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Pharyngeal width comparison in different skeletal malocclusions and growth patterns of Nepalese population 不同骨骼畸形和尼泊尔人口生长模式的咽部宽度比较
Pub Date : 2024-07-01 DOI: 10.4103/jorr.jorr_63_23
Nabin Kumar Chaudhary, J. Giri, R. Gyawali, Prabhat Ranjan Pokharel
Regarding the relationship between the size of the pharynx and several sagittal skeletal malocclusions and patterns of growth, contradictory findings have been documented. The intent of this research was to analyze the size of the pharynx in various sagittal malocclusions and growth patterns in the Nepalese population. An analytic cross-sectional research was undertaken on patients who attended the Orthodontics Division of BPKIHS. A total of 135 patients’ lateral cephalometric radiographs were gathered. Medians and interquartile ranges of pharyngeal widths according to McNamara airway analysis and Arnett/Gunson FAB airway analysis adapted by Santiago et al. in different skeletal malocclusions and growth patterns were compared. There was not any discernible statistically noteworthy variation within the upper pharynx size, lower pharyngeal width, nasopharyngeal width (WNP), oropharyngeal width, hypopharyngeal width (WHP), and deep pharyngeal width (WDP) in different skeletal malocclusions. A statistically significant variation was discovered in nasopharyngeal size (P = 0.010), hypopharyngeal size (P = 0.027), and deep pharyngeal size (P < 0.001) in various patterns of growth, i.e. hypodivergent versus normodivergent, and in hypodivergent versus hyperdivergent, not in normodivergent versus hyperdivergent group of patients. There was not anything statistically noteworthy variation in the pharyngeal widths of the participants with respect to the various skeletal malocclusions. WNP, WHP, and WDP showed a statistically significant variation between hypodivergent versus normodivergent and hypodivergent versus hyperdivergent growth patterns.
关于咽部大小与几种矢状骨骼畸形和生长模式之间的关系,有文献记载了相互矛盾的研究结果。 本研究旨在分析咽部大小与尼泊尔人口中各种矢状骨骼错位和生长模式之间的关系。 本研究对 BPKIHS 正畸科就诊的患者进行了横断面分析。 共收集了 135 名患者的头颅侧位X光片。根据麦克纳马拉气道分析法和圣地亚哥等人改编的阿内特/贡森FAB气道分析法,比较了不同骨骼畸形和生长模式的咽部宽度的中位数和四分位数范围。 在不同的骨骼畸形中,上咽尺寸、下咽宽度、鼻咽宽度(WNP)、口咽宽度、下咽宽度(WHP)和深咽宽度(WDP)在统计学上没有明显的差异。在鼻咽尺寸(P = 0.010)、下咽尺寸(P = 0.027)和咽深部尺寸(P < 0.001)方面,不同生长模式的患者(即低分化组与正常分化组、低分化组与高分化组,而非正常分化组与高分化组)的差异具有统计学意义。 参试者的咽部宽度与各种骨骼畸形之间没有任何统计学上值得注意的差异。WNP、WHP和WDP在低分化与正常分化、低分化与高分化的生长模式之间有显著的统计学差异。
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引用次数: 0
Perception towards professionalism among Indian dental educators and residents – A descriptive study 印度牙科教育工作者和住院医师对专业精神的看法--一项描述性研究
Pub Date : 2024-07-01 DOI: 10.4103/jorr.jorr_65_23
K. D’souza, Suresh Chari, S. Nagda, Chinmay Shah, Fhelen D. da Costa
Lack of professional integrity among dental students can greatly impact the safety of future patients. Currently, there are no established learning outcomes for dental professionalism. The aim of the study is to assess the perceptions of Indian educators (DE) and residents (DR) towards the attributes and methods to learn/teach dental professionalism. A cross-sectional descriptive study was conducted among Indian DE and DR from April 1, 2022, to July 31, 2022. A 31-item questionnaire was developed to evaluate the demographic data, perceptions of learning/teaching methods, and attributes of professionalism. The sample size was calculated to 446 subjects. Descriptive statistics were carried out. Of the 428 participants, 287 were DE and 141 were DR. Most participants are aware of the attributes and have a positive attitude toward professionalism. Role modeling and mentoring were the most effective ways to learn professionalism. About 97.9% of DE and 97.9% of DR felt it was important to teach dental students about professionalism. About 85.7% of DE and 73% of DR felt the need for an additional program in the current BDS curriculum. Most participants selected contact with role model teachers, clinical experience with patients, and discussion with peers as methods by which they learned dental professionalism. The majority of the participants are aware and have a positive attitude toward dental professionalism.
