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Should we search for a new paradigm for Dental Public Health? 我们是否应该寻找一种新的牙科公共卫生模式?
IF 1.3 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-08-30 DOI: 10.3290/j.qi.b5721675
Sangeeta Gajendra, Shlomo Paul Zusman
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引用次数: 0
Prospective case series study on the survival rates of occlusal polymethyl methacrylate veneers as a semipermanent therapy in patients with severe pathologic tooth wear. 前瞻性病例系列研究:将咬合聚甲基丙烯酸甲酯贴面作为半永久性疗法用于严重病理性牙齿磨损患者的存活率。
IF 1.3 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-08-30 DOI: 10.3290/j.qi.b5517911
M Oliver Ahlers, Jakob C Roehl, Holger A Jakstat, Andrej M Kielbassa

Objectives: To evaluate the survival rate of minimally invasive semipermanent occlusal polymethyl methacrylate (PMMA) onlays/veneers in previous temporomandibular disorder (TMD) patients with severe tooth wear and with a loss of vertical dimension after up to 7 years.

Method and materials: This case series was designed as a follow-up evaluation with consecutive patient recruitment. All patients bearing the indication for this kind of rehabilitation were treated by the same clinician using the same adhesive methodology. The study included 22 patients (3 men/19 women), with a mean ± SD age of 50.7 ± 11.6 years. Controls followed within the first 4 weeks (and subsequently as required). Failure criteria included damage by fracture, chipping, and retention loss. Survival rates were determined based on the Kaplan-Meier analysis.

Results: 328 semipermanent occlusal/incisal veneers were included (142 maxillary/186 mandibular teeth). Almost 80% of the restorations were in place and in function when starting the follow-up treatment after 180 days; failures predominantly occurred within the first 3 to 6 months but proved reparable. Depending on the patients' priorities, scheduled replacements followed successively, and more than 65% did not show repair or any renewal needs for more than 360 days.

Conclusion: Within the limitations of this study the survival rates of occlusal veneers made of PMMA were sufficiently high to allow for consecutive treatment of the respective teeth by means of permanent restorations while preserving the restored vertical dimension. In patients with severe tooth wear and a TMD history, semipermanent restorative therapy with occlusal PMMA onlays/veneers would seem a noteworthy option.

目的评估微创半永久性咬合聚甲基丙烯酸甲酯(PMMA)嵌体/veneers在既往颞下颌关节紊乱症(TMD)患者中的存活率:本系列病例是通过连续招募患者进行随访评估而设计的。所有符合这种修复适应症的患者均由同一临床医生使用相同的粘接方法进行治疗。研究包括 22 名患者(3 男/19 女),平均年龄为 50.7 [11.6]岁。对照组在最初 4 周内进行了随访(随后根据需要进行了随访)。失败标准包括断裂、崩裂和固位丧失。根据 Kaplan-Meier 分析法确定存活率:共纳入 328 个半永久性咬合/咬合贴面(142 个上颌牙/186 个下颌牙)。在 180 天后开始的后续治疗中,几乎 80% 的修复体都已就位并发挥功能;失败主要发生在最初的 3 到 6 个月内,但都证明是可以修复的。根据患者的优先顺序,修复体会陆续更换,超过 65% 的修复体在 360 天内没有出现修复或任何更新需求:在这项研究的局限性范围内,PMMA 制成的咬合贴面的存活率很高,可以通过永久性修复体对相关牙齿进行连续治疗,同时保留修复后的垂直尺寸。对于牙齿磨损严重并有TMD病史的患者,使用PMMA咬合贴面/veneers进行半永久性修复治疗似乎是一个值得注意的选择。
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引用次数: 0
Effect of scaling on serum high-sensitivity C-reactive protein levels and periodontal parameters in systemically healthy women of reproductive age group with gingivitis. 洗牙对患有牙龈炎的全身健康育龄妇女血清高敏 C 反应蛋白水平和牙周参数的影响。
IF 1.3 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-08-30 DOI: 10.3290/j.qi.b5437505
Richa Verma, Shikha Tewari, Deepti Anand

Objective: Varying levels of sex hormones across the menstrual cycle in young systemically healthy females may alter tissue responses to plaque, resulting in increased gingival inflammation. Also, higher severity and prevalence of gingivitis has been demonstrated in adult women than men, attributed to hormonal changes. Further, it has been reported that gingivitis raises the levels of systemic inflammatory markers such as C-reactive protein. This interventional trial aimed to evaluate the effect of supragingival scaling on serum high-sensitivity C-reactive protein (hsCRP) levels along with periodontal parameters in systemically healthy women of reproductive age with natural gingivitis.

