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Guided tissue regeneration 引导组织再生
Pub Date : 2021-01-01 DOI: 10.4103/jorr.jorr_11_20
S. Wagle, A. Agrawal, Dinaz Bardoliwala, Chhaya Patil
Regeneration is a reproduction or reconstruction of a lost or injured part in such a way that the architecture and function of the lost or injured tissues are completely restored. Epithelium acts as a barrier to successful therapy because its presence interferes with the direct apposition of connective tissue and cementum, therefore would limit the height to which periodontal fibers can become inserted to cementum. Guided tissue regeneration (GTR) describes procedures attempting to regenerate lost periodontal structures through differential tissue responses and typically refers to regeneration of periodontal attachment. Barrier techniques are used for excluding connective tissue and gingiva from the root in the belief that they interfere with regeneration.
再生是指对丢失或受伤的部分进行复制或重建,使丢失或受伤组织的结构和功能完全恢复。上皮是成功治疗的屏障,因为它的存在会干扰结缔组织和牙骨质的直接附着,因此会限制牙周纤维插入牙骨质的高度。引导组织再生(GTR)描述了试图通过不同的组织反应再生丢失的牙周结构的程序,通常指牙周附着的再生。屏障技术用于将结缔组织和牙龈从根部排除,认为它们会干扰再生。
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引用次数: 0
Unraveling coronoplasty in periodontics 牙冠整形术在牙周病治疗中的应用
Pub Date : 2021-01-01 DOI: 10.4103/jorr.jorr_18_20
Malvika Singh
The study of dental occlusion often considered mysterious has been a subject of major interest since the time of the emergence of modern dentistry due to the fact that good clinical practice excels only after having proper knowledge about occlusion. Occlusal surfaces, if and when inhibited, cause trauma to the individual, becoming a matter of attention and concern for clinicians as well as patients. Coronoplasty is the procedure that selectively reduces the supracontacts, thus relieving patient of the same. It is used to provide better stability and occlusion in a permanent dentition noninvasively. The aim of this article is to throw light on occlusion, occlusion interferences, and treating of the same so that it can be applied by clinicians, especially periodontists, for treatment of the same.
牙科咬合的研究通常被认为是神秘的,自从现代牙科出现以来,由于良好的临床实践只有在对咬合有适当的了解之后才能取得成功,因此一直是一个主要的兴趣课题。咬合表面,如果被抑制,会对个体造成创伤,成为临床医生和患者关注的问题。冠状成形术是一种选择性地减少接触上的手术,从而减轻患者的负担。它被用来提供更好的稳定性和咬合在永久牙列无创。这篇文章的目的是阐明咬合、咬合干扰和治疗牙周病,以便临床医生,特别是牙周病医生能够应用它来治疗牙周病。
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引用次数: 0
Biomaterials for periodontal regeneration: A brief overview 用于牙周再生的生物材料:综述
Pub Date : 2021-01-01 DOI: 10.4103/jorr.jorr_30_20
Dhiraj Dufare
The aim of periodontal regenerative therapy is to restore the original architecture and function of lost periodontal tissues as a result of trauma or following destructive periodontal diseases. This review includes the biological principles, efficacy, and effectiveness of different biomaterials and their limitation in periodontal regeneration. Various human clinical trials showed a successful periodontal regeneration with different biomaterials. The regenerative potential of biomaterials was assessed truly by human histological study. However, there were a limited number of human histological evidences to demonstrate the true regenerative potential of biomaterials; further human histological studies were required to establish strong evidences for application of biomaterials in the regeneration of periodontium.
