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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
Andrews bridge revisited: A new custom cast ribbed bar and sleeve design fixed removable partial denture 安德鲁斯桥重访:一种新的定制铸造肋条和套筒设计固定可移动局部义齿
Pub Date : 2017-01-01 DOI: 10.4103/JDAS.JDAS_51_16
Arbaz Sajjad
The loss of teeth invariably is followed by the loss of soft tissue. There is a high incidence (91%) of residual ridge deformity following anterior tooth loss reported in literature; the majority of these are Class III defects that require soft-tissue surgery to augment the ridge defects. Esthetic surgical replacement is difficult and unpredictable, particularly when papilla in the esthetic zone needs to be restored. One choice is a fixed removable prosthesis retained by an Andrews bar and sleeve system. The prosthesis is designed to meet the requirements for esthetics, comfort, phonetics, hygiene, and favorable stress distribution to the abutment and soft tissues. One of the major advantages of an Andrews's bridge over fixed prosthesis is that it can be removed by the patient for improved oral hygiene access. This article describes the procedure for fabricating a new custom cast “ribbed” bar and sleeve design Andrews bridge.
牙齿的脱落总是伴随着软组织的脱落。文献报道,前牙脱落后残留牙脊畸形的发生率很高(91%);其中大多数是III级缺陷,需要软组织手术来增加嵴缺陷。美学手术替代是困难的和不可预测的,特别是当在审美区乳头需要恢复。一种选择是固定的可移动假体,由Andrews棒和套筒系统保留。该假体的设计满足美观、舒适、语音、卫生以及良好的基牙和软组织应力分布的要求。与固定假体相比,安德鲁斯桥的主要优点之一是它可以被患者移除,以改善口腔卫生。本文介绍了一种新的自定义铸造“肋”棒和套筒设计安德鲁斯桥的过程。
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引用次数: 1
Transmigration of impacted mandibular canine with the development of dentigerous cyst: Surgical extraction or orthodontic alignment? 下颌阻生犬齿伴牙性囊肿的移位:手术拔牙还是正畸矫正?
Pub Date : 2017-01-01 DOI: 10.4103/2277-4696.205437
Shreya Singh, A. Singh, N. Sharma, T. Chaturvedi
Transmigration of impacted mandibular canine is an uncommon clinical entity. In this condition, not only the tooth fails to erupt in its normal position, but also it crosses the midline within the mandible. The orthodontic correction of this condition is rather impossible. In case of development of dentigerous cyst associated with the impacted canine, surgical extraction along with the enucleation of the cyst is the only treatment of choice. We present a similar case managed surgically in a 13-year-old male adolescent.
下颌阻生犬的移位是一种罕见的临床现象。在这种情况下,牙齿不仅不能在正常位置长出,而且还会越过下颌骨的中线。这种情况的正畸矫正是相当不可能的。如果发生与阻生犬相关的含牙囊肿,手术摘除和囊肿去核是唯一的治疗选择。我们提出一个类似的情况下,手术管理在一个13岁的男性青少年。
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引用次数: 5
Evolution and applications of lasers in oral and maxillofacial surgery 激光在口腔颌面外科的发展与应用
Pub Date : 2017-01-01 DOI: 10.4103/2277-4696.205442
Luke Kale, J. Garde, Swapnil Garde, Preeti Gupta
With the advent of new and developing technology into the field of dentistry, it becomes increasingly important for dentists to become familiar with these developing techniques. The use of lasers in oral and maxillofacial surgery has seen a substantial increase in both, applications of lasers for different techniques, and also the number of surgeons opting to use them on a regular basis. This article serves to update practitioners on the development and current applications of these modern tools in regular practice so as to efficiently perform dental treatment and minimize complications associated with conventional techniques. The authors have reviewed articles on the subject from PubMed, Science Direct, and relevant textbooks so as to compile an accurate history of the evolution of lasers, its introduction to the field of dentistry and also its current applications in the field of oral and maxillofacial surgery.
