María Gómez González, Joaquín de Elío Oliveros, Cayetana Barrilero Martín, Miguel Angel Alobera Gracia, Mariano del Canto Pingarrón, Jorge Pesquera Velasco
Primary implant stability (PIS) depends on the surgical technique, implant design, and the characteristics of the recipient bone, among other factors. This paper aims to study different parameters (recipient bone characteristics like bone density (BD) and mean alveolar crest width (MACW)) that may be related to implant primary stability outcomes. With that, it can be determined if they are reliable PIS methods and guide treatment decisions for successful implant outcomes. Thirty-five dental implants (25 BTI Interna® CORE and 10 Bioner Top DM) were placed in 10 patients in 2022 and 2023. All of them underwent Cone Beam Computed Tomography (CBCT) scans to obtain values for MACW and BD. PIS measurements used were implant stability quotient (ISQ) obtained through different resonance frequency analysis (RFA) methods (Osstell® ISQ and Penguin RFA®) and insertion torque (IT). The results for the following variables showed significance at p<0.001 and p<0.05. Highly significant relationships were observed between Osstell and Penguin RFA values (p<0.001). Regarding IT, a direct proportional relationship with ISQ was observed (p<0.05). PIS, as measured by ISQ and IT, did not show a significant correlation with the mean alveolar crest width of the edentulous ridge measured by CBCT, suggesting that wide or narrow alveolar crests did not have an effect on rotational or lateral PIS in both implant groups. The most significant predictor of lateral and rotational PIS in our patients was the Hounsfield Units (HU) value 0.5 mm away from the implant placement area (p<0.001) and (p<0.05), respectively. In conclusion, non-invasive PIS methods could be considered as a guide for clinicians in treatment decision-making and implant success. However, further research is needed to predict PIS.
种植体初次稳定性（PIS）取决于手术技术、种植体设计和受体骨特征等因素。本文旨在研究可能与种植体初次稳定性结果相关的不同参数（受体骨特征，如骨密度（BD）和平均牙槽嵴宽度（MACW））。这样，就可以确定这些参数是否是可靠的 PIS 方法，并指导治疗决策以获得成功的种植结果。2022 年和 2023 年，10 位患者植入了 35 个种植体（25 个 BTI Interna® CORE 和 10 个 Bioner Top DM）。所有患者都接受了锥形束计算机断层扫描（CBCT），以获得 MACW 和 BD 值。使用的 PIS 测量值是通过不同的共振频率分析 (RFA) 方法（Osstell® ISQ 和 Penguin RFA®）获得的种植体稳定商 (ISQ) 和插入扭矩 (IT)。以下变量的结果显示出显著性（P<0.001 和 P<0.05）。Osstell 和 Penguin RFA 值之间的关系非常显著（p<0.001）。在信息技术方面，ISQ 与信息技术呈正比关系（p<0.05）。用 ISQ 和 IT 测量的 PIS 与 CBCT 测量的无牙槽嵴平均牙槽嵴宽度没有明显的相关性，这表明宽或窄的牙槽嵴对两组种植体的旋转或侧向 PIS 没有影响。在我们的患者中，横向和旋转 PIS 的最重要预测因素是距离种植体植入区域 0.5 mm 的 Hounsfield 单位（HU）值（p<0.001）和（p<0.05）。总之，无创 PIS 方法可作为临床医生治疗决策和种植成功的指导。然而，预测 PIS 还需要进一步的研究。
{"title":"A Comparative Study of Two Resonance Frequency Analysis Instruments","authors":"María Gómez González, Joaquín de Elío Oliveros, Cayetana Barrilero Martín, Miguel Angel Alobera Gracia, Mariano del Canto Pingarrón, Jorge Pesquera Velasco","doi":"10.33425/2639-9490.1132","DOIUrl":"https://doi.org/10.33425/2639-9490.1132","url":null,"abstract":"Primary implant stability (PIS) depends on the surgical technique, implant design, and the characteristics of the recipient bone, among other factors. This paper aims to study different parameters (recipient bone characteristics like bone density (BD) and mean alveolar crest width (MACW)) that may be related to implant primary stability outcomes. With that, it can be determined if they are reliable PIS methods and guide treatment decisions for successful implant outcomes. Thirty-five dental implants (25 BTI Interna® CORE and 10 Bioner Top DM) were placed in 10 patients in 2022 and 2023. All of them