Method and materials: In total, 57 women of reproductive age were enrolled into two groups. The test group (n = 30) comprised systemically healthy women with gingivitis who received supragingival scaling. The control group (n = 27) included systemically and periodontally healthy women. Periodontal parameters (Gingival Index, Plaque Index, pocket probing depth, bleeding on probing) and serum hsCRP levels were recorded at baseline for both the groups. Follow-up of test group participants was done at 3 and 6 months.

Results: Serum hsCRP and periodontal parameters were significantly higher in the test group than in the control group at baseline, and this decreased significantly after treatment in the test group at the 6-month follow-up (P ≤ .05). Gingival Index, bleeding on probing, and hsCRP in the test group at 6 months were reduced to the baseline levels of systemically and periodontally healthy women.

Conclusion: Treatment of gingival inflammation can help in lowering the systemic and local inflammation to the levels of systemically and periodontally healthy women.

目的:全身健康的年轻女性在月经周期中性激素水平的变化可能会改变组织对牙菌斑的反应,从而导致牙龈炎症加重。此外,成年女性牙龈炎的严重程度和发病率也高于男性,这都归因于荷尔蒙的变化。此外,据文献报道,牙龈炎会提高全身炎症标志物(如 C 反应蛋白)的水平。这项干预性试验旨在评估龈上洁治对血清高敏 C 反应蛋白(hsCRP)水平的影响,以及对患有天然牙龈炎的全身健康育龄妇女牙周参数的影响。试验组(人数=30)由患有牙龈炎并接受龈上洁治的全身健康妇女组成。对照组(人数=27)包括全身和牙周健康的女性。记录两组基线时的牙周参数[牙龈指数(GI)、牙菌斑指数(PI)、龈袋探诊深度(PPD)、探诊出血量(BOP)]和血清 hsCRP 水平。在 3 个月和 6 个月时对测试组参与者进行随访:结果:测试组的血清 hsCRP 和牙周参数在基线时明显高于对照组,而在治疗后 6 个月的随访中,测试组的血清 hsCRP 和牙周参数明显降低(p≤0.05)。试验组的 GI、BOP 和 hsCRP 在 6 个月后降至全身和牙周健康女性的基线水平:结论:治疗牙龈炎症有助于降低全身和局部炎症,使其达到全身和牙周健康女性的水平。
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引用次数: 0
A cross-sectional study on dental anxiety and state anxiety related to removal of fixed partial dentures. 一项关于牙科焦虑和与摘除固定局部义齿有关的状态焦虑的横断面研究。
IF 1.3 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-08-30 DOI: 10.3290/j.qi.b5566159
Kubra Degirmenci, Melike Yalın

Objectives: This study aimed to evaluate the effect of the clinical removal of fixed partial dentures on oral health-related quality of life and the anxiety values of individuals and to determine the clinical factors of high anxiety levels.

Method and materials: In total, 300 participants were included in the study. Six different reasons for the clinical removal of fixed partial dentures (oral examination, denture renewal, endodontic treatment, tooth extraction, periodontal treatment, and composite filling restoration) were defined. The United Kingdom Oral Health-Related Quality-of-Life Measure (OHRQoL-UK), the Modified Dental Anxiety Scale (MDAS), and the Spielberger State-Trait Anxiety Inventory- State (STAI-S) and Trait (STAI-T) were answered. The reason groups were compared using one-way analyses of variance. Binary logistic regression analyses were performed to evaluate the risk factors for high anxiety.

Results: There was no significant difference in OHRQoL-UK scores (P = .279) among the reason groups, but there were significant differences in MDAS, STAI-S, and STAI-T scores (P = .004, P .001, P = .018, respectively) among the reason groups. Endodontic treatment, tooth extraction, and sex were determined to be risk factors, considering the anxiety scales.

Conclusions: Females are 2.2 times more likely to have trait anxiety than men. Although the effect of the reason for the clinical removal of fixed partial dentures on oral health-related quality of life was similar among the groups, it is concluded that endodontic treatment and tooth extraction reasons for the clinical removal of fixed partial dentures could be risk factors for high anxiety regardless of fixed partial denture usage time.

