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Histopathologic Analysis of Gingival Lesions: A 10-Year Retrospective Study 牙龈病变的组织病理学分析:一项10年回顾性研究
Pub Date : 2021-03-30 DOI: 10.33425/2639-9490.1075
E. Orikpete, C. A. Iyogun
Background: Lesions of the gingiva account for a significant portion of the diagnostic workload of any oral pathology practice. Biopsy is important in establishing a definitive diagnosis. The aim of this study was to determine the relative frequency and distribution of biopsied gingival lesions in a Nigerian population. Methods: This was a retrospective study of all gingival biopsies performed over a 10-year period. Data on age, gender, site (maxillary or mandibular) and histopathological diagnosis were recorded. The lesions were categorized into two groups: non-neoplastic and neoplastic, with the neoplastic lesions further divided into benign and malignant lesions. Data analysis was done using SPSS version 23. Results: There were a total of 501 orofacial biopsies during the period under review, with gingival biopsies accounting for 73 (14.6%) cases. The mean age of subjects was 29.6 ± 20.1 years. There were 48 (65.8%) females and 25 (34.2%) males. Non-neoplastic lesions were 50 (68.5%), while neoplastic lesions were 23 (31.5%). The non-neoplastic lesions had an average age of 25.9 ± 17.7 years, and were encountered most frequently in the 10-19 years age group. Eighteen (36.0%) cases occurred in males, while 32 (64.0%) cases were seen in females. The maxillary gingiva (56.0%) was affected more often than the mandibular gingiva (44.0%). Pyogenic granuloma was the most frequent non-neoplastic lesion, accounting for 35 (70%) cases, followed by peripheral ossifying fibroma (n=6; 12%). The neoplastic lesions had a mean age of 37.1 ± 22.9 years, and consisted of 20 (87%) benign and 3 (13%) malignant lesions. The mean age for benign lesions was 35.3 ± 21.6 years, with a peak occurrence between 20 – 49 years. Females were almost twice more frequently affected than males. The mandibular gingiva accounted for 55% of the benign lesions. The most common benign lesion was fibroma (n=8; 40%) followed by ameloblastoma (n=3; 15%). Malignant lesions accounted for 4.1 % of the biopsied gingival lesions, with a mean age 48.7 ± 33.2 years. There was one case each of Kaposi’s sarcoma, polymorphous low-grade adenocarcinoma and mucosa-associated lymphoma. Conclusion: There is need for histologic examination of all excised gingival swellings.
背景:牙龈病变占任何口腔病理实践的诊断工作量的显著部分。活检对于明确诊断很重要。本研究的目的是确定尼日利亚人口中活检牙龈病变的相对频率和分布。方法:这是一项对10年来所有牙龈活检进行的回顾性研究。记录年龄、性别、部位(上颌或下颌骨)和组织病理学诊断。病变分为非肿瘤性和肿瘤性两组,肿瘤性病变进一步分为良性和恶性病变。数据分析使用SPSS version 23。结果:本研究期间口腔颌面部活检501例,其中牙龈活检73例(14.6%)。受试者平均年龄29.6±20.1岁。其中女性48例(65.8%),男性25例(34.2%)。非肿瘤性病变50例(68.5%),肿瘤性病变23例(31.5%)。非肿瘤性病变的平均年龄为25.9±17.7岁,以10-19岁年龄组最为常见。男性18例(36.0%),女性32例(64.0%)。上颌龈(56.0%)比下颌龈(44.0%)更常见。化脓性肉芽肿是最常见的非肿瘤性病变,占35例(70%),其次是周围骨化纤维瘤(n=6;12%)。肿瘤病变平均年龄为37.1±22.9岁,其中良性病变20例(87%),恶性病变3例(13%)。良性病变的平均年龄为35.3±21.6岁,以20 ~ 49岁为高峰。女性受影响的频率几乎是男性的两倍。下颌牙龈占良性病变的55%。最常见的良性病变是纤维瘤(n=8;40%),其次为成釉细胞瘤(n=3;15%)。恶性病变占活检牙龈病变的4.1%,平均年龄48.7±33.2岁。卡波西氏肉瘤、多形性低分级腺癌及粘膜相关淋巴瘤各1例。结论:所有切除的牙龈肿胀都需要进行组织学检查。
