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Morphological variations of the labial frenum, type of attachment and presence of diastemas: integrative review 唇系带的形态变化,附着类型和裂口的存在:综合回顾
Pub Date : 2023-05-22 DOI: 10.1590/1981-86372023001220210122
Aline Santos, Lindinalva Marielly Silva, Isabela Lima, Lívia Maria Lopes de Oliveira, B. Vajgel, Renata Cimões
ABSTRACT Objective: The aim of the present literature review was to compile data on the frequency of morphological and attachment types of the upper and lower labial frenum in different populations and investigate the association between the attachment level of the upper labial frenum and the occurrence of diastemas. Methods: Searches were conducted between May and June 2021 in the Medline (via Ovid), Google Scholar and CAPES databases. Thirty-eight studies that evaluated frenum morphology, frenum morphology and attachment or frenum morphology, attachment and the occurrence of diastemas were selected for the extraction of data. Results: Based on the data compiled in this review, the most common morphological and attachment types were labial frenum normale and mucosal attachment. The papillary and papilla penetrating types of attachment were more associated with the occurrence of diastemas. Conclusion: Longitudinal studies are needed to investigate this correlation in children and adults.
摘要目的:收集不同人群上、下唇系带形态及附着类型的频率资料,探讨上唇系带附着水平与肠裂发生的关系。方法:于2021年5月至6月在Medline(通过Ovid)、谷歌Scholar和CAPES数据库中进行检索。选取38项评价系带形态、系带形态与附着或系带形态、附着与系带发生的研究进行数据提取。结果:根据本综述收集的资料,最常见的形态和附着类型是正常唇系带和粘膜附着。乳头状和乳头穿透型附着体与间隙的发生有较大的相关性。结论:需要对儿童和成人的相关性进行纵向研究。
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引用次数: 0
Atypical traumatic bone cyst involving impacted lower third molar: report of case 非典型外伤性骨囊肿累及下第三磨牙:1例报告
Pub Date : 2023-04-07 DOI: 10.1590/1981-86372023001120210149
Daniel Santiago Vale, H. Lopes, G. Freitas, Nilton Pires Araujo, Flavia Gabriela Rosa, Francisco Nunes Junior
ABSTRACT The traumatic bone cyst is an uncommon nonneoplastic lesion of the jaws that is considered as a “pseudocyst” because of the lack of an epithelial lining. This lesion is particularly asymptomatic and, therefore, is diagnosed by routine dental radiographic examination as a unilocular radiolucency with scalloped borders, mainly in the posterior mandibular region. The exact etiopathogenesis of the lesion remains uncertain, though it is often associated with trauma. The objective of this paper is to report one case of atypical traumatic bone cyst involving impacted lower third molar, addressing its clinical and radiographic characteristics, differential diagnosis, treatment through surgical exploration and case follow-up.
外伤性骨囊肿是一种罕见的颌骨非肿瘤性病变,由于缺乏上皮衬里而被认为是“假性囊肿”。这种病变特别无症状,因此,通过常规牙科x线检查诊断为单眼放射透光,边界呈扇形,主要发生在下颌后区。病变的确切病因尚不清楚,虽然它通常与创伤有关。本文报告1例非典型外伤性骨囊肿累及阻生下第三磨牙的临床及影像学特征、鉴别诊断、手术探查治疗及随访。
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引用次数: 0
Restoration of molars affected by molar-incisor hypomineralization using the occlusal replica technique 用咬合复制技术修复磨牙-切牙低矿化影响的磨牙
Pub Date : 2023-04-07 DOI: 10.1590/1981-86372023000920210080
A. Nagata, Gabriela Fonseca de Souza, Keila Dias dos Santos, J. Souza
ABSTRACT The aim of this study was to report the clinical case of an 8-year-old male patient seen at the Pediatric Dentistry outpatient clinic at the Universidade Federal do Paraná, Brazil, diagnosed with molar-incisor hypomineralization (MIH) after presenting with pain in teeth 16, 36, and 46, which had extensive atypical cavities and opacities on the adjacent enamel. A diagnostic wax-up of affected teeth was performed for manufacture of silicone occlusal matrix. Encapsulated high-viscosity glass ionomer cement was handled and inserted into the occlusal matrix which was fitted onto the teeth by slight finger pressure. After setting time, excess of material was removed, and occlusion was checked. A flowable resin coating material was applied, and the restorations were finished. Six months later, the restorations performed for treatment of the severe MIH lesions proved to be efficient, lowering the sensitivity reported by the patient, reshaping the teeth, improving their function, and refining dental esthetics.
