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Effectiveness of etching with phosphoric acid when associated with rubbing technique 与摩擦技术相结合的磷酸蚀刻的有效性
Q4 Dentistry Pub Date : 2021-01-01 DOI: 10.5114/JOS.2021.104693
N. Kharouf, Francois Reitzer, Tarek Ashi, Noor Daras, Y. Haikel, Davide Mancino
Introduction: Some dental adhesive systems require an etching step using phosphoric acid in order to prepare dentin and enamel surfaces. This treatment modifies the surface characteristics and the chemical compositions of these hard tissues. Objectives: The aim of this in vitro study was to analyze chemical and microscopic effects of acid etching with rubbing technique on dental tissues. Material and methods: Sixteen extracted teeth were obtained. Two etching techniques (with and without rubbing) were used to treat the enamel and dentin surfaces. Scanning electron microscopy (SEM) and energy-dispersive X-ray spectroscopy (EDX) were used to evaluate morphological and chemical changes of the enamel and dentin surfaces. Collected data were statistically analyzed by c2 and Mann-Whitney rank sum tests. Results: The enamel that was etched with rubbing technique for 30 s showed a great dissolution at inter-prismatic enamel level. The dentin, which was etched with rubbing technique for 15 s, revealed a larger tubules diameter and more open tubules than without rubbing technique. There were more silica particles on dentin etched by rubbing than without rubbing technique. Chemical analyses (EDX) showed that a dental surface etched using 37% phosphoric acid with rubbing technique revealed a surface rich in calcium, with a Ca/P ratio = 1.66 ± 0.05 near to Ca/P ratio = 1.67 of hydroxyapatite. Conclusions: Although phosphoric acid cleans the dental surface, it causes salts precipitation on the etched dental surface; these salts can be removed more efficiently by rubbing the acid and rinsing it, providing an optimal interface for the bonding.
简介:一些牙科粘合剂系统需要使用磷酸蚀刻步骤,以制备牙本质和牙釉质表面。这种处理改变了这些硬组织的表面特性和化学成分。目的:研究酸蚀磨擦法对牙组织的化学和显微影响。材料与方法:拔牙16颗。采用两种蚀刻技术(有摩擦和无摩擦)来处理牙釉质和牙本质表面。采用扫描电镜(SEM)和能量色散x射线能谱(EDX)观察牙釉质和牙本质表面的形态和化学变化。收集的资料采用c2和Mann-Whitney秩和检验进行统计学分析。结果:磨蚀30 s后,牙釉质柱间溶出明显。磨蚀15s后,牙本质的小管直径明显大于未磨蚀的小管。磨擦法蚀刻牙本质的二氧化硅颗粒比不磨擦法蚀刻的多。化学分析(EDX)结果表明,采用37%磷酸摩擦法刻蚀的牙表面含有丰富的钙,Ca/P比值= 1.66±0.05,接近羟基磷灰石的Ca/P比值= 1.67。结论:磷酸虽然能清洁牙体表面,但会引起牙体表面盐沉淀;这些盐可以通过摩擦酸和冲洗更有效地去除,为键合提供最佳界面。
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引用次数: 0
A proposed model of cognitive approach to assess clinical performance of dental students 提出了一种评估牙科学生临床表现的认知方法模型
Q4 Dentistry Pub Date : 2021-01-01 DOI: 10.5114/JOS.2021.104700
A. Khalifah
In dental education, assessment of students is of critical value to improve their performance in clinical settings. The assessment of students’ clinical performance includes various stages, where in certain cases, assessors en-counter challenges in providing final grades. This study sheds a light on assessment practices in clinical settings and focuses on assessors’ modulation of the whole cognitive process. The argument involves discussing critical thinking of assessors before, during, and after the event of assessment. Then, it analyzes a cognitive approach of assessment implied by assessors during students’ performance. Further, it proposes a model with step-by-step approach in decision-making along with different factors, which may strongly influence final grades. Four main stages were identified for the purpose of analysis, such as pre-decision, driver, primary decision, and communication stages. Each stage was supported by literary data, along with evidences worth consideration. Possible factors related to the assessment and assessors’ cognition that derived from literature were discussed in terms of the influence on the final decision towards more stringent or lenient decisions, following a temporal sequence for the proposed model events. Finally, both primary and secondary factors involved in each stage were presented.
