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Indonesian dentists knowledge, attitudes and practices in COVID-19 pandemic 印度尼西亚牙医在COVID-19大流行中的知识、态度和做法
Pub Date : 2022-07-31 DOI: 10.24198/pjd.vol34no2.40838
A. A. Suwargiani, E. M. Arief, A. S. Setiawan, Fidya Meditia Putri, Ardena Maulidia Hamdani, Azlina Nuur Sanjaya, Gilang Yubiliani, S. Susilawati, Dudi Aripin, Nina Djuastina, Sunardhi Widyaputra
ABSTRACTIntroduction: Dentists play a significant role in preventing the transmission of 2019-nCoV. Recommended infection control measures during dental practice can block the route of person-to-person transmission. Dentists and their personnel are used to assess the risk of cross-infection. This study aimed to obtain dentists' knowledge, attitudes, and practices regarding the Covid-19 pandemic in Indonesia. Methods: A cross-sectional study was conducted on a sample of licensed dentists using the convenience sampling technique. The minimum sample size was counted using the formula for a descriptive analysis of one group with the expected proportion of 50% and the confidence level of 95%, and obtained 407 respondents from 31 provinces. Data was collected using a questionnaire distributed via a shortened link. 99.75% of respondents knew personal protective equipment, but only 84.28% knew the proper removal procedure. 99.75% of respondents knew about dental devices that cause aerosols, and all respondents knew about social and physical distancing. Result: Dentists’ attitudes regarding personal protective equipment were that they needed and maintained it during the pandemic. All respondents stated that social and physical distancing was critical and must be maintained while providing health services. Regarding their practices, all respondents did social and physical distancing in their daily lives and during dental procedures. Conclusion: Dentists' knowledge is already good in several ways, but with several matters that still need to be improved, their attitudes and practices are good criteria. Keywords: smart Odontogram; medical record; application; usability testing; user’s experience
摘要简介:牙医在预防2019-nCoV传播方面发挥着重要作用。牙科诊所推荐的感染控制措施可以阻断人与人之间的传播途径。牙医及其工作人员被用来评估交叉感染的风险。本研究旨在了解牙医对印度尼西亚新冠肺炎大流行的知识、态度和实践。方法:采用方便抽样技术对持照牙医进行横断面研究。最小样本量使用公式对一组预期比例为50%、置信水平为95%的人群进行描述性分析,获得了来自31个省份的407名受访者。数据是使用通过缩短链接分发的调查表收集的。99.75%的受访者知道个人防护装备,但只有84.28%的人知道正确的移除程序。99.75%的受访者知道会产生气溶胶的牙科设备,所有受访者都知道社交和物理距离。结果:牙医对个人防护设备的态度是,他们在疫情期间需要并维护个人防护设备。所有受访者都表示,保持社交和身体距离至关重要,在提供医疗服务时必须保持。关于他们的做法,所有受访者在日常生活和牙科手术中都保持社交和身体距离。结论:牙医的知识在几个方面已经很好了,但还有几个问题需要改进,他们的态度和做法是很好的标准。关键词:智能Odontogram;病历;应用可用性测试;用户体验
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引用次数: 0
The differences of RND between males and females and the correlation between age and RND based on panoramic radiographs 基于全景x线片研究男女RND的差异及年龄与RND的相关性
Pub Date : 2022-07-31 DOI: 10.24198/pjd.vol34no2.37498
Suci Handayani, Rurie Ratna Shantiningsih, Rellyca Sola Gracea
ABSTRACTIntroduction: Estimating age and sex through several radiographic methods have a significant role in the victim identification process. The mandibular ramus is thought to have a high degree of dimorphism and a close relationship with chronological age, which can be determined by ramus notch depth (RND). This study aimed to analyze the differences in RND between males and females and the correlation between age and RND based on panoramic radiographs. Methods: The type of study is an observational analytic cross-sectional study. The study sample comprised 70 radiographs (35 males and 35 females) aged 19-60 years with complete mandibular permanent dentition, including third molars. The samples were obtained from the database of