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Giant basal cell adenoma of the parotid gland eroding the ramus of mandible: An unusual presentation 侵蚀下颌骨分支的腮腺巨大基底细胞腺瘤:一种不寻常的表现
Pub Date : 2015-07-01 DOI: 10.4103/2277-4696.171551
K. Khande, R. Halli, P. Gawande, Manjula Hebbale
Basal cell adenoma (BCA) is an uncommon benign salivary gland epithelial tumor. BCA accounts for 1-2% of all salivary gland epithelial tumors and more than 80% of BCA′s arise in the major salivary glands, mostly the parotid. It is usually firm in consistency, mobile, slow growing mass, and tends to be multiple. Due to the prognostic implications, differential diagnosis with basal cell adenocarcinoma, adenoid cystic carcinoma, and basaloid squamous cell carcinoma is essential. We present a giant BCA of the left parotid gland eroding the ramus of mandible in an elderly female and discuss its diagnostic work-up and surgical management.
基底细胞腺瘤(BCA)是一种罕见的良性涎腺上皮肿瘤。BCA占所有唾液腺上皮肿瘤的1-2%,80%以上的BCA发生在主要唾液腺,以腮腺为主。它通常是坚固的一致性,移动,缓慢增长的肿块,并往往是多个。由于预后的影响,基底细胞腺癌、腺样囊性癌和基底细胞鳞状细胞癌的鉴别诊断是必要的。我们报告一位老年女性左腮腺巨大的BCA侵蚀下颌骨分支,并讨论其诊断检查和手术处理。
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引用次数: 1
Evaluation of shear bond strength of conventional glass ionomer cements bonded to mineral trioxide aggregate: An in vitro study 评价常规玻璃离聚体水泥与矿物三氧化物骨料的剪切强度:体外研究
Pub Date : 2015-07-01 DOI: 10.4103/2277-4696.171519
B. Napte, S. Raghavendra
Introduction: This study measured the shear bond strength of conventional glass ionomer cements (GICs) (Xtra Fil and Fuji IX) bonded to white mineral trioxide aggregate (WMTA, Angelus) that had been allowed to set for two different time intervals. Materials and Methods: Sixty WMTA specimens were prepared; half were stored for 45 min and the remaining 30 specimens were stored for 72 h at 37°C and 100% humidity. Then, each group was divided into two subgroups of 15 specimens, and each GIC was layered on each of the two WMTA preparations. The GIC-WMTA shear bond strengths were measured and were compared by using one-way analysis of variance. Results: The shear bond strengths with the 45-min and 72-h WMTAs were 7.23 and 7.79 megapascal (MPa), respectively, for Xtra Fil and 7.87 and 8.12 MPa, respectively, for Fuji IX. The GIC-WMTA bond strength was not different between GIC applications to WMTA that had set for 45 min versus 72 h (P > 0.05). Conclusion: GICs might be used over MTA after the MTA has set for 45 min to allow single-visit direct pulp cap procedures.
