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The war between amalgam and composite: A critical review 汞合金和复合材料之间的战争:一个批判性的评论
Pub Date : 2021-07-01 DOI: 10.4103/jorr.jorr_32_20
B. Kapoor, Lateef Ahmed
Amalgam and composite are the two most famous dental restorative materials till date and the choice between them is still debatable. Amalgam restorations have served the profession well and will continue to do so in the years to come. In terms of longevity, amalgam is superior to composite resins, especially when used for large restorations. In case of small restorations, composite is the restoration of choice as minimum removal of the sound structure is required. Where esthetics is a major concern, composite has a way far than amalgam. Amalgam has served as a better core material and has superior mechanical properties than composite. Composite has an advantage of adhesion over amalgam. This review article compares amalgam and composite as a restorative material.
汞合金和复合材料是迄今为止最著名的两种牙科修复材料,它们之间的选择仍然存在争议。Amalgam修复对该行业很有帮助,并将在未来几年继续这样做。就寿命而言,汞合金优于复合树脂,尤其是用于大型修复体时。在小型修复体的情况下,复合材料是修复体的选择,因为需要最小限度地去除完好的结构。在美学是一个主要关注点的地方,复合材料远不止是汞合金。Amalgam是一种更好的芯材,具有比复合材料更好的机械性能。与汞合金相比,复合材料具有粘附性的优点。这篇综述文章比较了汞合金和复合材料作为一种修复材料。
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引用次数: 1
Hemodynamic changes in pediatric dental patients using 2% lignocaine, buffered lignocaine, and 4% articaine in pediatric dental procedures 小儿牙科手术中使用2%利多卡因、缓冲利多卡因和4%阿替卡因的血流动力学变化
Pub Date : 2021-07-01 DOI: 10.4103/jorr.jorr_19_20
A. Khatri, Afsal Mm, N. Kalra, R. Tyagi, M. Kulood
Background: The purpose of this study was to compare the hemodynamic changes (blood pressure, heart rate and oxygen saturation) when using three different local anesthetic agents such 2% Lignocaine with 1:200,000 epinephrine, Buffered Lignocaine and 4% Articaine with 1:200,000 epinephrine with inferior alveolar nerve block in pediatric dental patients. Methods: A double blind crossover study was designed where in 48; 5-10 year old patients received three sections of inferior alveolar nerve block injections in three appointments which scheduled one week apart. Blood pressure, heart rate and oxygen saturation was measured before and after administration. Results: When applying three factors ANOVA, no statistically significant difference was found between Lignocaine and Buffered Lignocaine, Buffered Lignocaine and Articaine in all the three parameters(P > 0.05 ). Conclusion: This findings in hemodynamic changes from this study reveals that all the three anesthetic agents are safe in children aged 5-10 years.
背景:本研究的目的是比较在儿童牙科患者中使用三种不同的局部麻醉剂时的血液动力学变化(血压、心率和血氧饱和度),如2%利多卡因与1:200000肾上腺素、缓冲利多卡因和4%阿替卡因与1:200000阿替卡因并用下牙槽神经阻滞。方法:采用双盲交叉研究,48例;5-10岁的患者在三次预约中接受了三次下牙槽神经阻滞注射,间隔一周。在给药前后测量血压、心率和血氧饱和度。结果:应用三因素方差分析,木质素与缓冲木质素、缓冲木质素和阿替卡因在所有三个参数上均无统计学显著差异(P>0.05)。结论:这项研究的血液动力学变化表明,这三种麻醉剂对5-10岁的儿童都是安全的。
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引用次数: 0
Congenital midline labial sinus of the upper lip – A review of literature 先天性上唇中线唇窦-文献回顾
Pub Date : 2021-07-01 DOI: 10.4103/jorr.jorr_10_20
Anka Sharma, A. Parate, V. Kasat, Anirudh Upmanyu
Congenital midline labial sinus is a rare condition known to affect both the upper and the lower lip. This anomaly has been reported in both genders, but with a slightly increased predilection in females. It can occur either in isolation or in association with a wide array of congenital malformations such as cleft lip, cleft palate, Van der Woude syndrome, median lip pit, and brachydactylia. Usually, the patient presents with swelling of the upper lip with or without associated discharge. A history of recurrent cellulitis of the lip is almost always present. In this manuscript, a review of the literature (spanning across almost six decades) has been attempted for this rare condition. Search engines such as PubMed, Medscape, and Google Scholar were searched for keywords such as “recurrent cellulitis of the upper lip,” “sinus of the upper lip,” “fistula of the upper lip,” and “congenital midline labial sinus.” All the available full text in the English language was compiled and thoroughly scrutinized. The observations such as age, sex, clinical feature, associated anomaly, and other relevant information were noted and tabulated in the chronological order.