the Dentomaxillofacial Radiology Installation of RSGM UGM Prof. Soedomo. Analysis of the radiograph was carried out by measuring the RND using EzDent-I Vatech Software with a scale of ratio 1:1. Results: The mean RND value was 2.31 ± 7.95 mm and 1.94 ± 4.93 mm in the male and female groups, respectively. Independent T-test results showed a significant difference (p < 0.05) in RND between the male and female groups. Pearson’s correlation test result did not find any correlation between age and RND in the male dan female group (p > 0.05). Conclusion: RND in males is higher than in females, and there is no correlation between age and RND in both sex groups.Keywords: MISS; trauma of mandible; half face helmet; traffic accidents
摘要简介:通过几种放射学方法估计年龄和性别在受害者识别过程中具有重要作用。下颌分支被认为具有高度的二态性,并与实足年龄密切相关,这可以通过分支缺口深度(RND)来确定。本研究旨在基于全景x线片分析男性和女性RND的差异以及年龄与RND的相关性。方法:研究类型为观察性分析横断面研究。研究样本包括70张x线片(男性35张,女性35张),年龄19-60岁,下颌恒牙包括第三磨牙完整。样本来自RSGM UGM Soedomo教授的牙颌面放射学安装数据库。使用EzDent-I Vatech软件以1:1的比例测量RND,对x线片进行分析。结果:男性组RND平均值为2.31±7.95 mm,女性组RND平均值为1.94±4.93 mm。独立t检验结果显示,男女组RND差异有统计学意义(p < 0.05)。Pearson相关检验结果显示,男女组年龄与RND无相关性(p < 0.05)。结论:男性RND高于女性,年龄与RND无相关性。关键词:小姐;下颌骨外伤;半面头盔;交通事故
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引用次数: 0
Correlation analysis between risk factors and mucositis oral in head and neck cancer patients undergoing radiotherapy 癌症头颈部放疗患者口腔粘膜炎与危险因素的相关性分析
Pub Date : 2022-07-31 DOI: 10.24198/pjd.vol34no2.39165
T. Dewi, Y. Lefaan, S. Susilawati, Adji Kusumadjati, E. M. Arief
ABSTRACTIntroduction: Radiotherapy is a cancer therapy that uses ionizing radiation to damage cancer cells. Ionizing radiation in the head and neck area can disrupt the function and integrity of the oral mucosa and cause oral mucositis. In Bandung, the prevalence and risk factors of oral mucositis in head and neck cancer (HNC) patients undergoing radiotherapy have not been studied. Some textbooks claim that the prevalence of radiotherapy-induced oral mucositis in HNC patients occurs at almost 100%. Various risk factors associated with oral mucositis have been studied, giving significantly different results. This research analyzes the correlation between risk factors and mucositis oral in head and neck cancer patients undergoing radiotherapy. Methods: This research is a cross-sectional retrospective study with secondary data from medical records of HNC patients at RSHS from January 2015 until December 2019. A consecutive sampling method was used to collect the data that match the Inclusion criteria, including diagnosis of HNC(ICD-10), receiving radiotherapy from the first cycle until the last cycle; having a complete medical record following variables (location of HNC coding by ICD-10, gender, age, education level, smoking habit, the cycle of radiotherapy, oral treatment, body mass index, and comorbid disease). All data were then analyzed using Spearman correlation. Result: 171 medical records showed 59 patients had oral mucositis after radiotherapy. 26.9% male and 7.6% female, with susceptible age 40-60 years. Analysis of the Spearman correlation, there is a significant relationship between body mass index (BMI) (ρ = 0,001), smoking habits (ρ = 0,001), and radiotherapy cycles (ρ = 0.001). Conclusion: There is a correlation between risk factors of oral mucositis in HNC patients undergoing radiotherapy in RSHS, including body mass index (BMI), smoking habits, and radiotherapy cycles.Keywords: Head and neck cancer; oral mucositis; prevalence; risk factor; retrospective study
