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Diagnosis and management of periodontal disease in children and adolescents: A brief review 儿童和青少年牙周病的诊断和治疗:简要回顾
Pub Date : 2016-07-01 DOI: 10.4103/2277-4696.192978
V. Kini, R. Patil, T. Pathak, A. Prakash, Bharat Gupta
Periodontal disease when occurring in children leads to premature tooth loss, affecting the quality of life. Thus, screening pediatric and adolescent patients early, for periodontal disease is deemed imperative to its early management for improved prognosis. Chronic periodontitis (CP) has slow rate of progression, whereas aggressive periodontitis (AP) affecting children and young adults has rapid rate of progression. The management of AP in particular is affected by bacterial virulence of Aggregatibacter actinomycetemcomitans and Porphyromonas gingivalis in plaque leading to rapid attachment and bone loss around the affected teeth. Nonsurgical treatment, use of appropriate antimicrobial therapy, and surgical correction of defects is required to mitigate disease followed by a comprehensive supportive periodontal therapy. This review visits the current understanding of periodontal disease, its management in pediatric and adolescent patients.
牙周病如果发生在儿童身上,会导致牙齿过早脱落,影响生活质量。因此,早期筛查儿童和青少年患者的牙周病被认为是必要的早期管理,以改善预后。慢性牙周炎(CP)进展缓慢,而侵袭性牙周炎(AP)影响儿童和年轻人的进展速度很快。特别是AP的治疗受到菌斑中放线菌聚集菌和牙龈卟啉单胞菌的细菌毒力的影响,导致受影响牙齿周围的快速附着和骨质流失。需要非手术治疗,使用适当的抗菌药物治疗和手术矫正缺陷,以减轻疾病,然后进行全面的支持牙周治疗。本文综述了目前对牙周病的认识及其在儿童和青少年患者中的管理。
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引用次数: 6
Journey of bone graft materials in periodontal therapy: A chronological review 骨移植材料在牙周治疗中的历程:时间回顾
Pub Date : 2016-01-01 DOI: 10.4103/2277-4696.185195
J. Kumar, V. Jain, S. Kishore, Harish Pal
Bone, the basic building block of the healthy periodontium, is affected in most of the periodontal diseases and can be managed either by mechanically recontouring it or by grafting techniques, which encourages regeneration where it has been lost. Bone replacement grafts are widely used to promote bone formation and periodontal regeneration. Bone grafting, placing bone or bone substitutes into defects created by the disease process, acts like a scaffold upon which the body generates its own, new bone. A wide range of bone grafting materials, including bone grafts and bone graft substitutes, have been applied and evaluated clinically, including autografts, allografts, xenografts, and alloplasts. This review provides an overview of the clinical application, biologic function, and advantages and disadvantages of various types of bone graft materials used in periodontal therapy till date with emphasis on recent advances in this field.
骨是健康牙周组织的基本组成部分,在大多数牙周疾病中都会受到影响,可以通过机械重塑或移植技术来控制,这可以促进已经丢失的牙周组织再生。骨移植被广泛用于促进骨形成和牙周再生。骨移植,将骨或骨替代品植入疾病过程中产生的缺陷,就像一个支架,身体在其上产生自己的新骨。广泛的骨移植材料,包括骨移植和骨移植替代品,已经在临床上应用和评估,包括自体移植物、同种异体移植物、异种移植物和同种异体。本文综述了迄今为止各种骨移植材料在牙周治疗中的临床应用、生物学功能和优缺点,并重点介绍了该领域的最新进展。
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引用次数: 7
Randomized control trial: An overview 随机对照试验:综述
Pub Date : 2016-01-01 DOI: 10.4103/2277-4696.185186
J. Palaskar
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引用次数: 0
Rare presentation of accessory tubercles on permanent maxillary second molar 上颌固定第二磨牙罕见的副结节
Pub Date : 2016-01-01 DOI: 10.4103/2277-4696.185187
K. Arunkumar, D. Deepa
Tooth malformations may be related to heredity or injury during formation. Such morphological abnormalities may be found in the crown either in the form of anomalous cusps or in an increased number of roots, which in some cases are associated with an anomalous cusp. Cone-like enlargements on the buccal cusp of maxillary molar is one such anomaly. This case presents the anatomical and morphological characteristics of a rare case of three lobulated tubercles on the buccal surface of permanent maxillary right second molar tooth.
