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The Six Keys for Optimal Quality Perception and Successful Orthodontic Service 最佳质量感知和成功正畸服务的六个关键
Pub Date : 2022-05-06 DOI: 10.31038/jdrm.2022514
F. Ciuffolo
In this paper, we elaborate and describe the steps of the orthodontic journey which are oriented to increase the patient’s satisfaction. Six keys, aimed to improve the quality perception, are also summarized and discussed.
在本文中,我们详细描述了正畸过程的步骤,以提高患者的满意度。本文还总结和讨论了旨在提高质量认知的六个关键问题。
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引用次数: 0
Nano-Periodontics: A Step Forward In Periodontal Treatment 纳米牙周病:牙周治疗的一个进步
Pub Date : 2022-04-22 DOI: 10.31038/jdmr.2022513
Ayham Alhijany, A. Dannan
The term “Nano” refers to a unit of measurement that is equal to one billionth of a kilometer (10-9). To get closer to “how much Nano is”, it is worthy to know that the length of a normal human being ranges from one and a half to two meters, while, if we move to something smaller, such as a mobile phone, it can be measured by 12 cm, and if we move to smaller things, ants for example are about 2 mm long, while if we take a human hair, its diameter measures about 100 micrometers. Viruses are much smaller ranging in size between 30 and 50 nanometers, and a DNA molecule has a size of about 2.5 nanometers. Taking into account that the approximate size of the sun is 1.4 billion meters, this means that a nanoparticle for a human is the same as the size of a human in relation to the sun [1].
“纳米”一词指的是一种测量单位,相当于十亿分之一公里(10-9)。为了更接近“纳米是多少”,值得知道的是,一个正常人的长度在1.5米到2米之间,而如果我们移动到更小的东西,比如手机,它可以被测量为12厘米,如果我们移动到更小的东西,例如蚂蚁约2毫米长,而如果我们拿人类的头发,它的直径约为100微米。病毒要小得多,大小在30到50纳米之间,而DNA分子的大小约为2.5纳米。考虑到太阳的大小约为14亿米,这意味着一个人的纳米粒子的大小与一个人的大小与太阳的大小相同。
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引用次数: 0
Factors Influencing Blood Loss in Orthognathic Surgery – A Retrospective Study 影响正颌手术失血的因素-一项回顾性研究
Pub Date : 2022-02-17 DOI: 10.31038/jdmr.2022511
Habari, L. Rasmusson, J. Walladbegi
evaluate the surgeon's impact on intraoperative blood Secondary to evaluate the difference in between Operative each procedure. Abstract Objective: Several patients and operator related factors have been confirmed to be of importance for blood loss in orthognathic surgery, e.g., type of surgical intervention and operative time. However, the surgeon's impact has been studied only to a limited extent. Thus, the primary aim of this study was to evaluate the surgeon's impact on intraoperative blood loss. Methods: Clinical data was gathered retrospectively for all osteotomies performed by three different experienced surgeons between January 1 st , 2013 to December 31 st , 2016 at a regional centre for orthognathic surgery at the Sahlgrenska University Hospital, Gothenburg, Sweden. Results: A total of 179 patients (92 women and 87 men) who underwent Le Fort I osteotomy, Bilateral Sagittal Split osteotomy, or Bi-maxillary osteotomy were included. No statistically significant difference was seen between the three surgeons for intraoperative blood loss. Conclusion: Intraoperative blood loss during orthognathic surgery is not operator dependent when experienced surgeons are compared.