摘要简介:放射治疗是一种利用电离辐射损伤癌细胞的癌症治疗方法。头颈部的电离辐射会破坏口腔黏膜的功能和完整性,引起口腔黏膜炎。在万隆,接受放射治疗的头颈癌(HNC)患者口腔黏膜炎的患病率和危险因素尚未研究。一些教科书声称,放射治疗引起的口腔黏膜炎在HNC患者中的患病率几乎为100%。与口腔黏膜炎相关的各种危险因素已被研究,得出了显著不同的结果。本研究分析头颈癌放疗患者口腔黏膜炎与危险因素的关系。方法:本研究是一项横断面回顾性研究,收集了2015年1月至2019年12月在RSHS的HNC患者的病历资料。采用连续抽样方法收集符合纳入标准的数据,包括HNC诊断(ICD-10),从第一个周期到最后一个周期接受放疗;具有完整的医疗记录(根据ICD-10进行HNC编码的位置、性别、年龄、受教育程度、吸烟习惯、放疗周期、口腔治疗、体重指数和合并症)。然后使用Spearman相关分析所有数据。结果:171例患者放疗后出现口腔黏膜炎59例。男性26.9%,女性7.6%,易感年龄40 ~ 60岁。Spearman相关分析发现,体重指数(BMI) (ρ = 0.001)、吸烟习惯(ρ = 0.001)和放疗周期(ρ = 0.001)之间存在显著相关。结论:在RSHS中接受放疗的HNC患者发生口腔黏膜炎的危险因素与体重指数(BMI)、吸烟习惯和放疗周期有关。关键词:头颈癌;口腔粘膜炎;患病率;风险因素;回顾性研究
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引用次数: 0
Correlation between stunting children aged 6-7 years in term of nutritional status and the eruption of permanent first molar 6-7岁发育迟缓儿童营养状况与永久性第一磨牙萌出的相关性
Pub Date : 2022-07-31 DOI: 10.24198/pjd.vol34no2.30830
Nadia Dwi Fadilla, R. Wardani, Fidya Meditia Putri
ABSTRACTIntroduction: Stunting is one of the nutritional problems that occur in Indonesia. Stunting is a condition where height is not following age. Physical growth is often used as an indicator to measure nutritional status. Permanent first molars are the first to erupt and normally erupt at 6-7 years old. Nutrition plays an important role in the growth and development of children. Since nutrition is one of the factors that influence tooth eruption, this study aimed to analyse the correlation between stunting children aged 6-7 years in terms of nutritional status and the eruption of the permanent first molar. Methods: This research used observational analytic correlation with a cross-sectional approach. Sampling was done using the cluster random sampling method to select elementary schools and total sampling to select children. The research was conducted at three elementary schools in the Jatinangor region. The number of samples was 200 children. The samples were measured for height and examination of the eruption status of permanent first molars. Result: It was found that 42 children were stunted. 12 children had not erupted their permanent first molars at all. There were 36% stunted children aged 6 years and 64% children aged 7 years. The results of the analysis using the Spearman rank correlation test obtained a correlation coefficient with r=0.185 and p-value=0.242 which showed the very weak strength and positive direction of the correlation. Conclusion: There is no correlation between nutritional status and eruption of permanent first molars in stunting children aged 6-7 years in the Jatinangor region.Keywords: nutritional status; stunting; tooth eruption; permanent first molar
摘要简介:眩晕是印度尼西亚常见的营养问题之一。发育迟缓是一种身高不随年龄变化的情况。身体发育通常被用作衡量营养状况的指标。第一恒磨牙是最先萌出的,通常在6-7岁时萌出。营养在儿童的生长发育中起着重要作用。由于营养是影响牙齿萌出的因素之一,本研究旨在分析6-7岁发育迟缓儿童的营养状况与永久性第一磨牙萌出之间的相关性。方法:本研究采用观察分析相关性和横断面方法。抽样采用整群随机抽样法选择小学,总抽样法选择儿童。这项研究在贾蒂南戈地区的三所小学进行。样本数量为200名儿童。测量样本的高度并检查第一恒磨牙的萌出状态。结果:发现42名儿童发育迟缓。12名儿童的第一恒磨牙根本没有萌出。6岁发育迟缓儿童占36%,7岁儿童占64%。使用Spearman秩相关检验的分析结果获得了r=0.185和p值=0.242的相关系数,这表明相关性的强度和正方向非常弱。结论:雅蒂南戈地区6-7岁发育迟缓儿童的营养状况与第一恒磨牙萌出之间没有相关性。关键词:营养状况;发育迟缓;牙萌;第一恒磨牙
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引用次数: 0
Antibacterial activity of cocoa bean husk extract on the growth of Streptococcus alpha 可可豆壳提取物对甲型链球菌生长的抗菌活性
Pub Date : 2022-07-31 DOI: 10.24198/pjd.vol34no2.37050
Vonny Gunawan Siswanto, Putri Kusuma Wardani Mahendra, Sri Kuswandari