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引用次数: 0
Bibliometric Study of African Publications in Dental Medicine in Indexed Journals between 2008 and 2018 2008年至2018年索引期刊中非洲牙科医学出版物的文献计量学研究
Pub Date : 2021-03-30 DOI: 10.33425/2639-9490.1073
Bennani A, Hamza M, Kalali C, Jari A
Introduction: The objective of this work is to make a bibliometric analysis of publications in odontology of African universities between January 2008 and December 2018 based on publications published in indexed journals on Pubmed. Material and Methods: Our work is a comprehensive retrospective descriptive study intended to carry out a bibliometric analysis of articles in odontology published between January 1, 2008 and December 31, 2018 by professor researchers from African universities. For each selected article, we determined the authors, the title, their affiliations, the year of publication. Results: Based on our sample of 19 African countries (Morocco, Algeria, Tunisia, Egypt, Nigeria, Cameroon, Côte d 'Ivoire, Ethiopia, Ghana, Guinea, Kenya, Libya, Madagascar, Mali, South Africa, DRC Congo, Senegal, Sudan, Zimbabwe) that included 66 faculties; the results of our study showed: In terms of the number of global publications, Egypt, Nigeria, Morocco and South Africa are the leading countries. With them 4, they account for nearly 80% of the published articles. Côte d 'Ivoire, Cameroon, Guinea and Mali do not participate. The number of African authors who have published is 489, which represents 38.99 per cent of all teaching researchers. South Africa Pr. Feller L ranks 1st with 61 published articles. Cross-sectional descriptive studies lead with an overall percentage of 37.84%. In vitro experimental studies account for 27.75%. Literature and systematic journals 10.50%. Case reports studies represent only 9.38%. Clinical trials with a percentage of 9.35%. Prospective and retrospective studies account for 3.44%. Meta-analyzes 1.39%. In the disciplines of published articles, conservative odontology represents 22.82%, periodontology 20.19%, surgical odontology 16.50%, orthodontics 16.42%, prosthesis 15.35% and pedodontics 8.70%. The contribution of Moroccan authors is 12.47%. Moroccan Pr.Bourzgui ranks 4th with 16 items. Discussion: The results show that African universities have made significant progress; however, they are still very far behind European and American universities in terms of scientific publications in odontology. Conclusion: Despite the efforts of academic teachers in the publication of scientific articles in odontology, the number of publications remains low, hence the obligation to adopt a new approach in the future. African academic institutions need to make greater efforts in the field of scientific research in all its forms by creating departments focused primarily on research and by increasing the budget Devoted to this purpose.
