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Dento-parodontal injuries in a sample of 3-9 years old children 3-9岁儿童的牙颌损伤
Q4 Dentistry Pub Date : 2021-12-31 DOI: 10.37897/rjs.2021.4.4
Daciana Zmărăndache, M. Tănase, I. Stanciu, Aneta Munteanu, C. Nicolae, M. Teodorescu, I. Tărlungeanu
Objectives. To assess the type and distribution of dento-periodontal traumas in mixed dentition in a group of children aged 3-9 years who seek consultation and treatment in the Pedodontics Department of the Faculty of Dentistry. Material and methods. Retrospective descriptive observational descriptive study performed on 114 children (67 boys) aged 3-9 years, (mean age - 5.65 ± 1.45 years) with dento-periodontal trauma to temporary teeth (dt) and permanent teeth (PT), which occurred in Bucharest Pedodontics Clinic during 2015-2019. The recorded data were obtained from the emergency register of this clinic. The distribution of patients according to age, sex, environment, etiology, age and location of trauma and number of affected teeth was assessed and the distribution of affected teeth was analyzed according to the type of dentition affected, topography of affected teeth and emergency treatment performed. Results. The most frequent traumas for dt were registered at the age of 3 years, and for DP at the age of 7-8 years. Boys were more affected than girls (58.77% and 41.23%, respectively; NS, p > 0.05). 63% of patients came from urban areas and 37% from rural areas. Most injuries (64.03%) were caused by accidental falling children. 50.87% of patients presented to the clinic less than 24 hours after the accident. 55.27% of the traumas occurred in the internal environment. Most patients (87.71%) had 1 or 2 affected teeth. 41% of the traumas were at DP and 59% at dt. At DP there were 21.57% dental injuries and 19.12% periodontal injuries. At dt 11.76% were dental traumas and 47.54% periodontal. The upper frontals were the most affected teeth at both dentitions. Conclusions. Dento-periodontal injuries are a common pathology in this age group and it is important to make the persons around children aware of the importance of their prevention.
目标。在一组3-9岁的儿童中,评估混合牙列中牙周创伤的类型和分布,这些儿童在牙科学院牙周学系寻求咨询和治疗。材料和方法。回顾性描述性观察描述性研究对2015-2019年布加勒斯特儿童牙科诊所发生的114名3-9岁(平均年龄-5.65±1.45岁)的临时牙(dt)和恒牙(PT)牙周损伤儿童(67名男孩)进行了研究。记录的数据来自该诊所的急诊登记处。评估了患者根据年龄、性别、环境、病因、创伤年龄和位置以及受影响牙齿数量的分布,并根据受影响的牙列类型、受影响牙齿的地形和所进行的紧急治疗分析了受影响牙齿分布。后果dt最常见的创伤发生在3岁,DP最常见的损伤发生在7-8岁。男孩比女孩受影响更大(分别为58.77%和41.23%;NS,p>0.05)。63%的患者来自城市地区,37%来自农村地区。大多数受伤(64.03%)是由儿童意外坠落引起的。50.87%的患者在事故发生后24小时内就诊。55.27%的创伤发生在内部环境中。大多数患者(87.71%)有1或2颗患牙。41%的创伤发生在DP,59%发生在dt。DP时有21.57%的牙齿损伤和19.12%的牙周损伤。dt11.76%为牙外伤,47.54%为牙周损伤。上额部是两个齿列中受影响最大的牙齿。结论。牙周损伤是这个年龄段的常见病理,让孩子周围的人意识到预防的重要性很重要。
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引用次数: 0
Gestational periodontitis impact on the fetus and neonate 妊娠期牙周炎对胎儿和新生儿的影响
Q4 Dentistry Pub Date : 2021-12-31 DOI: 10.37897/rjs.2021.4.9
Vlad Dima, S. Vlădăreanu, G. Iancu, V. Varlas, R. Bohîlțea
Maternal oral pathologies during pregnancy represent a controversial subject. The incidence of periodontal disease is approximatively 40% among pregnant women. Periodontal disease has been associated with several unfortunate outcomes; among them, the most important are cardiovascular disorders, respiratory infections, diabetes and Alzheimer's disease. Regarding mechanisms, bacteria enter the blood stream and cross the placenta or the inflammatory mediators can affect the fetoplacental unit or generate an increased inflammatory response with subsequent consequences on the fetus. The most disputed subjects concerning periodontal disease in pregnancy are related to the effects on the pregnancy outcome and the offspring, respectively the associations between maternal periodontal disease and small for gestational age, preeclampsia, arteriosclerosis, gestational diabetes and perinatal mortality. In order to improve neonatal outcome and ensure maternal oral health, we should assure that the necessary dental treatment is provided during the entire pregnancy, preferably between 14 and 20 gestational weeks. Moreover, women should be encouraged to received dental treatment preconceptionally.