牙齿畸形可能与遗传或形成过程中的损伤有关。这种形态异常可以在冠上以异常尖的形式或在根的数量增加中发现,在某些情况下,根的数量增加与异常尖有关。上颌磨牙颊尖的锥形增大就是这样一种异常。本文报告一罕见的上颌永久右第二磨牙颊面三分叶结核的解剖及形态学特征。
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引用次数: 1
Stress analysis in maxillary incisor following fragment reattachment: A finite element analysis 上颌切牙断片再植后的应力分析:有限元分析
Pub Date : 2016-01-01 DOI: 10.4103/2277-4696.185188
A. Prabhakar, L. Shrikant, Basappa Nadig
Objectives: To demonstrate stress propagation through three flowable composites used in fragment reattachment using finite element models. Study Design: It was a finite element analysis. Materials and Methods: Two permanent maxillary incisors were selected of which one was used as control. The test tooth was sectioned and reattached using simple reattachment technique. The groups were: Filtek Z350 (Group 1), G-aenial Universal Flo (Group 2), Esthet X-Flow (Group 3). Finite element models were created using cone beam computed tomography images of these teeth. Required physical properties of enamel, dentin, periodontal ligament (PDL), bone, flowable composites were fed into the software. Models were subjected to a load of 150N in a vertical direction. Analysis was done using ANSYS software wherein data were obtained in pictographic and numerical form (Von Mises' stresses [megapascal]). Results: Among flowable composites, maximum stress was created in Esthet X-Flow whereas least stress was observed in Filtek Z350. Maximum stress concentration occurred at the point of load application for flowable composite and enamel, at the point of load application directed in the cervical direction of the crown for dentin, in the apical region for PDL and the cervical bone area for bone. Conclusion: The study revealed that Filtek Z350 had superior tested properties and showed the least stress propagation.
目的:利用有限元模型演示三种可流动复合材料在碎片再附着中的应力传播。研究设计:采用有限元分析。材料与方法:选择上颌恒切牙2颗,其中1颗作为对照。试验牙被切开并使用简单的再附着技术重新附着。各组分别为:Filtek Z350组(1组)、g - enial Universal Flo组(2组)、Esthet X-Flow组(3组)。采用锥形束计算机断层扫描图像建立牙齿有限元模型。将所需的牙釉质、牙本质、牙周韧带(PDL)、骨、可流动复合材料的物理性能输入到软件中。模型在垂直方向上承受150N的载荷。使用ANSYS软件进行分析,其中数据以象形和数值形式获得(Von Mises' stress [megapascal])。结果:在可流动复合材料中,Esthet X-Flow产生的应力最大,而Filtek Z350产生的应力最小。最大应力集中发生在可流动复合材料和牙釉质的加载点,牙本质在牙冠颈椎方向的加载点,PDL在根尖区域和骨颈椎区域的加载点。结论:研究表明Filtek Z350具有优异的测试性能,且应力传播最小。
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引用次数: 0
Spectrum of choices to restore the smile of a child: An update on current pediatric anterior crowns 恢复儿童微笑的选择范围:当前儿科前牙冠的更新
Pub Date : 2016-01-01 DOI: 10.4103/2277-4696.185194
A. Sahu, R. Patil, H. Kambalimath, A. Asokan, Satish Maran, Somya Jain
Esthetic treatment of severely damaged primary teeth is one of the greatest challenges to pediatric dentists. A wide variety of full coverage esthetic crowns for primary teeth are commercially available in the market. A practitioner should choose convenient, durable, and reliable solution which is fulfilled with complete knowledge of different crown forms. This article on esthetic crowns for children gives an outline of various anterior crowns in a tabular form, reviews their composition, advantages, disadvantages, and selection criteria.
