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Assessment of Dental Residents' Attitudes toward Learning Communication Skills 评估牙科住院医师学习沟通技巧的态度
Pub Date : 2023-06-30 DOI: 10.33425/2639-9490.1124
Rhattas S, Maftouh B, Boujoual I, Ahid S, A. A
Introduction: Communication is a central part of our daily clinical lives and forms the foundation of a good professional relationship. This study aims to evaluate the attitudes of residents at the Faculty of dental medicine (FDM) UNIVERSITY HASSAN II CASABLANCA regarding the learning of communication skills. Methods: This is a cross-sectional study to assess the attitudes of FDM residents about learning communication skills, we distributed the questionnaire to all residents. We used as an instrument an anonymous questionnaire in English, this questionnaire is divided into two parts: part A devoted to socio-demographic data such as age, gender, and year of study, and part B used a validated scale developed by Rees to measure residents' attitude towards social sciences. Results: all residents agreed to complete the questionnaire, responses, i.e. a response rate of 100%, the mean age of the residents was 26,9 ± 2,96, with extremes ranging from 23 to 40 years. The score of positive attitude score over the entire study population was 53.13 ± 5.2 (43-63) and the mean score of negative attitude score was 36.77 ± 7.01 (24-52). The residents have manifested an interest to participate in CS courses. Discussion: The success of the therapeutic relationship cannot be achieved without a certain congruence between the patient and the practitioner. In addition, it appears that the only way to achieve this goal is through communication. Communication is very important for a successful therapeutic relationship in dentistry, several studies have focused on the communication training of dental students, and these studies have recommended from their findings that it is necessary to include communication skills courses and examinations in the dental curriculum. Conclusion: It is concluded from our study that dental residents are interested in learning communication skills. It is therefore proposed to continuously train residents in communication skills as part of their training curriculum and to evaluate the learned communication skills continuously by professors.
简介沟通是我们临床日常生活的核心部分,也是良好专业关系的基础。本研究旨在评估哈桑二世卡萨布兰卡大学牙科学院(FDM)住院医师对学习沟通技巧的态度。研究方法这是一项横断面研究,旨在评估 FDM 住院医师对学习沟通技巧的态度,我们向所有住院医师发放了调查问卷。我们使用了一份匿名的英文问卷作为工具,该问卷分为两部分:A 部分是社会人口学数据,如年龄、性别和学习年份;B 部分使用了里斯开发的有效量表,用于测量居民对社会科学的态度。结果:所有居民都同意填写调查问卷并作出了答复,即答复率为 100%,居民的平均年龄为 26.9±2.96 岁,极端年龄为 23-40 岁。整个研究人群的积极态度平均得分为 53.13 ± 5.2(43-63)分,消极态度平均得分为 36.77 ± 7.01(24-52)分。居民对参加 CS 课程表现出浓厚的兴趣。讨论治疗关系的成功离不开患者与医生之间的某种一致性。此外,实现这一目标的唯一途径似乎就是沟通。沟通对于牙科治疗关系的成功非常重要,有几项研究重点关注了牙科学生的沟通培训,这些研究的结果表明,有必要在牙科课程中加入沟通技巧课程和考试。结论我们的研究得出结论,牙科住院医师对学习沟通技巧很感兴趣。因此,我们建议继续对住院医师进行沟通技巧培训,将其作为住院医师培训课程的一部分,并由教授对所学的沟通技巧进行持续评估。
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引用次数: 0
Bjork Jarabak Analysis between Two Different Ethnic Groups: A Comparative Study 两个不同民族的 Bjork Jarabak 分析:比较研究
Pub Date : 2023-06-30 DOI: 10.33425/2639-9490.1126
Hayder Abdallah Hashim, Imen Gsouma, Mohamed Hayder Hashim, Emad F Al Ma’aitah
