Mahmoud El Saafin, Cristina Stanca Molnar, I. Zetu, D. Manuc, Simina Neagoe, M. Pacurar
The objective of this study is to investigate the effect of different light curing times on the shear strength and remanence index of the adhesive. The light curing intensity was presented by Woodpecker LED light curing unit (2500 mw/cm2). The study was performed on groups of extracted premolars: The first and second groups had a light-curing time of 3 seconds, and the third and fourth groups had a light-curing time of 6 seconds. However, the first and third groups were tested after 24 hours, and the second and fourth groups after 14 days. The study showed that increasing the light curing intensity, exposure time and the time after the brackets bonding will increase SBS and will decrease ARI on the other hand, using light curing unit (2500 mw/cm2) with 6 seconds light exposer will produce sufficient SBS, and 3 seconds light cure exposer (2500 mw/cm2) will produce insufficient SBS.
{"title":"The relationship between light curing time, shear bond strength (SBS) and remanence index of adhesive (ARI)","authors":"Mahmoud El Saafin, Cristina Stanca Molnar, I. Zetu, D. Manuc, Simina Neagoe, M. Pacurar","doi":"10.37897/rjs.2022.3.6","DOIUrl":"https://doi.org/10.37897/rjs.2022.3.6","url":null,"abstract":"The objective of this study is to investigate the effect of different light curing times on the shear strength and remanence index of the adhesive. The light curing intensity was presented by Woodpecker LED light curing unit (2500 mw/cm2). The study was performed on groups of extracted premolars: The first and second groups had a light-curing time of 3 seconds, and the third and fourth groups had a light-curing time of 6 seconds. However, the first and third groups were tested after 24 hours, and the second and fourth groups after 14 days. The study showed that increasing the light curing intensity, exposure time and the time after the brackets bonding will increase SBS and will decrease ARI on the other hand, using light curing unit (2500 mw/cm2) with 6 seconds light exposer will produce sufficient SBS, and 3 seconds light cure exposer (2500 mw/cm2) will produce insufficient SBS.","PeriodicalId":33514,"journal":{"name":"Revista Romana de Stomatologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45749049","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}
I. Panainte, E. Bud, Manuela Chibelean, Mahmoud El Saafin, I. Zetu, D. Daragiu, M. Pacurar
Orthodontic treatment of dento-maxillary anomalies is a common therapeutic intervention, with a growing number of pediatric and adult patients requiring it [1]. The raising understanding of the need for this treatment option has led to a shift in the addressability of various social groups, leading to an increase in adult patients' interest [2]. Orthodontic treatment in adult patient is more dificult because the bone remodeling is hard to do and thereis not growing process. Cortiotomy consists of milling the alveolar bone, the vestibular board, in order to create small labor in which the dental displacement following the application of orthodontic force will be faster. The corticotomy is performed in local anesthesia, with bone cutters, under continuous cooling with saline. Orthodontic treatment in adult patient is more difficult because the bone remodeling is hard to do and thereis not growing process [3]. Filho et al. said that the introduction of this technique of corticotomy makes it possible to solve complex cases while providing an alternative to the classical approach, eliminating a number of inventients, such as dental extractions [4]. Despite the many benefits it can bring when it is integrated into orthodontic therapy to correct various dento-maxillary changes, the corticotomy is still regarded with some reluctance by orthodontists. Reitan et al. (2015) consider that the main reason is that the intervention is expensive and some consider it invasive [5]. In a similar study, Bos et al. (2005) points out that even for patients, the high costs of such an intervention can lead to its refusal, with the risk of obtaining results at the end of less satisfactory orthodontic treatment [1]. Dab et al. (2007) states that there is a direct link between the degree of dental displacement induced by the corticotomy and the type of dento-maxillary anomaly that needs to be corrected, but also the time of orthodontic treatment in which the surgery is performed [6]. Further experimental studies are also needed to understand in more detail the biological mechanisms and transformations that occur at the intervention level.
