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Fabrication of non-replaceable superstructures on conventional and digital impression intraosseous implants 传统和数字印模骨内种植体不可替换上部结构的制造
Pub Date : 2022-11-21 DOI: 10.14748/ssm.v54i0.9005
Gabriela Kirova
Introduction: Implantology is the fastest growing specialty in dentistry. A key point for the accurate fabrication of fixed prosthetic structures is taking an accurate impression of the prosthetic field. The implant-prosthetic restoration of the masticatory apparatus after the composition of the function and aesthetics of the dentition through digital technology is gaining wider popularity. Aim: The purpose of this article is to address impression materials and compare the two methods of impression taking from implants—conventional and digital—and clarify their advantages and disadvantages. Materials and Methods: After reviewing materials, studies, and publications on the subject, we tried to pres-ent and systematize the main methods and techniques for taking an impression of implants in a conventional and digital way, as well as their advantages and disadvantages. The search was conducted using various keywords and combinations: “transfer impression”, “conventional impression”, “intraoral scanner”, “CAD/ CAM”, “scan body”. Results: Forty-one original and review articles were reviewed. Impression materials, impression-taking techniques in permanent implant prosthodontics by conventional and digital methods, and types of intra-oral scanning systems are discussed. Conclusion: Taking an accurate impression is a key point in implantology. There are differences in the impression taking techniques of implants. Two main impression techniques are used, direct with an open tray and indirect with a closed tray. According to many literature sources, the open-tray impression technique is more precise and produces more accurate results, while others believe that the closed-tray technique is more accurate. More and more often, conventional impressions are being replaced by digital ones. Digital impressions entered dentistry and, in particular, implantology as an alternative to conventional ones for the restoration of small defects such as single crowns and short bridges.
简介:种植是牙科中发展最快的专业。精确制作固定假体结构的关键是对假体场进行准确的印象。通过数字技术结合牙列的功能和美观,对咀嚼器进行种植修复的方法越来越普遍。目的:本文的目的是解决印模材料和比较两种方法的印模从种植体-传统和数字-澄清其优点和缺点。材料和方法:在回顾了有关该主题的材料,研究和出版物之后,我们试图提出并系统化以传统和数字方式进行植入物印模的主要方法和技术,以及它们的优缺点。使用各种关键词和组合进行搜索:“转移印模”、“常规印模”、“口内扫描仪”、“CAD/ CAM”、“扫描体”。结果:共回顾了41篇原创和综述文章。讨论了印模材料、印模提取技术在永久种植修复中的应用,包括传统方法和数字方法,以及口腔内扫描系统的类型。结论:准确印模是种植术的关键。种植体的印模技术存在差异。使用两种主要的压印技术,直接用开托盘和间接用封闭托盘。根据许多文献资料,开盘印模技术更精确,结果更准确,而另一些人认为闭盘印模技术更准确。传统印象越来越多地被数字印象所取代。数字印模进入牙科领域,特别是种植领域,作为传统印模的替代品,用于修复单冠和短桥等小缺陷。
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引用次数: 0
Opportunities for environmental sustainability in dentistry 牙科环境可持续发展的机遇
Pub Date : 2022-11-21 DOI: 10.14748/ssm.v54i0.8991
Yoana Zaharieva, G. Georgieva, M. Milkov
Introduction: Life on Earth is at risk due to human activity. It is estimated that daily the world generates 3.5 million tons of plastic and other solid waste. The sea levels are rising, the pH level of the oceans is decreasing, deforestation is the main cause for the release of greenhouse gases into the atmosphere. Acknowledging these facts businesses, including dental practices, can make decisions for reducing the consequences on the climate. Aim: The aim of the present study is to examine the types of materials and methods contributing to the development of sustainable and resource-efficient dental practices. Materials and Methods: For the period September 2021–February 2022, in the available database (PubMed, BioMed Central, ScienceDirect, Scopus, Web of Science, Embase), a systematic analysis of scientific publications investigating the ecologically friendly resources methods used in dentistry was conducted. Results: In recent years, technology has developed rapidly, thus allowing the replacement of obsolete with new environmentally friendly methods. It is now possible to use computer technologies, new materials, and approaches in the treatment. Conclusion: It has been concluded from the conducted research that it is required to use sustainable materials and methods in dentistry. The correct approach and patient instruction aid in reducing the negative impact on the environment.
