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Buccal bone graft with surgically assisted rapid maxillary expansion in young adults: a cone beam computerized tomographic study 口腔骨移植物与外科辅助快速上颌扩张的年轻人:锥形束计算机断层研究
Pub Date : 2018-12-05 DOI: 10.21608/eos.2018.77144
Abdullah M Agniah, A. Bedwehi, H. Al-khalifa, W. Mohandes
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引用次数: 0
Evaluation of the effect of systemic omega-3 polyunsaturated fatty acids on post-orthodontic relapse in a rabbit model 评价全身性omega-3多不饱和脂肪酸对兔正畸术后复发的影响
Pub Date : 2018-12-04 DOI: 10.21608/eos.2018.77151
Asser Gad, Essam M. Abdallah, Nadia El-Harouni, Samia Soliman
Introduction: Long term stability is the major goal of orthodontic treatment. Hence, a series of safe pharmacological agents have been investigated to increase osteoblastic activity around orthodontically moved teeth to help in retention and stability of their correction. Aim of the study: To evaluate the effect of systemic administration of Omega-3 fatty acids on post-orthodontic relapse, and to histologically assess bone changes concurrent with its administration in rabbits. Materials and Methods: Thirty two adult albino male rabbits were divided equally and randomly into two groups. Each group received NiTi coil springs installed on mandibular first molars and ligated to anterior incisors. Omega-3 or Saline were given from day one of orthodontic tooth movement (OTM) till end of relapse period by oral gavage. After 21 days of active OTM, appliances were removed from both groups to allow orthodontic relapse (OR); then amount and percentage of relapse were measuredon days 21, 28 and 42. Animals were sacrificed for histomorphometric analysis of alveolar bone remodeling. Results: A significant difference in relapse percentage was found on the third week of OR with means (66.04 ± 6.01 %) and (75.22 ± 13.61%) for experimental and control groups, respectively. Histomorphometric analysis showed a significant reduction in the area of active bone-resorptive lacunae and a significant increase in newly formed bone area related to omega-3 group. Conclusions: A strong evidence of the osteoblastic simulative effect of Omega-3 had been found with decreased percentage of OR after OTM.
长期稳定是正畸治疗的主要目标。因此,研究人员研究了一系列安全的药物,以增加正畸移动牙齿周围的成骨细胞活性,以帮助其矫正的固位和稳定性。研究目的:评价全身给药Omega-3脂肪酸对正畸术后复发的影响,并从组织学上评价给药后家兔的骨变化。材料与方法:将32只成年白化雄性家兔平均随机分为两组。各组均在下颌第一磨牙上安装镍钛螺旋弹簧,结扎于前门牙上。从正畸牙齿移动(OTM)第一天起至复发期结束,通过灌胃给予Omega-3或生理盐水。21天后,两组均取下矫治器,允许正畸复发(OR);分别于第21、28、42天测定复发率和复发量。处死动物进行牙槽骨重塑的组织形态学分析。结果:实验组与对照组术后第3周复发率分别为(66.04±6.01%)和(75.22±13.61%),差异有统计学意义。组织形态学分析显示,与omega-3组相关,活跃骨吸收腔隙面积显著减少,新形成骨面积显著增加。结论:一个强有力的证据表明,Omega-3的成骨模拟作用已经被发现,在OTM后,OR的百分比降低。
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引用次数: 1
Use of direct miniplate anchorage in conjugation with Forsus Fatigue Resistant device in class II growing females: a randomized controlled trial 使用直接微型钢板锚固结合Forsus抗疲劳装置II级生长女性:一项随机对照试验
Pub Date : 2018-12-04 DOI: 10.21608/eos.2018.77159
Sherif A. Elkordy, A. Aboulezz, M. Fayed, Mai H Aboulfotouh, Y. Mostafa