妊娠期产妇口腔病理是一个有争议的话题。牙周病在孕妇中的发病率约为40%。牙周病与几种不幸的结果有关;其中,最重要的是心血管疾病、呼吸道感染、糖尿病和阿尔茨海默病。从机制上看,细菌进入血流并穿过胎盘或炎症介质可影响胎胎盘单位或引起炎症反应增加并对胎儿产生后续后果。妊娠期牙周病最具争议的问题是对妊娠结局和后代的影响,分别是母体牙周病与胎龄小、先兆子痫、动脉硬化、妊娠期糖尿病和围产期死亡率之间的关系。为了改善新生儿结局和确保产妇口腔健康,我们应确保在整个怀孕期间,最好是在妊娠14至20周期间提供必要的牙科治疗。此外,应该鼓励妇女预先接受牙科治疗。
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引用次数: 0
Case report of a rare bullous variant of oral lichen planus 罕见大疱型口腔扁平苔藓1例报告
Q4 Dentistry Pub Date : 2021-12-31 DOI: 10.37897/rjs.2021.4.5
I. Parlatescu, Ș. Tovaru, C. Nicolae, D. Epistatu, C. Pîrvu, V. Varlas, R. Bohîlțea, P. Perlea
The aim of this report is to describe the lichen planus on the oral mucosa in the bullous variant of the disease. It is often misdiagnosed with other mucosa disorders (allergies, bullous dermatosis). A 37-year-old-female patient presented for oral mucosa painful lesions of 3 months duration. A microscopic examination of the lesional areas was consistent with the diagnosis of oral lichen planus and direct immunofluorescence confirmed it. This case showed that although a rare condition the variant of bullous lichen planus can be encountered in daily clinical practice.
本报告的目的是描述大疱性疾病变体中口腔粘膜上的扁平苔藓。它经常被误诊为其他粘膜疾病(过敏、大疱性皮肤病)。一名37岁的女性患者出现持续3个月的口腔粘膜疼痛性病变。病变区域的显微镜检查与口腔扁平苔藓的诊断一致,直接免疫荧光证实了这一点。该病例表明,尽管大疱性扁平苔藓是一种罕见的情况,但在日常临床实践中也会遇到变异。
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引用次数: 0
Peculiarities of calcium-phosphorus homeostasis of the oral fluid in young patients with primary hypothyroidism, having generalized periodontitis 原发性甲状腺功能减退伴广泛性牙周炎的年轻患者口腔液钙磷稳态的特点
Q4 Dentistry Pub Date : 2021-09-30 DOI: 10.37897/rjs.2021.3.4
Repetska Oksana Mykolaivna
The problem of hormonal imbalance in periodontal diseases, as well as the importance of endocrine diseases in its development, plays a significant role. In the professional literature there are data that thyroid disease is a risk factor for the occurrence and further progression of periodontal diseases. The processes of bone modeling and remodeling and its mineralization are closely related to calcium metabolism. The biochemical manifestation of osteoporotic processes in the alveolar bone in generalized periodontitis is a violation of calcium-phosphorus homeostasis against the background of altered markers of bone metabolism. The aim of our investigation was to study the calcium-phosphorus homeostasis of the oral fluid in patients with primary hypothyroidism and persons without endocrine pathology, with generalized periodontitis. Since in the structure of periodontal diseases in the study groups generalized periodontitis of the initial-I and II degree had the largest percentage, biochemical studies were performed in this sample of patients. The first group included 50 people with generalized periodontitis against the background of primary