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Does the rehabilitation treatment predispose the patient with cleft to endodontic treatment? 康复治疗是否使唇裂患者倾向于牙髓治疗?
Q4 Dentistry Pub Date : 2023-08-24 DOI: 10.20396/bjos.v22i00.8669097
Sávio Brandelero Junior, Renata Artioli Moreira, Lidiane de Castro Pinto, Gisele da Silva Dalben
Aim: to verify the relation between endodontic treatment of teeth adjacent to the cleft area and the rehabilitation of patients with unilateral cleft lip and palate, at the Hospital for Rehabilitation of Craniofacial Anomalies. Methods: the present split-mouth study was composed of 406 individuals with complete unilateral cleft lip and palate who had completed the rehabilitation process in a single tertiary cleft center (55.9% males). The information was collected from the dental history on the patients’ records and radiographs. The frequency of endodontic treatment in the upper incisors and canines was calculated for the cleft and non-cleft sides. The comparison between sides was performed by the chi-square test (p <0.05). Results: endodontic treatment was more frequent in teeth adjacent to the cleft than in contralateral teeth. The frequency of endodontic treatment in at least one tooth adjacent to the cleft was 18.97%, and 11.6% on the contralateral side. It was observed that endodontic treatment was necessary in 63.5% of patients who had been submitted to orthodontic treatment, 42.4% of those rehabilitated with fixed partial dentures and 12.0% of patients who underwent dental reshaping of teeth adjacent to the cleft. The treatments performed included vital pulp therapy (46.1%), non-vital pulp therapy (46.8%) and endodontic retreatment (7.1%). Conclusion: in individuals with complete cleft lip and palate, teeth close to the bone defect area and used for rehabilitation treatment presented greater need of endodontic intervention.
目的:探讨颅面畸形康复医院单侧唇腭裂患者裂区邻牙根管治疗与康复的关系。方法:本研究由406例完全性单侧唇腭裂患者组成,这些患者在单一三级唇裂中心完成了康复治疗,其中55.9%为男性。这些信息是从患者的牙科病史记录和x光片中收集的。计算腭裂侧和非腭裂侧上切牙和犬齿的牙髓治疗频率。两侧比较采用卡方检验(p <0.05)。结果:牙髓治疗在唇裂旁牙较对侧牙多见。近侧至少一颗牙接受根管治疗的比例为18.97%,对侧为11.6%。63.5%的患者接受了正畸治疗,42.4%的患者接受了固定部分义齿康复,12.0%的患者接受了邻裂牙整形。治疗方法包括生命髓治疗(46.1%)、非生命髓治疗(46.8%)和牙髓再治疗(7.1%)。结论:完全性唇腭裂患者中,靠近骨缺损区并用于康复治疗的牙齿更需要进行牙髓干预。
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引用次数: 0
Effect of S. mutans biofilm on the hybrid ceramic-resin cement bond strength assessed by different methods 用不同方法评价变形链球菌生物膜对杂化陶瓷-树脂水泥粘结强度的影响
Q4 Dentistry Pub Date : 2023-08-24 DOI: 10.20396/bjos.v22i00.8669389
Amanda Mahammad Mushashe, Sarah Aquino de Almeida, Jack Libório Ferracane, Justin Merritt, Carla Castiglia Gonzaga, Gisele Maria Correr
Aim: The purpose of this study was to investigate the biofilm effect on the hybrid ceramic-resin cement bond strength (BS) by comparing two methods. Methods: Teeth were distributed into groups (n=5), according to the resin cement (Maxcem Elite-(MC) or NX3 Nexus-(NX)) and degradation method (24h or 7 days in distilled water; 7 or 30 days incubated with biofilm and 30 days in sterile media). Treated surfaces of Vita Enamic blocks (5x6x7mm) were luted to treated or no treated dentin surfaces and light-cured. After 24h, beams were obtained (1x1x10mm) and stored accordingly. The flexural bond strength (FBS) was assessed by four-point bending test. Additional beams were obtained from new teeth (n=5), stored for 24h or 7 days in distilled water, and submitted to a microtensile bond strength (μTBS) assay. Failure modes were determined by scanning electron microscopy (100X). The flexure strength of the cements (n=10) was assessed by a four-point bending test. Data were analyzed by 1 and 2-ways ANOVA, and Tukey’s test (α=0.05). Results: There was no significant difference between the degradation methods for the FBS groups. For the μTBS, the significant difference was as follows: NX 7days > NX 24h > MC 7days = MC 24h. Failure mode was mainly adhesive and mixed, but with an increase of cohesive within cement and pre-failures for the MC groups assessed by μTBS. NX had better performance than MC, regardless of the method. Conclusions: The biofilm had no effect on the materials BS and FBS test was a useful method to evaluate BS of materials with poor performance.
