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Framing the research question using PICO strategy 使用PICO策略构建研究问题
Pub Date : 2017-07-01 DOI: 10.4103/JDAS.JDAS_46_17
J. Palaskar
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引用次数: 8
Florid cemento-osseous dysplasia: A series of case reports 花状牙骨质发育不良一系列病例报告
Pub Date : 2017-07-01 DOI: 10.4103/JDAS.JDAS_8_17
Preeti Jha, A. Pai, N. Diwan, Rashmi Sapkal
Florid cemento-osseous dysplasia (FCOD) is a fibro-osseous lesion that affects jaw bones of middle-aged women affecting two or more quadrants of the jaw. The disease is known to be periodontal ligament in origin which is asymptomatic, characterized by multiple, confluent, and nonexpansile radio-opacities, often with circumferential radiolucency. This case report describes two cases diagnosed with FCOD on the basis of radiographic findings which includes intraoral periapical radiograph, orthopantomograph as well as cone-beam computed tomography images.
花状牙骨质发育不良(FCOD)是一种纤维骨病变,影响中年妇女的颌骨,影响颌骨的两个或多个象限。已知该疾病起源于无症状的牙周膜,其特征是多发性、融合性和非扩张性放射性阴影,通常具有周向放射可透过性。本病例报告描述了两例根据放射学检查结果诊断为FCOD的病例,其中包括口内根尖周X线片、正位体描记图以及锥束计算机断层扫描图像。
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引用次数: 2
A simple approach to hollow maxillary complete denture fabrication: An innovative technique 一种简易的中空上颌全口义齿制作方法:一种创新技术
Pub Date : 2017-07-01 DOI: 10.4103/JDAS.JDAS_23_17
K. D’souza, M. Aras
A severely atrophic maxillary arch exhibits reduced denture bearing area and increased inter-ridge distance, thus, affecting retention of the complete denture. Such clinical situations necessitate the fabrication of a hollow complete denture to reduce the weight of the prosthesis and increase retention. This article describes a simple technique to fabricate a hollow maxillary complete denture using salt and thermoplastic poly (methyl methacrylate) sheet. The vacuum-formed thermoplastic matrix regulates the quantity of salt and determines its placement in the unpolymerized denture base material during the denture packing stage. The matrix lining the hollow cavity also aids to reinforce the hollow denture base.
严重萎缩的上颌弓表现为义齿承载面积减少和嵴间距离增加,从而影响全口义齿的固位。这种临床情况需要制造空心全口义齿来减轻义齿的重量并增加固位。本文介绍了一种用盐和热塑性聚甲基丙烯酸甲酯片制作中空上颌全口义齿的简单方法。在义齿包装阶段,真空形成的热塑性基质调节盐的数量并决定其在未聚合义齿基托材料中的放置位置。衬里中空腔的基质也有助于加强中空义齿基托。
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引用次数: 4
Intraoral lipoma at an unusual site: A rare presentation 罕见部位的口腔内脂肪瘤
Pub Date : 2017-07-01 DOI: 10.4103/jdas.jdas_20_17
Moni Thakur, Vinay Kumar Reddy Kundoor, K. Maloth, Venkata Nayanala
Lipomas are soft tissue benign mesenchymal tumors and are composed of mature adipocytes. They can occur anywhere on the human body where fat is found and thus called it is called “universal tumor” or “ubiquitous tumor.” However, its representation in the oral cavity is rare, i.e., 1%–4% only. Most of the patients affected are above 40 years of age with no gender predilection, but some studies reported male predilection and is uncommon in children. The size of the tumor rarely exceeds 25 mm in diameter and is mostly asymptomatic until secondarily infected or grow to a large size and interfere with mastication and speech. The most common site of occurrence intraorally is buccal mucosa, tongue, lips and floor of the mouth. Here, we report a case of intraoral lipoma occurring at an unusual site (retromolar area) in a 35-year-old female patient with a histopathologically confirmed diagnosis.