hypothyroidism: 25 patients – with generalized periodontitis of the initial-I degree and 25 patients with generalized periodontitis of the II degree of development. The second group included 50 patients with generalized periodontitis without endocrinological pathology (25 patients with GP of the initial-I degree and 25 patients with GP of the II degree of development). In young people with generalized periodontitis, against the background of hypothyroidism, there were observed negative changes in calcium-phosphorus homeostasis of the oral fluid: there was a tendency to the decrease of calcium content in the oral fluid with the development of inflammatory-dystrophic process in the periodontium, on the contrary, phosphorus level has increased. Negative dynamics of calcium-phosphorus molar coefficient was found in patients with hypofunction of the thyroid gland. Thus, the analysis of research results shows that in young people with periodontal diseases and hypothyroidism there is a pathological change in metabolic processes, increased excretion of mineral components, especially calcium. Periodontal pathology against the background of hypothyroidism is characterized by the development of a chronic inflammatory process together with a pronounced decrease in calcium-phosphorus homeostasis of the oral fluid.
牙周病中的激素失衡问题,以及内分泌疾病在其发展中的重要性,起着重要作用。在专业文献中,有数据表明甲状腺疾病是牙周病发生和进一步发展的危险因素。骨的建模、重塑及其矿化过程与钙代谢密切相关。在骨代谢标志物改变的背景下,广泛性牙周炎牙槽骨骨质疏松过程的生化表现是钙磷稳态的破坏。我们研究的目的是研究原发性甲状腺功能减退症患者和无内分泌病理的全身性牙周炎患者口腔液的钙磷稳态。由于在牙周病的结构中,研究组中Ⅰ度和Ⅱ度的全身性牙周炎所占比例最大,因此对该患者样本进行了生化研究。第一组包括50名以原发性甲状腺功能减退为背景的全身性牙周炎患者:25名患者为初始I级全身性牙周炎,25名患者发展为II级全身性牙周病。第二组包括50名无内分泌病理的全身性牙周炎患者(25名初始I级GP患者和25名II级GP患者)。在患有广泛性牙周炎的年轻人中,在甲状腺功能减退的背景下,观察到口腔液钙磷稳态的负面变化:随着牙周组织炎症营养不良过程的发展,口腔液中钙含量有下降的趋势,相反,磷水平增加。甲状腺功能减退患者的钙磷摩尔系数为负动力学。因此,对研究结果的分析表明,患有牙周病和甲状腺功能减退症的年轻人在代谢过程中存在病理变化,矿物质成分,尤其是钙的排泄增加。甲状腺功能减退背景下的牙周病理学特征是慢性炎症过程的发展以及口腔液钙磷稳态的显著降低。
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引用次数: 0
Case selection in dental bleaching 牙齿漂白的案例选择
Q4 Dentistry Pub Date : 2021-09-30 DOI: 10.37897/rjs.2021.3.9
I. Gheorghiu, P. Perlea, S. Scărlătescu, G. Nicola
Dental bleaching is a method of treatment for tooth discoloration that uses hydrogen peroxide in various concentrations. For this dental maneuver to be successful, the etiological diagnosis of dental dyschromia and the treatment plan must be rigorously established. In this article we present the criteria underlying the selection of patients who can benefit from dental bleaching, grouped in a questionnaire. Adequate case selection suitable for teeth whitening, as well as the appropriate choice of the specific bleaching method are essential in obtaining satisfactory aesthetic result for the patient, immediately after completing the treatment, but also in the long term.