目的:通过比较两种方法,探讨生物膜对陶瓷-树脂水泥结合强度的影响。方法:根据树脂粘固剂(Maxcem Elite-(MC)或NX3 Nexus-(NX))和降解方法(蒸馏水24h或7d;用生物膜培养7或30天,在无菌培养基中培养30天)。处理过的Vita搪瓷块(5x6x7mm)表面与处理过或未处理过的牙本质表面进行光固化。24h后得到梁(1x1x10mm)并保存。采用四点弯曲试验评估弯曲粘结强度(FBS)。从新牙(n=5)中获得额外的梁,在蒸馏水中保存24小时或7天,并进行微拉伸粘结强度(μTBS)测定。通过扫描电子显微镜(100X)确定失效模式。通过四点弯曲试验评估水泥的抗弯强度(n=10)。数据分析采用单因素方差分析、双因素方差分析和Tukey检验(α=0.05)。结果:FBS组间降解方法差异无统计学意义。对于μTBS,显著差异如下:NX 7d >NX 24h >mc7days = mc24h。破坏模式以粘结和混合为主,但μTBS评价的MC组水泥内聚性和预破坏有所增加。无论采用何种方法,NX的性能都优于MC。结论:生物膜对材料的BS无影响,FBS试验是评价性能较差材料BS的有效方法。
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引用次数: 0
Changes in the properties of bulk-fill resins under conditions of gastroesophageal reflux and bulimia 胃食管反流和贪食症条件下填充树脂性质的变化
Q4 Dentistry Pub Date : 2023-08-22 DOI: 10.20396/bjos.v22i00.8670282
Mayara Manfrin Arnez, Tatiane Cristina Dotta, Leonardo de Pádua Andrade Almeida, Raisa Castelo, David Emanuel Ugarte, Andréa Cândido dos Reis, Alma Blasida Concepcion Elizaur Benitez Catirse
Aim: Evaluate the roughness, microhardness and color change of different Bulk Fill resins when submitted to the condition of gastroesophageal reflux and bulimia. Methods: 60 specimens (n = 10) of Bulk-Fill composite resins were made: M1 – Filtek™; M2 – Tetric N-Ceram and M3 – OPUS, through a matrix 2x6 mm and light cured by the VALO light source. After polishing, initial analyzes (48 hours - T0) of surface roughness (Ra), microhardness (VHN) and color change (ΔE) were performed. To simulate the oral condition of severe gastroesophageal reflux and bulimia, the specimens were immersed in hydrochloric acid (S1) (pH 1.7) 4 minutes a day, for 7 days. Control group specimens were immersed in artificial saliva (S2). Subsequently to immersions, mechanical brushing was performed for 3 minutes, three times a day, simulating 7 days of brushing. And again, the analyzes of Ra, VHN and ΔE were performed (7 days - T1). Thus, hydrochloric acid immersion, mechanical brushing and Ra analysis were repeated at 14 days (T2) and 21 days (T3); and T2, T3 and T4 (3 years) for VHN and ΔE. Results: After Shapiro-Wilk statistical test, ANOVA and Tukey test with Bonferroni adjustment (p>0.05), M3 showed the lowest Ra at all times compared to the other resins, while the highest Ra was at T0. M1 and T1 showed higher VHN. And M2 and T4 showed higher ΔE. Conclusion: Bulk Fill resins can be indicated for patients with Gastroesophageal Reflux and Bulimia, nonetheless, Tetric N-Ceram resin showed the worst results.