牙科学生缺乏职业操守会对未来患者的安全造成极大影响。目前,还没有关于口腔医学专业精神的既定学习成果。 本研究旨在评估印度教育者(DE)和住院医师(DR)对学习/教授口腔职业精神的属性和方法的看法。 从 2022 年 4 月 1 日至 2022 年 7 月 31 日,对印度教育者和住院医师进行了横断面描述性研究。研究编制了一份 31 个项目的调查问卷,以评估人口统计学数据、对学习/教学方法的看法以及职业精神的属性。经计算,样本量为 446 人。研究人员进行了描述性统计。 在 428 名受试者中,287 名是 DE 型,141 名是 DR 型。大多数参与者都了解专业精神的属性,并对专业精神持积极态度。榜样示范和导师指导是学习专业精神的最有效途径。约97.9%的牙科医生和97.9%的博士生认为向牙科学生传授专业精神很重要。约85.7%的院长和73%的牙科医生认为有必要在目前的口腔医学本科课程中增加一门课程。大多数参与者选择与模范教师接触、与患者的临床经验以及与同行讨论作为他们学习牙科职业精神的方法。 大多数参与者对牙科职业精神有一定的认识并持积极态度。
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引用次数: 0
Anti-sclerostin antibody – A potential therapeutic target for periodontal bone regeneration 抗硬骨素抗体--牙周骨再生的潜在治疗靶点
Pub Date : 2024-07-01 DOI: 10.4103/jorr.jorr_68_23
Shruthi Reghunath, Roshni Ramesh, Raseena Beevi Nafeesa, Divya Purushothaman Visalakshy, Binitta Paul Kannappillil, Ambili Gopalakrishnan
Sclerostin is a glycoprotein predominantly released by specialized bone-forming cells (osteocytes). It serves as a principal inhibitor of osteogenesis and plays a key act in modulating the metabolism of alveolar bone. Sclerostin is shown to contribute to the occurrence of periodontitis by regulating the remodeling of the alveolar bone. A monoclonal antibody which antagonizes sclerostin has become extremely useful for osteoanabolic therapies. Romosozumab is an Food and Drug Administration-approved anti-sclerostin antibody that has shown promising results in the treatment of osteoporosis. Research is being conducted on the effect of anti-sclerostin antibody (Scl-Ab) as a therapeutic option in the management of periodontitis, and up till now, the results are promising. A comprehensive review of the literature was done using the PubMed database and Google Scholar. Research articles published before April 2023 with the search terms “sclerostin,” “periodontitis,” and “anti-sclerostin antibody” (Scl-Ab) were included. Most of the studies point toward a definitive association between chronic periodontitis and the levels of sclerostin. Numerous investigations underscore the significance of evaluating sclerostin levels as a diagnostic marker for periodontitis, and the application of anti-sclerostin antibodies as a potential therapeutic option for managing periodontitis and peri-implant diseases. However, further researches are required to delve into the therapeutic effects and possible side effects of Scl-Ab. Sclerostin antibodies show promise as an anabolic drug that enhances bone mass and could potentially become a viable therapeutic alternative for addressing periodontal conditions in future.