underwent Cone Beam Computed Tomography (CBCT) scans to obtain values for MACW and BD. PIS measurements used were implant stability quotient (ISQ) obtained through different resonance frequency analysis (RFA) methods (Osstell® ISQ and Penguin RFA®) and insertion torque (IT). The results for the following variables showed significance at p<0.001 and p<0.05. Highly significant relationships were observed between Osstell and Penguin RFA values (p<0.001). Regarding IT, a direct proportional relationship with ISQ was observed (p<0.05). PIS, as measured by ISQ and IT, did not show a significant correlation with the mean alveolar crest width of the edentulous ridge measured by CBCT, suggesting that wide or narrow alveolar crests did not have an effect on rotational or lateral PIS in both implant groups. The most significant predictor of lateral and rotational PIS in our patients was the Hounsfield Units (HU) value 0.5 mm away from the implant placement area (p<0.001) and (p<0.05), respectively. In conclusion, non-invasive PIS methods could be considered as a guide for clinicians in treatment decision-making and implant success. However, further research is needed to predict PIS.","PeriodicalId":263229,"journal":{"name":"Oral Health and Dental science","volume":" 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139141702","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}
Anas Bennani, El Mahdi EL GHALLOUCH, Aymane Boustane, L. Ousehal
The following is a retrospective descriptive cross-sectional stud aimed at determining the vertical cephalometric standards of a Moroccan population. The values found will be used to orient the choice of the VDO during complex prosthetic rehabilitations where all dental references are absent. The study was conducted on 80 teleradiographies of subjects consulting the ODF department of the CCTD Casablanca with a skeletal class 1 dental occlusion in the absence of any previous or current orthodontic treatment. After performing the cephalometric tracings, we correlated the VDO with 7 angular measurements: ENA-Xi-Pm, GoGn/SN, Occ/SN, Occ/Fr, SGn/Fr, FMA, GoGn/GoENA. Our study led us to the following results: • For the ENA-Xi-Pm angle, we found a mean value of 47.9. • The GoGn/SN angle averaged 38.3°, it varied in 37.29.° • For the Occ/SN angle, it was found that the average value was 21.2° for the whole sample. • The Occ/Fr angle was on average 9.9.° • The SGn/Fr angle averaged 60° in the Moroccan population. • The measurement of the FMA angle showed an average of 27. • Finally, for the GoGn/GoENA angle, we found a mean value of 50. The comparison of our results with those of studies conducted on different populations showed significant differences. This can be explained by the tendency to hyperdivergence in the Moroccan population, hence the interest in using the mean values specific to each population. The comparison of the global means with the means of each group showed that the angular values in hyperdivergent cases are significantly higher than the global values and the angular values in hypodivergent cases are significantly lower than the global values, and for the normodivergent cases, we found a significant difference only for the values of the FMA angle which is lower than the global value of the sample. And thus, the determination of the VDO using cephalometric analysis represents one of the best methods to correctly restore the occlusal environment in a complex prosthetic project, given that the restauration is based on cephalometric standards of the corresponding population.