随着牙科领域新技术的出现和发展,牙医熟悉这些发展中的技术变得越来越重要。激光在口腔颌面外科中的使用在这两方面都有了显著的增长,激光在不同技术中的应用也有了很大的增加,选择定期使用激光的外科医生也有了一定的数量。本文旨在向从业者介绍这些现代工具在常规实践中的发展和当前应用,以便有效地进行牙科治疗,并最大限度地减少与传统技术相关的并发症。作者查阅了PubMed、Science Direct和相关教科书中关于该主题的文章,以编制激光进化的准确历史、激光在牙科领域的介绍以及激光在口腔颌面外科领域的当前应用。
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引用次数: 3
Bolton analysis of the maratha population in Pune 浦那马拉塔人口的Bolton分析
Pub Date : 2017-01-01 DOI: 10.4103/2277-4696.205439
Y. Patel, V. Nair, S. Jamenis
Objective: To evaluate the Bolton ratio in the Maratha population in Pune with near ideal occlusion. Materials and Methods: Fifty study casts were made from impression obtained from patients (25 males and 25 females) aged between 15 and 30 years visiting the Department of Orthodontics and Dentofacial Orthopedics at Sinhgad Dental College and Hospital, Pune. The mesiodistal widths of all maxillary and mandibular teeth from right first molar to left first molar were measured with a digital caliper to calculate the Bolton ratio. The readings were then used to compute the anterior and total Bolton ratios. t-test was used for the statistical analysis. Results: The mean overall and anterior ratios were found to be 92.73 and 80.48 with standard deviation of 2.69 and 2.86, respectively. The range of overall ratio was 81.91–96.75, and the range of anterior ratio was 74.75–86.45. The values obtained from this study indicated that there was a statistically significant difference between the overall and anterior ratios of Maratha and Caucasian participants. Conclusion: It can be suggested that new values should be obtained for the Maratha population as the values were found to be significantly different from the Bolton values obtained for Caucasian population. Hence, population-specific standards are necessary to be formed for clinical assessment.
目的:评价普那马拉地人群近理想咬合的博尔顿比率。材料和方法:50个研究模型是由年龄在15至30岁的患者(25男25女)访问浦那Sinhgad牙科学院和医院的正畸和牙面矫形科制作的。用数字卡尺测量右第一磨牙至左第一磨牙的上颌和下颌所有牙齿的中远端宽度,计算博尔顿比。然后用这些读数计算前波顿比和总波顿比。采用t检验进行统计分析。结果:平均总比值和前比值分别为92.73和80.48,标准差分别为2.69和2.86。整体比值范围为81.91 ~ 96.75,前路比值范围为74.75 ~ 86.45。从这项研究中获得的值表明,马拉地人和高加索人的总体和前比值有统计学上的显著差异。结论:由于马拉地人群的博尔顿值与高加索人群的博尔顿值存在显著差异,建议对马拉地人群进行新的数值研究。因此,有必要制定针对特定人群的临床评估标准。
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引用次数: 6
Applications of forensic odontology in pediatric dentistry: A brief communication 法医牙科学在儿童牙科中的应用:简短的交流
Pub Date : 2017-01-01 DOI: 10.4103/2277-4696.205443
Pradnya J Dongre, R. Patil, Sameer S Patil
Forensic odontology is the application of dentistry to law and delineates the overlap between dental and legal professions. Pedodontist plays an important role in forensic odontology by applying his expertise in various fields such as accidental or nonaccidental oral trauma, child abuse and neglect, age determination, dental records, and mass disasters by examination of the teeth and jaws structure for clues. These dental findings/records may be helpful in forensic identification wherein an unidentified individual can be identified using dentition. Information of teeth record remains throughout life and beyond, due to their physiologic variations, pathology, and effects of therapy. Lip prints and palatal rugae patterns can also lead us to important information and help in person's identification. Teeth can also help in determining gender of the skeletonized remains using dental DNA. Forensic odontology also plays role in crime investigation caused by dentition, such as bite marks. Odontologist can help physician in evaluation of bite marks due to abuse. The aim of this article is to discuss the role of pedodontist in various aspects of forensic odontology and procedures needed for examination, identification, and investigations of bite marks.