在牙科教育中,对学生的评估对于提高他们在临床环境中的表现至关重要。对学生临床表现的评估包括不同的阶段,在某些情况下,评估员在提供最终成绩时遇到了挑战。本研究揭示了评估实践在临床设置和重点评估的整个认知过程的调节。辩论涉及讨论评估者在评估之前、期间和之后的批判性思维。在此基础上,分析了评估者在学生表现过程中隐含的评估认知途径。在此基础上,提出了一个分步决策模型,并考虑了可能对最终成绩产生强烈影响的不同因素。为了分析的目的,确定了四个主要阶段,如预决策、驱动、主要决策和沟通阶段。每个阶段都有文献资料支持,以及值得考虑的证据。根据所提议的模型事件的时间顺序,讨论了与评估和评估人员从文献中获得的认知相关的可能因素,即对更严格或更宽松的最终决定的影响。最后,分析了各阶段所涉及的主要因素和次要因素。
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引用次数: 0
Estimation of salivary matrix metalloproteinase-9 in oral leukoplakia, oral submucous fibrosis, and healthy individuals: a comparative observational study 唾液基质金属蛋白酶-9在口腔白斑、口腔黏膜下纤维化和健康个体中的测定:一项比较观察研究
Q4 Dentistry Pub Date : 2021-01-01 DOI: 10.5114/jos.2021.111644
A. Thiruvalluvan, Jagat R.C. Reddy, Vandana Sekizhar, Veni Subramanyam, S. T., V. V.
Introduction: Salivary matrix metalloproteinase-9 Objectives: The current study aimed to estimate salivary MMP-9 in oral leukoplakia and oral submucous fibrosis (OSMF), which are considered as oral potentially malignant disorders (OPMDs). Material and methods: A comparative observational study of 60 subjects was conducted, including 20 patients diagnosed with OSMF (group A, n = 20), 20 diagnosed with oral leukoplakia (group B, n = 20), and 20 as healthy controls (group C, n = 20) according to standard criteria. Unstimulated salivary samples were collected for evaluation of MMP-9 by enzyme-linked immunosorbent assay (ELISA). One-way analysis of variance (ANOVA) test was applied for comparison of groups. Bonferroni-adjusted one-way ANOVA test was performed for intra-group comparison. Results: Descriptive statistics of the data revealed that mean age of study participants in group A, group B, and group C were 50.30 ± 9.96 years, 46.70 ± 12.59 years, and 33.30 ± 4.70 years, respectively. Mean salivary MMP-9 level in OSMF, oral leukoplakia, and control group were 9.42 ng/ml, 10.59 ng/ml, and 2.96 ng/ml, respectively, with a p -value < 0.001 between OSMF and oral leukoplakia when compared with controls. Conclusions: A significant difference was noted in salivary MMP-9 levels among patients with OPMD’s compared to controls. A slightly higher value of MMP-9 was observed in oral leukoplakia. Estimation of salivary MMP-9 level is a non-invasive and a reliable biomarker in diagnosis of OPMD’s and in accessing their malignant transformation.
