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Primary tooth restoration with colored compomer: case report 彩色复合材料修复原牙1例
Pub Date : 2023-01-01 DOI: 10.1590/1981-86372023004220230043
Carolina Hoeveler Costa DIAS, Gisele Gomes de OLIVEIRA, Eliane de Carvalho Dourado ARAGÃO, Kelly Maria Silva MOREIRA, José Carlos Pettorossi IMPARATO
ABSTRACT In pediatric dentistry, restorative treatment requires a material with good mechanical properties, ease of handling, and usability. For the restoration of deciduous teeth, colored compomers are an alternative material for motivating children in dental treatment and, consequently, behavior management. This study aimed to provide information about colored compomers by presenting a case of restoration in a deciduous molar with a five-year follow-up. Additionally, the study highlights the child’s motivation toward dental treatment and oral care, thus offering an alternative to other restorative materials for clinicians to consider. The treatment plan for tooth 75 was selective removal of decayed tissue and restoration with compomer blue- colored Twinkly Star. The restoration was performed without anesthesia under relative isolation following the clinical protocol recommended by the manufacturer. As a result, it was observed that the restoration in colored Twinky Star compomer remained aesthetically and functionally satisfactory after five years. In addition, it was favorable for the child’s collaboration in dental treatment. It is concluded that colored Twinky Star compomer can be a viable alternative for restoring deciduous teeth, contributing to children’s dental treatment and oral care motivation.
在儿童牙科中,修复治疗需要一种具有良好机械性能、易于操作和可用性的材料。对于乳牙的修复,彩色复合材料是一种替代材料,可以激励儿童进行牙科治疗,从而进行行为管理。本研究的目的是提供有关彩色成分的信息,提出一个病例的修复乳牙与五年的随访。此外,该研究强调了儿童对牙科治疗和口腔护理的动机,从而为临床医生提供了其他修复材料的替代方案。第75颗牙的治疗方案是选择性地去除腐朽组织,用蓝色的闪亮之星修复。按照制造商推荐的临床方案,在没有麻醉的情况下相对隔离地进行修复。结果表明,经过5年的修复,彩色的Twinky Star复合材料在美学和功能上仍然令人满意。此外,这有利于孩子在牙科治疗方面的合作。结论:彩色Twinky Star复合材料是一种可行的修复乳牙的方法,对儿童的口腔治疗和口腔护理有积极的作用。
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引用次数: 0
Dilated odontoma in the mandibular third molar region: a case report 下颌第三磨牙区扩张型牙瘤1例
Pub Date : 2023-01-01 DOI: 10.1590/1981-86372023004320230002
Marcéla Frenhani dos SANTOS, Eron José BARONI, Ângela Catarina MARAGNO, Muriel Becker STÜRMER
ABSTRACT Dilated odontoma is a rare dental developmental anomaly that belongs to a class od dens in dente, being rarely described in the posterior region of the mandible. To be describe a dilated odontoma in the lower third molar region. this study had a qualitative, transversal, descriptive and documentar approach, of the case report type. Developed in the Integrated Health Clinics of a University in the Extreme South of Santa Catarina, in the Dentistry Service. This article presets a case of dilated odontoma in a 32-year-old male patient. The patient had pain and swelling in the left posterior region of the mandible. The Crown of this element was clinically within the normal range, however the radiographic examination showed barrel-shaped root alteration in element 38 and expansion of the buccal and lingual cortical bone. An incisional biopsy of the anomaly whas performed and sent to anatomopathological examination. According to the clinical, radiographic and anatomopathological characteristics, the diagnosis of dilated odontoma was reached. Due to the aberrant root anatomy, complete removal was chosen. The diagnosis of this abnormality depeds on the clinical, radiographic and anatomoathological characteristics and its therapy varies according to the invagination. In cases of deep invagination, extraction is indicated.
