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Psychological assessment and cognitive behavioral therapy in temporomandibular joint disorders: A randomized controlled study 颞下颌关节紊乱的心理评估和认知行为疗法:随机对照研究
IF 0.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-07-01 DOI: 10.4103/jiaomr.jiaomr_105_23
D. Patil, Dhavneet Dheer
Background: Temporomandibular disorder (TMD) is a comprehensive term used to describe a diverse range of disorders with multiple causes. Psychological factors exhibit variability across different cases based on the diagnostic subgroup of temporomandibular disorders (TMD). Objectives: To compare the effectiveness of cognitive behavioral therapy (CBT) in TMD patients to the standard therapy (STD). Methods: Patients underwent psychological assessment by Beck's Inventory of Depression (BDI) and stress symptom rating scale (SSRS). They were randomly divided into STD therapy and CBT. Pre- and post-treatment pain was evaluated by VAS. BDI and SSRS scale scores were done pre- and post-CBT and STD treatment. Descriptive statistics and non-parametric tests were performed to compare the variables pre- and post-CBT and STD treatment. Results: Varying degrees of depression and stress 53.3% and 60%, respectively, were observed in patients with TMDs. A statistically significant difference was seen in the BDI and VAS scores post-CBT (P < 0.001) as compared to SSRS scores. Conclusion: Patients with TMDs are under considerable stress and anxiety. The addition of CBT to standard treatment regimens will enhance the treatment efficacy and help patients to cope with daily activities, ease muscle tension, and improve their quality of life.
背景:颞下颌关节紊乱症(TMD)是一个综合性术语,用于描述具有多种病因的各种疾病。根据颞下颌关节紊乱症(TMD)的诊断分组,心理因素在不同病例中表现出差异性。研究目的比较认知行为疗法(CBT)与标准疗法(STD)对 TMD 患者的疗效。方法:对患者进行心理评估:患者通过贝克抑郁量表(BDI)和压力症状评定量表(SSRS)进行心理评估。他们被随机分为 STD 治疗和 CBT 治疗。治疗前后的疼痛通过 VAS 进行评估。BDI和SSRS量表评分在CBT和STD治疗前后进行。通过描述性统计和非参数检验来比较治疗前后的变量。结果如下在 TMD 患者中观察到不同程度的抑郁和压力,分别为 53.3% 和 60%。与 SSRS 评分相比,CBT 治疗后的 BDI 和 VAS 评分差异有统计学意义(P < 0.001)。结论:TMD 患者承受着巨大的压力和焦虑。在标准治疗方案中加入 CBT 将提高治疗效果,帮助患者应对日常活动,缓解肌肉紧张,提高生活质量。
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引用次数: 0
Using mobile multimedia platform for teaching radiographic diagnosis 利用移动多媒体平台开展放射诊断教学
IF 0.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-07-01 DOI: 10.4103/jiaomr.jiaomr_129_23
Syed Zakaullah, S. Ara, Sameena Parveen, Sayeda Bangi
Background: Mobile multimedia platforms (MMPs) are prolific tools that can be used by individuals and corporations to share content. However, few studies have shown the effectiveness of MMPs as educational tools. Objective: To evaluate the effectiveness of MMPs in improving basic dental diagnostic skills. Materials and Methods: In this voluntary interventional study on 70 dental students, we created pilot learning modules through an MMP called Instagram Stories to teach dental diagnosis. We evaluated the efficacy of the modules through diagnostic tests that were given to dental students. Results: The students showed a significant increase in diagnostic test scores after the use of an MMP. Furthermore, the students' feedback on the MMP indicated that most students found it easy and enjoyable to use. Conclusion: Our study data show that MMPs may be used to improve training in basic dental diagnostic skills and can serve as an adjunct teaching tool. Moreover, MMP modules can potentially enrich professional education in developing countries where access to educational resources is limited.
