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Journal of Nepalese Society of Periodontology and Oral Implantology最新文献

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Dental Referrals of Oncology Patients 肿瘤患者的牙科转诊
Pub Date : 2019-09-20 DOI: 10.3126/jnspoi.v3i1.24818
J. Rajkarnikar
No abstract available.
没有摘要。
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引用次数: 0
Azithromycin in Periodontal Therapy: Beyond the Antibiotics 阿奇霉素在牙周治疗中的应用:超越抗生素
Pub Date : 2018-12-31 DOI: 10.3126/JNSPOI.V2I2.23616
V. Singh, S. Nayak, S. Nettemu, Sowmya Nettem, Y. Lee, Madhurani Verma
Periodontitis is a multifactorial disease, in which microorganisms in plaque biofilm play a major role. Scaling and root planing is the primary mode of non-surgical treatment for periodontal disease. Adjunctive use of an antimicrobial is advocated in certain periodontal disease conditions. Azithromycin might be considered a promising adjunctive drug in the treatment for periodontal disease because of its distinguished characteristic of immunomodulation, anti-inflammatory and antibiotic property along with the accumulation in higher concentration into the acute reactant cells and sustained release at the site of infection. This antibiotic is popular for its very simple dosage regime and limited side effects. The objective of this literature review to highlight the mechanism and potential favourable role in the management of various form of the periodontal disease.
牙周炎是一种多因素疾病,其中菌斑生物膜中的微生物起主要作用。除垢和牙根刨平是牙周病非手术治疗的主要方式。在某些牙周病条件下,提倡辅助使用抗菌药物。阿奇霉素具有显著的免疫调节、抗炎和抗生素的特性,且在急性反应细胞中以较高的浓度积累,并在感染部位持续释放,可能被认为是治疗牙周病的一种很有前景的辅助药物。这种抗生素因其非常简单的剂量和有限的副作用而广受欢迎。本文献综述的目的是强调机制和潜在的有利作用,在各种形式的牙周病的管理。
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引用次数: 6
Psychosocial Stress and its Effect on Periodontal Tissues using Malondialdehyde as Oxidative Stress Biomarker 使用丙二醛作为氧化应激生物标志物的社会心理应激及其对牙周组织的影响
Pub Date : 2018-12-31 DOI: 10.3126/jnspoi.v2i2.23610
Anuradha Mokashi, Keshava Abbayya, S. Varma, S. Zope, Girish Sugarimath, A. Pisal
Background: Stress is playing a major role as an aetiologic factor in the initiation of many systemic diseases. Similarly, it is also thought to be an aetiologic factor in the progression of periodontal diseases. Aim: The production of free radical species is associated with various inflammatory diseases and also during stressful conditions. Hence, an effort in the present study is done to correlate psychosocial stress and periodontitis using serum MDA as an oxidative stress biomarker. Materials and Methods: A current cross-sectional study included 201 individuals between 20 to 60 years of age. A periodontal examination included Probing Pocket Depth, CAL, Plaque Index, and Gingival Index. According to CAL individuals were divided into four groups i.e. healthy, slight (CAL = 1-2 mm), moderate (CAL = 3-4 mm) and severe (CAL = ≥5 mm) periodontitis. Psychosocial stress of the individuals was evaluated using occupational stress index. Serum MDA level was evaluated using spectrochromatometer. Results: Patients with stress demonstrated increased levels of MDA along with a higher loss of attachment. Conclusion: The results revealed statistically significant association between psychosocial stress and periodontitis indicating psychosocial stress as a risk factor for developing periodontitis.