本研究测量了传统玻璃离子水泥(gic) (Xtra Fil和Fuji IX)与白色矿物三氧化物骨料(WMTA, Angelus)的剪切强度,这些骨料在两种不同的时间间隔内凝固。材料与方法:制备60例WMTA标本;其中一半保存45 min,其余30个标本在37℃、100%湿度条件下保存72 h。然后,每组分为两个亚组,每组15个标本,每个GIC分层在两种WMTA制剂上。测量GIC-WMTA剪切粘接强度,并采用单因素方差分析进行比较。结果:在45 min和72 h wmta时,Xtra Fil的剪切强度分别为7.23和7.79兆帕斯卡(MPa), Fuji IX的剪切强度分别为7.87和8.12 MPa。GIC与设置45 min和72 h的WMTA的结合强度无显著差异(P < 0.05)。结论:在MTA放置45分钟后,GICs可以在MTA上使用,以便进行单次直接髓盖手术。
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引用次数: 3
Evaluation of smile esthetics by photographic assessment of the dento-labio-gingival complex 牙齿-阴唇-牙龈复合体的摄影评价微笑美学
Pub Date : 2015-07-01 DOI: 10.4103/2277-4696.171515
M. Dayakar, A. Shipilova, M. Rekha
Context: The esthetics of a smile is determined by various factors including symmetry, anatomy and position of teeth, periodontal visibility, and musculoskeletal relationships. Aim: This study analyzed the dento-labio-gingival esthetic components of the smile, evaluating: (a) Amount of gingiva visible during natural smile and forced smile, (b) relationship between incisal edges of maxillary anterior teeth and upper border of lower lip, (c) deviation of dental midline from facial midline to right or left side. Materials and Methods: Photographs of 127 subjects were taken by standardizing by placing patients head in Frankfurt horizontal plane and photos were cropped uniformly. Analysis of the dento-labial-gingival esthetic components of the smile, evaluating the relationship between the curve formed by the incisal edges of anterior teeth that is, incisal line and the curve of the lower lip, whether the incisal line touches the lower lip, presence of overlap of the lower lip over the incisal edges or absence of touch and also the amount of periodontal visibility during natural smile and the forced smile was done using Microsoft PowerPoint. Result: During natural smile the most frequent smile line was class 4 that is, low smile line seen in 67% of participants and class 3 for forced smile that is, average smile line seen in 44% of participants. There was a highly significant prevalence for females to have more periodontal visibility during both natural and forced smile (P < 0.001).40% of participants had maxillary incisor edges slightly apart from the lower lip and 48% of participants had maxillary incisal edges in light contact with lower lip. No significant difference was seen between the two genders (P > 0.05). 78 % of subjects showed no deviation from the midline, 19.7 % of the subjects showed the deviation of midline toward the right, and 2.4% showed deviation toward the left. Conclusion: Harmony of the dento-labial-gingival complex is essential for a pleasing smile. Evaluating the smile of each patient using photographs, as well as radiographs and clinical data assures the clinician of the possibility of deciding what needs to be carried out and what can be done to treat a gummy or an assymetrical smile according to its etiology.
背景:微笑的美感是由各种因素决定的,包括对称性、牙齿的解剖结构和位置、牙周的可见性和肌肉骨骼的关系。目的:本研究分析了微笑的牙-唇-牙龈美学成分,评估:(a)自然微笑和强迫微笑时可见的牙龈数量,(b)上颌前牙切缘与下唇上缘的关系,(c)牙齿中线与面部中线向右或向左偏移。材料与方法:127例受试者采用将患者头部置于法兰克福水平面上进行标准化拍照,并对照片进行统一裁剪。分析微笑的牙-唇-牙龈美学成分,评估前牙切牙边缘形成的曲线(即切牙线)与下唇曲线之间的关系,切牙线是否与下唇接触,下唇是否与切牙边缘重叠或没有接触,以及自然微笑和强迫微笑时牙周可见量。结果:在自然微笑时,最常见的微笑线是第4类,即67%的参与者看到的低微笑线,而第3类是强迫微笑,即44%的参与者看到的平均微笑线。在自然微笑和强迫微笑时,女性的牙周可见性更高(P < 0.001)。40%的参与者上颌切牙边缘与下唇略微分开,48%的参与者上颌切牙边缘与下唇轻微接触。性别间差异无统计学意义(P < 0.05)。78%的受试者没有出现中线偏差,19.7%的受试者出现中线偏右,2.4%的受试者出现中线偏左。结论:牙齿-唇部-牙龈复合体的和谐对一个令人愉快的微笑至关重要。使用照片、x光片和临床数据来评估每位患者的微笑,确保临床医生根据其病因决定需要采取什么措施以及可以采取什么措施来治疗牙龈或不对称的微笑。
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引用次数: 6
Cone-beam computed tomography: A miracle for orthodontics! 锥形束计算机断层扫描:正畸的奇迹!
Pub Date : 2015-07-01 DOI: 10.4103/2277-4696.171532
J. Khatri, Gaurav Tated
The branch of oral medicine and radiology has always played a role of back stage worker for the branch of orthodontics and dentofacial orthopaedics. It would have been difficult for an orthodontist to gift the bright smiles to his/her patients without the 2D and 3D black and white pictures provided by the oral radiologist. Moreover, the series of advances in the various imaging modalities are playing the role of a magician for the branch of orthodontia. The present article provides valuable information about one such miracle for the field of orthodontics-cone beam computed tomography (CBCT).
