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Prevalence and risk indicators of peri-implantitis after 8 to 10 years of function 8 - 10年后植入物周围炎的患病率和危险指标
Pub Date : 2021-01-01 DOI: 10.1590/1807-2577.01521
C. Marcantonio, L. G. Nícoli, Carolina Mendonça de Almeida Malzoni, C. Susin, E. Marcantonio Júnior, D. Zandim-Barcelos
Abstract Introduction The investigation of peri-implant diseases risk indicators helps to prevent and target treatment techniques. Objective The aim of this cross-sectional study was to determine the occurrence of peri-implantitis and its potential risk indicator factors, besides to assess the long-term success and survival rates of dental implants after 8 to 10 years of function. Material and method For this, fifty individuals who had received their implant-supported rehabilitation between 2003 and 2005 were included. Data regarding demographics, medical and dental history were collected and a complete clinical examination was performed. Multivariate analysis was used to identify potential risk indicator factors related to the occurrence of peri-implantitis. Overall, 211 implants had been placed; 197 were in function, 9 were still submerged, and 5 had been lost. Result Success and survival rates were 81.5% and 97.6%, respectively. Peri-implant mucositis affected 77.1% of subjects and 52.3% of implants. Peri-implantitis was diagnosed in 14 individuals (29.2%) and 25 implants (12.7%). Subjects with osteoporosis (OR = 2.84) and generalized bleeding on probing (OR = 8.03) were significantly associated with higher odds of peri-implantitis. At the implant level, visible plaque (OR = 4.45) and deep probing depths (OR = 4.47) were significantly associated with peri-implantitis. Conclusion Through these results, our study suggests that osteoporosis and generalized periodontal/peri-implant mucosa inflammation increase the likelihood of peri-implantitis.
摘要:研究种植体周围疾病的危险指标有助于预防和有针对性的治疗技术。目的通过横断面研究,了解种植体周围炎的发生情况及其潜在的危险指标因素,评估种植体功能恢复后8 ~ 10年的远期成功率和生存率。材料和方法本研究纳入了2003年至2005年间接受过种植体支持康复治疗的50名患者。收集了有关人口统计、医疗和牙科病史的数据,并进行了全面的临床检查。采用多因素分析确定与种植体周围炎发生相关的潜在危险指标因素。总共植入了211个;197个仍在使用,9个仍在水下,5个已经失踪。结果手术成功率81.5%,生存率97.6%。77.1%的受试者和52.3%的种植体发生种植体周围粘膜炎。种植体周围炎14例(29.2%),种植体25例(12.7%)。骨质疏松(OR = 2.84)和探查时全身性出血(OR = 8.03)的受试者与种植体周围炎的发生率显著相关。在种植体水平,可见菌斑(OR = 4.45)和深探探深度(OR = 4.47)与种植体周围炎显著相关。结论骨质疏松症和牙周/种植周黏膜全身性炎症增加了种植周炎发生的可能性。
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引用次数: 1
Skeletal changes produced by cervical and parietal headgears: a cephalometric evaluation 颈椎和顶骨头套引起的骨骼变化:头颅测量评估
Pub Date : 2021-01-01 DOI: 10.1590/1807-2577.02221
A. Rosa, O. V. Vilella
Abstract Introduction Extraoral strength is the most common strategy to correct Angle Class II malocclusion, restricting and redirecting the maxillary growth. Objective To evaluate the skeletal changes resulting from the use of headgear, with cervical and parietal anchorages, associated with a full fixed orthodontic appliance, in growing patients with Class II malocclusion (Angle) treated in the clinic of an orthodontic training center. Material and method The ages at the beginning and end of the treatment, anchorage type, and the values of some cephalometric variables were obtained from the clinical files. After applying the inclusion and exclusion criteria, 56 patient files were selected. Then, the sample was divided into two groups, according to the anchorage type: cervical (n=30) and parietal (n=26). The differences between the initial (T1) and final (T2) values of cephalometric measurements SNA, SNB, ANB, AO-BO, GoGn.SN and LHF (percentage of lower facial height to total facial height) were evaluated in both groups. Result Significant differences between T1 and T2 were found relative to SNB and ANB variables in both groups. The AO-BO variable presented a statistically significant difference only in the cervical group. The remaining variables did not show significant differences between T1 and T2. Conclusion The skeletal changes resulting from the use of cervical or parietal anchorage were very similar. There was a decrease in the sagittal discrepancy between the maxillary bones due to forward displacement of the mandible, without significant vertical changes.