目的:评价不同填充树脂在胃食管反流和贪食条件下的粗糙度、显微硬度和颜色变化。方法:制备体积填充型复合树脂60例(n = 10): M1 - Filtek™;M2 - n -陶瓷和M3 - OPUS,通过2x6mm的基质和VALO光源光固化。抛光后,进行表面粗糙度(Ra)、显微硬度(VHN)和颜色变化(ΔE)的初步分析(48小时- T0)。为了模拟严重胃食管反流和贪食的口腔状况,将标本浸泡在盐酸(S1) (pH 1.7)中,每天4分钟,连续7天。对照组标本浸泡在人工唾液中(S2)。浸泡后,进行3分钟的机械刷牙,每天3次,模拟7天的刷牙。再次对Ra、VHN、ΔE进行分析(7 d - T1)。因此,在第14天(T2)和第21天(T3)重复盐酸浸泡、机械刷毛和Ra分析;VHN和ΔE的T2、T3、T4(3年)。结果:经Shapiro-Wilk统计检验、ANOVA检验和Bonferroni校正的Tukey检验(p>0.05), M3在任何时间与其他树脂相比Ra最低,而在T0时Ra最高。M1和T1表现出较高的VHN。M2和T4升高ΔE。结论:填充树脂治疗胃食管反流和贪食症是可行的,但n -陶瓷树脂治疗效果最差。
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引用次数: 0
Patient care in the restorative clinic of a public dental school after COVID-19 lockdown COVID-19封锁后公立牙科学校恢复性诊所的患者护理
Q4 Dentistry Pub Date : 2023-08-14 DOI: 10.20396/bjos.v22i00.8670467
Kennedy Santana de Macedo, A. Machado, M. Sobral
Aim: This study, with the aim of checking some of the changes in patients’ daily habits and their reasons for needing restorative treatment was conducted at a public university immediately on return to attendance after the COVID-19 pandemic lockdown. Methods: This survey consisted of interviews held by applying 2 questionnaires to students and patients. A single researcher collected data in all the restorative dentistry clinics at the university after the return to face-to-face activities in the period between 02/02/2021 and 07/30/2021. Data obtained by means of the questionnaires were submitted to descriptive analysis. Results: Ninety (90) participants answered the patient questionnaire. When considering possible associations between being in social isolation or not, significant values were found for changed type of diet (p=0.0011), frequency of eating (p=0.011) and toothbrushing (p=0.034). Data about 417 restorations were collected and among the reasons for restorative intervention, 33.03% were restoration replacement, 31.87% treatment of primary caries and 24.40% of dental wear/non-carious lesions. Conclusion: Patients who isolated themselves during the pandemic tended to change their eating habits and frequency of oral hygiene. Toothache was the main reason for seeking dental treatment and the replacement of pre-existing restorations was the main reason for restorative treatments.
目的:本研究在一所公立大学进行,目的是检查患者日常生活习惯的一些变化及其需要恢复性治疗的原因,该研究在新冠肺炎疫情封锁后立即返回学校。方法:采用2份问卷对学生和患者进行访谈。在2021年2月2日至2021年7月30日期间,一名研究人员在返回面对面活动后,在该大学的所有恢复性牙科诊所收集数据。通过问卷调查获得的数据被提交给描述性分析。结果:90名参与者回答了患者问卷。当考虑到是否处于社会隔离之间的可能联系时,饮食类型的改变(p=0.0011)、饮食频率(p=0.011)和刷牙(p=0.034)都发现了显著的价值。收集了417个修复体的数据,修复干预的原因中,33.03%为修复体置换,31.87%为治疗原发龋,24.40%为牙齿磨损/非龋损。结论:流感大流行期间自我隔离的患者有改变饮食习惯和口腔卫生频次的趋势。牙痛是寻求牙科治疗的主要原因,更换原有修复体是进行修复治疗的主要原因。
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引用次数: 0
How Brazilian oral health care workers face COVID-19 巴西口腔卫生工作者如何应对COVID-19
Q4 Dentistry Pub Date : 2023-08-01 DOI: 10.20396/bjos.v22i00.8667812
L. Palma, F. Bitencourt, Gabriel Ricardo Velho, F. S. Pires, M. H. Baldani, Claudia Flemming Colussi, Cristine Maria Warmling
Aim: To investigate surveillance, biosafety, and education strategies of Brazilian oral health care workers (OHCWs) during the first wave of the COVID-19 outbreak. Methods: This was a cross-sectional study covering OHCWs from a single multicenter research centre. A self-administered and validated online questionnaire was used for data collection, including the following variables: sociodemographic, medical history, biosafety, professional experience, surveillance, and education. Results: The sample consisted of 644 OHCWs (82.5% dentists, 13.2% dental assistants and 4.3% technicians), most without comorbidities (84.8%), from the public (51.7%) and private (48.3%) health systems, in 140 cities of a southern state. The most prominent measures of surveillance were waiting room distancing and visual alerts, symptom assessment, and availability of guidelines on COVID-19. Regarding biosafety measures, the lowest adherence was related to intraoral radiographs (2.7±1.4; 95%CI: 2.6–2.9), use of dental dams (2.1±1.4; 95%CI: 2.0–2.2), and availability of high-power suction systems (2.5±1.7; 95%CI: 2.3–2.6). Among OHCWs, 52.6% received guidance on measures to take during dental care in the workplace. Continuing education was mainly through documents from non-governmental health authorities (77.4%). Conclusion: Surveillance and biosafety measures were adopted, but activities that reduce the spread of aerosols had less adherence. These findings underscore the importance of considering dental practices, and surveillance and education strategies to formulate policies and relevant support to address health system challenges during the COVID-19 pandemic. A coordinated action of permanent education by policymakers is necessary.
