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Association of oral lichen planus and psoriasis: a case-control study. 口腔扁平苔藓与牛皮癣的关系:一项病例对照研究。
IF 1.9 4区 医学 Q2 Medicine Pub Date : 2024-01-23 DOI: 10.3290/j.qi.b4706089
Lucia Rodríguez-Fonseca, Claudia Llorente-Alvarez, Santiago Llorente-Pendás, María García-Pola

Objective: The aim of the present study was to investigate whether psoriasis disease constitutes a risk factor for OLP, by assessing the prevalance of psoriasis in a test group with OLP and the control group without.

Method and materials: A cohort of consecutive patients diagnosed clinically and histologically with OLP between 2014 and 2022 was analyzed. The results were contrasted with those obtained in control series matched for age and sex. The correlations between OLP and sex, age, tobacco, alcohol consumption, and psoriasis were assessed using Pearson chi-square test. Multivariate regression analysis was performed to evaluate the association between psoriasis and OLP. For the assessment of the quality of the statistical models, the Akaike information criterion was used.

Results: The study involved 1,016 patients; 738 women (72.6%) and 278 men (27.4%). The average age was 59.38 ± 12.55 years. Of 508 patients with OLP, 16 (3.15%) had comorbid psoriasis, and this was 5 (0.98%) in the control group. Age, sex, smoking, and alcohol habits were not predictive variables in the relationship between psoriasis and OLP in these patients. There were statistically significant differences in relation to the number of locations, with greater extension in patients with OLP and psoriasis (P = .002). According to the multivariate analysis, the odds ratio of OLP for psoriasis was 3.13 (95% CI 1.20-9.68).

Conclusions: This is the first study showing the potential association between psoriasis and OLP, and the results should be considered to improve knowledge of comorbidity of OLP. Based on the results, it is recommended that clinicians collect data regarding history of psoriasis in patients with OLP, and consider possible multiple intraoral locations.

目的:本研究的目的是探讨银屑病是否构成OLP的合并症,并阐明抑郁和焦虑治疗的效果。方法和材料:我们分析了2014-2022年临床和组织学诊断为OLP的连续患者队列。结果与年龄和性别相匹配的对照系列的结果进行了对比。使用Pearson卡方检验评估OLP与性别、年龄、吸烟、饮酒、牛皮癣、抑郁和焦虑治疗的相关性。采用多元回归分析评价银屑病与OLP之间的关系。采用赤池信息准则(Akaike Information Criterion, AIC)评价统计模型的质量。结果:共纳入1016例患者,其中女性738例(72.6%),男性278例(27.4%)。平均年龄59.38(±12.55)岁。508例OLP患者中16例(3.15%)合并银屑病,对照组5例(0.98%)合并银屑病。年龄、性别、吸烟和饮酒习惯不是银屑病与OLP患者相关性的预测变量。多因素分析显示,银屑病的OLP奇比(OR)为3.13,1.20-9.68,与单因素分析相比,抑郁药物的OLP奇比(OR)更高(OR 1.88, 1.13-3.19),焦虑药物的OLP奇比(OR 2.06, 1.18-2.70)。结论:据我们所知,这是第一个显示OLP患者牛皮癣潜在风险的研究,我们的结果应该被考虑在内,以提高对OLP合并症的认识。
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引用次数: 0
The integral connection between dentistry and ear, nose, and throat (ENT) health. 牙科与耳鼻喉(ENT)健康之间不可分割的联系。
IF 1.3 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-01-23 DOI: 10.3290/j.qi.b4893093
Adi Biron, Eli Eliav, Rotem McNeil
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引用次数: 0
The cost-effectiveness of tooth preservation vs implant placement in severe periodontal disease patients: a systematic review. 重度牙周病患者的牙齿保存与种植体植入的成本效益:一项系统综述。
IF 1.9 4区 医学 Q2 Medicine Pub Date : 2024-01-23 DOI: 10.3290/j.qi.b4500025
Disha Nagpal, Lola Ibraimova, Arto Ohinmaa, Liran Levin

Objectives: The prevalence and the economic burden of periodontal disease are high. To save or replace diseased teeth, an objective prognosis assessment using the long-term predictability of the various treatment options should be performed. As dental implants have become a treatment of choice for replacing missing teeth, the number of implant failures and complications has also increased. The objective of this review was to compare the cost-effectiveness of saving and maintaining the teeth vs replacing them with dental implants in patients with severe periodontal disease (with hopeless or questionable teeth).