硬骨素是一种糖蛋白,主要由特化的骨形成细胞(骨细胞)释放。它是成骨的主要抑制剂,在调节牙槽骨的新陈代谢中起着关键作用。研究表明,硬骨素通过调节牙槽骨的重塑而导致牙周炎的发生。拮抗硬骨素的单克隆抗体在骨合成代谢疗法中极为有用。Romosozumab 是一种经美国食品和药物管理局批准的抗硬化剂抗体,在治疗骨质疏松症方面显示出良好的效果。目前正在研究抗硬骨素抗体(Scl-Ab)作为治疗牙周炎的一种选择的效果,迄今为止,研究结果令人鼓舞。我们利用 PubMed 数据库和谷歌学术进行了全面的文献综述。以 "硬化蛋白"、"牙周炎 "和 "抗硬化蛋白抗体"(Scl-Ab)为检索词,收录了 2023 年 4 月之前发表的研究文章。大多数研究表明,慢性牙周炎与硬化剂水平之间存在明确的联系。大量研究强调了将硬化剂素水平作为牙周炎诊断标志物的重要性,以及将抗硬化剂素抗体作为治疗牙周炎和种植体周围疾病的潜在疗法。然而,还需要进一步研究 Scl-Ab 的治疗效果和可能的副作用。硬骨素抗体作为一种同化药物,具有增强骨量的作用,将来有可能成为治疗牙周病的一种可行的替代疗法。
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引用次数: 0
Assessing the application and removal of temporary restorations in endodontic practice: A survey-based study 评估牙髓治疗实践中临时修复体的应用和去除:基于调查的研究
Pub Date : 2024-07-01 DOI: 10.4103/jorr.jorr_5_24
N. Ingle, Anant Kumar Heda, Manoj Likhitkar, Deepali Birla, Thanima Chandran, Pooja Warade
This survey delved into the diverse practices regarding the placement and removal of temporary restorations in the field of endodontics. Employing a Google Forms questionnaire containing 16 inquiries, the study sought to capture varied trends prevalent among practitioners. The survey was conducted for 2 months, engaging 250 participants through social media platforms by sharing a generated link for the Google survey. The questionnaire covered a spectrum of aspects related to temporary restoration procedures, aiming to gather insights into the methodologies, techniques, and protocols adopted by practitioners during these processes. By employing an Internet-based survey tool, the researchers efficiently collated responses from a diverse pool of professionals. The study’s focus encompassed understanding the nuances in temporary restoration practices, emphasizing the significance of structured guidelines or protocols in ensuring efficient and standardized procedures. Through the collected responses, the survey aimed to identify prevalent trends, disparities, and potentially innovative approaches in the placement and removal of temporary restorations within the domain of endodontics. Ultimately, the survey results are anticipated to provide valuable insights into the varied methodologies employed in temporary restoration procedures, potentially paving the way for standardization or enhancement of protocols in this critical aspect of endodontic therapy.
