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Periodontal disease and quality of life in patients with circulatory diseases 牙周病与循环系统疾病患者的生活质量
Pub Date : 2023-08-28 DOI: 10.1590/1807-2577.00423
Luana Taques, Lourdes Zeballos López, Lauro TAQUES NETO, G. Arcaro, Erildo Vicente Muller, F. A. Santos, M. T. Pochapski
Abstract Introduction Circulatory system diseases are one of the leading causes of death. Periodontal health is a component of oral and general health that contributes to quality of life. Objective To analyze periodontal conditions and quality of life in patients with circulatory diseases. Material and method Cross-sectional study, with patients with circulatory diseases (n=125). The clinical periodontal examination was performed considering: biofilm, bleeding on probing, suppuration, probing depth, gingival recession, and clinical attachment level. Quality of life was assessed with the Medical Outcomes Study 36 – Item Short-Form Health Survey (SF-36) and Oral Health Impact Profile – short form (OHIP-14). Data were analyzed with parametric and nonparametric tests (α=5%). Result Elderly and men had a greater severity of periodontal disease. The Elderly had lower values in the domains of "Functional capacity" and "Physical aspects" (SF-36). The domain "Pain" had lower values in subjects with health/gingivitis. OHIP-14 did not show differences in the comparisons. There was no correlation between quality of life and the severity of periodontal disease. Conclusion Among patients with circulatory diseases, the elderly and men had greater severity of periodontal disease. The elderly had a poorer quality of life (functional capacity and physical aspects). There was no correlation between the severity of periodontal disease and quality of life.
循环系统疾病是人类死亡的主要原因之一。牙周健康是口腔和全身健康的一个组成部分,有助于提高生活质量。目的分析循环系统疾病患者牙周状况及生活质量。材料与方法横断面研究,循环系统疾病患者(n=125)。临床牙周检查考虑:生物膜、探诊出血、化脓、探诊深度、牙龈退缩、临床附着程度。生活质量通过医疗结果研究36 -项目简短健康调查(SF-36)和口腔健康影响概况-简短形式(OHIP-14)进行评估。采用参数检验和非参数检验(α=5%)对数据进行分析。结果老年人和男性患牙周病的严重程度较高。老年人在“功能能力”和“身体方面”的得分较低(SF-36)。健康/牙龈炎受试者的“疼痛”域值较低。OHIP-14在比较中没有表现出差异。生活质量与牙周病的严重程度之间没有相关性。结论在循环系统疾病患者中,老年人和男性的牙周病严重程度较高。老年人的生活质量较差(功能能力和身体方面)。牙周病的严重程度与生活质量之间没有相关性。
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引用次数: 0
Avaliação do comportamento das fibras colágenas periodontais durante a progressão da periodontite experimental em ratos 大鼠实验性牙周炎进展过程中牙周胶原纤维的行为评价
Pub Date : 2023-06-09 DOI: 10.1590/1807-2577.01123
Matheus Esnel Garcia, Felipe de Lima Faria, Bianca DAL OCA COSTA SILVA, Edilson Ervolino, Vivian Cristina Noronha Novaes, Luan Felipe Toro
Resumo Introdução A periodontite é uma doença infecto-inflamatória, resultante da disbiose microbiana e da resposta do hospedeiro, que leva à destruição dos tecidos de suporte dentário, inclusive das fibras colágenas periodontais, podendo culminar na perda do elemento dental. Objetivo Avaliar o comportamento das fibras colágenas periodontais durante a progressão da periodontite experimental induzida em ratos. Material e método Doze ratos Wistar foram distribuídos nos grupos: Controle (C), Periodontite Experimental 14-dias (PE-14d), Periodontite Experimental 21-dias (PE-21d) e Periodontite Experimental 42-dias (PE-42d). No dia 0, os animais do grupo C foram eutanasiados. Neste mesmo dia, os animais remanescentes foram submetidos à instalação de uma ligadura de algodão ao redor do primeiro molar inferior esquerdo para indução da periodontite experimental. Tais animais foram eutanasiados aos 14 (PE-14d), 21 (PE-21d) e 42 (PE-42d) dias após a instalação da ligadura. Executou-se o processamento histológico das hemimandíbulas e as secções foram submetidas à reação histoquímica pelo vermelho picro-sirius. A análise qualitativa descritiva foi realizada sob microscopia de luz polarizada, na região de furca dental, evidenciando as fibras do ligamento periodontal. Resultado O grupo C exibiu feixes espessos e orientados de fibras colágenas maduras, condizentes com aspecto de normalidade. Os grupos com periodontite experimental exibiram desestruturação tecidual severa, com fibras colágenas imaturas e de menor espessura, sendo tais condições mais exacerbadas nos grupos PE-14d e PE-21d. Conclusão As fases iniciais da periodontite apresentam caráter agudo e, portanto, resultam na rápida destruição dos tecidos periodontais de suporte, prejudicando potencialmente a fibrilogênese e a reestruturação do colágeno no ligamento periodontal.
