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Evaluation of last-year dental students’ knowledge of prescription of analgesics and anti-bacterial agents for pregnant and lactating women 一年级牙科专业学生对孕妇和哺乳期妇女镇痛药和抗菌药物处方知识的评估
Q4 Dentistry Pub Date : 2023-10-16 DOI: 10.20396/bjos.v22i00.8667790
Fatemeh Abbasi, Sabra Forootan, Mehrdad Ebadi, Zahra Saied-Moallemi
Oral health in pregnant and lactating women can affect maternal and child health. Dental treatments in this period should not have adverse effects on maternal and child health. This study was conducted to investigate the last-year dental students’ knowledge of the prescription of analgesics and antibiotics for pregnant and lactating mothers in Isfahan city, Iran. Methods: A total of 104 last-year dental students of Khorasgan Islamic Azad University and Isfahan University of Medical Sciences were recruited in this descriptiveanalytical study. They completed a 16-item questionnaire on the prescription of analgesics and antibiotics for pregnant and lactating mothers. Data were analyzed by SPSS (Version 22) statistical software(t-test). Results: The total mean score of students’ knowledge was 9.02±1.91. The highest level of knowledge about the safest analgesic (acetaminophen) was reported for the pregnant patients so that 100% of them had correct information in this regard. Further, the lowest level of knowledge was found for the use of dexamethasone during lactation, as only 10.6% of respondents were able to provide a correct response in this regard. Conclusion: The dental students had average knowledge about the prescription of antibiotics and analgesics for pregnant and lactating patients. To prevent the possible risks for these patients, further information should be provided to dental students.
孕妇和哺乳期妇女的口腔健康会影响母婴健康。这一时期的牙科治疗不应对母婴健康产生不利影响。本研究旨在调查伊朗伊斯法罕市一年级牙科学生对孕妇和哺乳期母亲使用镇痛药和抗生素处方的了解情况。方法:采用描述性分析的方法,对霍勒斯甘伊斯兰阿扎德大学和伊斯法罕医科大学的一年级牙科学生进行研究。他们完成了一份关于孕妇和哺乳期母亲止痛药和抗生素处方的16项调查问卷。数据采用SPSS (Version 22)统计软件(t检验)进行分析。结果:学生知识总分平均为9.02±1.91分。孕妇对最安全镇痛药(对乙酰氨基酚)的了解程度最高,100%的孕妇对最安全镇痛药(对乙酰氨基酚)的了解是正确的。此外,在哺乳期间使用地塞米松的知识水平最低,因为只有10.6%的受访者能够在这方面提供正确的回答。结论:齿科学生对妊娠、哺乳期患者抗菌药物及镇痛药处方的了解程度一般。为了防止这些患者可能面临的风险,应向牙科学生提供进一步的信息。
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引用次数: 0
Clinical dental management of the head and neck irradiated patient 头颈部放射病人的临床牙科处理
Q4 Dentistry Pub Date : 2023-10-16 DOI: 10.20396/bjos.v22i00.8668447
Nuryê Rezende Prisinoto, Cariniana Macedo de Alcântara, Dhiancarlo Rocha Macedo, Meire Coelho Ferreira, Daniela Malagoni Fagundes, Priscilla Barbosa Ferreira Soares
To discuss important topics regarding the dental procedures performed in patients before, during and after the radiotherapy treatment. The biological effects of ionizing radiation on bone tissue focusing on clinical care will be described. The invasive and not invasive procedures after radiotherapy treatment in the head and neck region will be addressed using scientific evidences to determine the appropriate moment for tooth extractions, periodontal management, and preventive procedures for osteoradionecrosis. Methods: Thirty-three studies including original studies and reviews were selected in MEDLINE database (PubMed). No year of publication restriction was applied. Language was restricted to the English, and the following Medical Subject Heading terms were used: radiotherapy, osteoradionecrosis, dental management. Studies of osteoradionecrosis involving clinical management of irradiated patients, with an emphasis on updated guidelines and protocols were selected. Results: Care in dental procedures were related about restorative treatment, endodontic treatment, rehabilitation for edentulous regions using prostheses and implants and periodontal procedures before, during and after RTX treatment. Conclusions: The dental procedures should and can be performed before, during but also after radiotherapy. However, the clinical procedures should be less invasive as possible. A maintenance plan that reduces the necessity for major and more invasive treatments after radiotherapy is recommended.