脂肪瘤是一种软组织良性间充质肿瘤,由成熟的脂肪细胞组成。它们可以发生在人体任何发现脂肪的地方,因此被称为“普遍性肿瘤”或“无处不在的肿瘤”。然而,它在口腔中的表现很罕见,即仅为1%-4%。大多数受影响的患者年龄在40岁以上,没有性别偏好,但一些研究报告了男性偏好,在儿童中并不常见。肿瘤的直径很少超过25毫米,在二次感染或生长到大尺寸并干扰咀嚼和说话之前,大多没有症状。口腔内最常见的发生部位是颊粘膜、舌头、嘴唇和口腔底部。在这里,我们报告了一例发生在一个不寻常的部位(磨牙后区域)的口内脂肪瘤的病例,该病例发生在一名35岁的女性患者身上,经组织病理学确诊。
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引用次数: 2
Ameloblastic carcinoma of the jaws: Review of the literature 颌骨成釉细胞癌:文献综述
Pub Date : 2017-07-01 DOI: 10.4103/JDAS.JDAS_4_17
R. Braimah, C. Uguru, K. Ndukwe
Ameloblastic carcinoma is a rare odontogenic malignancy that combines the histological features of ameloblastoma with cytological atypia, even in the absence of metastases. The major prognostic factor is the clinical course of the disease which includes its aggressiveness, local destruction, and distant metastatic spread preferentially through hematologic route if neglected. Histologically, ameloblastic carcinoma retains the features of ameloblastic differentiation and exhibits cytological features of malignancy in a primary or recurrent tumor. Because it is a very rare lesion, it poses a great difficulty in diagnosis. En bloc removal with 1–2 cm of normal bone margin has been regarded as the safest surgical modality to ensure disease-free survival. Literature search was carried out using the Boolean operator “And” between ameloblastoma and carcinoma on PubMed. Retrieved articles were extensively reviewed for epidemiology, etiology, diagnosis, treatment options, and prognosis of ameloblastic carcinoma.
成釉细胞癌是一种罕见的牙源性恶性肿瘤,即使在没有转移的情况下,也具有成釉细胞瘤的组织学特征和细胞学非典型性。主要的预后因素是疾病的临床病程,包括其侵袭性、局部破坏和远处转移性扩散,如果被忽视,优先通过血液途径。组织学上,成釉细胞癌保留成釉细胞分化的特征,在原发性或复发性肿瘤中表现出恶性肿瘤的细胞学特征。因为它是一种非常罕见的病变,它给诊断带来很大的困难。整体切除1-2厘米的正常骨缘被认为是确保无病生存的最安全的手术方式。在PubMed上使用布尔算子“And”在成釉细胞瘤和癌之间进行文献检索。我们对检索到的文章进行了广泛的回顾,以了解成釉细胞癌的流行病学、病因学、诊断、治疗方案和预后。
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引用次数: 10
Oculocutaneous albinism and the oral manifestation in a 14-year-old boy - A case report and review of literature 14岁男童的皮肤白化病及口腔表现- 1例报告及文献复习
Pub Date : 2017-07-01 DOI: 10.4103/JDAS.JDAS_22_16
Deepak Sharma, Pravesh Jhingta, V. Bhardwaj, Deepali Rasila, Nishant Negi, S. Vaid
Albinism consists of a group of genetically inherited autosomal recessive conditions which are typically characterized by a congenital reduction or absence in melanin pigment biosynthesis which gives the natural color in the skin, iris of the eyes, and hair. A person with albinism may have one or many of the following symptoms: absence of color in the hair, skin, or iris of the eye, lighter than normal skin and hair, patchy, missing skin color, crossed eyes (strabismus), light sensitivity (photophobia), rapid eye movements (nystagmus), vision problems, or functional blindness, severe gingivitis, oral mucosal ulceration, and periodontal disease. A dentist can play a significant role in successfully treating albino patients if he/she has basic knowledge of the symptoms of albinism. We present a case report of a 14-year-old child suffering from oculocutaneous albinism who was reported to the Department of Periodontology, Himachal Pradesh Government Dental College and Hospital, Shimla, Himachal Pradesh, with a chief complaint of bleeding gums and oral malodor.