Aims: The aim of this study was to use Bjork-Jarabak analysis to evaluate and compare cranial base linear and angular measurements in Sudanese patients with skeletal Class I, II, and III relationships, and compare the results with previous reports from Jordan and other regions. Material and Method: A total of 103 pretreatment lateral cephalograms of Sudanese patients aged 18-22 years were analyzed. Results: showed that Sudanese males had significantly higher mean values for the Gonial angle and mandibular body length, while Sudanese females had significantly higher mean values for the Articulare angle. In Class I, Jordanians had significantly higher mean values for the Gonial angle and Bjork sum of angles compared to Sudanese. In Class II, only the saddle and articular angles showed significant differences. In Class III, Jordanians had significantly higher mean values for the Articulare angle, Gonial angle, Bjork sum of angles, and body of mandibular length compared to Sudanese. Additionally, Jordanian males exhibited significantly higher mean values for the Saddle angle, Bjork sum, and posterior cranial base compared to Sudanese males. However, Sudanese females exhibited an extremely statistically significant difference in ramal height, while Jordanian females showed significantly higher mean values for the Gonial angle and Bjork sum of angles compared to Sudanese females. Conclusion: These findings are important for orthodontists to make accurate diagnosis and treatment decisions for patients, considering both appearance and function.
目的:本研究的目的是使用 Bjork-Jarabak 分析法评估和比较苏丹颅底线性和角度测量结果,并与约旦和其他地区以前的报告进行比较。材料和方法:分析了苏丹 18-22 岁患者的 103 张治疗前侧头颅照片。结果:结果显示,苏丹男性的盂角和下颌骨体长的平均值明显较高,而苏丹女性的关节角的平均值明显较高。在 I 级中,约旦人的盂角和比约克角总和的平均值明显高于苏丹人。在 II 级中,只有鞍角和关节角有明显差异。在三级中,与苏丹人相比,约旦人的关节角、盂角、Bjork 角和下颌体长度的平均值明显更高。此外,与苏丹男性相比,约旦男性的鞍角、Bjork 角总和和后颅底的平均值明显更高。然而,苏丹雌性在横梁高度上表现出极显著的统计学差异,而约旦雌性与苏丹雌性相比,在盂角和比约克角总和上表现出明显更高的平均值。结论这些研究结果对于正畸医生在考虑患者的外观和功能的情况下做出准确的诊断和治疗决定非常重要。
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引用次数: 0
Comparative Study of Soft Tissue and Hard Tissue Variables Correlation between Two Different Racial groups: A Canonical study 两个不同种族群体软组织和硬组织变量相关性的比较研究:典型研究
Pub Date : 2023-06-30 DOI: 10.33425/2639-9490.1125
H. Hashim, Mohamed Hayder Hashim, Iman Gsouma, SalY Sidda Ahmed, Srinivasan Narasirmhan
Aims: The purpose of this study was to investigate the correlation between dental, skeletal, and soft tissue variables and compare the results with Saudi study and other previous studies. Material and Method: The sample size consisted of 29 adult Sudanese patients (ages 18 to 25) seeking orthodontic treatment, and 19 variables were examined. The error of the method was assessed using Student's t-test, and canonical correlation analysis was used to analyze the correlation between soft and hard tissues. Results: The study found that the Sudanese population had higher mean values in dental and soft tissue variables compared to the Saudi population, while similar mean values were found in the skeletal sagittal relationship, except for the vertical relationship, where the Saudi population had a higher tendency for an open basal configuration. The canonical analysis revealed that the upper and lower incisors' inclinations had a strong negative loading, while the nasolabial angle and lower lip thickness and position had moderate loading. Conclusion: These findings show the impact of these variables which can help the clinician in diagnosis, prediction and assessment of post treatment changes. Additionally, the multivariate statistical analysis extracted a clinically significant association between soft tissue and hard tissue.