讨论病人在放射治疗前、期间及之后所做的牙科手术的重要议题。将介绍电离辐射对骨组织的生物学效应,重点是临床护理。头颈部放射治疗后的侵入性和非侵入性手术将使用科学证据来确定拔牙的适当时机,牙周管理和骨放射性坏死的预防程序。方法:从MEDLINE数据库(PubMed)中选择33项研究,包括原始研究和综述。没有适用出版年份限制。语言限于英语,并使用以下医学主题标题术语:放射治疗、骨放射性坏死、牙科管理。选择了涉及辐照患者临床管理的放射性骨坏死研究,重点是更新指南和方案。结果:在RTX治疗前、治疗中、治疗后的牙周护理主要涉及修复治疗、牙髓治疗、无牙区修复和种植体修复。结论:放疗前、放疗中、放疗后均可进行口腔修复。然而,临床手术应尽可能减少侵入性。建议采用一种维持计划,以减少放射治疗后进行重大和更具侵入性治疗的必要性。
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引用次数: 0
Histopathological evaluation of the effect of Salvadoria persica and Nigella sativa on the healing of tooth extraction socket in animal 丹参、黑草对动物拔牙窝愈合影响的组织病理学评价
Q4 Dentistry Pub Date : 2023-10-16 DOI: 10.20396/bjos.v22i00.8668671
Ali Idrees Al-Niaimi, Noor A. Sulaiman, Huda A. Salim, Faris Ghanim Ahmed Al-Taee
To assess the effects of Salvadoria persica and Nigella sativa combination in tooth socket healing after extraction that can be a novel remedy for tooth extraction socket. Methods: Forty rabbits were included in this study, divided into two groups (control and experimental) with 20 rabbits. Upper right central incisors were extracted for all animals, the tooth sockets of the experimental group were dressed using an admix of Salvadoria persica and Nigella sativa immediately after irrigation with normal saline. In contrast, the extraction sockets of the control group were left without dressing. Biopsies were taken after euthanizing the animals at 1, 3, 7, and 14 days after treatment, histological examination was done for the samples at the given periods respectively. Results: On day 1 post-treatment, histological examination of the experimental group sections showed less acute inflammatory reaction than the control group. This continued to be reduced until the seventh day. The amount of granulation tissue formation was more in the experimental group along the different periods of the study, while new bone formation was observed after 1 week as woven bone, increased after 2 weeks and appeared as woven and lamellar bone in both experimental and control groups. Conclusions: A mixture of Salvadoria persica and Nigella sativa has an anti-inflammatory effect and accelerate bone healing by stimulating bone formation in the tooth extraction socket.
目的:探讨黑草与木耳联合应用对拔牙后牙槽愈合的影响,为拔牙后牙槽的修复提供一种新的治疗方法。方法:选取家兔40只,分为对照组和实验组各20只。所有动物均拔除右上中切牙,实验组牙槽在生理盐水冲洗后立即用木耳和黑草的混合物包扎。对照组拔牙槽不包扎。分别于治疗后第1、3、7、14天对动物实施安乐死后进行活组织检查,并在相应时期对标本进行组织学检查。结果:治疗后第1天,实验组切片组织学检查显示急性炎症反应较对照组明显减轻。这继续减少,直到第七天。实验组肉芽组织的形成量在研究的不同时期均较多,而新骨形成在1周后出现编织骨,2周后增加,实验组和对照组均出现编织骨和板层骨。结论:丹参与黑草合剂具有抗炎作用,并通过刺激拔牙槽骨形成加速骨愈合。
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引用次数: 0
Flexural strength and Vickers hardness of milled and 3D-printed resins for provisional dental restorations 用于临时牙齿修复的研磨和3d打印树脂的弯曲强度和维氏硬度
Q4 Dentistry Pub Date : 2023-10-16 DOI: 10.20396/bjos.v22i00.8668439
Ana Luiza Caetano Souza, Jorge Luiz de Oliveira Cruvinel Filho, Sicknan Soares da Rocha
Various forms of temporary resins are offered on the market; however, the properties of temporary resins obtained by milling and 3D printing have not been fully examined. This study aimed to compare the flexural strength and Vickers hardness of milled and 3D-printed resins. Methods: Three resins were tested: Evolux PMMA (milled resin), Cosmos Temp (3D-printed resin), and Structur 2 SC (bis-acrylic resin, group control). Specimens were prepared with rectangular shapes (n = 12) for flexural strength measurements and disc shapes (n = 9) for Vickers hardness tests. Flexural strength tests were performed at a crosshead speed of 0.75 mm/min, and the Vickers hardness was measured under a load of 20 N for 10 s. The obtained data were subjected to the Kruskal–Wallis test. Results: A significant difference (p < 0.05) in flexural strength was observed among the three sample groups: Evolux PMMA (111.76 MPa), Structur 2 SC (87.34 MPa), and Cosmos Temp (56.83 MPa). No significant difference (p < 0.05) was observed between the Vickers hardness values of Structur 2 SC (33.37 VHN) and Evolux PMMA (29.11 VHN); however, both materials were statistically superior to Cosmos Temp (10.90 VHN). Conclusion: While the mechanical properties of the milled resin were superior or similar to those of the bisacrylic resin, the 3D-printed resin was statistically inferior to both the milled and bis-acrylic resins.
