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Hyporesponsiveness of Nerves of the Dental Pulp in Type 2 Diabetes – An Enigmatic Oral Sign 2 型糖尿病患者牙髓神经的低反应性--一种神秘的口腔体征
IF 0.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-07-01 DOI: 10.4103/jiaomr.jiaomr_334_22
S. Fenn, Mathew Jacob, R. Thangavelu, KarthikR Mohan, N. Mohan
Background: Type 2 diabetes, the most predominant type of diabetes, can lead to complications in the oral cavity and body due to its impact on physiological functioning, especially the nervous system. Objectives: The current study was conducted to investigate the effect of hyperglycemia on dental nerves as a potential oral sign for detecting untreated type 2 diabetics. Materials and Methods: The present study is a cross-sectional observational study involving 500 patients (355 diabetics and 145 nondiabetics). Nerve responses (3685 teeth) were recorded by subjecting them to electrical stimulation using an electric pulp tester. Standard deviation, Student t-test, and Pearson correlation were used to determine the mean of nerve responses, compare groups, and correlation, respectively. Results: Significant differences (P < 0.05) were observed in nerve responses between anterior and posterior teeth for both groups. Diabetics had a lower nerve response (P < 0.05), and a positive correlation between nerve response and blood glucose levels (r = 0.259 for anterior and r = 0.208 for posterior teeth) was observed. Additionally, positive correlations were found between nerve response and age/duration of type 2 diabetes (r = 0.18 for anterior and r = 0.21 for posterior teeth). Conclusion: The study suggests delayed nerve reactions in the dental pulp of diabetics, indicating possible noninvasive assessment of nerve tissue damage with an electric pulp tester device.
背景:2 型糖尿病是最主要的糖尿病类型,由于其对生理功能,尤其是神经系统的影响,可导致口腔和身体的并发症。研究目的本研究旨在探讨高血糖对牙神经的影响,以此作为检测未经治疗的 2 型糖尿病患者的潜在口腔体征。材料和方法:本研究是一项横断面观察研究,涉及 500 名患者(355 名糖尿病患者和 145 名非糖尿病患者)。通过使用电牙髓测试仪对牙齿进行电刺激,记录神经反应(3685 颗牙齿)。标准差、学生 t 检验和皮尔逊相关性分别用于确定神经反应的平均值、比较组别和相关性。结果两组前牙和后牙的神经反应存在显著差异(P < 0.05)。糖尿病患者的神经反应较低(P < 0.05),神经反应与血糖水平之间呈正相关(前牙 r = 0.259,后牙 r = 0.208)。此外,还发现牙神经反应与 2 型糖尿病患者的年龄/持续时间呈正相关(前牙 r = 0.18,后牙 r = 0.21)。结论:研究表明,糖尿病患者牙髓中的神经反应延迟,这表明可以使用电动牙髓测试仪对神经组织损伤进行无创评估。
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引用次数: 0
Dental Age Estimation Using Cone Beam Computed Tomography and ITK-SNAP Segmentation Software in Canine Pulp Volumes—A Retrospective Study 使用锥形束计算机断层扫描和 ITK-SNAP 分段软件估算犬髓体积中的牙龄--一项回顾性研究
IF 0.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-07-01 DOI: 10.4103/jiaomr.jiaomr_320_22
Muralikrishnan Priyadharshini, Jagat C. Reddy, John Baliah, Rajkumar Couppoussamy, Boopathi Durgadevi
Background: Teeth are preferred in age assessment as they are highly resilient structures. As secondary dentine deposition increases with age, the pulp chamber gradually decreases in size. Objectives: To estimate the human dental age with segmentation software in cone beam computed tomography (CBCT) maxillary and mandibular canine pulp volumes (PV) and compare with chronological age. Methods: Fifty-six CBCT images of both sexes, ranging from 15 to 55 years were selected. A segmentation software was used to measure all permanent canine PV. A regression model was developed, and Pearson's correlation test was used to assess the correlation between chronological age and canine PV. Results: Pearson's correlation coefficients between age and PV are negative for all four canines. Further, the maxillary right canine showed the highest prediction for chronological age and was statistically significant (P < 0.05) with a determination coefficient (R2) of 0.315. A reliable accuracy of age estimation was obtained among age groups between 30 and 40 years with a mean standard error of ± 1.86 years. Conclusion: The study showed that the maxillary right canine PV using segmentation software can be used as a predictive tool in estimating dental age.
