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Evaluation of Bone Regeneration Efficacy in a Rabbit Model of Femoral Condyles Defect by Polyphenols-Containing Bone Filler 含多酚骨填充物对兔股骨髁缺损模型骨再生效果的评价
Pub Date : 2020-11-15 DOI: 10.31038/jdmr.2020334
G. Iviglia, C. Cassinelli, José Luis Peris Serra, Víctor Javier Primo Capella, M. Morra
Replacement of bone loss or reconstruction of bone defect is still a clinical challenge. Different type of bone substitutes are used in clinical practice for treating bone defect caused by trauma, osteoporosis or dental pathology such as periodontitis [1,2]. The mode of action of the biomaterials available on the market mainly relies on mechanical support and is thus limited to providing a functional scaffold for cell adhesion. Synthetic bone fillers, mostly based on calcium phosphate materials, have been widely used due to their good reproducibility, biocompatibility, non-immunogenicity, and also because they offer the opportunity of advanced material engineering [3,4]. Hydroxyapatite (HA) and β-tricalcium phosphate (β-TCP) are widely used in bone tissue engineering as bone filler particles [5,6].
骨丢失的置换或骨缺损的重建仍是临床面临的挑战。不同类型的骨替代品在临床实践中用于治疗创伤、骨质疏松或牙周炎等口腔病理引起的骨缺损[1,2]。市场上可用的生物材料的作用方式主要依赖于机械支持,因此仅限于提供细胞粘附的功能性支架。合成骨填充物主要以磷酸钙材料为基础,由于其具有良好的可重复性、生物相容性、非免疫原性,同时也为先进的材料工程提供了机会,因此得到了广泛的应用[3,4]。羟基磷灰石(HA)和β-磷酸三钙(β-TCP)作为骨填充颗粒广泛应用于骨组织工程中[5,6]。
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引用次数: 0
Letter to the Editor - Open Bite Malocclusion: Analysis of the Underlying Components 致编辑的信-开咬错颌:基础成分的分析
Pub Date : 2020-11-15 DOI: 10.31038/jdmr.2020333
Heba E Akl, Amira A. Aboalnaga, Y. Mostafa
Treatment of AOB should not be viewed as simple as placing a tongue crib for growing individuals, and treating adult patients with posterior segments intrusion or orthognathic surgery. Tongue size & position, incisal show at rest and on smiling, mandibular plane steepness and lip competence should all be closely monitored before planning what should be done. There is still a need for a detailed systematic analysis of all these components and relating these findings to the possible treatment options to serve as a guide for orthodontists in dealing with such difficult cases. This is currently our area of interest and we are working as a team to establish a schematic approach, aiming to specifically recognize the exact components of AOB malocclusion and target our treatment accordingly.
治疗AOB不应被视为简单的放置舌床为成长的个体,并治疗成人患者的后节侵入或正颌手术。舌头的大小和位置,休息时和微笑时的切牙,下颌平面的陡峭度和嘴唇的能力都应该在计划应该做什么之前密切监测。仍然需要对所有这些组成部分进行详细的系统分析,并将这些发现与可能的治疗方案联系起来,作为正畸医生处理此类困难病例的指南。这是我们目前感兴趣的领域,我们正在作为一个团队建立一个示意图方法,旨在明确识别AOB错颌错的确切组成部分,并相应地确定我们的治疗目标。
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引用次数: 0
A Critical Evaluation of the Single-Use Policy of Endodontic Instruments 根管器械一次性使用政策的关键评价
Pub Date : 2020-08-04 DOI: 10.31038/jdmr.2020310
Reem AlYamoor, S. Stefanescu, Haider Al-Saffar, M. Chirila
Endodontic treatments involve accessing a sterile or non-sterile pulp chamber and root canal content, following an inflammation of the pulp or bacterial colonization of the pulp chamber and root canals, as a septic complication of decay. For this purpose, stainless steel instruments were developed in the last century and Ni-Ti files more recently, serving for different purposes during different procedures and manoeuvres having the unique goal to clean and seal the root canal respecting the biologic and mechanical principles stated by Schilder [1]. Newer (Ni-Ti) files not only increased the speed of the treatment but also managed to assure a proper shape of the canal preparation and subsequently, of the canal filling. Being so useful, reliable, resistant, and ultimately, not cheap, the initially single-use instruments got to be reused by a wide number of practitioners for at least 5 times, with great success, being assured by the manufacturers that both files and the tooth are safe. There are reports of file reuse on 12 [2] or 24 [3] extracted roots having medium curvature.