摘要:扩张型牙瘤是一种罕见的牙齿发育异常,属于牙本质的一类齿状突,很少发生在下颌骨后区。描述一个下第三磨牙区扩张的牙瘤。本研究采用定性、横向、描述性和文献方法,采用病例报告类型。在圣卡塔琳娜州最南部牙科服务的一所大学综合保健诊所开发。本文报道一例32岁男性患者的扩张性牙瘤。患者有疼痛和肿胀在左后区域下颌骨。该单元的冠在临床正常范围内,但x线检查显示38号单元的桶状根改变,颊和舌皮质骨扩张。对异常进行切口活检并送去解剖病理检查。结合临床、影像学及解剖病理特点,诊断为扩张型牙瘤。由于牙根解剖异常,选择完全拔除。这种异常的诊断取决于临床、放射学和解剖学特征,其治疗方法因内陷而异。在深度内陷的情况下,建议拔除。
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引用次数: 0
Apexification in a traumatized tooth with mineral trioxide aggregate: an interesting case report of root formation 三氧化二矿骨料损伤牙尖化:一个有趣的牙根形成病例报告
Pub Date : 2023-01-01 DOI: 10.1590/1981-86372023003420220085
Margarete A. G. Melo GUIMARÃES, Héctor RODRIGUES, Stéphanie Quadros TONELLI, Daniel Sousa PARDINI, Frank Ferreira SILVEIRA
ABSTRACT Mineral trioxide aggregate (MTA) has been indicated for apexification because it has desirable properties such as excellent biocompatibility, low solubility and dimensional stability. This procedure consists of inducing root apex formation in teeth with incomplete root formation. This article reports a case of trauma in a young dental element, with necrotic pulp and incomplete root formation. For its treatment, apexification with white MTA was performed, which showed excellent results in inducing the continuity of root formation with mineralized tissue in the apical portion. Therefore, MTA is a viable option for apexification, bringing as its main advantage, faster treatment and immediate coronary rehabilitation of the dental element.
摘要:三氧化矿物骨料(MTA)具有良好的生物相容性、低溶解度和尺寸稳定性,因此被认为可以用于尖化。这个过程包括在根形成不完全的牙齿中诱导根尖形成。本文报告一例创伤在一个年轻的牙元,坏死的牙髓和不完整的根形成。用白色MTA进行根尖化处理,在诱导根尖部矿化组织形成连续性方面取得了很好的效果。因此,MTA是根尖矫治的可行选择,其主要优点是治疗更快,冠状动脉即刻康复。
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引用次数: 0
Assessment of quality of life and associated factors in nursing students 护生生活质量及相关因素评估
Pub Date : 2023-01-01 DOI: 10.1590/1981-86372023004920220067
Inês Élida Aguiar BEZERRA, Karine Laura CORTELLAZZI, Andreza Maria Luzia Baldo de SOUZA, Luciane Miranda GUERRA, Brunna Verna Castro GONDINHO, Jaqueline Vilela BULGARELI
ABSTRACT Objective: To assess the quality of life of nursing undergraduate students and factors associated with socioeconomic variables and internship field. Methods: A cross-sectional study was conducted in an educational institution located in the northern region of the state of Ceará, Brazil, involving 309 nursing undergraduates from the 1st to the 10th semester. The WHOQOL-bref instrument was used to evaluate the quality of life. Each domain and total score of the instrument were considered as outcome variables. Results: 69.3% of the individuals were women, the mean age of the sample was 28 years, and 67.7% defined their quality of life as “good” or “very good.” Undergraduates who consumed well water and those with lower income had a higher chance of presenting lower scores in the physical domain and environmental domain of quality of life, respectively (p < 0.05), and of having a lower total quality of life score. Conclusion: The students considered their quality of life to be good/very good, and sociodemographic factors influenced the lower quality of life score.