牙齿漂白是一种使用不同浓度的过氧化氢治疗牙齿变色的方法。为了使这种牙科手术成功,必须严格制定牙齿色度异常的病因诊断和治疗计划。在这篇文章中,我们提出了选择可以从牙齿漂白中受益的患者的标准,并将其分组在问卷中。适当选择适合牙齿美白的病例,以及适当选择特定的漂白方法,对于患者在完成治疗后立即获得满意的美容效果至关重要,也是长期的。
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引用次数: 0
The functions of lactoferine in the oral cavity 乳铁碱在口腔中的作用
Q4 Dentistry Pub Date : 2021-09-30 DOI: 10.37897/rjs.2021.3.2
Sofia Iozon-Ene, A. Soancă, Alexandra Roman, E. Páll, A. Ciurea, Diana Oneț, Alina Stanomir, D. Popescu, I. Micu
Lactoferrin is a cationic glycoprotein found in different compartments of the body and secreted mostly by glandular epithelia and neutrophils. Although initially considered that its functions derive solely from its iron-binding capacity, further research demonstrated the pleiotropic nature of the glycoprotein. Thereby, lactoferrin fulfills various essential physiological functions based on its anti-infectious, immunomodulatory and antioxidative properties. In the oral cavity, lactoferrin is an central component of the local defense mechanisms, and based on its versatility, it can prevent the occurrence and progression of different local pathologies, including periodontitis. Microbiological and inflammatory periodontitis-induced modifications influence the local levels of secreted lactoferrin, the protein becoming a potential diagnosis biomarker of periodontal disease. Moreover, lactoferrin has a potential adjunctive therapeutic benefit in periodontal treatment, based on the interference of the biomolecule with local microorganisms, its anti-inflammatory and antioxidative activity. Additionally, the adverse effects of lactoferrin administration seem less evident as compared to other adjunctive agents. Thus, the present study aims to review the most important characteristics of lactoferrin in different oral pathologies, particularly in periodontitis.
乳铁蛋白是一种阳离子糖蛋白,存在于身体的不同部位,主要由腺上皮和中性粒细胞分泌。虽然最初认为其功能仅来源于其铁结合能力,但进一步的研究证明了糖蛋白的多效性。因此,乳铁蛋白基于其抗感染、免疫调节和抗氧化特性来实现各种基本生理功能。在口腔中,乳铁蛋白是局部防御机制的核心组成部分,基于其多功能性,它可以预防不同局部病变的发生和进展,包括牙周炎。微生物和炎症性牙周炎诱导的修饰影响分泌乳铁蛋白的局部水平,该蛋白成为牙周病的潜在诊断生物标志物。此外,乳铁蛋白在牙周治疗中具有潜在的辅助治疗作用,这是基于其生物分子对局部微生物的干扰,以及其抗炎和抗氧化活性。此外,与其他辅助剂相比,乳铁蛋白给药的不良反应似乎不太明显。因此,本研究旨在回顾乳铁蛋白在不同口腔病理,特别是牙周炎中的最重要特征。
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引用次数: 2
Impact of delivery mode on oral health 分娩方式对口腔健康的影响
Q4 Dentistry Pub Date : 2021-09-30 DOI: 10.37897/rjs.2021.3.1
I. Parlatescu, D. Epistatu, Raluca Ema Pîrvu, R. Bohîlțea, P. Perlea, V. Varlas
The route of delivery influences the gut microbiota and the development of the immune system. At the moment of birth, cesarean section infants have a lower diversity of bacteria when compared to naturally born infants. The delivery mode does influence the oral cavity colonization of infants, but there is no relevant association with dental caries.