市场上提供各种形式的临时树脂;然而,通过铣削和3D打印获得的临时树脂的性能尚未得到充分的研究。本研究旨在比较研磨树脂和3d打印树脂的抗弯强度和维氏硬度。方法:测试三种树脂:Evolux PMMA(研磨树脂),Cosmos Temp (3d打印树脂)和strucr 2sc(双丙烯酸树脂,对照组)。用矩形(n = 12)试样进行抗弯强度测试,用圆盘形(n = 9)试样进行维氏硬度测试。以0.75 mm/min的十字速度进行抗折强度试验,并在20 N载荷作用10 s下测量维氏硬度。所得数据进行Kruskal-Wallis检验。结果:差异有统计学意义(p <Evolux PMMA (111.76 MPa)、structure 2 SC (87.34 MPa)和Cosmos Temp (56.83 MPa) 3个样品组的抗折强度差异均为0.05)。差异无统计学意义(p <structure 2 SC的维氏硬度值(33.37 VHN)与Evolux PMMA的维氏硬度值(29.11 VHN)比较差异为0.05;然而,两种材料在统计上都优于Cosmos Temp (10.90 VHN)。结论:虽然研磨树脂的力学性能优于或类似于双丙烯酸树脂,但3d打印树脂在统计学上优于研磨树脂和双丙烯酸树脂。
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引用次数: 0
Protein interactions with osseointegrable titanium implants 蛋白质与骨可整合钛植入物的相互作用
Q4 Dentistry Pub Date : 2023-10-16 DOI: 10.20396/bjos.v22i00.8668749
Marvin do Nascimento, Thays Obando Brito, Andreza Menezes Lima, Carlos Nelson Elias
This review aims to present the mechanisms of protein interactions with titanium dental implant surfaces. Methods: the analyses were based on searches of scientific articles available in English and Portuguese in PubMed (MEDLINE), Bireme (LILACS), Scielo, Web of Science and Google Scholar. Results: titanium dental implant treatments success rates (95-98%) are mainly due to the biocompatibility of titanium oxide on the implant surface, surgical techniques adopted, good implants manufacturing processes and biomechanical knowledge of the systems. Studies in past decades has empirically developed implant surfaces with significant changes in morphologies, roughness, wettability, surface energy, chemical composition, and chemical groups density or deposited molecules. These changes promoted better protein adsorption, osteoblast adhesion, and changes in the mechanisms involved in osseointegration. Thus, the time to put the implant in function has been reduced and the success rates have increased. In the osseointegration process, at the nanoscale, there is no contact between the bone and the implant surface, but there is the formation of a protein anchorage between the periosteum and the implant with an interface formed by proteins. In all the reactions between the body and the implant surface, the activities of fibronectin and integrin are essential, since they are responsible for transmitting information to the cell for its differentiation, adhesion and mobility. Conclusion: thus, the analyses of protein-implant interactions are indispensable for a better understanding of the performance of osseointegrated dental implants.
