursing students in the clinical, clinical and didactic, and didactic program in comparison to those that did not complete a program ( p < 0.05). Conclusion: This interprofessional learning experience increased students’ knowledge of pediatric oral health, and additionally reflected in a positive experience for nursing students.
目的:尽管儿童龋齿在美国是一个大的公共卫生问题,但在儿童口腔健康方面,仍然缺乏对非牙科保健专业人员的培训。为提高护生对儿科口腔健康的认识,本研究为护生与儿科牙科住院医师建立跨专业学习经验。本研究的目的是评估针对护理学生提供教学和临床口腔健康计划的跨学科教育计划的有效性。材料与方法:2016年,招募了105名护理专业学生,并在教学项目、教学与临床项目、临床项目和无项目中提供口腔健康信息。对护生进行教育体验前后的知识评估。结果:护生在临床、临床及教学、教学项目中对儿童口腔健康知识的了解较未完成项目的护生有显著提高(p < 0.05)。结论:这种跨专业的学习经历增加了学生对儿科口腔健康的认识,并对护生产生了积极的影响。
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引用次数: 0
Critique of the Link between Swine-origin H1N1 Influenza A Virus and Dental Practice: “Unraveling the Facts” 猪源性甲型H1N1流感病毒与牙科实践之间联系的批判:“揭开事实真相”
Pub Date : 2023-08-29 DOI: 10.5005/jp-journals-10062-0169
Vikas Singh, P. Tangade, Ankita Jain, Abhishek Jain, Harshita Pandey, Rangoli Srivastava
Although the swine influenza A (H1N1) virus mostly affects pigs, it can potentially infect people. Being in close contact with an infected person increases the risk of contracting the virus since it spreads by respirational droplets. Dental workers must be watchful in order to stop the transmission of the H1N1 virus in the dental context, where close contact with patients is frequent. Intensification in public health awareness of influenza developed health education, prevention, and immunization. In conclusion, this in-depth analysis combines the most recent information on the relationship between the H1N1 flu and oral health. It also emphasizes the need for more investigation into the precise mechanisms of H1N1 infection in the oral cavity and the long-term dental effects of H1N1 flu.
尽管甲型H1N1猪流感病毒主要感染猪,但它也可能感染人。与感染者密切接触会增加感染病毒的风险,因为它通过呼吸道飞沫传播。牙科工作者必须保持警惕,以阻止H1N1病毒在经常与患者密切接触的牙科环境中的传播。公众对流感卫生意识的加强促进了健康教育、预防和免疫接种。总之,这一深入分析结合了H1N1流感与口腔健康之间关系的最新信息。它还强调需要对甲型H1N1流感在口腔感染的确切机制和甲型H1N1流感对牙齿的长期影响进行更多的调查。
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引用次数: 0
Nonsurgical Management of Pediatric Mandibular Fracture with a Customized Acrylic Open Cap Splint Luted with Glass Ionomer Cement: Two Case Reports 玻璃离聚体水泥定制丙烯酸开帽夹板非手术治疗儿童下颌骨骨折2例报告
Pub Date : 2023-06-30 DOI: 10.5005/jp-journals-10062-0160
N. Saini, S. Negi, M. Goel, Rajiv Tanwar, Charu Dayma
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引用次数: 0
General Anesthesia in Children with Dental Diseases from Parents’ Perspective: A Cross-sectional Observational Study 家长视角下的儿童牙病全身麻醉:一项横断面观察性研究
Pub Date : 2023-06-30 DOI: 10.5005/jp-journals-10062-0151
A. Al-Namankany
{"title":"General Anesthesia in Children with Dental Diseases from Parents’ Perspective: A Cross-sectional Observational Study","authors":"A. Al-Namankany","doi":"10.5005/jp-journals-10062-0151","DOIUrl":"https://doi.org/10.5005/jp-journals-10062-0151","url":null,"abstract":"","PeriodicalId":197236,"journal":{"name":"Journal of Oral Health and Community Dentistry","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129420493","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
Association between Parenting Style and Dental Caries among 12-year-old Children in Chengalpattu District, India 印度Chengalpattu地区12岁儿童的父母教养方式与龋齿之间的关系
Pub Date : 2023-06-30 DOI: 10.5005/jp-journals-10062-0162
Prabhu Subramani, Bhavadharani Sree Palani, Faiz Jehan Feroz Sharif, Hannah Deborah Grace, Blessy Rajamani
{"title":"Association between Parenting Style and Dental Caries among 12-year-old Children in Chengalpattu District, India","authors":"Prabhu Subramani, Bhavadharani Sree Palani, Faiz Jehan Feroz Sharif, Hannah Deborah Grace, Blessy Rajamani","doi":"10.5005/jp-journals-10062-0162","DOIUrl":"https://doi.org/10.5005/jp-journals-10062-0162","url":null,"abstract":"","PeriodicalId":197236,"journal":{"name":"Journal of Oral Health and Community Dentistry","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115253571","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
期刊
Journal of Oral Health and Community Dentistry
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