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Apical extrusion of debris with root canal instrumentation in primary teeth: A systematic review 牙根管内固定对牙根尖碎片的挤压:一个系统的回顾
Q3 Dentistry Pub Date : 2022-01-01 DOI: 10.4103/jisppd.jisppd_298_21
Drishti Kaushal, S. Reddy, K. Biswas, A. Dixit, R. Chowdhry, A. Chug
Aim: This study aimed to systematically review available literature of in vitro studies on apical extrusion of debris through rotary instrumentation in comparison to manual instrumentation in pediatric endodontics, and also to perform a comparison between various rotary instrumentation systems for assessment of debris extrusion. Materials and Methods: A comprehensive search was conducted on PubMed, Medline, Cochrane Library, Embase, Scopus, and Google Scholar without any language restriction and year of publication. A planned search strategy was made for PubMed and applied to other databases. After full-text reading, 7 articles were selected for quantitative synthesis. Modified CONSORT checklist of items for reporting in vitro studies of dental materials was used for quality assessment of included studies. Results: Root canal preparation with rotary instrumentation led to lesser apical debris extrusion than manual instrumentation. Self-adjusting file system was associated with the least debris extrusion among all included studies, followed by ProTaper Next, Kedo-S, ProTaper, K3, Mtwo, Revo-S, and Wave One. Conclusion: More apical debris extrusion was seen with manual instrumentation than rotary instrumentation. Furtrhermore, variance in debris extrusion was seen with different rotary file systems.
目的:本研究旨在系统地回顾现有文献,比较儿童牙髓学中通过旋转器械与手工器械对牙髓碎片顶端挤压的体外研究,并对不同旋转器械系统对牙髓碎片挤压的评估进行比较。材料与方法:综合检索PubMed、Medline、Cochrane Library、Embase、Scopus、谷歌Scholar,不受语言和出版年份限制。为PubMed制定了一个计划搜索策略,并应用于其他数据库。全文阅读后,选取7篇文章进行定量综合。采用改良的CONSORT口腔材料体外研究报告项目清单对纳入的研究进行质量评估。结果:与手工根管预备相比,旋转根管预备导致的根尖碎片挤压较少。在所有纳入的研究中,自调节文件系统与最少的碎片挤压相关,其次是ProTaper Next、Kedo-S、ProTaper、K3、Mtwo、Revo-S和Wave One。结论:手工内固定比旋转内固定更容易出现根尖碎片挤压。此外,在不同的旋转文件系统中可以看到碎片挤压的差异。
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引用次数: 1
Sports-related facial trauma in the Indian population - A systematic review 印度人口中与运动相关的面部创伤-系统回顾
Q3 Dentistry Pub Date : 2022-01-01 DOI: 10.4103/jisppd.jisppd_505_20
S. Shreya, S. Baliga, S. Baliga
Background: Sports injuries are a growing concern which requires immediate attention. Dental injuries are the most common type of orofacial injuries sustained during sports activities. Objectives: This study aims to review the prevalence of sports-related facial trauma in India, to identify the most common types of oro-facial injury incurred due to sports, and to assess the level of awareness regarding preventive measures used in sports. Methodology: The present review was performed in accordance with preferred reporting items for systematic reviews and meta-analyses guidelines. All articles published from 2005 to 2019 on sports-related facial trauma were analyzed. PubMed, Google Scholar, and Cochrane reviews databases were searched using primary keywords. Results: A total of 24 articles published in the period of 2005–2019 were included. The prevalence of sports-related facial trauma was found to be the highest in the study conducted by Selva et al., in 2018, at a rate of 75%, whereas it was found to be minimal in the study conducted by Bali et al. in 2013. While the awareness of mouthguards was reported the highest in a study conducted by Ramagoni et al., in 2007. Conclusion: This study shows that there is a definite need to improve the awareness as well as the usage of protective gear, from the level of schooling, where children are introduced to sports. Prevention of sports-related facial trauma is essential to avoid the serious and lifelong consequences which could be the aftermath of such injuries.