{"title":"Orthodontic tooth movement with and without corticotomy – A study realized on animal model","authors":"I. Panainte, E. Bud, Manuela Chibelean, Mahmoud El Saafin, I. Zetu, D. Daragiu, M. Pacurar","doi":"10.37897/rjs.2022.1.6","DOIUrl":"https://doi.org/10.37897/rjs.2022.1.6","url":null,"abstract":"Orthodontic treatment of dento-maxillary anomalies is a common therapeutic intervention, with a growing number of pediatric and adult patients requiring it [1]. The raising understanding of the need for this treatment option has led to a shift in the addressability of various social groups, leading to an increase in adult patients' interest [2]. Orthodontic treatment in adult patient is more dificult because the bone remodeling is hard to do and thereis not growing process. Cortiotomy consists of milling the alveolar bone, the vestibular board, in order to create small labor in which the dental displacement following the application of orthodontic force will be faster. The corticotomy is performed in local anesthesia, with bone cutters, under continuous cooling with saline. Orthodontic treatment in adult patient is more difficult because the bone remodeling is hard to do and thereis not growing process [3]. Filho et al. said that the introduction of this technique of corticotomy makes it possible to solve complex cases while providing an alternative to the classical approach, eliminating a number of inventients, such as dental extractions [4]. Despite the many benefits it can bring when it is integrated into orthodontic therapy to correct various dento-maxillary changes, the corticotomy is still regarded with some reluctance by orthodontists. Reitan et al. (2015) consider that the main reason is that the intervention is expensive and some consider it invasive [5]. In a similar study, Bos et al. (2005) points out that even for patients, the high costs of such an intervention can lead to its refusal, with the risk of obtaining results at the end of less satisfactory orthodontic treatment [1]. Dab et al. (2007) states that there is a direct link between the degree of dental displacement induced by the corticotomy and the type of dento-maxillary anomaly that needs to be corrected, but also the time of orthodontic treatment in which the surgery is performed [6]. Further experimental studies are also needed to understand in more detail the biological mechanisms and transformations that occur at the intervention level.","PeriodicalId":33514,"journal":{"name":"Revista Romana de Stomatologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43745070","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}
Alina Stanomir, I. Micu, A. Soancă, A. Ciurea, C. Pamfil, S. Rednic, Alexandra Roman
Systemic sclerosis (SSc) is a rare connective tissue disorder characterized by a wide range of manifestations, including oral changes. The pathogenesis of SSc is complex and remains incompletely understood. In the development of SSc following mechanisms are involved: immune activation, vascular alterations, and increased accumulation of extracellular collagen matrix. Genetics plays an important role in SSc development. Oral manifestations of SSc include microstomia, xerostomia, telangiectasia, periodontitis, increased width of the periodontal ligament, and alveolar bone resorption. These manifestations are a significant cause of comorbidities and a decreased quality of life in SSc patients. Education on oral hygiene and home-based orofacial physiotherapy may improve the oral status of these patients. A multidisciplinary team should be involved in the management of SSc.