背景:移动多媒体平台(MMP)是一种多用途工具,个人和企业都可以利用它来共享内容。然而,很少有研究显示移动多媒体平台作为教育工具的有效性。研究目的评估移动多媒体平台在提高基本牙科诊断技能方面的有效性。材料与方法:在这项针对 70 名牙科学生的自愿干预研究中,我们通过名为 Instagram Stories 的 MMP 创建了试点学习模块,用于教授牙科诊断。我们通过对牙科学生进行诊断测试来评估这些模块的效果。结果显示使用 MMP 后,学生们的诊断测试成绩有了明显提高。此外,学生们对 MMP 的反馈表明,大多数学生都认为它易于使用且令人愉快。结论我们的研究数据表明,MMP 可用于提高基本牙科诊断技能的培训,并可作为一种辅助教学工具。此外,MMP 模块有可能丰富教育资源有限的发展中国家的专业教育。
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引用次数: 0
Instantaneous efficacy of laser therapy in recurrent aphthous stomatitis: A clinical case series 激光疗法对复发性口腔炎的即时疗效:临床病例系列
IF 0.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-07-01 DOI: 10.4103/jiaomr.jiaomr_79_23
Sarah Afaque, Ribhu Ganguly, N. Misra, D. Umapathy
Recurrent aphthous stomatitis (RAS) or ulcer (RAU) is a common disorder affecting 5% to 60% of examined adult patient groups, with a female predominance. In this article, we report a case series of five patients with recurring oral ulcers, experiencing intense episodes. They were subsequently treated with laser therapy. It was recorded that laser therapy caused an immediate improvement in pain and discomfort, with spontaneous healing of aphthous ulcers without any apparent side effects.
复发性口腔炎(RAS)或溃疡(RAU)是一种常见疾病,在接受检查的成年患者群体中发病率为 5%-60%,其中女性居多。在这篇文章中,我们报告了一个病例系列,其中五名患者的口腔溃疡反复发作,且发作剧烈。他们随后接受了激光治疗。根据记录,激光疗法可立即改善疼痛和不适感,使口腔溃疡自发愈合,且无任何明显副作用。
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引用次数: 0
Comparative evaluation of desensitizing effect of three fluoride varnishes in patients with dentinal sensitivity under palliative care: A cross-sectional study 三种氟化物清漆对姑息治疗牙本质敏感患者脱敏效果的比较评估:横断面研究
IF 0.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-07-01 DOI: 10.4103/jiaomr.jiaomr_90_23
T. Saravanan, RR Mahendra Raj, P. Preethi, Ilamurugan Ezhilarasi, Shakila Ramalingam
Background: Hard tooth structures are susceptible to direct radiation damage. Dental sensitivity is more often encountered and the most distressing effect in post-radiotherapy patients. Fluoride varnishes are commonly used in dentistry to alleviate dentinal sensitivity. Employing fluoride varnishes in patients with dentinal sensitivity under palliative care can be evaluated. Objectives: To compare and evaluate the desensitizing effect of three fluoride varnishes in patients with dentinal sensitivity under palliative care. To assess and compare the sustainable desensitizing effect of three fluoride varnishes after 3 months. Materials and Methods: The study includes 45 samples satisfying inclusion and exclusion criteria. The samples were divided into three equal groups (n = 15): group A, group B, and group C. Three fluoride varnishes used were 5% sodium fluoride with xylitol-coated calcium and phosphate (CXP), copal gum, isopropyl alcohol, 5% sodium fluoride, and 5% sodium fluoride with bioglass to groups A, B, and C, respectively. Data were collected before application and 24 hours after application, 7 days, and 3 months after application for all three groups in terms of VAS. Results: A statistically significant improvement in VAS score was observed between pretreatment and 24 hours posttreatment follow-ups in all three groups. Patients under group C showed more improvements than the other two groups. In subsequent follow-ups on the 7th day and 3 months, patients under group C were observed to have sustained effects compared with the other two groups. Conclusion: Among the three compared fluoride varnishes, 5% sodium fluoride with bioglass proved to have a better immediate and sustained desensitizing effect in patients with dentinal sensitivity under palliative care.