牙髓治疗包括进入无菌或非无菌牙髓室和根管内容物,在牙髓炎症或牙髓室和根管细菌定植后,作为腐烂的脓毒性并发症。为此,不锈钢器械在上个世纪被开发出来,Ni-Ti锉在最近被开发出来,在不同的程序和操作中服务于不同的目的,具有独特的目标,即清洁和密封根管,尊重希尔德[1]所陈述的生物和机械原理。较新的(Ni-Ti)锉不仅提高了治疗的速度,而且还设法确保根管准备和随后的根管填充的适当形状。由于非常有用、可靠、耐用,而且最终并不便宜,最初的一次性器械被大量的从业者重复使用了至少5次,取得了巨大的成功,制造商保证锉和牙齿都是安全的。有报告称,在12 b[3]或24 b[3]具有中等曲率的提取根上有文件重用。
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引用次数: 0
Mouthwash Use and Associated Factors among Saudi Adults: A Cross-sectional Study 沙特成年人漱口水使用及相关因素:一项横断面研究
Pub Date : 2020-07-09 DOI: 10.31038/jdmr.2020323
R. Al-Kattan, Eman Allam, M. Qadoumi, Nouf Alshibani
Mouthwashes are medicated solutions used as a supplement oral hygiene measure. Several oral conditions may require the use of a mouthwash ranging from halitosis, gingivitis and other periodontal diseases to treatment of ulcerative and infectious lesions and oral mucositis. Its ease of use in addition to the antibacterial effectiveness made mouthwashes a valuable preventive and therapeutic practice especially for periodontal diseases. A mouthwash may be recommended as an antimicrobial, anti-inflammatory, analgesic, deodorant, or astringent agent [1-3].
漱口水是一种用于补充口腔卫生措施的药物溶液。一些口腔疾病可能需要使用漱口水,从口臭、牙龈炎和其他牙周病到治疗溃疡和感染性病变以及口腔粘膜炎。它的易用性和抗菌效果使漱口水成为一种有价值的预防和治疗方法,特别是对牙周病。漱口水可以作为抗菌、消炎、止痛、除臭剂或收敛剂[1-3]。
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引用次数: 0
Corona Virus Transmission and Controls Challenge Mystery for Dentists (Systematic Review) 牙医面临的冠状病毒传播和控制挑战之谜(系统综述)
Pub Date : 2020-07-07 DOI: 10.31038/jdmr.2020322
R. Al-Rawee, Mustafa Mohammed Saeed
In 10th March 2020, the whole world faces a globally dangerous random attack by specific, enveloped, nonsegmented, single-strand RNA viruses termed as Coronavirus [1,2]. The Challenge attack story started, in December 2019 when the World Health Organization) WHO( in China Wuhan state received information regarding some cases were detected of pneumonia of unknown aetiology [3] and extracting a novel coronavirus from lower respiratory tract sample of many cases. This novel beta coronavirus presently named 2019 novel coronavirus (2019-nCoV) [4].