摘要:本研究的目的是报告一名8岁男性患者的临床病例,该患者在巴西帕拉帕拉联邦大学儿科牙科门诊就诊,在第16、36和46号牙齿出现疼痛后被诊断为磨牙-门牙低矿化(MIH),该患者的牙釉质上有广泛的非典型空腔和混浊。对患牙进行诊断性蜡检,制作硅胶牙合基质。处理包封的高粘度玻璃离聚体水泥,用手指轻轻按压将其插入牙合基质中。凝固时间后,去除多余的材料,检查咬合。采用可流动的树脂涂层材料,完成修复。6个月后,对严重MIH病变进行的修复被证明是有效的,降低了患者报告的敏感性,重塑了牙齿,改善了牙齿的功能,改善了牙齿的美观。
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引用次数: 0
Oral Health and related inequalities among visual impairment people in a Brazil municipality 巴西某市视力障碍者的口腔健康和相关不平等现象
Pub Date : 2023-04-07 DOI: 10.1590/1981-86372023001020210031
G. E. Moreira, E. Oliveira, K. Gasque, Najara Nadiege Ferreira Barbosa Lemos, L. A. Fernandes, L. A. Gonçalves, Daniela Coêlho de Lima
ABSTRACT Objective: To evaluate the oral health and related factors among people with visual impairment in a municipality in southeastern Brazil. Methods: A cross-sectional and descriptive household study was carried out on a representative sample of people with visual impairments in a medium-sized city in Brazil. A clinical-dental examination was performed (evaluating tooth loss, caries, periodontal health, dental plaque use and need of prosthesis) and a semistructured questionnaire was applied, investigating the socioeconomic conditions (sex, age, marital status, skin color and income) and the use of dental services (reason, time since, and type of service used [private/public] in last dental visit). Descriptive and bivariate analysis were performed to asses the factors related to oral health. Results: The mean age of participants was 65 years (±15.05), with the majority women (70.9%). 53.1% of the interviewees were edentulous, but 58.2% had a good perception of oral health. The blind ones use less public services (p=0.038) and with a lower frequency (p=0.014) than subjects with low vision. Those with less schooling had higher tooth loss and lower periodontal problems (p <0.05). There was a reduction of dental plaque six months after the educational action (30.7%; p=0.01), especially among the low vision participants (p=0.01). Conclusion: Severe tooth loss and unsatisfactory hygiene contrast with self-perception of oral health. Visual acuity and schooling were related to access and oral health. Actions for promotion and equity are necessary to overcome the inequalities encountered.