目的:调查巴西口腔卫生工作者(OHCWs)在第一波COVID-19疫情期间的监测、生物安全和教育策略。方法:这是一项来自单一多中心研究中心的OHCWs横断面研究。一份自我管理和有效的在线问卷用于数据收集,包括以下变量:社会人口统计学、病史、生物安全、专业经验、监测和教育。结果:样本包括644名OHCWs(82.5%牙医,13.2%牙科助理和4.3%技术人员),大多数没有合病(84.8%),来自南部州140个城市的公共卫生系统(51.7%)和私营卫生系统(48.3%)。最重要的监测措施是等候室距离和视觉警报、症状评估以及COVID-19指南的可用性。在生物安全措施方面,最低的依从性与口腔内x线片有关(2.7±1.4;95%CI: 2.6-2.9),使用牙坝(2.1±1.4;95%CI: 2.0-2.2),以及大功率抽吸系统的可用性(2.5±1.7;95%置信区间:2.3—-2.6)。在OHCWs中,52.6%的人接受了工作场所牙科护理措施的指导。继续教育主要是通过非政府卫生当局的文件进行的(77.4%)。结论:采取了监测和生物安全措施,但减少气溶胶扩散的活动依从性较差。这些调查结果强调了在COVID-19大流行期间制定政策和相关支持以应对卫生系统挑战时考虑牙科实践以及监测和教育战略的重要性。政策制定者有必要采取协调一致的长期教育行动。
{"title":"How Brazilian oral health care workers face COVID-19","authors":"L. Palma, F. Bitencourt, Gabriel Ricardo Velho, F. S. Pires, M. H. Baldani, Claudia Flemming Colussi, Cristine Maria Warmling","doi":"10.20396/bjos.v22i00.8667812","DOIUrl":"https://doi.org/10.20396/bjos.v22i00.8667812","url":null,"abstract":"Aim: To investigate surveillance, biosafety, and education strategies of Brazilian oral health care workers (OHCWs) during the first wave of the COVID-19 outbreak. Methods: This was a cross-sectional study covering OHCWs from a single multicenter research centre. A self-administered and validated online questionnaire was used for data collection, including the following variables: sociodemographic, medical history, biosafety, professional experience, surveillance, and education. Results: The sample consisted of 644 OHCWs (82.5% dentists, 13.2% dental assistants and 4.3% technicians), most without comorbidities (84.8%), from the public (51.7%) and private (48.3%) health systems, in 140 cities of a southern state. The most prominent measures of surveillance were waiting room distancing and visual alerts, symptom assessment, and availability of guidelines on COVID-19. Regarding biosafety measures, the lowest adherence was related to intraoral radiographs (2.7±1.4; 95%CI: 2.6–2.9), use of dental dams (2.1±1.4; 95%CI: 2.0–2.2), and availability of high-power suction systems (2.5±1.7; 95%CI: 2.3–2.6). Among OHCWs, 52.6% received guidance on measures to take during dental care in the workplace. Continuing education was mainly through documents from non-governmental health authorities (77.4%). Conclusion: Surveillance and biosafety measures were adopted, but activities that reduce the spread of aerosols had less adherence. These findings underscore the importance of considering dental practices, and surveillance and education strategies to formulate policies and relevant support to address health system challenges during the COVID-19 pandemic. A coordinated action of permanent education by policymakers is necessary.","PeriodicalId":34984,"journal":{"name":"Brazilian Journal of Oral Sciences","volume":"63 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77774071","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
Is the adhesive or mechanical behavior of glass ceramics influenced by the adhesive layer application after etching and silanization? 在蚀刻和硅化后,玻璃陶瓷的粘合或机械性能是否受到粘合层的影响?