目的:本研究的目的是调查牙齿、骨骼和软组织变量之间的相关性,并将结果与沙特研究和之前的其他研究进行比较。材料和方法:样本量由 29 名寻求正畸治疗的苏丹成年患者(18 至 25 岁)组成,研究了 19 个变量。使用学生 t 检验法评估方法的误差,并使用卡农相关分析法分析软组织和硬组织之间的相关性。结果:研究发现,与沙特人相比,苏丹人的牙齿和软组织变量的平均值更高,而骨骼矢状关系的平均值相似,但垂直关系除外,沙特人更倾向于开放式基底构造。典型分析显示,上下门牙的倾斜度具有较强的负负荷,而鼻唇角、下唇厚度和位置则具有中等负荷。结论这些研究结果表明了这些变量的影响,有助于临床医生诊断、预测和评估治疗后的变化。此外,多变量统计分析提取了软组织和硬组织之间具有临床意义的关联。
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引用次数: 0
Dentists Comprehension to Personal Protection Equipment Use Post COVID-19 Pandemic 牙医对COVID-19大流行后个人防护装备使用的理解
Pub Date : 2022-12-31 DOI: 10.33425/2639-9490.1113
R. Al-Rawee, Karam Ibrahim Al-Saidi, Fatima Ahmad Mohammad, B. Tawfeeq
Background: It has been shown that health care professionals, including dentists, who wear personal protective equipment, reduce the spread of COVID-19, which lowers patient morbidity and mortality as well as illness and absenteeism. Aim: The purpose of the study was to evaluate the impact of dentists' Comprehension of personal infection control and their level of trust in PPE as part of the dental profession's response post COVID-19 pandemic. Material and Method: The sample size was (388) participants distributed as (Specialist, General Dental Practitioners, Dental Branch Practitioners, and Rotators). Google form prepared with specific questions (Demographical, Practice and drawback questions) translated to the mother language (Arabic Language). Structured and distributed online by sharing the link through electronic platforms. Two responses were used in a statistical analysis using the SPSS Package version. Significant p value of 0.05 or less is used. Descriptive statistics were used in the data analysis to analyze the percentage, mean and standard deviation values. All questions employ the spearman test to determine correlations. Kruskal-Wallis H for comparing differences between groups including qualification and experience period between participants. Result: Significant results are shown in both rotators and general practitioners for comparison of different qualification levels between dentists. All dentists are use and practicing well the personal protection equipment. Conclusions: Overall, dentists in the current study are well practice the PPE post COVID-19.
背景:研究表明,佩戴个人防护装备的卫生保健专业人员,包括牙医,可以减少COVID-19的传播,从而降低患者的发病率和死亡率,以及疾病和缺勤率。目的:本研究的目的是评估牙医对个人感染控制的理解以及他们对个人防护用品的信任水平的影响,这是牙科行业在COVID-19大流行后应对措施的一部分。材料和方法:样本量为(388)名参与者,分布为(专科牙医、普通牙科医生、牙科分支医生和旋转医生)。谷歌表格准备具体问题(人口,实践和退税问题)翻译成母语(阿拉伯语)。通过电子平台分享链接,在网上结构化和分发。使用SPSS软件包版本对两个回答进行统计分析。p值小于等于0.05。在数据分析中采用描述性统计分析百分比、平均值和标准差值。所有问题都采用spearman检验来确定相关性。Kruskal-Wallis H用于比较各组之间的差异,包括参与者之间的资格和经验期。结果:旋转医生和全科医生对不同牙医资格水平的比较结果显著。所有的牙医都在使用和练习个人防护装备。结论:总体而言,本研究的牙医在COVID-19后的PPE实践情况良好。
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引用次数: 0
Evaluation of Barriers to Access Treatment for Gum Disease: A Cross-sectional Study 评估牙龈疾病获得治疗的障碍:一项横断面研究
Pub Date : 2022-12-31 DOI: 10.33425/2639-9490.1114
Dorienne C Taylor-Bishop, Fatima M. Mncube-Barnes, E. Ameyaw, Paula Nesbitt, G. Cherry-Peppers, Donna Grant-Mills
This study identified the specific factors which influence the treatment of gum disease. Specifically, the aims are to examine i) the differences in the prevalence of self-reported periodontitis treatment in 2011–2012 and 2017–2018, ii) the association between the background characteristics of respondents and treatment of gum disease, iii) the effects of the background characteristics on the treatment of gum disease and iv) reasons for the lack of access to dental care in 2011–2012 and 2017–2018. Data from the National Health an Nutrition Examination Survery (NHANES) oral health questionnaires 2011-2012 and 2017-2018 were used. NHANES is a periodic survey conducted by the National Center for Health Statistics of the Centers for Disease Control and Prevention. This data represents a stratified, multistage probability sample of the civilian noninstitutionalized population in the 