摘要简介口外力量是矫正角类错颌最常用的策略,限制和重定向上颌生长。目的评价在正畸培训中心临床治疗ⅱ类(角度)错的成长期患者中,使用头套、颈顶支抗结合全固定正畸矫治器对骨骼的影响。材料与方法从临床资料中获取治疗开始和结束时的年龄、支具类型及一些头颅测量变量的值。应用纳入和排除标准后,选择56例患者档案。然后,根据支抗类型将样本分为两组:颈型(n=30)和顶型(n=26)。头颅测量SNA、SNB、ANB、AO-BO、GoGn初始值(T1)与最终值(T2)的差异。评估两组患者的SN和LHF(下面部高度占总面部高度的百分比)。结果两组患者T1、T2期SNB、ANB指标差异均有统计学意义。AO-BO变量仅在宫颈组有统计学差异。其余变量在T1和T2之间无显著差异。结论颈椎和顶骨支抗的骨骼变化非常相似。由于下颌骨的前移,上颌骨之间的矢状差异减小,没有明显的垂直变化。
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引用次数: 0
Associação entre hábitos orais e má oclusão com problemas respiratórios em escolares de 5 anos 5岁学童口腔习惯、错牙合与呼吸问题的关系
Pub Date : 2021-01-01 DOI: 10.1590/1807-2577.05521
C. Marcantonio, Laressa Estrela Ferraz, Stephanie Lucas Kruger, Gabrielle Dovigo, Eloisa Marcantonio
Resumo Introdução Toda má oclusão apresenta origem multifatorial, e dentre os fatores que a desencadeiam estão os hábitos. O surgimento de um hábito pode estar relacionado com o emocional, o fisiológico ou com o aprendizado condicionado do indivíduo. Objetivo Analisar as relações entre hábitos e más oclusões associado a problemas respiratórios em escolares de 5 anos. Material e método Foi realizado um estudo transversal com uma amostra de 753 crianças pertencentes à rede municipal de ensino da cidade de Araraquara, SP. Foram realizados exames clínicos para avaliação da má oclusão (Foster & Hamilton), além de aplicado questionários aos pais para avaliação de condição socioeconômica e demográfica, qualidade de vida relacionada à saúde bucal (ECOHIS) e hábitos. A análise dos dados foi feita pela análise bivariada por teste qui-quadrado seguida de modelo de regressão logística múltipla considerando nível de significância de 5%. Resultado A prevalência de crianças com problemas respiratórios e/ou alergias foi de 46,9%, com má oclusão foi de 58,7% e com algum tipo de hábito oral deletério foi de 12,0%. Apresentaram mais chance de ter problemas respiratórios e/ou alergias crianças do sexo masculino (1,40 vezes mais) e crianças com algum hábito oral deletério (1,95 vezes mais). Conclusão Observou-se que apresentaram maior chance de problemas respiratórios e/ou alergias as crianças do sexo masculino, crianças com algum hábito oral deletério e que apresentavam bruxismo.