{"title":"The impact of systemic sclerosis on oral health","authors":"Alina Stanomir, I. Micu, A. Soancă, A. Ciurea, C. Pamfil, S. Rednic, Alexandra Roman","doi":"10.37897/rjs.2022.2.1","DOIUrl":"https://doi.org/10.37897/rjs.2022.2.1","url":null,"abstract":"Systemic sclerosis (SSc) is a rare connective tissue disorder characterized by a wide range of manifestations, including oral changes. The pathogenesis of SSc is complex and remains incompletely understood. In the development of SSc following mechanisms are involved: immune activation, vascular alterations, and increased accumulation of extracellular collagen matrix. Genetics plays an important role in SSc development. Oral manifestations of SSc include microstomia, xerostomia, telangiectasia, periodontitis, increased width of the periodontal ligament, and alveolar bone resorption. These manifestations are a significant cause of comorbidities and a decreased quality of life in SSc patients. Education on oral hygiene and home-based orofacial physiotherapy may improve the oral status of these patients. A multidisciplinary team should be involved in the management of SSc.","PeriodicalId":33514,"journal":{"name":"Revista Romana de Stomatologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47210025","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}
S. Buduru, O. Almășan, Marius Todea, Loredana Mitariu, M. Miţariu, M. Pacurar, Manuela Tăut
Objectives. This study aimed at comparing the methodologies for achieving an occlusal-mesial ceramic inlay using both the conventional and digital methods in terms of workflow protocol, aesthetic and functional results, working time, but also costs and equipment needed. Material and methods. A 22-year-old patient presented with a direct mesio-occlusal composite restoration with a secondary marginal decay in tooth 3.6 that was subsequently restored by a ceramic inlay manufactured using both traditional and digital methods. Outcomes. The dental technician's talent, experience, and vision guided the technical process of creating the conventional inlay. The technical process of producing the digital inlay involved fewer laboratory stages, but also contamination risks than conventional ones, removing potential human errors associated with each stage and allowing possible changes to be made more quickly and efficiently. The conventional method took more time to complete all of the laboratory steps than the digital method. Conclusions. When compared to the digital method, the traditional method allowed the dental technician to achieve a high level of individualization of the prosthetic restoration. Digital techniques are a method of the future that is rapidly growing and improving. Digital techniques for obtaining an inlay involved high-performance equipment, which is pricey to purchase and maintain.
{"title":"Conventional compared to CAD/CAM ceramic inlay","authors":"S. Buduru, O. Almășan, Marius Todea, Loredana Mitariu, M. Miţariu, M. Pacurar, Manuela Tăut","doi":"10.37897/rjs.2022.2.6","DOIUrl":"https://doi.org/10.37897/rjs.2022.2.6","url":null,"abstract":"Objectives. This study aimed at comparing the methodologies for achieving an occlusal-mesial ceramic inlay using both the conventional and digital methods in terms of workflow protocol, aesthetic and functional results, working time, but also costs and equipment needed. Material and methods. A 22-year-old patient presented with a direct mesio-occlusal composite restoration with a secondary marginal decay in tooth 3.6 that was subsequently restored by a ceramic inlay manufactured using both traditional and digital methods. Outcomes. The dental technician's talent, experience, and vision guided the technical process of creating the conventional inlay. The technical process of producing the digital inlay involved fewer laboratory stages, but also contamination risks than conventional ones, removing potential human errors associated with each stage and allowing possible changes to be made more quickly and efficiently. The conventional method took more time to complete all of the laboratory steps than the digital method. Conclusions. When compared to the digital method, the traditional method allowed the dental technician to achieve a high level of individualization of the prosthetic restoration. Digital techniques are a method of the future that is rapidly growing and improving. Digital techniques for obtaining an inlay involved high-performance equipment, which is pricey to purchase and maintain.","PeriodicalId":33514,"journal":{"name":"Revista Romana de Stomatologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44140044","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}
The techniques and classical methods used to make fixed prosthetic restorations may involve recycled metal alloys from previous castings. The article presents an assessment of the procedures that dental technicians apply, the principles and criteria that are at the base of their choices and decisions when they use metal alloys in fixed prosthetic restorations. Objective. The article aims at the identification of the practices used by dental technicians in Romania when manufacturing non-noble metal alloys prosthetic suprastructures. Material and method. The data collection methodology is an attribute of both quantitative and qualitative research. Results. Over 50% of the dental laboratories are using classical methods of processing metal alloys, 82% of dental technicians use non-noble alloys (Cr-Ni, Cr-Co). 60.7% apply the recycling technique by reusing alloys and 46.4% of them are reusing the materials. Defining factors for choosing recycling process are determined on "personal appreciation based on experience in the field" and "financial-economic" criteria. Discussions. Scientific studies investigating the negative effects of recycling processes used for fixed prosthetic suprastructures emphasize on microstructural and chemical changes, consequences on the mechanical strength of the materials. They underline the strength in acidic environment, significant long-term toxic contribution in relation to the acidic environment of the oral cavity. Conclusions. The predominant use of classical laboratory methods favours the over-reuse of alloys left overs from previous melts as well as materials. The effects of these techniques are drastic and the cautious use is fundamental.