目的:本研究旨在评估唾液MMP-9在口腔白斑和口腔黏膜下纤维化(OSMF)中的作用,这两种疾病被认为是口腔潜在恶性疾病(OPMDs)。材料与方法:对60例受试者进行比较观察研究,其中按标准标准诊断为OSMF的患者20例(A组,n = 20),诊断为口腔白斑的患者20例(B组,n = 20),健康对照20例(C组,n = 20)。收集未刺激的唾液样品,用酶联免疫吸附试验(ELISA)评估MMP-9。组间比较采用单因素方差分析(ANOVA)检验。组内比较采用bonferroni校正单因素方差分析。结果:资料描述性统计显示,A组、B组、C组受试者的平均年龄分别为50.30±9.96岁、46.70±12.59岁、33.30±4.70岁。OSMF组、口腔白斑组和对照组的平均唾液MMP-9水平分别为9.42 ng/ml、10.59 ng/ml和2.96 ng/ml,与对照组相比,OSMF组和口腔白斑组的p值< 0.001。结论:与对照组相比,OPMD患者的唾液MMP-9水平有显著差异。口腔白斑中MMP-9含量略高。唾液MMP-9水平的测定是诊断OPMD和判断其恶性转化的一种无创、可靠的生物标志物。
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引用次数: 1
Bone regeneration capacity of adipose tissue-derived stem cells in rabbit periodontitis-induced bone defect model 脂肪组织源性干细胞在兔牙周炎骨缺损模型中的骨再生能力
Q4 Dentistry Pub Date : 2021-01-01 DOI: 10.5114/jos.2021.111655
G. Yermukhanova, V. Rusanov, A. Bayakhmetova, Y. Menchisheva, G. Ksetaeva, N. Yermukhanova
Introduction: Periodontitis is one of the most common oral infectious disease. Adipose tissue-derived mesenchymal stem cells (AD-MSCs) have become widely studied for their possibilities for regeneration of periodontal bone defect. However, bone regeneration efficiency of AD-MSCs combined with transplantation materials in periodontal bone defects remains unclear. Objectives: The purpose of the study was to compare the effects of two repair methods with and without application of AD-MSCs in a rabbit’s periodontal defect model. Material and methods: Experimental periodontitis was initiated in eighteen rabbits. Animals were divided into two groups, including Col-HA only (group 1) and Col-HA + AD-MSCs (group 2), and implanted in rabbit periodontitis-induced bone defect. To evaluate difference in these two groups, we used histological analysis of the samples and X-ray. For comparison of grey-level frequency in X-ray samples of the two groups, Otsu’s method was applied. Results: Post-operative wounds in group 2 healed three days earlier than in group 1, starting from a formation of fibrous tissue, cartilage, and osteoid tissue, and ending with a formation of full-plate bone tissue. X-ray evaluations showed that more intensive reparative regeneration in post-operative bone cavity was observed in animals of group 2. The 90 th day samples with AD-MSCs presented more differentiated gray-level than the 90 th day samples without AD-MSCs. Conclusions: The results of the study suggest that the use of transplantation material (Col-HA) with AD-MSCs has positive effects, contributing to the improvement of reparative regeneration of bone tissue in the periodontal bone defect area.
牙周炎是最常见的口腔感染性疾病之一。脂肪组织源性间充质干细胞(AD-MSCs)因其修复牙周骨缺损的可能性而受到广泛的研究。然而,AD-MSCs联合移植材料修复牙周骨缺损的骨再生效果尚不清楚。目的:比较应用和不应用AD-MSCs两种修复方法对兔牙周缺损模型的修复效果。材料与方法:实验性牙周炎实验兔18只。将动物分为两组,分别为单纯Col-HA组(1组)和Col-HA + AD-MSCs组(2组),分别植入兔牙周炎所致骨缺损。为了评估两组的差异,我们对样本进行组织学分析和x线检查。比较两组x射线样品的灰阶频率,采用Otsu的方法。结果:2组术后创面愈合时间比1组早3 d,从纤维组织、软骨、类骨组织形成开始,到全板骨组织形成结束。x线观察显示,2组术后骨腔修复性再生更为明显。与未添加AD-MSCs的90天样品相比,添加AD-MSCs的90天样品的灰度分化程度更高。结论:本研究结果提示,使用移植材料(Col-HA)结合AD-MSCs具有积极作用,有助于改善牙周骨缺损区骨组织的修复性再生。
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引用次数: 0
Tooth development in the light of chemotherapy-induced agenesis in cancer survivors 癌症幸存者化疗诱导发育的牙齿发育
Q4 Dentistry Pub Date : 2021-01-01 DOI: 10.5114/JOS.2021.104695
Anna Jodłowska, L. Postek-Stefańska