50 United States U.S) and the District of Columbia. Binary multivariable logistic regression was used to examine the socioeconomic predictors of self-reported therapy for gum disease. Compared to 2011-2012, more participants accessed oral health care services during 2017-2018, resulting in fewer people seeking treatment for gum disease. Affordability and lack of dental health insurance were the primary reasons for not receiving treatment for gum disease. Compared with Whites, Asians were more likely to report having had treatment, followed by Hispanics and Blacks. Increasing oral health services for the elderly could improve access to care related to periodontal disease in this cohort of patients. In addition, the expansion of dental coverage with reduced out-of-pocket expenditure could improve access to dental services and overall health.
这项研究确定了影响牙龈疾病治疗的具体因素。具体而言,目的是检查i) 2011-2012年和2017-2018年自我报告的牙周炎治疗患病率的差异,ii)受访者的背景特征与牙龈疾病治疗之间的关联,iii)背景特征对牙龈疾病治疗的影响,iv) 2011-2012年和2017-2018年缺乏牙科保健的原因。数据来自2011-2012年和2017-2018年国家健康与营养检查调查(NHANES)口腔健康问卷。NHANES是由疾病控制和预防中心的国家卫生统计中心进行的定期调查。该数据代表了美国50个州和哥伦比亚特区非机构人口的分层、多阶段概率样本。使用二元多变量logistic回归来检验自我报告的牙龈疾病治疗的社会经济预测因素。与2011-2012年相比,2017-2018年期间有更多的参与者获得口腔保健服务,导致寻求牙龈疾病治疗的人数减少。负担能力和缺乏牙齿健康保险是不接受牙龈疾病治疗的主要原因。与白人相比,亚洲人更有可能报告接受治疗,其次是西班牙裔和黑人。增加老年人的口腔卫生服务可以改善该队列患者牙周病相关护理的可及性。此外,在减少自付费用的情况下扩大牙科覆盖范围,可以改善获得牙科服务的机会和整体健康状况。
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引用次数: 0
The Effectiveness of Pharmacology in Disorders of the Manducatory System 药理学治疗强制系统疾病的有效性
Pub Date : 2022-12-31 DOI: 10.33425/2639-9490.1112
M. A., Mbarki Eb, Boujoual I, A. A
Summary: The wide variety of disorders and abnormalities affecting the manducatory apparatus has led to a multitude of therapies of various kinds including orthopedic, kinesiological as well as pharmacological treatments. Several studies have highlighted the effectiveness of orthopedic therapies using occlusal splints as well as kinesiological treatments. However, pharmacological treatments, by their multitude and their diversity remain little documented regarding clinical efficiency, with the absence of a global conclusive study. The aim of this work is to conduct a systematic review evaluating the clinical efficacy of the drugs used in the treatment of temporomandibular dysfunction. Materials and Methods: This is a systematic review questioning the Pubmed database. The research was conducted using the following key words: "Craniomandibular disorders"; "Drug therapy"; "Relaxing Muscle, Central". Articles published between January 2012 and end of August 2017 and meeting the eligibility criteria were identified after reading their titles then summarized by 2 readers. The critical analysis of the methodology was conducted based on the PICO criteria and the JADAD scoring analysis (strengths and weaknesses of each study). The effectiveness of drugs was evaluated based on their action on the following three parameters: Dyskinesia, pain and noise. Results: Of the 420 references originally found on Pubmed, 23 articles were selected. After full reading of the 24 articles selected and application of the JADAD score: • 3 articles treated botulinum toxin including 1 high rank and 2 low ranks for a conclusion in favor of the toxin. • 7 articles discussed hyaluronic acid, 5 of which ranked high and 2 of low rank all agreeing on the efficacy of this therapy. 5 articles on corticosteroids, including 1 high and 4 low, however, no consensus has been reached on its effectiveness. Only 1 item of high rank proved the beneficial effect of anesthetics on muscle pain. 1 high-ranked study and 1 low-ranked trial for nonsteroidal anti- inflammatory drugs that have not been conclusive about its effectiveness. • 3 low-grade items treating PRP were able to demonstrate efficacy as an adjunct to arthrocentesis. 1 low ranking article on painkillers has proven its value as an adjunct to arthrocentesis.