评估外科医生对术中血液的影响其次是评估不同手术之间的差异。【摘要】目的:研究证实了与患者及术者相关的因素对正颌手术出血量的影响,如手术干预方式、手术时间等。然而,外科医生的影响只在有限的程度上进行了研究。因此,本研究的主要目的是评估外科医生对术中出血量的影响。方法:回顾性收集2013年1月1日至2016年12月31日在瑞典哥德堡Sahlgrenska大学医院区域正颌外科中心由三名经验丰富的外科医生进行的所有截骨手术的临床资料。结果:179例患者(女性92例,男性87例)分别行Le Fort I型截骨术、双侧矢状劈裂截骨术和双颌截骨术。三名外科医生术中出血量差异无统计学意义。结论:与经验丰富的外科医生比较,正颌手术术中出血量与操作人员无关。
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引用次数: 0
In Vitro Evaluation of the Abrasiveness of Novel Bioactive Glass Powders (Biominf®) on Ivory Dentine in Air Polishing Procedures Compared to Selected Reference Powders 新型生物活性玻璃粉(Biominf®)在空气抛光过程中对象牙牙本质的磨蚀性的体外评估与选定的参考粉末的比较
Pub Date : 2021-11-30 DOI: 10.31038/jdmr.2021423
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引用次数: 1
Quantifying the Effect of Adding Alkaline Phosphatase Enzyme to Silicate/Phosphate Glass Mixtures to Enhance Bone Regeneration 定量测定在硅酸盐/磷酸盐玻璃混合物中添加碱性磷酸酶促进骨再生的效果
Pub Date : 2021-11-30 DOI: 10.31038/jdmr.2021425
N. Hamed, N. Karpukhina, D. Gillam, R. Hill
Bioactive silicate glass-based (PerioGlas®) has been previously used to enhance periodontal bone regeneration. However, the degradation of this glass in the body fluid generates a high pH (>8) which may enhance the growth of periodontopathic bacteria, such as Porphyromonas gingivalis ( P. gingivalis ) thereby inhibiting osteoblastic activity. The aim of this study was to: (i) develop a mixture of a phosphate and silicate glass to produce a more neutral pH environment where the alkaline pH arising from the bioactive silicate glass can be offset by the acidity of phosphate glass, (ii) whether the alkaline phosphatase enzyme (ALP) when added to the silicate/phosphate glass mixture can enzymatically hydrolyse the Q2 metaphosphate chains to release Q0 orthophosphate species that can be used in forming apatite and bone mineralization. For this purpose, nine compositions of bioactive silicate/ phosphate glass-mixtures were prepared. The glass bioactivity was performed by immersing the prepared glass mixtures in ALP containing Tris buffer solution. The pH change in solutions was measured as a function of time. The glass mixtures degradation and apatite formation were investigated by 31P Solid and 31P Solution Nuclear Magnetic Resonance (NMR) spectroscopies. The results showed that the pH behaviour was modulated by immersing the glass-mixtures in buffered solutions. Solid and Solution NMR revealed that the terminal Q1 species belonging to the Q2-metaphosphate chains was hydrolysed by the ALP and converted into a Q0 orthophosphate species. In conclusion, the glass mixtures regulated the pH through its degradation stepwise on immersion. The output of the NMR spectra significantly supported the enzymatic degradation of glass mixtures with ALP enabling apatite precipitation for new bone formation. The concept of using silicate/phosphate glass mixtures with ALP is innovative and pioneering technology, suggesting its potentiality to develop new biomedical materials for different applications.