背景:运动损伤是一个越来越令人担忧的问题,需要立即关注。牙齿损伤是体育活动中最常见的口面损伤类型。目的:本研究旨在回顾印度与运动相关的面部创伤的患病率,确定因运动引起的最常见的oro面部损伤类型,并评估对运动中使用的预防措施的认识水平。方法:本综述根据系统综述和荟萃分析指南的首选报告项目进行。分析了2005年至2019年发表的所有关于运动相关面部创伤的文章。PubMed、Google Scholar和Cochrane评论数据库使用主要关键字进行搜索。结果:共收录了2005-2019年期间发表的24篇文章。Selva等人在2018年进行的研究中发现,运动相关面部创伤的发生率最高,为75%,而Bali等人在2013年进行的调查中发现,这一比例最低。Ramagoni等人在2007年进行的一项研究显示,人们对护齿器的认识最高。结论:这项研究表明,从学校教育的层面,向儿童介绍体育运动,确实需要提高对防护装备的认识和使用。预防与运动相关的面部创伤对于避免此类伤害可能带来的严重和终身后果至关重要。
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引用次数: 1
Pedunculated cavernous lymphangioma of the newborn oral cavity 新生儿口腔带蒂海绵状淋巴管瘤
Q3 Dentistry Pub Date : 2022-01-01 DOI: 10.4103/jisppd.jisppd_189_21
A. Manekar, Narahari Janjala, S. Sahoo, B. Tripathy, M. Mohanty
Oral swellings and ulcers in neonates are a spectrum of diseases often creating a sense of anxiety among parents. Early detection, high index of suspicion, proper investigations, and prompt diagnosis can aid in accurate management of the same. Lymphangiomas are benign hamartomas which are basically malformed lymphatics do not drain into other lymphatics or veins and hence there is lymphatic accumulation and enlargement following cystically dilated spaces. We hereby present a rare case of a neonate born with a cystic mucosal swelling at the upper gingival sulcus since birth.
新生儿口腔肿胀和溃疡是一系列疾病,通常会引起父母的焦虑感。早期发现,高怀疑指数,适当的调查和及时诊断有助于准确管理该疾病。淋巴管瘤是一种良性错构瘤,它基本上是畸形的淋巴管,不流入其他淋巴管或静脉,因此在囊性扩张的间隙后存在淋巴积聚和扩大。我们在此提出一个罕见的病例新生儿出生与囊性粘膜肿胀在上龈沟出生以来。
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引用次数: 0
A clinical and radiographic comparative evaluation of custom-made zirconia crowns using CAD-CAM and stainless steel crowns in primary molars 应用CAD-CAM和不锈钢牙冠定制氧化锆牙冠的临床和放射学对比评价
Q3 Dentistry Pub Date : 2022-01-01 DOI: 10.4103/jisppd.jisppd_269_21
Deepika Prabhu, A. Anantharaj, P. Praveen, S. Rani, R. Sudhir
Background and Aim of Study: Early childhood caries is a multifactorial disease process affecting children below 71 months of age and continues to be a global health problem. Stainless steel crowns (SSCs) are widely used and are very popular in pediatric dentistry due to its superiority and durability when compared with multisurface amalgam restorations. However, one of the major disadvantages with these crowns is the poor esthetics. Parents often request for a more esthetic alternative to the SSC. Zirconia crowns are one of the tooth-colored full crown restorations currently available for use in primary teeth. These are available as both preformed and custom-made crowns and show excellent esthetics. However, these require extensive tooth preparation with a subgingival finish lines, which would cause gingival trauma and bleeding during the preparation. The present study uses intraoral scanners for making the custom-made zirconia crowns, which will avoid the conventional impressions. Currently, there are no studies available in pediatric dentistry regarding CAD-CAM crowns. Hence, there is a need for the study. Aim: The aim of this study is to clinically evaluate the performance of preformed SSCs and custom-made zirconia crowns in primary molars. To elicit parental and patient satisfaction with respect to preformed SSCs and custom made zirconia crowns and to radiographically compare the interproximal bone height for 1 year. Methods: The patients were selected with purposive sampling. The tooth of interest was prepared according to the crown it would receive. The upper and the lower arch of the tooth receiving custom-made zirconia crown was scanned using an intraoral scanner. The crowns were cemented using Type 1 glass ionomer cement (GIC) (SSC) and resin modified GIC (custom-made zirconia crown). After the crown placement, the patient and the parent's satisfaction was scaled regarding the time taken, comfort, cost of crown, appearance of crown, etc., using a 5-point Likert scale. A baseline radiograph was taken after crown placement. The patient was recalled every 3 months till 1 year for evaluation (loss of retention, loss of proximal contact, gingival inflammation, opposing tooth wear, and marginal integrity). At the end of 1 year, radiographs were taken to check the interproximal bone. Results: After 1 year evaluation of custom-made zirconia crowns and preformed SSCs in primary molars, it was shown that both SSC and zirconia crowns showed good gingival scores but zirconia crown was better than SSC in improving the gingival health. SSCs showed better results with respect to the opposing tooth wear and marginal adaptability. Parents as well as patients preferred a tooth-colored crown as a treatment option. Conclusion: Custom-made zirconia crowns are comparable to the preformed SSCs and they show better gingival scores and excellent color match.