先天性唇中线窦是一种罕见的情况下,已知的影响上唇和下唇。这种异常在两性中都有报道,但在女性中有轻微的增加。它既可以单独发生,也可以与各种先天性畸形(如唇裂、腭裂、Van der Woude综合征、中唇窝和短指畸形)联合发生。通常,患者表现为上唇肿胀,伴有或不伴有分泌物。唇蜂窝织炎的复发史几乎总是存在的。在这份手稿中,回顾了文献(跨越近六十年),试图为这种罕见的情况。在PubMed、Medscape和谷歌Scholar等搜索引擎上搜索关键词,如“复发性上唇蜂窝织炎”、“上唇窦”、“上唇瘘”和“先天性中线唇窦”。所有可用的英文全文都经过汇编和彻底审查。观察结果如年龄、性别、临床特征、相关异常和其他相关信息被记录并按时间顺序制成表格。
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引用次数: 0
Autologous platelet concentrates in periodontal regenerative therapy: A brief overview 自体血小板在牙周再生治疗中的应用综述
Pub Date : 2021-07-01 DOI: 10.4103/jorr.jorr_29_20
Dhiraj Dufare
Autologous platelet concentrates (platelet-rich plasma and platelet-rich fibrin) enriched with various growth factors play an important role in periodontal regeneration. This review includes biological principle, efficacy, and effectiveness of autologous platelet concentrates. Based on the result obtained from the systematic review and meta-analysis it can be concluded that complimentary effects of autologous platelet concentrates may be used as lucrative adjunct to regenerative periodontal therapy. However, postoperative plaque control is one of the key factors influencing periodontal healing following regenerative periodontal therapy.
富含各种生长因子的自体血小板浓缩物(富含血小板的血浆和富含血小板的纤维蛋白)在牙周再生中起着重要作用。本文综述了自体血小板浓缩物的生物学原理、疗效和有效性。根据系统综述和荟萃分析的结果,可以得出结论,自体浓缩血小板的补充作用可以作为再生牙周治疗的有利可图的辅助手段。然而,术后牙菌斑的控制是影响再生牙周治疗后牙周愈合的关键因素之一。
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引用次数: 0
Effect of thermocycling on shear bond strength of cemented zirconia-reinforced lithium silicate (Celtra Duo) 热循环对水泥基氧化锆增强硅酸锂(Celtra Duo)剪切结合强度的影响
Pub Date : 2021-07-01 DOI: 10.4103/jorr.jorr_20_20
Kamilia Faisal Abdulkader, L. Kheiralla, G. Elnaggar
Purpose: The aim of the present in vitro study is to evaluate the effect of thermocycling on the shear bond strength (SBS) of cemented zirconia-reinforced lithium silicate (ZLS) discs (Celtra Duo). Materials and Methods: Thirty-six Celtra Duo ceramic discs cemented (n = 36) to composites discs background (Master dent) by adhesive resin cement (Biscem). The baseline group (n = 12) did not subject to thermocycling, the second group (n = 12) was subject to 2500 thermal cycle, and the third group was subject to 5000 thermal cycles, then SBS and the failure mode were evaluated. Results: There was a statistically significant difference between the groups (P = 0.001) where the value of SBS (Mpa) was significantly decreased in both 2500 thermocycling group (P = 0.021) and 5000 thermocycling group (P = 0.001) when compared with their corresponding level measured at baseline group. In addition, there was a significant decrease in bond strength of 5000 thermocycling group when compared with its corresponding value in the 2500 thermocycling group (P = 0.001). Conclusion: Based on the results of the present study and within the limitations of this in vitro study, it can be concluded that the SBS of cemented ZLS restorations will be decreased when samples are subjected to thermocycling to simulate the clinical situation.