导读:由于人类活动,地球上的生命正处于危险之中。据估计,全世界每天产生350万吨塑料和其他固体废物。海平面在上升,海洋的pH值在下降,森林砍伐是温室气体释放到大气中的主要原因。认识到这些事实,包括牙科诊所在内的企业可以做出减少对气候影响的决定。目的:本研究的目的是研究有助于可持续发展和资源高效牙科实践的材料和方法的类型。材料和方法:在2021年9月至2022年2月期间,在现有数据库(PubMed, BioMed Central, ScienceDirect, Scopus, Web of Science, Embase)中,对调查牙科生态友好资源方法的科学出版物进行了系统分析。结果:近年来,技术发展迅速,使得新的环保方法取代过时的方法成为可能。现在可以使用计算机技术、新材料和治疗方法。结论:通过研究得出结论,牙科需要使用可持续的材料和方法。正确的方法和耐心的指导有助于减少对环境的负面影响。
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引用次数: 0
Diagnosis and treatment of patients with acute and chronic sinusitis using data from studies of physicochemical parameters of nasal secretions 利用鼻分泌物理化参数研究数据诊断和治疗急慢性鼻窦炎患者
Pub Date : 2022-11-21 DOI: 10.14748/ssm.v54i0.8995
A. Gerasimova, M. Milkov, L. Makedonski
Research and analysis of the physicochemical parameters of nasal secretions obtained in the production of the nasal tract are important in the treatment of various diseases. The influence of these parameters on the effective use of drugs is also essential. The acidity of the medium (pH), the density (ρ), and the viscosity (η) of the medium were determined and the specific electrical conductivity (χ) was changed. The selected physicochemical parameters must provide certain values (varying within narrow limits) for the human body. Significant changes in the nature of these indicators are observed in various misconceptions. Based on the above aspects, it can be concluded that it is of great importance to study these parameters. Samples of nasal secretions were taken from people at different stages of their illness (at diagnosis, in the treatment process and after its completion). Samples from individuals with chronic and acute sinusitis were tested. Based on the obtained data, for the acidity of the medium, density, viscosity, and specific electrical conductivity, it could be concluded that all patients benefitted from nasal saline irrigation. After the therapy, the general parameters under study, reach values close to the physicochemical parameters. The results can be used as proper drug treatment or for improving the current drug studies.
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引用次数: 0
Dynamic analysis of the body's balance with the aid of PODATA platform in patients with vestibular disorders and malocclusions 借助PODATA平台对前庭功能障碍及错颌患者身体平衡的动态分析
Pub Date : 2022-11-21 DOI: 10.14748/ssm.v54i0.8996
M. Stoykov, M. Milkov, H. Arnautska
Introduction: Human posture is linked to a certain stable anatomic position between head, body, and upper and lower limbs. Posturology is the science for the human posture. The connections between the vestibular, ocular, stomatognathic, postural, and proprioceptive systems are studied due to their muscular chains interconnections. Aim: The present research aims to study the characteristics of the body’s balance in patients with vestibular disorders and orthodontic malocclusions, utilizing the PODATA platform. Materials and Methods: A total of 83 patients in the time period November–July 2022 were included. All patients filled out written informed consent forms in order to participate. The study received approval by the Medical University of Varna’s Ethics Committee. Patients were also provided with questionnaires in order to assess their symptoms. An ENT specialist and a dentist examined all patients. Patients were divided into several diagnostic groups. Results: When examined on the platform, patients shifted the center of gravity (CoG) of the body more often backwards and to the right side. Most patients with a shift of CoG backwards and to the right had a temporo-mandibular disorder (TMD) on the left side. Female patients were more affected than male ones. In patients who also had a vestibular disorder, CoG of the body was more often shifted backwards and to the right. Thirty-one had a malocclusion. Patients with a change of the middle line and deep bite were the most prevalent and they shifted CoG backward and to the right or only backwards. Conclusion: The presented study confirmed that there is a connection between the postural, stomatognathic and vestibular systems. Disorders in either of the systems results in consecutive changes in the others.