研究背景和目的:儿童早期龋齿是一个影响71个月以下儿童的多因素疾病过程,并且仍然是一个全球性的健康问题。不锈钢牙冠(SSCs)由于其与多表面汞合金修复体相比的优越性和耐用性,在儿童牙科中得到了广泛应用,并非常受欢迎。然而,这些王冠的一个主要缺点是美观性差。家长们经常要求提供一种更美观的SSC替代品。氧化锆牙冠是目前可用于乳牙的牙齿彩色全冠修复体之一。这些牙冠既有预制牙冠,也有定制牙冠,美观大方。然而,这需要用龈下完成线进行广泛的牙齿预备,这会在预备过程中造成牙龈创伤和出血。本研究使用口腔内扫描仪制作定制的氧化锆牙冠,这将避免传统的印模。目前,在儿科牙科中没有关于CAD-CAM牙冠的研究。因此,有必要进行研究。目的:本研究的目的是临床评估预制SSC和定制氧化锆牙冠在乳牙中的性能。为了获得父母和患者对预制SSC和定制氧化锆牙冠的满意度,并对1年的邻间骨高度进行放射学比较。方法:采用有针对性的抽样方法对患者进行筛选。感兴趣的牙齿是根据它将要接受的牙冠来准备的。使用口腔内扫描仪对接受定制氧化锆牙冠的牙齿的上下牙弓进行扫描。牙冠使用1型玻璃离聚物水泥(GIC)(SSC)和树脂改性的GIC(定制的氧化锆牙冠)进行胶结。在放置牙冠后,使用5点Likert量表对患者和家长的满意度进行测量,包括所花费的时间、舒适度、牙冠成本、牙冠外观等。在放置牙冠后拍摄基线射线照片。每3个月至1年对患者进行一次召回评估(固位丧失、近端接触丧失、牙龈炎症、对牙磨损和边缘完整性)。在1年结束时,进行射线照相检查邻间骨。结果:在对定制的氧化锆牙冠和预制的SSC进行了1年的评估后,SSC和氧化锆牙冠均显示出良好的牙龈评分,但在改善牙龈健康方面,氧化锆冠优于SSC。SSCs在对齿磨损和边缘适应性方面显示出更好的结果。父母和病人都喜欢牙色牙冠作为治疗选择。结论:定制的氧化锆牙冠与预制的SSCs相当,它们显示出更好的牙龈评分和良好的颜色匹配。
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引用次数: 0
Quantification of sugar intake and mineralization of teeth in 13–15-year-old subjects – A pilot study 量化13 - 15岁受试者的糖摄入量和牙齿矿化-一项初步研究
Q3 Dentistry Pub Date : 2022-01-01 DOI: 10.4103/jisppd.jisppd_181_21
Sona G Therathil, Prasad V V Kakarla
Background: Dental caries begins with the initiation of demineralization which is a reversible process. Diet, especially intake of sugar, is an important aetiological factor for demineralization of enamel which eventually leads to caries. Aim: This study aims to understand the quantitative relationship between sugar consumption and mineralization by finding out the change in mineralization of teeth as a result of the change in the sugar score. Settings and Design: This interventional study was done among 119 teeth of 19 subjects who were between the ages of 13–15 years in Hubli city. Materials and Methods: Sugar score was calculated from a 5-day diet history of the subjects and a DIAGNOdent pen was used to indicate the mineralization value of the teeth before the intervention. Diet counseling was given as an intervention after which sugar score and DIAGNOdent scores were measured again after 14 days and compared with the baseline values. Statistical Analysis: Descriptive statistics and a linear regression analysis was done to determine the relationship between the variables. Results: Sugar score and DIAGNOdent score after 14 days were found to have reduced significantly by 41.6% and 20.3% respectively from the baseline values. The Linear Regression indicated that a reduction of sugar score by 5 resulted in a decrease of DIAGNOdent score by 0.16. Conclusion: The findings of the present study suggest that the modification of sugar consumption brought about a significant improvement in the mineralization of the demineralized teeth thus making diet counseling an effective preventive strategy for caries prevention.
背景:龋齿始于脱矿,脱矿是一个可逆的过程。饮食,尤其是糖的摄入,是牙釉质脱矿最终导致龋齿的重要病因。目的:本研究旨在了解糖消耗与矿化之间的定量关系,通过找出糖评分变化引起的牙齿矿化变化。设置和设计:这项介入研究在胡布里市19名年龄在13-15岁之间的受试者的119颗牙齿中进行。材料和方法:根据受试者5天的饮食史计算糖分,并使用DIAGNOdent笔指示干预前牙齿的矿化值。饮食咨询是一种干预措施,之后在14天后再次测量血糖评分和DIAGNOdent评分,并与基线值进行比较。统计分析:进行描述性统计和线性回归分析,以确定变量之间的关系。结果:14天后,糖评分和DIAGNOdent评分分别比基线值显著降低了41.6%和20.3%。线性回归表明,糖分降低5分导致DIAGNOdent分降低0.16分。结论:本研究结果表明,糖摄入量的改变显著改善了脱矿牙的矿化,使饮食咨询成为预防龋齿的有效策略。
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引用次数: 0
Gratitude – Moral memory of mankind! 感恩——人类的道德记忆!