摘要目的:了解巴西东南部某城市视力障碍人群的口腔健康状况及其相关因素。方法:对巴西某中等城市视力障碍人群的代表性样本进行了横断面和描述性家庭研究。进行了临床牙科检查(评估牙齿脱落、龋齿、牙周健康、牙菌斑使用情况和修复体需求),并采用半结构化问卷调查,调查社会经济条件(性别、年龄、婚姻状况、肤色和收入)和牙科服务的使用情况(上次牙科就诊的原因、时间和服务类型[私人/公共])。采用描述性和双变量分析来评估与口腔健康相关的因素。结果:参与者平均年龄65岁(±15.05岁),以女性居多(70.9%)。53.1%的受访者无牙,但58.2%的受访者对口腔健康有良好的认识。盲人使用公共服务较少(p=0.038),使用频率较低(p=0.014)。受教育程度较低者牙齿脱落和牙周问题发生率较高(p <0.05)。教育活动后6个月牙菌斑减少(30.7%;P =0.01),尤其是低视力参与者(P =0.01)。结论:牙齿严重脱落、口腔卫生状况不佳与自我口腔健康认知形成鲜明对比。视力和学校教育与可及性和口腔健康相关。为了克服所遇到的不平等现象,必须采取促进和平等的行动。
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引用次数: 0
Treatment under general anesthesia after dental trauma in a patient with autism spectrum disorder: a case report 自闭症谱系障碍患者牙外伤后全麻治疗1例
Pub Date : 2023-04-03 DOI: 10.1590/1981-86372023000520210074
M. Campos, Saulo Vinicius da Rosa, Marina Luísa Garbarino Nogueira, Margareth Eliana Dias Consulin, L. Signorelli, T. Marega, Alcides Ricardo Gonçalves
ABSTRACT The objective of this study was to present a clinical case of a pediatric patient with ASD who had experienced dental trauma and underwent dental treatment in a hospital environment under general anesthesia. A 10-year-old male patient who was Brazilian and had leukoderma was diagnosed with ASD at three years of age, he experienced trauma to the upper teeth, with avulsion of tooth 12 and extrusive displacement of tooth 11, after being run over by a car in February 2017. He was immediately taken to the emergency room, where he was seen by a dentist and he was immediately transferred to Hospital. In the out-patient clinic of this hospital, with the aid of protective stabilization and infiltrative anesthesia, tooth 12 was reimplanted 40 minutes after trauma and restrained with composite resin. He continued treatment in another city and Endodontic and paraendodontic treatment of teeth 11 and 12 was performed under general anesthesia. Follow-ups with the patient are continuing, with the last control periapical radiograph taken in January 2020. In this case, the proposed dental treatment was successful and did not lead to any complications.
摘要:本研究的目的是报告一名儿科ASD患者的临床病例,该患者经历了牙齿创伤并在全麻下在医院环境中接受了牙科治疗。一名10岁的巴西男性患者,患有白皮病,在3岁时被诊断为ASD,他在2017年2月被一辆汽车撞倒后,经历了上颌牙齿的创伤,第12颗牙齿撕脱,第11颗牙齿突出移位。他立即被送往急诊室,在那里他被一名牙医看到,并立即被转移到医院。在该院门诊,在保护稳定和浸润麻醉的帮助下,12号牙在创伤后40分钟再植,用复合树脂约束。他在另一个城市继续治疗,在全身麻醉下对第11和12颗牙进行了牙髓治疗和牙髓旁治疗。对患者的随访仍在继续,最后一次对照根尖周x线片摄于2020年1月。在这个病例中,建议的牙科治疗是成功的,没有导致任何并发症。
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引用次数: 0
Effect of different materials for temporary removable partial denture: an in vitro study on surface roughness and fracture resistance 不同材料对临时可摘局部义齿表面粗糙度和抗断裂性能的影响
Pub Date : 2023-04-03 DOI: 10.1590/1981-86372023000620210100
Luiza Oliveira de Almeida, M. Grangeiro, V. Figueiredo
ABSTRACT The use of removable partial dentures is considered a common and inexpensive treatment option to rehabilitate edentulous areas. The aim of this study was to evaluate the effect of different materials for provisional removable partial dentures, an in vitro study on surface roughness and fracture resistance. Thermopolymerizable acrylic resin and thermoplastic resin specimens with dimensions of 10 x 10 x 2 mm (blocks) (n=10) and with dimensions of 65 x 20 x 3 mm (bars) (n=10 were analyzed for their surface roughness (Ra) and three-point flexural strength test. All specimens were subjected to oven aging for 60 days at 37°C±0.5°C in distilled water. The statistical analysis was performed with a significance level of 5%, and the surface roughness data were submitted to the Two-way Anova statistical test (P < 0.05) and the mechanical strength data were subjected to One-way Anova statistical test (P < 0.05). For roughness, the factor resin type (P = 0.000) and the factor aging (P = 0.000) were statically significant, as well as showing interaction (P = 0.228). The Thermopolymerizable acrylic resin had the lowest mean roughness values compared to the thermoplastic resin and showed no statistical difference after aging. The same scenario was repeated for flexural strength values; Thermopolymerizable acrylic resin was statistically superior to thermoplastic resin (P = 0.000). Thermopolymerized acrylic resin showed lower surface roughness values and higher flexural strength values compared to thermoplastic resin.