白化病由一组遗传性常染色体隐性遗传疾病组成,其典型特征是黑色素生物合成的先天性减少或缺失,从而使皮肤、虹膜和头发呈现自然颜色。白化病患者可能有以下一种或多种症状:头发、皮肤或虹膜没有颜色,皮肤和头发比正常颜色浅,斑片状,肤色缺失,斜视(斜视),感光(畏光),眼球快速运动(眼球震颤),视力问题或功能性失明,严重牙龈炎,口腔粘膜溃疡和牙周病。如果牙医对白化病的症状有基本的了解,他/她可以在成功治疗白化病患者方面发挥重要作用。我们报告了一名14岁儿童患眼皮肤白化病的病例报告,该儿童向喜马偕尔邦西姆拉喜马偕尔邦政府牙科学院和医院牙周病科报告,主要主诉为牙龈出血和口腔恶臭。
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引用次数: 1
Knowledge, attitude and practices about hepatitis B and Infection Control Measures among dental students in Patiala 帕蒂亚拉牙科学生对乙型肝炎的认识、态度、行为及感染控制措施
Pub Date : 2017-07-01 DOI: 10.4103/2277-4696.219977
Vishal Malhotra, S. Kaura, Harmesh Sharma
Background: Hepatitis B is highly infectious, but preventable diseases and dentists are at increased risk of exposure to saliva and blood of patients during their clinical practice, and so it is of utmost importance that they follow standard guidelines for infection control. Aims: To assess knowledge, attitude, and practices regarding infection control measures among dental students of Government Dental College in Punjab. Materials and Methods: A cross-sectional survey using a self-administered pretested questionnaire to dental students and responses were statistically analyzed. The analysis of variance was used to compare means of knowledge, attitude, and practice scores between four groups of study subjects and P < 0.05 is considered statistically significant. Results: Although the students have sufficient knowledge regarding hepatitis B, still there are gaps in putting their knowledge into practice. Third and final year students have significantly less mean knowledge and practice scores compared to interns and postgraduate students. The majority of students have a positive attitude and were willing to perform any procedure on hepatitis B-infected patients. Conclusions: Dental students have adequate knowledge and good attitude but still there are some misconceptions. There is poor implementation of standard infection control measures in their practice. Rigorous training programs on preventive practices and regular workshops must be organized on an annual basis in dental colleges. Moreover, hepatitis B vaccination must be made mandatory for students before they start their clinical practice.
背景:乙型肝炎具有高度传染性,但可预防的疾病,牙医在临床实践中暴露于患者唾液和血液的风险增加,因此遵循感染控制的标准指南至关重要。目的:了解旁遮普省政府牙科学院牙科学生对感染控制措施的知识、态度和实践情况。材料与方法:采用自填预测问卷对牙科学生进行横断面调查,并对调查结果进行统计分析。四组研究对象的知识、态度、实践得分均值比较采用方差分析,P < 0.05为差异有统计学意义。结果:学生对乙肝知识有一定的了解,但在实际应用方面仍存在差距。与实习生和研究生相比,三年级和大四学生的平均知识和实践分数明显较低。大多数学生态度积极,愿意为乙肝患者做任何手术。结论:学生对口腔医学的认识和态度良好,但仍存在一些误解。在实践中,标准感染控制措施执行不力。牙科学院必须每年组织严格的预防措施培训计划和定期研讨会。此外,在学生开始临床实践之前,必须强制接种乙肝疫苗。
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引用次数: 13
Meta-analysis: Minimizing errors 荟萃分析:最小化错误
Pub Date : 2017-01-01 DOI: 10.4103/JDAS.JDAS_19_17
J. Palaskar
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引用次数: 0
Use of orthodontic brackets for intermaxillary fixation for management of mandibular fracture in a pediatric patient 正畸托槽在治疗儿童下颌骨骨折中的应用
Pub Date : 2017-01-01 DOI: 10.4103/2277-4696.205445
Rajeev Pandey, Anit Khatri, R. Gupta, N. Bhagat
Fracture of mandible is relatively less common in pediatric population when compared to adults. Management of pediatric mandibular fracture is a very complex issue and requires accurate and early treatment. Although the general principles of treatment remain the same as adult but various factors which influence the choice of management: age, dentition status, site involved, amount of displacement, number of fractures, and socioeconomic status. This case report describes a conservative way of management of moderately displaced mandibular fracture with the help of closed reduction achieved using intermaxillary fixation (IMF) with help of elastics using orthodontic brackets. A 9-year-old male child was treated for body of mandible fracture using this technique. The IMF was removed after 3 weeks and adequate bone union was demonstrated clinically and radiographically.