{"title":"The use of metal alloys in the manufacture of fixed prosthetic restorations","authors":"Gabriel Ciochindă, Mihai Augustin, G. Tanase","doi":"10.37897/rjs.2022.2.2","DOIUrl":"https://doi.org/10.37897/rjs.2022.2.2","url":null,"abstract":"The techniques and classical methods used to make fixed prosthetic restorations may involve recycled metal alloys from previous castings. The article presents an assessment of the procedures that dental technicians apply, the principles and criteria that are at the base of their choices and decisions when they use metal alloys in fixed prosthetic restorations. Objective. The article aims at the identification of the practices used by dental technicians in Romania when manufacturing non-noble metal alloys prosthetic suprastructures. Material and method. The data collection methodology is an attribute of both quantitative and qualitative research. Results. Over 50% of the dental laboratories are using classical methods of processing metal alloys, 82% of dental technicians use non-noble alloys (Cr-Ni, Cr-Co). 60.7% apply the recycling technique by reusing alloys and 46.4% of them are reusing the materials. Defining factors for choosing recycling process are determined on \"personal appreciation based on experience in the field\" and \"financial-economic\" criteria. Discussions. Scientific studies investigating the negative effects of recycling processes used for fixed prosthetic suprastructures emphasize on microstructural and chemical changes, consequences on the mechanical strength of the materials. They underline the strength in acidic environment, significant long-term toxic contribution in relation to the acidic environment of the oral cavity. Conclusions. The predominant use of classical laboratory methods favours the over-reuse of alloys left overs from previous melts as well as materials. The effects of these techniques are drastic and the cautious use is fundamental.","PeriodicalId":33514,"journal":{"name":"Revista Romana de Stomatologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42594426","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}
With considerable enthusiasm, I perused the research by Chifor R. and co-authors (Chifor R, Badea IC, Dascalu (Rusu) LM). Preventing overtreatment in dentistry: causes, types and how to be avoided. Ro J Stomatol. 2022;68(2):63-68) on techniques for identifying and preventing possible dental procedures [1]. I would like to compliment the authors for their thoughtful review and give a few more thoughts. According to the cited study, it is essential to recognize and identify the rationales of potential overtreatments as soon as feasible and to behave professionally to accomplish positive outcomes in preventing them. The results of the study highlight that besides ones relating to economic profit or organizational growth, the majority of the overtreatments were performed inadvertently [1]. The contemporary period encourages and motivates the dental profession to overcome unessential therapeutic interventions. Conquest et al. evaluated the relevant worldwide research on capped-fee and fee-for-service funding strategies employed by government dentistry care. The study indicated that overtreatment was more frequent in the fee-for-service approach, whereas undertreatment was more common in the feecapped model [2]. To accurately identify overtreatment, given the requirement for guidelines, certification, and general agreement strategies, it is recommended to construct a paradigm of essential dental care that encompasses urgent and fundamental dental medical treatment to enhance professional congruence [3]. Strategies are required to broaden the availability of clinically significant treatment, provide cost-effective insurance policy systems, and encourage patient-centered oral health, therefore dentists must actively engage in significant, framework reforms [4]. As future directions, the integration of artificial intelligence in collaborative decision-making may warrant careful consideration [5]. Since the principle of “primum non-nocere” also pertains to dentistry, the highest standard of treatment for the patient’s health is advocated [6].