{"title":"Cephalometric Determination of the Vertical Dimension of Occlusion: Clinical Study","authors":"Anas Bennani, El Mahdi EL GHALLOUCH, Aymane Boustane, L. Ousehal","doi":"10.33425/2639-9490.1134","DOIUrl":"https://doi.org/10.33425/2639-9490.1134","url":null,"abstract":"The following is a retrospective descriptive cross-sectional stud aimed at determining the vertical cephalometric standards of a Moroccan population. The values found will be used to orient the choice of the VDO during complex prosthetic rehabilitations where all dental references are absent. The study was conducted on 80 teleradiographies of subjects consulting the ODF department of the CCTD Casablanca with a skeletal class 1 dental occlusion in the absence of any previous or current orthodontic treatment. After performing the cephalometric tracings, we correlated the VDO with 7 angular measurements: ENA-Xi-Pm, GoGn/SN, Occ/SN, Occ/Fr, SGn/Fr, FMA, GoGn/GoENA. Our study led us to the following results: • For the ENA-Xi-Pm angle, we found a mean value of 47.9. • The GoGn/SN angle averaged 38.3°, it varied in 37.29.° • For the Occ/SN angle, it was found that the average value was 21.2° for the whole sample. • The Occ/Fr angle was on average 9.9.° • The SGn/Fr angle averaged 60° in the Moroccan population. • The measurement of the FMA angle showed an average of 27. • Finally, for the GoGn/GoENA angle, we found a mean value of 50. The comparison of our results with those of studies conducted on different populations showed significant differences. This can be explained by the tendency to hyperdivergence in the Moroccan population, hence the interest in using the mean values specific to each population. The comparison of the global means with the means of each group showed that the angular values in hyperdivergent cases are significantly higher than the global values and the angular values in hypodivergent cases are significantly lower than the global values, and for the normodivergent cases, we found a significant difference only for the values of the FMA angle which is lower than the global value of the sample. And thus, the determination of the VDO using cephalometric analysis represents one of the best methods to correctly restore the occlusal environment in a complex prosthetic project, given that the restauration is based on cephalometric standards of the corresponding population.","PeriodicalId":263229,"journal":{"name":"Oral Health and Dental science","volume":" 35","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139141230","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}
H. A. Hashim, N. Al-Sayed, Imen Gsouma, Mohamed Hayder Hashim
Aims: This study aimed to evaluate cranial base measurements in individuals with different skeletal relationships (class I, II, and III) using Bjork-Jarabak analysis and compare them with existing research. Material and Method: Lateral cephalograms of 103 Sudanese participants (aged 18-22) were assessed, grouped by ANB angle. Results: Showed no significant differences between class I and II, or class I and III skeletal relationships. However, class II and III relationships exhibited significant differences in Articulare angle, Gonial angle, ramal height, and mandibular length (P<0.0001). Discrepancies in craniofacial morphology were observed between Sudanese and Bjork-Jarabak norms for Caucasian. Conclusion: Saddle angle, Bjork sum of angles, and cranial case showed no significant differences among skeletal classes, but significant differences in several measurements existed between class II and III relationships.
目的：本研究旨在使用 Bjork-Jarabak 分析法评估不同骨骼关系（I 级、II 级和 III 级）个体的颅底测量值，并与现有研究进行比较。材料和方法：对 103 名苏丹参与者（18-22 岁）的侧头骨照片进行评估，按 ANB 角度分组。结果一级和二级、一级和三级骨骼关系之间无明显差异。然而，II级和III级骨骼关系在关节角、颌角、横梁高度和下颌长度方面存在显著差异（P<0.0001）。苏丹人的颅面形态与白种人的 Bjork-Jarabak 标准之间存在差异。结论鞍角、Bjork 角总和和颅骨情况在不同骨骼等级之间没有显著差异，但在 II 级和 III 级关系中，一些测量值存在显著差异。
{"title":"Bjork-Jarabak Analysis in Different Anteroposterior Skeletal Relationship: A Comparative Study","authors":"H. A. Hashim, N. Al-Sayed, Imen Gsouma, Mohamed Hayder Hashim","doi":"10.33425/2639-9490.1135","DOIUrl":"https://doi.org/10.33425/2639-9490.1135","url":null,"abstract":"Aims: This study aimed to evaluate cranial base measurements in individuals with different skeletal relationships (class I, II, and III) using Bjork-Jarabak analysis and compare them with existing research. Material and Method: Lateral cephalograms of 103 Sudanese participants (aged 18-22) were assessed, grouped by ANB angle. Results: Showed no significant differences between class I and II, or class I and III skeletal relationships. However, class II and III relationships exhibited significant differences in Articulare angle, Gonial angle, ramal height, and mandibular length (P<0.0001). Discrepancies in craniofacial morphology were observed between Sudanese and Bjork-Jarabak norms for Caucasian. Conclusion: Saddle angle, Bjork sum of angles, and cranial case showed no significant differences among skeletal classes, but significant differences in several measurements existed between class II and III relationships.","PeriodicalId":263229,"journal":{"name":"Oral Health and Dental science","volume":" 41","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139138239","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}
Bouanane B, Rimaoui S, Zeroual R, Bellemkhannate S
Depending on the location and extent of the loss of substance following maxillary resection surgery, all functions of the masticatory apparatus may be adversely affected. Eating and communication are impaired, which has a negative impact on the patient's psychological state [1]. When reconstructive maxillofacial surgery is not possible, rehabilitation with a maxillofacial prosthesis is essential. It must restore functions (phonation, eating, breathing, etc.) and reintegrate the patient into his psychosocial environment by masking his disability [2]. To achieve these objectives, this prosthesis, like a conventional removable prosthesis, must meet the Housset triad (support - retention - stabilisation), but also the objective of tightness. We therefore speak of a "prosthetic tetrad in PMF" (Housset's triad completed by the objective of tightness) [3]. In the case of a completely edentulous arch with substance loss, the treatment becomes more complex due to the reduced support surface. The maxillofacial prosthodontist must therefore be extremely vigilant to ensure the success of this appliance. A wise choice of technique and impression material, as well as respect for the occlusal parameters (occlusal plane, vertical dimension, centric relation, etc.) will ensure prosthetic stability and integration [4]. In this article, we will focus on the peculiarities of the management and the different stages in the fabrication of a maxillofacial prosthesis for a patient with total edentulism and loss of maxillary substance.