口腔医学与放射学一直是口腔正畸与牙面矫形学的后台工作者。如果没有口腔放射科医生提供的2D和3D黑白照片,正畸医生很难将灿烂的笑容送给他/她的病人。此外,各种成像方式的一系列进步正在为正畸分支发挥魔术师的作用。本文提供了一个有价值的信息,在正畸领域的奇迹-锥束计算机断层扫描(CBCT)。
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引用次数: 0
The unintended obturation: Thrusting bizarre in the root canals! 意外的封闭:在根管中奇怪地插入!
Pub Date : 2015-07-01 DOI: 10.4103/2277-4696.171549
S. Mathur, R. Chopra
A wide array of habits is found in children; of these inserting foreign objects in the oral cavity is a common practice among children. Children often tend to insert sharp objects mainly in the open carious lesions to relieve pain caused due to food lodgment. The objects sometimes break and get embedded in the root canals. Sometimes, the patients do not reveal this to parent out of fear and ultimately are diagnosed accidently by the dentists when the symptoms appear or while diagnosing some other lesion. These foreign objects may act as a possible cause of infection. Early diagnosis and treatment are mandatory in such cases to avoid further complications. Thorough case history, clinical, and radiographic examinations are essential to determine the nature, size, location of the foreign body, and the difficulty involved in its retrieval. This paper discusses series of three such case reports where the foreign objects were diagnosed, retrieved, and treatment was followed.
儿童有各种各样的习惯;其中,在儿童口腔内插入异物是一种常见的做法。儿童往往倾向于在开放性的龋齿处插入尖锐物品,以缓解因食物沉积而引起的疼痛。这些东西有时会破裂并嵌入根管中。有时,患者出于恐惧而不向父母透露,最终在症状出现或诊断其他病变时被牙医意外诊断出来。这些异物可能是引起感染的原因。在这种情况下,早期诊断和治疗是必要的,以避免进一步的并发症。全面的病史、临床和影像学检查对于确定异物的性质、大小、位置以及取出异物的难度至关重要。本文讨论了一系列三个这样的病例报告,其中异物被诊断,取出,并进行了治疗。
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引用次数: 0
Extraction: A Parameter in Bolton Ratio 提取:波顿比中的一个参数
Pub Date : 2015-01-01 DOI: 10.4103/2277-4696.167515
Priyanka Kale, D. R. Chhajed, Shivani Shailendra Khapli, Nitin Tripathi, G. K. Randhawa
Aims: To evaluate extraction as a parameter in determination of Bolton ratio in class II division 1 cases. Materials and Methods: Thirty Class II division 1 cases were selected from the records. Bolton overall ratio was calculated. Hypothetically extraction of four different combinations of premolars was done. These combinations were: Upper first premolar, all first premolars, upper first premolars and lower second premolar, all second premolar. The hypothetical extraction was done by substituting zero in place of the corresponding premolars that were removed. The overall ratios were measured again. Results and Conclusion: (1) Extraction can be considered as a parameter in evaluating Bolton ratio. (2) In upper first premolar extraction Bolton ratio increased. (3) When all first premolar, upper first and lower second premolar, all second premolar were extracted the ratio decreased. (4) In all four first premolar, all second premolar, upper four and lower five premolar extraction can be carried out without much affecting Bolton ratio in class II division 1 cases.