Introduction: Although the developmental model of permanent tooth is considered to be similar to the better understood formation of deciduous tooth, the duration of subsequent stages differs significantly, and it is difficult to determine. Various sources report that agenesis is a result of genetic abnormality or a developmental disturbance caused in initiation stage. However, it seems that complete damage to the germ, sometimes referred to as “aplasia”, can occur during the entire early odontogenesis. Detailed antineoplastic treatment records and dental disturbances in children as a result of chemotherapy administration show the possibility to recognize not well-known early tooth development. Objectives: An attempt to discover some unexplained facts about early tooth development based on the cases of chemotherapy-induced agenesis. Material and methods: Thirty-eight cancer survivors presented for a check-up visit in the Pediatric Clinic fulfilled the study criteria. Clinical control and panoramic radiograph were performed to identify the developmental abnormalities of hard tissues. Medical records were also analyzed to distinguish the age and duration of the cytotoxic treatment. Thirty-one survivors showed long-term dental effects of therapy. Five participants had 13 teeth missing. Results: In the case of survivors with a lack of 6 teeth, germ-toxic drug administration was applied just before appositional growth. Individuals with 3 teeth missing started the therapy before or at the beginning of expected initiation stage. One patient with four second premolars missing was treated outside the early odontogenesis age period. Conclusions: Detailed analysis revealed hypothesis that the total toxic damage to the dental developing tissues is likely to occur even at the most advanced stadium of early development. A longer duration of early odontogenesis is also possible. The duration of particular stages in tooth formation can be revised based on the dental examination of cancer survivors.
虽然恒牙的发育模式被认为与乳牙的形成类似,但其后续阶段的持续时间有很大的不同,很难确定。各种来源的报告,发育不全是由于遗传异常或在起始阶段引起的发育障碍。然而,似乎胚芽的完全损伤,有时被称为“发育不全”,可能发生在整个早期牙形成过程中。详细的抗肿瘤治疗记录和儿童因化疗引起的牙齿紊乱显示了识别不为人所知的早期牙齿发育的可能性。目的:通过对化疗所致牙齿发育不全病例的分析,探讨一些未解之谜。材料和方法:38名癌症幸存者在儿科诊所接受检查,符合研究标准。通过临床对照和全景x线片确定硬组织发育异常。还分析了医疗记录,以区分细胞毒性治疗的年龄和持续时间。31名幸存者显示出治疗对牙齿的长期影响。5名参与者缺了13颗牙齿。结果:生还者缺6颗牙,仅在生长前施用细菌毒性药物。3颗牙缺失者在预期开始阶段之前或开始时开始治疗。1例缺4颗第二前磨牙的患者在牙发育早期年龄之外进行治疗。结论:详细分析表明,即使在早期发育的最先进阶段,也可能发生牙齿发育组织的全毒性损伤。较长时间的早期牙形成也是可能的。牙齿形成的特定阶段的持续时间可以根据癌症幸存者的牙齿检查进行修订。
{"title":"Tooth development in the light of chemotherapy-induced agenesis in cancer survivors","authors":"Anna Jodłowska, L. Postek-Stefańska","doi":"10.5114/JOS.2021.104695","DOIUrl":"https://doi.org/10.5114/JOS.2021.104695","url":null,"abstract":"Introduction: Although the developmental model of permanent tooth is considered to be similar to the better understood formation of deciduous tooth, the duration of subsequent stages differs significantly, and it is difficult to determine. Various sources report that agenesis is a result of genetic abnormality or a developmental disturbance caused in initiation stage. However, it seems that complete damage to the germ, sometimes referred to as “aplasia”, can occur during the entire early odontogenesis. Detailed antineoplastic treatment records and dental disturbances in children as a result of chemotherapy administration show the possibility to recognize not well-known early tooth development. Objectives: An