对严重受损的乳牙进行美学治疗是儿科牙医面临的最大挑战之一。市场上有各种各样的全覆盖美观的乳牙冠。医生应选择方便、耐用、可靠的解决方案,并充分了解不同的冠形。这篇关于儿童美学冠的文章以表格形式概述了各种前冠,回顾了它们的组成,优缺点和选择标准。
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引用次数: 3
Evaluation of microleakage in hybrid composite restoration with different intermediate layers and curing cycles 不同中间层和不同养护周期复合材料修复微渗漏的评价
Pub Date : 2016-01-01 DOI: 10.4103/2277-4696.185189
M. Sakri, Pushpa Iranna Koppal, B. Patil, Satheesh B. Haralur
Objective: To evaluate the impact of bulk or incremental curing of hybrid composite resin with different intermediate layers on interfacial microleakage. Materials and Methods: The recently extracted, sixty noncarious human mandibular molars were selected for the study. The standardized mesio-occluso-distal cavity with the occlusal cavity of 2 mm depth, 3 mm buccolingual width and proximal box dimension of 4 mm buccolingual width and 2 mm depth was prepared on all experimental teeth. The samples were divided into six groups of ten each. Group I was without an intermediate layer. Group II and III had 1 mm flowable composite liner, with incremental and bulk curing cycle, respectively. The Group IV, V, and VI had a self-cure composite liner with incremental and bulk curing. The teeth subjected to thermocycling and kept in 0.5% basic fuchsine dye for 24 h. The teeth were sectioned and observed under a stereomicroscope to grade them according to the extent of microleakage. The obtained data were statistically analyzed with Kruskal–Wallis and post hoc comparison test to understand the difference between the groups. Results: The Group II with flowable composite along incremental curing showed the least microleakage at both enamel (0.30) and cementum surface (0.50). The groups with self-cure composite liner were less effective than flowable composite. The microleakage at the enamel interface was less compared cementum interface across the groups. The groups with bulk curing were more prone to microleakage than incremental curing cycle. Conclusions: Within the limitation of the study, it was concluded that intermediate flowable composite with incremental curing was better suited to reduce microleakage.
目的:探讨不同中间层混杂复合树脂散装或增量固化对界面微泄漏的影响。材料与方法:选取近期提取的60颗无龋人下颌骨磨牙进行研究。在所有实验牙上制备标准化的中牙合远端牙槽,牙槽深度为2mm,颊舌宽度为3mm,近端牙槽尺寸为4mm,颊舌宽度为2mm。这些样本被分成六组,每组十人。第一组无中间层。II组和III组采用1 mm可流动复合衬垫,分别采用增量和批量固化循环。IV组、V组和VI组采用自固化复合衬垫,采用增量和批量固化。热循环后,在0.5%碱性胭脂染料中保存24 h,将牙齿切片,体视显微镜下观察,根据微渗漏程度进行分级。采用Kruskal-Wallis和事后比较检验对所得数据进行统计学分析,了解组间差异。结果:可流动复合材料沿增量固化组牙釉质和牙骨质表面微渗漏最小(0.30);自固化复合衬垫组的治疗效果低于可流动复合衬垫组。各组牙骨质界面微渗漏较少。批量养护组比增量养护组更容易发生微渗漏。结论:在有限的研究范围内,中间流动复合材料的增量固化更适合于减少微泄漏。
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引用次数: 2
Management of traumatically intruded permanent maxillary lateral incisor - Case report and review of literature 外伤性上颌恒侧切牙嵌套的处理- 1例报告及文献复习
Pub Date : 2016-01-01 DOI: 10.4103/2277-4696.185193
Deepak Sharma, P. Jhingta, V. Bhardwaj, A. Bhardwaj
Primary etiologic factors of trauma in the permanent dentition are bicycle accidents, sports accidents, falls, and fights. From the standpoint of therapy, anatomy, and prognosis, five different types of luxation lesions are recognized: Concussion, subluxation, extrusive luxation, lateral luxation, and intrusive luxation. Intrusive luxation is apical displacement of tooth into the alveolar bone. The tooth is driven into the socket, compressing the periodontal ligament, and commonly causes a crushing fracture of the alveolar socket. It is considered one of the most severe luxation injuries to affect permanent teeth. Intrusion injuries are often associated with severe damage to the tooth, periodontium, and pulpal tissue. The rare occurrence of this injury, 0.3–1.9% in the permanent dentition, has resulted in limited studies to support suggested treatment regimens. Clinical treatment for intrusion is especially difficult because of the severe complications accompanying it. These complications include pulp necrosis or obliteration, inflammatory root resorption, ankylosis, replacement root resorption, and loss of marginal bone support. Hence, the aim of presenting this case report of intrusive luxation is to highlight the importance of prompt care and root canal dressing and discuss the several treatments proposed to reposition the intruded teeth.