所有错牙合都有多因素的起源,而习惯是引发错牙合的因素之一。习惯的出现可能与个人的情感、生理或条件学习有关。摘要目的分析5岁学童呼吸问题习惯与错牙合的关系。材料和方法实现了一个横向研究,753个样本属于市政网络教育城的城市,高层,进行临床检查评估的阻塞(Foster & Hamilton),除了应用问卷调查的父母经济状况的评估、控制,口腔健康相关的生活质量(ECOHIS)和习惯。数据分析采用双变量卡方检验,然后采用多元logistic回归模型,显著性水平为5%。结果呼吸问题和/或过敏儿童患病率为46.9%,错牙合儿童患病率为58.7%,有某种有害口腔习惯儿童患病率为12.0%。男性儿童(1.40倍)和有有害口腔习惯的儿童(1.95倍)患呼吸系统问题和/或过敏的可能性更高。结论观察到男性儿童、有有害口腔习惯和磨牙症的儿童出现呼吸问题和/或过敏的几率较高。
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引用次数: 0
Affective relationships as predictors of TMD symptoms in young adults 情感关系作为年轻人TMD症状的预测因子
Pub Date : 2021-01-01 DOI: 10.1590/1807-2577.01821
S. Cavina, S. Vedovello, Patrícia Rafaela DOS SANTOS, D. P. A. Carneiro, G. C. Venezian, W. Custódio, V. Degan
Abstract Introduction Orofacial pain is a critical TMD symptom that can influence physical and social capacity. Objective To evaluate the association of temporomandibular disorders (TMD) symptoms with affective relationships and demographic variables in young adults. Material and method A cross-sectional study involving 395 young adults was developed. Diagnostic Criteria for TMD, anxiety, and depression were collected from questionnaires. The Dental Health Component of the Index of Orthodontic Treatment Need measures the orthodontic treatment need. Questionnaires also contained questions related to the previous orthodontic treatment. Logistic regression models were adjusted, estimating crude odds ratio with the 95% confidence intervals. The variables with p<0.20 in the analyses were assessed in a multiple logistic regression model, remaining with p≤0.10. Result There was no significant association of TMD symptoms with sex, age, medication use for pain, previous orthodontic treatment, orthodontic treatment need, anxiety, and depression (p>0.05). Individuals without an affective relationship are 1.78 (95%CI: 0.99-3.17) times more likely to report TMD symptoms. Conclusion Affective relationships showed an association with TMD symptoms in young adults.
口腔面部疼痛是一种严重的TMD症状,可影响身体和社交能力。目的探讨青壮年颞下颌紊乱(TMD)症状与情感关系及人口学变量的关系。材料与方法对395名年轻人进行了横断面研究。TMD、焦虑和抑郁的诊断标准从问卷中收集。正畸治疗需求指数的牙齿健康成分衡量正畸治疗需求。问卷中还包含了与以前的正畸治疗有关的问题。对Logistic回归模型进行校正,以95%置信区间估计粗优势比。变量p0.05)。没有情感关系的个体报告TMD症状的可能性高出1.78倍(95%CI: 0.99-3.17)。结论情感关系与青壮年TMD症状相关。
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引用次数: 0
Analysis of the relationship of the vertical extension of mouth opening with muscle rigidity and sociodemographic factors in Parkinson's disease 帕金森病患者张口垂直伸长与肌肉僵硬及社会人口学因素的关系分析
Pub Date : 2021-01-01 DOI: 10.1590/1807-2577.03521
Tales Severiano da Silva, J. Oliveira, Patrícia Fernanda Faccio, M. Coriolano, C. C. S. A. Lins
Abstract Introduction Changes caused by the rigidity of Parkinson’s Disease (PD) can affect the mandibular musculature. However, few studies have been published about its impact on the oral opening. Objective To analyze the relationship of the vertical extension of the oral opening with muscular rigidity and sociodemographic factors of the elderly with PD. Material and method This is a cross-sectional, quantitative study that collected data from a primary study conducted at the Hospital das Clínicas of the Federal University of Pernambuco in 2018. Data were collected from medical records and from the questionnaire, Research Diagnostic Criterion for Temporomandibular Disorders (RDC/TMD). The sample was composed of 81 parkinsonians and characterized using: sociodemographic variables and the presence or absence of muscular rigidity. The measures of vertical extension of the oral opening evaluated were: mouth opening without assistance and without pain (ABASD), and maximum mouth opening without assistance (AMBSA). The Pearson’s linear correlation and Spearman’s correlation tests were applied to investigate the relationship among the continuous variables. Analyses of association were conducted using simple logistic regression. The level of significance was set at p<0.05. Result Limitation of the oral opening was not related to age or sex. The greatest level of significance was between mouth opening without assistance and without pain and muscular rigidity (p=0.012), and years of schooling (p=0.038). Conclusion The limitation of mouth opening in people with PD was shown to be related to muscular rigidity and fewer years of schooling.