本文综述了蛋白质与钛牙种植体表面相互作用的机制。方法:分析基于PubMed (MEDLINE)、Bireme (LILACS)、Scielo、Web of Science和Google Scholar中可用的英语和葡萄牙语科学文章的搜索。结果:钛种植体治疗成功率(95-98%)主要是由于氧化钛与种植体表面的生物相容性、采用的手术技术、良好的种植体制造工艺和系统的生物力学知识。过去几十年的研究经验表明,植入物表面在形态、粗糙度、润湿性、表面能、化学成分、化学基团密度或沉积分子等方面都发生了显著变化。这些变化促进了更好的蛋白质吸附,成骨细胞粘附,并改变了骨整合的机制。因此,使植入物发挥作用的时间减少了,成功率提高了。在骨整合过程中,在纳米尺度上,骨与种植体表面没有接触,但骨膜与种植体之间形成了蛋白锚定,蛋白形成了界面。在机体和植入物表面之间的所有反应中,纤维连接蛋白和整合素的活动是必不可少的,因为它们负责向细胞传递信息,使其分化、粘附和移动。结论:因此,蛋白质-种植体相互作用的分析对于更好地了解骨结合种植体的性能是必不可少的。
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引用次数: 0
Survival of young and elderly adults with oral squamous cell carcinoma in a population in northeastern Brazil 巴西东北部人群中患有口腔鳞状细胞癌的年轻人和老年人的生存率
Q4 Dentistry Pub Date : 2023-10-10 DOI: 10.20396/bjos.v22i00.8670008
Marília de Matos Amorim, Alessandra Laís Pinho Valente Pires, Ana Letícia Marques de Souza Assis, Carlos Alberto Lima da Silva, Jean Nunes dos Santos, Valéria Souza Freitas
Aim: To compare the profile and overall survival of young adults and elderly people diagnosed with SCC. Methods: A retrospective study was carried out at a High Complexity Oncology Unit, between 2010 and 2016. A descriptive analysis, a bivariate analysis using the chi-square and Fisher’s exact test and the Kaplan-Meier estimator were performed. The predictor variables were tested using the log-rank test and those with statistical significance and the literature were maintained for the Cox regression model. Results: 282 cases of SCC were recorded, with only 12.4% diagnosed in young adults. The profile was similar between groups, with the majority of cases of the disease occurring in males, smokers and alcohol consumers. The lesions predominantly located on the tongue and were diagnosed in an advanced stage of the disease, resulting in 35.7% of deaths. The median survival time was 30 months in the elderly and 31 months in young people. In the multivariate analysis, age was not statistically significant, only staging and treatment were predictors of reduced overall survival. Conclusion: Tumor staging, and treatment were prognostic factors for the disease.
目的:比较诊断为SCC的年轻人和老年人的概况和总体生存率。方法:2010年至2016年在一家高复杂性肿瘤科进行回顾性研究。描述性分析,双变量分析使用卡方和费雪精确检验和Kaplan-Meier估计进行。预测变量采用log-rank检验,有统计学显著性和文献的采用Cox回归模型。结果:282例鳞状细胞癌被记录下来,只有12.4%被诊断为年轻人。各组之间的情况相似,大多数病例发生在男性、吸烟者和饮酒者中。病变主要位于舌头上,在疾病的晚期被诊断出来,导致35.7%的死亡。老年人的中位生存时间为30个月,年轻人为31个月。在多变量分析中,年龄无统计学意义,只有分期和治疗是总生存率降低的预测因素。结论:肿瘤分期和治疗是影响本病预后的重要因素。
{"title":"Survival of young and elderly adults with oral squamous cell carcinoma in a population in northeastern Brazil","authors":"Marília de Matos Amorim, Alessandra Laís Pinho Valente Pires, Ana Letícia Marques de Souza Assis, Carlos Alberto Lima da Silva, Jean Nunes dos Santos, Valéria Souza Freitas","doi":"10.20396/bjos.v22i00.8670008","DOIUrl":"https://doi.org/10.20396/bjos.v22i00.8670008","url":null,"abstract":"Aim: To compare the profile and overall survival of young adults and elderly people diagnosed with SCC. Methods: A retrospective study was carried out at a High Complexity Oncology Unit, between 2010 and 2016. A descriptive analysis, a bivariate analysis using the chi-square and Fisher’s exact test and the Kaplan-Meier estimator were performed. The predictor variables were tested using the log-rank test and those with statistical significance and the literature were maintained for the Cox regression model. Results: 282 cases of SCC were recorded, with only 12.4% diagnosed in young adults. The profile was similar between groups, with the majority of cases of the disease