牙周炎是一种传染性炎症性疾病,由微生物失调和宿主反应引起,导致包括牙周胶原纤维在内的牙齿支撑组织的破坏,最终导致牙齿元素的丢失。摘要目的探讨大鼠实验性牙周炎发展过程中牙周胶原纤维的行为。材料与方法将12只Wistar大鼠分为对照组(C)、实验牙周炎14d组(PE-14d)、实验牙周炎21d组(PE-21d)和实验牙周炎42d组(PE-42d)。第0天,C组对动物实施安乐死。同一天,其余动物在左下第一磨牙周围安装棉花结扎,诱导实验性牙周炎。这些动物在结扎后14天(PE-14d)、21天(PE-21d)和42天(PE-42d)安乐死。对半扁豆进行组织学处理,切片用小天狼星红进行组织化学反应。在偏振光显微镜下对牙分叉区域进行描述性定性分析,显示牙周韧带纤维。结果C组成熟胶原纤维束厚而有方向,外观正常。实验性牙周炎组表现出严重的组织破坏,胶原纤维不成熟且厚度较低,PE-14d和PE-21d组的情况更严重。结论牙周炎的早期阶段是急性的,因此会导致牙周支持组织的迅速破坏,潜在地破坏牙周韧带的纤维生成和胶原蛋白的重组。
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引用次数: 0
Flexural resistance of 3D printing resin compared to conventional acrylic resins employed to build occlusal bite splints 与传统丙烯酸树脂相比,3D打印树脂的抗弯曲性用于构建咬合咬合夹板
Pub Date : 2023-05-29 DOI: 10.1590/1807-2577.00623
Otavio Marino dos Santos Neto, Gabriele Maurício de Cerqueira, João Paulo do Vale Souza, R. P. Almeida, José Vitor Quinelli Mazaro, Adriana Cristina Zavanelli
Abstract Introduction with the technological advance in dentistry, light-polymerized three-dimensional (3D) printing resins had become an alternative for the manufacture of occlusal splint splints. Objective the present study aimed to analyze the flexural strength of a resin for 3D printing compared to conventional acrylic resins (chemically activated and thermally activated), under the influence of thermocycling. Material and method 60 specimens were made, which were distributed in six experimental groups (n = 10), according to the resin employed (chemically activated acrylic resin, thermally activated acrylic resin and 3D printing resin) and the treatment received (control and thermocycling). The specimens were submitted to flexural strength by the three-point flexural test. Result data analysis showed that the material factor (<0.0001) and the thermocycling factor (p = 0.0096) influenced flexural strength, however, the interaction between the two factors did not (p = 0.9728). Conclusion it was concluded that 3D printing resins presented the lowest flexural resistance to acrylic resins, especially when submitted to thermocycling.