Q4 Dentistry Pub Date : 2023-08-01 DOI: 10.20396/bjos.v22i00.8669056
H. C. Velho, P. Machado, L. D. da Rosa, C. Prochnow, Jatyr Pisani-Proença
Aim: This review investigated the effect of applying an adhesive after surface treatment of glass-ceramics on the bonding, mechanical or clinical behavior. Methods: Studies comparing the adhesive, mechanical or clinical behavior of glass-ceramics, with or without adhesive application after surface treatment, were included. Searches were performed in PubMed, Scopus, and Web of Sciences databases (January 2022), resulting in 15 included studies. Results: Regarding the evaluated outcomes, 13 studies assessed bond strength, 2 studies assessed biaxial flexural strength and 1 study assessed fatigue failure load, while no study evaluating clinical outcomes was included. It was possible to observe that the adhesive application after ceramic surface treatment was unfavorable or did not influence the evaluated outcomes. Conclusion: Most of the evidence available in the literature shows that the adhesive application after surface treatment does not improve the adhesive and mechanical behavior of glass-ceramics.
目的:探讨微晶玻璃表面处理后应用粘结剂对其粘接、力学及临床行为的影响。方法:比较表面处理后使用或不使用粘结剂的微晶玻璃的粘结、力学和临床行为。在PubMed、Scopus和Web of Sciences数据库中进行检索(2022年1月),得到15项纳入的研究。结果:在评估结果方面,13项研究评估了粘结强度,2项研究评估了双轴弯曲强度,1项研究评估了疲劳破坏载荷,没有研究评估临床结果。可以观察到,陶瓷表面处理后的粘合剂应用是不利的或不影响评估结果。结论:大多数文献证据表明,表面处理后的粘合剂应用并不能改善微晶玻璃的粘合和力学行为。
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引用次数: 0
Success and survival rates of immediate anatomic zirconia implants 即刻解剖氧化锆种植体的成功率及存活率
Q4 Dentistry Pub Date : 2023-08-01 DOI: 10.20396/bjos.v22i00.8669183
Mohammed Yamen Al-Shorbaji Al-Moziek, Issam Alkhouri, Rami Shurbaji Mozayek
Modern immediate titanium implants have two major drawbacks which are the black metal appearance that might be seen through the mucosa and the gap between implant and extraction socket. Immediate anatomical zirconia implants were introduced to match the shape of the extracted root and fill the socket without gaps while still providing better metal-free appearance. Aim: This study aims to investigate success and survival rates of immediate anatomical zirconia implants. Methods: This prospective interventional study was held between 2017 and 2020 in the faculty of dental medicine, Damascus University, Syria. The sample consisted of 27 immediate anatomical zirconia implants in 21 patients from both genders. Implants were designed and manufactured starting from CBCT image and prior to extraction. Specialized software applications were used to modify implant design. Implants went through different processing procedures to make them ready for insertion immediately after tooth extraction. Restorations were made after a minimum period of 3 months, clinical and radiographic follow ups were performed after 10 - 13.5 months from restoring the implants in order to evaluate their success/ survival. Repeated measures ANOVA was used to assess marginal bone loss, t test for probing depth assessment. Results: Immediate anatomical zirconia implants showed success in (n=17) 63% of total cases, satisfactory survival (n=3) 11.1%, compromised survival (n=2) 7.4% and they failed in (n=5) 18.5%. Conclusions: Immediate anatomical zirconia implants had low success/survival rates when compared to conventional immediate implants. Therefore, they cannot be considered as a predictable alternative in their current form. 