occurring in males, smokers and alcohol consumers. The lesions predominantly located on the tongue and were diagnosed in an advanced stage of the disease, resulting in 35.7% of deaths. The median survival time was 30 months in the elderly and 31 months in young people. In the multivariate analysis, age was not statistically significant, only staging and treatment were predictors of reduced overall survival. Conclusion: Tumor staging, and treatment were prognostic factors for the disease.","PeriodicalId":34984,"journal":{"name":"Brazilian Journal of Oral Sciences","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136358275","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}
引用次数: 0
Sensitivity and specificity of salivary pipecolic acid in head and neck squamous cell carcinoma 唾液细果酸在头颈部鳞状细胞癌中的敏感性和特异性
Q4 Dentistry Pub Date : 2023-10-06 DOI: 10.20396/bjos.v22i00.8668473
Kívia Linhares Ferrazzo, Larissa Daiane Willrich de Melo, Cristiane Cademartori Danesi, Alexander Thomas, Laura Izabel Lampert Bonzanini, Nilo Zanatta
Aim: The aim of the present preliminary case-control study was to test the sensitivity and specificity of salivary pipecolic acid in predicting head and neck squamous cell carcinoma (HNSCC). Methods: High-performance liquid chromatography was used for the analysis of non-stimulated saliva samples from 40 individuals: 20 in the case group (recently diagnosed with untreated HNSCC) and 20 in the control group (individuals without cancer). Both groups included patients taking daily oral hypoglycemic drugs (comorbidity). The case and control groups were matched at a proportion of 1:1 for sex and comorbidity. Results: Mean salivary levels of pipecolic acid were 169.38 ng/ mL in the case group and 114.66 ng/mL in the control group (p<0.001). Individuals who took oral hypoglycemic drugs had higher levels of pipecolic acid in both the case and control groups (p<0.001). The receiver operating characteristic curve analysis revealed 90% sensitivity and 65% specificity for head and neck cancer, with an area under the curve of 0.838 between the case and control groups. Conclusions: Pipecolic acid had high sensitivity for the diagnosis of HNSCC but low specificity in the sample analyzed. Our findings suggest that salivary pipecolic acid levels are associated with glucose homeostasis. Studies with larger samples are required to evaluate the specificity of this metabolite.
目的:本初步病例对照研究的目的是检验唾液细果酸预测头颈部鳞状细胞癌(HNSCC)的敏感性和特异性。方法:采用高效液相色谱法对40例非刺激唾液样本进行分析,其中20例为病例组(新近诊断为未治疗的HNSCC), 20例为对照组(未患癌症的个体)。两组患者均每日服用口服降糖药(合并症)。在性别和合并症方面,病例组和对照组按1:1的比例匹配。结果:病例组患者唾液中细果酸的平均水平为169.38 ng/mL,对照组为114.66 ng/mL (p<0.001)。服用口服降糖药的个体在病例组和对照组中都有较高的果酸水平(p<0.001)。受试者工作特征曲线分析显示,头颈癌的敏感性为90%,特异性为65%,病例组与对照组的曲线下面积为0.838。结论:pipiolic acid对HNSCC的诊断具有较高的敏感性,但在所分析的样本中特异性较低。我们的研究结果表明,唾液细果酸水平与葡萄糖稳态有关。需要更大样本的研究来评估这种代谢物的特异性。
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引用次数: 0
Effect of two methods of irrigant agitation on the temperature and cleanliness of sodium hypochlorite associated or not with a chelator 两种灌洗剂搅拌方式对与不加螯合剂的次氯酸钠温度和清洁度的影响
Q4 Dentistry Pub Date : 2023-08-25 DOI: 10.20396/bjos.v22i00.8668692
Mariana Maciel Batista Borges, Mirela Cesar de Barros, Índia Olinta de Azevedo Queiroz, Flaviana Bombarda de Andrade, Marco Antonio Hungaro Duarte