摘要简介随着牙科技术的进步,光聚合三维(3D)打印树脂已成为制造咬合夹板的一种替代方法。本研究旨在分析3D打印树脂与传统丙烯酸树脂(化学活化和热活化)在热循环影响下的抗弯强度。材料和方法制作60个标本,根据所用树脂(化学活化丙烯酸树脂、热活化丙烯酸树脂和3D打印树脂)和处理方法(对照和热循环)分为6个实验组(n = 10)。通过三点弯曲试验对试件进行抗弯强度测试。结果数据分析显示,材料因素(<0.0001)和热循环因素(p = 0.0096)对抗弯强度有影响,但两者之间无交互作用(p = 0.9728)。结论与丙烯酸树脂相比,3D打印树脂的抗弯性能最低,尤其是在进行热循环时。
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引用次数: 0
The impact of covid-19 on undergraduate dental students and the perspective of resuming face-to-face activities 2019冠状病毒病对牙科本科学生的影响及恢复面对面活动的前景
Pub Date : 2023-05-08 DOI: 10.1590/1807-2577.01023
Thamirys Suelle da Silva, P. L. D. Carvalho, Kunihiro Saito, Wagner Almeida de Andrade, J. M. Medeiros
Abstract Introduction mass contamination by the new coronavirus caused enough damage for the pandemic to extend indefinitely Objective the objective of this study was to analyze the emotional factors acquired by students from a dentistry course during the COVID-19 pandemic period and the influences related to the resumption of face-to-face activities. Material and method it is an observational, cross-sectional and analytical research conducted at a public university in the state of Pará, Brazil. A research questionnaire, prepared by the authors and validated by the ethics committee of the Federal University of Pará, was applied to the academic community for a period of three months (November 2020 to January 2021). The analysis was performed using the Excel program, Kappa statistics and the Chi-squared test, whose results were presented as frequency and percentage. Result a total of 188 dental students participated in the research. The findings proved to be in accordance with the hypothesis generated by the researchers, about 19.2% had emotional crises and 3.7% increase in the lockdown period. As for the expectations for care services, there was an increase in the oppressive state of psychic crises (anxiety, stress, anger, fear), considered influential in the cognition of behavioral traits during post-pandemic care. Conclusion the study identified that the emotional changes acquired in the pandemic outbreak had a negative impact on student performance; however, depressive symptoms were expressed in graduating students.
摘要:新型冠状病毒的大规模污染造成的危害足以使疫情无限期延长。目的本研究的目的是分析2019冠状病毒病大流行期间牙科课程学生获得的情绪因素及其对恢复面对面活动的影响。材料和方法这是在巴西帕尔州的一所公立大学进行的一项观察性、横断面性和分析性研究。由作者准备并经帕尔联邦大学伦理委员会验证的研究问卷在学术界应用,为期三个月(2020年11月至2021年1月)。使用Excel程序、Kappa统计和卡方检验进行分析,其结果以频率和百分比表示。结果共有188名牙科学生参与了本研究。调查结果与研究人员提出的假设一致,约19.2%的人出现过情绪危机,在封锁期间增加了3.7%。至于对护理服务的期望,心理危机(焦虑、压力、愤怒、恐惧)的压抑状态有所增加,这被认为对大流行后护理期间的行为特征的认知有影响。结论:在疫情中获得的情绪变化对学生的表现有负面影响;然而,抑郁症状在毕业生中表现出来。
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引用次数: 0
Effect of toothpaste with high fluoride concentration on remineralization of dental substrate with artificial caries 高氟牙膏对人工龋牙基质再矿化的影响
Pub Date : 2023-05-08 DOI: 10.1590/1807-2577.05422
Diego Felipe Mardegan Gonçalves, Eri Omoto, Yasmine Parischi MUSA ALI, A. Briso, T. Fagundes
Abstract Introduction fluoride toothpaste is widely used by the population. Objective dentifrices with a high concentration of sodium fluoride and the presence of tricalcium phosphate were developed, providing additional protection to patients vulnerable to the development of caries. This study aimed to evaluate the influence of different dentifrices on the surface and internal hardness and enamel wear after artificial caries, pH cycling, and toothbrushing. Material and method enamel blocks (4x4 mm) were obtained from 20 bovine teeth. The specimens were submitted to artificial caries lesion and then to pH cycling and brushing according to the dentifrice: Colgate Total 12 and Clinpro + Tricalcium Phosphate. Result after this period, they were submitted to analysis of superficial and internal hardness and profilometry. Scanning Electron Microscopy (SEM) was performed. The data obtained were evaluated by one-way Analysis of Variance (ANOVA) to evaluate the mineral recovery and profilometry, and two-way repeated measures ANOVA to evaluate the superficial and internal hardness. Conclusion analyzing the surface hardness, after caries induction, there was a significant reduction in hardness that was partially recovered regardless of the dentifrice used. For internal hardness, Clinpro obtained lower values on the control side and up to 90 micrometers on the test side. As for profilometry, Colgate Total 12 showed greater wear when compared to Clinpro. It was concluded that Clinpro promoted lower internal hardness, however, Colgate Total 12 resulted in greater surface wear of tooth enamel.
含氟牙膏是人们广泛使用的牙膏。目的研制出含有高浓度氟化钠和磷酸三钙的牙膏,为易患龋齿的患者提供额外的保护。本研究旨在评估人工龋齿、pH循环和刷牙后不同牙釉质对牙釉质表面和内部硬度及磨损的影响。材料和方法从20颗牛牙中获得4 × 4 mm的牙釉质块。将标本提交人工龋损,然后根据牙膏:高露洁Total 12和克林普+磷酸三钙进行pH循环和刷牙。结果在这段时间后,他们提交了表面和内部硬度和轮廓分析。扫描电镜(SEM)观察。所得数据采用单因素方差分析(ANOVA)评价矿物回收率和轮廓度,双因素重复测量方差分析(ANOVA)评价表面硬度和内部硬度。结论通过对表面硬度的分析,无论使用何种牙釉质,诱发龋病后,牙釉质硬度均有明显下降,且有部分恢复。对于内部硬度,Clinpro在控制侧获得较低的值,在测试侧获得高达90微米的值。在轮廓测量方面,与Clinpro相比,高露洁Total 12显示出更大的磨损。结果表明,Clinpro可降低牙釉质的内部硬度,而高露洁Total 12可导致牙釉质表面磨损。
{"title":"Effect of toothpaste with high fluoride concentration on remineralization of dental substrate with artificial caries","authors":"Diego Felipe Mardegan Gonçalves, Eri Omoto, Yasmine Parischi MUSA ALI, A. Briso, T. Fagundes","doi":"10.1590/1807-2577.05422","DOIUrl":"https://doi.org/10.1590/1807-2577.05422","url":null,"abstract":"Abstract Introduction fluoride toothpaste is widely used by the population. Objective dentifrices with a high concentration of sodium fluoride and the presence of tricalcium phosphate were developed, providing additional protection to patients vulnerable to the development of caries. This study aimed to evaluate the influence of different dentifrices on the surface and internal hardness and enamel wear after artificial caries, pH cycling, and toothbrushing. Material and method enamel blocks (4x4 mm) were obtained from 20 bovine teeth. The specimens were submitted to artificial caries lesion and then to pH cycling and brushing according to the dentifrice: Colgate Total 12 and Clinpro + Tricalcium Phosphate. Result after this period, they were submitted to analysis of superficial and internal hardness and profilometry. Scanning Electron Microscopy (SEM) was performed. The data obtained were evaluated by one-way Analysis of Variance (ANOVA) to evaluate the mineral recovery and profilometry, and two-way repeated measures ANOVA to evaluate the superficial and internal hardness. Conclusion analyzing the surface hardness, after caries induction, there was a significant reduction in hardness that was partially recovered regardless of the dentifrice used. For internal hardness, Clinpro obtained lower values on the control side and up to 90 micrometers on the test side. As for profilometry, Colgate Total 12 showed greater wear when compared to Clinpro. It was concluded that Clinpro promoted lower internal hardness, however, Colgate Total 12 resulted in greater surface wear of tooth enamel.","PeriodicalId":21363,"journal":{"name":"Revista de Odontologia da UNESP","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67176350","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
Angle Class II/2nd Division: is there an alignment? 角II级/乙级:有对齐吗?