研究目的本研究旨在评估临床摘除固定局部义齿(FPD)对口腔健康相关生活质量(OHRQoL)和个人焦虑值的影响,并确定高焦虑水平的临床因素:本研究共纳入 300 名参与者。定义了临床拔除FPD的六种不同原因(口腔检查、义齿更新、牙髓治疗、拔牙、牙周治疗和复合材料充填修复)。对英国口腔健康相关生活质量测量(OHRQoL-UK)、改良牙科焦虑量表(MDAS)、斯皮尔伯格状态-特质焦虑问卷-状态(STAI-S)和特质(STAI-T)进行了问卷调查。采用单因素方差分析(ANOVA)对原因组进行比较。为评估高度焦虑的风险因素,进行了二元逻辑回归分析:结果:不同原因组的 OHRQoL-UK 评分无明显差异(P=.279),但 MDAS、STAI-S 和 STAI-T 评分有明显差异(P=.004,PC 结论:女性是男性的 2.2 倍:女性患特质焦虑的几率是男性的 2.2 倍。尽管临床拔除FPD的原因对各组OHRQoL的影响相似,但结论是,无论FPD使用时间长短,牙髓治疗和拔牙等临床拔除FPD的原因都可能是导致高度焦虑的危险因素。
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引用次数: 0
Factors affecting the oral health of patients on maintenance hemodialysis and recommendations for standardized nursing care: a multicenter study. 影响维持性血液透析患者口腔健康的因素及标准化护理建议:一项多中心研究。
IF 1.3 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-08-30 DOI: 10.3290/j.qi.b5342511
Qinglai Zhang, Yue Zhang, Lili Lin, Fei Meng, Meng Jia

Objective: To determine the oral health status of patients on maintenance hemodialysis and to identify the factors influencing their oral health.

Method and materials: This observational study included 1,186 patients with chronic kidney disease who received maintenance hemodialysis across 33 hospitals in China. The patients were recruited for a questionnaire survey between April and August 2023 at Beijing Chaoyang Hospital using stratified sampling. Data collection tools included the General Information Questionnaire for Maintenance Hemodialysis Patients, the Oral Health Assessment Tool, the Pittsburgh Sleep Quality Index, and the Hospital Anxiety and Depression Scale. Spearman rank correlation coefficients were used to assess the relationships between the oral health of patients on maintenance hemodialysis and continuous variables such as sleep quality and emotional status. Multiple linear regression analysis was employed to explore the relationship between oral health and various variables.

Results: The oral health scores of the patients ranged from 8 to 22, with a mean score of 12.54 ± 2.63. The final model of the multiple linear regression analysis indicated a goodness of fit of 22.19%. Independent factors affecting the oral health of patients included smoking, the proportion of medical expenses, water consumption, sleep quality, and anxiety scores (all P .05). High levels of smoking, substantial medical expenses, poor sleep quality, and elevated anxiety scores were risk factors for poor oral health (all P .05). Adequate daily water intake served as a protective factor for oral health (P .05).

Conclusion: This study proposes targeted interventions to enhance the management and improvement of oral health in patients on hemodialysis, aiming to provide highly personalized and effective oral health care. These interventions are expected to improve oral health outcomes in future clinical practice.

目的:确定维持性血液透析患者的口腔健康状况,并找出影响其口腔健康的因素:确定维持性血液透析(MHD)患者的口腔健康状况,并找出影响其口腔健康的因素:这项观察性研究纳入了中国 33 家医院的 1,186 名接受血液透析治疗的慢性肾病患者。这些患者于 2023 年 4 月至 8 月期间在北京朝阳医院接受了分层抽样的问卷调查。数据收集工具包括《维持性血液透析患者一般信息调查表》、《口腔健康评估工具》、《匹兹堡睡眠质量指数》和《医院焦虑抑郁量表》。斯皮尔曼等级相关系数用于评估血液透析患者的口腔健康状况与睡眠质量和情绪状态等连续变量之间的关系。采用多元线性回归分析来探讨口腔健康与各种变量之间的关系:患者的口腔健康评分从 8 分到 22 分不等,平均分为(12.54±2.63)分。多元线性回归分析的最终模型显示拟合优度为 22.19%。影响患者口腔健康的独立因素包括吸烟、医疗费用比例、饮水量、睡眠质量和焦虑评分(均为 P <0.05)。吸烟率高、医疗费用高、睡眠质量差和焦虑评分高是口腔健康不良的风险因素(均为 P <0.05)。每日充足的饮水量是口腔健康的保护因素(P < 0.05):本研究提出了加强血液透析患者口腔健康管理和改善的针对性干预措施,旨在提供高度个性化和有效的口腔健康护理。这些干预措施有望在未来的临床实践中改善口腔健康状况。
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引用次数: 0
Smoking's impact on pocket closure after nonsurgical periodontal treatment in relation to bleeding on probing. 吸烟对非手术牙周治疗后牙周袋闭合的影响与探诊出血的关系。
IF 1.3 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-08-28 DOI: 10.3290/j.qi.b5716359
Mustafa Yilmaz, Aleksandra Ujanen, Auli Suominen, Esra Demir, Ulvi Kahraman Gürsoy