使用可摘局部义齿被认为是修复无牙区一种常见且廉价的治疗选择。本研究的目的是评估不同材料对临时可摘局部义齿的影响,并对其表面粗糙度和抗断裂性进行体外研究。对尺寸为10 × 10 × 2mm(块)(n=10)和尺寸为65 × 20 × 3mm(条)(n=10)的热聚合丙烯酸树脂和热塑性树脂样品进行了表面粗糙度(Ra)和三点抗弯强度测试。所有标本在37°C±0.5°C蒸馏水中烤箱老化60天。统计分析以5%的显著性水平进行,表面粗糙度数据采用双向方差统计检验(P < 0.05),机械强度数据采用单向方差统计检验(P < 0.05)。对于粗糙度,树脂类型因子(P = 0.000)和老化因子(P = 0.000)具有统计学意义,并表现出交互作用(P = 0.228)。与热塑性树脂相比,热聚合丙烯酸树脂的平均粗糙度值最低,老化后无统计学差异。对弯曲强度值重复同样的情况;热聚合丙烯酸树脂在统计学上优于热塑性树脂(P = 0.000)。与热塑性树脂相比,热聚合丙烯酸树脂具有较低的表面粗糙度值和较高的弯曲强度值。
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引用次数: 0
Linear dimensional change of edentulous models made of high-density laboratory silicones at different storage times 高密度实验室硅树脂无牙模型在不同贮存时间下的线性尺寸变化
Pub Date : 2023-04-03 DOI: 10.1590/1981-86372023000720210132
A. P. Damasceno, Priscila Neves de Castro, Lucas Mansano Vieira da Silva, K. Baroudi, M. Amaral, L. Silva-Concílio
ABSTRACT Objective: To evaluate the dimensional change of edentulous models made of high density laboratory silicones at different storagetimes. Methods: A metallic master model simulating an edentulous maxilla was used. The model had projections of 1.8 cm located in the regions of canines (A and B) and molars (C and D) allowing the linear measurement of distances AB, BC, CD, DA, AC and BD. A laboratory silicone mold was made for duplication of master model in the following materials (n = 10): G1: Zetalabor 85, G2: Titanium 95, G3: Platinum 95 and G4: Gypsum type III (control). The samples were photographed and measured using a software (Image J) at times T1 (baseline) and T2 (after one week of models fabrication). The data were statistically analyzed using Kruskal- Wallis and Dun non-parametric tests (α = 0.05). Results: The storage time influenced the behavior of the materials evaluated. All groups presented dimensional changes in both times and the group Tit95 presented the best results. Only Zet85 group showed a different behavior related to the region of the model. Conclusions: The high density laboratory silicones showed satisfactory results when compared to the gypsum group. Tit95 was the most stable material and it can be recommended as an edentulous model for total protheses.