attempt to discover some unexplained facts about early tooth development based on the cases of chemotherapy-induced agenesis. Material and methods: Thirty-eight cancer survivors presented for a check-up visit in the Pediatric Clinic fulfilled the study criteria. Clinical control and panoramic radiograph were performed to identify the developmental abnormalities of hard tissues. Medical records were also analyzed to distinguish the age and duration of the cytotoxic treatment. Thirty-one survivors showed long-term dental effects of therapy. Five participants had 13 teeth missing. Results: In the case of survivors with a lack of 6 teeth, germ-toxic drug administration was applied just before appositional growth. Individuals with 3 teeth missing started the therapy before or at the beginning of expected initiation stage. One patient with four second premolars missing was treated outside the early odontogenesis age period. Conclusions: Detailed analysis revealed hypothesis that the total toxic damage to the dental developing tissues is likely to occur even at the most advanced stadium of early development. A longer duration of early odontogenesis is also possible. The duration of particular stages in tooth formation can be revised based on the dental examination of cancer survivors.","PeriodicalId":35469,"journal":{"name":"Journal of Stomatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71124202","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: 1
Forensic age estimation using new models of mathematical regression formula constructed with molar indexes: dental age assessment 用磨牙指数构建的数学回归公式估算法医年龄的新模型:牙龄评估
Q4 Dentistry Pub Date : 2021-01-01 DOI: 10.5114/jos.2021.106540
C. Palmela Pereira, Anabela S Rodrigues, D. Augusto, Adriana Santos, F. Salvado, R. Santos, R. Cameriere
Introduction: In forensic science, age estimation for identification purposes of living and deceased individuals, is of great importance. It is crucial for humanitarian reasons in both civil and criminal cases. Objectives: The aim of this study was to contribute to the process of forensic age estimation using dental age assessment with mineralization stages of Demirjian method, and maturity indexes of permanent mandibular second (I 2M ) and third molars (I 3M ). Material and methods: Two samples were used from a Portuguese population; for I 2M , 591 orthopantomo­ graphy’s aged between 7 and 15 years and for I 3M , 350 orthopantomography’s aged between 12 and 23 years. Age estimation was obtained using linear regression models, each model was estimated with all observations and without observations, in which I 2M or I 3M = 0. Results: The results of ICC for intra­ and inter­observer validation varied between 0.608 and 0.999 for both indexes. Pearson correlation coefficient between each index and chronological age showed that all indexes were significantly negatively correlated with chronological age. The standard error of estimate and the mean absolute error were continually low without patients with null index. Conclusions: Application of I2M is reproducible in a Portuguese population for medical­legal application in a population aged 7 to 15 years, when the corresponding index is positive. Third molar must be used only if its index is positive. The inclusion of Demirjian staging in both models significantly increases accuracy.