背景:应激在许多全身性疾病的发病中起着重要的病因学作用。同样,它也被认为是牙周病进展的一个病因学因素。目的:自由基的产生与各种炎症性疾病和应激状态有关。因此,本研究利用血清丙二醛作为氧化应激生物标志物,将社会心理应激与牙周炎联系起来。材料和方法:目前的一项横断面研究包括201名年龄在20至60岁之间的个体。牙周检查包括牙袋深度、牙周炎指数、牙菌斑指数和牙龈指数。根据牙周炎的牙周炎程度,将患者分为健康牙周炎、轻度牙周炎(CAL = 1-2 mm)、中度牙周炎(CAL = 3-4 mm)和重度牙周炎(CAL =≥5 mm) 4组。采用职业压力指数评价个体的心理社会压力。用分光色谱仪测定血清丙二醛水平。结果:有压力的患者表现出MDA水平的增加,并伴有更高的依恋丧失。结论:研究结果显示,心理社会压力与牙周炎之间存在显著的统计学关联,表明心理社会压力是牙周炎发生的危险因素。
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引用次数: 0
Improvement of Severe Gummy Smile by Botulinum Toxin Application and Gingivoplasty 肉毒杆菌毒素应用及牙龈成形术改善重度粘牙
Pub Date : 2018-12-31 DOI: 10.3126/jnspoi.v2i2.23617
I. Pedron
Currently, the search for aesthetic excellence has become the main objective in the dental treatment. The gummy smile is one of the complaints from the patients, since this situation may influence their self-esteem and social relationship. The development of new techniques, such as the application of botulinum toxin, may be a therapeutic option more conservative, in the treatment of gummy smile. The purpose of this article is to present a case of a patient with dentogingival discrepancy and severe gummy smile, who was treated with gingivoplasty and application of botulinum toxin in order to optimise the harmony of the smile.
目前,追求美观已成为牙科治疗的主要目标。黏糊糊的笑容是患者的抱怨之一,因为这种情况可能会影响他们的自尊和社会关系。新技术的发展,如肉毒杆菌毒素的应用,可能是一种更保守的治疗选择,在治疗粘笑。这篇文章的目的是提出一个病例的患者牙龈差异和严重的牙龈微笑,谁是治疗牙龈成形术和应用肉毒杆菌毒素,以优化和谐的微笑。
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引用次数: 0
Pain Perception after Periodontal Therapies 牙周治疗后的疼痛感觉
Pub Date : 2018-12-31 DOI: 10.3126/JNSPOI.V2I2.23615
S. Pradhan, Regina Shrestha, R. Gorkhali
Background: Pain perception is a complex sensory experience which is perceived by different individuals in different manners. The pain perceived by the patient after periodontal surgery may vary based on different parameters. Aim: This observational study was conducted to evaluate the perception of pain after periodontal therapies. Materials and Methods: A total of 63 surgeries were carried out in 50 patients and the surgeries were divided into three categories: open flap debridement, resective and regenerative surgeries, and periodontal plastic surgeries. The pain experienced by the patient was recorded on the visual analog scale that ranged from 0 to 10. Results: The mean VAS score for different periodontal surgeries was 2.49. The study showed highest mean VAS in open flap debridement (2.74) followed by periodontal plastic surgery (2.5) and the lowest in resective and regenerative procedures (2.13). Among various variables such as age, sex, periodontal dressing, arch, amount of local anaesthesia and time duration, the data showed statistical difference between VAS score and sex (p = 0.04) and between VAS score and amount of local anaesthesia (p = 0.012). Conclusion: The study showed there is low pain perception after different periodontal surgeries as measured by VAS. Proper understanding of the variables that affect pain is important as they may produce emotional responses that could influence compliance and the therapy result. Inadvertent use of large dose of anaesthetics beforehand assuming high anticipation of pain should be discouraged as the increase in volume relates to increased pain.