人体姿势与头部、身体、上下肢之间一定稳定的解剖位置有关。姿势学是研究人体姿势的科学。由于前庭系统、眼系统、口颌系统、体位系统和本体感觉系统之间的肌肉链相互连接,我们研究了它们之间的联系。目的:本研究旨在利用PODATA平台,研究前庭功能障碍和正畸畸患者的身体平衡特征。材料与方法:共纳入83例患者,时间为2022年11月- 7月。所有患者都填写了书面知情同意书。这项研究得到了瓦尔纳医科大学伦理委员会的批准。还向患者提供问卷,以评估其症状。一位耳鼻喉科专家和一位牙医检查了所有的病人。患者被分为几个诊断组。结果:在平台上检查时,患者身体重心(CoG)更多地向后和向右移动。大多数CoG向后和向右移位的患者在左侧有颞下颌疾病(TMD)。女性患者比男性患者受影响更大。在患有前庭功能障碍的患者中,身体的CoG更常向后和向右移动。31人有错牙合。中线和深咬合改变的患者最为常见,他们将CoG向后、向右或仅向后移动。结论:本研究证实了体位系统、口颌系统和前庭系统之间存在联系。任何一个系统的紊乱都会导致其他系统的连续变化。
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引用次数: 0
Dental prosthetics and temporomandibular disorders 牙科修复和颞下颌疾病
Pub Date : 2022-11-21 DOI: 10.14748/ssm.v54i0.9008
B. Borisov, E. Dimova
Introduction: Edentulism, especially in the support areas, as well as pathological tooth wear (abrasion and attrition) of the hard dental tissues leads to a decrease in occlusal height and posterior translocation of the articular heads in central occlusion. Partial and complete edentulousness of patients disturbs their occlusal, phonetic function, as well as aesthetics. Aim: The aim of the present study is to investigate the relationship between the type of prosthetic treatment and temporomandibular joint (TMJ) complaints. Materials and Methods: A total of 152 patients who visited the Faculty of Dental Medicine at the Medical University of Varna and underwent prosthetic treatment were examined. The patients were evenly distributed by sex and age. They have been clinically examined and interviewed. Results: Slightly more than half of the patients underwent prosthetic treatment with partial dentures (53.9%), the rest—with complete dentures. Sex dependence was not established while, in terms of age, it was determined that the mean age was 64.5 years for patients treated with complete dentures and 57.2 years for partial dentures (p < 0.001). There was a significant difference in the type of dentures and complaints relat-ed to TMJ dysfunction (p = 0.030), finding that the likelihood of TMJ dysfunction in patients with complete dentures increased more than twice (OR = 2.124 (1.030–4.381); p < 0.05). Conclusion: The probability of TMJ dysfunction in patients with complete dentures is much higher than in those treated with partial dentures. Regardless of the type of the dentures, females are more prone to TMJ complaints.
简介:Edentulism,尤其是在支持地区,以及病理牙齿磨损(磨损和摩擦)艰难的牙科组织会导致降低咬合的高度和后移位的关节头中部的阻塞。患者的部分全牙缺牙会影响患者的咬合、语音功能和美观。目的:本研究的目的是探讨假体治疗类型与颞下颌关节(TMJ)疾病的关系。材料与方法:对瓦尔纳医科大学口腔医学院接受假体治疗的152例患者进行检查。病人按性别和年龄均匀分布。他们接受了临床检查和面谈。结果:半数以上患者采用局部义齿(53.9%),其余患者采用全口义齿。性别依赖未建立,而年龄方面,确定全口义齿患者平均年龄为64.5岁,局部义齿患者平均年龄为57.2岁(p < 0.001)。假牙类型及与颞下颌关节功能障碍相关的主诉差异有统计学意义(p = 0.030),发现全口义齿患者发生颞下颌关节功能障碍的可能性增加了2倍以上(OR = 2.124 (1.030-4.381);P < 0.05)。结论:全口义齿患者颞下颌关节功能障碍发生率明显高于部分义齿患者。无论假牙的类型如何,女性更容易出现颞下颌关节不适。
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引用次数: 0
A case report of an early onset of anorexia nervosa 早发性神经性厌食症1例
Pub Date : 2022-11-21 DOI: 10.14748/ssm.v54i0.9014
D. Naydenova, S. Eyubova
The early onset cases of anorexia nervosa, which occur in children between the ages of 8 and 14, pose a serious challenge to eating disorders professionals. The interdisciplinary approach to this eating disorder is a prerequisite for timely development of therapeutic strategy and individual approach to the complex needs of the child and family. This case report presents an early onset of anorexia nervosa in a 12-year-old outpatient girl. The history of the case is described, with the stages of awareness of the problem; seeking professional help; nutritional rehabilitation; psychiatric and psychological help that the child and the family receive. A plan for managing the clinical consequences of weight loss, risk assessment tools, as well as the possibilities of a family-oriented approach in providing psychological support are presented. The roles of the various specialists involved in the case and their collaborative work in progress are discussed.