Method and materials: A database search was conducted using Medline (OVID), Embase, Web of Science, and CINAHL electronic sources until July 2023. Two reviewers reviewed the papers in accordance with the specific selection criteria after choosing the abstracts that met the initial selection criterion for full article retrieval.

Results: Twelve articles were included, of which nine articles discussed the cost-effectiveness of preserving teeth in severe periodontal disease and three articles discussed the effectiveness of implants that replaced the periodontally compromised teeth. It was found that placing and maintaining implants was more costly than properly treating and maintaining periodontally compromised teeth. Supportive periodontal treatment contributed the most to the cost during the periodontal treatment.

Conclusions: Implants are an effective choice to replace missing teeth; however, these are not permanent, present complications, and require strict maintenance. Thus, when deciding whether to maintain a periodontally compromised tooth or to replace it with a dental implant, in terms of cost-effectiveness, implant maintenance cost as well as the cost associated with treating implant complications should be considered. This cost seems to surpass the cost of treatment and maintenance of periodontally compromised teeth.

背景:牙周病的患病率和经济负担较高。为了挽救或替换患病的牙齿,应使用各种治疗方案的长期可预测性进行客观的预后评估。随着种植牙成为替换缺失牙齿的首选治疗方法,种植失败和并发症的数量也在增加。目的:比较在患有严重牙周病(牙齿无望或有问题)的患者中,保存和维护牙齿与用种植体替换牙齿的成本效益。方法:在2023年7月之前,使用Medline(OVID)、EMBASE、Web of Science、CINAHL电子源进行数据库搜索。两位评审员在选择符合全文检索初始选择标准的摘要后,根据特定的选择标准对论文进行了评审。结果:纳入了12篇文章,其中9篇文章讨论了在严重牙周病中保存牙齿的成本效益,3篇文章探讨了种植体替代牙周受损牙齿的有效性。研究发现,放置和维护植入物比正确治疗和维护牙周受损的牙齿更昂贵。在牙周治疗期间,支持性牙周治疗对费用的贡献最大。结论:种植体是替换缺失牙齿的有效选择,但它们不是永久性的,存在并发症,需要严格的维护。因此,在决定是维护牙周受损的牙齿还是用牙科植入物替换时,就成本效益而言,应考虑植入物维护成本以及与治疗植入物并发症相关的成本。这一费用似乎超过了牙周受损牙齿的治疗和维护费用。
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引用次数: 0
Comparative evaluation of microneedling vs injectable platelet-rich fibrin in thin periodontal phenotype: a split-mouth clinical randomized controlled trial. 微针与注射用富含血小板的纤维蛋白在薄牙周表型中的比较评价:一项随机分口临床试验。
IF 1.9 4区 医学 Q2 Medicine Pub Date : 2024-01-23 DOI: 10.3290/j.qi.b4499997
Anjali Yadav, Nishi Tanwar, Rajinder Sharma, Shikha Tewari, Aditi Sangwan

Objectives: Microneedling and injectable platelet-rich fibrin (i-PRF) have been proposed as relatively less invasive alternatives to surgical procedures for augmentation of thin periodontal phenotype. The present study was conducted to evaluate the effect of microneedling and i-PRF alone on gingival thickness in thin periodontal phenotype individuals.

Method and materials: Systemically healthy individuals with thin periodontal phenotype in mandibular anterior teeth (n = 21) were treated with microneedling on one side and i-PRF on the contralateral side. Assessment of gingival thickness, keratinized tissue width, and periodontal parameters was done at baseline, and at 1, 3, and 6 months.