背景:牙齿是高弹性结构,因此是年龄评估的首选。随着年龄的增长,继发性牙本质沉积增加,牙髓腔逐渐缩小。目的:利用锥形显像管中的分割软件估算人类牙齿的年龄:利用锥形束计算机断层扫描(CBCT)上颌和下颌犬牙牙髓体积(PV)分割软件估算人类牙齿年龄,并与年代年龄进行比较。方法:选取了 56 张 15 至 55 岁的男女 CBCT 图像。使用分割软件测量所有恒牙牙髓体积。建立了一个回归模型,并使用皮尔逊相关性检验来评估年表年龄与犬PV之间的相关性。结果:所有四颗犬齿的年龄与PV之间的皮尔逊相关系数均为负值。此外,上颌右侧犬齿对年代年龄的预测值最高,其决定系数(R2)为 0.315,具有统计学意义(P < 0.05)。30 至 40 岁年龄组的年龄估计准确度可靠,平均标准误差为 ± 1.86 岁。结论研究表明,使用分割软件对上颌右犬齿PV进行分割可作为估算牙龄的预测工具。
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引用次数: 0
Biosynthesis of turmeric silver nanoparticles: Its characterization and evaluation of antioxidant, anti inflammatory, antimicrobial potential against oral pathogens an In vitro study 姜黄银纳米粒子的生物合成:姜黄银纳米粒子的特性及其对口腔病原体的抗氧化、抗炎和抗菌潜力的评估--一项体外研究
IF 0.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-07-01 DOI: 10.4103/jiaomr.jiaomr_309_22
Sreedevi Dharman, Gopal Maragathavalli, R. Shanmugam, K. Shanmugasundaram
Background: Turmeric is a naturally occurring polyphenol that alleviates many diseases. The main phytochemical in them is curcumin which has anti-inflammatory, antioxidant, antiseptic, and analgesic properties. Poor solubility and bioavailability due to its hydrophobic nature are its drawback. Objectives: This research aimed to green synthesize silver nanoparticles (AgNPs) using turmeric extract and to analyze its antioxidant, anti-inflammatory, and antimicrobial potential among oral pathogens. Materials and Methods: Turmeric silver nanoparticles (TuAgNPs) were analyzed by UV-visible spectrophotometer (UV-Vis) and transmission electron microscopy (TEM). Antioxidant, anti-inflammatory, and antimicrobial activity against oral pathogens were evaluated. Results: UV-visible spectrophotometry of TuAgNPs showed its maximum absorption peak at 440 nm. TEM image exhibited spherical-shaped AgNPs with a size of about 30 nm. They showed 88% strong antioxidant and 83% anti-inflammatory activities at 50 μg/mL. Biosynthesized TuAgNPs showed its potent effect against Streptococcus mutans, Staphylococcus aureus, Candida albicans at 25 μg/mL, and Enterococcus faecalis at 50 μg/mL. Conclusion: The development of effective green-synthesized TuAgNPs showed strong antioxidant, anti-inflammatory, and broad spectrum antimicrobial potential against oral pathogens. Biosynthesis of novel TuAgNPs could be efficiently utilized in the application of treating various oral mucosal lesions.