这项调查深入探讨了牙髓病学领域有关临时修复体的放置和拆除的各种做法。该研究采用了包含 16 个问题的 Google Forms 问卷,试图捕捉从业人员中普遍存在的各种趋势。调查为期两个月,250 名参与者通过社交媒体平台分享谷歌调查的生成链接。 调查问卷涵盖了与临时修复程序相关的各个方面,旨在深入了解从业人员在这些过程中采用的方法、技术和规程。通过使用基于互联网的调查工具,研究人员有效地整理了来自不同专业人士的回复。 研究重点包括了解临时修复实践中的细微差别,强调结构化指南或规程对确保高效和标准化程序的重要意义。调查旨在通过收集到的答复,确定牙髓病学领域内临时修复体的放置和拆除方面的普遍趋势、差异和潜在的创新方法。 最终,预计调查结果将为临时修复程序中采用的各种方法提供有价值的见解,从而有可能为牙髓治疗中这一关键环节的标准化或改进规程铺平道路。
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引用次数: 0
Hall technique in children: A cross-sectional survey among Indian pedodontists 儿童霍尔技术:印度牙科医生的横断面调查
Pub Date : 2024-07-01 DOI: 10.4103/jorr.jorr_7_24
Jishnu Pradeep, F. Peedikayil, Soni Kottayi, A. Aravind, Aswathi Sreedharan
Stainless steel crowns are considered to be a practicable alternative in the restoration of carious primary tooth. This study was done to assess Indian pediatric dentists’ knowledge, attitude, and practice of this technique and related factors with the use of the Hall technique (HT). A well-structured preused online questionnaire was sent to pedodontists practicing in India through various social media groups and emails. Descriptive statistics were used to characterize survey responses. A Chi-square test was employed to check the distribution of responders using the HT. Statistically P < 0.05 or less was considered statistically significant. A total of 210 pedodontists participated in this survey. 66.20% of the participants have <10 years’ experience; majority of the participants are in private clinical practice in urban areas. 97.14% of Indian pedodontists are aware of HT, and 22.54% regularly practice HT. 37% of the participants has apprehension of change in vertical dimension due to ooclusal changes and 35% of the participants fear of pulpal damage due to Hall technique. A significant number of pedodontists who have passed master of dental surgery (MDS) in pediatric and preventive dentistry <10 years ago (P = 0.034*), those from academic institutions (P = 0.048*), and those from urban areas (P = 0.045*) practice HT. A substantial proportion of the respondents were familiar with the HT, but considerably less number of participants use it regularly in clinical practice. There is a scope for increased practice of this technique so that the children in need of treatment of multisurface carious lesions can benefit.
不锈钢牙冠被认为是修复龋坏基牙的一种切实可行的替代方法。本研究旨在评估印度儿童牙医对该技术的认识、态度和实践,以及与霍尔技术(HT)使用相关的因素。 研究人员通过各种社交媒体群组和电子邮件向在印度执业的儿童牙科医生发送了一份结构合理的预用在线问卷。使用描述性统计来描述调查回复的特征。采用卡方检验来检查使用 HT 的受访者的分布情况。统计学上,P < 0.05 或更小被认为具有统计学意义。 共有 210 名儿童牙科医师参与了此次调查。66.20%的参与者拥有小于10年的工作经验;大多数参与者在城市地区从事私人临床实践。97.14%的印度牙科医生知道高温热疗,22.54%的牙科医生经常进行高温热疗。37%的参与者担心因骨性改变而导致垂直度改变,35%的参与者担心霍尔技术会导致牙髓损伤。有相当多的儿童牙科医师在 10 年前通过了儿童和预防牙科硕士学位(P = 0.034*)、来自学术机构(P = 0.048*)和来自城市地区(P = 0.045*)。 相当一部分受访者熟悉高温热疗,但在临床实践中经常使用高温热疗的人数要少得多。因此,有必要加强这一技术的应用,使需要治疗多面龋齿的儿童能够从中受益。
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引用次数: 0
Expression of p120 – Catenin in oral squamous cell carcinoma and apparently normal mucosa adjacent to oral squamous cell carcinoma p120 - Catenin在口腔鳞状细胞癌及口腔鳞状细胞癌旁正常黏膜中的表达
Pub Date : 2023-07-01 DOI: 10.4103/jorr.jorr_4_23
A. Rajeev, Karishma M Desai, Ramyani Sinha, Pallavi Saxena, K. Saikumar
Most HNC cases and deaths are due to both individual predispositions linked to certain genetic characteristics, and lifestyle behaviors (tobacco and alcohol use) and secondary is an association with human papillomavirus (HPV). One of the important molecular event in carcinogenesis that could result in invasion and migration predisposing to malignant transformation is alteration in the cell adhesion such as p120 catenin. The loss of p120 catenin (p120) and/or its phosphorylation causes destabilization of E-cadherin; thus, it regulates cadherin stability and turnover which affects the cell adhesiveness and migratory capacity. Therefore, the present review will give the details of p120 is linked to the invasiveness and progression of various human epithelial many tumor types, including OSCCs.