{"title":"Recent research supports the strategies for identifying and precluding potential dental procedures","authors":"O. Almășan","doi":"10.37897/rjs.2022.2.7","DOIUrl":"https://doi.org/10.37897/rjs.2022.2.7","url":null,"abstract":"With considerable enthusiasm, I perused the research by Chifor R. and co-authors (Chifor R, Badea IC, Dascalu (Rusu) LM). Preventing overtreatment in dentistry: causes, types and how to be avoided. Ro J Stomatol. 2022;68(2):63-68) on techniques for identifying and preventing possible dental procedures [1]. I would like to compliment the authors for their thoughtful review and give a few more thoughts. According to the cited study, it is essential to recognize and identify the rationales of potential overtreatments as soon as feasible and to behave professionally to accomplish positive outcomes in preventing them. The results of the study highlight that besides ones relating to economic profit or organizational growth, the majority of the overtreatments were performed inadvertently [1]. The contemporary period encourages and motivates the dental profession to overcome unessential therapeutic interventions. Conquest et al. evaluated the relevant worldwide research on capped-fee and fee-for-service funding strategies employed by government dentistry care. The study indicated that overtreatment was more frequent in the fee-for-service approach, whereas undertreatment was more common in the feecapped model [2]. To accurately identify overtreatment, given the requirement for guidelines, certification, and general agreement strategies, it is recommended to construct a paradigm of essential dental care that encompasses urgent and fundamental dental medical treatment to enhance professional congruence [3]. Strategies are required to broaden the availability of clinically significant treatment, provide cost-effective insurance policy systems, and encourage patient-centered oral health, therefore dentists must actively engage in significant, framework reforms [4]. As future directions, the integration of artificial intelligence in collaborative decision-making may warrant careful consideration [5]. Since the principle of “primum non-nocere” also pertains to dentistry, the highest standard of treatment for the patient’s health is advocated [6].","PeriodicalId":33514,"journal":{"name":"Revista Romana de Stomatologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47548079","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}
M. Ciocârlan, N. Gică, R. Botezatu, G. Peltecu, A. Panaitescu
Behçet’s disease is a multisystemic inflammatory chronic vasculitis of unknown etiology characterized by recurrent oral ulcers, genital ulcers, eye lesions, and dermatological manifestations that is usually diagnosed during the reproductive years. There is limited information about the effects of Behçet’s disease on pregnancy and vice versa, but in most women, it appears to improve during this period. However, cases of activation or exacerbation of the disease in pregnancy are not uncommon and they are mainly manifested by oral ulcers, genital ulcers, and skin lesions. Corticosteroids and topical sucralfate are safe to use in pregnancy and while breastfeeding to treat oral ulcerations. The purpose of this study is to synthesize available information about Behçet’s disease oral manifestations in pregnancy, diagnosis, and treatment.
{"title":"Behcet’s disease with oral manifestations during pregnancy","authors":"M. Ciocârlan, N. Gică, R. Botezatu, G. Peltecu, A. Panaitescu","doi":"10.37897/rjs.2022.2.3","DOIUrl":"https://doi.org/10.37897/rjs.2022.2.3","url":null,"abstract":"Behçet’s disease is a multisystemic inflammatory chronic vasculitis of unknown etiology characterized by recurrent oral ulcers, genital ulcers, eye lesions, and dermatological manifestations that is usually diagnosed during the reproductive years. There is limited information about the effects of Behçet’s disease on pregnancy and vice versa, but in most women, it appears to improve during this period. However, cases of activation or exacerbation of the disease in pregnancy are not uncommon and they are mainly manifested by oral ulcers, genital ulcers, and skin lesions. Corticosteroids and topical sucralfate are safe to use in pregnancy and while breastfeeding to treat oral ulcerations. The purpose of this study is to synthesize available information about Behçet’s disease oral manifestations in pregnancy, diagnosis, and treatment.","PeriodicalId":33514,"journal":{"name":"Revista Romana de Stomatologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70162597","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}