帕金森病(PD)僵直引起的变化可影响下颌肌肉组织。然而,关于其对口腔开放的影响的研究很少发表。目的分析老年帕金森病患者口腔开口垂直伸度与肌肉僵硬的关系及社会人口学因素。材料和方法这是一项横断面定量研究,收集了2018年在伯南布哥联邦大学das医院Clínicas进行的一项初步研究的数据。数据收集自医疗记录和调查问卷《颞下颌疾病研究诊断标准(RDC/TMD)》。该样本由81名帕金森病患者组成,并使用社会人口统计学变量和肌肉僵硬的存在或不存在来表征。评估的口腔开口垂直延伸量为:无辅助无疼痛开口(ABASD)和无辅助最大开口(AMBSA)。采用Pearson线性相关检验和Spearman相关检验考察连续变量之间的关系。使用简单逻辑回归进行关联分析。p<0.05为显著性水平。结果口腔开口受限与年龄、性别无关。最大的显著性水平是在无辅助、无疼痛和肌肉僵硬的张嘴(p=0.012)和受教育年限(p=0.038)之间。结论PD患者开口受限与肌肉僵硬和受教育年限较短有关。
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引用次数: 1
Gender influence on antioxidant capacity and oxidative damage in saliva of children with autism spectrum disorder: a preliminary study 性别对自闭症谱系障碍儿童唾液抗氧化能力和氧化损伤影响的初步研究
Pub Date : 2021-01-01 DOI: 10.1590/1807-2577.05721
Matheus Morcela de Souza, J. V. S. Rodrigues, Maria Eduarda Cabrerizo Gonçalves, Ana Carolina Polanowski Rossato, M. Stein, M. Poli, L. Theodoro, A. C. Nakamune
Abstract Introduction Autism is a complex neurological disorder with multifactorial causes, which compromises physical, psychological, emotional and social skills. This disorder also impairs dental care and patient oral health. Saliva can be easily obtained using a non-invasive technique and has been used in the diagnosis and screening of many pathologies. Total antioxidant capacity of saliva is reduced in the presence of caries in children and has been studied as a possible marker for autism. However, data on salivary antioxidants in children with autism spectrum disorder (ASD) is scarce. Objective This preliminary study evaluated the existence of gender influence on non-enzymatic antioxidant capacity and protein oxidative damage in the saliva of children with this disorder. Our hypothesis is that there are gender differences in these biochemical parameters in children with austim. Material and method Whole saliva samples were collected by aspiration between 8:00-11:00 am from 12 girls and 12 boys aged 5 to 15 years, with previous diagnosis for this disorder. Total antioxidant capacity, uric acid, protein concentration and oxidative damage to proteins were analyzed by spectrophotometry. Values were presented as mean ± standard deviation and tested for adherence to normality (Shapiro-Wilk test). The data were then compared using the Mann-Whitney test, considering a 5% significance level. Result There was no significant difference between groups for all analyzed parameters (P>0.05). Conclusion Based on the results obtained, we concluded that gender does not influence the levels of oxidative stress markers in the saliva of children with ASD.