法医牙医学是牙科在法律上的应用,描绘了牙科和法律职业之间的重叠。通过检查牙齿和颌部结构来寻找线索,在意外或非意外口腔创伤、儿童虐待和忽视、年龄测定、牙科记录和大规模灾难等领域应用其专业知识,在法医牙科学中发挥着重要作用。这些牙科检查结果/记录可能对法医鉴定有帮助,其中身份不明的人可以通过牙齿鉴定来识别。由于牙齿的生理变化、病理和治疗的影响,牙齿记录的信息会在整个生命过程中保留下来。唇印和腭纹也可以给我们提供重要的信息,帮助我们识别人的身份。牙齿还可以利用牙齿DNA帮助确定骨骼遗骸的性别。法医牙医学在牙齿咬痕等引起的犯罪调查中也发挥着重要作用。齿科医生可以帮助内科医生评估由于滥用而造成的咬痕。本文的目的是讨论儿科医生在法医牙科学的各个方面的作用,以及检查、鉴定和调查咬痕所需的程序。
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引用次数: 3
Maxillary arch rehabilitation using implant-supported computer-assisted design-computer-assisted manufacturing-milled titanium framework 上颌弓修复采用种植体支持的计算机辅助设计-计算机辅助制造-磨钛框架
Pub Date : 2017-01-01 DOI: 10.4103/JDAS.JDAS_52_16
T. Khanna, S. Gurav, Priyanka Ghogare
Esthetic and functional rehabilitation of completely edentulous maxillary arch with fixed implant supported prosthesis is a challenging task. Newer technologies such as computer assisted design computer assisted manufacturing (CAD CAM) and cone beam conventional tomography play an important role in achieving predictable results. Full mouth porcelain fused to metal (PFM) individual crowns on CAD CAM milled titanium framework provides positive esthetic and functional outcome. This is a case report of rehabilitation of partially edentulous maxillary arch patient. Staged rehabilitation of this patient was planned. In the first stage, root canal treatment of key abutment teeth was done, nonsalvageable teeth were removed, and immediate interim overdenture was provided. In the second stage, five Nobel Biocare dental implants were placed. After integration impressions were made, CAD CAM milled titanium bar was fabricated. Individual PFM crowns were made and cemented. This method gives better esthetic compared to acrylic fused to metal hybrid prosthesis with the advantage of retrievability just like screw retained prosthesis. Hence, this technique is good for rehabilitation of patients with high esthetic demands.
用固定种植体支撑修复全无牙颌弓的美观和功能恢复是一项具有挑战性的任务。较新的技术,如计算机辅助设计计算机辅助制造(CAD CAM)和锥束常规断层扫描在实现可预测的结果方面发挥了重要作用。全口瓷融合金属(PFM)个人冠在CAD CAM铣刀钛框架提供积极的审美和功能的结果。本文报告上颌部分无牙病人的康复治疗。计划对该患者进行分期康复治疗。第一阶段对关键基牙进行根管治疗,拔除不可修复的牙,立即提供临时覆盖义齿。在第二阶段,放置了5颗Nobel Biocare牙种植体。在完成整体印模后,进行CAD - CAM铣削钛棒的加工。制作单个PFM冠并粘接。与丙烯酸融合金属复合假体相比,该方法具有与螺钉保留假体相同的可回收性,具有更好的美观性。因此,该技术对审美要求高的患者的康复是有益的。
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引用次数: 0
Rare simultaneous occurrence of internal root resorption, external apical resorption, and open apex: Management with 2 years follow-up 内根吸收、外根尖吸收及开放根尖同时发生的罕见病例:随访2年处理
Pub Date : 2017-01-01 DOI: 10.4103/2277-4696.205444
Nishant K. Vyavahare, A. Baranwal, R Lakiang, A. Hindlekar
Root resorption of the tooth may be a pathologic or physiologic process resulting in loss of root dentin and cementum. Broadly, it can be of two types – external and internal root resorption. The location of these resorptions can vary from cervical to apical region. Most often, the etiology of it may attribute to some kind of traumatic injuries. External apical resorption, if left untreated for a long period, may result in an open apex with the loss of normal apical constriction and this poses a problem while obturation due to the lack of apical stop. The case becomes of a big concern when such resorptions occur simultaneously along with open apex as these may produce difficulties while managing. Therefore, the objective of the present article is to discuss the root resorption and management of a rare case involving maxillary central incisor with internal root resorption, external apical resorption, and open apex with 2 years follow-up.