背景:疼痛感知是一种复杂的感官体验,不同个体以不同的方式感知疼痛。牙周手术后患者感受到的疼痛可能因不同的参数而有所不同。目的:本观察性研究旨在评估牙周治疗后的疼痛感觉。材料与方法:50例患者共63例手术,手术分为开瓣清创、切除及再生手术、牙周整形手术三大类。患者所经历的疼痛被记录在视觉模拟量表上,范围从0到10。结果:不同牙周手术的VAS评分平均值为2.49分。研究显示,平均VAS最高的是开瓣清创(2.74),其次是牙周整形手术(2.5),最低的是切除和再生手术(2.13)。在年龄、性别、牙周敷料、弓度、局麻量、持续时间等变量中,VAS评分与性别差异有统计学意义(p = 0.04), VAS评分与局麻量差异有统计学意义(p = 0.012)。结论:不同牙周手术后疼痛感均较低。正确理解影响疼痛的变量很重要,因为它们可能产生影响依从性和治疗结果的情绪反应。不鼓励事先假定有高度疼痛预期而无意中使用大剂量麻醉剂,因为剂量的增加与疼痛的增加有关。
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引用次数: 3
Locally Delivered Tetracycline Fibres in the Treatment of Chronic Periodontitis 局部输送四环素纤维治疗慢性牙周炎
Pub Date : 2018-12-31 DOI: 10.3126/JNSPOI.V2I2.23612
Shristi Kafle, S. Pradhan, Sujaya Gupta
Background: Chronic periodontitis is a highly prevalent and recurrent form of periodontal disease and locally delivered tetracycline fibres are considered to exert tremendous benefits for its treatment. Aim: The aim of the study was to observe the clinical results of locally delivered tetracycline fibres in the treatment of chronic periodontitis. Materials and Methods: Patients aged 35-54 years diagnosed with chronic periodontitis of both gender fulfilling the inclusion criteria were selected. A sample size of 30 was calculated and total number of 60 posterior sites were selected. These sites were divided into two sets in a split mouth design as control sites treated with SRP alone and test sites treated with SRP plus tetracycline fibres. Results: A combination of scaling, root planing and local drug delivery in the form of tetracycline fibres resulted in added benefits in the control of chronic periodontitis on the basis of the clinical findings from this study. Conclusion: This study further adds to the evidence that tetracycline fibres as locally delivered agent are safe and effective adjunct to scaling and root planing, and can produce significant clinical benefits when compared to scaling and root planing alone in the treatment of chronic periodontitis.
背景:慢性牙周炎是一种高度流行和复发的牙周病,局部输送四环素纤维被认为对其治疗具有巨大的益处。目的:观察局部给药四环素纤维治疗慢性牙周炎的临床效果。材料与方法:选择年龄在35 ~ 54岁,男女均符合入选标准的慢性牙周炎患者。计算样本量为30个,共选择60个后验位点。采用裂口设计将这些位点分为两组,分别为单独用SRP处理的对照位点和用SRP加四环素纤维处理的试验点。结果:根据本研究的临床结果,刮除、牙根刨平和四环素纤维形式的局部药物输送相结合,在控制慢性牙周炎方面产生了额外的好处。结论:本研究进一步证明,四环素纤维作为局部给药剂是安全有效的刮治和牙根刨平辅助剂,与单独刮治和牙根刨平相比,在治疗慢性牙周炎方面可以产生显著的临床效益。
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引用次数: 4
Five-Year Follow-up of an Immediate Implant Placement in the Aesthetic Zone 美学区即刻种植体置入术的5年随访
Pub Date : 2018-12-31 DOI: 10.3126/JNSPOI.V2I2.23620
B. Dhami, P. Shrestha
Immediate implants are placed in the site of surgical extraction of the tooth to be replaced. The percentage success of such procedures varies among authors from 94-100%. Immediate implant placement is most commonly indicated when tooth extraction is done with pathologies not amenable to treatment. The advantages include reduced post-extraction alveolar bone resorption, shortened treatment time, and the avoidance of a second surgical intervention with regard to delayed implantation. This report describes a case of immediate implant placed in a maxillary central incisor followed by evaluation of soft and hard tissue changes occurring during post-operative period with a follow-up at five years.
即刻种植体放置在手术拔牙的位置。这些手术的成功率在不同的作者之间从94%到100%不等。当拔牙后病变不适合治疗时,最常建议立即种植。其优点包括减少拔牙后牙槽骨吸收,缩短治疗时间,避免二次手术干预。本报告描述了一例上颌中切牙即刻种植的病例,随后评估了术后5年软硬组织的变化。
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引用次数: 0
Immediate Implant Placement in Anterior Maxilla 上颌前牙即刻种植
Pub Date : 2018-12-31 DOI: 10.3126/JNSPOI.V2I2.23618
John Gurung, B. Dhami
This case report describes extraction of a fractured right maxillary lateral incisor tooth which was previously treated endodontically, followed by immediate placement of a dental implant in the prepared socket and temporisation by a removable partial denture. The tooth was extracted with minimal hard and soft tissue trauma. The socket was prepared to the required depth and implant was inserted. An impression was made after four months, and a definitive restoration was placed. The atraumatic operating technique and the immediate insertion of the implant resulted in the preservation of the hard and soft tissues at the extraction site. The patient exhibited no clinical or radiologic complications after loading.