自闭症是一种复杂的神经系统疾病,具有多因素的病因,损害了身体、心理、情感和社交技能。这种疾病还会损害牙齿护理和患者的口腔健康。唾液可以很容易地通过非侵入性技术获得,并已用于许多疾病的诊断和筛查。儿童龋齿时,唾液的总抗氧化能力会降低,这可能是自闭症的标志。然而,关于自闭症谱系障碍(ASD)儿童唾液抗氧化剂的数据很少。目的探讨性别对小儿唾液非酶抗氧化能力和蛋白质氧化损伤的影响。我们的假设是,这些生化参数在自闭症儿童中存在性别差异。材料与方法在上午8:00-11:00抽取12名5 - 15岁的女孩和12名男孩的全唾液样本,既往诊断为该疾病。分光光度法测定总抗氧化能力、尿酸、蛋白质浓度及对蛋白质的氧化损伤。数值以均数±标准差表示,并检验是否符合正态性(Shapiro-Wilk检验)。然后使用Mann-Whitney检验对数据进行比较,考虑5%的显著性水平。结果各组间各项分析参数比较,差异均无统计学意义(P < 0.05)。结论基于所获得的结果,我们得出结论,性别不影响ASD儿童唾液中氧化应激标志物的水平。
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引用次数: 2
Effect of systemic ozone therapy as a biomodulator of tissue regeneration and inflammatory response in rats 系统臭氧治疗对大鼠组织再生和炎症反应的生物调节剂作用
Pub Date : 2021-01-01 DOI: 10.1590/1807-2577.04621
J. R. Pires, A. M. Karam, V. Garcia, F. S. Ribeiro, A. E. Pontes, C. R. Andrade, E. C. Zuza
Abstract Introduction Among the therapeutic effects of ozone therapy, improvement in cell metabolism and peripheral tissue oxygenation have been highlighted. Objective to evaluate the systemic effect of bio-oxidative therapy with ozone gas on wound healing. Material and method Tissue lesions with a circumference of 1.0 cm were induced in the skin on the back of 24 male Wistar rats. The animals were randomly divided into two groups: 1) Group C (control; n=12): with simulation of the application of ozone gas via the rectum and, 2) Group O3 (test; n=12): with application of ozone gas by means of rectal insufflation at a concentration of 50 µg/mL. The animals were euthanized at seven and 15 days, and samples were removed, fixed in formalin, and submitted to macroscopic, histological, and histometric analyses. Result The animals in the O3 group presented mixed inflammation at seven days, which translated into an absence of inflammation at 15 days. The C group exhibited acute inflammation on the 7th day, translating to chronic inflammation, which significantly increased from the 7th to the 15th day. The findings showed that the O3 group presented greater wound contraction (P<0.05) and a greater degree of neovascularization on the 7th day (P<0.05) when compared to group C. On the 15th day, both groups (O3 and C) showed complete re-epithelialization, however, the O3 group demonstrated complete muscle regeneration. Conclusion The systemic ozone therapy had a biomodulatory effect, reducing the characteristics of acute inflammation and increasing tissue repair and regeneration in rat skin.
在臭氧疗法的治疗效果中,细胞代谢和外周组织氧合的改善已被强调。目的探讨臭氧气体生物氧化治疗对创面愈合的全身性影响。材料与方法在24只雄性Wistar大鼠背部皮肤上诱发周长为1.0 cm的组织病变。随机分为两组:1)C组(对照组;n=12):模拟臭氧气体经直肠的应用;2)O3组(试验;n=12):通过直肠注入浓度为50µg/mL的臭氧气体。在第7天和第15天对动物实施安乐死,取出样本,用福尔马林固定,并进行宏观、组织学和组织计量学分析。结果O3组动物在第7天出现混合性炎症,在第15天变为无炎症。C组在第7天出现急性炎症,由急性炎症转变为慢性炎症,从第7天到第15天,慢性炎症明显增加。结果表明,与C组相比,O3组在第7天创面收缩更大(P<0.05),新生血管形成程度更大(P<0.05)。第15天,O3组和C组均表现为完全的再上皮化,而O3组表现为完全的肌肉再生。结论全身臭氧治疗具有生物调节作用,可减轻大鼠皮肤急性炎症特征,促进组织修复和再生。
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引用次数: 0
Endo-perio lesions prevalence in non-molar and molar teeth: a pilot study 非磨牙和磨牙的牙周内病变患病率:一项初步研究
Pub Date : 2021-01-01 DOI: 10.1590/1807-2577.03721
Flávia Cristina Castilho Cucolo, Mariana Costa Bonvalente, E. M. Barroso, B. E. Toledo, G. A. C. G. Camargo, A. A. Souza, E. C. Zuza
Abstract Introduction Pulp and periodontal tissues may communicate and, in pathological situations, combined endodontic-periodontal lesions may be established. Objective The aim of this study was to evaluate the prevalence of endo-perio lesions in non-molar and molar teeth referred for endodontic treatment. Material and method The sample consisted of 104 teeth evaluated in 79 consecutive patients in a cross-sectional design. Visible plaque, probing depth, and bleeding on probing were evaluated. Endodontic evaluation included the presence or absence of caries, fistulas, pain, and pulp sensitivity. The presence/absence of periapical lesion, bone loss in the furcation region, and proximal area were evaluated. Result The results showed that pain was the main reason for seeking dental care in 63.3% of patients. The molar teeth demonstrated higher presence of probing depth (PD) ≥ 7 mm (38.3%) and higher PD mean (6.17 mm) than non-molar teeth (P<0.05). It was verified that 65.4% of the teeth were diagnosed with a primary endodontic lesion and that the periodontal component was present in 34.6% of the teeth, either in a primary (10.6%), secondary (11.5%), or combined form (12.5%). True combined endodontic-periodontal lesion occurred significantly in molar teeth compared to non-molar teeth (p<0.05). Conclusion The primary endodontic lesion was found in a greater proportion in teeth referred for endodontic treatment; however, approximately 1/3 of the sample had periodontal involvement, which demonstrates the importance of the periodontal examination together with the general clinical examination.