牙根吸收可能是一个病理或生理过程,导致牙根质和牙骨质的丧失。从广义上讲,它可以分为两种类型-外部和内部根吸收。这些吸收的位置可以从颈椎到根尖区域变化。大多数情况下,它的病因可能归因于某种创伤性损伤。外部根尖吸收,如果长期不治疗,可能会导致一个开放的根尖,失去正常的根尖收缩,这是一个问题,而由于缺乏根尖停止闭合术。当这种吸收与开放顶点同时发生时,情况变得非常令人担忧,因为这些可能会在管理时产生困难。因此,本文的目的是讨论一个罕见的上颌中切牙内根吸收、外根尖吸收和开放尖的病例,并进行2年的随访。
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引用次数: 2
Oral health status and oral health behaviors of 12-year-old urban and rural school children in Udupi, Karnataka, India: A cross-sectional study 印度卡纳塔克邦乌都比12岁城乡学童口腔健康状况及口腔健康行为的横断面研究
Pub Date : 2017-01-01 DOI: 10.4103/2277-4696.205441
A. Thakur, S. Acharya, D. Singhal, N. Rewal, V. Bhardwaj
Objectives: The objective of this study is to assess the oral health status and oral health behavior among 12-year-old urban and rural school children and to evaluate the relative effect of sociobehavioral risk factors on caries experience. Materials and Methods: A cross-sectional study was conducted which included urban and rural subgroups of 12-year-old school children. The final study population covered two groups: 12 years rural (n = 261) and urban school children (n = 264). Data were collected and compared using Chi-square test. Logistic regression analysis was done to assess the importance of variables associated with dental caries. Results: Highly significant differences (P < 0.001) were observed between rural and urban school children for the use of oral hygiene aids, frequency of tooth brushing, and dental services utilization. Dental caries level was significantly higher (P < 0.03) for rural children. Decayed teeth (DT) component constituted majority of decayed, missing, and filled teeth (FT) in both population. 55.6% of the rural school children required treatment compared to 42.4% of urban school children. Mean Oral Hygiene Index-Simplified values, mean DT, and FT were statistically significant for urban and rural school children. Logistic regression analysis showed that government or private school, dental care utilization, socioeconomic status, and malocclusion status were significantly associated with dental caries. Conclusion: Poor oral health and high treatment needs of children belonging to low socioeconomic background is an alarming situation. Strengthening of oral health care in the rural and underprivileged section should be priority of the policymakers.
目的:了解12岁城乡学龄儿童口腔健康状况和口腔健康行为,探讨社会行为危险因素对龋病发生的相对影响。材料与方法:采用横断面研究方法,对城市和农村12岁学龄儿童进行调查。最终的研究人群包括两组:12岁的农村儿童(n = 261)和城市学龄儿童(n = 264)。收集资料,采用卡方检验进行比较。Logistic回归分析评估与龋病相关变量的重要性。结果:农村和城市学龄儿童在使用口腔卫生辅助工具、刷牙频率和牙科服务利用方面存在显著差异(P < 0.001)。农村儿童龋病发生率显著高于农村儿童(P < 0.03)。蛀牙(DT)成分占两种人群中蛀牙、缺牙和补牙(FT)的大部分。55.6%的农村学龄儿童需要治疗,而城市学龄儿童需要治疗的比例为42.4%。平均口腔卫生指数-简化值、平均DT和FT在城市和农村学校儿童中具有统计学意义。Logistic回归分析显示,公立或私立学校、牙科保健利用情况、社会经济状况和错牙合状况与龋病有显著相关。结论:低社会经济背景儿童口腔健康状况不佳、治疗需求高是一个令人担忧的问题。加强农村和贫困地区的口腔卫生保健应成为政策制定者的优先事项。
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引用次数: 6
Unconventional pontics in fixed partial dentures 固定局部义齿的非常规支架
Pub Date : 2016-07-01 DOI: 10.4103/2277-4696.192970
M. Oswal, Manish S. Oswal
Clinical success of fixed prosthodontics is dependent in part upon the type of pontic design. The selection of pontic design plays an important role in the outcome of the treatment. At present, there are many different pontic designs and materials present in the market. For some patients, one pontic may have an advantage over another and the choice is a matter of preference with the operator. It is recognized that clinical circumstances will require infinite variations. Hence, the present study briefs about the unconventional pontic designs which can be used on regular basis for better clinical results.
固定义齿的临床成功部分取决于桥体设计的类型。桥桥设计的选择对治疗效果起着重要的作用。目前,市场上有许多不同的pontic设计和材料。对于一些病人来说,一种桥桥可能比另一种更有优势,选择哪种桥桥取决于操作者的偏好。人们认识到,临床情况需要无限的变化。因此,本研究简要介绍了可定期使用的非常规桥桥设计,以获得更好的临床效果。
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引用次数: 6
期刊
Journal of Dental and Allied Sciences
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