Objectives: Our aim was to investigate the impact of smoking on pocket closure at six months after treatment of severe periodontitis, in relation to residual clinical inflammation.

Method and materials: The clinical records of deep pockets (probing depth≥6 mm, n=984) in 46 individuals with periodontitis were analyzed. Following baseline clinical assessments (plaque index, probing depth, clinical attachment level, and bleeding on probing), non-surgical periodontal treatment was performed. Clinical assessments were repeated at 2 and 24 weeks after periodontal therapy. A logistic regression model using generalised estimation equations (GEE) adapting the cluster robust standard errors was performed to investigate potential associations between bleeding on probing and pocket closure at post-treatment 24 weeks.

Results: Absence of bleeding at two weeks after non-surgical treatment related to pocket closure after six-months. Pockets that do not bleed neither at baseline nor two weeks (OR=2.7; P <.005) and pockets of non-smokers (OR=6.32; P <.001) and females (OR=1.79; P =.022) associated with pocket closure at six months.

Conclusion: Pocket closure is associated with being a non-smoker and the absence of inflammation after non-surgical periodontal treatment, which indicates the importance of smoking cessation and inflammation control in achieving optimal clinical outcomes.

目的我们的目的是研究吸烟对重度牙周炎治疗后 6 个月的牙周袋闭合的影响,以及与残余临床炎症的关系:分析了 46 名牙周炎患者的深袋临床记录(探诊深度≥6 毫米,n=984)。在进行基线临床评估(菌斑指数、探诊深度、临床附着水平和探诊出血)后,进行非手术牙周治疗。牙周治疗后 2 周和 24 周再次进行临床评估。使用广义估计方程(GEE)和聚类稳健标准误差建立逻辑回归模型,研究探诊出血与治疗后24周袋闭合之间的潜在关联:结果:非手术治疗两周后无出血与六个月后的牙周袋闭合有关。基线和两周时均未出血的牙周袋(OR=2.7; P 结论:牙周袋闭合与非手术治疗有关:牙周袋闭合与非吸烟者和非手术牙周治疗后无炎症有关,这表明戒烟和控制炎症对获得最佳临床效果非常重要。
{"title":"Smoking's impact on pocket closure after nonsurgical periodontal treatment in relation to bleeding on probing.","authors":"Mustafa Yilmaz, Aleksandra Ujanen, Auli Suominen, Esra Demir, Ulvi Kahraman Gürsoy","doi":"10.3290/j.qi.b5716359","DOIUrl":"https://doi.org/10.3290/j.qi.b5716359","url":null,"abstract":"<p><strong>Objectives: </strong>Our aim was to investigate the impact of smoking on pocket closure at six months after treatment of severe periodontitis, in relation to residual clinical inflammation.</p><p><strong>Method and materials: </strong>The clinical records of deep pockets (probing depth≥6 mm, n&#61;984) in 46 individuals with periodontitis were analyzed. Following baseline clinical assessments (plaque index, probing depth, clinical attachment level, and bleeding on probing), non-surgical periodontal treatment was performed. Clinical assessments were repeated at 2 and 24 weeks after periodontal therapy. A logistic regression model using generalised estimation equations (GEE) adapting the cluster robust standard errors was performed to investigate potential associations between bleeding on probing and pocket closure at post-treatment 24 weeks.</p><p><strong>Results: </strong>Absence of bleeding at two weeks after non-surgical treatment related to pocket closure after six-months. Pockets that do not bleed neither at baseline nor two weeks (OR&#61;2.7; P <.005) and pockets of non-smokers (OR&#61;6.32; P <.001) and females (OR&#61;1.79; P &#61;.022) associated with pocket closure at six months.</p><p><strong>Conclusion: </strong>Pocket closure is associated with being a non-smoker and the absence of inflammation after non-surgical periodontal treatment, which indicates the importance of smoking cessation and inflammation control in achieving optimal clinical outcomes.</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142081404","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
Near-infrared light transillumination (NIR-LT) vs clinical-visual inspection/FOTI to detect interproximal caries lesions in vivo. 用近红外透射光(NIR-LT)与临床视觉检查/FOTI 检测活体龋齿。
IF 1.3 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-08-27 DOI: 10.3290/j.qi.b5714710
Mirja Methuen, Anna L Suominen, Adrian Lussi, Hannu Vähänikkilä, Timo Lakka, Vuokko Anttonen