早发性神经性厌食症发生在8至14岁的儿童中,这对饮食失调专业人士构成了严峻的挑战。跨学科的方法来治疗这种饮食失调是及时发展治疗策略和针对儿童和家庭复杂需求的个体方法的先决条件。本病例报告提出早发神经性厌食症在一个12岁的门诊女孩。对病例的历史进行了描述,并对问题的认识阶段进行了说明;寻求专业帮助;营养康复;儿童及其家庭获得的精神病学和心理帮助。提出了一项管理减肥临床后果的计划,风险评估工具,以及在提供心理支持方面以家庭为导向的方法的可能性。讨论了参与案例的各种专家的角色以及他们正在进行的协作工作。
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引用次数: 0
Laryngostroboscopic examination of voice characteristics in patients before and after dental treatment 口腔治疗前后患者声音特征的喉频闪检查
Pub Date : 2022-11-21 DOI: 10.14748/ssm.v54i0.9016
M. Stoykov, G. Georgieva, M. Milkov
The progress of modern medicine and the widespread introduction of new technologies in the treatment process requires health professionals to be informed about the opportunities offered by science to improve the results of procedures. For the first time Topler and Ortel, in the period 1866–1878, applied the strobo-scopic effect to decompose the motion of fast-moving objects. It is known that the image we get in phonation is collective due to the peculiarities of the retina and vocal apparatus. The stroboscopic effect is based on the use of a high-frequency pulse lamp, which allows the illumination of the rapid movements of the vocal cords up to 5 times per second, by interrupting the light source. Thus, the actual phonatory oscillations of the vocal folds are replaced by delayed, observable visual perceptions, possessing properties of the real movements. When the patient is asked to sing a vocal, the energy of the sound is converted into light. The pulse lamp starts to light up and goes out with the frequency of oscillation of the vocal cords. The strobo-scopic indicators that can be evaluated are: frequency of movement of the vocal cords, amplitude of oscillations, course of movement, etc. Laryngostroboscopy is used to assess vocal abilities for the diagnosis and differential diagnosis of functional dysphonia, and the diagnosis of processes associated with infiltration of a pathological process in the vocal muscle. In recent years, high-magnification laryngostroboscopes have been used. They allow better magnification and visibility, as well as video recording of the image. The prosthetic base is an important element in the construction of prosthetic structures. It not only provides stability to the prosthesis, but also affects the speech function. The relevance and importance of scientific issues for the study of voice capabilities in dental prosthetics are due to the fact that, in recent years, dental medicine has undergone a number of changes related to the evolution of technologies and methods for manufacturing dentures and materials that are used in the process. The aim is to synthesize a structure that, on the one hand, is strong enough not to fracture during mastication and thin enough not to affect the patient’s speech function. This means that dental professionals need to develop their skills to work with new and innovative technologies.
现代医学的进步和在治疗过程中广泛采用新技术,要求保健专业人员了解科学为改善手术结果所提供的机会。在1866-1878年间,托普勒和奥特尔首次应用频闪效应来分解快速运动物体的运动。众所周知,由于视网膜和发声器官的特殊性,我们在发声时得到的图像是集体的。频闪效应是基于高频脉冲灯的使用,通过打断光源,每秒可以照亮声带的快速运动多达5次。因此,声带的实际发声振荡被延迟的,可观察的视觉感知所取代,具有真实运动的特性。当病人被要求唱歌时,声音的能量被转换成光。脉冲灯开始亮起,随着声带振荡的频率熄灭。频闪可评价的指标有:声带的运动频率、振荡幅度、运动过程等。喉频响镜用于评估发声能力,用于功能性发声障碍的诊断和鉴别诊断,以及与声带肌肉病理过程浸润相关的过程的诊断。近年来,高倍率喉频闪镜已被应用。它们允许更好的放大倍率和可见度,以及图像的视频记录。义肢底座是构建义肢结构的重要组成部分。它不仅为义肢提供了稳定性,而且还影响了言语功能。研究口腔修复中语音能力的科学问题的相关性和重要性是由于这样一个事实,近年来,牙科医学经历了许多变化,这些变化与制造假牙的技术和方法以及在此过程中使用的材料的发展有关。其目的是合成一种结构,一方面,它足够坚固,不会在咀嚼过程中断裂,另一方面,它足够薄,不会影响患者的语言功能。这意味着牙科专业人员需要发展他们的技能来使用新的和创新的技术。
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引用次数: 0
Giacomo Puccini—a great composer and a genius 贾科莫·普契尼——伟大的作曲家和天才
Pub Date : 2022-11-21 DOI: 10.14748/ssm.v54i0.9001
G. Georgieva, M. Enchev, M. Stoykov, M. Milkov, S. Baycheva