前言:这项工作的目的是对2008年1月至2018年12月期间非洲大学的牙科学出版物进行文献计量学分析,该分析基于Pubmed索引期刊上发表的出版物。材料和方法:我们的工作是一项全面的回顾性描述性研究,旨在对非洲大学教授研究人员在2008年1月1日至2018年12月31日期间发表的牙科学文章进行文献计量学分析。对于每一篇选定的文章,我们确定了作者、标题、所属单位和出版年份。结果:基于我们对19个非洲国家(摩洛哥、阿尔及利亚、突尼斯、埃及、尼日利亚、喀麦隆、Côte科特迪瓦、埃塞俄比亚、加纳、几内亚、肯尼亚、利比亚、马达加斯加、马里、南非、刚果民主共和国、刚果(金)、塞内加尔、苏丹、津巴布韦)的66个学院的样本;我们的研究结果表明:就全球出版物数量而言,埃及、尼日利亚、摩洛哥和南非是领先的国家。加上他们,他们发表的文章占了近80%。Côte科特迪瓦、喀麦隆、几内亚和马里没有参加。发表论文的非洲作者有489人,占所有教学研究人员的38.99%。南非Pr. Feller L以61篇文章排名第一。横断面描述性研究以37.84%的总体百分比领先。体外实验研究占27.75%。文献和系统期刊10.50%。病例报告研究仅占9.38%。临床试验比例为9.35%。前瞻性和回顾性研究占3.44%。Meta-analyzes 1.39%。在发表论文的学科中,保守牙科学占22.82%,牙周学占20.19%,外科牙科学占16.50%,正畸学占16.42%,修复学占15.35%,儿科学占8.70%。摩洛哥作者的贡献为12.47%。摩洛哥的布尔兹吉以16项排名第4。讨论:结果表明非洲的大学已经取得了显著的进步;然而,就牙科学的科学出版物而言,他们仍然远远落后于欧美大学。结论:尽管学术教师在牙科学论文发表方面做出了努力,但发表的数量仍然很低,因此有义务在未来采取新的方式。非洲学术机构需要在各种形式的科学研究领域作出更大的努力,办法是设立主要以研究为重点的部门,并增加专门用于这一目的的预算。
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引用次数: 2
Rare Case of Huge Bi-Locular Dentigerous Cyst Involving Mandibular Canine 巨大双房牙性囊肿累及下颌骨罕见病例
Pub Date : 2021-03-30 DOI: 10.33425/2639-9490.1076
M. Al-assaf, A. Al-awad, Ahmad Al Manadili, S. Ibrahim, Moutaz Al-Khen
Dentigerous cyst is benign odontogenic cystic lesion that envelops the crown of an impacted tooth. Like odontogenic tumors, dentigerous cysts may grow to large sizes before they are diagnosed, and the large radiolucent cystic lesions associated with an impacted tooth are often diagnosed as odontogenic tumors like unicystic ameloblastoma or others developmental cystic lesions like odontogenic keratocyst, but less likely to be dentigerous cysts. In this case report we highlight the first case of huge bi-locular dentigerous cyst in a 35-year-old woman related with impacted mandibular canine.
牙源性囊肿是一种良性牙源性囊性病变,包裹在阻生牙的牙冠上。与牙源性肿瘤一样,牙源性囊肿在诊断前可发展到较大,与阻生牙相关的大的放射性囊性病变常被诊断为牙源性肿瘤,如单囊性成釉细胞瘤或其他发育性囊性病变,如牙源性角化囊肿,但不太可能是牙源性囊肿。在这个病例报告中,我们强调了第一例巨大的双室含牙囊肿在一个35岁的妇女与埋伏的下颌犬。
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引用次数: 0
Orthognathic Surgery Impression on Quality of life: Integral Perception 正颌手术对生活质量的影响:整体感知
Pub Date : 2021-03-30 DOI: 10.33425/2639-9490.1074
R. Al-Rawee, Ahmad G. Mohammed Sharif, B. Tawfeeq
Background: Patients with severe functional abnormalities are disappointed with their real facial appearance. Assessing the different perceptions and motivations influence in patients seeking orthognathic surgeries on their quality of life are the aims of this clinical study. This done by applying specific questioners' forms before and after treatment for demonstrates the patient's satisfaction with the result too. This can improve the success rate of orthognathic surgeries by improve patients expectations and satisfactions. Material and Method: Fifty participants are chosen to share in this retrospective study attained the Multi- Disciplinary Team Committee in Al-Salam Teaching Hospital. Patients' age groups are from 17-40 years, no specific gender included in the study. Patients agree to participate and answering the uestioners pre and post surgeries. Patients are nonsmokers with no medical disease history. Out of these inclusion criteria; patients excluded from the study. Patients with cleft lip and palate or any other syndromes that affect the dentofacial growth are also excluded. Result: Age, gender, education level and marital status as social variables intended in this study; show no statistical differences concerning the questioner's answers as reached by statistical analysis by Independent Sample t Test and One Way Anova Test. Significant differences (0.000) have been observed between preoperative and postoperative satisfaction according to Paired Sample t Test. Conclusion: Reaching optimum patients satisfaction is challenge as well as changing quality of life of our patients are provocation. In this article by using of different multiple questioners for integral perception in orthognathic surgery patients are crucial and more suitable for good understanding of patient's willing.