摘要:影响强制器械的各种各样的疾病和异常导致了各种各样的治疗方法,包括骨科、运动学和药物治疗。几项研究强调了使用咬合夹板和运动学治疗的矫形治疗的有效性。然而,由于缺乏全球性的结论性研究,药物治疗的数量和多样性在临床效率方面仍然很少有文献记载。本研究的目的是对治疗颞下颌功能障碍的药物的临床疗效进行系统评价。材料和方法:这是一篇对Pubmed数据库提出质疑的系统综述。本研究以以下关键词进行:“颅下颌疾病”;“药物治疗”;“放松肌肉,中枢”。2012年1月至2017年8月底期间发表的符合资格标准的文章在阅读标题后被确定,然后由2名读者进行总结。根据PICO标准和JADAD评分分析(每个研究的优势和劣势)对方法进行批判性分析。根据运动障碍、疼痛和噪音三个参数来评估药物的有效性。结果:在Pubmed检索到的420篇文献中,筛选出23篇。在对选取的24篇文章进行全面阅读并应用JADAD评分后:•3篇关于肉毒杆菌毒素的文章,其中1篇排名高,2篇排名低,得出了有利于该毒素的结论。•7篇文章讨论了玻尿酸,其中5篇排名高,2篇排名低,均同意该疗法的疗效。5篇关于皮质类固醇的文章,包括1篇高剂量和4篇低剂量,但对其有效性没有达成共识。只有1项高排名证明了麻醉剂对肌肉疼痛的有益作用。关于非甾体类抗炎药物的1项高级别研究和1项低级别试验尚未确定其有效性。•治疗PRP的3个低级项目能够证明作为关节穿刺的辅助手段的有效性。一篇关于止痛药的低排名文章已经证明了它作为关节置换术辅助的价值。
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引用次数: 0
Direct Pulp Capping in Osteoporotic Rats Treated with Zoledronic Acid 唑来膦酸对骨质疏松大鼠的直接髓盖作用
Pub Date : 2022-12-31 DOI: 10.33425/2639-9490.1111
O. Zmener, C. Pameijer, R. Porta
Background: Osteoporosis is a metabolic bone disease, which impairs and/or delays the regenerative response of calcified tissues. Aim: The aim of this study was to assess the histopathologic response to direct pulp capping in osteoporotic rats that received a preoperative treatment with Zoledronic acid, a bisphosphonate which is currently prescribed for treating osteoporosis. Methodology: Two groups, each with 7 osteoporotic female Wistar rats (n=7) received either an intravenous dose of 100 mg/kg of Zoledronic Acid (Group 1) or the same volume of sterile saline (Group 2). One week later, the pulps of the right and left mandibular first molars of each animal were exposed and capped with Biodentine. After 20 days the animals in Group 1 received a second similar dose of Zoledronic acid and Group 2 a similar second dose of sterile saline. After 38 days the animals were euthanized and a total of 28 teeth (14 per group) were prepared for histologic analysis evaluating the following parameters: inflammation, reparative hard tissue formation, odontoblast cell layer organization, fibrous tissue, and necrosis. Results: In Group 1 the reparative hard tissue formation was scarce with preservation of the pulp tissue structure and the odontoblast cell layer. In Group 2 the pulp was preserved as a fibrous reticular-like structure. Reparative hard tissue formation was totally absent and the odontoblast cell layer was atrophic or absent. In both groups, no inflammation or necrosis was observed. Conclusions: The intravenous administration of Bisphosphonate (Zoledronic Acid) did not promote pulp healing in osteoporotic rats.