现代即刻钛种植体有两个主要缺点,即通过粘膜可以看到黑色金属外观和种植体与拔牙窝之间的间隙。立即引入解剖氧化锆种植体,以匹配拔出的根的形状,并在提供更好的无金属外观的同时无间隙地填充牙槽。目的:探讨即刻解剖氧化锆种植体的成功率和成活率。方法:本前瞻性介入研究于2017年至2020年在叙利亚大马士革大学口腔医学院进行。样本包括27个即刻解剖的氧化锆植入物,来自两性的21例患者。植入物的设计和制造从CBCT图像开始,在提取之前。专门的软件应用程序用于修改种植体设计。种植体经过不同的处理程序,以便在拔牙后立即插入。至少在3个月后进行修复,在修复种植体10 - 13.5个月后进行临床和影像学随访,以评估其成功/存活。评估边缘骨质流失采用重复测量方差分析,评估探骨深度采用t检验。结果:即刻解剖式氧化锆植入成功(n=17) 63%,生存满意(n=3) 11.1%,生存不良(n=2) 7.4%,生存失败(n=5) 18.5%。结论:与传统即刻种植体相比,即刻解剖氧化锆种植体的成功率/存活率较低。因此,它们不能以目前的形式被视为可预测的替代方案。
{"title":"Success and survival rates of immediate anatomic zirconia implants","authors":"Mohammed Yamen Al-Shorbaji Al-Moziek, Issam Alkhouri, Rami Shurbaji Mozayek","doi":"10.20396/bjos.v22i00.8669183","DOIUrl":"https://doi.org/10.20396/bjos.v22i00.8669183","url":null,"abstract":"Modern immediate titanium implants have two major drawbacks which are the black metal appearance that might be seen through the mucosa and the gap between implant and extraction socket. Immediate anatomical zirconia implants were introduced to match the shape of the extracted root and fill the socket without gaps while still providing better metal-free appearance. Aim: This study aims to investigate success and survival rates of immediate anatomical zirconia implants. Methods: This prospective interventional study was held between 2017 and 2020 in the faculty of dental medicine, Damascus University, Syria. The sample consisted of 27 immediate anatomical zirconia implants in 21 patients from both genders. Implants were designed and manufactured starting from CBCT image and prior to extraction. Specialized software applications were used to modify implant design. Implants went through different processing procedures to make them ready for insertion immediately after tooth extraction. Restorations were made after a minimum period of 3 months, clinical and radiographic follow ups were performed after 10 - 13.5 months from restoring the implants in order to evaluate their success/ survival. Repeated measures ANOVA was used to assess marginal bone loss, t test for probing depth assessment. Results: Immediate anatomical zirconia implants showed success in (n=17) 63% of total cases, satisfactory survival (n=3) 11.1%, compromised survival (n=2) 7.4% and they failed in (n=5) 18.5%. Conclusions: Immediate anatomical zirconia implants had low success/survival rates when compared to conventional immediate implants. Therefore, they cannot be considered as a predictable alternative in their current form.\u0000 ","PeriodicalId":34984,"journal":{"name":"Brazilian Journal of Oral Sciences","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75382256","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
Dental students’ self-perception of security and biosafety measures in times of pandemic by COVID-19 2019冠状病毒病大流行时期牙科学生对安全和生物安全措施的自我认知
Q4 Dentistry Pub Date : 2023-08-01 DOI: 10.20396/bjos.v22i00.8667216
Luísa Quevedo Grave, F. Costa, L. A. Chisini, M. Conde
 The study investigated the factors associated with the self-perception safety of dental students in clinical activities during the COVID-19 pandemic. This cross-sectional study was based on a semi-structured online (google forms) self-applied questionnaire, sent by e-mail to three private Dental Schools in Brazil. The variables were: 1) sociodemographic information; 2) questions about the measures adopted by dental schools before returning to clinical activities; 3) dental students’ self-perception of security; 4) the General Health Questionnaire. Data were submitted to Fisher’s exact test (p<0.05). Of the 294 eligible students, 97% were evaluated and 100% received previous specific biosafety training predominantly theoretical (72.16%) longer than one hour (51.55%). Most students (81.44%) felt secure performing clinical care during the COVID-19 pandemic. Students undergoing specific biosafety training for longer than one hour felt safer than those perfoming training for up to 1 hour (p=0.004). Students from schools where the aerosol-producing restriction was applied felt safer than those without restrictions (p=0.016). Women reported feeling less secure than men (p=0.046), and students who submitted to COVID-19 Specific Biosafety Training felt safer in clinical activities than those submitted to theoretical training only (p=0.011). Students from private universities presenting psychosomatic changes felt less secure in practicing clinical dental care activities (p=0.006). In conclusion, time-spent training in biosafety, restriction of the use of aerosol-producing procedures, and the gender of students were associated with the self-perception safety of students. Students with practical training felt safer in clinical activities for patients with COVID-19 than those who had only theoretical training.