Nadine Diku, I. Zetu, Cristina Molnar, A. Vlasa, Dan Biris, Doina Ghercic, Mahmoud ElSaafin, M. Pacurar
In today's society, patients who turn to the orthodontist want final results in the shortest possible time, with maximum emphasis on smile aesthetics, dental alignment and facial harmony. In this regard, some procedures have emerged to accelerate the movement of teeth through the alveolar bone, thus shortening the duration of active treatment: corticotomy, application of mini-implants, etc. Of these methods, bone anchorage on mini-implants is increasingly popular among adult patients, as it is a versatile technique that ensures a stable, bony anchorage and more predictable final results. Compared to implantology in prosthodontics, which has a long history, mini- orthodontic implants emerged later in medical practice. In 1998, Shapiro and Kokich described for the first time the possibility of using dental implants for anchorage in orthodontic therapy. Odman J et al. (Upsala University, Sweden) applied implants to patients with partial edentulousness. The results were favorable, leading the authors to recommend the technique for adult partial edentulousness. Kanomi (1997) showed that a 1.2 mm diameter titanium mini- implant provides anchorage for the intrusion of the lower front teeth. After 4 months, the mandibular incisors were intruded by 6 mm without root resorption. Birte Melsen et al. (1998) introduced the use of zygomatic ligatures as anchorage in patients with partial edentulousness. To this they attached nickel-titanium springs for intrusion and retraction of maxillary incisors. Hugo de Clerk (2008) used 4 mini-implants (Bollard type) inserted into the infra-zygomatic crest in patients with Angle class III anomalies. He used 2 mini-implants with hooks in the chin area, and patients wore Class III 150 grams elastics on each side. This direct anchorage also has orthopedic effects, with clinicians achieving upper jaw advancement and correction of mandibular prognathism.
在当今社会，求助于正畸医生的患者希望在尽可能短的时间内得到最终结果，最大限度地强调微笑美学、牙齿对齐和面部和谐。在这方面，已经出现了一些程序来加速牙齿通过牙槽骨的运动，从而缩短积极治疗的持续时间：皮质切开术、应用微型植入物等。在这些方法中，微型植入物上的骨锚定在成年患者中越来越受欢迎，因为这是一种多功能的技术，骨锚固和更可预测的最终结果。与历史悠久的口腔修复种植学相比，微型正畸种植体在医学实践中出现较晚。1998年，Shapiro和Kokich首次描述了在正畸治疗中使用牙科植入物进行锚定的可能性。Odman J等人（瑞典Upsala大学）将种植体应用于部分缺牙患者。结果是有利的，因此作者推荐了成人部分缺牙的技术。Kanomi（1997）指出，直径1.2毫米的微型钛种植体为下门牙的侵入提供了锚定。4个月后，下颌切牙侵犯6mm，没有牙根吸收。Birte Melsen等人（1998）介绍了在部分缺牙患者中使用颧骨结扎作为固定点。为此，他们安装了镍钛弹簧，用于上颌门牙的咬合和回缩。Hugo de Clerk（2008）在Angle III级异常患者的颧骨嵴下植入了4个迷你植入物（Bollard型）。他在下巴区域使用了两个带钩子的迷你植入物，患者每侧佩戴150克的III级松紧带。这种直接固定也具有矫形效果，临床医生可以实现上颌前移和下颌前突矫正。
{"title":"Electron-microscopic study on structural changes of of mini-implants following fixed orthodontic treatment","authors":"Nadine Diku, I. Zetu, Cristina Molnar, A. Vlasa, Dan Biris, Doina Ghercic, Mahmoud ElSaafin, M. Pacurar","doi":"10.37897/rjs.2022.2.4","DOIUrl":"https://doi.org/10.37897/rjs.2022.2.4","url":null,"abstract":"In today's society, patients who turn to the orthodontist want final results in the shortest possible time, with maximum emphasis on smile aesthetics, dental alignment and facial harmony. In this regard, some procedures have emerged to accelerate the movement of teeth through the alveolar bone, thus shortening the duration of active treatment: corticotomy, application of mini-implants, etc. Of these methods, bone anchorage on mini-implants is increasingly popular among adult patients, as it is a versatile technique that ensures a stable, bony anchorage and more predictable final results. Compared to implantology in prosthodontics, which has a long history, mini- orthodontic implants emerged later in medical practice. In 1998, Shapiro and Kokich described for the first time the possibility of using dental implants for anchorage in orthodontic therapy. Odman J et al. (Upsala University, Sweden) applied implants to patients with partial edentulousness. The results were favorable, leading the authors to recommend the technique for adult partial edentulousness. Kanomi (1997) showed that a 1.2 mm diameter titanium