大多数HNC病例和死亡都是由于与某些遗传特征相关的个体易感性和生活方式行为(吸烟和饮酒),其次是与人乳头瘤病毒(HPV)有关。致癌过程中可能导致恶性转化倾向的侵袭和迁移的一个重要分子事件是细胞粘附(如p120连环蛋白)的改变。p120连环蛋白(p120)的缺失和/或其磷酸化导致E-钙粘蛋白的不稳定;因此,它调节钙粘蛋白的稳定性和周转,从而影响细胞的粘附性和迁移能力。因此,本综述将详细介绍p120与各种人类上皮多种肿瘤类型(包括OSCCs)的侵袭性和进展有关。
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引用次数: 0
Knowledge, attitude, and perception regarding generic medicine prescription among dental and medical professionals – A systematic review 牙科和医学专业人员对仿制药处方的知识、态度和看法——系统综述
Pub Date : 2023-07-01 DOI: 10.4103/jorr.jorr_47_22
VR. Sakthi Soundarya Lakshmi, S. Aparna, P. Madan Kumar
Generic medicine is a pharmaceutical drug which contains the same active ingredients as a branded drug in terms of strength, dosage, route of administration, quality, safety, performance characteristics, and therapeutic use. Generic medicine plays a major role in providing affordable medicines to patients. This systematic review was done to identify the knowledge regarding generic medicine prescription among dental and medical professionals worldwide. The search was performed in four databases PubMed, Turning Research Into Practice database (Trip database), Cochrane Library, and Google Scholar to identify the relevant articles with specific keywords and the time filter was February 2012 to February 2022. Finally we included 11 cross-sectional studies. However, generic prescribing is not very much adopted in India due to a lack of awareness about regulatory standards used in generic drug manufacturing. Based on this, the systematic review found that limited knowledge and negative perception among medical and dental professionals about generic medicine are clearly a major barrier to the implementation of generic medicine.
仿制药是指在强度、剂量、给药途径、质量、安全性、性能特点和治疗用途方面与品牌药物含有相同活性成分的药物。仿制药在为患者提供负担得起的药物方面发挥着重要作用。这项系统综述旨在确定世界各地牙科和医学专业人员对非专利药物处方的了解。在PubMed、Turning Research Into Practice数据库(Trip数据库)、Cochrane Library和Google Scholar四个数据库中进行搜索,以识别具有特定关键词的相关文章,时间过滤器为2012年2月至2022年2月。最后,我们纳入了11项横断面研究。然而,由于对仿制药生产中使用的监管标准缺乏认识,印度并没有太多采用仿制药处方。基于此,系统综述发现,医学和牙科专业人员对仿制药的知识有限和负面看法显然是实施仿制药的主要障碍。
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引用次数: 0
Knowledge, attitude, and awareness of tooth stem cell banking among dentists 牙医对牙齿干细胞库的知识、态度和意识
Pub Date : 2023-07-01 DOI: 10.4103/jorr.jorr_44_22
IAfreen Fathima, S. Rohini, S. Aparna, PD Madan Kumar
Introduction: In the rural population of South India, tooth loss affects 48.7% of people. In addition, there are now more patients with more than five congenitally missing adult teeth. This may cause a person's quality of life to decline and cause them to experience both physical and psychological discomfort. Materials and Methods: The current cross-sectional descriptive study was conducted over a period of month using a questionnaire-based survey (February 2022). Using G-POWER software version 3.1, the minimum sample size was calculated as 100 people, considering a study with an 80% power and a = 0.5. Results: Around 59.6% have answered right when asked about the source of dental stem cells (DSCs). 13.5 percentage have no idea about sourcing of stem cells, 6.7% state dental pulp stem cell, a very small population state periodontal tissue to be the source, while a minor group state it to be from apical papilla, <1% have no idea. Conclusion: Data of this study indicate that although there is typically good awareness regarding DSCs origins, uses, and clinical research best practises, there is not a comprehensive comprehension of these topics. The respondents have shown a quite favorable attitude toward improving their understanding of DSCs.