{"title":"Management of Edentulous Patients with Maxillary Substance Loss: A Case Report","authors":"Bouanane B, Rimaoui S, Zeroual R, Bellemkhannate S","doi":"10.33425/2639-9490.1133","DOIUrl":"https://doi.org/10.33425/2639-9490.1133","url":null,"abstract":"Depending on the location and extent of the loss of substance following maxillary resection surgery, all functions of the masticatory apparatus may be adversely affected. Eating and communication are impaired, which has a negative impact on the patient's psychological state [1]. When reconstructive maxillofacial surgery is not possible, rehabilitation with a maxillofacial prosthesis is essential. It must restore functions (phonation, eating, breathing, etc.) and reintegrate the patient into his psychosocial environment by masking his disability [2]. To achieve these objectives, this prosthesis, like a conventional removable prosthesis, must meet the Housset triad (support - retention - stabilisation), but also the objective of tightness. We therefore speak of a \"prosthetic tetrad in PMF\" (Housset's triad completed by the objective of tightness) [3]. In the case of a completely edentulous arch with substance loss, the treatment becomes more complex due to the reduced support surface. The maxillofacial prosthodontist must therefore be extremely vigilant to ensure the success of this appliance. A wise choice of technique and impression material, as well as respect for the occlusal parameters (occlusal plane, vertical dimension, centric relation, etc.) will ensure prosthetic stability and integration [4]. In this article, we will focus on the peculiarities of the management and the different stages in the fabrication of a maxillofacial prosthesis for a patient with total edentulism and loss of maxillary substance.","PeriodicalId":263229,"journal":{"name":"Oral Health and Dental science","volume":" 34","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139137517","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}
Laura Mendoza Oropeza, Antonio Fernández López, R. O. Sánchez
The anterior crossbite (ACB) is a malocclusion where the upper anterior teeth are occluding lingually with respect to the lower anterior teeth. Moyers describes anterior crossbites as dental malocclusions resulting from abnormal axial inclinations of the anterior teeth. This type of malocclusion can be dental, functional or skeletal and can occur in the primary, mixed and second dentition. Diagnosis is made using diagnostic aids. While the treatment was carried out through interceptive orthodontics, with the use of different removable appliances. The objective of the study is to present the diagnosis and treatment for 5 years with the use of removable appliances. The results were favorable, being able to uncross the bite in 4 months, it was maintained throughout the dental replacement. One of the conclusions reached is that the treatment time is slightly longer since the use of preventive and interceptive orthodontics takes more time because these treatments are performed during the growth of the patients.