【摘要】目的:评价高密度实验室硅树脂制作的无牙模型在不同保存时间下的尺寸变化。方法:采用金属母模模拟无牙颌。该模型在犬(A和B)和磨牙(C和D)区域有1.8厘米的凸出,可以线性测量AB、BC、CD、DA、AC和BD的距离。为了复制主模型,我们制作了一个实验室硅胶模具,采用以下材料(n = 10): G1: Zetalabor 85, G2: Titanium 95, G3: Platinum 95和G4:石膏III型(对照)。在T1(基线)和T2(模型制作一周后),使用软件(图像J)对样品进行拍照和测量。采用Kruskal- Wallis和Dun非参数检验对数据进行统计学分析(α = 0.05)。结果:贮存时间对所评价材料的性能有影响。两组均出现维数变化,以Tit95组效果最好。只有Zet85组表现出与模型区域相关的不同行为。结论:与石膏组相比,高密度实验室有机硅具有令人满意的效果。Tit95是最稳定的材料,可以推荐作为全假体无牙模型。
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引用次数: 0
Access and use of the oral health service in a reference center in oral cleft in the state of Bahia 巴伊亚州唇腭裂参考中心口腔卫生服务的获取和使用情况
Pub Date : 2023-04-03 DOI: 10.1590/1981-86372023000820210128
Juliana Alves Barbosa, Beatriz Maia Medrado de Araújo, Liliane Akemi Kawano Shibasaki, A. Medrado, S. Reis
ABSTRACT This study aimed to determine the access and utilization of dental services in a reference center for orofacial defects in the state of Bahia, Brazil. In an interview, a questionnaire was done about socio-demographic information, cleft type, specialized treatments, scheduling time and return of the consultation of 101 patients with nonsyndromic cleft lip with or without cleft palate and 101 healthy controls. In both groups the age was between 5 to 12 years old. It was observed that individuals with cleft had faster access to the dental service in relation to the control group and shorter scheduling time between the first consultation and their return. Different needs in the use of dental services were observed in the study groups with differences in relation to the specialties (p=0.000). The nonsyndromic cleft lip with or without cleft palate individuals showed socialization difficulties in the age group between 9 and 12 years and did not present difficulties in accessing primary dental care in specialized service. In conclusion, in this study NSCL±P individuals did not present difficulties in accessing the specialized dental center. To complement the comprehensive care, it is suggested the performance of educational activities of oral health, not yet fully implemented in this multidisciplinary treatment center.
本研究旨在确定巴西巴伊亚州口腔面部缺陷参考中心牙科服务的获取和利用情况。通过访谈,对101例伴有或不伴有腭裂的非综合征性唇裂患者和101例健康对照者进行了社会人口统计信息、唇裂类型、专科治疗、就诊时间和复诊情况的问卷调查。两组的年龄都在5到12岁之间。据观察,与对照组相比,唇裂患者获得牙科服务的速度更快,第一次咨询和返回之间的时间安排也更短。在研究组中观察到不同的牙科服务使用需求,其差异与专业有关(p=0.000)。在9 - 12岁年龄组中,伴有或不伴有腭裂的非综合征性唇裂个体表现出社会化困难,在获得专业服务的初级牙科保健方面没有困难。总之,在本研究中,NSCL±P个体在进入专业牙科中心时没有出现困难。为了补充综合护理,建议开展口腔健康教育活动,但该多学科治疗中心尚未完全实施。
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引用次数: 1
Effectiveness of ozone therapy in the treatment of periodontal diseases: a systematic review 臭氧疗法治疗牙周病的有效性:系统综述
Pub Date : 2023-03-13 DOI: 10.1590/1981-86372023000420210085
P. V. Palma, Rafaela de Oliveira Cunha, I. Leite
ABSTRACT The aim of this study was to evaluate the effectiveness of ozone as an adjuvant factor in the treatment of periodontal diseases. A systematic review was carried out using the PubMed, LILACS/BIREME, CoChrane, and Scielo databases and manual searches. Clinical studies published in English, Spanish, Portuguese, and French, between 1950 and 2020 that evaluated the effects of ozone in the treatment of periodontal diseases were included. The search resulted in 178 articles, of which 24 met the proposed eligibility criteria and were selected for this review. The risk of bias was assessed for each selected study in accordance with the Cochrane risk-of-bias tool - version 5.1.0. The selected studies evaluated the effect of ozone therapy on periodontitis, gingivitis, and peri-implant diseases. It was observed that the ozone in its oily form presented the best clinical results. In cases of periodontitis, it was concluded that ozone therapy in the gaseous form did not bring any additional benefit. With respect to gingivitis, ozone provided faster remission compared to the control group. And in peri-implant disease cases, ozone had the capacity to reduce the development of mucositis. Regarding microbiology, it was observed that ozone can continuously and significantly reduce periodontal microorganisms; however, with no difference from control groups. Further studies with adequate control of biases are suggested, using ozone in the oily or aqueous form, which are the most promising forms, also evaluating the possible effectiveness of ozone by-products.