背景:硬质牙齿结构容易受到直接辐射损伤。牙齿敏感是放疗后患者最常见和最痛苦的症状。牙科常用氟化物清漆来缓解牙科敏感。在姑息治疗中,可以对牙科敏感患者使用氟化物清漆的情况进行评估。目标:比较和评估三种氟化物清漆对接受姑息治疗的牙本质敏感患者的脱敏效果。评估和比较三种氟化物清漆在 3 个月后的持续脱敏效果。材料和方法:研究包括 45 个符合纳入和排除标准的样本。A 组、B 组和 C 组分别使用 5%氟化钠加木糖醇包衣磷酸钙(CXP)、椰油树胶、异丙醇、5% 氟化钠和 5%氟化钠加生物玻璃。在使用前、使用后 24 小时、使用后 7 天和使用后 3 个月,收集所有三组的 VAS 数据。结果显示三组患者在治疗前和治疗后 24 小时随访期间的 VAS 评分均有明显改善,差异有统计学意义。C 组患者的改善程度高于其他两组。在随后第 7 天和 3 个月的随访中,观察到 C 组患者的疗效比其他两组更持久。结论在三种比较的氟化物清漆中,5% 含生物玻璃的氟化钠对接受姑息治疗的牙本质敏感患者具有更好的即时和持续脱敏效果。
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引用次数: 0
CBCT-based evaluation of bone microarchitecture in fibro osseous lesions using image analysis - A retrospective radiographic study 基于cbct的纤维性骨性病变中骨微结构的图像分析评价-回顾性放射学研究
IF 0.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-01-01 DOI: 10.4103/jiaomr.jiaomr_145_22
S. Jayachandran, M. Archana
Background: Cone-beam computed tomography (CBCT) systems are frequently used to image bones for research purposes to investigate trabecular and cortical changes in bone disorders. A unique technique that may be used for the early diagnosis of bone lesions is fractal dimension (FD) analysis and bone architecture analysis using CBCT scans. Aim: To assess and compare the changes in trabecular bone architecture in fibro-osseous lesions by bone image analysis and FD analysis in CBCT scans of fibro-osseous lesions. Materials and Methods: This retrospective analysis included the CBCT scans of 25 patients from archival records of the Department of Oral Medicine and Radiology. As per specific exclusion and inclusion criteria, the radiographs were chosen. To establish a noninvasive assessment of the bone structure, CBCT scans were subjected to bone architecture analysis and FD analysis using box-counting (with ImageJ software). Results and Conclusions: The FD values and bone parameter values on the affected and the normal side will be recorded and analyzed using SPSS version 22. There was a statistically significant difference in the FD values between the normal and abnormal sides in all fibro-osseous lesions. Five parameters in fibrous dysplasia showed a significant statistical difference in comparison to the normal and abnormal sides. It can be concluded that FD analysis provides a novel technique for the early detection of fibro-osseous lesions.
背景:锥形束计算机断层扫描(CBCT)系统经常用于对骨骼进行成像,以研究骨骼疾病中的小梁和皮质变化。可用于骨病变早期诊断的一种独特技术是使用CBCT扫描的分形维数(FD)分析和骨结构分析。目的:通过纤维骨病变CBCT扫描中的骨图像分析和FD分析,评估和比较纤维骨病变骨小梁结构的变化。材料和方法:这项回顾性分析包括来自口腔医学和放射科档案记录的25名患者的CBCT扫描。根据特定的排除和纳入标准,选择射线照片。为了建立骨结构的无创评估,CBCT扫描使用盒计数(使用ImageJ软件)进行骨结构分析和FD分析。结果与结论:将使用SPSS 22版记录和分析患侧和正常侧的FD值和骨参数值。在所有纤维骨病变中,正常侧和异常侧的FD值存在统计学显著差异。纤维发育不良的五个参数与正常侧和异常侧相比显示出显著的统计学差异。可以得出结论,FD分析为纤维骨病变的早期检测提供了一种新的技术。
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引用次数: 0
Salivary biomarkers (Vitamin D, Calcium, and Estrogen Hormone) in postmenopausal women with osteoporosis 绝经后骨质疏松妇女唾液中的生物标志物(维生素D、钙和雌激素)
IF 0.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-01-01 DOI: 10.4103/jiaomr.jiaomr_322_22
A. Al-Amiry, Areej Najem
Background: Osteoporosis is a systemic skeletal disease that weakens bones by lowering mineral density and causing micro-architectural degradation of bony tissue. Aim: This study was conducted to examine the use of vitamin D, calcium, and estrogen levels in saliva as biomarkers for early detection of osteoporosis. Materials and Methods: Ninety postmenopausal women were divided into three groups based on T-scores from dual-energy X-ray absorptiometry scans. The groups consist of 30 women with osteoporosis, 30 women with osteopenia, and 30 women serving as controls. The enzyme-linked immunosorbent assay was used to look for vitamin D and estrogen in the saliva by specific vitamin D3 and estradiol kits. Calcium concentrations were measured by a colorimetric method. Results: The level of salivary biomarkers (vitamin D, calcium, and estrogen) showed a clear distinction between the groups analyzed. Salivary estrogen and vitamin D levels were significantly lower in patients with osteoporosis compared to those with osteopenia and controls. The highest concentration of calcium was found in the osteoporosis group's saliva compared to the other groups. Conclusion: The results highlight the significance of vitamin D, calcium, and estrogen in saliva as a simple, noninvasive biomarker in diagnosing postmenopausal osteoporosis.