摘要目的:探讨护理本科生的生活质量及其与社会经济变量和实习领域的相关因素。方法:在巴西塞埃尔州北部一所教育机构进行横断面研究,涉及309名第一至第十学期的护理本科生。采用whoqol - brief量表评价患者的生活质量。仪器的每个域和总分被视为结果变量。结果:69.3%的人是女性,样本的平均年龄为28岁,67.7%的人认为自己的生活质量“好”或“非常好”。饮用井水的大学生和收入较低的大学生在生活质量的物理领域和环境领域得分较低的可能性更高(p <0.05),总生活质量评分较低者。结论:学生认为自己的生活质量好/很好,社会人口因素影响生活质量得分较低。
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引用次数: 0
Performance of ICDAS e-learning program in teaching graduate students on the detection of occlusal caries ICDAS在线学习项目在研究生牙合龋齿检测教学中的应用
Pub Date : 2022-01-01 DOI: 10.1590/1981-86372022003220200040
T. Rolim, G. Marchetti, Patrícia Kochany Felipak, Magdalena Raquel Torres Reyes, J. V. N. B. Menezes, J. Souza
ABSTRACT Objective: The aim was evaluate the validity and reproducibility of the International Caries Detection and Assessment System (ICDAS) in detecting occlusal caries among graduate students after training using the e-learning program. Methods: A sample of forty-two primary teeth with different ranges of occlusal caries was selected. All teeth were mounted on a wax support and standardized photographs (EOS Rebel XTI, Canon, NY, USA) of the occlusal surfaces were taken. An experienced researcher randomly selected one specific site on the occlusal surface of each tooth to be examined later. Fifteen graduate students with no previous experience in the ICDAS scores completed the ICDAS e-learning program in Portuguese. After the training, visual examination of the occlusal surfaces was taken twice, independently, with a two-week interval. After visual examination, the teeth were longitudinally sectioned 1mm away from the previously selected occlusal site. The teeth were fixed on a wax support and photographed. Histological analysis was performed from these photographs by an experienced researcher to evaluate the depth of demineralization. Results: The Intraclass Correlation Coefficient (ICC) inter-examiner values among all participants varied from 0.54 to 0.96 and intra-examiner ICC reproducibility of the examiners ranges from 0.61 to 0.85, showing good to excellent reproducibility. For detection of enamel and dentine lesions (D1), ICDAS obtained sensitivity 0.835 and specificity 0.756. For dentine lesions (D3), the method revealed an increase in sensitivity but specificity was similar to D1. Conclusion: ICDAS e-learning training program was efficient for the training of caries lesions detection among graduate students.
摘要目的:评价国际龋齿检测与评估系统(ICDAS)在研究生在线培训后检测牙合龋齿的有效性和可重复性。方法:选择不同牙合范围的乳牙42颗。所有牙齿都安装在蜡支架上,并拍摄咬合表面的标准化照片(EOS Rebel XTI, Canon, NY, USA)。一位经验丰富的研究人员在每颗牙齿的咬合面上随机选择一个特定的位置进行检查。15名以前没有ICDAS分数经验的研究生完成了葡萄牙语ICDAS电子学习计划。训练结束后,每隔两周独立进行两次咬合面目视检查。目视检查后,在距先前选择的咬合位置1mm处纵向切片。牙齿被固定在一个蜡支架上并拍照。由经验丰富的研究人员对这些照片进行组织学分析,以评估脱矿的深度。结果:所有被试的检体内相关系数(ICC)在0.54 ~ 0.96之间,检体内相关系数(ICC)的可重复性在0.61 ~ 0.85之间,具有良好到优异的可重复性。ICDAS检测牙釉质和牙本质病变(D1)的灵敏度为0.835,特异性为0.756。对于牙本质病变(D3),该方法显示敏感性增加,但特异性与D1相似。结论:ICDAS在线学习培训项目对培养研究生龋病检测能力具有较好的效果。
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引用次数: 0
Lateral window maxillary sinus lift surgery: case report 侧窗上颌窦提升术1例
Pub Date : 2022-01-01 DOI: 10.1590/1981-86372022003120210042
Illa Oliveira Bitencourt Farias, Roberta Rodrigues Casali Bahia, M. Barreto, Fabrício Sméra Pinto, A. Fernandes
ABSTRACT The loss in height of the alveolar bone crest after tooth extraction makes rehabilitation of the posterior maxilla challenging due to low bone density and atrophy, in addition to pneumatization of the maxillary sinus. Maxillary sinus lift surgery prior to implant placement makes implant-supported rehabilitation feasible. This study aimed to describe a case report of maxillary sinus surgery using the side window technique prior to rehabilitation with a prosthesis supported by dental implants, highlighting the importance of planning to minimize intraoperative complications. This is a clinical case report of a 59-year-old male patient who was assisted at a private higher education institution complaining of edentulous spaces and the desire for rehabilitation with implants. He underwent rehabilitation planning, including the surgical treatment of maxillary sinus lifting using the side window technique. Bone gain was confirmed using cone beam computed tomography six months after the surgical approach to the maxillary sinus. The planning of rehabilitation of the posterior maxilla and careful sinus lift surgery using the side window technique is a predictable therapeutic option for clinical cases with bone gain in height of the posterior region of the maxilla prior to the installation of dental implants. The clinical case presented demonstrated success in the gain of bone volume in the posterior region of the maxilla, without postoperative complications, and the patient was still satisfied with the proposed treatment, awaiting complete implant-supported rehabilitation.