背景:严重功能异常的患者对其真实的面部外观感到失望。评估不同的认知和动机影响患者寻求正颌手术对他们的生活质量是本临床研究的目的。这是通过在治疗前后应用特定的提问者表格来完成的,以表明患者对结果的满意度。通过提高患者的期望值和满意度,可以提高正颌手术的成功率。材料和方法:选择50名参与者参与这项由Al-Salam教学医院多学科小组委员会完成的回顾性研究。患者年龄在17-40岁之间,研究中没有特定的性别。患者同意在手术前后参与并回答问题。患者不吸烟,无病史。在这些纳入标准之外;被排除在研究之外的患者。患有唇腭裂或任何其他影响牙面生长的综合征的患者也被排除在外。结果:年龄、性别、教育程度、婚姻状况是本研究拟设的社会变量;通过独立样本t检验和单因素方差检验的统计分析表明,提问者的回答没有统计学差异。根据配对样本t检验,术前和术后满意度之间存在显著差异(0.000)。结论:达到最佳的患者满意度是一个挑战,改变患者的生活质量是一个挑战。本文通过采用不同的多重问题者对正颌手术患者进行整体感知是至关重要的,更适合于更好地了解患者的意愿。
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引用次数: 0
Effect of Khat Consumption on Oral Health: Study Carried Out in Djibouti City 阿拉伯茶消费对口腔健康的影响:在吉布提市开展的研究
Pub Date : 2021-03-30 DOI: 10.33425/2639-9490.1077
A. Bennani, S. I. Mohamed
Introduction: The purpose of the present investigation is to determine the oral effects of regular khat consumption in Djibouti by placing risk factors and symptoms related to consumption as a contribution to the ongoing scientific discourse. Materials and Methods: A cross-sectional epidemiological survey was carried out on 129 patients consulting in a health center affiliated to the CNSS, located in the capital of the Republic of Djibouti, Djibouti-City from August to October 2017. The support of the survey is a questionnaire including an interview and a clinical examination. The subjects are divided into regular khat consumers (CK) and non-khat consumers (NCK). Results: Our sample is divided into 48.1% CK and 51.9% NCK. 80.7% of CK and 38.8% of NCK are male. 58.1% of CK and 88.1% of NCKs report a frequency greater than or equal to 2 brushings / day. 62.9% of CK and 4.5% of NCK are tobacco users (CT). 77.4% of CK and 20.9% of NCK are consumers of sweetened beverages. 62.9% of CK and 16.4% of NCKs report symptoms of dry mouth. 38.7% of CK and 16.4% of NCK suffer from TMJ pain. 32.3% of CK and 14.9% of NCK complain of changes in taste perception. 29% of CK and 4.5% of NCK have burning sensations in the tongue or other parts of the oral cavity. 24.2% of CK and 7.5% of NCK report loss of prosthetic restorations and / or strides. The plate indices of CK and NCK are 1.6 (+/- 0.13) and 1.4 (+/- 0.13), respectively. The gingival indices of CK and NCK are respectively 1.64 (+/- 0.13) and 1.57 (+/- 0.09). 24.2% of CK and 1.5% of NCK have whitish lesions of leucoplastic appearance. 79% of CKs and 23.9% of NCKs have recessions. 22.6% of CKs and 6% of NCKs suffer from spoiled restorations. 24.2% of CK and 9% of NCK suffer loss of fixed prosthetic restorations. Discussion: Similar to studies in Yemen and Israel, there is a slight predominance of NCKs in our sample. The consumption of khat is also significantly associated with the male sex. A number of articular, mucosal and dental symptoms are significantly associated with khat consumption. Ethiopian, Yemeni and Israeli studies are in agreement with our results. In agreement with a Yemeni study but in contradiction with a Kenyan study, there is a significant association between khat consumption, poor oral hygiene and increased plaque index. Nevertheless, an association between khat consumption and gingival inflammation is not established. In agreement with Israeli and Yemeni studies, there is a significant association between khat consumption, whitish mucosal lesions of leucoplastic appearance and gingival recessions. Regular consumption of khat is also significantly associated with the loss of prosthetic and / or striated restorations. Our results are confirmed by a Saudi study. Conclusion: Regular consumption of khat is significantly associated with a number of oral disorders. Future prevention campaigns should focus on the male population and the concomitant use of tobacco.