背景:骨质疏松症是一种全身性骨骼疾病,通过降低矿物质密度和引起骨组织的微结构退化来削弱骨骼。目的:本研究旨在检测唾液中维生素D、钙和雌激素水平作为骨质疏松症早期检测的生物标志物。材料和方法:90名绝经后妇女根据双能x线吸收仪扫描的t评分分为三组。这些小组包括30名骨质疏松症妇女,30名骨质减少症妇女和30名作为对照组的妇女。采用酶联免疫吸附法,通过特异性维生素D3和雌二醇试剂盒检测唾液中维生素D和雌激素的含量。用比色法测定钙浓度。结果:唾液生物标志物(维生素D、钙和雌激素)的水平在各组之间显示出明显的差异。骨质疏松症患者的唾液雌激素和维生素D水平明显低于骨质减少症患者和对照组。与其他组相比,骨质疏松组唾液中的钙含量最高。结论:本研究结果强调了唾液中维生素D、钙和雌激素作为一种简单、无创的生物标志物在诊断绝经后骨质疏松症中的重要意义。
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引用次数: 0
Cysteamine hydrochloride, a transglutaminase2 inhibitor as therapeutic potential for oral submucous fibrosis 半胱胺盐酸盐,一种转谷氨酰胺酶2抑制剂作为治疗口腔黏膜下纤维化的潜力
IF 0.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-01-01 DOI: 10.4103/jiaomr.jiaomr_268_22
B. Rajarathnam, N. Rakesh, Anita Murali, J. Anbu, M. Asha
Background: Submucous fibrosis (SMF) was recognized as a definitive lesion by Schwartz who described it as a fibrosing condition in 1952 and due to its predilection for afflicting multiple sites in the oral cavity the disorder was listed as a “premalignant/precancerous condition”. Tissue transglutaminase 2 (TG2) catalyzes the cross-linkage between glutamine (Gln) and lysine (Lys) side chains. Cysteamine by virtue of being a transglutaminase 2 substrate, acts as a competitive inhibitor of the other amine substrates of this enzyme. In-vitro studies have reported the existence of a correlation between TG2 and SMF. Aim: The present study was carried out to evaluate Transglutaminase2 (TG2) and its therapeutic intervention by cysteamine hydrochloride in SMF-affected Wistar rats. Methods: The present experimental study was carried out on male Wistar rats, in which arecoline was injected into the right buccal mucosa for induction of SMF, and levels of TG2 were estimated using ELISA. The drug was administered to disease-induced Wistar rats from the 91st day for inhibition of TG2 and the post-treatment levels of TG2 were evaluated by ELISA at three regular intervals (97th, 104th, 111th days). Results: The Animal model exhibited a successful induction of SMF similar to the histopathological features of human SMF. The levels of TG2 were significantly elevated in the experimental animals compared with the healthy animal group up on the induction of the disease process. On administration of cysteamine to the SMF-affected animals, TG2 levels significant reduction by the 111st day was observed. Conclusion: The results from this present study highlight the newer therapeutic option for SMF. Exploring the old drug cysteamine can be a significant forward step towards novel treatment strategies for the treatment of SMF.