生物活性硅酸盐玻璃基(PerioGlas®)先前已用于促进牙周骨再生。然而,这种玻璃在体液中的降解会产生高pH值(>8),这可能会促进牙周病细菌的生长,例如牙龈卟啉单胞菌(P. gingivalis),从而抑制成骨细胞的活性。本研究的目的是:(i)开发的混合磷酸盐和硅酸盐玻璃产生一个更中立生物活性引发的酸碱环境中碱性硅酸盐玻璃可以抵消磷酸盐玻璃的酸度,(ii)碱性磷酸酶(ALP)的酶是否当添加到硅酸盐/磷酸盐玻璃混合物可以保持酶的水解Q2偏磷酸盐链释放Q0正磷酸盐的物种可以用于形成磷灰石和骨矿化。为此,制备了9种具有生物活性的硅酸盐/磷酸盐玻璃混合物。将制备好的玻璃混合物浸泡在含有Tris缓冲液的ALP中,测定玻璃的生物活性。测量溶液中pH值随时间的变化。利用31P固体和31P溶液核磁共振(NMR)研究了玻璃混合物的降解和磷灰石的形成。结果表明,将玻璃混合物浸泡在缓冲溶液中可以调节pH值的行为。固体核磁共振和溶液核磁共振表明,末端q2 -偏磷酸链的Q1种被ALP水解转化为Q0正磷酸。综上所述,玻璃混合物通过其在浸泡过程中的逐步降解来调节pH。核磁共振光谱的输出显著支持酶降解玻璃混合物与ALP使磷灰石沉淀新骨形成。在ALP中使用硅酸盐/磷酸盐玻璃混合物的概念是一种创新和开创性的技术,表明其具有开发不同应用的新型生物医学材料的潜力。
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引用次数: 1
Treatment Planning for Paediatric Exodontia under General Anaesthesia: A Re-Audit 全麻下儿童外牙的治疗计划:再审核
Pub Date : 2021-10-01 DOI: 10.31038/jdmr.2021424
I. Zaman
This re-audit of paediatric exodontia under general anaesthetic assessed seventy one patients’ GA records across three boroughs in the directorate Bury, Oldham and Rochdale between 02/01/2020 to 17/03/2020. It assessed compliance with Pennine Care local guidelines including: • The justification for GA • Attendance at a dedicated POA • Pre-operative radiographs and their justification • Pre-operative restorations • Were patients caries free following GA? • Were guidelines adhered to when extracting FPM’s including orthodontic considerations? • Were first permanent molars balanced/compensated where appropriate? • Were all poor prognosis deciduous teeth extracted under GA? • Was appropriate consideration given to balancing/compensating extractions? • Record keeping standards • Were patients appropriately discharged/reviewed? Results were varied and showed good compliance with some parts of the guidelines such as 70/71 (98.6%) patients having dedicated POA in the re-audit. The percentage of patients with a dedicated oral health appointment rose from 13.9% (11/79) for Cycle 1 to 38.0% (27/71) for Cycle 2 which is a 24.1% improvement. The percentage of patients without documented justification for a lack of radiographs dropped from 26.5% (9/34) for Cycle 1 to 9.1% (3/33) for Cycle 2. This shows a 17.4% improvement. There were improvements in the numbers of patients having appropriate balancing extractions for unilaterally carious deciduous canines: 6/9 (66.7%) for Cycle 1 and 11/13 (84.6%) for Cycle 2. This shows an improvement of 17.9% 24/26 of patients (92.3%) in Cycle 2 who had planned extraction of FPM’s had pre-operative x-rays and there were some improvements in the number of patients with documented orthodontic considerations compared to Cycle 1. For example: The number of patients with documented assessment of crowding rose from 16.7% (4/24) in Cycle 1 to 85.2% (23/27) in Cycle 2. This is a 71.8% improvement. The percentage of patients who were advised of the risk of future mesial tipping or malocclusion of the second permanent molars rose from 8.3% (2/24) in C1 to 57.7% (15/26) in C2. This is a 49.4% improvement. 94.3% (67/71) of patients were caries free following completion of GA in the re-audit whereas the target is 100%. However, some of these findings appear to be record keeping errors. Greater consistency is needed regarding record keeping as well as the post-operative review/discharge process. A greater awareness of the guidelines would be helpful.