Aim: This study investigated the influence in vitro of different sodium hypochlorite (NaOCl) agitation protocols associated or not with DualRinse (HEDP) on the temperature of the solution. Methods: Forty-eight premolars were instrumented and their apical third sealed to allow a closed irrigation system. The teeth remained immersed in a basin of warm water (37°C). The teeth were divided into the groups: G1 (NaOCl+Passive Ultrasonic Irrigation (PUI)), G2 (NaOCl/HEDP + PUI), G3 (NaOCl + EasyClean (EC)) and G4 (NaOCl/HEDP + EC). The canals were filled with the respective solutions and after 180 seconds the first temperature measurement was taken (T0). Then, the solutions were agitated, following the different protocols, for 60 seconds and a new measurement was performed (T60). The temperature was measured using a digital thermometer for type “K” sensors that was inserted into the middle third of the teeth. At the end of the measurements, the teeth were sectioned and prepared for scanning electron microscopy. The dentinal wall of middle third was graded according to the amount of debris and smear layer remaining on the walls. The results were analyzed using ANOVA test and Tukey’s multiple comparisons (p<0.05). Results: G1 and G2 had an average increase in temperature of 1.1°C and 1.65°C, respectively (p>0.05). EasyClean caused a decrease in the temperature of the solutions in both groups, without a significant statistical difference with T0 (p>0.05). Regarding cleaning, it was only possible to observe clean dentinal tubules in the groups with the chelator. PUI discretely increased the temperature of the solution, regardless of the solution. The opposite effect was observed after activation with EasyClean. Conclusion: The association of NaOCl with a chelating agent promoted the cleaning of the dentinal tubules.
目的:在体外研究不同的次氯酸钠(NaOCl)搅拌方式与DualRinse (HEDP)联合或不联合对溶液温度的影响。方法:对48颗前磨牙进行矫治,并对其根尖进行封闭,形成封闭的灌洗系统。牙齿浸泡在温水中(37°C)。牙组分为G1组(NaOCl+被动超声冲洗(PUI))、G2组(NaOCl/HEDP + PUI)、G3组(NaOCl+ EasyClean (EC))和G4组(NaOCl/HEDP + EC)。将各自的溶液填入管中,180秒后进行第一次温度测量(T0)。然后,将溶液按照不同的方案搅拌60秒,并进行新的测量(T60)。温度测量使用的数字温度计“K”型传感器插入中间三分之一的牙齿。在测量结束时,将牙齿切片并准备用于扫描电子显微镜。根据残留在牙本质壁上的碎片和涂抹层的数量对中三分之一的牙本质壁上进行分级。采用方差分析和Tukey多重比较(p<0.05)对结果进行分析。结果:G1组和G2组平均升高温度分别为1.1℃和1.65℃(p>0.05)。EasyClean使两组溶液温度降低,与T0无显著统计学差异(p>0.05)。在清洁方面,只有使用螯合剂的组才能观察到清洁的牙本质小管。PUI离散地提高了溶液的温度,与溶液无关。用EasyClean激活后观察到相反的效果。结论:NaOCl与螯合剂的联合作用促进了牙本质小管的清洁。
{"title":"Effect of two methods of irrigant agitation on the temperature and cleanliness of sodium hypochlorite associated or not with a chelator","authors":"Mariana Maciel Batista Borges, Mirela Cesar de Barros, Índia Olinta de Azevedo Queiroz, Flaviana Bombarda de Andrade, Marco Antonio Hungaro Duarte","doi":"10.20396/bjos.v22i00.8668692","DOIUrl":"https://doi.org/10.20396/bjos.v22i00.8668692","url":null,"abstract":"Aim: This study investigated the influence in vitro of different sodium hypochlorite (NaOCl) agitation protocols associated or not with DualRinse (HEDP) on the temperature of the solution. Methods: Forty-eight premolars were instrumented and their apical third sealed to allow a closed irrigation system. The teeth remained immersed in a basin of warm water (37°C). The teeth were divided into the groups: G1 (NaOCl+Passive Ultrasonic Irrigation (PUI)), G2 (NaOCl/HEDP + PUI), G3 (NaOCl + EasyClean (EC)) and G4 (NaOCl/HEDP + EC). The canals were filled with the respective solutions and after 180 seconds the first temperature measurement was taken (T0). Then, the solutions were agitated, following the different protocols, for 60 seconds and a new measurement was performed (T60). The temperature was measured using a digital thermometer for type “K” sensors that was inserted into the middle third of the