ABSTRACTIntroduction: Streptococcus alpha is the most common bacteria found in dental plaques of children­ and roled as pioneer bacteria in plaque formation. One of the natural agents which has antibacterial activity is cocoa bean husk (Theobroma cacao, L.). This study aimed to analyze antibacterial activity of cocoa bean husks extract concentration 12.5%, 25%, 37.5% and 50% on the growth of S. alpha. Methods: This study was a laboratory experiment conducted in March, 2021 at Microbiology Laboratory, Faculty of Medicine Universitas Negeri Surakarta. The bacteria was isolated from the buccal tooth surface plaque of caries-free-9-years-old girl, then incubated on the blood agar medium to grow the S. alpha. The extract of cocoa bean husk concentration 12.5%, 25%, 37.5%, 50% and 0,2% Chlorhexidine Gluconate(CHX) as positive control were used to identify the antibacterial activity by measure the diameter ofinhibition zone growth of S. alpha in the blood agar medium. The data was analyzed using one-way Anova. Results: Significant differences were found among the treatment groups (p<0.05). The highest mean of the inhibitory zone was the 50% concentration of cocoa bean husk extract group (17.07 mm ± 1.01), but lower than CHX. The lowest inhibitory zone was the 12.5% (10.12 ± 0.05 mm). Conclusion: The cocoa bean husk extract has antibacterial activity on the growth of Streptococcus alpha, but it is lowerthan Chlorhexidine Gluconate.Keywords: cocoa bean husk extract; antibacterial activity; S. alpha’s growth; child’s dental plaque
摘要简介:甲型链球菌是儿童牙菌斑中最常见的细菌,也是牙菌斑形成的先驱细菌。可可豆壳是具有抗菌活性的天然制剂之一。本研究旨在分析可可豆壳提取物浓度12.5%、25%、37.5%和50%对α生长的抗菌活性。方法:本研究是2021年3月在苏拉卡塔国立大学医学院微生物实验室进行的实验室实验。该细菌是从9岁女孩的颊牙表面牙菌斑中分离出来的,然后在血液琼脂培养基上孵育以生长Sα。以浓度为12.5%、25%、37.5%、50%和0.2%的葡萄糖酸氯己定提取物(CHX)为阳性对照,通过测定血琼脂培养基中Sα生长抑制区的直径来鉴定其抗菌活性。使用单向Anova对数据进行分析。结果:各处理组间差异有显著性(p<0.05),其中50%浓度可可豆壳提取物组的抑制带平均值最高(17.07mm±1.01),但低于CHX。最低抑制区为12.5%(10.12±0.05mm)。结论:可可豆壳提取物对α链球菌生长具有抗菌活性,但低于葡萄糖酸氯己定;抗菌活性;S.α生长;儿童牙菌斑
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引用次数: 0
The increasing risk of temporomandibular disorder and articular eminence inclination due to tooth loss 由于牙齿脱落导致的颞下颌紊乱和关节隆起倾斜的风险增加
Pub Date : 2022-07-31 DOI: 10.24198/pjd.vol34no2.33067
Ricca Chairunnisa, R. Harahap
ABSTRACTIntroduction: Tooth loss leads to increased biomechanical pressure in the temporomandibular joint due  to changes in the functional movement pattern of the jaw, resulting in joint structure damage specifically  change of the articular eminence inclination (AEI) angle, which is one of the increased risks of the  temporomandibular disorder (TMD). This study aimed to analyze the relationship between the number  and quadrants of tooth loss on TMD and the AEI. Methods: It was descriptive-analytic study using a cross sectional design. The study was done in Universitas Sumatera Utara (USU) Dental hospital, conducted  questionnaires and panoramic radiographic on 42 subjects aged over 18-64 years with tooth loss. Data  analyzed used Chi-square analysis. Results: The prevalence of TMD on the ≥3 tooth loss group by 82.6%  and the four-quadrant group by 93.8%. The prevalence of change in the AEI on the ≥3 tooth loss group  was 34.8% on the flat right side, while on the left side of 26.1% was flat, and 13% was steep. Based on the  number of quadrants tooth loss, the highest was on the four-quadrant group by 50% on flat right side, and  on the three-quadrant group was 25% flat, 25% steep on the left side. There was a significant relationship  between the number of tooth loss (p=0.023), the number of tooth loss quadrants, and TMD (p=0.016).  There was no relationship between the number of tooth loss and the AEI, except for the number of tooth  loss quadrants and the AEI on the right side with a significant result (p=0.017). Conclusion: There was  relationship between the number of tooth loss, the number of tooth loss quadrants, and TMD and there  was no relationship between the number of tooth loss and the AEI, except for the number of tooth loss  quadrants and the AEI on the right side.Keywords: Edentulous; tooth loss; temporomandibular disorder; inclination of articular eminence.