与成人相比,儿童下颌骨骨折相对不常见。儿童下颌骨骨折的治疗是一个非常复杂的问题,需要准确和早期的治疗。尽管治疗的一般原则与成人相同,但影响治疗选择的因素多种多样:年龄、牙列状况、涉及部位、移位量、骨折数量和社会经济地位。本病例报告描述了一种保守的方法来治疗中度移位的下颌骨骨折,该方法是在使用正畸托槽的弹性体的帮助下,使用颌间固定(IMF)实现闭合复位。应用该技术治疗一名9岁男性儿童下颌骨体部骨折。3周后取出IMF,并通过临床和放射学证明骨愈合良好。
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引用次数: 3
Eco-friendly dentistry: Need of future. An overview 环保牙科:未来的需要。概述
Pub Date : 2017-01-01 DOI: 10.4103/2277-4696.205446
Savy Arora, S. Mittal, V. Dogra
In today's world, it is very necessary to understand the importance of being eco-friendly in every facet of our lives. The color “green” has healing power and denotes renewal, growth, and hope. “Eco-friendly dentistry” attempts to reduce the detrimental impact of dental practices on the environment and promote environmental awareness and sustainability to patients. This paper attempts to cover all possible aspects of making a dental practice eco-friendly, both in a dental perspective as well as a general perspective. While establishing an eco-friendly dental workplace, the dentist needs to assess his choices in planning the infrastructure and purchasing of equipment and dental materials. Eco-friendly dentistry is a newly evolving practice of dentistry, which encompasses a simultaneous devotion to sustainability, prevention, precaution, and a minimally invasive patient-centric, as well as global-centric treatment. There are two main avenues for implementing eco-friendly dentistry: (1) appropriate policy development and implementation and (2) dentists taking responsibility/ownership in the absence of policies and regulations. Although in some cases, it may take a little extra effort or money; dentists throughout the world are doing their best to reduce the environmental impact of the dental practice. Although the commitment of one small dental office cannot save the planet, certainly, the collective efforts of many small offices as well as large dental hospitals/colleges can ensure that dentists, at least, will not be responsible for destroying it. This article discusses various factors that can be incorporated into dental practice that can help make dentistry eco-friendly.
在当今世界,非常有必要理解环保在我们生活的方方面面的重要性。“绿色”具有治愈的力量,表示更新、成长和希望。“环保牙科”旨在减少牙科实践对环境的有害影响,并提高患者的环境意识和可持续性。本文试图从牙科的角度和一般的角度,涵盖使牙科诊所环保的所有可能方面。在建立一个环保的牙科工作场所的同时,牙医需要评估他在规划基础设施以及购买设备和牙科材料方面的选择。环保牙科是一种新发展的牙科实践,包括同时致力于可持续性、预防、预防和以患者为中心的微创治疗,以及以全球为中心的治疗。实施环保牙科有两种主要途径:(1)适当的政策制定和实施;(2)牙医在没有政策和法规的情况下承担责任/所有权。尽管在某些情况下,这可能需要一点额外的努力或金钱;全世界的牙医都在尽最大努力减少牙科诊所对环境的影响。尽管一个小型牙科诊所的承诺无法拯救地球,但许多小型诊所以及大型牙科医院/学院的集体努力可以确保牙医至少不会对破坏地球负责。本文讨论了可以纳入牙科实践的各种因素,这些因素有助于使牙科变得环保。
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引用次数: 10
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Journal of Dental and Allied Sciences
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