teeth. At the end of the measurements, the teeth were sectioned and prepared for scanning electron microscopy. The dentinal wall of middle third was graded according to the amount of debris and smear layer remaining on the walls. The results were analyzed using ANOVA test and Tukey’s multiple comparisons (p<0.05). Results: G1 and G2 had an average increase in temperature of 1.1°C and 1.65°C, respectively (p>0.05). EasyClean caused a decrease in the temperature of the solutions in both groups, without a significant statistical difference with T0 (p>0.05). Regarding cleaning, it was only possible to observe clean dentinal tubules in the groups with the chelator. PUI discretely increased the temperature of the solution, regardless of the solution. The opposite effect was observed after activation with EasyClean. Conclusion: The association of NaOCl with a chelating agent promoted the cleaning of the dentinal tubules.","PeriodicalId":34984,"journal":{"name":"Brazilian Journal of Oral Sciences","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134930691","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}
引用次数: 0
Soft tissue and incisor position changes in class I bimaxillary subjects after retraction using friction and frictionless mechanics 摩擦和无摩擦力学下ⅰ类双上颌受试者牵出后软组织和门牙位置的变化
Q4 Dentistry Pub Date : 2023-08-25 DOI: 10.20396/bjos.v22i00.8671702
Sai Kalyan Menta, Prajwal Shetty, Marakini Subrahmanya Ravi, Keerthan Shashidhar, Megha Revanetix
Aim: Bimaxillary protrusion is a common condition observed irrespective of race and ethnicity and is a chief concern for patients who seek orthodontic treatment. The aim of this study was to compare and evaluate changes in soft tissue structures and incisor positions in class I bimaxillary protrusion subjects undergoing orthodontic therapy when friction and frictionless mechanics were used. Methods: Two groups with a total of 40 patients aged 18–30 years diagnosed with class I bimaxillary protrusion treated by extracting first premolars were considered for this study. Patients treated with friction mechanics were included in Group 1 and those treated with frictionless mechanics in Group 2. The digital lateral cephalograms were calibrated and analyzed using Nemoceph software. Selected landmarks were marked on pre- and post-treatment cephalograms and assessed for intra- and inter-group soft tissue and incisor position changes. Student’s t-test was used to analyze the collected data using SPSS 20 software. Result: Intragroup comparison revealed significant changes in both groups. Inter-group comparison of the selected parameters between groups 1 and 2 showed differences but without any statistical significance, except for the inter-incisal angle. Conclusion: Pre- and post-treatment comparison analysis revealed significant soft tissue changes in both groups. However, the comparison between friction and frictionless mechanics showed no statistically significant changes.
目的:双颌前突是一种常见的疾病,无论种族和民族如何,双颌前突是寻求正畸治疗的患者的主要问题。本研究的目的是比较和评估在使用摩擦力学和无摩擦力学的情况下,接受正畸治疗的I类双颌前突患者的软组织结构和门牙位置的变化。方法:选取18 ~ 30岁两组40例经第一前磨牙拔除治疗的I类双颌前突患者作为研究对象。采用摩擦力学治疗的患者为1组,采用无摩擦力学治疗的患者为2组。使用Nemoceph软件对数字侧位脑电图进行校准和分析。在治疗前和治疗后的脑电图上标记选定的地标,并评估组内和组间软组织和切牙位置的变化。采用SPSS 20软件对收集的数据进行学生t检验。结果:组内比较,两组差异均有统计学意义。1组与2组所选参数组间比较,除切间角外,差异均无统计学意义。结论:两组患者治疗前后软组织变化明显。然而,摩擦力学和无摩擦力学之间的比较没有统计学上的显著变化。
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引用次数: 0
Can NLR be a biomarker for mucositis and gvhd in patients undergoing allogeneic HSCT? NLR能否作为同种异体造血干细胞移植患者粘膜炎和gvhd的生物标志物?