Objective: To evaluate the ability of near-infrared light transillumination (NIR-LT) to detect interproximal enamel and dentinal caries lesions compared to clinical-visual inspection (VI) aided by fibre-optic transillumination (FOTI).

Method and materials: From 170 Finnish adolescents aged 15-17 years, 5294 interproximal surfaces of premolars and molars were examined first clinical-visually aided by FOTI (VI+FOTI) using the International Caries Detection and Assessment System (ICDAS) classification. Subsequently, the surfaces were examined using NIR-LT. The extent of lesions was determined using the modified NIR-LT classification based on the Söchtig criteria. For the analyses, data on upper and lower premolars and molars were combined. Distributions of lesions were presented as frequencies. Differences between VI+FOTI and NIR-LT at the tooth and tooth surface levels were analysed by Chi-square and Fisher's exact tests. Sensitivity and specificity of the NIR-LT method to detect any lesion was performed using VI+FOTI as the gold standard.

Results: By VI+FOTI, 92.4% surfaces were classified as sound and by NIR-LT, 88.2%. Enamel caries lesions were found on 7.0% of the surfaces by VI+FOTI and on 11.6% by NIR-LT. Enamel lesions identified by NIR-LT were nearly double for all examined teeth groups, except for lower molars it was 1.3-fold. In 66% of the surfaces, the differences between NIR-LT and VI+FOTI findings were statistically significant (p<0.001). The sensitivity for all teeth of NIR-LT was 48.4% and the specificity was 91.1%.

Conclusion: Radiation-free NIR-LT method shows considerable potential as a supplementary method for early detection of caries lesions among low caries prevalence adolescents.

目的评估近红外透射光(NIR-LT)与纤维光学透射光(FOTI)辅助的临床-视觉检查(VI)相比,检测近端釉质和牙本质龋损的能力:对170名15-17岁的芬兰青少年的5294颗前臼齿和臼齿的近端间表面进行了检查,首先采用国际龋病检测和评估系统(ICDAS)的分类方法,在FOTI(VI+FOTI)的辅助下进行临床-视觉检查。随后,使用近红外激光扫描仪对牙齿表面进行检查。病变范围是根据索希特标准修改后的 NIR-LT 分类确定的。在进行分析时,将上下前臼齿和臼齿的数据合并在一起。病变分布以频率表示。VI+FOTI和NIR-LT在牙齿和牙齿表面的差异通过Chi-square和费雪精确检验进行分析。以 VI+FOTI 作为金标准,对近红外-LT 方法检测任何病变的敏感性和特异性进行了分析:通过 VI+FOTI,92.4% 的牙面被归类为完好,而通过 NIR-LT 则有 88.2%。VI+FOTI发现7.0%的牙面有龋坏,NIR-LT发现11.6%的牙面有龋坏。在所有受检牙齿组中,近红外荧光透射法发现的釉质病变几乎是前者的两倍,只有下磨牙是后者的 1.3 倍。在 66% 的牙面上,近红外荧光透射法和 VI+FOTI 检测结果之间的差异具有统计学意义(p 结论:近红外荧光透射法和 VI+FOTI 检测结果之间的差异具有统计学意义:无辐射 NIR-LT 方法作为一种辅助方法,在早期发现低龋患率青少年的龋病方面具有相当大的潜力。
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引用次数: 0
Ten-year changes of periodontitis grading using direct and indirect evidence: a retrospective evaluation. 使用直接和间接证据进行牙周炎分级的十年变化:一项回顾性评估。
IF 1.3 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-08-16 DOI: 10.3290/j.qi.b5687920
Sarah K Sonnenschein, Ingvi Reccius, Samuel Kilian, Ti-Sun Kim

Objective: To evaluate two methods for assessing the changes in periodontitis grading in patients undergoing supportive periodontal therapy (SPT) ten years (T10) after retrospective baseline (BL) grading.