Objective: The current randomized clinical trial aimed toevaluate the use of direct miniplates anchorage in conjunction with the Forsus Fatigue Resistant Device (FFRD) in treatment of skeletal Class II malocclusion. Material and Methods:48 Class II femaleswere randomly allocated to either the conventional Forsus (FFRD) group (16 patients, mean age 12.1±0.9years) Forsus with miniplates (FMP) group (16 patients, mean age 12.5±0.9 years), or untreated control group (16 subjects, mean age 12.1±0.9 years). After the leveling and alignment stage, miniplates were inserted in the mandibular symphysis in the FMP group. FFRD was inserted directly on the miniplates in the FMP and onto the lower wire in the FFRD group. The appliance was removed after reaching an edge to edge incisor relationship. Results: The effective mandibular length significantly increased in the FMP group only (4.05±0.78).no significant differences were found in the maxillary dimensions. The upper incisors retroclined in the FFRD and FMP groups with no difference between them. The lower incisors showed a significant proclination in the FFRD group (9.17±2.42) and non-significant retroclination in the FMP group. Soft tissue parameters were improved in both treatment groups. Conclusion: The use of miniplates with the FFRD was successful in increasing the effective mandibular length in Class II malocclusion subjects in the short term. The unfavorable proclination of the lower incisors was evident with the conventional FFRD but was successfully eliminated with the miniplates anchorage. 19 Volume 54 – December 2018 Egyptian Orthodontic Journal Registration: This trial was registered at ClinicalTrials.gov with an identifier number: NCT02475785. Clinical Relevance: The current trial proved the efficiency of the use of miniplates anchorage with FFRD in enhancement the skeletal outcomes of Class II treatment. The technique is advocated for use in Class II subjects having pre-treatment proclined lower incisors. INTRODUCTION Scientific background and explanation of rationale: Mandibular retrusion was reported to be the most common characteristic of Skeletal Class II malocclusion . Class II profile attractiveness was previously investigated in the literature. It was found that patients, laypersons, orthodontists and oral surgeons, rated subjects with Class II profiles as nonattractive . Fixed functional appliances (FFA) are considered an attractive alternative over removable functional appliances (RFA) for treatment of Class II malocclusion in growing children; where the factor of patient cooperation is controlled. The Forsus Fatigue Resistant Device (FFRD), (3M Unitek Corp, Monrovia, Calif), is a semi-rigid FFA that was reported to be efficient and well-accepted by the patients. Recently, systematic reviews concluded that the skeletal effects of RFAs and FFAs could be considered of negligible clinical importance. This could be attributed to the anchorage loss accompanied by these appliances that co
目的:目前的随机临床试验旨在评估直接微型钢板锚固与Forsus抗疲劳装置(FFRD)联合治疗骨骼II类错牙合的应用。材料与方法:48例II类女性随机分为常规Forsus (FFRD)组(16例,平均年龄12.1±0.9岁)、Forsus with miniplate (FMP)组(16例,平均年龄12.5±0.9岁)和未经治疗的对照组(16例,平均年龄12.1±0.9岁)。FMP组在调平和对准阶段后,将微型钢板置入下颌联合。将FFRD直接插入FMP的微型板上,并在FFRD组中插入较低的丝上。在达到门牙边缘到边缘的关系后将矫治器移除。结果:FMP组有效下颌骨长度明显增加(4.05±0.78)。上颌尺寸差异无统计学意义。FFRD组和FMP组上切牙后倾无明显差异。FFRD组下切牙明显前倾(9.17±2.42),FMP组下切牙后倾不明显。两组患者软组织参数均有改善。结论:在短时间内使用微型钢板配合FFRD可成功地增加II类错颌患者的有效下颌长度。下门牙的前倾在传统的FFRD中是明显的,但在微型板锚固中成功地消除了。注册:该试验在ClinicalTrials.gov上注册,识别码:NCT02475785。临床意义:目前的试验证明了使用FFRD微型钢板锚定在增强II类治疗的骨骼预后方面的有效性。该技术被提倡用于II类受试者预处理下门牙前倾。科学背景和理论解释:据报道,下颌后缩是骨骼II类错颌最常见的特征。II类外形吸引力先前在文献中进行了研究。