目的:体外研究热循环对氧化锆增强硅酸锂(ZLS)胶结片剪切结合强度(SBS)的影响。材料和方法:36个Celtra Duo陶瓷盘(n = 36)通过胶粘剂树脂水泥(Biscem)粘合到复合材料盘背景(主凹痕)上。基线组(n = 12)不进行热循环,第二组(n = 12)进行2500热循环,第三组进行5000热循环,然后评估SBS和失效模式。结果:与基线组相比,2500热循环组(P = 0.021)和5000热循环组(P = 0.001)的SBS (Mpa)值显著降低,组间差异有统计学意义(P = 0.001)。此外,与2500热循环组的相应值相比,5000热循环组的粘结强度显著降低(P = 0.001)。结论:根据本研究的结果,在体外研究的限制下,可以得出结论,模拟临床情况对样品进行热循环处理会降低胶结ZLS修复体的SBS。
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引用次数: 1
Temporomandibular joint ankylosis pattern, causes, and management among pediatric patient attending a tertiary hospital in Bangladesh 在孟加拉国一家三级医院就诊的儿科患者中,颞下颌关节强直的模式、原因和管理
Pub Date : 2021-07-01 DOI: 10.4103/jorr.jorr_3_21
A. Rahman, I. Haider
Background: Temporomandibular joint (TMJ) ankylosis is a pathological condition where mandibular condyle fused the glenoid fossa of the temporal bone. It causes distressing and disabling conditions to the patient. The purpose of our study is to determine the frequency of pediatric TMJ ankylosis attending at Oral and Maxillofacial Surgery Department, Dhaka Dental College and Hospital, Bangladesh. Methodology: This was a retrospective, cross-sectional study for 18 patients (9 male and 9 female) aged up to 18 years old. Data assembled from the patient's surgical records reviewed from January 2016 to December 2018. Results: Females and males were affected equally, the most affected age group was 7–12 as well as 13–18 years old (n = 7, 38.89%), bilateral ankylosis (n = 11, 61.11%) was more common than unilateral (n = 7, 38.89). Type III (34.48%) ankylosis (Sawhney's classification) was found to be the most frequent type. Trauma (n = 11, 61.10%) was the major etiologic factor for pediatric TMJ ankylosis. All patients were managed by surgical intervention. Gap arthroplasty (n = 9; 50.0%) was the most preferable treatment method followed by interpositional arthroplasty (n = 7, 38.89%) and condylectomy (n = 2, 11.11%). Conclusion: The majority of the patient was affected by trauma. Most of the patients came with Type III ankylosis with having facial deformities. Absolute and proper management regarding mandibular condylar fracture and infection (middle ear) must be required to prevent TMJ ankylosis. Surgical intervention is the only treatment option for managing TMJ ankylosis. Aggressive physiotherapy is mandatory to prevent reankylosis, thus ensuring the patient's quality of life.
背景:颞下颌关节(TMJ)强直是下颌髁融合颞骨盂窝的一种病理情况。它会给病人带来痛苦和残疾。本研究的目的是确定在孟加拉国达卡牙科学院和医院口腔颌面外科就诊的儿童颞颌关节强直的频率。方法:这是一项回顾性的横断面研究,涉及18例年龄在18岁以下的患者(9男9女)。数据收集自2016年1月至2018年12月的患者手术记录。结果:男女发病相同,7 - 12岁和13-18岁发病最多(n = 7, 38.89%),双侧强直(n = 11, 61.11%)多于单侧强直(n = 7, 38.89)。III型强直(34.48%)是最常见的类型(Sawhney分类)。外伤(11例,占61.10%)是儿童颞下颌关节强直的主要病因。所有患者均行手术治疗。关节间隙置换术(n = 9;50.0%)是最理想的治疗方法,其次是置换术(n = 7, 38.89%)和髁突切除术(n = 2, 11.11%)。结论:多数患者为外伤所致。大多数患者伴有面部畸形的III型强直。对于下颌骨髁突骨折和感染(中耳)必须进行绝对和适当的治疗,以防止TMJ强直。手术干预是管理TMJ强直的唯一治疗选择。积极的物理治疗是强制性的,以防止再强直,从而确保患者的生活质量。
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引用次数: 0
Knowledge, practice, and awareness of dental undergraduate and postgraduate students toward postexposure prophylaxis and needlestick injuries: A descriptive cross-sectional institutional dental hospital study 牙科本科生和研究生对暴露后预防和针刺伤害的知识、实践和意识:一项描述性的机构牙科医院横断面研究
Pub Date : 2021-07-01 DOI: 10.4103/jorr.jorr_4_20
A. Fatima, Sharique Alam, Huma Iftekhar, R. Tewari, S. Andrabi, A. Faraz
Background: The aim of the present study was to assess the knowledge, awareness, and practice of dental undergraduate, interns, and postgraduate students toward postexposure prophylaxis (PEP) and needlestick injuries. Materials and Methods: A cross-sectional, questionnaire-based survey was carried out among undergraduate, interns and postgraduate dental students in an institutional dental hospital in India. The students were required to fill a self-administered questionnaire with close ended questions with responses indicated by a simple tick box format. The questionnaire was divided into three sections intended to collect information on (1) sociodemographic characteristics, (2) knowledge, and (3) practice habits toward needlestick injury (NSI) and PEP of the respondents. Results: An adequate score (>70% correct response) to knowledge about NSI and PEP was obtained by 60.2% (50/83) of the respondents, while 47% (39/83) of the student participants obtained an adequate score (>70% score) to appropriate practice habits toward NSI and PEP. A high proportion (84.3%) of the student were vaccinated against Hepatitis B virus, but only 6% were aware of their serum antibody to HBsAg. 61.5% of the student reported experiencing NSI during clinical practice with 3.6% of the students taking PEP. The most common reason for not taking PEP was ignorance of PEP protocol (27.7%) and lack of support to report the incidence (18.1%). The postgraduate students scored better than the undergraduate students in both the knowledge and practice parameters, but the results were not statistically significant (P > 0.05). Conclusion: This study shows that dental students' knowledge, practice, and awareness toward NSI and PEP is inadequate. The current classroom education must be supplemented with additional interventions to ingrain appropriate practice habits.