前言:本调查的目的是通过将与消费相关的风险因素和症状作为对正在进行的科学论述的贡献,确定吉布提定期阿拉伯茶消费的口服影响。材料与方法:对2017年8 - 10月在吉布提共和国首都吉布提市国家卫生服务中心所属卫生中心就诊的129例患者进行了横断面流行病学调查。调查的支持是一份问卷,包括访谈和临床检查。研究对象分为普通阿拉伯茶消费者(CK)和非阿拉伯茶消费者(NCK)。结果:我们的样本分为48.1%的CK和51.9%的NCK。CK雄性占80.7%,NCK雄性占38.8%。58.1%的CK和88.1%的nck报告刷牙频率大于或等于2次/天。62.9%的CK和4.5%的NCK是吸烟者(CT)。77.4%的CK和20.9%的NCK是加糖饮料的消费者。62.9%的CK和16.4%的nck报告有口干症状。38.7%的CK和16.4%的NCK有颞下颌关节疼痛。32.3%的CK和14.9%的NCK抱怨味觉变化。29%的CK和4.5%的NCK在舌头或口腔其他部位有烧灼感。24.2%的CK和7.5%的NCK报告假体修复和/或步幅的损失。CK和NCK的平板指数分别为1.6(+/- 0.13)和1.4(+/- 0.13)。CK和NCK的牙龈指数分别为1.64(+/- 0.13)和1.57(+/- 0.09)。24.2%的CK和1.5%的NCK有白色的白质样病变。79%的ck和23.9%的nck经历过经济衰退。22.6%的ck和6%的nck出现修复体损坏。24.2%的CK和9%的NCK丧失了固定义肢修复体。讨论:与也门和以色列的研究类似,我们的样本中nks略有优势。阿拉伯茶的消费也与男性显著相关。一些关节、粘膜和牙齿症状与阿拉伯茶消费有显著关系。埃塞俄比亚、也门和以色列的研究与我们的结果一致。与也门的一项研究一致,但与肯尼亚的一项研究相矛盾的是,阿拉伯茶消费、口腔卫生不良和牙菌斑指数增加之间存在显著关联。然而,阿拉伯茶消费和牙龈炎症之间的联系尚未确定。与以色列和也门的研究一致,阿拉伯茶消费、白色粘膜病变和牙龈衰退之间存在显著关联。经常食用阿拉伯茶也与假体和/或条纹修复体的损失显著相关。沙特的一项研究证实了我们的结果。结论:经常饮用阿拉伯茶与许多口腔疾病显著相关。今后的预防运动应把重点放在男性人口和伴随的烟草使用上。
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引用次数: 1
An Evaluation of the Root Canal Anatomy of Mandibular Incisors in Turkish Population with Cone-Beam Computed Tomography (CBCT) 锥形束ct (CBCT)对土耳其人下颌切牙根管解剖的评价
Pub Date : 2020-12-28 DOI: 10.33425/2639-9490.1071
E. Erkan, K. Olcay, T. Eyuboglu, E. Şener
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引用次数: 0
Acceptance of a Therapeutic Proposal: Tools and Means of Communication 接受治疗建议:沟通的工具和手段
Pub Date : 2020-12-28 DOI: 10.33425/2639-9490.1070
A. Bennani, Fatima Zahra Amessegher, F. Abbassi, Khadija Baroudi
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引用次数: 0
Arthrocentesis with or without Platelet Rich Plasma (PRP) in Management of Tempromandibular Joint Internal Derangement: Comparative Study 有或没有富血小板血浆(PRP)的关节穿刺治疗颞下颌关节内部紊乱:比较研究
Pub Date : 2019-09-30 DOI: 10.33425/2639-9490.1039
Nehal Hassan, H. Sleem, Y. Nabil
Introduction: Disc derangement disorders of the Tempromandibular joint (TMJ) are a group of intra-articular biomechanical disorders in which there is an abnormal relationship in the functional ‘articular cartilaginous’ condyle-disc complex. Arthrocentesis is a valuable effective non-invasive treatment option of many internal derangement cases. Adding benefit to arthrocentesis outcome through the use of platelet rich plasma (PRP) is