背景:姜黄是一种天然的多酚类物质,能缓解多种疾病。姜黄中的主要植物化学物质是姜黄素,它具有抗炎、抗氧化、防腐和镇痛特性。由于姜黄素具有疏水性,其溶解性和生物利用度较差,这是它的缺点。研究目的本研究旨在利用姜黄提取物绿色合成银纳米粒子(AgNPs),并分析其在口腔病原体中的抗氧化、抗炎和抗菌潜力。材料与方法:采用紫外可见分光光度计(UV-Vis)和透射电子显微镜(TEM)分析姜黄银纳米粒子(TuAgNPs)。评估了抗氧化、抗炎和抗口腔病原体的活性。结果TuAgNPs 的紫外可见分光光度计显示其在 440 纳米处有最大吸收峰。TEM 图像显示,AgNPs 呈球形,大小约为 30 纳米。在 50 μg/mL 的浓度下,它们显示出 88% 的强抗氧化活性和 83% 的抗炎活性。生物合成的 TuAgNPs 对变异链球菌、金黄色葡萄球菌、白色念珠菌(浓度为 25 μg/mL)和粪肠球菌(浓度为 50 μg/mL)具有很强的抑制作用。结论绿色合成的 TuAgNPs 对口腔病原体具有很强的抗氧化、消炎和广谱抗菌潜力。生物合成的新型 TuAgNPs 可有效用于治疗各种口腔黏膜病变。
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引用次数: 0
Diode laser-assisted excision of oral soft-tissue lesions: A case series 二极管激光辅助切除口腔软组织病变:病例系列
IF 0.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-07-01 DOI: 10.4103/jiaomr.jiaomr_169_23
M. Tak, A. Chalkoo, M. Ahmad, Adil Lone
Lasers have made great strides in therapeutics and have become indispensable tools for the excision of soft-tissue lesions from the oral cavity. This quick progress can be attributed to the fact that laser excision provides excellent hemostasis, better field visibility, and maximum postoperative patient comfort. Following is the series of case reports where intra-oral soft-tissue lesions were excised using a diode laser.
激光在治疗方面取得了长足的进步,已成为切除口腔软组织病变不可或缺的工具。之所以能取得如此快速的进步,是因为激光切除术具有良好的止血效果、更好的视野和最大程度的术后患者舒适度。以下是一系列使用二极管激光切除口腔内软组织病变的病例报告。
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引用次数: 0
Treatment of erosive lichen planus with diode laser: A case report 用二极管激光治疗侵蚀性扁平苔藓:病例报告
IF 0.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-07-01 DOI: 10.4103/jiaomr.jiaomr_303_22
Sreekumar Rinku, Daryani Deepak, M. Uthkal, ShabilMuhamed Mustafa
Oral lichen planus (OLP) is a mucocutaneous disease. Various treatment methods have been used in the past; however, a complete cure of OLP still remains an enigma. This case report highlights low-level laser therapy (LLLT) as a treatment option with minimum side effects. The outcomes of the treatment results in this case also suggest against the simultaneous use of LLLT with corticosteroids.
口腔扁平苔藓(OLP)是一种粘膜疾病。过去曾使用过多种治疗方法,但能否彻底治愈 OLP 仍是一个谜。本病例报告强调了低强度激光疗法(LLLT)是一种副作用最小的治疗方法。本病例的治疗结果还表明,低强度激光疗法不能与皮质类固醇激素同时使用。
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引用次数: 0
Artificial intelligence in oral medicine and radiology – Now and onwards 人工智能在口腔医学和放射学中的应用--现在和未来
IF 0.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-07-01 DOI: 10.4103/jiaomr.jiaomr_276_23
Vishal Dang
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引用次数: 0
Prevalence of hepatitis B in dental patients 牙科患者的乙型肝炎患病率
IF 0.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-07-01 DOI: 10.4103/jiaomr.jiaomr_91_22
Ashmita R. Chawla, Tanvi Dosi, T. Phulambrikar
Background: Hepatitis B virus (HBV) infection is one of the leading causes of death worldwide. The most important marker for HBV infection is HBsAg. In case of diagnosis of infectious disease, discordant results may have serious consequences among the patients as it causes unnecessary mental stress and tension. For proper diagnosis of infection as well as disease management and prevention, the identification of appropriate test kit is necessary. Objectives: The aim of the study was to calculate the prevalence of hepatitis B in dental patients by Hepacard test. Materials and Methods: A cross-sectional study was conducted from December 2019 to May 2021. A total of 650 blood samples were received for HBsAg diagnosis in the Department of Oral and Maxillofacial Pathology. Each blood sample was tested for HBsAg using rapid card test [Hepacard Kit]. Result: The presence of HBsAg was noted among 47 patients from a total of 603. Hence, the prevalence of HBsAg among studied patients was 7.8%. Conclusion: Dental professionals have a responsibility to prioritize patient well-being, and incorporating comprehensive testing protocols is one such step to improve healthcare standards.