2020年3月10日,全世界将面临一场全球性危险的随机攻击,这种攻击来自被称为冠状病毒的特异性、包膜、非分段的单链RNA病毒[1,2]。挑战攻击的故事始于2019年12月,当时世界卫生组织(世卫组织)在中国武汉市收到了一些病例被检测出病因不明的肺炎的信息[3],并从许多病例的下呼吸道样本中提取了一种新型冠状病毒。这种新型β冠状病毒目前被命名为2019新型冠状病毒(2019- ncov)[4]。
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引用次数: 0
Low Level Diode Laser Therapy versus Surgical Abrasion in the Treatment of Gingival Racial Pigmentation – Clinical Study 低能级二极管激光治疗与手术磨耗治疗牙龈有色色素沉着的临床研究
Pub Date : 2020-07-06 DOI: 10.31038/jdmr.2020324
Samah Elsaid Mohammed El Behary, Ebtesam Abd ELKhalek El-Zefzaf, Sahar M. F. Ghoraba
Healthy oral mucosa is pink in color, but it can vary from light to dark pink depending on the thickness of epithelium, the amount of melanin and the number of erythrocytes present in the connective tissue vessels and their proximity to the surface. Gingival pigmentation is defined as color change of the gingiva from variable shades of pink to dark brown or black due to genetic factors which is the most important endogenous factor responsible for increased production of melanin by melanocytes, or pathological factors. Some other exogenous factors such as ultra violet radiation (UV), smoking and medications may also increase melanin synthesis [1]. Genetics Racial gingival pigmentation is a common esthetic concern, which is aggravated in patients with excessive gingival display and more common noticed in adults, the attached gingiva is the most common site of involvement in the anterior region of the maxilla and mandible followed by the buccal mucosa, lip corners, lip mucosa, dorsal and ventral surface of the tongue and rarely the floor of the mouth [2] Kauzman [3] were broadly classified the gingival pigmentation into: Research Article
健康的口腔黏膜呈粉红色,但根据上皮的厚度、结缔组织血管中黑色素的数量和红细胞的数量及其与表面的接近程度,其颜色可以从浅粉红色到深粉红色不等。牙龈色素沉着是指由于遗传因素或病理因素(遗传因素是黑色素细胞产生黑色素增加的最重要的内源性因素)导致的牙龈颜色由深浅不等的粉红色变为深褐色或黑色。其他一些外源因素如紫外线、吸烟和药物也可能增加黑色素合成[1]。种族牙龈色素沉着是一种常见的审美问题,在牙龈过度展示的患者中加重,在成人中更为常见,附着龈是最常见的受累部位,在上颌和下颌骨的前区,其次是颊粘膜、唇角、唇粘膜、舌背和腹面,很少发生在口腔底[2]Kauzman[3]将牙龈色素沉着大致分为
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引用次数: 0
Dental perspective on radioactive nuclides in humans living on the premisses of uranium mining facilities 生活在铀矿开采设施内的人类的放射性核素的牙科观点
Pub Date : 2020-05-31 DOI: 10.31038/jdmr.2020304
S. Stefanescu, Alexandru Buciu, Alexandru Branislav Cirin
Radon is a radioactive gas, generated by uranium deposits. It is emitted normally by rocks, earth’s crust, and it can delve inside the buildings through planking, wall cracks, or along the pipes [1]. It can be present not only in the air but also in soil and construction materials. In areas with high potential risk (i.e. uranium mines), radon’s air concentration can reach high values due to both soil and construction materials [2]. Recent researches showed that radon is the main source of population’s natural irradiation, contributing with approximately 57% to the effective annual radiation dose and it can rise, in certain areas, to a contribution of 95%, cases in which the exposure to natural radiation is 5-10 times higher than the medium exposure value of 2,2 mSv/year [2,3].
氡是一种放射性气体,由铀矿床产生。它通常由岩石、地壳发出,它可以通过木板、墙壁裂缝或沿着管道深入建筑物内部[1]。它不仅存在于空气中,也存在于土壤和建筑材料中。在高潜在风险地区(如铀矿),由于土壤和建筑材料的影响,氡的空气浓度可达到很高的值[2]。最近的研究表明,氡是人口自然辐射的主要来源,对年有效辐射剂量的贡献约为57%,在某些地区,当自然辐射暴露量比中等暴露值(2,2 mSv/年)高5-10倍时,氡的贡献可上升至95%[2,3]。
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引用次数: 1
What is the most effective mouthwash in patients infected with covid-19 to minimize possible transmission by saliva? Update. 对于感染covid-19的患者来说,哪种漱口水最有效,可以最大限度地减少唾液传播的可能性?更新。
Pub Date : 2020-04-17 DOI: 10.31038/jdmr.2020315
J. Roca
lower respiratory tract infection. All patients were initially diagnosed by RT-PCR from oro- or nasopharyngeal Abstract Objectives : To study if some antiseptic agent rinse can reduce the viral load of COVID-19 in the infected patients to minimize its virulence in respiratory tract, and therefore the contagious. Materials and Methods: To analyze of scientific articles published in the last months, about the use and effectivity of some mouthwash against COVID-19 and write an update. Rinses, as an adjunctive measure for containing the COVID-19 transmission, are important to keep in mind, but there are very few articles on COVID-19 that cover mouthwashes. Conclusions: A concentration of 1% - 1.5% hydrogen peroxide solution or 1% - 0.2% povidone-iodine seem to be an effective mouthwash to reduce the viral load in oral cavity of COVID-19. Clinical Relevance: Due to COVID-19 pandemic, we are suffering, and growing information about this virus, questions about which antiseptic rinse to use to decrease the viral load is essential.