导读:在法医学中,年龄估计对活着和死去的人的身份鉴定是非常重要的。出于人道主义原因,它在民事和刑事案件中都是至关重要的。目的:应用deirjian法矿化阶段牙龄评估及下颌恒磨牙第二磨牙和第三磨牙成熟度指标,为法医年龄鉴定提供依据。材料和方法:两个样本来自葡萄牙人群;在i2m中,591位年龄在7 - 15岁之间,在i3m中,350位年龄在12 - 23岁之间。采用线性回归模型进行年龄估计,每个模型分别采用全观测值和无观测值进行估计,其中I 2M或I 3M = 0。结果:两个指标的观察者间和观察者内验证的ICC结果在0.608 ~ 0.999之间变化。各指标与实足年龄的Pearson相关系数显示,各指标均与实足年龄呈显著负相关。无零指数患者,估计的标准误差和平均绝对误差持续较低。结论:在葡萄牙7 - 15岁人群中,当相应指标为阳性时,可重复应用I2M用于医疗-法律应用。第三摩尔只有在它的指数为正时才能使用。在两种模型中纳入Demirjian分期显著提高了准确性。
{"title":"Forensic age estimation using new models of mathematical regression formula constructed with molar indexes: dental age assessment","authors":"C. Palmela Pereira, Anabela S Rodrigues, D. Augusto, Adriana Santos, F. Salvado, R. Santos, R. Cameriere","doi":"10.5114/jos.2021.106540","DOIUrl":"https://doi.org/10.5114/jos.2021.106540","url":null,"abstract":"Introduction: In forensic science, age estimation for identification purposes of living and deceased individuals, is of great importance. It is crucial for humanitarian reasons in both civil and criminal cases. Objectives: The aim of this study was to contribute to the process of forensic age estimation using dental age assessment with mineralization stages of Demirjian method, and maturity indexes of permanent mandibular second (I 2M ) and third molars (I 3M ). Material and methods: Two samples were used from a Portuguese population; for I 2M , 591 orthopantomo­ graphy’s aged between 7 and 15 years and for I 3M , 350 orthopantomography’s aged between 12 and 23 years. Age estimation was obtained using linear regression models, each model was estimated with all observations and without observations, in which I 2M or I 3M = 0. Results: The results of ICC for intra­ and inter­observer validation varied between 0.608 and 0.999 for both indexes. Pearson correlation coefficient between each index and chronological age showed that all indexes were significantly negatively correlated with chronological age. The standard error of estimate and the mean absolute error were continually low without patients with null index. Conclusions: Application of I2M is reproducible in a Portuguese population for medical­legal application in a population aged 7 to 15 years, when the corresponding index is positive. Third molar must be used only if its index is positive. The inclusion of Demirjian staging in both models significantly increases accuracy.","PeriodicalId":35469,"journal":{"name":"Journal of Stomatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71124795","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: 1
Different approaches in determining the vertical and horizontal jaw relations during complete denture fabrication – a literature review 在全口义齿制造过程中确定垂直和水平颌骨关系的不同方法-文献综述
Q4 Dentistry Pub Date : 2021-01-01 DOI: 10.5114/JOS.2021.108874
Maria Zielke, Joanna Jasnoch, I. Maciejewska
Recording the jaw relations is a critical step during the fabrication of complete dentures. Both vertical and horizontal relations must be correctly established to ensure efficient function of the complete dentures with the least amount of trauma to the supporting tissues and temporomandibular joints (TMJs). The aim of this review was to collect comprehensive data about the most recommended methods for determining the optimal vertical dimension of occlusion (VDO) during the fabrication of complete dentures and to determine whether and/or to what extent these methods respect the correct spatial relations in TMJs. An electronic search through the PubMed, Web of Science, OVID, SCOPUS and EBSCO search engines selected 111 references from peer-reviewed journals, which met the inclusion criteria for this literature review. The single, exclusive and scientifically confirmed consensus for the determination of both the VDO and centric relation during complete denture fabrication is still lacking. Authors agree that the establishment of an incorrect relation between the maxilla and mandible causes severe, mostly harmful consequences in the stomatognathic system. So far the available procedures are associated with a high degree of subjective clinical judgements and variability. Thus, ongoing studies with the application of new technologies are still current and strongly recommended.