引言:在南印度的农村人口中,48.7%的人患有牙齿缺失。此外,现在有更多的患者先天性缺失了五颗以上的成人牙齿。这可能会导致一个人的生活质量下降,并导致他们经历身体和心理上的不适。材料和方法:目前的横断面描述性研究使用基于问卷的调查进行了一个月(2022年2月)。使用G-POWER软件3.1版,考虑到一项80%的功率和a=0.5的研究,最小样本量计算为100人。结果:当被问及牙齿干细胞的来源时,约59.6%的人回答正确。13.5%的人不知道干细胞的来源,6.7%的人认为牙髓干细胞是来源,极少数人认为牙周组织是来源,而少数人认为来源于根尖乳头,<1%的人对此一无所知。结论:本研究的数据表明,尽管人们通常对DSCs的起源、用途和临床研究最佳实践有很好的认识,但对这些主题的理解并不全面。受访者对提高对DSCs的理解表现出相当积极的态度。
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引用次数: 0
Management of cellulitis of the floor of the mouth in a Cameroonian secondary hospital 喀麦隆一家二级医院口腔底蜂窝织炎的处理
Pub Date : 2023-07-01 DOI: 10.4103/jorr.jorr_19_23
Jacques Gérard Edouma Bohimbo, Karl Grégoire, S. Fokam, Haibolda Vounsoumna, C. Messanga
Context: Cellulitis of the floor of the mouth is dangerous condition because of their life-threatening potential due to their locations. Aims: The objective of this study was to evaluate and document the pattern of cellulitis of the floor of the mouth seen in a hospital of rural region of Cameroon. Settings and Design: This descriptive and prospective study was conducted in the Odontostomatology Unit of the Garoua Regional Hospital (Cameroon). Subjects and Methods: All patients presenting with cellulitis of the floor of the mouth between December 2020 and February 2021 were included in the study. The data concerning demography (age and sex), clinic (risk factors, symptoms, signs, etiology, and evolutionary stage), treatment (medical, surgical, and their evolution), and prognosis were analyzed using quantitative descriptive analysis. Results: Thirty-four patients representing 10.39% of the total consulted were enrolled. The male represented 55.88%. The mean age was 31.68 years. The etiology was odontogenic in 91.18% of cases. Swelling (100%), pain (100%), trismus (97.65%), dysphagia (88.23%), asthenia (76.47%), cervical spreading (58.82%), and poor oral hygiene (94.11%) were the main clinical signs. The cellulitis was suppurative in 76.47% of cases. All patients received probabilistic antibiotic therapy. Corticosteroids (61.76%), surgical (91.18%), and etiological treatment (82.35%) were associated. Complications occurred in 8.82% of cases. A favorable evolution was seen in 94.12% of cases. Death occurred in 5.88% of cases. Conclusions: Cellulitis of the floor of the mouth is still frequent in developing countries. Adequate management of these pathologies is the main condition to reduce their mortality rate.