研究发现,患者、门外汉、正畸医生和口腔外科医生认为ⅱ类受试者没有吸引力。固定功能矫治器(FFA)被认为是一种比可移动功能矫治器(RFA)更有吸引力的治疗成长中的儿童II类错牙合的选择;病人合作的因素是可控的。Forsus抗疲劳装置(FFRD) (3M Unitek公司,Monrovia, Calif .)是一种半刚性的FFA,据报道,它是有效的,并且被患者广泛接受。最近,系统综述得出结论,rfa和FFAs对骨骼的影响可以被认为是微不足道的临床重要性。这可能是由于这些矫治器造成的锚固丧失,从而影响骨骼矫正。提出了几种尝试来抵消不需要的牙槽-牙槽的副作用,包括使用骨骼锚固。研究证明,微支抗可以减少下门牙的前倾,但不能达到显著的下颌骨骨骼效果。1999年,微型钛板被引入正畸学,用于开放咬合矫正。事实证明,它们被患者和提供者很好地接受,并在各种应用中得到普及。最近,它们被用于直接加载FFRD来矫正骨骼II类错颌,但现有的研究要么是回顾性的,要么是非对照的,要么是非随机的。锥形束计算机断层扫描(CBCT)与传统的二维(2D)成像技术相比,具有更好的可视化优势。二维x线摄影技术的缺点在文献中被充分提及。在二维脑电图中,地标识别、可视化和双侧结构叠加的错误可能会影响其在研究中使用的准确性。因此,选择CBCT作为放射成像工具来评估治疗效果。具体目标或假设:本研究旨在比较单独使用FFRD或联合直接微型钢板支抗治疗骨骼II类错的牙齿和骨骼效果,与未治疗的骨骼II类对照组相比。经检验的零假设是,使用FFRD直接微型钢板锚固不会对骨骼产生额外的影响。材料和方法试验设计及试验开始后的任何变化这是一项平行组、随机对照试验,分配比例为1:1:1。该试验在ClinicalTrials.gov上注册,识别码为:NCT02475785。
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引用次数: 0
Comparative Study of the Rate of Tooth Movement Between Corticotomy and Piezocision to Facilitate En-Masse Retraction in Bimaxillary Protrusion. 皮质切开术与压切术对双颌前突患者牙齿移动速度的比较研究。
Pub Date : 2018-12-02 DOI: 10.21608/eos.2018.77155
Rehab Khalil, W. Abbas, W. Refaat, A. Ramadan
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引用次数: 0
Antiibacterial effect of orthodontic adhesive containing titanium dioxide nanoparticles: An experimental animal study 含二氧化钛纳米颗粒正畸胶粘剂的抗菌作用:实验动物研究
Pub Date : 2018-06-01 DOI: 10.21608/eos.2018.77116
M. Moustafa, Abbadi El Kady, Mohamed Nadim, E. Soliman, Reem M Hazem
Introduction: The most important goal of orthodontic treatment is to improve esthetics in the dentofacial region. Demineralization around orthodontic brackets is a discouraging sequela during and after orthodontic treatment. In order to overcome this phenomena, TiO2-NPs was added to orthodontic adhesives to assess its antibacterial effect. Materials and Methods: Twenty healthy albino rats were randomly divided into two groups. A small increment of commercial unmodified composite was placed on the lower central incisor of rats for study group. A small increment of composite containing TiO2-NPs was placed on the lower central incisor of rats for study group. For antibacterial test, a swab was taken every week to for counting S. mutans and total bacterial count in both groups. Results: Results showed significant reduction in bacterial counting for S. mutans and total bacterial count in study group more than that of control group. Conclusion: TiO2-NPs is a promising antibacterial agent and may play a major role in preventing WSLs which developed during orthodontic treatment. INTRODUCTION Orthodontic appliances can affect the self-cleaning ability of teeth, alter the oral micro flora and increase the levels of acidogenic bacteria. These bacterial byproducts causes demineralization and formation of WSLs which formed around fixed orthodontic attachments. These can cause caries thereby leading to poor esthetics and patient dissatisfaction. Due to antibacterial capabilities of certain NPs, these have been incorporated in orthodontic adhesives to control the oral biofilm and reduce the demineralization around the brackets. Since certain NPs have antibacterial activity directly on bacteria and indirect by providing smooth surface both inhibit bacterial growth and plaque accumulation, so in the current study we are going to evaluate the antibacterial effect of the composite containing TiO2-NPs.