mini- implant provides anchorage for the intrusion of the lower front teeth. After 4 months, the mandibular incisors were intruded by 6 mm without root resorption. Birte Melsen et al. (1998) introduced the use of zygomatic ligatures as anchorage in patients with partial edentulousness. To this they attached nickel-titanium springs for intrusion and retraction of maxillary incisors. Hugo de Clerk (2008) used 4 mini-implants (Bollard type) inserted into the infra-zygomatic crest in patients with Angle class III anomalies. He used 2 mini-implants with hooks in the chin area, and patients wore Class III 150 grams elastics on each side. This direct anchorage also has orthopedic effects, with clinicians achieving upper jaw advancement and correction of mandibular prognathism.","PeriodicalId":33514,"journal":{"name":"Revista Romana de Stomatologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42285320","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}
Radu Chifor, I. Badea, Laura Monica Dascalu (Rusu)
Background and objectives. The aim of the study was to identify in the literature the potential causes of overtreatment in dentistry, the most frequent types of overtreatments and recommendations of how to avoid those issues. Materials and methods. A literature search was carried out in the PubMed/Medline, Web of Science and ScienceDirect databases. The search used following keywords: “overtreatment” and “dentistry” for papers published in English until June 2022. Results. 211 results were found in PubMed, 122 in Web of Science and 523 in ScienceDirect. The duplicates, the titles and the abstracts that were not related to the reviewed topic and the papers not available in full text were excluded. 27 papers were selected and included in this study. From the 27 papers selected 7 were Clinical research, 7 questionnaire-based studies, 5 case reports, 8 review articles. Conclusions: Most of the analyzed overtreatments in the literature were unintentionally performed except for those related to the financial gain and business development. The research revealed that the overtreatments or overdiagnosis were in general due directly or indirectly to the lake of knowledge of the practitioner. It is important to know and to identify the causes of possible overtreatments as early as possible and acting ethically to achieve good results in avoiding them.
背景和目标。该研究的目的是在文献中确定牙科过度治疗的潜在原因，最常见的过度治疗类型以及如何避免这些问题的建议。材料和方法。在PubMed/Medline、Web of Science和ScienceDirect数据库中进行文献检索。该搜索使用以下关键词:“过度治疗”和“牙科”，搜索到2022年6月之前发表的英文论文。结果:PubMed检索结果211条，Web of Science检索结果122条，ScienceDirect检索结果523条。排除重复、与审评主题无关的标题和摘要以及无法获得全文的论文。本研究共选取了27篇论文。从入选的27篇论文中，临床研究7篇，问卷研究7篇，病例报告5篇，综述文章8篇。结论:除了与财务收益和业务发展相关的过度治疗外，文献中分析的大多数过度治疗都是无意的。研究表明，过度治疗或过度诊断一般直接或间接归因于从业者知识的缺乏。重要的是要尽早了解和确定可能的过度治疗的原因，并采取合乎道德的行动，以达到避免过度治疗的良好效果。
{"title":"Preventing overtreatment in dentistry: causes, types and how to be avoided","authors":"Radu Chifor, I. Badea, Laura Monica Dascalu (Rusu)","doi":"10.37897/rjs.2022.2.5","DOIUrl":"https://doi.org/10.37897/rjs.2022.2.5","url":null,"abstract":"Background and objectives. The aim of the study was to identify in the literature the potential causes of overtreatment in dentistry, the most frequent types of overtreatments and recommendations of how to avoid those issues. Materials and methods. A literature search was carried out in the PubMed/Medline, Web of Science and ScienceDirect databases. The search used following keywords: “overtreatment” and “dentistry” for papers published in English until June 2022. Results. 211 results were found in PubMed, 122 in Web of Science and 523 in ScienceDirect. The duplicates, the titles and the abstracts that were not related to the reviewed topic and the papers not available in full text were excluded. 27 papers were selected and included in this study. From the 27 papers selected 7 were Clinical research, 7 questionnaire-based studies, 5 case reports, 8 review articles. Conclusions: Most of the analyzed overtreatments in the literature were unintentionally performed except for those related to the financial gain and business development. The research revealed that the overtreatments or overdiagnosis were in general due directly or indirectly to the lake of knowledge of the practitioner. It is important to know and to identify the causes of possible overtreatments as early as possible and acting ethically to achieve good results in avoiding them.","PeriodicalId":33514,"journal":{"name":"Revista Romana de Stomatologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41556509","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}