背景:本研究的目的是评估牙科本科生、实习生和研究生对暴露后预防(PEP)和针刺损伤的知识、意识和实践。材料和方法:在印度一家牙科医院的本科生、实习生和研究生中进行了一项基于问卷的横断面调查。学生们被要求用封闭式问题填写一份自我管理的问卷,并用简单的勾选框格式表示回答。问卷分为三个部分,旨在收集以下信息:(1)社会人口学特征,(2)知识,以及(3)受访者对针刺损伤(NSI)和PEP的实践习惯。结果:60.2%(50/83)的受访者对NSI和PEP的知识获得了适当的分数(>70%的正确回答),而47%(39/83)的学生参与者对NSI或PEP的适当实践习惯获得了适当得分(>70%)。高比例(84.3%)的学生接种了乙肝疫苗,但只有6%的学生知道他们的血清HBsAg抗体。61.5%的学生报告在临床实践中经历了NSI,3.6%的学生参加了PEP。不参加PEP的最常见原因是不了解PEP方案(27.7%)和缺乏对发病率报告的支持(18.1%)。研究生在知识和实践参数方面均优于本科生,但结果无统计学意义(P>0.05),对NSI和PEP的认识不足。目前的课堂教育必须辅以额外的干预措施,以养成适当的实践习惯。
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引用次数: 1
Association between rheumatoid arthritis and periodontal disease: A meta-analysis 类风湿性关节炎与牙周病的相关性:一项荟萃分析
Pub Date : 2021-07-01 DOI: 10.4103/jorr.jorr_10_21
A. Rodríguez-Archilla, Annalisa Vacca-Moreno
Rheumatoid arthritis (RA) is related to periodontal disease (PD) because both diseases share similar inflammatory pathogenic mechanisms that produce bone resorption. To assess the possible bidirectional link between RA and PD. A search for articles on RA and PD was conducted in the following electronic databases: PubMed (MEDLINE, Cochrane Library), Web of Science (WoS), and Google Scholar. Twenty-two studies with a low-moderate risk of bias according to the Newcastle-Ottawa Methodological Quality Scale were considered in this meta-analysis. The data were analyzed using the Statistical Software RevMan 5.4 (The Cochrane Collaboration, Oxford, UK). For continuous outcomes, the estimates of effects of the intervention were expressed as mean differences (MDs) using the inverse variance method, and for dichotomous outcomes, the estimates of effects of the intervention were expressed as odds ratios (OR) using the Mantel-Haenszel method, both with 95% confidence intervals. Patients with RA showed higher levels of: Plaque index (MD: 0.10; P
类风湿性关节炎(RA)与牙周病(PD)有关,因为这两种疾病具有相似的炎症致病机制,可以产生骨吸收。评估RA与PD之间可能的双向联系。在PubMed (MEDLINE, Cochrane Library)、Web of Science (WoS)和谷歌Scholar等电子数据库中检索RA和PD相关文章。根据纽卡斯尔-渥太华方法学质量量表,本荟萃分析考虑了22项具有中低偏倚风险的研究。使用统计软件RevMan 5.4 (The Cochrane Collaboration, Oxford, UK)对数据进行分析。对于连续结局,干预效果的估计使用反方差法表示为平均差异(md),对于二分类结局,干预效果的估计使用Mantel-Haenszel方法表示为优势比(OR),两者都有95%的置信区间。RA患者的斑块指数(MD: 0.10;P
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引用次数: 1
In vivo comparison of postoperative pain using two different techniques for local anesthesia in single-sitting root canal treatment 两种不同局部麻醉技术在单坐位根管治疗中术后疼痛的体内比较
Pub Date : 2021-07-01 DOI: 10.4103/jorr.jorr_38_20
Sumita . A Bhagwat, A. Mehta, L. Padhye
Aim: This in vivo split-mouth randomized control trial was carried out to study and compare the incidence of postoperative pain associated with single-sitting endodontic treatment using inferior alveolar nerve block and intraligamentary injection as primary anesthetic technique. Methods: A total of 30 patients with bilateral symptomatic irreversible pulpitis in mandibular molars were selected to be included in the study. In each subject, molar in one quadrant was randomly assigned to Group 1 (intraligamentary injection), and the molar in the opposite quadrant was assigned to Group 2 (inferior alveolar nerve block). The root canal procedures for the patients