下呼吸道感染。目的:研究某种消毒剂冲洗是否能降低感染患者体内的COVID-19病毒载量,从而降低其在呼吸道的毒力,从而降低传染性。材料和方法:分析近几个月发表的关于某些漱口水对抗COVID-19的使用和有效性的科学文章,并撰写更新。漱口作为控制COVID-19传播的辅助措施,很重要,但关于COVID-19的文章很少涉及漱口水。结论:1% ~ 1.5%过氧化氢溶液或1% ~ 0.2%聚维酮碘是降低新冠病毒口腔病毒载量的有效漱口水。临床相关性:由于COVID-19大流行,我们正在遭受痛苦,关于这种病毒的信息越来越多,关于使用哪种消毒漱口水来减少病毒载量的问题至关重要。
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引用次数: 2
UK Specialists’ and GDPs’ Use of Systemic and Local Antimicrobial Administration in Periodontal Therapy: A Questionnaire Study 英国专家和国内生产总值在牙周治疗中使用系统和局部抗菌药物:一项问卷调查研究
Pub Date : 2020-02-14 DOI: 10.31038/jdmr.2020312
E. Padtong, W. Turner, D. Gillam
Aim: The aim of the present study was to evaluate the use of antimicrobials, the prescription patterns and the reason(s) for prescribing antimicrobials when treating periodontal disease in selected UK General Dental Practitioner (GDP) and Periodontal Specialists. Materials & Methods: The questionnaire consisted of 21 questions and was sent to 488 Periodontal Specialists and 488 GDPs. Data management and analysis was performed using Microsoft Excel, SPSS® version 22.0 software and frequency distributions, cross tabulation tables and graphs were constructed from the data. Any association between variables was tested at the 5 % level of significance (P≤ 0.05). Results: The questionnaires were completed by the Specialists (38.72%) (n=189) and 23.36% (n=114) of the GDPs. The results indicated that the use of systemic and local antimicrobials followed the current guidelines. Specialists prescribed more systemic antimicrobials than the GDPs, although Specialists limited the use of local antimicrobials. The GDPs reported that decision making was difficult when to use local antimicrobials although recognised that using local antimicrobials were more effective than root surface debridement alone. Other reasons for using antimicrobials were based either on the patient request or patient satisfaction with the treatment. Lower frequency of antimicrobial use was reported in regeneration and implant procedures by both Specialists and GDPs although the Specialists were more inclined to use antibiotics/antimicrobials in these procedures. Conclusions: The results of the study suggested that there was a need for dentists to follow current guidelines when prescribing antibiotics/antimicrobials in order to avoid unnecessary prescriptions, antibiotic resistance and adverse drug reactions.