Results: In intergroup comparison, a statistically significant increase in gingival thickness was observed with microneedling as compared to i-PRF at 6 months (P < .02). Intragroup comparison from baseline to 6 months showed a statistically significant increase in gingival thickness within both the groups: microneedling from 0.78 ± 0.12 mm to 1.00 ± 0.14 mm (P < .000), and i-PRF from 0.77 ± 0.10 mm to 0.93 ± 0.12 mm (P < .000). Intragroup comparison showed a statistically significant increase in keratinized tissue width in the microneedling group (P < .000). A statistically significant decrease in periodontal parameters was observed on intragroup comparison (P < .000).

Conclusion: Considering the higher gain in gingival thickness and the added advantage of eliminating need for autologous blood withdrawal, microneedling is potentially better than i-PRF for phenotype modification in thin periodontal phenotype individuals.

目的:微针(MN)和可注射的富含血小板的纤维蛋白(i-PRF)已被认为是增强薄牙周表型的外科手术的相对微创的替代方案。本研究旨在评估MN和i-PRF单独对薄牙周表型个体牙龈厚度(GT)的影响。方法和材料:对下颌前牙周表型较薄的系统健康个体(n=21)进行单侧MN和对侧i-PRF治疗。在基线、1、3和6个月时评估GT、角化组织宽度(KTW)和牙周参数。结果:在组间比较中,在第6个月时,与i-PRF相比,MN的GT在统计学上显著增加(P结论:考虑到GT的更高增益和消除自体抽血需求的额外优势,MN在薄牙周表型个体的表型修饰方面可能比i-PRF更好。
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引用次数: 0
Use of oral devices in the management of oral dysesthesia: case reports and literature review. 口腔器械在口腔感觉障碍治疗中的应用:病例报告和文献综述。
IF 1.9 4区 医学 Q2 Medicine Pub Date : 2024-01-23 DOI: 10.3290/j.qi.b4418471
Prazwala Chirravur, Piamkamon Vacharotayangul, Herve Sroussi, Gary D Klasser

Oral dysesthesia (OD) is a diagnosis of exclusion that manifests as an unpleasant and abnormal sensation of the oral mucosa without any noticeable oral lesions. Burning sensation is one of the manifestations of OD which may advocate for similar pharmacotherapeutic options to burning mouth syndrome (BMS), resulting in possible adverse events. The aim of these case reports was to illustrate the significance and rationale for the use of oral devices as a mechanical/physical barrier and a safe approach in the management of OD, without experiencing any antagonistic effects from pharmacotherapeutic agents. Two patients with spontaneous and evoked (following dental procedures) OD symptoms in the right posterior mandibular quadrant and anterior hard palatal areas were evaluated. Additionally, their OD symptoms were associated with hyposalivation and taste changes. A thorough history and complete head and neck examination, with the exclusion of oral lesions and systemic conditions, were performed. These patients were previously prescribed topical clonazepam rinses. An in-office trial, with application of orthodontic wax to the affected area, was performed as a preliminary test in order to justify the fabrication of an oral device for possible symptomatic relief. Conclusion: The case reports demonstrated significant improvement of OD symptoms and amelioration of pain following fabrication of oral devices in two patients with no undesirable effects from pharmacotherapy. Additionally, the oral devices aided as a mechanical/physical barrier, potentially exerting a placebo effect while facilitating an improved quality of life. Furthermore, the cost-effectiveness and ease of fabricating the oral device has been advantageous over other systemic medications. This encourages the need for a detailed prospective study.