正畸治疗最重要的目标是改善牙面区域的美观。正畸托槽周围脱矿是正畸治疗期间和之后令人沮丧的后遗症。为了克服这一现象,我们将TiO2-NPs添加到正畸粘接剂中,以评估其抗菌效果。材料与方法:健康白化大鼠20只,随机分为两组。在实验组大鼠的下中门牙上放置少量未改性的商业复合材料。实验组大鼠下正中门牙放置少量含TiO2-NPs的复合材料。抗菌试验中,两组患者每周取拭子计数变形链球菌和总细菌数。结果:研究组的变形链球菌细菌计数和总细菌计数明显低于对照组。结论:TiO2-NPs是一种很有前景的抗菌药物,可能在预防正畸治疗过程中发生的WSLs中发挥重要作用。正畸矫治器会影响牙齿的自洁能力,改变口腔菌群,增加致酸菌的水平。这些细菌副产物导致脱矿和形成固定正畸附着物周围形成的WSLs。这些会导致龋齿,从而导致美观不良和患者不满。由于某些NPs的抗菌能力,它们已被纳入正畸胶粘剂中,以控制口腔生物膜并减少托槽周围的脱矿。由于某些NPs具有直接抑菌活性和通过提供光滑表面间接抑菌活性,抑制细菌生长和菌斑积累,因此在本研究中我们将评价含TiO2-NPs复合材料的抑菌效果。
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引用次数: 0
Effect of some carbonated drinks on force decay of elastomeric chains: An in vitro study 碳酸饮料对弹性体链力衰减的影响:体外研究
Pub Date : 2018-06-01 DOI: 10.21608/eos.2018.77119
S. Sallam, A. Ramadan, Wallaa Elgamy
The aim of this study was to evaluate the effect of some carbonated drinks on the force decay properties of commercially available elastomeric chains. 200 short elastomeric chains of two types, conventional and memory chains, were evaluated under the same conditions (150-200 gm at 25 mm). The samples were divided in five groups (40 chains for each group). The control group represented by artificial saliva and four test groups represented by orange based drinks, lemon based drinks, diet pepsi and regular pepsi. The Force was measured at five different time intervals: At initial, 24 hours and 7, 14 and 21 days by a digital force gauge. The result showed that there were significant differences among groups. Statistically significant effects of time on force decay were seen in all groups. Statistically significant difference was found between conventional and memory chains.
本研究的目的是评估一些碳酸饮料对市售弹性体链的力衰减特性的影响。在相同的条件下(150-200 gm, 25 mm),对常规和记忆两种类型的200条短弹性体链进行了评估。样品被分成五组(每组40条链)。以人工唾液为代表的对照组和以橘子饮料、柠檬饮料、无糖百事可乐和普通百事可乐为代表的四个试验组。在五个不同的时间间隔测量力:最初,24小时,7,14和21天,通过数字力计。结果表明,各组间存在显著差异。在所有组中,时间对力衰减的影响均有统计学意义。在传统链和记忆链之间发现了统计学上的显著差异。
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引用次数: 1
Comparative study of root resorption between two methods for accelerated tooth movement 两种加速牙齿移动方法牙根吸收的比较研究
Pub Date : 2018-06-01 DOI: 10.21608/eos.2018.77118
Ahmad Elkalza, A. Rateb
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引用次数: 0
Effect of Er,Cr:YSGG laser and CPP-ACP on the prevention of enamel demineralization: In vitro study Er、Cr:YSGG激光与CPP-ACP预防牙釉质脱矿的体外研究
Pub Date : 2018-06-01 DOI: 10.21608/eos.2018.77120
Samar M. Adel, E. Marzouk, N. Harouni
Objectives: This study was conducted to compare the effect of Er,Cr:YSGG laser, Casein Phosphopeptide Amorphous Calcium Phosphate (CPP-ACP), and the combined effect of their use on the prevention of enamel demineralization in a sample of extracted premolars.Firstly, using stereomicroscope to assess the severity of the White Spot Lesions (WSLs) visually and secondly, using polarized light microscope to assess the lesions depth. Materials and Methods: Eighty sound extracted premolar teeth were randomly allocated to four equal groups (n=20). Group I: Control group received none of the preventive treatments. Group II: CPP-ACP topical application. Group III: Er,Cr:YSGG laser irradiation. Group IV: Er,Cr:YSGG laser irradiation followed by CPP-ACP application. Specimens were subjected to thermocycling