牙髓和牙周组织可以相互交流,在病理情况下,牙髓-牙周联合病变可能会建立。目的探讨非磨牙和磨牙行根管治疗后牙周内病变的发生率。材料与方法样本包括79例连续患者的104颗牙齿,采用横截面设计进行评估。观察可见斑块、探诊深度和探诊出血情况。牙髓检查包括是否有龋齿、瘘管、疼痛和牙髓敏感性。评估根尖周围病变的存在/不存在,分叉区和近端区域的骨丢失。结果63.3%的患者就诊以疼痛为主要原因。磨牙的探测深度(PD)≥7 mm(38.3%)高于非磨牙(P<0.05), PD平均值(6.17 mm)高于非磨牙(P<0.05)。经证实65.4%的牙齿被诊断为原发性牙髓损伤,34.6%的牙齿存在牙周成分,包括原发性(10.6%)、继发性(11.5%)或合并型(12.5%)。与非磨牙相比,磨牙发生真正的牙髓-牙周联合病变(p<0.05)。结论在接受牙髓治疗的患者中,原发性牙髓病变所占比例较大;然而,大约三分之一的样本有牙周受累,这表明牙周检查与一般临床检查一起的重要性。
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引用次数: 2
Influence of topical fluoride on shear bond strength of orthodontic brackets and enamel white spot lesions formation 局部氟化物对正畸托槽剪切结合强度及牙釉质白斑形成的影响
Pub Date : 2021-01-01 DOI: 10.1590/1807-2577.03821
Marcelle Dantas Montenaro, H. Valdrighi, Max José Pimenta Lima, E. D. J. Campos, Milton Santamaria-Jr
Abstract Introduction Fluoride is considered a key element in the remineralization process of tooth enamel. Objective To evaluate the influence of a topical solution of sodium fluoride (NaF) on the shear bond strength of orthodontic brackets and white spot lesions formation. Material and method Sixty bovine teeth were divided into three groups (n=20). Group 1 (Control): shear bond strength; Group 2: shear bond strength after pH cycling; Group 3: shear bond strength after pH cycling and treatment with 0.04% NaF solution. Groups 2 and 3 underwent pH cycling with demineralizing (6hs) and remineralizing (17hs) solutions at pH of 4.3 and 7.0 respectively for 15 days. The specimens were submitted to the shear bond strength and the Adhesive Remnant Index was verified (ARI). The specimens of each group (n=3) were qualitatively analyzed by means of Scanning Electron Microscopy (SEM). Kruskal-Wallis test assessed the shear bond strength and Fisher's exact test evaluated ARI, with significance level of 5%. Result There was no significant difference among the three groups in shear bond strength (p=0.2679). Significant difference was found in ARI (p=0.0199). The frequency of ARI 1 was 55% in group 1, 90% in group 2, and 80% in group 3. SEM showed difference between the enamel and bonding. Group 2 showed structural change of the enamel surface, adjacent to the bond area; and group 3 showed enamel with characteristics similar to those of group 1. Conclusion It was concluded that there was no NaF influence on the bracket shear bond strength and even in low concentrations it prevented the development of areas of demineralization of white spot lesions.