在全身麻醉下对儿科外牙进行的重新审计评估了2020年2月1日至2020年3月17日期间伯里,奥尔德姆和罗奇代尔三个行政区的71名患者的GA记录。它评估了对Pennine Care当地指南的依从性,包括:•GA的理由•参加专门的POA•术前x线片及其理由•术前修复•患者在GA后是否无龋?•在拔牙时是否遵循指南,包括正畸方面的考虑?•第一恒磨牙是否得到适当的平衡/补偿?•预后不良的乳牙是否全部在GA下拔除?•是否适当考虑平衡/补偿提取?•患者是否适当出院/复查?结果各不相同,并且对指南的某些部分有很好的依从性,例如70/71(98.6%)的患者在重新审核中有专门的POA。接受专门口腔健康预约的患者比例从第1周期的13.9%(11/79)上升到第2周期的38.0%(27/71),提高了24.1%。无证据证明缺乏x光片的患者百分比从第1周期的26.5%(9/34)下降到第2周期的9.1%(3/33)。这显示了17.4%的改进。对单侧乳牙进行适当平衡拔牙的患者数量有所改善:第1周期为6/9(66.7%),第2周期为11/13(84.6%)。这表明,在第2周期中,计划拔牙的患者中有17.9% /26(92.3%)进行了术前x光检查,与第1周期相比,记录在案的正畸考虑的患者数量有所改善。例如:有记录的拥挤评估的患者数量从第1周期的16.7%(4/24)上升到第2周期的85.2%(23/27)。这是71.8%的改善。被告知未来第二恒磨牙中端倾斜或错颌风险的患者比例从C1组的8.3%(2/24)上升到C2组的57.7%(15/26)。这是49.4%的改进。94.3%(67/71)的患者在复查GA完成后无龋,而目标为100%。然而,其中一些发现似乎是记录错误。在记录保存和术后复查/出院过程方面需要更大的一致性。更多地了解这些指导方针将会有所帮助。
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引用次数: 0
Perception and Understanding of Greek Dentists on Periodontal Regenerative Procedures: A Questionnaire Based Study 希腊牙医对牙周再生手术的认知和理解:一项基于问卷的研究
Pub Date : 2020-12-17 DOI: 10.31038/jdmr.2020351
Chatzopoulou, Sakellari, D. Gillam
Objectives: The aim of this cross-sectional questionnaire study was to evaluate the perception and preferences of Greek dentists who either specialised in or had an interest in periodontal regenerative procedures and to compare the results with corresponding findings from two previous studies from different countries. Materials and methods: The questionnaire was divided in two main sections and included multiple choice and/or open/closed questions. The first section consisted of six questions and was designed to collect demographic data of the sample and the second section, consisting of 15 questions, included general questions regarding periodontal regeneration procedures and questions based on specific clinical cases. 200 questionnaires were distributed at selected venues in Greece by the investigators. The participants were given one month to complete and return to the questionnaires to the School of Dentistry in Thessaloniki. Statistical analysis: Data management and analysis was performed using both Microsoft Excel 2007® (Microsoft Corporation, Reading, UK) and SPSS® version 22.0 software (IBM United Kingdom Ltd, Portsmouth, UK). Frequencies and associations between the demographic profiles of the participants were evaluated and presented in the form of frequency tables, charts, and figures. Results: 104 questionnaires (67 males, 37 females: mean age 43.2 years [±9.8]) (52% response rate) were received. Of those who responded 56.7% (n=59) specialized in Periodontics and 43.3% (n=45) specialized in a variety of other dental disciplines (General Dentistry, Oral Surgery and Implantology). Guided tissue regeneration procedures and the use of enamel matrix derivative were recommended for the reconstruction of bony defects and both subepithelial connective tissue graft and coronally advanced flap with or without enamel matrix derivative were the most popular choices for root coverage. Smoking was considered a contraindication by most of the participants and conflicting responses were given regarding the use of antibiotics as part of the post-operative care following regenerative procedures.
目的:这项横断面问卷调查的目的是评估希腊牙医的看法和偏好,他们要么专门从事牙周再生手术,要么对牙周再生手术感兴趣,并将结果与之前来自不同国家的两项研究的相应结果进行比较。材料和方法:问卷分为两个主要部分,包括选择题和/或开放式/封闭式问题。第一部分包括6个问题,旨在收集样本的人口统计数据;第二部分包括15个问题,包括有关牙周再生手术的一般问题和基于特定临床病例的问题。调查人员在希腊选定的地点分发了200份调查问卷。参与者被要求在一个月内完成并将调查问卷交回塞萨洛尼基牙科学院。统计分析:使用Microsoft Excel 2007®(Microsoft Corporation, Reading, UK)和SPSS®version 22.0软件(IBM United Kingdom Ltd, Portsmouth, UK)进行数据管理和分析。参与者的人口统计资料之间的频率和关联被评估并以频率表、图表和数字的形式呈现。结果:共收到问卷104份,其中男性67份,女性37份,平均年龄43.2岁[±9.8],回复率52%。在应答者中,56.7% (n=59)的专业是牙周病,43.3% (n=45)的专业是其他牙科学科(普通牙科、口腔外科和种植学)。在骨性缺损的重建中,推荐使用组织再生和牙釉质基质衍生物,而上皮下结缔组织移植物和带或不带牙釉质基质衍生物的冠状晚期皮瓣是最受欢迎的根覆盖选择。大多数参与者认为吸烟是一种禁忌症,对于再生手术后使用抗生素作为术后护理的一部分,给出了相互矛盾的反应。
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引用次数: 0
A Large Palatal Swelling – Not Just a Dental Abscess 一个大的腭肿胀-不只是牙脓肿
Pub Date : 2020-11-26 DOI: 10.31038/jdmr.2020343
N. Patel, A. Razzak, B. Castling
Intraoral swellings are a clinical presentation of a wide range of pathology, and clinicians should use a diagnostic sieve to rule out possible causes (Figure 1). Often intra-oral swellings can be associated with a non-vital tooth, which can cause a periapical abscess, whereby bacteria and their associated toxins spread through the apical foramen of a tooth and cause abscess formation [1]. Chronic infection in the apical tissues can initiate the development of an inflammatory cyst.