递送途径影响肠道微生物群和免疫系统的发育。与自然出生的婴儿相比,剖宫产婴儿在出生时的细菌多样性较低。分娩方式确实会影响婴儿的口腔定植,但与龋齿没有相关关系。
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引用次数: 0
Comparative occlusal study analog and digital – a pilot study 模拟和数字咬合比较研究-初步研究
Q4 Dentistry Pub Date : 2021-09-30 DOI: 10.37897/rjs.2021.3.7
S. Buduru, Manuela Tăut, Cecilia Bacali, M. Manziuc, T. Șerban, C. Culcițchi, M. Miţariu, M. Negucioiu
The aim of this study was to determine whether or not the analysis of maximal intercuspation, protrusive and laterotrusive movements requires an additional digital method of occlusal diagnosis using the T-Scan™ Novus™ device (TekScan). In this observational study, we retrospectively examined a number of 10 subjects which were divided into 2 groups: the 1st group involved patients with intact dental arches and the 2nd group with patients that had received implant-supported restorations. The methods of analysis involved the calibrated articulating paper of 200 and 40 micrometers, and also the T-Scan™ Novus™ device (TekScan). The following data were collected: contact points in maximum intercuspation (functional and premature contacts), the pairs of teeth performing protrusion and right/left laterotrusion, active/passive interferences and premature contacts during protrusion and right/left laterotrusion. Descriptive statistics were obtained using the MedCalc Statistical Software version 19.2.6 (MedCalc Soft-ware bv, Ostend, Belgium) and Microsoft Excel for MAC 2011. It was tested if a statistically significant difference existed between the diagnostic methods regarding the number of contact points. The T test for independent samples without the assumption of equal variances and the Mann-Whitney test was used (to which we reported the medians of the 2 subgroups and the P value adjusted for equalities) and also the magnitude of association using the Chi-square test (p value) was measured. Also it was studied the correlation between the number of premature contacts and the number of contact points, respectively, obtained by each diagnostic method, and we expressed the results through the Spearman correlation coefficient. The analysis of the maximum intercuspation, of the protrusive and the laterotrusive movements has shown comparable results using the two examination methods. There were no statistically significant differences between the two methods of analyzing dental occlusion.
本研究的目的是确定最大咬合间、前伸和后伸运动的分析是否需要使用T-Scan进行咬合诊断的额外数字方法™ Novus™ 设备(TekScan)。在这项观察性研究中,我们对10名受试者进行了回顾性检查,这些受试者被分为两组:第一组涉及完整牙弓的患者,第二组涉及接受植入物支持修复的患者。分析方法包括200微米和40微米的校准铰接纸,以及T形扫描™ Novus™ 设备(TekScan)。收集了以下数据:最大咬合间的接触点(功能性接触和过早接触)、进行突出和右/左后突出的成对牙齿、突出和左/右后突出期间的主动/被动干扰和过早接触。使用MedCalc统计软件19.2.6版(MedCalc软件公司,Ostend,Belgium)和Microsoft Excel for MAC 2011获得描述性统计数据。测试了诊断方法之间在接触点数量方面是否存在统计学上的显著差异。在不假设方差相等的情况下,使用独立样本的T检验和Mann-Whitney检验(我们报告了2个亚组的中位数和根据等式调整的P值),还使用卡方检验测量了关联程度(P值)。此外,还研究了每种诊断方法分别获得的过早接触次数和接触点数量之间的相关性,并通过Spearman相关系数表示结果。使用这两种检查方法对最大咬合、前伸和后伸运动的分析显示出可比较的结果。两种分析牙齿咬合的方法之间没有统计学上的显著差异。
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引用次数: 0
A radiological study method of vertical alveolar resorptions using immediate dental implants 即刻种植牙垂直牙槽吸收的放射学研究方法
Q4 Dentistry Pub Date : 2021-09-30 DOI: 10.37897/rjs.2021.3.8
D. Epistatu, Andreea Ciolacu, Aikaterina Kitsou, I. Parlatescu, O. Dincă, C. Vlădan, Florin Dogioiu, V. Varlas, P. Perlea
Dental extraction is followed by decreases in alveolar volume, vertically and horizontally. This retrospective study measured vertical alveolar resorption after insertion of immediate implants, using OPG, without CBCT or additional radiographs. Patients were randomly split in two groups A (57 implants) and B (47 implants). Measurements were made by two independent observers. The types of implants were: Exacta (Biaggini Medical Devices), Nova, Dentix Millenium and Surcam. The method was based on the size of the implant and another common element of the two radiographs. It used an optimal radiologic exposure. It can be generalized to other studies. Similar results measured in the two groups showed that alveolar remodeling does not depend on the type of the implant. Half of the alveoli did not have any resorption. Another quarter showed barely perceptible clinical resorption (1-2 mm). In the last quarter were registered all the notable resorptions that were associated with various factors (temporary mobile prosthesis, surgical flap, medication and some health problems, smoking, etc.) showing real situations, not ideal conditions. Maximum resorption was unique (7.63 mm).