Pub Date : 2023-01-01 DOI: 10.1590/1807-2577.00123
Ana Lucia de Oliveira NASCIMENTO, Fabiano REIS, Mirian Hideko NAGAE
Abstract Introduction Interdisciplinary investigative study of the stomatognathic-cervical complex, necessary to understand the structure and biomechanics of this system in Angle Class I and II / 2nd Division participants. Objective To evaluate alignment and position of cranial cervical structures on radiographs and their functional relationship with the stomatognathic system. Material and method Trans Oral and Profile radiographs were submitted to biomechanical analysis, considered the linear and angular measurement of Atlas and Axis through the application included in the radiogram software. Result We observed a significant difference in the angular measurements of vertical alignment between the Skull, Axis, and the Mandible (p = <0.001), and in the left joint between the Atlas and the Axis (AE: p = 0.011; SEA: p = 0.042). Among the linear measures of the distances between the Atlas and the Axis, the AOD distance presented statistics quite close to the level of significance (p = 0.0502), but above. There was no statistically significant difference in the other measures. Conclusion In this study, the alignment between the Atlas and Axis cervical vertebrae and the mandible and angles of the atlanto-occipital joints are altered in Class II / 2nd Division participants. There is no difference in the size and distance of the Atlas and the Axis between the Classes.
摘要介绍对口腔-颌-颈椎复合体进行跨学科的调查研究,对于了解该系统在角I级和II级/ 2级参与者中的结构和生物力学是必要的。目的探讨颅颈结构的x线定位及其与口颌系统的功能关系。材料和方法经口和侧位x线片提交生物力学分析,通过x线片软件中的应用程序考虑Atlas和Axis的线性和角度测量。结果我们观察到颅骨、枢椎和下颌骨之间垂直排列的角度测量值(p = <0.001),以及枢椎和枢椎之间的左关节的角度测量值(AE: p = 0.011;SEA: p = 0.042)。在Atlas与Axis之间距离的线性测量中,AOD距离的统计量非常接近显著性水平(p = 0.0502),但高于显著性水平。在其他测量中没有统计学上的显著差异。结论:在本研究中,II级/ 2级患者寰枢椎和颈椎轴与下颌骨之间的对齐以及寰枢-枕关节的角度发生了改变。类之间的地图集和轴的大小和距离没有区别。
{"title":"Angle Class II/2nd Division: is there an alignment?","authors":"Ana Lucia de Oliveira NASCIMENTO, Fabiano REIS, Mirian Hideko NAGAE","doi":"10.1590/1807-2577.00123","DOIUrl":"https://doi.org/10.1590/1807-2577.00123","url":null,"abstract":"Abstract Introduction Interdisciplinary investigative study of the stomatognathic-cervical complex, necessary to understand the structure and biomechanics of this system in Angle Class I and II / 2nd Division participants. Objective To evaluate alignment and position of cranial cervical structures on radiographs and their functional relationship with the stomatognathic system. Material and method Trans Oral and Profile radiographs were submitted to biomechanical analysis, considered the linear and angular measurement of Atlas and Axis through the application included in the radiogram software. Result We observed a significant difference in the angular measurements of vertical alignment between the Skull, Axis, and the Mandible (p = <0.001), and in the left joint between the Atlas and the Axis (AE: p = 0.011; SEA: p = 0.042). Among the linear measures of the distances between the Atlas and the Axis, the AOD distance presented statistics quite close to the level of significance (p = 0.0502), but above. There was no statistically significant difference in the other measures. Conclusion In this study, the alignment between the Atlas and Axis cervical vertebrae and the mandible and angles of the atlanto-occipital joints are altered in Class II / 2nd Division participants. There is no difference in the size and distance of the Atlas and the Axis between the Classes.","PeriodicalId":21363,"journal":{"name":"Revista de Odontologia da UNESP","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135212889","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