背景:骨质疏松症是一种代谢性骨病,它损害和/或延迟钙化组织的再生反应。目的:本研究的目的是评估骨质疏松大鼠术前接受唑来膦酸(一种目前用于治疗骨质疏松症的双膦酸盐)治疗后直接髓盖的组织病理学反应。方法:两组7只骨质疏松雌性Wistar大鼠(n=7),每组静脉注射100 mg/kg唑来膦酸(1组)或等量无菌生理盐水(2组),1周后暴露左、右下颌第一磨牙髓,盖上百奥妥定。20天后,第1组给予第二剂量的唑来膦酸,第2组给予第二剂量的无菌生理盐水。38天后,将动物安乐死,制备28颗牙齿(每组14颗)进行组织学分析,评估以下参数:炎症、修复性硬组织形成、成牙细胞层组织、纤维组织和坏死。结果:1组修复性硬组织形成较少,保留了牙髓组织结构和成牙本质细胞层。2组牙髓呈纤维网状结构。修复性硬组织形成完全缺失,成牙细胞层萎缩或缺失。两组均未见炎症、坏死。结论:静脉注射双膦酸钠(唑来膦酸)对骨质疏松大鼠牙髓愈合无促进作用。
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引用次数: 0
Comparative Assessment of The Fracture Resistance of Teeth Instrumented by Two Different Nickel Titanium Rotary Systems 两种不同镍钛旋转系统牙体检测的抗断裂性能比较
Pub Date : 2022-09-30 DOI: 10.33425/2639-9490.1107
Aliaa Elgendy
Aim: This study aimed to compare the fracture resistance exhibited by roots on instrumentation using two endodontic rotary systems: SANI S3 and EdgeEndo X7 rotary file systems. Materials and Methods: Sixty recently extracted human mandibular premolars comprising single root canals were selected in this study. All specimens were decoronated and mounted perpendicularly in self-cure acrylic resin blocks exposing 6 mm of the roots out of the acrylic resin blocks. The specimens were divided into two experimental groups, according to NiTi rotary systems used and one control group (n = 20). After instrumentation, the specimens of both experimental groups were then filled using master Gutta-percha cones size 35 (0.04 taper) and obturation was done using continuous wave compaction technique. The specimens were kept at 37 °C and 100% humidity for 2 weeks to allow complete setting of the sealer. Root fracture resistance was assessed using a universal testing machine (Instron) and the amount of load necessary for root fracture was recorded in Newtons (N). Statistics: Data were collected, tabulated and statistically analyzed using one-way ANOVA test and Tukey’s posthoc test. Results: Group C (control) exhibited the highest mean fracture force (357.13 ± 20.61) while group A (SANI S3) showed the lowest mean fracture force (192.60 ± 22.73). One-way ANOVA test showed statistically significant differences between tested groups. Regarding inter-group comparisons using Tukey’s test, there was a significant statistical difference between groups (A and B) and between groups (A and C). Furthermore, there was a statistically significant difference between groups (B and C). (P?0.05) Conclusion: 1-Root canal instrumentation with NiTi rotary files possessed a negative impact on roots and higher risks of root fractures compared to intact unprepared roots. 2-Design of NiTi files with improved cutting efficiency could diminish the risk of crack formation in root canal dentinal walls.