摘要简介:由于下颌功能运动模式的改变,牙齿脱落导致颞下颌关节生物力学压力增加,导致关节结构损伤,特别是关节隆起倾角(AEI)角度的改变,是颞下颌关节紊乱(TMD)的增高风险之一。本研究旨在分析TMD牙齿脱落数量和象限与AEI的关系。方法:采用横断面设计的描述性分析研究。研究在苏门答腊北方大学(USU)牙科医院进行,对42名年龄在18-64岁以上的牙齿脱落患者进行问卷调查和全景x线摄影。数据分析采用卡方分析。结果:≥3牙组TMD患病率为82.6%,四象限组TMD患病率为93.8%。≥3牙脱落组AEI变化发生率为右侧平坦34.8%,左侧平坦26.1%,左侧陡峭13%。根据象限的牙齿脱落数量,四象限组的牙齿脱落量最高,右侧平坦50%,三象限组的牙齿脱落量最高,左侧平坦25%,陡峭25%。牙缺失数(p=0.023)、牙缺失象限数与TMD (p=0.016)之间存在显著相关。除右侧缺牙象限数与AEI有显著性差异外,缺牙数与AEI无显著性关系(p=0.017)。结论:除右侧缺牙象限数与AEI相关外,缺牙数、缺牙象限数与TMD相关,而缺牙数与AEI无关。关键词:无齿的;牙齿脱落;颞下颌紊乱;关节隆起倾斜。
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引用次数: 0
Differences in motoric function of masticatory and facial muscles post segmental mandibulectomy and hemimandibulectomy 下颌节段切除术和半下颌切除术后咀嚼肌和面肌运动功能的差异
Pub Date : 2022-07-31 DOI: 10.24198/pjd.vol34no2.31612
Ariyanto Suryo Karyono, A. Hardianto, L. Riawan
ABSTRACTIntroduction: The highest predilection for jaw tumors is located in the mandible. One of the management of tumors in the mandible is resection. The resection will result in a discontinuity in the jaw and disruption of the stomatognathic system, one of which is a decrease in the motoric function of the masticatory muscles. Electroneuromyography (ENMG) is a type of examination that includes an electroneurography (ENG) examination, which includes a Neural Conduction Study (NCS) based on stimulation value (STIM) and velocity (VEL), and electromyography (EMG) which can be used to assess motoric function impairment of masticatory and facial muscles in patients undergoing mandibular resection. This study analyzed the differences in the motoric function of masticatory and facial muscles post-segmental mandibulectomy and hemimandibulectomy. Methods: This preliminary analytical cross-sectional study compares ten post-segmental mandibulectomy or hemimandibulectomy patients who had undergone mandibular reconstruction in the Oral Surgery Department of Hasan Sadikin Hospital Bandung. Assessment was performed using an AO plate (Arbeitsgemeinschaft für Osteosynthesisfragen) towards the patients. The results were compared using Chi-Square and Mann-Whitney statistical analysis. Results: A decrease in masticatory muscle function was detected using ENMG. NCS and EMG assessments were obtained. There was no significant difference in NCS values (p>0.05) in patients with segmental mandibulectomy (mean STIM 4.2 ± 1.7, VEL 13.23 ± 5.38) and hemimandibulectomy (mean STIM 4.3 ± 1.35, VEL 12.56 ± 4.83), however, a significant difference was found in the EMG values (p=0.025; p<0.05) of the patients with segmental mandibulectomy (mean 70% of patients were normal) and hemimandibulectomy (mean 20% of patients were normal). Conclusion: There are differences in the decreased motoric function of masticatory and facial muscles post-segmental mandibulectomy and hemimandibulectomy.Keywords: motoric function; masticatory muscles; facial muscles; mandibular resection