Materials and methods: The periodontitis grade of 51 SPT-patients was assessed using indirect evidence as the primary criterion for periodontitis progression at BL and T10 (radiographic bone loss/age index, periodontitis phenotype). Grading at T10 was also performed using the direct evidence for periodontitis progression (clinical attachment loss over the previous five years). The use of indirect evidence for periodontal progression at BL and T10 was defined as method 1 (M1) to assess the changes in periodontitis grading. The use of indirect evidence at BL and direct evidence at T10 was defined as method 2 (M2). Changes in periodontitis grading using M1 and M2 were evaluated (Wilcoxon signed-rank test). Agreement between M1 and M2 was assessed (Cohen's kappa).

Results: Indirect BL-grading revealed five grade B and 46 grade C patients. The indirect grading at T10 revealed 17 grade B and 34 grade C patients. The direct T10-grading classified all patients as grade C. M1 led to an overall improvement in periodontitis grading after ten years of SPT (p=0.00297), whereas M2 led to a deterioration (p=0.0369). The comparison between M1 and M2 showed that they lead to different results in terms of grading (Cohen's Kappa=0.116208).

Conclusions: Periodontitis grading may change during SPT. Using indirect or direct evidence as the primary grading criterion during SPT may lead to different results.

目的评估两种方法,以评估接受支持性牙周治疗(SPT)的患者在回顾性基线(BL)分级十年(T10)后牙周炎分级的变化:采用间接证据作为BL和T10牙周炎进展的主要标准(影像学骨质流失/年龄指数、牙周炎表型),对51名SPT患者的牙周炎分级进行评估。在 T10 期还使用牙周炎进展的直接证据(过去五年的临床附着丧失情况)进行分级。在BL和T10使用牙周病进展的间接证据被定义为方法1(M1),以评估牙周炎分级的变化。在 BL 阶段使用间接证据,在 T10 阶段使用直接证据的方法被定义为方法 2(M2)。使用 M1 和 M2 对牙周炎分级的变化进行评估(Wilcoxon 符号秩检验)。评估了 M1 和 M2 之间的一致性(科恩卡帕):间接BL分级显示有5名B级患者和46名C级患者。T10间接分级显示17例B级和34例C级患者。在 SPT 10 年后,M1 导致牙周炎分级总体改善(p=0.00297),而 M2 则导致牙周炎分级恶化(p=0.0369)。M1和M2之间的比较显示,它们导致了不同的分级结果(科恩卡帕=0.116208):结论:牙周炎的分级在 SPT 期间可能会发生变化。结论:牙周炎的分级在 SPT 期间可能会发生变化,将间接证据或直接证据作为 SPT 期间的主要分级标准可能会导致不同的结果。
{"title":"Ten-year changes of periodontitis grading using direct and indirect evidence: a retrospective evaluation.","authors":"Sarah K Sonnenschein, Ingvi Reccius, Samuel Kilian, Ti-Sun Kim","doi":"10.3290/j.qi.b5687920","DOIUrl":"10.3290/j.qi.b5687920","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate two methods for assessing the changes in periodontitis grading in patients undergoing supportive periodontal therapy (SPT) ten years (T10) after retrospective baseline (BL) grading.</p><p><strong>Materials and methods: </strong>The periodontitis grade of 51 SPT-patients was assessed using indirect evidence as the primary criterion for periodontitis progression at BL and T10 (radiographic bone loss/age index, periodontitis phenotype). Grading at T10 was also performed using the direct evidence for periodontitis progression (clinical attachment loss over the previous five years). The use of indirect evidence for periodontal progression at BL and T10 was defined as method 1 (M1) to assess the changes in periodontitis grading. The use of indirect evidence at BL and direct evidence at T10 was defined as method 2 (M2). Changes in periodontitis grading using M1 and M2 were evaluated (Wilcoxon signed-rank test). Agreement between M1 and M2 was assessed (Cohen's kappa).</p><p><strong>Results: </strong>Indirect BL-grading revealed five grade B and 46 grade C patients. The indirect grading at T10 revealed 17 grade B and 34 grade C patients. The direct T10-grading classified all patients as grade C. M1 led to an overall improvement in periodontitis grading after ten years of SPT (p&#61;0.00297), whereas M2 led to a deterioration (p&#61;0.0369). The comparison between M1 and M2 showed that they lead to different results in terms of grading (Cohen's Kappa&#61;0.116208).</p><p><strong>Conclusions: </strong>Periodontitis grading may change during SPT. Using indirect or direct evidence as the primary grading criterion during SPT may lead to different results.</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141988737","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
Applications of artificial intelligence in restorative dentistry: a scoping review. 人工智能在牙科修复中的应用:范围综述。
IF 1.3 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-06-28 DOI: 10.3290/j.qi.b5437507
Ahmed M Aziz, Zaid Hamdoon, Adam Bin Husein, Shaima Dheyab, Fajer Obaid