{"title":"Correction of Anterior Crossbite, Using Removable Appliances in Mixed Dentition: 5-Year Follow-Up","authors":"Laura Mendoza Oropeza, Antonio Fernández López, R. O. Sánchez","doi":"10.33425/2639-9490.1131","DOIUrl":"https://doi.org/10.33425/2639-9490.1131","url":null,"abstract":"The anterior crossbite (ACB) is a malocclusion where the upper anterior teeth are occluding lingually with respect to the lower anterior teeth. Moyers describes anterior crossbites as dental malocclusions resulting from abnormal axial inclinations of the anterior teeth. This type of malocclusion can be dental, functional or skeletal and can occur in the primary, mixed and second dentition. Diagnosis is made using diagnostic aids. While the treatment was carried out through interceptive orthodontics, with the use of different removable appliances. The objective of the study is to present the diagnosis and treatment for 5 years with the use of removable appliances. The results were favorable, being able to uncross the bite in 4 months, it was maintained throughout the dental replacement. One of the conclusions reached is that the treatment time is slightly longer since the use of preventive and interceptive orthodontics takes more time because these treatments are performed during the growth of the patients.","PeriodicalId":263229,"journal":{"name":"Oral Health and Dental science","volume":" 47","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139138059","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}
The flabby ridge is commonly observed in the anterior region of the maxillary arch in fully edentulous patients. It is characterised by non-adherent hypertrophic mucosal lesions overlying the underlying bone, often with excessive bone resorption. Management of the flabby ridge is essential prior to the placement of a definitive prosthesis, whether by surgical resection or the use of specific prosthetic methods. This management aims to ensure stability and optimal retention of the prosthesis. In order to determine the type of intervention to be chosen, a thorough interview and clinical examination are carried out. Several parameters are considered, such as the volume of the flabby ridge, the degree of underlying bone resorption, the type of prosthetic rehabilitation planned and the presence of any contraindications to surgery. These factors will guide the decision on the most appropriate treatment. In this article, we focus on a non-surgical approach to the management of the flabby ridge, which involves the selection of a specific type of impression. This impression technique aims to record the ridge in its static state, without compression or displacement, while ensuring precise muco-dynamic recording of the adjacent tissues.
{"title":"Management of the Flabby Ridge Using a Special Impression Technique","authors":"El Abdouli R, Rimaoui S, Bellemkhannate S","doi":"10.33425/2639-9490.1129","DOIUrl":"https://doi.org/10.33425/2639-9490.1129","url":null,"abstract":"The flabby ridge is commonly observed in the anterior region of the maxillary arch in fully edentulous patients. It is characterised by non-adherent hypertrophic mucosal lesions overlying the underlying bone, often with excessive bone resorption. Management of the flabby ridge is essential prior to the placement of a definitive prosthesis, whether by surgical resection or the use of specific prosthetic methods. This management aims to ensure stability and optimal retention of the prosthesis. In order to determine the type of intervention to be chosen, a thorough interview and clinical examination are carried out. Several parameters are considered, such as the volume of the flabby ridge, the degree of underlying bone resorption, the type of prosthetic rehabilitation planned and the presence of any contraindications to surgery. These factors will guide the decision on the most appropriate treatment. In this article, we focus on a non-surgical approach to the management of the flabby ridge, which involves the selection of a specific type of impression. This impression technique aims to record the ridge in its static state, without compression or displacement, while ensuring precise muco-dynamic recording of the adjacent tissues.","PeriodicalId":263229,"journal":{"name":"Oral Health and Dental science","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139347865","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}
Makungu Ap, Roukaya M, Lessimambou Johnson Ajc, Mandza L
Introduction: Dilapidated facial wounds are shredded injuries with loss of tissue substance. A surgical emergency characterized by complex anatomical clinic types that may expose vital organs. The objective of this study is to investigate their epidemiological, diagnostic, and therapeutic aspects. Material and method: This epidemiological, retrospective, descriptive, and cross-sectional study was conducted using patient records from individuals who experienced maxillofacial trauma resulting in decaying facial wounds between March 2017 and June 2021 at the Maxillofacial Surgery Department in Libreville, Gabon. All confirmed cases of traumatic dilapidated facial wounds were included, while patients with non-traumatic wounds were excluded. The analyzed parameters encompassed sex, age, etiology, clinical signs, and treatment. The criteria for patient assessment of the plasty outcomes were categorized as very satisfactory, satisfactory, not satisfactory, and disappointed. Results: A total of 33 cases were included in the study. The male-to-female sex ratio was 3.1:1. The average age of the patients was 29.8 ± 14.9 years. The majority of cases (36.4%) were attributed to road traffic accidents (AVP). Among the affected areas of the face, the lips were most frequently involved. Local plasty was performed in 24 patients, while 9 patients underwent regional plasty. The treatment outcomes were deemed satisfactory by 75.8% of the patients. However, 21.2% of the patients experienced functional sequelae as a result of the injuries. Conclusion: Young males are commonly afflicted by severe lesions, often leading to bone fractures. The application of local plasty has proven to yield favorable results in effectively managing these complex injuries.