Q4 Dentistry Pub Date : 2023-08-25 DOI: 10.20396/bjos.v22i00.8668998
Isabella Christina Costa Quadras, Fernanda Aparecida Stresser, Stephanie von Stein Cubas Warnavin, Vaneuza Araújo Moreira Funke, Rafael Zancan Mobile, Juliana Lucena Schussel
Allogeneic hematopoietic stem cell transplantation (HSCT) is a treatment for many diseases; however, it can induce complications such as Oral Mucositis (OM) and Graft-versus- Host Disease (GVHD). The neutrophil-lymphocyte ratio (NLR) is a peripheral biomarker of systemic inflammation and an independent prognostic factor for several inflammatory diseases. Aim: This study aimed to evaluate the association of NLR with OM and GVHD in patients undergoing allogeneic HSCT. Methods: Patients who underwent allogeneic HSCT at the Bone Marrow Transplant Service of the Hospital de Clínicas Complex of the Federal University of Paraná were included in the study. Socio-demographic data and blood counts were collected from patients’ medical records. The NLR was calculated and associated with OM and GVHD. Results: 45 patients were included in the study. Although NLR was higher in patients with OM and oral GVHD, no statistical difference was observed, and no relationship between OM and GVHD with NLR could be stated. Conclusion: Although both OM and GVHD are associated with an inflammatory response as well as the immune system, it was not associated with NLR. Further investigation considering other variables related to HSCT might find possible associations, as it could favor patient management and prevention.
同种异体造血干细胞移植(HSCT)是一种治疗多种疾病的方法;然而,它可以引起并发症,如口腔黏膜炎(OM)和移植物抗宿主病(GVHD)。中性粒细胞-淋巴细胞比率(NLR)是全身性炎症的外周生物标志物,也是几种炎症性疾病的独立预后因素。目的:本研究旨在评估同种异体造血干细胞移植患者NLR与OM和GVHD的关系。方法:在paran联邦大学 Clínicas综合医院骨髓移植服务中心接受同种异体造血干细胞移植的患者被纳入研究。从患者的医疗记录中收集社会人口统计数据和血液计数。计算NLR并将其与OM和GVHD相关联。结果:45例患者纳入研究。虽然OM和口腔GVHD患者的NLR较高,但没有统计学差异,OM和GVHD与NLR之间没有关系。结论:虽然OM和GVHD都与炎症反应和免疫系统相关,但与NLR无关。考虑到与造血干细胞移植相关的其他变量,进一步的研究可能会发现可能的关联,因为它有助于患者的管理和预防。
{"title":"Can NLR be a biomarker for mucositis and gvhd in patients undergoing allogeneic HSCT?","authors":"Isabella Christina Costa Quadras, Fernanda Aparecida Stresser, Stephanie von Stein Cubas Warnavin, Vaneuza Araújo Moreira Funke, Rafael Zancan Mobile, Juliana Lucena Schussel","doi":"10.20396/bjos.v22i00.8668998","DOIUrl":"https://doi.org/10.20396/bjos.v22i00.8668998","url":null,"abstract":"Allogeneic hematopoietic stem cell transplantation (HSCT) is a treatment for many diseases; however, it can induce complications such as Oral Mucositis (OM) and Graft-versus- Host Disease (GVHD). The neutrophil-lymphocyte ratio (NLR) is a peripheral biomarker of systemic inflammation and an independent prognostic factor for several inflammatory diseases. Aim: This study aimed to evaluate the association of NLR with OM and GVHD in patients undergoing allogeneic HSCT. Methods: Patients who underwent allogeneic HSCT at the Bone Marrow Transplant Service of the Hospital de Clínicas Complex of the Federal University of Paraná were included in the study. Socio-demographic data and blood counts were collected from patients’ medical records. The NLR was calculated and associated with OM and GVHD. Results: 45 patients were included in the study. Although NLR was higher in patients with OM and oral GVHD, no statistical difference was observed, and no relationship between OM and GVHD with NLR could be stated. Conclusion: Although both OM and GVHD are associated with an inflammatory response as well as the immune system, it was not associated with NLR. Further investigation considering other variables related to HSCT might find possible associations, as it could favor patient management and prevention.","PeriodicalId":34984,"journal":{"name":"Brazilian Journal of Oral Sciences","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134930912","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}
引用次数: 0
期刊
Brazilian Journal of Oral Sciences
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