In this article, the authors want to present the possibilities of solving some difficult cases, treated in a conventional surgical and implant manner and which were a failure, as well as the possibilities of avoiding these failures using Strategic Implant® technology. In the first case presented, the patient goes through bone augmentation procedures, without reaching the time of implant insertion and prosthesis, with the loss of bone addition on one side of the mandible, the case being later completed with corticobasal implants in immediate prosthetic loading. The second case in which the patient successively loses the inserted two stage implants, without reaching their functional load, resorts to the treatment with corticobasal implants in immediate loading and the fixed prosthetic restoration of the mandible in 3 days postimplantation. The last case in which the patient comes for the removal of a maxillary prosthetic work fixed on 4 two stage implants with bone addition and unilateral sinuslift, with mobility, and in which the treatment with corticobasal implants and fixed prosthetic work in 3 days was the optimal way of treatment. These cases as well as the feedback of the treatment after a number of years show us that the treatment with corticobasal implants can be made much easier using only the native bone of the patient using implants that adapt to the morphology of the existing bone and a immediate loading protocol to allow the optimal functioning of prosthetic works; knowledge of surgical and prosthetic protocols of Strategic Implant® technology lead to predictable prosthetic results with minimally invasive surgery, without sinus lift and bone addition, in a short time of 3 days from the surgical step until the final oral rehabilitation.
{"title":"Implant rehabilitation with Strategic Implant® technology in two stage implants – bone addition, sinus-lift failure (cases presentation)","authors":"Calin Romulus Fodor, Romana Cretu, Teodor Purghel","doi":"10.37897/rjs.2022.1.4","DOIUrl":"https://doi.org/10.37897/rjs.2022.1.4","url":null,"abstract":"In this article, the authors want to present the possibilities of solving some difficult cases, treated in a conventional surgical and implant manner and which were a failure, as well as the possibilities of avoiding these failures using Strategic Implant® technology. In the first case presented, the patient goes through bone augmentation procedures, without reaching the time of implant insertion and prosthesis, with the loss of bone addition on one side of the mandible, the case being later completed with corticobasal implants in immediate prosthetic loading. The second case in which the patient successively loses the inserted two stage implants, without reaching their functional load, resorts to the treatment with corticobasal implants in immediate loading and the fixed prosthetic restoration of the mandible in 3 days postimplantation. The last case in which the patient comes for the removal of a maxillary prosthetic work fixed on 4 two stage implants with bone addition and unilateral sinuslift, with mobility, and in which the treatment with corticobasal implants and fixed prosthetic work in 3 days was the optimal way of treatment. These cases as well as the feedback of the treatment after a number of years show us that the treatment with corticobasal implants can be made much easier using only the native bone of the patient using implants that adapt to the morphology of the existing bone and a immediate loading protocol to allow the optimal functioning of prosthetic works; knowledge of surgical and prosthetic protocols of Strategic Implant® technology lead to predictable prosthetic results with minimally invasive surgery, without sinus lift and bone addition, in a short time of 3 days from the surgical step until the final oral rehabilitation.","PeriodicalId":33514,"journal":{"name":"Revista Romana de Stomatologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47641381","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}
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