本病例报告描述了一颗骨折的右上颌侧切牙的拔除,该牙之前进行过根管治疗,随后立即将牙种植体放置在准备好的牙槽中,并使用可移动的局部义齿进行暂时修复。拔牙时软硬组织损伤最小。将牙槽准备到所需深度并插入种植体。四个月后留下了一个印象,并进行了彻底的修复。无伤性的操作技术和种植体的即时插入使得拔牙部位的软组织和硬组织得以保存。加载后,患者未出现临床或影像学并发症。
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引用次数: 0
Gingival Crevicular Fluid in Periodontitis 牙周炎中的龈沟液
Pub Date : 2018-12-31 DOI: 10.3126/JNSPOI.V2I2.23609
S. Shrestha
No abstract available.
没有摘要。
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引用次数: 0
Platelet Rich Fibrin and Bone Graft in the Treatment of Intrabony Defect in Periodontitis Patients 富血小板纤维蛋白联合骨移植治疗牙周炎骨内缺损
Pub Date : 2018-12-31 DOI: 10.3126/JNSPOI.V2I2.23614
Shilu Shrestha, S. Shrestha, A. Pradhan, Shreeya Aryal
Background: Porous hydroxyapatite and β-tricalcium phosphate (β-TCP + HA) bone grafting material has resulted in clinically acceptable responses when used to fill the periodontal intrabony defects. PRF is an autologous leukocyte and platelet preparation that concentrates various polypeptide growth factors which therefore holds potential to be used as regenerative treatment for periodontal defects. Aim: The purpose of this study was to evaluate clinical and radiographic outcomes in periodontal intrabony defects treated with platelet rich fibrin compared to alloplastic bone graft material. Materials and Methods: Twenty subjects (10 subject per group, one site/subject) were treated either with platelet rich fibrin or alloplastic bone graft (30% β-TCP+ 70% HA). Primary clinical parameters: PD, CAL were taken at baseline, three months, six months and nine months post-operatively. Standardised radiographic data were collected at baseline, six months and nine months postoperatively. Results: Preoperative parameters were similar for both groups. Postsurgical measurements revealed a greater reduction in pocket depth in bone graft group (2.5 mm), greater CAL gain (2.2 mm) and greater defect fill (1.30 mm) as compared to platelet rich fibrin group (1.50 mm, 1.6 mm and 0.80 mm respectively ) at nine months. Conclusion: Treatment of intrabony defects with alloplast (30% β TCP+ 70% HA) or platelet rich fibrin both resulted in a significant probing depth reduction, CAL gain and bone depth reduction, with significantly better improvement in bone graft group.
背景:多孔羟基磷灰石和β-磷酸三钙(β-TCP + HA)植骨材料用于牙周骨内缺损的修复,临床效果良好。PRF是一种自体白细胞和血小板制剂,浓缩了各种多肽生长因子,因此具有用于牙周缺损再生治疗的潜力。目的:本研究的目的是评估与同种异体骨移植材料相比,富血小板纤维蛋白治疗牙周骨内缺损的临床和影像学结果。材料与方法:采用富血小板纤维蛋白或同种异体骨移植(30% β-TCP+ 70% HA)治疗20例(每组10例,1个部位/例)。主要临床参数:PD、CAL分别于基线、术后3个月、6个月和9个月测定。在基线、术后6个月和9个月收集标准化放射学数据。结果:两组术前参数相似。术后测量显示,与富血小板纤维蛋白组(分别为1.50 mm, 1.6 mm和0.80 mm)相比,骨移植组在9个月时口袋深度减少(2.5 mm), CAL增加(2.2 mm)和缺陷填充(1.30 mm)更大。结论:用同种异体(30% β TCP+ 70% HA)或富血小板纤维蛋白治疗骨内缺损均可显著降低探探深度、CAL增加和骨深度降低,其中植骨组改善明显更好。
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引用次数: 4
期刊
Journal of Nepalese Society of Periodontology and Oral Implantology
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