摘要拔牙后牙槽骨嵴高度下降,由于骨密度低和萎缩,加上上颌窦气化,使得后上颌的康复具有挑战性。种植体植入前上颌窦提升手术使种植体支持康复成为可能。本研究旨在描述一个上颌窦手术前使用侧窗技术的病例报告,修复前使用种植体支持的假体,强调计划最小化术中并发症的重要性。这是一个临床病例报告,59岁男性患者在私立高等教育机构的协助下,抱怨无牙空间和种植康复的愿望。他接受了康复计划,包括使用侧窗技术进行上颌窦提升的手术治疗。上颌窦手术入路6个月后,使用锥形束计算机断层扫描证实骨增重。对于安装种植体前上颌后区骨高度增加的临床病例,采用侧窗技术规划上颌后区康复和仔细的窦性提升手术是一种可预测的治疗选择。该临床病例成功地增加了上颌骨后区骨体积,无术后并发症,患者仍对所提出的治疗方案感到满意,等待完全的种植体支持康复。
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引用次数: 0
Bone formation in sinus augmentation with different xenograft particle sizes: systematic review and meta-analysis 不同异种移植颗粒大小的鼻窦增强骨形成:系统回顾和荟萃分析
Pub Date : 2022-01-01 DOI: 10.1590/1981-86372022006020210006
Bruna Genari, Romulo Cantarelli, Antonio da Silva RAMOS NETO, E. B. E. Silva, F. Degrazia
ABSTRACT The commercial bovine bone mineral most commonly used is available in two particle sizes and studies have demonstrated contradictory results regarding bone formation volume using small or large particles. The aim of this systematic review and meta-analysis was to compare the bone formation volume and residual bovine bone volume in sinus floor augmentation using small and large particles. The following outcome measures were assessed: bone formation volume (%) and residual bovine bone particles volume (%) assessed by histomorphometric analysis. The initial screening resulted in 236 records. After removal of duplicated articles and analysis of titles, abstracts and full texts, three articles were included in the meta-analysis. The bone formation volume and residual bovine bone volume did not differ between small and large particles, with low heterogeneity of studies. The particle size of bovine bone mineral did not influence bone formation percentage; small and large particles of bovine bone graft presented similar residual bone mineral; more randomized clinical trials should be performed to completely confirm that bovine bone mineral particle size does not affect the result of sinus floor augmentation.