{"title":"Unveiling Traumatic Facial Wounds: A Comprehensive Study on Epidemiology, Diagnosis, and Therapeutic Approaches","authors":"Makungu Ap, Roukaya M, Lessimambou Johnson Ajc, Mandza L","doi":"10.33425/2639-9490.1130","DOIUrl":"https://doi.org/10.33425/2639-9490.1130","url":null,"abstract":"Introduction: Dilapidated facial wounds are shredded injuries with loss of tissue substance. A surgical emergency characterized by complex anatomical clinic types that may expose vital organs. The objective of this study is to investigate their epidemiological, diagnostic, and therapeutic aspects. Material and method: This epidemiological, retrospective, descriptive, and cross-sectional study was conducted using patient records from individuals who experienced maxillofacial trauma resulting in decaying facial wounds between March 2017 and June 2021 at the Maxillofacial Surgery Department in Libreville, Gabon. All confirmed cases of traumatic dilapidated facial wounds were included, while patients with non-traumatic wounds were excluded. The analyzed parameters encompassed sex, age, etiology, clinical signs, and treatment. The criteria for patient assessment of the plasty outcomes were categorized as very satisfactory, satisfactory, not satisfactory, and disappointed. Results: A total of 33 cases were included in the study. The male-to-female sex ratio was 3.1:1. The average age of the patients was 29.8 ± 14.9 years. The majority of cases (36.4%) were attributed to road traffic accidents (AVP). Among the affected areas of the face, the lips were most frequently involved. Local plasty was performed in 24 patients, while 9 patients underwent regional plasty. The treatment outcomes were deemed satisfactory by 75.8% of the patients. However, 21.2% of the patients experienced functional sequelae as a result of the injuries. Conclusion: Young males are commonly afflicted by severe lesions, often leading to bone fractures. The application of local plasty has proven to yield favorable results in effectively managing these complex injuries.","PeriodicalId":263229,"journal":{"name":"Oral Health and Dental science","volume":"72 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139347647","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}
Dorienne C Taylor-Bishop, Fatima Mncube-Barnes, E. Ameyaw, Paula Nesbitt, Gail Cherry-Peppers, Donna Grant-Mills, Robert F Gamble, Andrea D Jackson
Introduction: Dental care is integral to general health but is often isolated from the healthcare system nor discussed as part of overall health. The barriers to accessing needed dental care vary among socioeconomic and demographic groups. This study examined the disparities in dental care access and identified the socioeconomic and demographic factors associated with dental health needs among United States women. Methods: Using data from the 2017-2020 National Health and Nutrition Examination Surveys (NHANES), we conducted a Chi-square to assess the differences in the proportions of women who reported not getting their needed dental care and computed a weighted multivariate logistic regression to examine the factors associated with access to dental care use, unmet dental-care need, and reported reasons for unmet need. Results: Race, income, and education played a significant role in surveyed participants regarding dental care use and unmet dental care needs. Non-Hispanic Blacks and other minority racial-ethnic groups, including multi-racial groups, were likelier to have never used dental care than non-Hispanic Whites. Furthermore, non-Hispanic Whites with less than a high school education were likelier to have never used dental care than those with a high school education. Groups more likely to report an unmet need were women with PIR < 1.00. Moreover, between 1.00 and 1.99 compared to PIR ≥ 2.00 and women without health insurance compared to those with health insurance. Conclusion: Expanding insurance coverage for dental care and improving access for women with poor health may improve racial-ethnic and education-level disparities, specifically in African American women's unmet dental care needs.