背景:乙型肝炎病毒(HBV)感染是导致全球死亡的主要原因之一。HBsAg 是 HBV 感染最重要的标志物。在诊断传染病时,不一致的结果可能会给患者带来严重后果,因为这会造成不必要的精神压力和紧张。为了正确诊断感染并进行疾病管理和预防,有必要确定合适的检测试剂盒。研究目的本研究旨在通过 Hepacard 检测计算牙科患者的乙型肝炎患病率。材料和方法:于 2019 年 12 月至 2021 年 5 月进行了一项横断面研究。口腔颌面病理科共收到 650 份用于 HBsAg 诊断的血液样本。每份血液样本均使用快速卡检测法(Hepacard Kit)进行 HBsAg 检测。结果:在总共 603 名患者中,发现 47 名患者携带 HBsAg。因此,研究对象中的 HBsAg 感染率为 7.8%。结论牙科专业人员有责任将患者的健康放在首位,而制定全面的检测方案正是提高医疗水平的一个步骤。
{"title":"Prevalence of hepatitis B in dental patients","authors":"Ashmita R. Chawla, Tanvi Dosi, T. Phulambrikar","doi":"10.4103/jiaomr.jiaomr_91_22","DOIUrl":"https://doi.org/10.4103/jiaomr.jiaomr_91_22","url":null,"abstract":"Background: Hepatitis B virus (HBV) infection is one of the leading causes of death worldwide. The most important marker for HBV infection is HBsAg. In case of diagnosis of infectious disease, discordant results may have serious consequences among the patients as it causes unnecessary mental stress and tension. For proper diagnosis of infection as well as disease management and prevention, the identification of appropriate test kit is necessary. Objectives: The aim of the study was to calculate the prevalence of hepatitis B in dental patients by Hepacard test. Materials and Methods: A cross-sectional study was conducted from December 2019 to May 2021. A total of 650 blood samples were received for HBsAg diagnosis in the Department of Oral and Maxillofacial Pathology. Each blood sample was tested for HBsAg using rapid card test [Hepacard Kit]. Result: The presence of HBsAg was noted among 47 patients from a total of 603. Hence, the prevalence of HBsAg among studied patients was 7.8%. Conclusion: Dental professionals have a responsibility to prioritize patient well-being, and incorporating comprehensive testing protocols is one such step to improve healthcare standards.","PeriodicalId":31366,"journal":{"name":"Journal of Indian Academy of Oral Medicine and Radiology","volume":"6 1","pages":"347 - 350"},"PeriodicalIF":0.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139364867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A cone beam computed tomographic study on sphenoid sinus pneumatization 蝶窦积气的锥形束计算机断层扫描研究
IF 0.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-07-01 DOI: 10.4103/jiaomr.jiaomr_24_23
CJ Sanjay, Karthikeya Patil, M. Guledgud, KR Renuka Devi, Namrata Suresh, Eswari Solayappan
Background: Variations in pneumatization. of the sphenoid sinus can affect suprasellar, parasellar, and middle cranial fossa procedures. A 3-D imaging modality, like cone beam computed tomography (CBCT), overcomes superimpositions and magnification to provide an efficient evaluation of anatomical components across multiple planes. Objective: The purpose of this study is to conduct an epidemiological assessment inspired by the classifications provided by Gibelli et al. and Bilgir et al. on the morphological variants of the sphenoid sinus pneumatization using CBCT in a South Indian population. Materials and Methods: Around 154 CBCT images of sphenoid sinuses devoid of pathologies were examined. Descriptive analysis and Pearson Chi-square test were evaluated using SPSS 22.0 software. Results: Patients had a prevalence of 5.84% presellar, 27.2% sellar, and 51.9% postsellar posteroanterior pneumatization but no conchal pneumatization. About 14.2% showed aberrant pneumatization involving the pterygoid, anterior clinoid, and dorsum sellae. Conclusion: A thorough understanding of surgical anatomy and its variances is necessary to perform surgery with minimal possibility of human error and morbidity. To achieve this, a comprehensive classification of sphenoid sinus pneumatization is required as there is a disparity among the various study results presented in the previous literature.