拔牙后肺泡体积垂直和水平下降。这项回顾性研究在没有CBCT或额外射线照片的情况下,使用OPG测量了插入即时植入物后的垂直肺泡吸收。患者被随机分为两组:A组(57个植入物)和B组(47个种植物)。两名独立观察员进行了测量。植入物的类型有:Exacta(Biaggini医疗器械)、Nova、Dentix Millenium和Surcam。该方法基于植入物的大小和两张射线照片中的另一个常见元素。它使用了最佳的放射学曝光。它可以推广到其他研究中。在两组中测量的类似结果表明,肺泡重塑并不取决于植入物的类型。一半肺泡没有任何吸收。另有四分之一的患者几乎看不到临床吸收(1-2mm)。在最后一个季度,记录了与各种因素(临时移动假体、手术皮瓣、药物和一些健康问题、吸烟等)相关的所有显著吸收,显示了真实的情况,而不是理想的情况。最大吸收是独特的(7.63毫米)。
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引用次数: 0
Concordance of SMI and CVMS bone maturation indices in pubertal growth stages – cross-sectional study 青春期发育阶段SMI与CVMS骨成熟指标的一致性横断面研究
Q4 Dentistry Pub Date : 2021-09-30 DOI: 10.37897/rjs.2021.3.10
Elena Galán, Andreea Raluca Hlatcu, A. Bencze, E. Teodorescu, M. Pacurar, Manuela Chibelean, E. Ionescu
In order to verify the concordance of the bone development indices (SMI) estimated on the hand and fist radiograph by the method of Fishman (1982) and the indices of development of the cervical vertebrae (CVMS), estimated on the profile teleradiography by the method of Baccetti (2002), was conducted a cross-sectional study on a group of 150 subjects (89 girls and 61 boys), aged 8-18 years. Based on the existing data in the literature and taking into account the average ages at which the SMI and CVMS stages were reached in the research group, a hypothesis of correspondence between SMI and CVMS stages in the pubertal stages was issued and this hypothesis was statistically verified using the coefficient Cohen k. The obtained results (k = 0.82 for the girls 'group and k = 0.67 for the boys' group) confirm the concordance of the SMI and CVMS indices within the researched group and validate the correspondence hypothesis issued.
为了验证Fishman(1982)方法在手部和拳头射线照片上估计的骨骼发育指数(SMI)与Baccetti(2002)方法在剖面远程射线照片上评估的颈椎发育指数(CVMS)的一致性,对150名8-18岁的受试者(89名女孩和61名男孩)进行了横断面研究。基于文献中的现有数据,并考虑到研究组达到SMI和CVMS阶段的平均年龄,提出了青春期SMI和CVTS阶段之间对应的假设,并使用系数Cohen k对该假设进行了统计验证。所获得的结果(女孩组k=0.82,男孩组k=0.67)证实了研究组内SMI和CVMS指数的一致性,并验证了所提出的对应性假设。
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引用次数: 0
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Revista Romana de Stomatologie
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