口腔感觉异常(OD)是一种排除性诊断,表现为口腔粘膜的不愉快和异常感觉,没有任何明显的口腔损伤。烧灼感是OD的表现之一,这可能主张与导致可能的不良事件的灼口综合征(BMS)类似的药物治疗选择。这些病例报告的目的是说明使用口腔器械作为机械/物理屏障和OD管理的安全方法的重要性和原理,而不会受到药物治疗剂的任何拮抗作用。评估了两名在右下颌后象限和前硬腭区有自发和诱发(牙科手术后)OD症状的患者。此外,他们的OD症状与唾液分泌不足和味觉变化有关。进行了彻底的病史和完整的头颈部检查,排除了口腔病变和全身疾病。这些患者之前接受过局部氯硝西泮冲洗。一项在办公室进行的试验,将正畸蜡涂抹在受影响的区域,作为初步测试,以证明制造口腔设备可能缓解症状的合理性。病例报告显示,两名患者在制造口腔器械后,OD症状显著改善,疼痛减轻,药物治疗没有不良影响。此外,口腔设备作为一种机械/物理屏障,有可能发挥安慰剂效应,同时促进生活质量的提高。此外,与其他全身药物相比,制造口腔装置的成本效益和容易性是有利的。这鼓励了进行详细前瞻性研究的必要性。
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引用次数: 0
Clinical and radiographic outcomes of implants placed in extraction sites treated with alveolar ridge preservation: a 10-year retrospective analysis of a case series. 牙槽嵴保留治疗的种植体在拔除部位的临床和放射学结果:一个病例系列的10年回顾性分析。
IF 1.9 4区 医学 Q2 Medicine Pub Date : 2024-01-23 DOI: 10.3290/j.qi.b4418503
Vincenzo Iorio-Siciliano, Dario Marasca, Gianmaria Andreuccetti, Vitolante Pezzella, Leopoldo Mauriello, Luca Ramaglia

Objectives: The aim of the present study was to evaluate clinical and radiographic outcomes of implants placed in alveolar sockets treated by means of alveolar ridge preservation after 10 years of follow-up.

Method and materials: Eleven patients treated with 11 implants placed after alveolar ridge preservation using bovine-derived xenograft particles and collagen membrane were selected. Full-mouth plaque score, full-mouth bleeding score, probing depth at four sites per implant, and radiographic marginal bone level at mesial and distal aspects for each implant were recorded at baseline and after 10 years of follow-up. The primary outcome was the radiographic marginal bone loss. The marginal bone loss was considered as the difference between marginal bone level at baseline and after 10 years of observation time.

Results: After 10 years of follow-up, full-mouth plaque score increased significantly (P < .05), while no statistically significant differences were found in the change in full-mouth bleeding score (P ≥ .05). At the 10-year observation period, a significant increase in probing depth was observed at all sites (P < .05), except at the mesial aspects (P ≥ .05). Radiographic marginal bone loss was 1.1 ± 0.1 mm and 1.0 ± 0.1 mm at mesial and distal sites, respectively.

Conclusion: Whitin the limitations of the present study, implants placed in post-extraction sockets treated with alveolar ridge preservation yielded stable clinical and radiographic results after 10 years of follow-up.

目的:本研究的目的是评估植入牙槽窝的植入物在10年随访后通过牙槽嵴保存(ARP)治疗的临床和放射学结果。方法和材料:选择11名患者,在ARP后使用牛来源的异种移植物颗粒和胶原膜植入11个植入物。在基线和10年随访后,记录每个植入物四个部位的全口斑块评分(FMPS)、全口出血评分(FMBS)、探测深度(PD)以及每个植入物近中和远端的放射学边缘骨水平(MBL)。主要结果是放射学边缘骨丢失(mBL)。mBL被认为是基线和10年观察时间后mBL之间的差异。结果:10年随访后,FMPS显著增加(P>0.05),而除内侧外,FMBS的变化无统计学意义(P0.05)。
{"title":"Clinical and radiographic outcomes of implants placed in extraction sites treated with alveolar ridge preservation: a 10-year retrospective analysis of a case series.","authors":"Vincenzo Iorio-Siciliano, Dario Marasca, Gianmaria Andreuccetti, Vitolante Pezzella, Leopoldo Mauriello, Luca Ramaglia","doi":"10.3290/j.qi.b4418503","DOIUrl":"10.3290/j.qi.b4418503","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of the present study was to evaluate clinical and radiographic outcomes of implants placed in alveolar sockets treated by means of alveolar ridge preservation after 10 years of follow-up.</p><p><strong>Method and materials: </strong>Eleven patients treated with 11 implants placed after alveolar ridge preservation using bovine-derived xenograft particles and collagen membrane were selected. Full-mouth plaque score, full-mouth bleeding score, probing depth at four sites per implant, and radiographic marginal bone level at mesial and distal aspects for each implant were recorded at baseline and after 10 years of follow-up. The primary outcome was the radiographic marginal bone loss. The marginal bone loss was considered as the difference between marginal bone level at baseline and after 10 years of observation time.</p><p><strong>Results: </strong>After 10 years of follow-up, full-mouth plaque score increased significantly (P < .05), while no statistically significant differences were found in the change in full-mouth bleeding score (P ≥ .05). At the 10-year observation period, a significant increase in probing depth was observed at all sites (P < .05), except at the mesial aspects (P ≥ .05). Radiographic marginal bone loss was 1.1 ± 0.1 mm and 1.0 ± 0.1 mm at mesial and distal sites, respectively.</p><p><strong>Conclusion: </strong>Whitin the limitations of the present study, implants placed in post-extraction sockets treated with alveolar ridge preservation yielded stable clinical and radiographic results after 10 years of follow-up.</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41169624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Retrospective analysis of augmentation procedures with umbrella screws, a novel tenting technique: a consecutive case series in 279 patients. 雨伞螺钉隆胸手术的回顾性分析一种新的隆胸技术:279例患者的连续病例系列。
IF 1.9 4区 医学 Q2 Medicine Pub Date : 2024-01-23 DOI: 10.3290/j.qi.b4479067
Thomas Stumpf, Florian Rathe, Christian Heumann, Robert Sader, Markus Schlee