牙周再生治疗的目的是恢复因创伤或破坏性牙周疾病而失去的牙周组织的原始结构和功能。本文综述了不同生物材料在牙周再生中的生物学原理、功效、效果及其局限性。各种人体临床试验表明,不同生物材料的牙周再生是成功的。通过人体组织学研究,真实地评价了生物材料的再生潜力。然而,证明生物材料真正的再生潜力的人类组织学证据数量有限;生物材料在牙周组织再生中的应用需要进一步的人体组织学研究。
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引用次数: 0
Human placental extract a miracle that heals the wound faster 人类胎盘提取物,奇迹,愈合伤口更快
Pub Date : 2021-01-01 DOI: 10.4103/jorr.jorr_42_19
Ankita Katkurwar, D. Chaudhari, S. Mahale, A. Mahale, P. Kadam
Introduction: Human placental extract gel contains extract of human placenta and total nitrogen not more than 0.25% w/w. It is natural vitamins, peptides, nucleotides and amino acid gel. It enhances wound healing significantly; increases collagen synthesis and improves tensile strength of healing tissue. It brings about maximum increases in the percent of DNA, total protein and epithelialisation. It also has anti-inflammatory and analgesic effects. Aim and Objective: Clinical and histological evaluation of depigmented gingival epithelium on application of human placental extract gel. Material and Method: 10 healthy patients in the age group of 18-35 yrs. who were indicated for depigmentation procedure were selected for the study. Depigmentation was done with scalpel technique on maxillary and mandibular anterior region. In group A human placental extract gel was applied on the wound and non-eugenol pack was placed whereas group B was covered with non-eugenol pack only. Wound Healing index and Visual Analogue Score was assessed after 7 and 15 days. Epithelisation of wound was assessed by using toluidine blue after 7 days of surgery. Result: Application of human placental extract gel showed a statistically significant improvement clinically and histologically. Conclusion: Application of human placental extract can be a successful approach to protect the raw wound area of depigmented gingiva with better patient comfort and faster healing. Introduction: In today's era, increased aesthetic concerns have increased the number of patients receiving gingival depigmentation surgeries to create an aesthetically pleasing appearance of gingiva. Human placental extract gel contains extract of human placenta and total nitrogen not more than 0.25% w/w. It is natural vitamins, peptides, nucleotides and amino acid gel. It enhances wound healing significantly; increases collagen synthesis and improves tensile strength of healing tissue. It brings about maximum increases in the percent of DNA, total protein and epithelialisation. It also has anti-inflammatory and analgesic effects. Aim and Objective: Clinical and histological evaluation of depigmented gingival epithelium on application of human placental extract gel. Material and Method: 10 healthy patients in the age group of 18-35 yrs. who were indicated for depigmentation procedure were selected for the study. Depigmentation was done with scalpel technique on maxillary and mandibular anterior region. In group A human placental extract gel was applied on the wound and non-eugenol pack was placed whereas group B was covered with non-eugenol pack only. Wound Healing index and Visual Analogue Score was assessed after 7 and 15 days. Epithelisation of wound was assessed by using toluidine blue after 7 days of surgery. Result: Application of human placental extract gel showed a statistically significant improvement clinically and histologically. Conclusion: Application of human placental extract can be a successful appr
产品简介:人胎盘提取物凝胶含人胎盘提取物,总氮含量不大于0.25% w/w。它是天然维生素、多肽、核苷酸和氨基酸的凝胶。显著促进伤口愈合;增加胶原合成,提高愈合组织的抗拉强度。它带来了DNA,总蛋白质和上皮化百分比的最大增加。它也有消炎和镇痛的作用。目的与目的:应用人胎盘提取物凝胶对牙龈上皮脱色的临床及组织学评价。材料与方法:年龄18 ~ 35岁的健康患者10例。本研究选择了适合进行脱色手术的患者。应用手术刀技术对上颌、下颌前区进行脱色。A组创面涂人胎盘提取液凝胶,并涂非丁香酚填充物,B组仅涂非丁香酚填充物。7、15 d后分别评估创面愈合指数和视觉模拟评分。术后7天用甲苯胺蓝评估创面上皮情况。结果:应用人胎盘提取液凝胶,临床和组织学上均有统计学意义的改善。结论:应用人胎盘提取物可有效保护脱色牙龈创面,患者舒适度好,愈合速度快。简介:在当今时代,越来越多的人关注审美,越来越多的患者接受牙龈脱色手术,以创造一个美观的牙龈外观。人胎盘提取物凝胶含人胎盘提取物,总氮含量不大于0.25% w/w。它是天然维生素、多肽、核苷酸和氨基酸的凝胶。显著促进伤口愈合;增加胶原合成,提高愈合组织的抗拉强度。它带来了DNA,总蛋白质和上皮化百分比的最大增加。它也有消炎和镇痛的作用。目的与目的:应用人胎盘提取物凝胶对牙龈上皮脱色的临床及组织学评价。材料与方法:年龄18 ~ 35岁的健康患者10例。本研究选择了适合进行脱色手术的患者。应用手术刀技术对上颌、下颌前区进行脱色。A组创面涂人胎盘提取液凝胶,并涂非丁香酚填充物,B组仅涂非丁香酚填充物。7、15 d后分别评估创面愈合指数和视觉模拟评分。术后7天用甲苯胺蓝评估创面上皮情况。结果:应用人胎盘提取液凝胶,临床和组织学上均有统计学意义的改善。结论:应用人胎盘提取物可有效保护脱色牙龈创面,患者舒适度好,愈合速度快。