A new approach to endodontic access in anterior teeth - a pilot study 一种前牙根管通路的新方法-一项初步研究
Pub Date : 2023-01-01 DOI: 10.1590/1807-2577.03522
Maria Luisa Gomes FERREIRA, Thamiris MENDONÇA, Maria Luiza Zamparoni VICTORINO, Marcelo Augusto SERON, Fausto Rodrigo VICTORINO
Abstract Introduction The coronal opening is essential, during endodontic treatment, for direct access to the root canals. Usually, in the anterior teeth, endodontic access is achieved on the palatal/lingual surface, more specifically in the cingulum region. However, the lack of observation for dental positioning can lead to some accidents and complications, such as buccal perforations, causing esthetic damage and compromising the treatment. Objective To evaluate the applicability of a new approach for performing coronal opening in anterior teeth, regarding the wear caused on the tooth crown, and to evaluate the ease of performing the new technique to minimize the risk of perforation. Material and method Ten students (n=10) from the Improvement in Endodontics program participated in the present study. Twenty artificial teeth were used, which were upper, central incisors. Each participant performed two coronal openings. First, with no guidance (Group A - Conventional Technique) and afterward, a new opening, but with guidance with the spherical diamond tip placed parallel to the long axis of the tooth (Group B - Modified Technique). Result The results showed that 90% of the participants considered the Modified Technique as having lower risk of accidents, as well as being easier for locating the pulp chamber. There was a statistical difference both in the measurement of the total area of wear and in the width, while there was no statistical difference in the height. Conclusion Preliminary data collected with the survey were satisfactory for the Modified Technique. Statistically, it showed a favorable difference in relation to the area of wear and the width. However, in height there was no statistical difference.
在根管治疗过程中,冠状口是直接进入根管的必要通道。通常,在前牙中,根管通道是在腭/舌表面实现的,更具体地说是在带区。然而,缺乏对牙位的观察会导致一些意外和并发症,如口腔穿孔,造成美观损害和影响治疗。目的探讨一种新入路在前牙冠打开术中对牙冠磨损的适用性,并评价新入路的易操作性,以降低牙穿孔的风险。材料与方法来自牙髓学改善项目的10名学生(n=10)参与了本研究。使用了20颗人工牙,分别是上门牙和中门牙。每位参与者进行两次冠状动脉切开。首先,没有引导(A组-传统技术),然后,一个新的开口,但有引导,将球形钻石尖端平行于牙齿的长轴(B组-改进技术)。结果90%的参加者认为改良技术的意外风险较低,而且更容易定位牙髓室。在磨损总面积和宽度的测量上有统计学差异,而在高度上没有统计学差异。结论本调查所收集的初步资料对改良技术是满意的。从统计上看,它与磨损面积和宽度的关系有良好的差异。然而,在身高上没有统计学差异。
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引用次数: 0
Challenges faced by undergraduate dental students during root canal treatment: a survey study 牙科本科学生在根管治疗中面临的挑战:一项调查研究
Pub Date : 2023-01-01 DOI: 10.1590/1807-2577.02223
Gurdeep SINGH, Abubaker QUTIESHAT, Ahmad AL WAHAIBI
Abstract Introduction root canal treatment is a challenging procedure often first encountered by undergraduate dental students, leading to various difficulties and mistakes. Objective this study aimed to identify the specific difficulties encountered by undergraduate dental students during root canal treatment and the frequency of mistakes they committed in relation to these difficulties. Material and method this study employed a cross-sectional survey design. A cohort of 60 third-year students completed a self-administered questionnaire consisting of 27 questions addressing various aspects of endodontic treatment and 11 key areas of root canal procedures. The