Objectives: The consecutive case series accesses the results and experiences of ridge augmentation using an umbrella screw tenting technique.

Method and materials: In total, 279 patients were treated between 26 May 2015 and 16 June 2021, including horizontal and vertical ridge defects. Sex, age, smoking behavior, jaw, graft material, soft tissue thickness, extent of horizontal/vertical augmentation, resorption rate, and occurrence of early/late exposure were evaluated. Bone gain was determined by resorption at the screw head. Only cases without premature screw removal were evaluated metrically (n = 201). All other augmentations were evaluated according to whether implantation was possible with or without further augmentation (n = 27). A target performance index was calculated, which should enable evidence-based comparability of different augmentation methods in future.

Results: In total, 54 wound dehiscences (39 early, 15 late exposures) occurred, which corresponds to 24.08% of the augmented sites; 42 umbrella screws were removed prematurely. In all cases an implantation was possible at the desired position afterwards. Cases with a vertical augmentation component showed a higher prevalence of exposure (early, P = .000; late, P = .024). The extent of the vertical augmentation was only relevant for early exposure (P = .048). Mean bone gain of 4.23 ± 1.69 mm horizontally and 4.11 ± 1.99 mm vertically could be achieved. Regression analysis showed that there was no limit in horizontal/vertical direction. Mean percentage target performance index was 75.90 ± 20.54 for vertical and 82.25 ± 16.67 for horizontal portions.

Conclusion: The umbrella technique is an effective augmentation method, which can be applied to any defect morphology.