and brushing challenge protocols equivalent to 1 year in oral environment. Then, all teeth were subjected to acid challenge. Each tooth was examined visually and photographed using stereomicroscope to assess the severity of the WSL. The teeth were then sectioned longitudinally and examined under polarized light microscope and the depth of the lesions were measured and compared between the four groups. Results: The combined use of laser and CPP-ACP (Group IV) resulted in the formation of the least severe WSLs and the least lesions depth with a statistically significant difference between group IV and the other three groups.Group IV resulted in 92.5% less lesion depth when compared to the control group. CPP-ACP alone and laser alone also showed a significant difference in the severity of WSLs and lesion depth when compared to the control group, however; no significant difference was found between them. Conclusions: The combined use of Er,Cr:YSGG laser and CPP-ACP showed the best prevention against the development of WSLs regarding the severity and depth. The use of CPP-ACP alone or laser alone also resulted in a significant reduction in lesion depth and severity but was significantly less than their combined use. No significant difference was found between the CPP-ACP alone and laser alone groups.
目的:比较Er、Cr:YSGG激光、酪蛋白磷酸肽无定形磷酸钙(CPP-ACP)及其联合使用对前磨牙拔牙釉质脱矿的预防效果。首先用体视显微镜直观评估白斑病变的严重程度,其次用偏光显微镜评估病变深度。材料与方法:将80颗正常拔出的前磨牙随机分为4组(n=20)。第一组:对照组不进行任何预防治疗。第二组:pcp - acp外用。第三组:Er,Cr:YSGG激光照射。第四组:Er,Cr:YSGG激光照射后应用pcp - acp。标本在口腔环境中进行相当于1年的热循环和刷牙挑战方案。然后,对所有牙齿进行酸刺激。用立体显微镜对每颗牙齿进行视觉检查和拍照,以评估WSL的严重程度。纵切牙,偏光显微镜下观察,测量四组间病变深度并进行比较。结果:激光联合CPP-ACP (IV组)的WSLs形成程度最小,病变深度最小,IV组与其他三组比较差异有统计学意义。与对照组相比,IV组的病变深度减少了92.5%。与对照组相比,单独使用CPP-ACP和单独使用激光也显示出WSLs的严重程度和病变深度的显著差异;两者间无显著差异。结论:Er、Cr:YSGG激光联合pcp - acp对WSLs的发展在严重程度和深度上均有较好的预防作用。单独使用CPP-ACP或单独使用激光也能显著降低病变深度和严重程度,但明显低于两者联合使用。pcp - acp单独治疗组与激光单独治疗组无显著差异。
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引用次数: 0
Laboratory evaluation of shear bond strength of three different bonding systems for orthodontic brackets 正畸托槽三种不同粘结体系剪切粘结强度的实验室评价
Pub Date : 2018-06-01 DOI: 10.21608/eos.2018.77121
Ahmed R. Elkalza, D. Mostafa
Objectives: The aim of this study was to evaluate the shear bond strength of three different types of bonding systems for orthodontic brackets to tooth surface. Materials and Methods: Sixty sound premolar teeth divided randomly into three groups of 20 each. In group A, the brackets were bonded using conventional etch system. In group B, brackets were bonded using self-etch primer system, while in group C, brackets were bonded using one step adhesive system. Premolar teeth were mounted with cold acrylic resin in metallic mold and brackets were shear tested to failure using universal testing machine recorded in Newton for all specimens. Results: Group C shows significantly higher value of shear bond strength in comparison to groups A and B, while there was no significant difference between group A and B. Conclusion: Orthodontic brackets bonded to enamel surface using one-step bonding system (GC ortho connect) without primer was significantly higher than brackets bonded using conventional or self-etch systems.