目的:本研究旨在比较两种根管旋转系统(SANI S3和EdgeEndo X7旋转文件系统)对根管内固定的抗骨折性。材料与方法:选取60颗新近拔除的含单根管的人下颌前磨牙为研究对象。将所有标本装饰并垂直安装在自固化丙烯酸树脂块中,露出丙烯酸树脂块外6mm的根部。根据使用的NiTi旋转系统将标本分为两个实验组和一个对照组(n = 20)。仪器测量完成后,两组实验标本均采用35(0.04锥度)古达-柏胶主锥体填充,并采用连续波压实技术进行封闭。标本在37°C和100%湿度下保存2周,以使密封剂完全定型。使用万能试验机(Instron)评估根断裂阻力,并以牛顿(N)记录根断裂所需的载荷。统计学:收集数据,制表并使用单因素方差分析和Tukey 's posthoc检验进行统计分析。结果:C组(对照组)平均断裂力最高(357.13±20.61),A组(SANI S3)平均断裂力最低(192.60±22.73)。单因素方差分析显示各组间差异有统计学意义。采用Tukey检验进行组间比较,a组与B组之间、a组与C组之间比较,差异均有统计学意义(P < 0.05)。结论:1根管内固定NiTi旋转锉对根管有负面影响,根管骨折风险高于未预备根管。2 .设计切削效率更高的镍钛锉,可降低根管牙本质管壁产生裂纹的风险。
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引用次数: 1
Alarming Findings on Mercury Dental Amalgam – Latest Research Using the National Health and Nutrition Examination Survey (NHANES) Database: A Mini-Review 关于汞牙科汞合金的惊人发现-使用国家健康和营养检查调查(NHANES)数据库的最新研究:一个小型回顾
Pub Date : 2022-09-30 DOI: 10.33425/2639-9490.1109
Anita Vazquez Tibau, Blanche D Grube
Mercury dental amalgam has been used as a dental restorative material for almost 200 years. Even though mercury is the most toxic non-radioactive material known to man, there has been an ongoing controversy about its safety since it was first introduced for use in dentistry. In 2013, a global treaty was adopted to address the dangers of mercury-containing products and processes called the Minamata Convention on Mercury Treaty, which went into force in 2017. This global mercury treaty listed mercury dental amalgam as a “phase-down” product. It is the only product in the treaty that is implanted in the human body and the only product listed simply as “phase-down”. While many evidence-based scientific papers have reported that mercury dental amalgam negatively affects human health, it is still the most commonly used dental restorative material in the world. Since the treaty has gone into force, many developed countries, countries with emerging economies, and developing countries have banned the use of mercury dental amalgam in the spirit of the treaty whose mantra is “Make Mercury History”. However, a date certain to ban mercury dental amalgam’s use globally has not yet been achieved. The latest significant findings on human exposure to mercury dental amalgam using the “Gold Standard” National Health and Nutrition Examination Survey (NHANES) database, may finally be the catalyst that will achieve the goal and “Make Mercury History” in the dental sector.