摘要简介:颌骨肿瘤最易发生在下颌骨。下颌骨肿瘤的治疗方法之一是切除。切除会导致颌骨的不连续性和口腔颌系统的破坏,其中之一是咀嚼肌的运动功能下降。神经肌电图(ENMG)是一种检查类型,包括神经电图(ENG)检查,包括基于刺激值(STIM)和速度(VEL)的神经传导研究(NCS),以及肌电图(EMG),可用于评估下颌切除术患者咀嚼肌和面部肌的运动功能损伤。本研究分析了下颌节段切除术和半下颌切除术后咀嚼肌和面部肌肉运动功能的差异。方法:这项初步的横断面分析研究比较了在万隆Hasan Sadikin医院口腔外科接受下颌骨重建的10名下颌节段切除术后或半下颌切除术患者。使用AO钢板(Arbeitsgemeinschaft für Osteo-synthesisfragen)对患者进行评估。使用Chi Square和Mann-Whitney统计分析对结果进行比较。结果:ENMG检测到咀嚼肌功能下降。获得NCS和EMG评估。节段性下颌骨切除术(平均STIM 4.2±1.7,VEL 13.23±5.38)和半下颌骨切除术患者(平均STIM.4.3±1.35,VEL 12.56±4.83)的NCS值无显著差异(p>0.05),下颌节段切除术(平均70%正常)和半下颌切除术(均20%正常)患者的肌电图值存在显著差异(p=0.025;p<0.05)。结论:下颌节段切除术和半下颌切除术后咀嚼肌和面肌运动功能下降存在差异。关键词:运动功能;咀嚼肌;面部肌肉;下颌切除术
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引用次数: 0
Mandibular trauma severity differences on motorcycle riders using half-face helmet and without helmet based on mandible injury severity score 基于下颌骨损伤严重程度评分的摩托车骑手戴半面头盔与不戴头盔下颌骨损伤严重程度差异
Pub Date : 2022-07-31 DOI: 10.24198/pjd.vol34no2.31662
Muhammad Syakuran, A. Hardianto, A. Nurwiadh
ABSTRACTIntroduction: The popular half-face helmet places the mandible at high risk of fracture during a motorcycle accident. The anatomical shape and position of the mandible make it more frequent to fracture. The purpose of this study was to compare the severity of mandibular trauma in motorcyclists using half face helmets and without using a helmet based on the Mandible Injury Severity Score (MISS). Methods: This research was a prospective cross-sectional study on 60 research subjects at the Emergency Unit of Hasan Sadikin Hospital, Bandung, between July 2019 - February 2020. The data were analyzed with the Mann-Whitney test to see the severity of mandibular trauma using a half face helmet and without a helmet based on MISS (Mandible Injury Severity Score). Results: Of 60 subjects of motorcycle accidents, 58.3% were <25 years old, 38 (63.3%) used half face helmets and 22 (36.7%) non-helmets, 83.3% of the patients were drivers, and 11.7% were passengers. Most fracture sites are parasymphysis, corpus, condylus, symphysis, and subcondylar. 48.3% of subjects had malocclusion, 56.5 with mild displacement, and 43,3% with moderate removal. The average MISS score for half face helmet users was 5.71 and compared to 7.45 for non-helmets. Based on the Mann Whitney test results, the MISS value was not significantly different. Conclusion: Riders who wore half face helmets and those who didn’t wear helmets have the same risk of mandibular trauma based on the MISS. Motorcycle users should use a full face helmet to prevent mandibular fractures during traffic accidents.Keywords: MISS, trauma of mandible, half face helmet, traffic accidents.