response options for each question were based on a 4-point Likert scale. Data analysis was performed using Python programming language and heatmaps were created using the seaborn library to better understand the distribution of the data. Result students encounter challenges in developing tactile sensation, accessory cone placement, and accurately reaching the apex during canal location. Dental schools should focus on improving students' tactile skills and methods to reach the apex to enhance the effectiveness of root canal treatment education. In contrast, students reported fewer mistakes in rubber dam application and safety measures during treatment. Dental educators should emphasize proper instrument use and safety precautions during root canal treatment. Interestingly, students did not perceive these areas as problematic despite committing mistakes. Conclusion this study provides valuable insights into the challenges and mistakes encountered by undergraduate dental students during root canal treatment. Dental educators should address these issues to improve students' skills and techniques and provide optimal patient care.
根管治疗是一项具有挑战性的手术,通常是牙科本科学生第一次遇到的,导致各种困难和错误。目的本研究旨在了解本科牙科学生在根管治疗过程中遇到的具体困难以及与这些困难相关的错误发生频率。材料与方法本研究采用横断面调查设计。60名三年级学生完成了一份由27个问题组成的自我管理问卷,涉及根管治疗的各个方面和根管治疗的11个关键领域。每个问题的回答选项都是基于4分李克特量表。使用Python编程语言进行数据分析,并使用seaborn库创建热图,以更好地了解数据的分布。结果:学生在发展触觉、辅助锥体的位置、准确到达根管顶点等方面遇到了挑战。牙科学校应注重提高学生的触觉技能和方法,以达到顶点,以提高根管治疗教育的有效性。相比之下,学生报告的橡胶坝应用和处理期间的安全措施错误较少。牙科教育者应强调在根管治疗过程中正确使用器械和安全预防措施。有趣的是,尽管学生犯了错误,但他们并不认为这些地方有问题。结论本研究对牙科本科学生在根管治疗过程中遇到的挑战和错误提供了有价值的见解。牙科教育工作者应该解决这些问题,以提高学生的技能和技术,并提供最佳的病人护理。
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引用次数: 0
Effect of time and dental substrate on the bond strength of a universal adhesive system: in vitro study 时间和牙基物对通用粘接系统粘接强度的影响:体外研究
Pub Date : 2023-01-01 DOI: 10.1590/1807-2577.00523
Poliana Maria de Faveri CARDOSO, Rafael da Silva VANOLLI, Fernanda Rafaela RIBEIRO, Marcio José MENDONÇA, Veridiana CAMILOTTI
Abstract Introduction Dentin adhesives provide union between the dental substrate and composite resin, but this union can be influenced by the cleaning agent. Objective Evaluate the use of ozonated water as a cavity cleaning solution. Material and method 40 bovine dental crowns were selected, divided into four groups: AD (dentin cleaning with distilled water) and AO (dentin cleaning with ozonized distilled water). Each group was divided into two storage periods (24h and 30 days) kept at 37 °C. The selected universal system adhesive was employed according to the manufacturer's instructions and light cured for 20 seconds. At that time, three cylinders were made (Tygon matrix with an internal diameter of 2 mm and a height of 2 mm) of composite resin in the crowns in the cervical, médium, and incisal regions and light cured for 30 seconds. After storage, the bonding strength was tested by micro-shear, and fracture type analysis was performed. The data were submitted to statistical analysis using the Shapiro-Wilk test with a significance level of 95%, ANOVA, and Turkey. Result There was a statistically significant difference between the bond strength values, only in the intergroup analysis for the time of 24 hours, between the middle third of the groups (LDAO24 = 2.70 (± 2.39); LDAO30 = 3.82 (± 2.31)). The predominant fracture type for both groups was an adhesive fracture, except in the medium and incisal thirds of the AD, which was a cohesive dentin fracture. Conclusion The utilization of ozone did not change the bond strength adhesive.