目的:评价提取法作为确定II类1分病例博尔顿比的参数。材料与方法:从病历中选取II类1科病例30例。计算博尔顿总比值。假设抽取了四种不同组合的前磨牙。这些组合是:上第一前磨牙,所有第一前磨牙,上第一前磨牙和下第二前磨牙,所有第二前磨牙。假设的拔牙是用零来代替相应的被移除的前磨牙。再次测量总体比率。结果与结论:(1)提取液可作为评价博尔顿比的一个参数。(2)上第一前磨牙萃取时,波顿比增大。(3)当全部第一前磨牙、上第一前磨牙和下第二前磨牙全部拔除时,比例下降。(4)在II类1类病例中,所有四颗第一前臼齿、所有第二前臼齿、上四颗和下五颗前臼齿均可进行拔牙,对博尔顿比影响不大。
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引用次数: 7
Correlation of Biomechanical Exposure with Cumulative Trauma Disorders of Upper Extremity in Dental Surgeons 生物力学暴露与口腔外科上肢累积性创伤障碍的相关性研究
Pub Date : 2015-01-01 DOI: 10.4103/2277-4696.167531
Tejashree A. Dabholkar, P. Gandhi, S. Yardi, Ajit Dabholkar
Aims and Objectives: The aim of this study was to determine the occupational musculo-skeletal problems in dentists and to investigate the related risk factors. Biomechanical risk exposures measures are available as is various activity limitations. Activity limitation is specific for various cumulative trauma syndromes found in dental occupation. Hence, this study aims at correlating these two parameters. Study population involves private and institutionalized dentists. So study aims to do a comparison in between the groups also. Materials and Methods: 250 dentists working in Navi Mumbai and Mumbai were included in the study. Their mean ages were 30.15 ΁ 5.70 years. The musculo-skeletal system problems, activity, limitations, pain levels, working posture are some of the factors investigated. Results: The biomechanical exposure analyzed (rapid upper limb assessment, occupational repetitive action) showed strong association with various cumulative trauma disorders assessed by (neck disability index, disabilities of arm, shoulder, hand, and carpal tunnel syndrome questionnaire). Conclusion: Musculo-skeletal problems existed due to the occupational working conditions and these problems caused activity limitation with varying degrees. Occupational risk factors in dentists make dentists conscious about this issue and also preventive rehabilitation programs have to be planned.
目的和目的:本研究的目的是确定牙医的职业肌肉骨骼问题,并调查相关的危险因素。生物力学风险暴露措施和各种活动限制措施都是可用的。活动限制是特定的各种累积创伤综合征发现在牙科职业。因此,本研究旨在将这两个参数关联起来。研究对象包括私人牙医和机构牙医。所以研究的目的是在两组之间进行比较。材料与方法:在新孟买和孟买工作的250名牙医被纳入研究。平均年龄30.15 ~ 5.70岁。肌肉骨骼系统问题,活动,限制,疼痛程度,工作姿势是研究的一些因素。结果:分析的生物力学暴露(快速上肢评估、职业重复性动作)与颈部残疾指数、手臂、肩、手残疾和腕管综合征问卷评估的各种累积性创伤障碍有很强的相关性。结论:职业性劳动环境存在肌肉骨骼问题,造成不同程度的活动限制。牙医的职业风险因素使牙医意识到这一问题,也必须计划预防性康复计划。
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引用次数: 7
Biological Restoration: A Natural Replacement for a Fractured Tooth 生物修复:骨折牙齿的自然替代物
Pub Date : 2015-01-01 DOI: 10.4103/2277-4696.167572
V. Nair, N. Desai, A. Hindlekar, Nishant K. Vyavahare, S. Raghavendra
Fractured anterior teeth due to traumatic injuries are a common occurrence in dental practice. The role of operative dentistry in such cases is to restore proper tooth form, function, and esthetics. Achieving this by bonding sterile dental fragments to teeth with large coronal destruction is expressed as "biological restoration." This approach provides excellent esthetics as compared to composites or cast restorations, especially in terms of translucency and is also a cost-effective alternative to the same. This paper reports the case of a 22-year-old male in whom biological restoration was considered as a biofunctional and esthetic replacement of the fractured central incisor (Ellis Class III tooth fracture) with more than 40% loss of tooth material. Following clinical and radiographic evaluation, endodontic treatment of the fractured tooth was carried out. Post space was prepared to receive the biological restoration. Extracted teeth were then used to fabricate a biological post and biological crown; which was then sterilized in accordance with biosecurity standards and later cemented. According to the available literature and clinical evidence, biological restorations can be considered as an efficient option for management of fractured anterior teeth.