汞合金作为牙齿修复材料已经使用了近200年。尽管汞是人类已知的毒性最大的非放射性物质,但自从它首次被引入牙科以来,关于它的安全性一直存在争议。2013年,为解决含汞产品和工艺的危险,通过了一项名为《关于汞的水俣公约》的全球条约,该条约于2017年生效。这项全球汞条约将牙科汞合金列为“逐步淘汰”产品。它是条约中唯一一种植入人体的产品,也是唯一一种被简单地列为“逐步淘汰”的产品。虽然许多基于证据的科学论文报告说,汞牙科汞合金对人类健康有负面影响,但它仍然是世界上最常用的牙科修复材料。自条约生效以来,许多发达国家、新兴经济体国家和发展中国家本着“让汞成为历史”的条约精神,禁止使用含汞牙科汞合金。然而,在全球范围内禁止使用汞牙科汞合金的确定日期尚未实现。使用“金标准”国家健康和营养检查调查(NHANES)数据库的关于人类接触汞牙科汞合金的最新重大发现,可能最终成为实现这一目标的催化剂,并在牙科领域“使汞成为历史”。
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引用次数: 1
The Effectiveness of Laser Assisted Irrigation in Endocanalary Disinfection and Hard Tissue Debris Removal: A Systematic Review 激光辅助冲洗在内镜消毒和清除硬组织碎片中的有效性:系统综述
Pub Date : 2022-09-30 DOI: 10.33425/2639-9490.1110
H. Maftah, S. Dhaimy
Introduction: The control of the bacterial load during an endodontic treatment is challenging; the usual chemomechanical procedures such as conventional needle irrigation (CNI) has not always shown satisfying outcomes. Hence, the necessity of finding complementary methods such as passive ultra-sonic irrigation (PUI), sonic activated irrigation (SAI) and laser assisted irrigation (LAI) in order to achieve the most complete disinfection of the endodontic system. The aim of our study is to systematically review and critically analyze the current evidence of the effectiveness of laser assisted irrigation when compared to CNI, PUI, SAI. Materials and methods: Electronic search on four data-bases: PubMed, Scopus, ScienceDirect and Cochrane Library was done looking for Systematic reviews, in-vitro and clinical controlled trials assessing the effectiveness of LAI in removing bacteria and dentine debris. Articles were selected, deduplicated than assessed. The studies that met all the inclusion criteria were included and were further screened in order to extract their data and evaluate their methodological quality. Results: The electronic search yielded a total of 895 potentially eligible record. After the final stage of selection, 25 studies, that are all in-vitro were included; the risk of bias and quality assessment was done through the Preferred Reporting Items for Systematic Reviews and Meta-Analysis and the Joanna Briggs Institute critical appraisal Checklist. All in all, LAI showed better results when compared to CNI in both removal of bacteria and smear layer, yet when compared to PUI and SAI, the studies could not testify significantly for the superiority of an activation method over another. Conclusion: The use of LAI increased the potential of the irrigant within the endodontic system, especially when compared to CNI. Yet the current data could not give a conclusive judgment of the effectiveness of LAI when compared to PUI and to SAI; eventually further studies need to be performed.
在根管治疗期间控制细菌负荷是具有挑战性的;通常的化学力学方法,如传统的针灌(CNI)并不总是显示出令人满意的结果。因此,有必要寻找互补的方法,如被动超声冲洗(PUI)、超声激活冲洗(SAI)和激光辅助冲洗(LAI),以达到对根管系统最彻底的消毒。我们研究的目的是系统地回顾和批判性地分析激光辅助灌洗与CNI, PUI, SAI相比有效性的现有证据。材料和方法:电子检索PubMed、Scopus、ScienceDirect和Cochrane Library四个数据库,寻找评估LAI去除细菌和牙本质碎片有效性的系统综述、体外和临床对照试验。文章经过筛选,重复删除,然后评估。纳入符合所有纳入标准的研究,并对其进行进一步筛选,以提取其数据并评估其方法学质量。结果:电子检索共获得895条潜在符合条件的记录。在选择的最后阶段,25项研究都是体外的;偏倚风险和质量评估是通过系统评价和荟萃分析首选报告项目和乔安娜布里格斯研究所关键评估清单进行的。总而言之,LAI在去除细菌和涂片层方面均优于CNI,但与PUI和SAI相比,研究并不能明显证明一种活化方法优于另一种活化方法。结论:与CNI相比,LAI的使用增加了根管系统内灌洗剂的潜力。然而,目前的数据还不能对LAI与PUI和SAI相比的有效性给出决定性的判断;最终需要进行进一步的研究。
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Oral Health and Dental science
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