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引用次数: 2
Management of chronic periodontitis using diode laser and tetracycline fibers 用二极管激光和四环素纤维治疗慢性牙周炎
Pub Date : 2021-01-01 DOI: 10.4103/jorr.jorr_22_20
Nilofer Habeeb Rahman, Nanditha Suresh, Syed Nowfiya
Periodontal disease is host immune-mediated inflammatory disease with periods of progression and periods of remission. It results in the breakdown of supporting connective tissue and alveolar bone with the resultant permanent loss of the teeth. There are nonsurgical and surgical therapies available along with local and systemic antibiotic adjuncts. The diode laser therapy is an effective adjunct along with nonsurgical treatment in treating periodontitis. The diode laser not only removes infected sulcular epithelium but also infected connective tissue even in anatomically inaccessible niches. It fastens the treatment and healing with more patient comfort. To overcome antibiotic resistance due to systemic administration, local drug delivery agents are effective in eliminating the bacteria. The antimicrobial agents used as local drug delivery agents include tetracycline, ofloxacin, clindamycin, chlorhexidine, etc., Tetracycline, as well as its derivatives doxycycline and minocycline, are the most commonly used antimicrobial agents in the treatment of periodontal infections. These local drug delivery agents are used either alone or as an adjunct with scaling and root planning.
牙周病是宿主免疫介导的炎症性疾病,有进展期和缓解期。它会导致支持结缔组织和牙槽骨的破坏,从而导致牙齿的永久性损失。有可用的非手术和手术治疗以及局部和全身抗生素辅助。激光治疗是一种有效的辅助治疗牙周炎与非手术治疗。二极管激光不仅可以去除感染的管状上皮,还可以去除感染的结缔组织,即使是在解剖学上难以接近的壁龛中。它加快了治疗和愈合,使患者更舒适。为了克服由于全身给药引起的抗生素耐药性,局部给药剂可以有效地消除细菌。作为局部给药剂的抗菌药物有四环素、氧氟沙星、克林霉素、氯己定等,四环素及其衍生物多西环素和米诺环素是治疗牙周感染最常用的抗菌药物。这些局部给药剂可以单独使用,也可以与除垢和根治结合使用。
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引用次数: 0
Consolidating facts and redesigning a novel pediatric dental practice in nCOVID-19 pandemic 在covid -19大流行中巩固事实并重新设计新的儿科牙科实践
Pub Date : 2021-01-01 DOI: 10.4103/jorr.jorr_17_20
Khooshbu Gayen, S. Shirolkar, Sauvik Galui, S. Saha, S. Sarkar
The pandemic of coronavirus disease 2019 has been the most unprecedented event of our lifetimes, touching, and probably forever changing all realms of our lives and livelihoods. The field of general and speciality dental practice remains no exception. Among all health-care professionals, dentists as oral health caregivers are those who are most susceptible to contracting this infection. A never before situation like this has engaged all of humanity in studies and research for better understanding and possibly reducing the disaster that this terrible virus can inflict upon humanity. These efforts have led to a lot data, much of which is anecdotal evidence and thus a dire need to segregate facts has risen. Dentists in general and pediatric dentists in particular who routinely deal with children and managing them for dental care are at a heightened risk because of their job primarily in the oral cavity. Children routinely take longer appointments compared to adults and require more care to be exercised during this pandemic. This infection often presents asymptomatically which further complicates the problem. Thus, in a world that exists during and after this pandemic demands a reimagined dental practice that is safe for the health workers as well as effectively and efficiently delivers oral health care to all age groups. This can be achieved by rigorous and extensive study and consolidation of this knowledge which can then be adapted by health workers on the ground.