were carried out in single sittings under rubber dam using hand ProtaperTM system, 2.5% sodium hypochlorite as irrigant alternating with normal saline and obturation by the lateral condensation technique. A questionnaire employing Visual Analog Scale (VAS) for pain assessment was given to the patient and instructions on how to fill the form were given. VAS scores for every tooth treated in every patient were recorded before beginning treatment and after completion of treatment for each tooth. The patients were recalled after 2 days, and the scores were analyzed. The results were tabulated and statistically analyzed for incidence and degree of pain. Results: Group 1 and Group 2 showed a steady reduction in postoperative pain from 4 h to 48 h as seen in the mean VAS scores. Comparison between the two groups at each time interval showed a difference which was statistically insignificant (P > 0.05). Conclusion: There is no difference in the incidence of postoperative pain when either inferior alveolar nerve block or intraligamentary injection is employed as the primary technique for achieving anesthesia during single-sitting root canal treatment.
目的:本体内分口随机对照试验旨在研究和比较以下牙槽神经阻滞和韧带内注射为主要麻醉技术的单次坐位根管治疗术后疼痛的发生率。方法:选择30例双侧症状性下颌磨牙不可逆性牙髓炎患者作为研究对象。在每个受试者中,一个象限的磨牙被随机分配到第1组(韧带内注射),而另一象限的磨牙则被分配到第2组(下牙槽神经阻滞)。采用hand-ProtaperTM系统,2.5%次氯酸钠作为冲洗剂,与生理盐水交替,在橡胶坝下一次性进行根管手术,并采用侧冷凝技术进行封闭。采用视觉模拟量表(VAS)对患者进行疼痛评估,并给出了如何填写表格的说明。在开始治疗之前和每个牙齿的治疗完成之后,记录每个患者治疗的每个牙齿的VAS评分。患者在2天后被召回,并对评分进行分析。将结果制成表格,并对疼痛的发生率和程度进行统计分析。结果:第1组和第2组的平均VAS评分显示,术后4小时至48小时疼痛稳步减轻。两组在每个时间间隔的比较显示差异无统计学意义(P>0.05)。结论:在单次坐位根管治疗中,采用下牙槽神经阻滞或韧带内注射作为麻醉的主要技术,术后疼痛发生率没有差异。
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引用次数: 0
Attach the detached to preserve the existing natural tooth by the man-made base 用人造基托将脱落的牙固定以保存现有的天然牙
Pub Date : 2021-01-01 DOI: 10.4103/jorr.jorr_14_20
Ashish R Jain, Umrana Faizuddin, P. Priya, Sarika Akula
Traumatic dental injuries are most commonly seen in children and teenagers, especially in the anterior teeth. The ultimate goal of any dental treatment is to reestablish the lost tooth form and function. Numerous procedures have been proposed in the past in which there was considerable loss of remaining sound tooth structure. However, with recent technologies, the minimally invasive procedure is dominating. One such procedure is to reattach the fractured fragment to reestablish the biological form and function of the tooth. Thus, in this section, two case reports on managing complicated crown fractures were discussed, where restoration of anterior teeth with the available tooth fragment was supported with fiber post. As this procedure helps to provide life like appearance of the tooth by restoring anatomy and esthetics, it even adds to psychological stability of the patient.
外伤性牙齿损伤最常见于儿童和青少年,尤其是在前牙。任何牙科治疗的最终目标都是重建失去的牙齿形状和功能。在过去提出了许多程序,其中有相当大的剩余健全的牙齿结构的损失。然而,随着最新技术的发展,微创手术占主导地位。其中一种方法是重新连接断裂的碎片,以重建牙齿的生物形态和功能。因此,在本节中,我们讨论了两例处理复杂冠骨折的病例报告,其中用可用的牙齿碎片支持纤维桩修复前牙。由于这一过程有助于恢复牙齿的解剖和美观,提供像生命一样的外观,它甚至增加了患者的心理稳定。
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引用次数: 0
期刊
Journal of Oral Research and Review
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