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引用次数: 0
Artificial intelligence in the diagnosis and treatment of sleep apnea. First applications 人工智能在睡眠呼吸暂停诊断和治疗中的应用。第一个应用程序
Pub Date : 2022-11-21 DOI: 10.14748/ssm.v54i0.9010
M. Enchev, G. Georgieva, M. Milkov, S. Baycheva
During the past several years the application of digital health and artificial intelligence in sleep medicine has been developing at an extremely rapid pace. The diagnosis and treatment of patients with obstructive sleep apnea can be improved by artificial intelligence, facilitating the clinical work of sleep medicine specialists. Technologies based on artificial intelligence are becoming an integral part of the clinical practice of specialists in sleep medicine and ENT specialists. Artificial intelligence in medicine serves to make the right diagnosis, which is the key to proper treatment. From the literature review of scientific articles on artificial intelligence, the authors conclude that its application in sleep medicine can bring many benefits for rapid diagnosis and treatment. Artificial intelligence supports the treatment of obstructive sleep apnea and, even though it demands the right amount of data, which is a hurdle, it will prevent the development of a variety of problems, including severe morning headaches, daytime drowsiness
在过去的几年里,数字健康和人工智能在睡眠医学中的应用发展得非常快。人工智能可以提高阻塞性睡眠呼吸暂停患者的诊断和治疗,方便睡眠医学专家的临床工作。基于人工智能的技术正在成为睡眠医学和耳鼻喉科专家临床实践中不可或缺的一部分。医学上的人工智能是为了做出正确的诊断,这是正确治疗的关键。通过对人工智能相关科学文章的文献综述,作者认为人工智能在睡眠医学中的应用可以为快速诊断和治疗带来许多好处。人工智能支持阻塞性睡眠呼吸暂停的治疗,尽管它需要适当数量的数据,这是一个障碍,但它将防止各种问题的发展,包括严重的早晨头痛,白天嗜睡
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引用次数: 0
Profile of organic food consumers in Bulgaria 保加利亚有机食品消费者概况
Pub Date : 2022-11-21 DOI: 10.14748/ssm.v54i0.8994
Rozalina Braykova, D. Naydenova, Albena Toneva, I. Nikolova
Introduction: The growing interest in organic products raises the question of who buys organic foods. The existing literature reveals the role of some sociodemographic factors (age, income). Aim: The aim of this article is to study the demographic and socioeconomic characteristics of organic food consumers. Materials and Methods: From November 2020–April 2021, 150 consumers from Dobrich district were inter-viewed about their awareness and attitude to buy organic foods. The results of the study were statistically processed using Jamovi, version 2.2.5. The criterion χ 2 (Pearson’s Chi-square) was used, with significance levels α = 0.05 and α = 0.1. Results: The largest relative share of regular consumers is that of individuals buying organic foods once a week. The analysis of the data shows that the relative share of women in the sample predominates. A statistically significant difference was found in nine of the tested hypotheses about the differences be-tween men and women. The data show that more often women are the ones who buy food products, incl. organic foods. Conclusion: The profile of the consumers of organic foods is related to gender. The growing trend towards the consumption of organic food in the world, including in Bulgaria, is due to the potential health benefits, to which mostly women have an attitude.
导言:人们对有机食品的兴趣日益浓厚,这就提出了谁购买有机食品的问题。现有文献揭示了一些社会人口因素(年龄、收入)的作用。目的:本文的目的是研究有机食品消费者的人口和社会经济特征。材料与方法:从2020年11月至2021年4月,对来自Dobrich地区的150名消费者进行了关于购买有机食品的意识和态度的访谈。使用Jamovi 2.2.5版本对研究结果进行统计处理。标准采用χ 2 (Pearson’s Chi-square),显著性水平分别为α = 0.05和α = 0.1。结果:每周购买一次有机食品的个人在普通消费者中所占比例最大。对数据的分析表明,妇女在样本中所占的相对比例占主导地位。在被测试的关于男女差异的九个假设中,发现了统计学上显著的差异。数据显示,购买食品(包括有机食品)的往往是女性。结论:有机食品消费者的消费特征与性别有关。包括保加利亚在内的世界各国越来越倾向于消费有机食品,这是由于有机食品对健康的潜在益处,大多数妇女对此持态度。
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引用次数: 0
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Scripta Scientifica Medica
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