2019年冠状病毒病大流行是我们一生中最前所未有的事件,触及并可能永远改变我们生活和生计的各个领域。一般和专业牙科实践领域也不例外。在所有卫生保健专业人员中,作为口腔保健护理人员的牙医是最容易感染这种感染的人。这种前所未有的情况促使全人类进行研究,以便更好地了解并可能减少这种可怕病毒对人类造成的灾难。这些努力导致了大量的数据,其中大部分是轶事证据,因此迫切需要分离事实。一般来说,牙医,特别是儿科牙医,他们经常与儿童打交道,并管理他们的牙齿护理,他们的风险更高,因为他们的工作主要是在口腔内。与成年人相比,儿童通常需要更长时间的预约,在这次大流行期间需要更多的护理。这种感染通常表现为无症状,这使问题进一步复杂化。因此,在本次大流行期间和之后存在的世界中,需要重新设想对卫生工作者安全的牙科做法,并有效和高效地向所有年龄组提供口腔卫生保健。这可以通过严格和广泛的研究和巩固这方面的知识来实现,然后由实地的卫生工作者加以调整。
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引用次数: 0
The clinical effectiveness of adhesive agents in posterior restorations: Which adhesive strategy performs better? 粘接剂在后牙体修复中的临床效果:哪种粘接剂效果更好?
Pub Date : 2021-01-01 DOI: 10.4103/jorr.jorr_25_20
Naji Ziad Arandi, M. Thabet
The clinical effectiveness of adhesive agents has been mainly evaluated using class V restorations. Clinical studies evaluating adhesives in combination with posterior composites are scarce and of short-term periods. This paper is aimed to review the current literature on the clinical effectiveness of contemporary adhesives when used to restore posterior teeth (Class I and Class II). To conduct this review, Scopus, PubMed, and Google Scholar databases were used to search for peer-reviewed articles on the clinical performance of adhesive agents in posterior composite restorations. Search terms used included “adhesive agents,” “clinical evaluation,” “composite restorations,” “posterior teeth,” “self-etch adhesives,” “etch -and -rinse adhesives,” and “universal adhesives.” To enrich the results, reference mining of the articles that were identified was used to locate other papers. The process of cross-referencing continued until no new articles were identified. No limits were placed on the year of publication, but only articles in English were considered. The current review found that simplification in the adhesive technique so far seems to affect the clinical performance. There is a relative paucity of evidence relating to the performance of universal adhesive agents in posterior restorations. Further long-term clinical studies are needed to evaluate the clinical performance of adhesive agents.