本研究调查了新冠肺炎大流行期间牙科学生临床活动自我感知安全的相关因素。这项横断面研究基于半结构化的在线(谷歌表格)自我应用问卷,通过电子邮件发送给巴西的三所私立牙科学校。变量为:1)社会人口统计信息;2)牙科学校在返回临床活动前采取的措施;3)牙科学生对安全感的自我感知;4)一般健康问卷。数据采用Fisher精确检验(p<0.05)。294名符合条件的学生中,97%的学生接受了评估,100%的学生接受过超过1小时的特定生物安全培训,主要是理论培训(72.16%)(51.55%)。大多数学生(81.44%)认为在COVID-19大流行期间进行临床护理是安全的。接受特定生物安全培训超过1小时的学生比接受最多1小时培训的学生感到更安全(p=0.004)。来自实施气溶胶产生限制的学校的学生比没有实施限制的学生感到更安全(p=0.016)。女性报告的安全感低于男性(p=0.046),参加COVID-19特异性生物安全培训的学生在临床活动中比只参加理论培训的学生感到更安全(p=0.011)。出现心身变化的私立大学学生对临床牙科护理活动的安全感较低(p=0.006)。总之,生物安全培训时间、限制使用产生气溶胶的程序以及学生的性别与学生的自我感知安全有关。与只接受理论培训的学生相比,接受过实践培训的学生在为新冠肺炎患者开展临床活动时感到更安全。
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引用次数: 0
Analgesia for anticoagulated patients requires substituting gabapentin for ibuprofen 抗凝患者的镇痛需要用加巴喷丁代替布洛芬
Q4 Dentistry Pub Date : 2023-07-18 DOI: 10.20396/bjos.v22i00.8669087
A. Friedlander, I. Friedlander, S. A. Berti-Couto, P. Couto-Souza
To the EditorAnalgesia for anticoagulated patients requires substituting gabapentin for ibuprofen
对编者来说,抗凝患者的镇痛需要用加巴喷丁代替布洛芬
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引用次数: 0
Antibiotic prescription in the management of endodontic infections amongst Iraqi final-year undergraduate dental students 抗生素处方在管理牙髓感染在伊拉克最后一年本科牙科学生
Q4 Dentistry Pub Date : 2023-07-18 DOI: 10.20396/bjos.v22i00.8670171
M. Al-Obaidi, E. A. Hadi, Z. Al-Talib, Aqil M. Daher, Mohammed Al-Adhamy, H. Ahmed
Aim: This study aimed to examine the prescription of antibiotics for endodontic infections among undergraduate dental students. Methods: Two government Iraqi dental schools [(the University of Baghdad (UOB) (n=99) and University of Babylon (UB) (n=70)], and one private dental school [Osouldeen University College (OUC) (n=103)] were included in this survey study. A paper-based questionnaire composed of seven questions was distributed to students, and collected. A chi-square test was used for data analysis, and the level of significance was set at 0.05 (P=0.05). Results: A statistically significant difference (P<0.05) was identified between students’ answers in the three dental schools regarding antibiotic selection for endodontic infections in which patients had no known allergies (P=0.001). In comparison to other dental schools, a statistically significantly higher proportion of respondents from UOB (32%) favored Azithromycin 500mg for treating patients with penicillin hypersensitivity (P=0.003). A high percentage of participants (62.1%) selected antibiotic prescription in cases with necrotic pulp and symptomatic apical periodontitis (with swelling and moderate/severe preoperative symptoms). However, there were no significant differences between the 3 dental schools (P>0.05). Conclusion: In conclusion, a significantly greater percentage of UB chose amoxicillin for the treatment of endodontic infection in patients with no medical allergies. Azithromycin 500mg was selected by UOB as the preferred option in patients who were sensitive to penicillin. Our findings support the need for the implementation of strategies to raise awareness of good antibiotic prescribing practices among dentists in Iraq.
目的:了解牙科本科学生治疗牙髓感染的抗生素处方情况。方法:伊拉克两所公立牙科学校[巴格达大学(UOB) (n=99)和巴比伦大学(UB) (n=70)]和一所私立牙科学校[奥苏尔迪恩大学学院(OUC) (n=103)]被纳入调查研究。一份由七个问题组成的纸质问卷分发给学生,并收集。资料分析采用卡方检验,显著性水平为0.05 (P=0.05)。结果:差异有统计学意义(P0.05)。结论:在无药物过敏的患者中,选择阿莫西林治疗牙髓感染的UB比例明显更高。UOB选择阿奇霉素500mg作为对青霉素敏感患者的首选。我们的研究结果支持有必要实施战略,以提高伊拉克牙医对良好抗生素处方做法的认识。
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Brazilian Journal of Oral Sciences
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