Objective: Artificial intelligence (AI) applications in restorative dentistry have remarkably increased in the past 5 years. This review outlines the applications, promises, and limitations of AI in the most performed procedures in restorative dentistry.

Method and materials: An electronic search was performed in four databases: MEDLINE/PubMed, Embase, Web of Science, and Scopus. The search included articles published in English language without date restriction. Two independent reviewers assessed the eligibility of the studies and performed data extraction. Any discrepancy was resolved by the consensus of a third reviewer.

Results: A total of 33 studies were included in this review. For AI applications in restorative dentistry, the included studies were classified into three main groups: (1) diagnosis, detection, and prediction of the disease, (2) detection and prediction of the longevity of dental restorations, and (3) teeth detection and treatments. For each study, the AI model, type of dataset, sample size, and main results (accuracy, precision, sensitivity, and specificity) were reported.

Conclusions: AI systems are promising as advantageous aids for diagnosis, prediction, and treatment in dentistry, with a high degree of accuracy. Despite the AI promises, several limitations are still unresolved and must be addressed to bridge the gap between technology and clinical applications.

目的:人工智能(AI)在口腔修复学中的应用在过去五年中显著增加。本综述概述了人工智能在牙科修复术中的应用、前景和局限性:方法:在 4 个数据库中进行了电子检索:方法:在 4 个数据库中进行了电子检索:MEDLINE/PubMed、Embase、Web of Science 和 Scopus。检索包括以英文发表的文章,无日期限制。两名独立审稿人对研究的资格进行评估,并进行数据提取。任何不一致之处均由第三位审稿人协商一致解决:本综述共纳入 33 项研究。对于人工智能在牙科修复中的应用,纳入的研究主要分为三类:1)疾病的诊断、检测和预测;2)牙科修复体寿命的检测和预测;3)牙齿检测和治疗。每项研究都报告了人工智能模型、数据集类型、样本大小和主要结果(准确度、精确度、灵敏度和特异性):结论:人工智能系统有望成为牙科诊断、预测和治疗的有利辅助工具,并具有很高的准确性。尽管人工智能前景广阔,但仍有一些局限性尚未解决,必须加以解决,以缩小技术与临床应用之间的差距。
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引用次数: 0
Assessment of oral hygiene and quality of life of children with autism spectrum disorder and their caregivers: an observational clinical study. 自闭症谱系障碍儿童及其照顾者的口腔卫生和生活质量评估:一项观察性临床研究。
IF 1.3 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-06-28 DOI: 10.3290/j.qi.b5316927
João Victor Soares Rodrigues, Maria Clara Faria Poli, Thamiris Cirelli, Ana Cláudia de Melo Stevanato Nakamune, Antonio Hernandes Chaves-Neto, Alessandra Marcondes Aranega, Rita Cássia Menegati Dornelles, Karina Helga Leal Turcio, Carlos Marcelo da Silva Figueredo, Leticia Helena Theodoro

Objective: This study aimed to evaluate the degrees of dependence and presence of bacterial plaque in children with autism spectrum disorder (ASD) and the quality of life of children and their caregivers.

Method and materials: This was a cross-sectional observational study. This study included 119 individuals with ASD and their caregivers. Data were collected through a sociodemographic questionnaire, WHOQOL-Bref, and Burden interview to measure quality of life and caregiver burden, respectively. The Autoquestionnaire Qualité de Vie Enfant Imagé questionnaire, adapted in game format, was applied to verify quality of life in children with ASD. An oral clinical examination evaluated the visible plaque index. The collected data were tabulated and organized for statistical analysis with a significance level of 5%.