粘接剂的临床疗效评价主要采用V类修复体。评估粘接剂与后路复合材料联合的临床研究很少,而且是短期的。本文旨在回顾当代粘接剂用于修复后牙(I类和II类)的临床有效性的文献。为了进行这项综述,我们使用Scopus、PubMed和谷歌Scholar数据库搜索有关粘接剂在后牙复合修复体中的临床性能的同行评审文章。搜索词包括“粘合剂”、“临床评估”、“复合修复”、“后牙”、“自蚀刻粘合剂”、“蚀刻-冲洗粘合剂”和“通用粘合剂”。为了丰富结果,参考文献挖掘被识别的文章被用来定位其他论文。交叉参考的过程一直持续到没有发现新的文章为止。对出版年份没有限制,但只考虑英文文章。目前的回顾发现,迄今为止,粘接剂技术的简化似乎影响了临床表现。关于通用粘接剂在后牙体修复中的表现,证据相对缺乏。需要进一步的长期临床研究来评估粘接剂的临床性能。
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引用次数: 1
Effect of fiber reinforcement on color stability and degree of polymerization of different composite resins 纤维增强对不同复合树脂颜色稳定性和聚合度的影响
Pub Date : 2021-01-01 DOI: 10.4103/jorr.jorr_27_20
O. Karatas
Aim: The aim of this in vitro study was to determine the effect of fiber-reinforcement on the color changes and degree of polymerization of two different composite resins. Materials and Methods: A bulk-fill composite resin and a methacrylate-based composite resin with A2 shade were used in this study. Three groups of specimens (control group with no reinforcements, polyethylene fiber-reinforced composite and glass fiber-reinforced composite groups) were prepared from each composite. The color change of the specimens with polymerization was measured. Then, to determine the degree of polymerization, the hardness ratios were calculated by measuring the bottom and top surface hardness of all specimens. The data were analyzed by analysis of variance, Duncan's multiple range tests, and Independent sample t-test. Results: Statistical analysis of variance presented the significance difference between composite and fiber for color change (P < 0.05). The highest color change by polymerization was seen in the polyethylene fiber-reinforced bulk-fill composite group. It was found that the addition of fiber to composite resins significantly reduced the degree of polymerization (P < 0.05). Conclusion: The addition of fiber may lead to color change and reduce the degree of polymerization of composite resins. The amount of change may differ depending on the structural properties of the composite resins and fiber.
目的:本体外研究的目的是确定纤维增强对两种不同复合树脂的颜色变化和聚合度的影响。材料和方法:本研究采用本体填充复合树脂和A2遮光的甲基丙烯酸酯基复合树脂。由每种复合材料制备三组试样(不含增强材料的对照组、聚乙烯纤维增强复合材料组和玻璃纤维增强复合物组)。测量了样品在聚合过程中的颜色变化。然后,为了确定聚合度,通过测量所有试样的底部和顶部表面硬度来计算硬度比。通过方差分析、邓肯多区间检验和独立样本t检验对数据进行分析。结果:方差分析显示,复合材料和纤维的颜色变化有显著性差异(P<0.05)。聚乙烯纤维增强体填充复合材料组的聚合颜色变化最高。结果表明,纤维的加入显著降低了复合树脂的聚合度(P<0.05)。结论:纤维的加入可能导致复合树脂的颜色变化,降低聚合度。根据复合树脂和纤维的结构特性,变化量可能不同。
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引用次数: 2
The effect of different curing units on the degree of polymerization of different composite resins 不同固化单元对不同复合树脂聚合度的影响
Pub Date : 2021-01-01 DOI: 10.4103/jorr.jorr_31_20
O. Karatas, M. Yılmaz, Pınar Gul, O. Sagsoz, M. Yapar
Objective: The aim of this study was to investigate the degree of polymerization of composite resins cured with different light-curing units (LCUs). Materials and Methods: Three bulk-fill composite (Beautifil Bulk-Fill Giomer, Filtek Bulk-Fill, and X-Tra Fill) and a methacrylate-based composite (Filtek Z250) were used in this study. Thirty disc-shaped specimens, 4 mm thick, were prepared from each composite resin. Specimens were divided into three groups and polymerized with light-emitting diode (LED), Plasma arch curing unit (PAC), and quartz-tungsten halogen LCU. The bottom and top surface microhardness of the specimens stored in distilled water for 24 h at 37°C after polymerization was measured with a universal test device. The hardness ratio (HR) of specimens was calculated by the bottom surface microhardness/top surface microhardness formula. Data were analyzed by two-way ANOVA and Tukey's least significant difference post hoc tests (α = 0.05). Results: Statistically significant differences were detected between the mean HR values of the specimens polymerized with different LCUs (P < 0.05). The mean HR values of Beautifil Bulk-Fill Giomer specimens were found to be statistically significantly lower than other composites (P < 0.05). The mean HR values of the specimens polymerized with PAC LCU were found to be statistically significantly lower than other LCUs (P < 0.05). Conclusion: The degree of polymerization of the composite resin restoration may be affected by the structural properties of the resin and the type of LCU. The clinician may use alternative techniques, especially in deep cavities.