背景:口腔底部蜂窝组织炎是一种危险的情况,因为它们的位置可能会危及生命。目的:本研究的目的是评估和记录喀麦隆农村地区一家医院出现的口腔底部蜂窝组织炎的模式。设置和设计:这项描述性和前瞻性研究在加鲁阿地区医院(喀麦隆)口腔科进行。受试者和方法:所有在2020年12月至2021年2月期间出现口腔底部蜂窝组织炎的患者都被纳入研究。使用定量描述性分析对人口学(年龄和性别)、临床(危险因素、症状、体征、病因和进化阶段)、治疗(医学、外科及其进化)和预后等数据进行分析。结果:34名患者入选,占总咨询人数的10.39%。男性占55.88%,平均年龄31.68岁。91.18%的病例病因为牙源性。主要临床症状为肿胀(100%)、疼痛(100%),牙痛(97.65%)、吞咽困难(88.23%)、乏力(76.47%)、宫颈扩张(58.82%)和口腔卫生不良(94.11%)。蜂窝组织炎化脓性占76.47%。所有患者均接受概率性抗生素治疗。皮质类固醇(61.76%)、外科手术(91.18%)和病因治疗(82.35%)相关。并发症发生率为8.82%。94.12%的病例出现了良好的演变。5.88%的病例死亡。结论:口腔底部蜂窝组织炎在发展中国家仍然很常见。对这些疾病的充分管理是降低其死亡率的主要条件。
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引用次数: 0
Histopathological changes of the pulp in periodontally compromised teeth 牙周受损牙齿牙髓的组织病理学改变
Pub Date : 2023-07-01 DOI: 10.4103/jorr.jorr_15_22
M. Bhuvaneswari, H. Prasad, M. Rajmohan, K. Srichinthu, V. Prema, L. Mahalakshmi
Background: Pulp as well as periodontium has an interrelationship in terms of development, structure, and function. The interrelationship of periodontitis and pulpal pathologies is contentious with some rivals and evidently incongruous lines of evidence being presented in the literary. Aims and Objectives: The aim and objective of our study was to analyze, “the pulpal variations in the tooth affected by moderate-to-severe grade of periodontitis histopathologically.” Materials and Methodology: Twenty single-rooted, nondecayed, mobile teeth which were clinically and radiographically diagnosed as periodontally affected were extracted. The diagnosed and collected teeth were instantly fixed in 10% neutral-buffered formalin for 48 h, after sectioning off the crown to allow the formalin to diffuse through root canals and fix the pulp tissue. The formalin-fixed sectioned roots were decalcified with formalin-ethylenediaminetetraacetic acid (Hillman and Lee solution). It took around 8–10 weeks for decalcification. Demineralized specimens were further subjected to processing and stained using hematoxylin and eosin for analysis. Results: The common histopathological findings were inflammation (80%), which was of chronic type in most specimens. Edema (80%) and moderate-to-severe fibrosis (100%) were also noticed in a majority of the specimens. Other findings noticed were dilated blood vessels (30%) and atrophied blood vessels (30%) with free pulp stones (50%). Necrosis (10%) and loss of odontoblastic integrity were the least common findings. Conclusion: Histopathological changes of varying degrees of degeneration were noted in the pulp due to periodontitis.
背景:牙髓和牙周组织在发育、结构和功能方面具有相互关系。牙周炎和牙髓病变的相互关系是有争议的,与一些竞争对手和明显不协调的证据线正在提出的文学。目的和目的:我们研究的目的和目的是分析“中重度牙周炎对牙髓变化的病理组织学影响”。材料与方法:拔牙20颗临床及影像学诊断为牙周病变的单根、无龋、活动牙。将诊断和采集的牙齿切开后,立即用10%中性缓冲福尔马林固定48小时,使福尔马林通过根管扩散并固定髓组织。用福尔马林-乙二胺四乙酸(Hillman和Lee溶液)对福尔马林固定的根切片进行脱钙。脱钙大约需要8-10周。脱矿后的标本进一步处理,并用苏木精和伊红染色进行分析。结果:常见的组织病理学表现为炎症(80%),多数标本为慢性型。大多数标本还发现水肿(80%)和中重度纤维化(100%)。其他发现包括血管扩张(30%)和血管萎缩(30%),游离髓质结石(50%)。坏死(10%)和成牙细胞完整性丧失是最不常见的表现。结论:牙周炎引起的牙髓有不同程度退变的组织病理学改变。
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Journal of Oral Research and Review
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