目的:连续病例系列访问使用伞骨螺钉(US)撑开技术隆脊的结果和经验。材料和方法:在2015年5月26日至2021年8月16日期间,279名患者接受了治疗,包括水平和垂直脊缺损。评估性别、年龄、吸烟行为、颌骨、移植物材料、软组织厚度、水平/垂直增强程度、吸收率和早期/晚期暴露的发生率。通过螺钉头处的吸收来确定骨的增加。仅对未过早取出螺钉的病例进行了度量评估(n=201)。根据植入是否有可能进行进一步增强来评估所有其他增强(n=27)。计算了一个目标性能指数(TPI),这将使未来不同增强方法的循证可比性成为可能。结果:54处伤口裂开(早期暴露39处,晚期暴露15处),相当于增加部位的24.08%。42名美军过早撤离。在所有情况下,之后在所需位置植入是可能的。具有垂直增强成分的病例显示出较高的暴露发生率(早期(p=0.000),晚期(p=0.024))。垂直增强的范围仅与早期暴露相关(p=0.048)。可以实现4.23 mm±1.69的水平平均增骨和4.11 mm±1.99的垂直平均增骨。回归分析表明,在水平/垂直方向上没有限制。垂直部分的平均TPI百分比为75.90±20.54,水平部分为82.25±16.67。结论:伞形技术是一种有效的隆突方法,适用于任何形态的缺损。
{"title":"Retrospective analysis of augmentation procedures with umbrella screws, a novel tenting technique: a consecutive case series in 279 patients.","authors":"Thomas Stumpf, Florian Rathe, Christian Heumann, Robert Sader, Markus Schlee","doi":"10.3290/j.qi.b4479067","DOIUrl":"10.3290/j.qi.b4479067","url":null,"abstract":"<p><strong>Objectives: </strong>The consecutive case series accesses the results and experiences of ridge augmentation using an umbrella screw tenting technique.</p><p><strong>Method and materials: </strong>In total, 279 patients were treated between 26 May 2015 and 16 June 2021, including horizontal and vertical ridge defects. Sex, age, smoking behavior, jaw, graft material, soft tissue thickness, extent of horizontal/vertical augmentation, resorption rate, and occurrence of early/late exposure were evaluated. Bone gain was determined by resorption at the screw head. Only cases without premature screw removal were evaluated metrically (n = 201). All other augmentations were evaluated according to whether implantation was possible with or without further augmentation (n = 27). A target performance index was calculated, which should enable evidence-based comparability of different augmentation methods in future.</p><p><strong>Results: </strong>In total, 54 wound dehiscences (39 early, 15 late exposures) occurred, which corresponds to 24.08% of the augmented sites; 42 umbrella screws were removed prematurely. In all cases an implantation was possible at the desired position afterwards. Cases with a vertical augmentation component showed a higher prevalence of exposure (early, P = .000; late, P = .024). The extent of the vertical augmentation was only relevant for early exposure (P = .048). Mean bone gain of 4.23 ± 1.69 mm horizontally and 4.11 ± 1.99 mm vertically could be achieved. Regression analysis showed that there was no limit in horizontal/vertical direction. Mean percentage target performance index was 75.90 ± 20.54 for vertical and 82.25 ± 16.67 for horizontal portions.</p><p><strong>Conclusion: </strong>The umbrella technique is an effective augmentation method, which can be applied to any defect morphology.</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41148666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bariatric dentistry: implications for coordinated dental education and public health policy. 肥胖牙科:对协调牙科教育和公共卫生政策的影响。
IF 1.9 4区 医学 Q2 Medicine Pub Date : 2024-01-23 DOI: 10.3290/j.qi.b4656969
Nadejda Stefanova Stephens, Wayne Lipschitz, Jodi Psoter, Walter Psoter

Bariatric dentistry is the branch of dental medicine focused on preventive and comprehensive oral health care of overweight or obese patients. Obesity is an increasing US and international health problem and is a condition characterized by abnormal or excessive fat accumulation in the adipose tissue and is categorized by body mass index (BMI) according to the World Health Organization (WHO). With the increase of morbid obesity worldwide and the unfavorable effect on the overall health and life expectancy, it is necessary that proper accommodations are made for accessible dental care of this vulnerable population of patients. The following case report details the emergency and the subsequent elective dental treatment of a patient with a morbid obesity and demonstrates the importance of necessary equipment, a multidisciplinary approach, and broad networking communication needed to treat bariatric patients. The aim of the present case report was to bring awareness and start professional discussions on the importance of dental practitioners in the community and dental academic programs working together to assure access for primary oral health for bariatric patients.