摘要简介:在摩托车事故中,流行的半面头盔使下颌骨处于骨折的高风险中。下颌骨的解剖形状和位置使其更容易发生骨折。本研究的目的是基于下颌损伤严重程度评分(MISS),比较使用半面头盔和不使用头盔的摩托车手下颌创伤的严重程度。方法:本研究是一项前瞻性横断面研究,于2019年7月至2020年2月在万隆哈桑萨迪金医院急诊科对60名研究对象进行研究。采用Mann-Whitney试验对数据进行分析,以MISS(颌骨损伤严重程度评分)为基础,观察使用半面头盔和不戴头盔的下颌损伤严重程度。结果:60例摩托车事故中,年龄<25岁的占58.3%,使用半面罩头盔的占38例(63.3%),未戴头盔的占22例(36.7%),驾驶员占83.3%,乘客占11.7%。大多数骨折部位为副骨、体、髁、联合和髁下。48.3%的患者有错牙合,56.5%的患者有轻度移位,43.3%的患者有中度移位。半脸头盔使用者的平均MISS分数为5.71,而非头盔使用者的平均MISS分数为7.45。根据Mann Whitney检验结果,MISS值没有显著差异。结论:摩托车骑行者佩戴半面头盔与未佩戴头盔的下颌骨损伤风险相同。摩托车骑行者应佩戴全面头盔,以预防交通事故中下颌骨折。关键词:MISS,下颌骨创伤,半面头盔,交通事故。
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引用次数: 0
Effectiveness of green tea, bay leaf, and lime peel extracts as toothpastes active agents for extrinsic stain removal on teeth, artificial teeth, and denture base 绿茶、月桂叶和酸橙皮提取物作为牙膏活性剂去除牙齿、假牙和义齿基托外源性污渍的效果
Pub Date : 2022-04-09 DOI: 10.24198/pjd.vol34no1.32236
M. Annisa, Puteri Aulia Rizqi Kanina, Nur Liyana Binti Hamid, A. Nuryanti
Introduction: Tea consumption causes extrinsic stain formation on teeth and denture surfaces, affecting personal appearance. Herbal plants extract such as green tea, bay leaf, and lime peel are potentially active agents for extrinsic stain removal. This study aimed to analyse the effectiveness of green tea, bay leaf, and lime peel extracts as toothpaste active agents for extrinsic stain removal on teeth, artificial teeth, and denture base. Methods: Twenty-five post-extracted human permanent central incisors, 25 artificial teeth, and 25 heat polymerised acrylic resin denture base (20x20x10mm) were divided into three treatment groups and two control groups. Pictures of all specimens were taken before and after stain induction and after brushing. All specimens were immersed in a tea solution made from 2 grams of tea and 100ml of 100°C boiled water to induce extrinsic stain. The immersion process was repeated every 24 hours for seven days. All specimens were then brushed using an automatic toothbrushing machine for 70 seconds on each surface, 200 grams loads, and five speeds/second. Toothpaste used for brushing were three different active agent toothpaste (treatment groups), no active agent toothpaste, and commercial whitening (control groups). Colour index analysis of the specimen pictures computerised by CIELAB method. The data were analysed by one-way ANOVA (α=0.05). Results: Green tea, bay leaf, and lime peel extract toothpaste and positive control had higher L-values of extrinsic stain removal than essential toothpaste on all specimens. There was a significant difference between green tea, bay leaf, and lime peel extract toothpaste and negative control toothpaste (p<0.05), while no significant difference was found when compared to the positive control toothpaste (p>0.05). Conclusion: Green tea, bay leaf, and lime peel extract toothpaste are effective as extrinsic stain removal on teeth and acrylic resin denture base because of abrasive materials that work together with the active agents such as epigallocatechin-3-gallate (EGCG) in green tea, eugenol in bay leaf, and naringin in lime peel.
饮茶会导致牙齿和假牙表面形成外来污渍,影响个人形象。草药植物提取物,如绿茶,月桂叶,和酸橙皮是潜在的活性的外在污渍去除剂。本研究旨在分析绿茶、月桂叶和酸橙皮提取物作为牙膏活性剂对牙齿、假牙和义齿基托的去除效果。方法:将拔除后的人恒中切牙25颗、人工牙25颗、热聚合丙烯酸树脂义齿基托25颗(20x20x10mm)分为3个治疗组和2个对照组。所有标本在染色诱导前后和涂刷后拍照。所有标本浸泡在由2克茶叶和100ml 100℃沸水制成的茶溶液中,诱导外源性染色。浸泡过程每24小时重复一次,持续7天。然后使用自动刷牙机在每个表面上刷70秒,200克负荷,5种速度/秒。用于刷牙的牙膏是三种不同的活性剂牙膏(治疗组),不含活性剂牙膏和商业美白牙膏(对照组)。用CIELAB方法对标本图像进行显色指数分析。资料采用单因素方差分析(α=0.05)。结果:绿茶、月桂叶、青柠皮提取物牙膏和阳性对照在所有标本上的外在污渍去除的l值均高于香精牙膏。绿茶、月桂叶、青柠皮提取物牙膏与阴性对照牙膏的差异有统计学意义(p0.05)。结论:绿茶月桂叶酸橙皮提取物牙膏能有效去除牙体和丙烯酸树脂义齿基托的外源性污渍,这是因为磨料能与绿茶中的表没食子儿茶素-3-没食子酸酯(EGCG)、月桂叶中的丁香酚、酸橙皮中的柚皮苷等活性剂协同作用。