最常用的商业牛骨矿物有两种粒径,研究表明,关于使用小颗粒或大颗粒的骨形成体积,结果相互矛盾。本系统综述和荟萃分析的目的是比较小颗粒和大颗粒窦底增强术中骨形成体积和残余牛骨体积。评估以下结果指标:通过组织形态学分析评估骨形成体积(%)和残留牛骨颗粒体积(%)。最初的筛选产生了236条记录。在删除重复文章并对标题、摘要和全文进行分析后,三篇文章被纳入meta分析。骨形成体积和残余牛骨体积在大小颗粒之间没有差异,研究的异质性较低。牛骨矿物颗粒大小对骨形成率没有影响;牛骨移植小颗粒和大颗粒的骨矿物质残留相似;应该进行更多的随机临床试验,以完全证实牛骨矿物颗粒大小不影响窦底增强的结果。
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引用次数: 0
Management of bruxism associated with temporomandibular disorder: case report 磨牙伴颞下颌障碍的治疗:1例报告
Pub Date : 2022-01-01 DOI: 10.1590/1981-86372022000720190126
Marcus Vinícius Andrade Oliveira, Marco Aurélio Fonseca Porto, Paulo Cézar Simamoto Júnior, Uriel Paulo Coelho, L. C. Cabral
ABSTRACT Studies have found the association between episodes of bruxism and the presence of signs and symptoms of temporomandibular disorder (TMD). The aim of the present study was to report the diagnosis and palliative therapy of bruxism associated with TMD. Patient, 23 years old, male gender, presented at dental clinic, complaining of pain in the temporomandibular joint on the left side and alteration of the form of the anterior teeth. During the anamnesis it was documented that this symptom was recurrent and reported the habit of grinding teeth. The clinical examination observed discrepancy between the centric relation and the maximum habitual intercuspation, unsatisfactory protrusive guide, presence of wear facets, clicking and mandibular deviation during mouth opening. The Research Diagnostic Criteria for Temporomandibular Disorders (RDC / TMD) questionnaire was applied to diagnose TMD. By means of specific algorithms this disorder was classified as myofascial pain, disc displacement with reduction and osteoarthritis, all affecting the left side. Thus, it was proposed the assembly of the models in semi-adjustable articulator for occlusal mapping and waxing diagnosis, then the occlusal adjustment by selective wear and material addition was executed. After this procedure, the occlusal splint was installed as a palliative therapy for bruxism. This case report suggests that the dental approach by means of occlusal adjustment and occlusal splint, in a patient diagnosed with bruxism and temporomandibular disorder, reduces the signs and symptoms that affect the components of the Stomatognathic System.
研究发现磨牙症发作与颞下颌紊乱(TMD)的体征和症状之间存在关联。本研究的目的是报告磨牙症与TMD相关的诊断和姑息治疗。患者,23岁,男性,就诊于牙科诊所,主诉左侧颞下颌关节疼痛,前牙形态改变。在记忆期间,记录了这种症状是反复出现的,并报告了磨牙的习惯。临床检查发现中心关系与最大习惯性间歇不一致,突出导向不理想,存在磨损面,开口时咔嗒声和下颌偏曲。采用颞下颌疾病研究诊断标准(RDC / TMD)问卷对TMD进行诊断。通过特定的算法将这种疾病分类为肌筋膜疼痛、椎间盘复位移位和骨关节炎,均影响左侧。为此,提出将模型装配在半可调关节器中进行咬合映射和上蜡诊断,然后通过选择性磨损和材料添加进行咬合调整。手术后,安装咬合夹板作为磨牙的姑息治疗。本病例报告表明,通过咬合调整和咬合夹板的方法,在诊断为磨牙和颞下颌疾病的患者中,减少了影响口颌系统组成部分的体征和症状。
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引用次数: 0
Application of ozonized oils in human body and oral cavity systems 臭氧化油在人体及口腔系统中的应用
Pub Date : 2022-01-01 DOI: 10.1590/1981-86372022002720200152
Anildo Alves de BRITO JÚNIOR, Jaiza Kênsuly Moura Pinheiro Carneiro, Júlia Vianna Neri Andrade Reis, T. J. S. Oliveira, J. Dantas
ABSTRACT Wound healing consists of the coordinated cascade of molecular, cellular and biochemical events that interact for tissue recomposition to occur. The interruption or failure in this process can trigger the delay in closing the lesion and chronic wounds, in addition to infections. Ozonotherapy proves to be a promising alternative, capable of assisting in the tissue healing process, modulating the inflammatory response and preventing the development of infection. To present, analyze and discuss, through a literature review, the use of Ozonated Oils in the repair of the human body and oral cavity systems. SciELO, LILACS, MEDLINE and PubMed databases were consulted, using the following DeCS / MeSH descriptors: “ozonized oil”; “healing”; “ozone therapy”. After crossing, counting and analyzing, 13 studies were selected, according to the theme. Due to the complementary theoretical foundation, 44 articles were included, totaling 57 articles used for the present review. Ozonized Oil therapy has beneficial clinical effects, which include antimicrobial, immunostimulating, analgesic, antipoxic, immunoregulatory and antioxidant action. Topical management of ozone has proven effective for the treatment of foot-and-mouth disease, gingivitis, ulcers and dermatitis, contributing to pain relief and healing. Infectious skin diseases, abscesses, allergic skin diseases, scaly erythema, psoriasis and palmoplantar pustulosis are pathological conditions, the treatment of which benefits from the application of Ozonized Oils. Ozonized Oils have been shown to be effective in the treatment of local infections, when in appropriate formulations and in controlled cases, being a promising therapeutic alternative for tissue repair.