目的:研究不同光固化单元(LCU)固化的复合树脂的聚合度。材料和方法:本研究使用了三种散装填充复合材料(Beautifil bulk-fill Giomer、Filtek bulk fill和X-Tra-fill)和一种基于甲基丙烯酸酯的复合材料(Filtek Z250)。由每种复合树脂制备了30个4mm厚的圆盘状试样。样品被分为三组,并与发光二极管(LED)、等离子弧固化单元(PAC)和石英-钨-卤素LCU聚合。使用通用测试装置测量聚合后在37°C的蒸馏水中储存24小时的试样的底部和顶部表面显微硬度。试样的硬度比(HR)由底表面显微硬度/顶表面显微硬度公式计算。采用双向方差分析和Tukey最小显著性差异事后检验(α=0.05)对数据进行分析。结果:用不同LCU聚合的样品的平均HR值之间存在统计学上的显著差异(P<0.05)。Beautifil Bulk-Fill Giomer样品的平均HR值被发现在统计学上显著低于其他复合材料(P<0.05)。PAC-LCU聚合的试件的平均HR值在统计学上显著低于其他LCU(P<0.05)。结论:复合树脂修复体的聚合程度可能受到树脂结构性能和LCU类型的影响。临床医生可以使用替代技术,尤其是在深腔中。
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引用次数: 0
Comparative evaluation of two different isolation techniques in restoration of noncarious cervical lesions using flowable composite: A split-mouth in vivo study 两种不同分离技术在可流动复合材料修复宫颈非龋齿病变中的比较评价:一项裂口体内研究
Pub Date : 2021-01-01 DOI: 10.4103/jorr.jorr_4_21
K. Sudha, Jyothsna Kasireddy, Dunnala Sowjanya, Mekala Ashwini, Kurati Sakyarshi
Context: Proper method of isolation plays a key role in the restoration of noncarious cervical lesions (NCCLs). Aims: The aim of this in vivo study was to compare the efficacy of two isolation techniques in restoring NCCLs using flowable composite. Settings and Design: Forty patients who fulfill the inclusion criteria were selected based on the power of the study (0.86). The participants were divided into two groups according to the split-mouth design. Materials and Methods: In Group A, lesion isolation was done using the Mylar matrix band with photocurable gingival barrier, and in Group B, using Metal matrix band and gingival barrier. The restorations were assessed immediately and after 6 months, using modified US Public Health Service criteria: marginal integrity, marginal discoloration, wear, retention, secondary caries, and postoperative sensitivity. Statistical Analysis: IBM SPSS (version 21.0) software was used. McNemar's and Chi-square tests were performed, considering P < 0.05 for statistical significance. Results: Both the groups demonstrated satisfactory clinical performance. Upon inter- and intragroup comparison of the two isolation methods, there was no statistically significant difference (P > 0.05). Conclusions: Within the limitations of the study, both the groups performed similarly in isolation of NCCLs. However, long-term clinical studies must be needed for further evaluation.
背景:适当的隔离方法在非恶性宫颈病变(NCCL)的修复中起着关键作用。目的:本体内研究的目的是比较两种分离技术在使用可流动复合物恢复NCCL方面的疗效。设置和设计:根据研究的力量(0.86)选择符合纳入标准的40名患者。参与者根据开口设计分为两组。材料和方法:A组采用带光固化牙龈屏障的Mylar基质带进行病变分离,B组采用带金属基质带和牙龈屏障进行病变分离。修复体在6个月后立即进行评估,使用美国公共卫生服务局修改的标准:边缘完整性、边缘变色、磨损、滞留、继发龋齿和术后敏感性。统计分析:使用IBM SPSS(21.0版)软件。进行McNemar检验和卡方检验,考虑统计学意义的P<0.05。结果:两组患者均表现出满意的临床表现。经两种分离方法的组间和组内比较,无统计学意义的差异(P>0.05)。结论:在研究范围内,两组在NCCL分离方面表现相似。然而,必须进行长期的临床研究以进行进一步的评估。
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引用次数: 0
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Journal of Oral Research and Review
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