肥胖牙科是牙科医学的一个分支,专注于超重或肥胖患者的预防和全面口腔保健。肥胖是一个日益严重的美国和国际健康问题,是一种以脂肪组织中异常或过量的脂肪堆积为特征的疾病,根据世界卫生组织(WHO)的体重指数(BMI)进行分类。随着世界范围内病态肥胖的增加以及对整体健康和预期寿命的不利影响,有必要为这一弱势群体的患者提供适当的牙科护理。以下病例报告详细介绍了一名病态肥胖患者的急诊和随后的选择性牙科治疗,并展示了治疗肥胖患者所需的必要设备、多学科方法和广泛的网络沟通的重要性。我们的目标是通过这个病例报告,让人们意识到社区和牙科学术项目中所有牙医的重要性,并开始进行专业讨论,以确保肥胖患者获得初级口腔健康。
{"title":"Bariatric dentistry: implications for coordinated dental education and public health policy.","authors":"Nadejda Stefanova Stephens, Wayne Lipschitz, Jodi Psoter, Walter Psoter","doi":"10.3290/j.qi.b4656969","DOIUrl":"10.3290/j.qi.b4656969","url":null,"abstract":"<p><p>Bariatric dentistry is the branch of dental medicine focused on preventive and comprehensive oral health care of overweight or obese patients. Obesity is an increasing US and international health problem and is a condition characterized by abnormal or excessive fat accumulation in the adipose tissue and is categorized by body mass index (BMI) according to the World Health Organization (WHO). With the increase of morbid obesity worldwide and the unfavorable effect on the overall health and life expectancy, it is necessary that proper accommodations are made for accessible dental care of this vulnerable population of patients. The following case report details the emergency and the subsequent elective dental treatment of a patient with a morbid obesity and demonstrates the importance of necessary equipment, a multidisciplinary approach, and broad networking communication needed to treat bariatric patients. The aim of the present case report was to bring awareness and start professional discussions on the importance of dental practitioners in the community and dental academic programs working together to assure access for primary oral health for bariatric patients.</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136398972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Caries prevalence and water fluoridation in Israel: a cross-sectionalstudy. 以色列的龋齿发病率与氟化水:一项横断面研究。
IF 1.3 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-12-21 DOI: 10.3290/j.qi.b4790573
Guy Tobias, Alexander Khaimov, Avi Zini, Harod D Sgan-Cohen, Jonathan Mann, Yael Chotiner Bar-Yehuda, Efrat Aflalo, Yuval Vered

Objectives: To assess the effect of Community Water Fluoridation (CWF) in the prevalence of dental caries and dental fluorosis in 12-year-old children living in Israel. Considering that CWF is important in the prevention of dental caries. Between 2002 and 2014, the water in communities of at least 5000 individuals was fluoridated. In 2014 CWF in Israel stopped.

Methods: Data on 12-year-old children from all areas in Israel from the national crosssectional epidemiological survey conducted in 2011-2012 were stratified by city water fluoridation and by city and school socio-economic status (SES). Two dependent variables were defined: (1) DMFT index -caries experience in the permanent dentition; (2) dental fluorosis in central incisors using the Thylstrup-Fejerskov (TF) classification of fluorosis.

Results: Data from 2181, 12-year-olds was analyzed. the average DMFT was 1.17+1.72 and 49% were caries free. Based on DMFT, the caries experience was significantly higher in nonfluoridated cities (1.38 vs. 0.98 in fluoridated cities) and there were more caries free children 56.4% in fluoridated cities vs. 40.6% in non-fluoridated. DMFT was higher in cities with lower SES than high SES (1.29 vs. 1.05 respectively, p<0.001) and there were less caries free children in low SES (44.5% vs. 53% in high SES cities, p<0.0001). Almost all the 10.3% of children with signs of fluorosis (scoring at least 1 in TF index), had questionable to mild fluorosis (9.3%).

Conclusions: CWF is a cheap, simple method of dental health protection that reaches all socio-economic levels and cessation of water fluoridation reduced the health of Israel's children.

Clinical significance: Water fluoridation provides substantial caries prevention, by reaching a substantial number of people. The relevance of this work is for policymakers to consider CWF as clinically proven method for reducing health inequalities.