下颌关系的记录是全口义齿制作的关键步骤。为了保证全口义齿在对支撑组织和颞下颌关节的损伤最小的情况下有效发挥功能,必须正确建立垂直和水平关系。本综述的目的是收集关于在全口义齿制造过程中确定最佳咬合垂直尺寸(VDO)的最推荐方法的综合数据,并确定这些方法是否和/或在多大程度上尊重tmj的正确空间关系。通过PubMed、Web of Science、OVID、SCOPUS和EBSCO搜索引擎进行电子检索,从同行评议期刊中筛选出111篇符合文献综述纳入标准的参考文献。在全口义齿制造过程中,对于VDO和中心关系的确定,目前还缺乏单一的、排他的和科学的共识。作者一致认为,在上颌骨和下颌骨之间建立不正确的关系会导致严重的,大多数是有害的口颌系统后果。到目前为止,可用的程序与高度主观的临床判断和可变性有关。因此,正在进行的研究与新技术的应用仍然是当前和强烈建议。
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引用次数: 0
Association of self-reported symptoms of xerostomia with vaping and cigarette smoking: a cross-sectional study 自我报告的口干症状与吸电子烟和吸烟的关系:一项横断面研究
Q4 Dentistry Pub Date : 2021-01-01 DOI: 10.5114/JOS.2021.109183
A. Hasan, R. Salah, F. Farhan, A. Abdulkareem
{"title":"Association of self-reported symptoms of xerostomia with vaping and cigarette smoking: a cross-sectional study","authors":"A. Hasan, R. Salah, F. Farhan, A. Abdulkareem","doi":"10.5114/JOS.2021.109183","DOIUrl":"https://doi.org/10.5114/JOS.2021.109183","url":null,"abstract":"","PeriodicalId":35469,"journal":{"name":"Journal of Stomatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71125953","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
Study of the morphological structure of enamel and correlation of its chemical composition with dentin in intact teeth and with a cervical pathology 完整牙釉质的形态结构及其化学成分与牙本质及颈部病理的相关性研究
Q4 Dentistry Pub Date : 2021-01-01 DOI: 10.5114/JOS.2021.104691
I. Zabolotna
Introduction: The increase in the intensity of caries and non-carious lesions of the teeth leads to significant disorders in the dentoalveolar apparatus manifested themselves not only as aesthetic but also as functional disorders in the absence of timely adequate treatment. Objectives: The increase in the prevalence and intensity of cervical lesions of hard dental tissues is the cause of aesthetic and functional disorders in the dentoalveolar apparatus. To study the morphological structure of enamel, its features depending on the presence and type of cervical pathology; to determine correlations of the chemical composition of enamel and dentin in intact teeth and with cervical pathology. Material and methods: There were examined 29 clinically extracted teeth of both jaws and their longitudinal sections using a JSM-6490 LV focused beam electron microscope with system of energy-dispersive X-ray microanalysis. The chemical composition of 290 enamel areas and 235 dentine areas in the incisal region (tubercle), equator, cervical area. Results: The correlation between enamel and dentin has been determined: inverse – based on the content of P and C, Ca and O (in all anatomical areas), Mg and Ca, Mg and P (in the incisal region (tubercle), equator); direct – based on the content of Mg and Ca, Mg and P (cervical area). The exception was the correlation between Mg and Ca in the incisal region (tubercle) in the group of the teeth with cervical pathology (r = 0.363), Ca and O in the cervical area in the group of the teeth with cervical caries and clinically intact hard tissues (r = 0.620). Conclusions: The revealed features in the morphological structure and chemical composition of enamel, the presence of the correlations with dentin will allow to understand the mechanism of the development of cervical pathology deeper and substantiate the principles of its treatment and prevention.