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引用次数: 0
Effectiveness of ChKM solution compared to triple-antibiotic paste as an intracanal medicament for bacteria that cause a chronic periapical abscess ChKM溶液与三联抗生素糊剂作为肛门内药物治疗慢性根尖周脓肿细菌的疗效比较
Pub Date : 2022-04-09 DOI: 10.24198/pjd.vol34no1.28642
Y. Malinda, Dea Hanin Azhara, Kartikaning Harnung, D. Prisinda
Introduction: Chronic periapical abscesses are caused by polymicrobial bacteria, including E. faecalis, S. mutans, S. sanguinis, and P. gingivalis. These bacteria can be eliminated with chlorophenol camphor menthol (ChKM) solution and triple-antibiotic paste (TAP) as an intracanal medicament. This study compared the effectiveness of ChKM solution to triple-antibiotic paste as an intracanal medicament for bacteria that cause a chronic periapical abscess. Methods: An experimental laboratory was conducted in-vitro with the microdilution method and optical density measurement using a spectrophotometer. The cell inhibition percentage was calculated to determine the MIC value. The MBC values were confirmed by cultivating the Mueller Hinton Agar samples, incubating them at 37°C for 24 hours, and observing bacterial growth. Bacteria did not grow in the medium at MBC value. The lower MIC and MBC were sensitive and could be an effective medicament choice. Results: The MIC ChKM solution inhibits E. faecalis ATCC 29212, S. mutans ATCC 25175, S. sanguinis ATCC 10556, and P. gingivalis ATCC 33277 were 4000, 4000, 2000, and 2000 µg/mL consecutively. While MIC of TAP were 6, 0.375, 0.75, and 1.5 µg/mL, respectively. Moreover, MBC of the ChKM solution were 32000, 32000, 8000, 8000 µg/mL and MBC of the TAP were 768, 24, 24, 96 µg/mL. Conclusions: ChKM solution and TAP effectively inhibited and killed E. faecalis, S. mutans, S. sanguinis, and P. gingivalis as an intracanal medicament, as seen from the MIC and MBC values. However, TAP is more effective than the ChKM solution because MIC and MBC values of TAP are much lower than the ChKM solution. This finding indicated that TAP is more effective at the lowest concentration than ChKM solution. It should be highlighted that this was an in-vitro study involving specific microbes; thus, further clinical research is needed.
简介:慢性根尖周脓肿是由多种抗菌细菌引起的,包括粪肠球菌、变形链球菌、血红链球菌和牙龈卟啉单胞菌。氯苯酚-樟脑-薄荷醇(ChKM)溶液和三重抗生素糊剂(TAP)作为肛门内药物可以消除这些细菌。本研究比较了ChKM溶液与三联抗生素糊剂作为治疗慢性根尖周脓肿细菌的肛门内药物的有效性。方法:采用微量稀释法和分光光度计进行体外光密度测定。计算细胞抑制百分比以确定MIC值。MBC值通过培养Mueller-Hinton琼脂样品、在37°C下孵育24小时并观察细菌生长来确认。细菌在MBC值的培养基中不生长。较低的MIC和MBC是敏感的,可能是一种有效的药物选择。结果:MIC-ChKM溶液对粪肠球菌ATCC 29212、变异链球菌ATCC 25175、血血链球菌ATCC 10556和牙龈卟啉单胞菌ATCC 33277的抑制作用分别为4000、4000、2000和2000µg/mL。TAP的MIC分别为6、0.375、0.75和1.5µg/mL。此外,ChKM溶液的MBC为32000、32000、8000、8000µg/mL,TAP的MBC分别为768、24、24、96µg/mL。结论:从MIC和MBC值来看,ChKM溶液和TAP作为一种肛门内药物有效地抑制和杀死了粪肠球菌、变形链球菌、血血血链球菌和牙龈卟啉单胞菌。然而,TAP比ChKM方案更有效,因为TAP的MIC和MBC值远低于ChKM方案。这一发现表明,TAP在最低浓度下比ChKM溶液更有效。应该强调的是,这是一项涉及特定微生物的体外研究;因此,需要进一步的临床研究。
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引用次数: 0
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Padjadjaran Journal of Dentistry
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