目的:本研究的目的是评估抗菌药物的使用,处方模式和处方的原因(s)当治疗牙周病在选定的英国普通牙科医生(GDP)和牙周专家。材料与方法:问卷共21个问题,共发放给488名牙周专科医生和488名国内生产总值。使用Microsoft Excel、SPSS®version 22.0软件对数据进行管理和分析,并根据数据构建频率分布、交叉表和图表。变量之间的相关性在5%显著性水平下进行检验(P≤0.05)。结果:问卷的完成率分别为38.72% (n=189)和23.36% (n=114)。结果表明,系统和局部抗菌素的使用符合现行指南。尽管专家限制使用局部抗菌剂,但专家开出的全身性抗菌剂比国内生产总值更多。国内生产总值报告说,尽管认识到使用局部抗菌剂比单独使用根表面清创更有效,但在使用局部抗菌剂时很难做出决策。使用抗菌素的其他原因是基于患者的要求或患者对治疗的满意度。尽管专家更倾向于在这些手术中使用抗生素/抗菌素,但专家和国内生产总值在再生和植入手术中使用抗菌药物的频率较低。结论:本研究结果提示,牙医在开具抗生素/抗菌素处方时有必要遵循现行指南,以避免不必要的处方、抗生素耐药性和药物不良反应。
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引用次数: 0
An In Vitro Comparison of A Novel Self-Assembling Peptide Matrix Gel and Selected Desensitizing Toothpastes in Reducing Fluid Flow by Dentine Tubular Occlusion 一种新型自组装肽基质凝胶与特定脱敏牙膏在牙本质小管闭塞时减少液体流动的体外比较
Pub Date : 2019-11-04 DOI: 10.21203/rs.2.16822/v1
R. Hill, H. Chen, D. A. Lysek, D. Gillam
Background: The objective of the present in vitro study was to evaluate the ability of a novel self-assembling peptide matrix gel with calcium phosphate in effectively occluding dentine tubules compared to selected desensitizing toothpastes. Methods: Mid-coronal dentine discs with a thickness of 1 mm were sectioned from caries-free human molars. The discs were etched with 6% citric acid for 2 minutes, halved and subjected to a 2-minute brushing with a novel gel (SAPM) and three selected desensitizing toothpastes ([SRP], [SRR] and [CSP]). The ability of the desensitizing gel and toothpastes to occlude the dentine tubules was assessed and compared before and after brushing using Scanning Electron Microscopy (SEM) on both etched and fractured dentine surfaces. The SEM observations were supplemented by hydraulic conductance measurements using a modified Pashley model before and after tooth brushing (n=5). Results: The results demonstrated that there was a reduction in both the number and the diameter of the open dentine tubules, which was evident for all the treated dentine discs. The particles that occluded the open dentine tubules, however had different morphologies and distribution. The self-assembling peptide matrix gel (SAPM) demonstrated the greater reduction in the number of open tubules compared to the other desensitizing toothpastes. Reductions in the hydraulic conductance measurements were observed for all tested materials (mean [SD, %]: SAPM 55.1 [12.5], SRP 64.9 [18.5], SRR 39.1 [17.1] and CSP 27.6 [6.8]). No statistically differences were observed between the SAPM and SRP, SRR toothpastes (paired t-Test; ≤0.05) although a significant difference was noted between the SAPM and the CSP toothpastes. There was an overall trend for reduction for the SAPM compared to the SRR toothpaste. Conclusion: The results would suggest that a novel self-assembling peptide matrix gel (SAPM) was effective in blocking the dentine tubules and may therefore have the potential to be an effective desensitizing product for the treatment of Dentine Hypersensitivity.
背景:目前体外研究的目的是评估一种新型自组装肽基质凝胶与磷酸钙在有效封闭牙本质小管的能力,并与选定的脱敏牙膏进行比较。方法:从无龋的人磨牙上切下厚度为1mm的中冠牙本质盘。用6%的柠檬酸蚀刻牙盘2分钟,将牙盘切成两半,然后用一种新型凝胶(SAPM)和三种选定的脱敏牙膏([SRP]、[SRR]和[CSP])刷牙盘2分钟。通过扫描电子显微镜(SEM)对蚀刻和断裂的牙本质表面进行扫描,评估和比较了脱敏凝胶和牙膏在刷牙前后对牙本质小管的封闭能力。扫描电镜观察辅以使用改进的Pashley模型测量刷牙前后的水力导度(n=5)。结果:结果表明,开放的牙本质小管的数量和直径都减少了,这在所有治疗的牙本质盘上都是明显的。然而,堵塞开放牙本质小管的颗粒具有不同的形态和分布。自组装肽基质凝胶(SAPM)与其他脱敏牙膏相比,开放小管的数量减少得更多。所有测试材料的水力导度测量值均有所降低(平均[SD, %]: SAPM 55.1 [12.5], SRP 64.9 [18.5], SRR 39.1[17.1]和CSP 27.6[6.8])。SAPM与SRP、SRR牙膏比较,差异无统计学意义(配对t检验;≤0.05),但SAPM牙膏与CSP牙膏之间存在显著差异。与SRR牙膏相比,SAPM的总体趋势是减少的。结论:一种新型自组装肽基质凝胶(SAPM)能有效阻断牙本质小管,有可能成为治疗牙本质过敏的有效脱敏产品。
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引用次数: 2
期刊
Journal of Dental and Maxillofacial Research
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