背景:粘膜下纤维化(SMF)被Schwartz认为是一种明确的病变,他在1952年将其描述为一种纤维化疾病,由于其倾向于影响口腔中的多个部位,该疾病被列为“癌前/癌前疾病”。组织谷氨酰胺转移酶2(TG2)催化谷氨酰胺(Gln)和赖氨酸(Lys)侧链之间的交联。半胱胺由于是谷氨酰胺转胺酶2底物而作为该酶的其它胺底物的竞争性抑制剂。体外研究已经报道TG2和SMF之间存在相关性。目的:评价转谷氨酰胺酶2(TG2)及其半胱胺盐酸盐对SMF大鼠的治疗作用。方法:采用雄性Wistar大鼠右颊黏膜注射槟榔碱诱导SMF,并用ELISA法测定TG2水平。从第91天开始向疾病诱导的Wistar大鼠施用该药物以抑制TG2,并通过ELISA以三个规则间隔(第97、104、111天)评估治疗后TG2的水平。结果:动物模型成功诱导SMF,与人SMF的组织病理学特征相似。在疾病过程的诱导过程中,与健康动物组相比,实验动物的TG2水平显著升高。对受SMF影响的动物施用半胱胺后,到第111天观察到TG2水平显著降低。结论:本研究的结果突出了SMF的新的治疗选择。探索老药半胱胺可能是朝着治疗SMF的新治疗策略迈出的重要一步。
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引用次数: 0
Artificial intelligence—A new vista in health care 人工智能——医疗保健的新前景
IF 0.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-01-01 DOI: 10.4103/jiaomr.jiaomr_91_23
M. Avinash Tejasvi
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引用次数: 0
Determination of gender by radiographic analysis of mental foramen in computed tomography 计算机断层扫描中对脑孔的放射分析测定性别
Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-01-01 DOI: 10.4103/jiaomr.jiaomr_121_22
MounikaReddy Mekala, Archana Pokala, Mashetty Ravali, BharathG C Gowda, VachepallyPraveen Reddy, VummadiKeerthi Reddy
Background: Determination of gender using skeletal remains presents a great problem to forensic experts. Among many anatomical landmarks in human skull, the mental foramen (MF) is a stable landmark. Objectives: To estimate gender of individuals by radiographic analysis of MF on computed tomography. Methods: A retrospective study was performed on 100 computed tomography images of patients. The sample was chosen in 1:1 ratio with 50 males and 50 females. Digital scale was used in computed tomography images for marking the tangents on superior and inferior border of MF and perpendiculars were drawn from tangents to lower border of mandible bilaterally and measurements were recorded. Results: The mean distance from the superior border of the MF to the lower border of the mandible and the inferior border of the MF to the lower border of the mandible on right and left sides was more in males when compared to females, which was statistically significant. Conclusion: The distances from the MF to the lower border of the mandible exhibit sexual dimorphism. This method is efficient and can be considered as an additional radiographic method to determine gender from skeletal remains.
背景:使用骨骼遗骸确定性别对法医专家来说是一个很大的问题。在人类颅骨的众多解剖标志中,颏孔(MF)是一个稳定的标志。目的:通过计算机断层扫描上MF的放射学分析来估计个体的性别。方法:对100例患者的计算机断层图像进行回顾性研究。样本按1:1的比例选择,男女各50人。计算机断层图像采用数字比例尺标记下颌上下缘切线,并在两侧下颌骨切线与下缘之间画垂线,记录测量结果。结果:右、左两侧MF上缘到下颌骨下缘、MF下缘到下颌骨下缘的平均距离男性大于女性,差异有统计学意义。结论:下颌中颞下颌缘到下颌下缘的距离呈现两性二态性。这种方法是有效的,可以被认为是一种额外的射线摄影方法来确定骨骼遗骸的性别。
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引用次数: 0
Cavernous hemangioma of maxilla: Report of a rare case 上颌骨海绵状血管瘤1例报告
IF 0.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-01-01 DOI: 10.4103/jiaomr.jiaomr_46_22
Amita Aditya, S. Patil, Antara Kore, V. Sawant
Intra-osseous vascular lesions occur rarely in jaw bones. Intra-osseous hemangioma of the facial bones is even rarer and occurs more predominantly in the mandible than the maxilla. Diagnosis of these lesions is challenging due to inconsistent clinical and radiographic presentation. Here, we present a rare case report of a boy, aged 16 years, with an intra-osseous cavernous hemangioma of the left maxilla.
颌骨中很少发生骨内血管病变。面部骨骼的骨内血管瘤更为罕见,而且比上颌骨更主要发生在下颌骨。由于临床和放射学表现不一致,这些病变的诊断具有挑战性。在这里,我们提出了一个罕见的病例报告,一个16岁的男孩,患有左上颌骨骨内海绵状血管瘤。
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引用次数: 0
期刊
Journal of Indian Academy of Oral Medicine and Radiology
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