简介:牙齿的龋齿和非龋齿病变强度的增加导致牙槽器的显著紊乱,不仅表现为美观,而且在缺乏及时适当的治疗的情况下表现为功能障碍。目的:硬牙组织颈部病变的发病率和强度的增加是牙槽器美观和功能障碍的原因。研究牙釉质的形态结构,其特征取决于宫颈病理的存在和类型;确定完整牙釉质和牙本质化学成分与宫颈病理的相关性。材料与方法:采用JSM-6490型LV聚焦电子束显微镜,结合能量色散x射线显微分析系统,对临床拔牙的29颗双颌牙及其纵切面进行检查。290个牙釉质区和235个牙本质区在切牙区(结节)、赤道、颈椎区。结果:牙本质与牙釉质的相关性为:P、C、Ca、O(所有解剖区)、Mg、Ca、Mg、P(切牙区(结节区)、赤道区)呈负相关;直接-根据Mg和Ca的含量,Mg和P(宫颈面积)。例外的是颈部病变牙组切牙区(结节)Mg和Ca的相关性(r = 0.363),宫颈龋病和临床硬组织完整牙组颈区Ca和O的相关性(r = 0.620)。结论:揭示牙本质与牙本质形态结构和化学成分的关系,有助于深入了解颈椎病变的发生机制,为颈椎病变的治疗和预防提供依据。
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引用次数: 1
Effect of non-surgical periodontal therapy on salivary and serum leptin levels in patients with generalized stage II grade B periodontitis 非手术牙周治疗对广泛性II期B级牙周炎患者唾液和血清瘦素水平的影响
Q4 Dentistry Pub Date : 2021-01-01 DOI: 10.5114/jos.2021.106267
G. Suragimath, Divyanee Doshi, S. Varma, S. Zope, Ashwinirani
Introduction: Leptin is a peptide-based hormone, known to maintain fat reserves, and forms an integral part of host defense. The level of leptin is found to be altered in various inflammatory disorders, including periodontitis. The outcome of non-surgical periodontal therapy (NSPT) on leptin concentrations in the saliva and serum of patients with periodontitis is yet to be determined. Objectives: The aim of this study was to evaluate the effect of NSPT on salivary and serum leptin levels in patients suffering from generalized stage II grade B periodontitis. Material and methods: This randomized, controlled, clinical trial was conducted on forty-five subjects with normal body mass index, suffering from periodontal disease. Periodontal parameters (gingival index, probing pocket depth, plaque index, and clinical attachment loss) were recorded in a structured proforma. Salivary and serum leptin levels at baseline and three months post-NSPT (after scaling and root planning, followed up with oral hygiene instructions to patients) were analyzed using enzyme-linked immunosorbent assay. Descriptive statistics and paired t-test were applied to compare the variables. P-value < 0.05 was considered statistically significant. Results: The mean age of participants was 40.6 ± 4.2 years, with a male to female ratio 1 : 1.2. Significant improvements in the periodontal parameters were observed three months post-therapy (p < 0.001). The difference in serum leptin levels before and after NSPT was statistically significant with p < 0.001, whereas the difference in salivary leptin (SAL) levels before and after NSPT was negatively significant with p < 0.001. Conclusions: The serum leptin level significantly reduced, while SAL level significantly increased after NSPT. In other words, SAL levels of leptin can be used as a biomarker for periodontal health and disease.
简介:瘦素是一种以肽为基础的激素,以维持脂肪储备而闻名,是宿主防御的重要组成部分。瘦素的水平在包括牙周炎在内的各种炎症性疾病中都有改变。非手术牙周治疗(NSPT)对牙周炎患者唾液和血清中瘦素浓度的影响尚未确定。目的:本研究的目的是评估NSPT对广泛性II期B级牙周炎患者唾液和血清瘦素水平的影响。材料与方法:本临床试验随机对照,纳入45例牙周病患者,体重指数正常。牙周参数(牙龈指数、探测袋深度、菌斑指数和临床附着丧失)记录在结构化表格中。使用酶联免疫吸附法分析基线和nspt后3个月的唾液和血清瘦素水平(在刮除和牙根计划后,对患者进行口腔卫生指导)。采用描述性统计和配对t检验对变量进行比较。p值< 0.05认为有统计学意义。结果:参与者的平均年龄为40.6±4.2岁,男女比例为1:1 .2。治疗3个月后牙周指标有显著改善(p < 0.001)。NSPT前后血清瘦素水平差异有统计学意义(p < 0.001),唾液瘦素(SAL)水平差异有统计学意义(p < 0.001)。结论:NSPT后血清瘦素水平明显降低,SAL水平明显升高。换句话说,瘦素的SAL水平可以作为牙周健康和疾病的生物标志物。
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引用次数: 0
期刊
Journal of Stomatology
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