目的:本研究的目的是评估三种不同类型的粘接系统的正畸托槽与牙表面的剪切粘接强度。材料与方法:60颗正常的前磨牙随机分为3组,每组20颗。在A组中,使用常规蚀刻系统粘合支架。B组支架采用自蚀刻底漆系统粘接,C组支架采用一步粘结系统粘接。前磨牙用冷丙烯酸树脂固定在金属模具中,托槽使用牛顿通用试验机进行剪切试验至失效。结果:C组与A、B组相比,剪切结合强度值明显高于A、B组,而A、B组之间无显著差异。结论:无底物的一步粘结系统(GC ortho connect)与牙釉质表面粘结的正畸托槽明显高于常规或自蚀系统。
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引用次数: 2
Effect of premolar extraction and incisor retraction on the soft tissue in adult skeletal open bite subjects with miniplate anchored intrusion of maxillary posterior teeth 前磨牙拔牙和切牙后缩对上颌后牙微板锚定侵入成人骨开放咬合患者软组织的影响
Pub Date : 2018-06-01 DOI: 10.21608/eos.2018.77117
E. Marzouk, Hassan E Kassem
Objective: This study was conducted to determine the effect of premolar extraction and incisor retraction on the soft tissue profile of skeletal open bite adults following maxillary posterior teeth intrusion. Materials and Methods: Lateral cephalometric radiographs of 28 adults with skeletal open bite (age = 22.6 ± 2.1 years) were taken following molar intrusion with zygomatic miniplate skeletal anchorage and after four first premolars extraction. Several soft tissue variables were measured. Correlations, mean ratios and regression equations between the change in lip position and incisor retraction were calculated. Results:Both the upper and lower lips moved backwards by 3.46 mm ± 0.84 mm (P ≤0.01) and 0.87 mm ± 0.23 mm (P ≤ 0.05) respectively, with a significant reduction in the angle of convexity by 1.36° ± 0.24° (P ≤ 0.05). Strong correlations were found between the amount of upper incisor retraction and backward movement of the upper lip with a mean ratio of 1.04:1 (r = 0.812, P ≤ 0.01) and with the reduction of soft tissue convexity angle with a mean ratio of 2.65:1 (r = 0.814, P ≤ 0.01) and between the lower incisor retraction and backward movement of the lower lip with a mean ratio of 0.76:1 (r = 0.802, P ≤ 0.01). Conclusion: The pattern of change in soft tissue profile in this study was similar to studies of premolar extraction without prior molar intrusion. However, the ratio of change of upper lip position relative to the upper incisor retraction was higher compared to ratios reported in the literature which may be attributed to the underlying long face skeletal pattern.
目的:研究上颌后牙侵入后,前磨牙拔除和切牙后缩对骨性开咬成人软组织形态的影响。材料与方法:对28例成人骨开咬患者(年龄22.6±2.1岁)进行侧位头颅x线片检查。测量了几个软组织变量。计算唇部位置变化与切牙内收之间的相关性、平均比率和回归方程。结果:上下唇分别后移3.46 mm±0.84 mm (P≤0.01)和0.87 mm±0.23 mm (P≤0.05),凸角减小1.36°±0.24°(P≤0.05)。上切牙后缩量与上唇后缩量的平均比值为1.04:1 (r = 0.812, P≤0.01),与软组织凸角减小量的平均比值为2.65:1 (r = 0.814, P≤0.01),与下切牙后缩量的平均比值为0.76:1 (r = 0.802, P≤0.01)。结论:本研究中软组织形态的变化模式与前磨牙拔除无前磨牙侵入的研究相似。然而,与文献报道的比例相比,上唇位置相对于上切牙后缩的变化率更高,这可能归因于潜在的长脸骨骼模式。
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引用次数: 1
期刊
Egyptian Orthodontic Journal
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