氟化物被认为是牙釉质再矿化过程中的关键元素。目的评价局部氟化钠(NaF)溶液对正畸托槽剪切结合强度及白斑形成的影响。材料与方法60颗牛牙分为3组(n=20)。第一组(对照):剪切粘结强度;组2:pH循环后的剪切粘结强度;第3组:pH循环和0.04% NaF溶液处理后的剪切粘结强度。第2组和第3组分别在pH为4.3和7.0的条件下进行脱矿(6hs)和再矿(17hs) pH循环,持续15 d。对试件进行了剪切强度测试,并进行了粘接残余指数(ARI)的验证。每组标本(n=3)采用扫描电镜(SEM)进行定性分析。Kruskal-Wallis检验评估剪切粘结强度,Fisher’s exact检验评估ARI,显著性水平为5%。结果三组间剪切黏结强度差异无统计学意义(p=0.2679)。两组在急性呼吸道感染方面差异有统计学意义(p=0.0199)。第1组ARI发生率为55%,第2组为90%,第3组为80%。扫描电镜显示牙釉质与粘接之间存在差异。第2组牙釉质表面结构改变,靠近结合区;第3组的牙釉质特征与第1组相似。结论NaF对支架剪切结合强度无影响,即使在低浓度下也能阻止白斑病变脱矿区发展。
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引用次数: 0
LL-37 and hBD-2 in the gingival crevicular fluid of smokers and nonsmokers with periodontitis 牙周炎吸烟者和非吸烟者龈沟液中LL-37和hBD-2的含量
Pub Date : 2021-01-01 DOI: 10.1590/1807-2577.05621
Alessandra Barreto Lopes, N. H. Colombo, N. Z. Assem, M. A. A. Nuernberg, V. Garcia, C. Duque, L. Theodoro
Abstract Introduction The association between smoking and periodontal diseases has been described in clinical and epidemiological studies. Objective The aim of this study was to compare the LL-37 and human β-defensin-2 (hBD-2) levels in crevicular fluid of patients with generalized periodontitis in smokers (S) and nonsmokers (NS). Material and method A total of 35 patients with generalized periodontitis stages III and IV, 15 NS (11 female, 4 male) and 20 S (7 female and 13 male), were included in the study. The evaluated clinical parameters were bleeding on probing (BOP), probing depth (PD) and clinical attachment level (CAL). Enzyme-linked immunosorbent assays were performed to quantify the LL-37 and hBD-2 levels in the gingival crevicular fluid of these patients. The results were analyzed statistically with the level of significance set at 5%. Result In relation to periodontal clinical parameters, no statistically significant difference was observed for BOP and PD between groups S and NS. There was a higher CAL in the S group than in the NS group (p = 0.0095). There was no statistically significant difference between the levels of LL-37 and hBD-2 when comparing groups S and NS (p>0.05). Conclusion It was concluded that smokers have a higher clinical attachment loss than nonsmokers, but that smoking did not influence the levels of LL-37 and hBD-2 in the gingival crevicular fluid in periodontitis.
临床和流行病学研究已经描述了吸烟与牙周病之间的关系。目的比较吸烟者(S)和非吸烟者(NS)广泛性牙周炎患者沟液中LL-37和人β-防御素-2 (hBD-2)水平。材料与方法本研究共纳入35例III期和IV期广泛性牙周炎患者,其中NS 15例(女11例,男4例),S 20例(女7例,男13例)。评估的临床参数为探查出血(BOP)、探查深度(PD)和临床附着水平(CAL)。采用酶联免疫吸附法测定这些患者龈沟液中LL-37和hBD-2的水平。结果进行统计学分析,显著性水平设为5%。结果在牙周临床参数方面,S组与NS组BOP、PD差异无统计学意义。S组CAL高于NS组(p = 0.0095)。S组与NS组比较,LL-37、hBD-2水平差异无统计学意义(p < 0.05)。结论吸烟对牙周炎患者牙龈沟液中LL-37和hBD-2的表达无明显影响,但吸烟对牙周炎患者临床附着丧失的影响高于非吸烟者。
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Revista de Odontologia da UNESP
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