伤口愈合是由分子、细胞和生物化学事件的级联协调组成的,这些事件相互作用导致组织重组的发生。这一过程的中断或失败除了会引起感染外,还会导致病变和慢性伤口愈合的延迟。臭氧疗法被证明是一种很有前途的替代方法,能够协助组织愈合过程,调节炎症反应并防止感染的发展。通过文献综述,介绍、分析和讨论臭氧化油在人体和口腔系统修复中的应用。查阅了SciELO、LILACS、MEDLINE和PubMed数据库,使用以下DeCS / MeSH描述符:“臭氧化油”;“治疗”;“臭氧疗法”。经过交叉、统计、分析,根据主题选取了13篇研究。由于理论基础互补,本次综述共纳入44篇,共计57篇。臭氧油治疗具有抗菌、免疫刺激、镇痛、抗氧化、免疫调节和抗氧化等良好的临床效果。事实证明,局部处理臭氧对治疗口蹄疫、牙龈炎、溃疡和皮炎有效,有助于缓解疼痛和愈合。传染性皮肤病、脓肿、过敏性皮肤病、鳞状红斑、牛皮癣和掌跖脓疱病都是病理性疾病,臭氧化油的应用对这些疾病的治疗有益。臭氧化油已被证明是有效的治疗局部感染,当在适当的配方和控制的情况下,是一个有希望的治疗替代组织修复。
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引用次数: 0
Instruments used to measure the quality of life related to oral health: integrated review 用于测量与口腔健康相关的生活质量的仪器:综合评价
Pub Date : 2022-01-01 DOI: 10.1590/1981-86372022003420200157
Marcela Vieira Calmon, Deise Berger Velten, A. P. S. C. Almeida, F. Leite, M. Miotto
ABSTRACT This study aimed to identify the instruments used to measure the quality of life related to oral health (HRQoL) as well as the measures that were adapted for the Portuguese language of Brazil. This is an integrative review whose inclusion criteria were papers in Portuguese, English and Spanish, published and indexed in databases Medline (PubMed) and Virtual Health Library (BVS). One thousand two hundred and sixty papers submitted, fifty-five were considered eligible for review, from which the following information was extracted: instrument; composition; community; sample size; measured domains / dimensions; and author, year, country. Subsequently, the data related to the translation and cultural adaptation processes for the Portuguese language of Brazil were collected in order to evaluate the psychometric properties of each study. The studies of this review show that the HRQoL theme has remained in evidence since the creation of the first instruments and seems not to be close to being exhausted. Of the 36 instruments presented, only 17 articles were identified in the databases assessed for cross-cultural adaptation to Brazilian Portuguese and validation of psychometric properties. Thus, despite the enormous dissemination of instruments, the need for translation, adaptation in the language and analysis of psychometric properties was pointed out in this study.
本研究旨在确定用于测量与口腔健康相关的生活质量(HRQoL)的工具,以及适用于巴西葡萄牙语的测量方法。这是一篇综合综述,其纳入标准是葡萄牙语、英语和西班牙语的论文,发表并在Medline (PubMed)和虚拟健康图书馆(BVS)数据库中检索。提交了一千二百六十篇论文,其中五十五篇被认为有资格进行审查,从中提取了以下信息:文书;组成;社区;样本大小;测量域/维度;作者,年份,国家。随后,收集了与巴西葡萄牙语翻译和文化适应过程相关的数据,以评估每项研究的心理测量特性。本综述的研究表明,自创建第一批工具以来,HRQoL主题一直存在,似乎没有接近枯竭。在提交的36个工具中,只有17篇文章在数据库中被确定为评估巴西葡萄牙语的跨文化适应和心理测量属性的验证。因此,尽管仪器大量传播,但本研究指出了翻译,语言适应和心理测量特性分析的必要性。
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引用次数: 0
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RGO Revista Gaucha de Odontologia
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