目的:评估社区水氟化对以色列 12 岁儿童龋齿和氟斑牙患病率的影响:评估社区水氟化(CWF)对以色列 12 岁儿童龋齿和氟斑牙患病率的影响。考虑到社区水氟化对预防龋齿非常重要。2002 年至 2014 年间,至少有 5000 人居住的社区的自来水进行了氟化处理。2014 年,以色列停止了氟化水的使用:2011-2012年进行的全国横断面流行病学调查中,以色列所有地区12岁儿童的数据按城市水氟化程度以及城市和学校的社会经济地位(SES)进行了分层。确定了两个因变量:(1)DMFT 指数--恒牙中的龋齿情况;(2)采用 Thylstrup-Fejerskov (TF) 氟斑牙分类法得出的中切牙氟斑牙情况:对 2181 名 12 岁儿童的数据进行了分析。平均 DMFT 为 1.17+1.72,49% 的儿童没有龋齿。根据 DMFT,无氟城市的患龋率明显较高(无氟城市为 1.38,有氟城市为 0.98),无龋儿童的比例在有氟城市为 56.4%,无氟城市为 40.6%。在社会经济地位较低的城市,DMFT高于社会经济地位较高的城市(分别为1.29和1.05,p结论:氟化水是一种廉价、简单的保护牙齿健康的方法,可覆盖所有社会经济水平的人群,停止氟化水会降低以色列儿童的健康水平:临床意义:氟化水能有效预防龋齿,惠及大量人群。这项工作的意义在于,政策制定者应考虑将氟化水作为经临床验证的减少健康不平等的方法。
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引用次数: 0
Olfactory and gustatory disorders associated with SARS-CoV-2 infection in children and adults: a topic review. 儿童和成人与SARS-CoV-2感染相关的嗅觉和味觉障碍:主题综述
IF 1.9 4区 医学 Q2 Medicine Pub Date : 2023-11-28 DOI: 10.3290/j.qi.b4313291
Galit Almoznino, Dana Gleicher, Johnny Kharouba, Sigalit Blumer
This paper is aimed at comprehensively reviewing olfactory and gustatory disorders (OGD) caused by SARS-CoV-2 in children and adults. An electronic and manual search was done on three databases: MEDLINE, Embase, and Web of Science (WoS). Inclusion criteria included publications written in English, involving humans in the age range of 0-99 years that were captured by a controlled vocabulary of thesaurus terms. OGD rates in COVID-19 ranged from 22-71.9% in adults to 16.6-25.8% in children. OGD might appear as the first symptom, and in adults might even be the only symptom (4.8-10%). Anosmia is the most common olfactory disorder (OD) and hypogeusia is the most common gustatory disorder (GD). In 33%-89% of cases, OGD resolves spontaneously within a few weeks, coinciding with the resolution of other COVID-19 symptoms, both in adults and children. However, in some patients, OGD persists beyond the resolution of other symptoms. Notably, children generally experience a swifter and more favorable recovery compared to adults. The precise pathogenesis underlying OGD in the context of COVID-19 remains unclear and is likely multifactorial. Presently, no established treatment protocol exists for OGD and current treatments reviewed lack robust evidence and are not readily available for clinical use. Olfactory training represents the only therapy currently recommended by international authorities. of Pediatric practitioners and general dentists should be aware of OGD in both pediatric and adult populations, including their biological mechanisms, treatment options, and recovery rates.
本文旨在全面综述SARS-CoV-2在儿童和成人中引起的嗅觉和味觉障碍。在三个数据库:MEDLINE、Embase和Web of Science上进行了电子和人工搜索。纳入标准包括用英语写的出版物,涉及年龄范围在0到99岁之间的人类,这些人类被同义词典术语的受控词汇表捕获。COVID-19的嗅觉和味觉障碍率在成人中为22%至71.9%,在儿童中为16.6%至25.8%。嗅觉和味觉障碍可能作为第一症状出现,在成人中甚至可能是唯一症状(4.8%至10%)。嗅觉缺失是最常见的嗅觉障碍,嗅觉减退是最常见的味觉障碍。在33%至89%的病例中,嗅觉和味觉障碍会在几周内自行消退,与成人和儿童的其他COVID-19症状的消退同时发生。然而,在一些患者中,嗅觉和味觉障碍持续存在超过其他症状的解决。值得注意的是,与成年人相比,儿童通常会经历更快、更有利的恢复。在COVID-19背景下,嗅觉和味觉障碍的确切发病机制尚不清楚,可能是多因素的。目前,尚无嗅觉和味觉疾病的既定治疗方案,目前的治疗方法缺乏强有力的证据,也不容易用于临床。嗅觉训练是目前国际权威机构推荐的唯一治疗方法。儿科医生和普通牙科医生应该了解儿童和成人人群的嗅觉和味觉疾病,包括其生物学机制、治疗选择和康复率。
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引用次数: 0
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Quintessence international
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