背景:蝶窦气化的变化会影响蝶上、蝶旁和中颅窝的手术。三维成像模式,如锥束计算机断层扫描(CBCT),可以克服叠加和放大的问题,对多个平面的解剖成分进行有效评估。研究目的本研究的目的是受 Gibelli 等人和 Bilgir 等人的分类启发,在南印度人群中使用 CBCT 对蝶窦积气的形态变异进行流行病学评估。材料和方法:检查了约 154 张无病变的蝶窦 CBCT 图像。使用 SPSS 22.0 软件进行描述性分析和皮尔逊卡方检验。结果患者的蝶窦前气肿发生率为 5.84%,蝶窦后气肿发生率为 27.2%,蝶窦后气肿发生率为 51.9%,但无海螺状气肿。约14.2%的患者出现翼状气肿、蝶骨前气肿和蝶骨背气肿。结论要想在手术中将人为失误和发病率降到最低,就必须对手术解剖及其差异有透彻的了解。要做到这一点,需要对蝶窦积气进行全面分类,因为以往文献中的各种研究结果存在差异。
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引用次数: 0
Denture-Induced carcinoma in NSND patients: A case report NSND患者的义齿诱发癌:病例报告
IF 0.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-07-01 DOI: 10.4103/jiaomr.jiaomr_8_23
Narmatha Namachivayam, Asokan Sathyamoorthy
Oral squamous cell carcinoma is the most common type of oral cancer with multi-factorial causes. Chronic irritation of oral mucosa from ill-fitting dentures has often been mentioned as a contributing factor in the development of oral cancer. There is a unique category of non-smoking non-drinking (NSND) patients reported with carcinoma which usually occurs in women. In contrast to this, our report includes a male patient who is an NSND patient. This case report includes a rare occurrence of carcinoma induced by ill-fitting prosthesis.
口腔鳞状细胞癌是最常见的口腔癌类型,其发病原因是多方面的。不合适的假牙对口腔黏膜的慢性刺激常常被认为是导致口腔癌的一个因素。据报道,有一类独特的非吸烟非饮酒(NSND)癌症患者,通常发生在女性身上。与此形成鲜明对比的是,我们的报告中包括一名男性非吸烟非饮酒(NSND)患者。本病例报告包括一起因假牙不合适而诱发癌变的罕见病例。
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引用次数: 0
A rare case of salivary gland tumor mimicking vascular malformation in the retromandibular region 一例罕见的模仿颌后部血管畸形的唾液腺肿瘤病例
IF 0.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-07-01 DOI: 10.4103/jiaomr.jiaomr_85_23
Megha George, Vijaylaxmi B Madalli, Lijoy Abraham, K. Nandimath
Mucoepidermoid carcinoma (MEC) of the accessory salivary glands is a rare occurrence, accounting for less than 5% of head and neck cancers and 10% of all salivary gland tumors. In this article, we report a case of MEC with a unique clinical presentation mimicking a vascular malformation. It is very uncommon to find a MEC in the retromolar region. The patient was a 21-year-old male who had noticed a swelling in his mouth for 4 years. It was clinically diagnosed as a vascular malformation, and later radiographic evaluations affirmed the fact that it was a tumor arising from the minor salivary glands. The patient underwent surgery in a private hospital, with no signs of recurrence postoperatively.
唾液腺附属腺体的蕈样表皮样癌(MEC)非常罕见,占头颈部癌症的不到5%,占所有唾液腺肿瘤的10%。在本文中,我们报告了一例临床表现类似血管畸形的 MEC。在后磨牙区发现 MEC 非常罕见。患者是一名 21 岁的男性,发现口腔肿胀已有 4 年之久。临床诊断为血管畸形,后来的放射学评估证实这是一个来自小唾液腺的肿瘤。患者在一家私立医院接受了手术,术后没有复发迹象。
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引用次数: 0
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Journal of Indian Academy of Oral Medicine and Radiology
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