牙本质粘接剂提供牙基与复合树脂之间的结合,但这种结合会受到清洗剂的影响。目的评价臭氧水作为口腔清洁液的应用效果。材料与方法选择40个牛牙冠,分为4组:蒸馏水清洁牙本质组(AD)和臭氧蒸馏水清洁牙本质组(AO)。每组分为37℃保存24h和30d两个贮藏期。选用万能系统胶粘剂,按厂家说明使用,光固化20秒。当时将复合树脂制成3个圆柱体(内径2mm,高度2mm的Tygon基体),放置于颈部、颈部和切牙区冠内,光固化30秒。储存后用微剪切法测试粘结强度,并进行断裂类型分析。数据采用夏皮罗-威尔克检验进行统计分析,显著性水平为95%,方差分析和土耳其。结果仅在24小时组间分析中,中间三分之一组间黏结强度值差异有统计学意义(LDAO24 = 2.70(±2.39);Ldao30 = 3.82(±2.31))。两组的主要骨折类型均为粘连性骨折,除了AD的中、切部三分之一为粘连性牙本质骨折。结论臭氧的使用没有改变胶粘剂的粘结强度。
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引用次数: 0
Práticas de higiene bucal em bebês de 6 meses de idade 6个月大婴儿的口腔卫生习惯
Pub Date : 2023-01-01 DOI: 10.1590/1807-2577.00923
Bianca Colombo FERREIRA, Livia Rafaela da SILVA, Karin Luciana Migliato SARRACINI, Lenita MARANGONI-LOPES
Resumo Introdução a recomendação mais atual é de que a higiene bucal deve ser iniciada após a erupção do primeiro dente. Porém, há divergência de opiniões a respeito da necessidade ou não da higiene bucal do bebê desdentado. Objetivo avaliar as práticas maternas de higienização bucal dos bebês menores de 6 meses de idade. Material e método foi aplicado um formulário digital contendo quatro questões sobre informações sociodemográficas e quatro questões específicas. Foi realizada análise estatística descritiva, e os resultados foram comparados estatisticamente entre as crianças que receberam e não receberam higiene bucal antes dos 6 meses de idade. Resultado pode-se observar que a idade, a escolaridade e a renda familiar das mães que realizavam higiene bucal de seus filhos antes da erupção do primeiro dente foram maiores do que das mães que não realizavam esse tipo de higiene. A idade das crianças, a idade de erupção do primeiro dente, o recebimento de orientações profissionais e o tipo de aleitamento não diferiram entre os grupos. Conclusão ainda há uma grande parcela de mães que realiza higiene bucal dos bebês edêntulos.
目前的建议是,口腔卫生应该在第一颗牙齿萌出后开始。然而,对于无牙婴儿是否需要口腔卫生,人们意见不一。摘要目的评价6个月以下婴儿的产妇口腔卫生习惯。材料和方法应用了一个数字表格,包含四个关于社会人口学信息的问题和四个具体问题。进行描述性统计分析,并对6个月前接受和未接受口腔卫生的儿童进行统计比较。结果可以观察到,在孩子出牙前进行口腔卫生的母亲的年龄、教育程度和家庭收入都高于没有进行口腔卫生的母亲。儿童的年龄、第一颗牙萌出的年龄、接受专业指导的情况和母乳喂养的类型在两组之间没有差异。结论仍有很大一部分母亲对无牙婴儿进行口腔卫生。
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Revista de Odontologia da UNESP
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