a point of research taking benefit from growth factors to enhance tissue healing. Objectives: the present study aims to compare the clinical outcome of the use of arthrocentesis alone and arthrocentesis +PRP in management of TMJ internal derangement. Materials and Methods: Fourteen patients with disk displacement without reduction (DDwOR) were included in the study diagnosed according to The Research Diagnostic Criteria for Tempromandibular disorders (RDC/TMD). Cases are randomly allocated into two groups as follow; seven patients underwent intra-articular injections of 2 ml PRP after arthrocentesis (study group) and the other seven patients were treated by the conventional arthrocentesis using Ringer’s solution (control group). The patients were clinically evaluated preoperatively and postoperatively at the intervals of 1 month and 6 months. Results: there was no statistically significant difference between two groups in all the measured parameters were throughout the postoperative period. However both groups showed statistically significant improvement regarding mouth opening and joint pain. Conclusion: arthrocentesis either alone or with PRP injection is a safe and effective method in the treatment of TMDs.
颞下颌关节(TMJ)的椎间盘脱位障碍是一组关节内生物力学障碍,与功能性“关节软骨”髁突-椎间盘复合体存在异常关系。关节穿刺是一种有价值的、有效的、无创的治疗方法。通过使用富血小板血浆(PRP)来增加关节穿刺结果的益处是利用生长因子来促进组织愈合的研究重点。目的:本研究旨在比较单纯关节穿刺与关节穿刺+PRP治疗颞下颌关节内脱位的临床效果。材料与方法:根据《颞下颌疾患研究诊断标准》(RDC/TMD)诊断的14例无复位椎间盘移位(DDwOR)患者纳入研究。病例随机分为以下两组:7例患者关节穿刺后关节内注射2 ml PRP(研究组),其余7例患者采用常规关节穿刺林格氏液治疗(对照组)。术前、术后每隔1个月和6个月对患者进行临床评价。结果:两组患者术后所有测量参数比较,差异均无统计学意义。然而,两组在张口和关节疼痛方面都有统计学上的显著改善。结论:关节穿刺单独或联合PRP注射是治疗颞下颌关节病安全有效的方法。
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引用次数: 1
Severe intrusion on permanent teeth: what to expect? 恒牙严重受损:该怎么办?
Pub Date : 2019-09-30 DOI: 10.33425/2639-9490.1040
Lferde Merieme, Tabbai Sarah, Benkarroum Fatima Zahra, Chhoul Hakima
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引用次数: 0
Thermography-Measured Facial Temperature Affects Masticatory Ability 热像仪测得的面部温度影响咀嚼能力
Pub Date : 2019-09-30 DOI: 10.33425/2639-9490.1041
Kei Takahashi, K. Hashimoto, Hidetaka Nakamura, Hideto Matsuda
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引用次数: 2
期刊
Oral Health and Dental science
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