由于外伤性损伤导致的前牙断裂在牙科实践中是常见的。在这种情况下,牙科手术的作用是恢复牙齿的形状、功能和美观。通过将无菌牙齿碎片与冠状破坏较大的牙齿结合来实现这一目标,这被称为“生物修复”。与复合材料或铸造修复体相比,这种方法提供了出色的美学,特别是在半透明方面,也是一种具有成本效益的替代方案。本文报告一位22岁男性患者,生物修复被认为是一种生物功能和美观的替代中门牙骨折(Ellis III类牙骨折),牙材料损失超过40%。根据临床和影像学评估,对骨折的牙齿进行根管治疗。后空间准备接受生物修复。拔出的牙齿用于制作生物桩和生物冠;然后按照生物安全标准进行消毒,然后粘合。根据现有文献和临床证据,生物修复可以被认为是治疗前牙断裂的有效选择。
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引用次数: 0
Applications of Corticosteroids in Dentistry 皮质类固醇在牙科中的应用
Pub Date : 2015-01-01 DOI: 10.4103/2277-4696.167533
J. Sanghavi, Amita Aditya
Corticosteroids, since their introduction in the 1940s, have become one of the most widely prescribed class of drugs. They belong to a class of chemicals that includes steroid hormones that are produced naturally in the adrenal cortex of vertebrates and analogous to those that are synthesized in laboratories. They have been used extensively in managing many oral diseases, due to their excellent anti-inflammatory and immuno-modulatory effects. However, considering their potential and significant side-effects, they are sometimes termed as the "double-edged sword" in the field of medicine. Their successful use depends upon the comprehension of the disease process. This includes an appropriate diagnosis, a clear view of the desirable treatment outcome and understanding of whether the treatment is aimed at the management of a chronic disease or enhanced resolution of a short-term condition. The possible beneficial effects of systemic corticosteroids must be weighed against probable risks. This article is aimed at reviewing the use of corticosteroids in the treatment of various oral conditions and lesions, and deriving a certain protocol for the same.
皮质类固醇自20世纪40年代问世以来,已成为处方最广泛的一类药物之一。它们属于包括类固醇激素在内的一类化学物质,类固醇激素在脊椎动物的肾上腺皮质中自然产生,类似于实验室合成的类固醇激素。由于具有良好的抗炎和免疫调节作用,它们已被广泛用于治疗许多口腔疾病。然而,考虑到它们的潜在和显著的副作用,它们有时被称为医学领域的“双刃剑”。它们的成功使用取决于对疾病过程的理解。这包括适当的诊断,对理想治疗结果的清晰认识,以及对治疗是针对慢性疾病的管理还是针对短期状况的增强解决的理解。全身性皮质类固醇可能的有益作用必须与可能的风险进行权衡。本文旨在回顾皮质类固醇在治疗各种口腔疾病和病变中的应用,并得出一定的治疗方案。
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引用次数: 16
Endodontic Irrigants 牙髓冲洗剂
Pub Date : 2015-01-01 DOI: 10.4103/2277-4696.167536
B. Napte, S. Srinidhi
Endodontic success depends on the triad of biomechanical preparation, pulp space sterilization, and three-dimensional obturation. Complete disinfection of the pulp space cannot be achieved with instrumentation techniques alone. The use of adjunctive aids like endodontic irrigants in achieving this goal is essential. The purpose of this review article is to provide an overview of the different root canal irrigants and their clinical application. A search for English-language papers published in national and international journals using Medline and PubMed indexing was done until April 2014 for sourcing this article.
根管治疗的成功取决于生物力学准备、牙髓间隙灭菌和三维封闭。单靠仪器技术是无法对牙髓空间进行彻底消毒的。使用牙髓冲洗剂等辅助工具来实现这一目标是必不可少的。本文就不同的根管冲洗剂及其临床应用进行综述。使用Medline和PubMed索引搜索在国内和国际期刊上发表的英语论文,直到2014年4月才完成本文的来源。
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引用次数: 1
期刊
Journal of Dental and Allied Sciences
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