永久牙列创伤的主要病因是自行车事故、运动事故、跌倒和打架。从治疗、解剖和预后的角度来看,脱位有五种不同的类型:震荡脱位、半脱位、突出性脱位、侧位脱位和侵入性脱位。侵入性脱位是指牙尖向牙槽骨内移位。牙齿被压入牙槽窝,压迫牙周韧带,通常会导致牙槽窝粉碎性骨折。它被认为是影响恒牙最严重的脱位损伤之一。侵入性损伤通常与牙齿、牙周组织和牙髓组织的严重损伤有关。这种损伤在恒牙列的发生率为0.3-1.9%,非常罕见,因此支持建议治疗方案的研究有限。由于伴有严重的并发症,临床治疗尤其困难。这些并发症包括牙髓坏死或闭塞、炎症性牙根吸收、强直、替代牙根吸收和边缘骨支持的丧失。因此,本病例报告的目的是强调及时护理和根管敷料的重要性,并讨论几种治疗方法来重新定位侵入性脱位的牙齿。
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引用次数: 1
A rare case of vestibular sinus tract: A periodontist enigma 前庭窦道一例罕见病例:牙周病迷
Pub Date : 2016-01-01 DOI: 10.4103/2277-4696.185191
D. Nagpal, Kala S. Bhushan, S. Prakash
Sinus tract occurs commonly in teeth with periapical/periodontal infection but the formation of a vestibular opening, causing esthetic compromise and food lodgement, is uncommon. Definitive treatment of a chronic sinus tract requires treatment of the original problem, that is, the necrotic pulp treated by endodontic therapy or by extraction of the tooth. However, at times endodontic therapy may not be adequate necessitating periodontal intervention. The present case had vestibular opening communicating with root canal of concerned tooth appearing ten years after trauma. The diagnosis of such cases can only be made after careful evaluation and the treatment plan has to be modified from the conventional. The success of such cases depends on the regular follow up as presented here and careful observation after each phase of treatment.
窦道常见于根尖周/牙周感染的牙齿,但前庭开口的形成,导致美观损害和食物堆积,是罕见的。慢性窦道的最终治疗需要治疗原来的问题,也就是说,坏死的牙髓通过根管治疗或拔牙治疗。然而,有时根管治疗可能不够,需要牙周干预。本病例在外伤后十年出现前庭开口与牙根管相通。这些病例的诊断只能经过仔细的评估,治疗方案必须从传统的修改。这些病例的成功取决于这里所介绍的定期随访和每个治疗阶段后的仔细观察。
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引用次数: 0
Unilateral nevus of ota: A case report of oculodermal melanocytosis! 单侧太田痣:眼真皮黑色素细胞增多症1例!
Pub Date : 2016-01-01 DOI: 10.4103/2277-4696.185192
R. Maheshwari, V. Desai, M. Sunil Kumar, I. Gaurav
Hulke first described nevus of Ota in 1860, but a detailed description was made first by Ota in 1939 wherein the typical pattern of the bluish black pigmentation along with the cutaneous distribution of the trigeminal nerve were described. This condition is most prevalent in Japanese population but comparatively rare among Indians. Nevus of Ota is a nonhereditary pigmentation disorder, more commonly seen in females. The authors present, yet another case of unilateral nevus of Ota in a young Indian girl.
Hulke于1860年首次描述了太田痣,但1939年Ota首先对其进行了详细的描述,其中描述了典型的蓝黑色色素沉着模式以及三叉神经的皮肤分布。这种情况在日本人口中最为普遍,但在印度人中相对罕见。太田痣是一种非遗传性色素沉着疾病,多见于女性。作者提出,另一例单侧太田痣在一个年轻的印度女孩。
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引用次数: 5
期刊
Journal of Dental and Allied Sciences
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