摘要本研究的目的是评价臭氧作为辅助因子在牙周病治疗中的有效性。使用PubMed、LILACS/BIREME、CoChrane和Scielo数据库和人工检索进行系统评价。1950年至2020年间,以英语、西班牙语、葡萄牙语和法语发表的临床研究评估了臭氧对牙周病治疗的影响。检索结果为178篇文章,其中24篇符合建议的资格标准,入选本综述。根据Cochrane风险偏倚工具5.1.0版对每项选择的研究进行偏倚风险评估。选定的研究评估了臭氧治疗对牙周炎、牙龈炎和种植体周围疾病的影响。观察到,臭氧在其油性形式表现出最好的临床效果。在牙周炎的病例中,结论是气体形式的臭氧治疗不会带来任何额外的好处。在牙龈炎方面,与对照组相比,臭氧提供了更快的缓解。在种植体周围疾病病例中,臭氧具有减少粘膜炎发展的能力。在微生物学方面,臭氧可以持续显著地减少牙周微生物;然而,与对照组没有区别。建议在适当控制偏差的情况下进行进一步的研究,使用最有希望的油性或水性臭氧,并评价臭氧副产品的可能有效性。
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引用次数: 0
Oral rehabilitation after partial maxilectomy for removal of pleomorphic adenoma: case report 上颌部分切除术切除多形性腺瘤术后口腔康复1例
Pub Date : 2023-03-03 DOI: 10.1590/1981-86372023000120200211
Iury da Silva Ximenes, Cássia Emanuella Nóbrega Malta, Joyce Ohana de Lima Martins, J. Lemos, Lívia de Oliveira Barros, Carlos Eduardo Alburquerque Gomes, Renata de Matos Brito Lima Verde
ABSTRACT Salivary gland tumors account for only 3%–5% of all tumors in the head and neck, 10%–15% of which originate from minor salivary glands. Pleomorphic adenoma is a benign lesion of the salivary gland, most commonly occurring in the region of the hard and soft palates. The treatment of choice for pleomorphic adenomas is with the partial or total function of the extension of the lesion, and placing palatal obturators are one method of reestablishing masticatory function and facial esthetics. This study aimed to rehabilitate a patient using a palatal implant following partial maxillectomy for the removal of a pleomorphic adenoma. A young patient with pleomorphic adenoma of the hard palate underwent a partial right-sided maxillectomy procedure which removed the hard palate and alveolar regions of the molars. Prior to surgery, the patient was assessed to make a surgical guide for resection of the tumor, as well as a provisional obturator plate using orthodontic wire clasps. After healing, the patient was rehabilitated using a palatal obturator which had been incorporated into a removable partial denture. The clinical sequence used to fabricate the final prosthesis was as follows: initial molding after surgery, prosthesis design, preparation of the mouth, work molding, structure testing and orientation planning, teeth testing and installation, and periodic maintenance. Thus, we can conclude that the palatal obturator is an excellent means of restoring a patient’s oral function, facial esthetics, and overall quality of life.
唾液腺肿瘤仅占头颈部肿瘤的3%-5%,其中10%-15%起源于小唾液腺。多形性腺瘤是唾液腺的一种良性病变,最常见于软硬腭区域。多形性腺瘤的治疗选择是部分或全部扩展病变功能,放置腭闭孔是重建咀嚼功能和面部美观的一种方法。本研究的目的是恢复患者使用腭种植体后部分上颌切除术去除多形性腺瘤。一位患有硬腭多形性腺瘤的年轻患者接受了右侧部分上颌切除手术,切除了硬腭和臼齿的牙槽区。手术前,对患者进行评估,制定手术指南切除肿瘤,并使用正畸金属丝卡钳制作临时闭孔板。愈合后,患者使用腭闭孔进行康复,该闭孔已纳入可移动局部义齿。临床制作最终假体的顺序为:术后初始成型、假体设计、口腔准备、工作成型、结构测试和定向规划、牙齿测试和安装、定期维护。因此,我们可以得出结论,腭闭孔是恢复患者口腔功能,面部美观和整体生活质量的绝佳手段。
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引用次数: 0
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RGO Revista Gaucha de Odontologia
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