{"title":"Determinants of Dental Care Utilization, Unmet Dental Care Need, and Barriers among Women of Reproductive Age in the United States","authors":"Dorienne C Taylor-Bishop, Fatima Mncube-Barnes, E. Ameyaw, Paula Nesbitt, Gail Cherry-Peppers, Donna Grant-Mills, Robert F Gamble, Andrea D Jackson","doi":"10.33425/2639-9490.1127","DOIUrl":"https://doi.org/10.33425/2639-9490.1127","url":null,"abstract":"Introduction: Dental care is integral to general health but is often isolated from the healthcare system nor discussed as part of overall health. The barriers to accessing needed dental care vary among socioeconomic and demographic groups. This study examined the disparities in dental care access and identified the socioeconomic and demographic factors associated with dental health needs among United States women. Methods: Using data from the 2017-2020 National Health and Nutrition Examination Surveys (NHANES), we conducted a Chi-square to assess the differences in the proportions of women who reported not getting their needed dental care and computed a weighted multivariate logistic regression to examine the factors associated with access to dental care use, unmet dental-care need, and reported reasons for unmet need. Results: Race, income, and education played a significant role in surveyed participants regarding dental care use and unmet dental care needs. Non-Hispanic Blacks and other minority racial-ethnic groups, including multi-racial groups, were likelier to have never used dental care than non-Hispanic Whites. Furthermore, non-Hispanic Whites with less than a high school education were likelier to have never used dental care than those with a high school education. Groups more likely to report an unmet need were women with PIR < 1.00. Moreover, between 1.00 and 1.99 compared to PIR ≥ 2.00 and women without health insurance compared to those with health insurance. Conclusion: Expanding insurance coverage for dental care and improving access for women with poor health may improve racial-ethnic and education-level disparities, specifically in African American women's unmet dental care needs.","PeriodicalId":263229,"journal":{"name":"Oral Health and Dental science","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139347162","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}
Hayder Abdallah Hashim, Mustafa Osman Ismail, Rasheed Khalifa, Samia Darwish AL-Natsha
Obstructive sleep apnea is a prevalent sleep disorder that leads to breathing pauses during sleep, causing symptoms such as tiredness, irritability, and fatigue. Various treatment options are available, including behavioral management, CPAP machines, oral devices, and surgery. The New Modified Mono-Block (MMBA) has demonstrated effectiveness and versatility in treating OSA patients and boasts its advantages over previously used devices. It is essential to seek medical advice if experiencing any symptoms of sleep apnea, and long-term treatment use can significantly improve symptoms and prevent potential complications.
阻塞性睡眠呼吸暂停是一种普遍存在的睡眠障碍，会导致睡眠时呼吸暂停，引起疲倦、易怒和疲劳等症状。目前有多种治疗方法，包括行为管理、CPAP 机器、口腔装置和手术。新型改良单阻断器（MMBA）在治疗 OSA 患者方面表现出了有效性和多功能性，与以前使用的设备相比，它的优势尤为突出。如果出现任何睡眠呼吸暂停的症状，一定要寻求医生的建议，长期治疗可以明显改善症状并预防潜在的并发症。
{"title":"Modified Mono-Block Device for Treatment of Mild to Moderate Obstructive Sleep Apnea: Case Report and Overview","authors":"Hayder Abdallah Hashim, Mustafa Osman Ismail, Rasheed Khalifa, Samia Darwish AL-Natsha","doi":"10.33425/2639-9490.1128","DOIUrl":"https://doi.org/10.33425/2639-9490.1128","url":null,"abstract":"Obstructive sleep apnea is a prevalent sleep disorder that leads to breathing pauses during sleep, causing symptoms such as tiredness, irritability, and fatigue. Various treatment options are available, including behavioral management, CPAP machines, oral devices, and surgery. The New Modified Mono-Block (MMBA) has demonstrated effectiveness and versatility in treating OSA patients and boasts its advantages over previously used devices. It is essential to seek medical advice if experiencing any symptoms of sleep apnea, and long-term treatment use can significantly improve symptoms and prevent potential complications.","PeriodicalId":263229,"journal":{"name":"Oral Health and Dental science","volume":"155 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139347416","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}
{"title":"Management of Anterior Single Tooth Emergence Profile in Implantology: A Case Report","authors":"Mouhibi A, Rhattas S, Chafii A, Maftouh B, A. A","doi":"10.33425/2639-9490.1123","DOIUrl":"https://doi.org/10.33425/2639-9490.1123","url":null,"abstract":"","PeriodicalId":263229,"journal":{"name":"Oral Health and Dental science","volume":"63 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139366611","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}
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