Results: It was observed that 52% of the children had a severity of ASD level 1; 70% were dependent for general activities, and 65% were dependent for oral hygiene. Of the 77 children who thoroughly answered the questionnaire about their quality of life, 64.9% had good quality of life, and 35.1% had scores below 48, that is, low quality of life. In general, the caregivers generally presented quality of life with a rate of 60.95 (good) points on the scale. It was observed that gingival bleeding greater than 30% is two (ASD 2 + ASD 3) to three (ASD 3) times more likely to occur in patients who have higher levels of ASD (P < .004).

Conclusion: It was concluded that the quality of life of individuals with ASD was good, that most children are dependent for their daily activities and oral hygiene, and that they showed reasonable plaque control. On the other hand, the caregivers presented low quality of life and moderate burden.

研究目的本研究旨在评估自闭症谱系障碍(ASD)儿童对细菌菌斑的依赖程度和细菌菌斑的存在情况,以及儿童及其照顾者的生活质量(QoL):这是一项横断面观察研究。研究对象包括 119 名自闭症谱系障碍儿童及其照顾者。通过社会人口学问卷、WHOQOL-Bref 和负担访谈收集数据,分别测量 QoL 和照顾者负担。为验证 ASD 儿童的 QoL,采用了以游戏形式改编的 Autoquestionnaire Qualité de Vie Enfant Imagé 问卷。口腔临床检查评估了可见牙菌斑指数。收集到的数据被制成表格并进行统计分析,显著性水平为 5%:结果发现,52% 的儿童 ASD 严重程度为 1 级,70% 的儿童依赖一般活动,65% 的儿童依赖口腔卫生。在 77 名完整回答了 QoL 问卷的儿童中,64.9% 的儿童 QoL 良好,35.1% 的儿童 QoL 低于 48 分,即 QoL 较低。总体而言,护理人员的 QoL 一般为 60.95 分(良好)。据观察,牙龈出血超过 30% 的几率是 ASD 水平较高的患者的 2(ASD 2 + ASD 3)至 3(ASD 3)倍(p˂0.004):结论:ASD 患者的 QoL 良好,大多数儿童的日常活动和口腔卫生都有赖于他们的口腔卫生,他们对牙菌斑的控制也比较合理。另一方面,护理人员的生活质量较低,负担较重。
{"title":"Assessment of oral hygiene and quality of life of children with autism spectrum disorder and their caregivers: an observational clinical study.","authors":"João Victor Soares Rodrigues, Maria Clara Faria Poli, Thamiris Cirelli, Ana Cláudia de Melo Stevanato Nakamune, Antonio Hernandes Chaves-Neto, Alessandra Marcondes Aranega, Rita Cássia Menegati Dornelles, Karina Helga Leal Turcio, Carlos Marcelo da Silva Figueredo, Leticia Helena Theodoro","doi":"10.3290/j.qi.b5316927","DOIUrl":"10.3290/j.qi.b5316927","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the degrees of dependence and presence of bacterial plaque in children with autism spectrum disorder (ASD) and the quality of life of children and their caregivers.</p><p><strong>Method and materials: </strong>This was a cross-sectional observational study. This study included 119 individuals with ASD and their caregivers. Data were collected through a sociodemographic questionnaire, WHOQOL-Bref, and Burden interview to measure quality of life and caregiver burden, respectively. The Autoquestionnaire Qualité de Vie Enfant Imagé questionnaire, adapted in game format, was applied to verify quality of life in children with ASD. An oral clinical examination evaluated the visible plaque index. The collected data were tabulated and organized for statistical analysis with a significance level of 5%.</p><p><strong>Results: </strong>It was observed that 52% of the children had a severity of ASD level 1; 70% were dependent for general activities, and 65% were dependent for oral hygiene. Of the 77 children who thoroughly answered the questionnaire about their quality of life, 64.9% had good quality of life, and 35.1% had scores below 48, that is, low quality of life. In general, the caregivers generally presented quality of life with a rate of 60.95 (good) points on the scale. It was observed that gingival bleeding greater than 30% is two (ASD 2 + ASD 3) to three (ASD 3) times more likely to occur in patients who have higher levels of ASD (P < .004).</p><p><strong>Conclusion: </strong>It was concluded that the quality of life of individuals with ASD was good, that most children are dependent for their daily activities and oral hygiene, and that they showed reasonable plaque control. On the other hand, the caregivers presented low quality of life and moderate burden.</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899388","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}
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Quintessence international
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