口腔内肿胀是多种病理的临床表现,临床医生应使用诊断筛来排除可能的原因(图1)。口腔内肿胀通常与非重要牙齿有关,可引起根尖周脓肿,细菌及其相关毒素通过牙齿的根尖孔扩散,导致脓肿形成[1]。根尖组织的慢性感染可引发炎性囊肿的发展。
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引用次数: 0
Complexity of Denture Plaque Biofilms 义齿菌斑生物膜的复杂性
Pub Date : 2020-11-20 DOI: 10.31038/jdmr.2020342
P. Bars, A. Kouadio, F. Jordana
Background: This article provides an overview of denture plaque as both a microbiota community and a biofilm. The most promising strategies to ascertain the differences between biofilms formed by commensal populations and those related to increased pathogenesis and persistent infections This literature review covers the microbial communities colonizing dentures and their relationship to oral health. Supported by in vivo and in vitro studies, we highlight emerging–targeting strategies for physical and mechanical therapies intended to limit biofilm formation. Nevertheless, many challenges to eradicating mature biofilms are discussed. Conclusions: Oral biofilms in the denture wearer can be controlled with daily hygiene but cannot be totally eradicated. To prevent the pathogenesis of denture biofilm, the biomass on the denture surface and the bioburden in the oral cavity must be reduced focusing on not only the inhibition of putative pathogens, but also interference with environmental factors that drive selection and enrichment. Clinical implications: An effective oral hygiene regimen targeting dentures, saliva planktonic cells, mucosa, and the remaining teeth, whether or not they are affected by periodontal diseases, is necessary to control biofilm, particularly in the presence of many general diseases.
背景:本文综述了义齿菌斑作为微生物群落和生物膜的作用。确定共生种群形成的生物膜与那些与增加发病机制和持续感染有关的生物膜之间差异的最有希望的策略。本文综述了定植义齿的微生物群落及其与口腔健康的关系。在体内和体外研究的支持下,我们强调了旨在限制生物膜形成的物理和机械治疗的新兴靶向策略。然而,许多挑战根除成熟的生物膜进行了讨论。结论:义齿佩戴者口腔生物膜可通过日常卫生控制,但不能完全根除。为了防止义齿生物膜的发生,必须减少义齿表面的生物量和口腔内的生物负担,不仅要注意抑制假定的病原体,还要注意干扰驱动选择和富集的环境因素。临床意义:针对假牙、唾液浮游细胞、粘膜和剩余牙齿的有效口腔卫生方案对于控制生物膜是必要的,无论它们是否受到牙周病的影响,特别是在许多一般疾病存在的情况下。
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引用次数: 0
Computerised Dynamic Occlusal Study with T-Scan III System in Patients Treated with Stabilisation Splint 用T-Scan III系统对使用稳定夹板的患者进行计算机化动态咬合研究
Pub Date : 2020-11-18 DOI: 10.31038/jdmr.2020341
N. GilCalleJ., T. SánchezSánchez, Redondo de Mena, A. López, A. García
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引用次数: 0
期刊
Journal of Dental and Maxillofacial Research
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