Q3 Dentistry Pub Date : 2022-01-01 DOI: 10.4103/jisppd.jisppd_155_22
S. Asokan
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引用次数: 0
A segmental root development as an unusual healing response to the revitalization of mandibular second premolar 节段性牙根发育作为下颌第二前磨牙再生的一种不寻常的愈合反应
Q3 Dentistry Pub Date : 2022-01-01 DOI: 10.4103/jisppd.jisppd_356_21
Sadaf Tamanna, Aaliya Rehman, R. Tewari, S. Mishra
A 15-year-old patient reported persistent pain in the left mandibular second premolar (#35) following a traumatic bite 3 months ago. Clinical examination revealed a fractured central cusp suggestive of dens evaginatus. Intraoral periapical radiograph revealed an immature permanent tooth with a periapical radiolucency. A diagnosis of pulp necrosis with symptomatic apical periodontitis was made. The tooth was treated according to the revised guidelines of regenerative endodontic procedure by the American Association of Endodontics. The follow-up evaluation revealed a complete resolution of periapical pathology. A detached radiopaque tissue was appreciated at the 12-month follow-up. It resembled a broken root tip at the 24-month follow-up. Both the main root body and disjointed root tip developed independently. A cone-beam computed tomography evaluation at the 36-month follow-up confirmed the segmented development of the apical root tip.
一名15岁的患者报告称,3个月前被创伤性咬伤后,左下颌第二前磨牙(#35)持续疼痛。临床检查显示中央牙尖顶骨折,提示有凹陷。口腔内根尖周x线片显示一颗未成熟的恒牙具有根尖周射线可透过性。诊断为牙髓坏死伴症状性根尖周炎。根据美国牙髓病学会修订的再生根管治疗指南对牙齿进行治疗。随访评估显示根尖周病变完全消失。在12个月的随访中,对分离的不透射线组织表示赞赏。在24个月的随访中,它就像一个断了的根尖。主根体和不相交的根尖均独立发育。在36个月的随访中,锥形束计算机断层扫描评估证实了根尖的分段发育。
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引用次数: 1
Cephalometric evaluation of the cervical spine posture following fixed functional therapy with Forsus™ appliance 使用Forsus™矫治器进行固定功能治疗后颈椎姿势的头位测量评估
Q3 Dentistry Pub Date : 2022-01-01 DOI: 10.4103/jisppd.jisppd_173_21
N. Malik, Bennete Fernandes, P. Ramamurthy, Shagufta Anjum, A. Prakash, Abhik Sinha
Background: To investigate whether fixed functional therapy for mandibular advancement with the Forsus™ appliance would produce any changes in the cervical spine posture. Materials and Methods: This prospective clinical exploratory study was conducted on 12 patients (six females and six males) with a mean age of 15 ± 1.3 years, having mandibular retrusion, Class II malocclusion, who were treated with the Forsus™ appliance. Lateral cephalogram was taken twice, once at the baseline (T1) before the commencement of the treatment and once following termination of fixed functional treatment (T2). Eleven measurements representing the vertical and the sagittal craniofacial proportions, and the head posture, were taken into account. Data were analyzed using SPSS version 22. The variations between before and after treatment measurements were collated using paired t-test. P < 0.05 was considered statistically significant. Results: No significant differences were noticed in the angle linking the horizontal lines of the head and the superior crest of the spinal column before and after the treatment, with P = 0.73. The cervical curvature angle also failed to show any significant difference with P = 0.14. Conclusion: Fixed functional therapy with the Forsus™ device resulted in dentoalveolar and soft tissue alterations alone but did not alter the cervical spine posture.
背景:探讨Forsus固定功能治疗下颌前移的疗效™ 该器械会使颈椎姿势发生任何变化。材料和方法:本前瞻性临床探索性研究对12名患者(6名女性和6名男性)进行了研究,他们的平均年龄为15±1.3岁,患有下颌后缩,II类错牙合,接受了Forsus™ 器具侧位头影检查两次,一次是在治疗开始前的基线(T1),一次在固定功能治疗结束后(T2)。考虑了代表垂直和矢状颅面比例以及头部姿势的11项测量。使用SPSS版本22对数据进行分析。使用配对t检验对治疗前后测量值之间的差异进行核对。P<0.05被认为具有统计学意义。结果:治疗前后头部水平线与脊柱上嵴的夹角无显著性差异,P=0.73。宫颈弯曲角度也没有显示出任何显著差异,P=0.14。结论:Forsus固定功能治疗™ 该装置仅能引起牙牙槽骨和软组织的改变,但并没有改变颈椎的姿势。
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引用次数: 1
A comparative evaluation of gingival microleakage and internal voids in Class II composite restoration with two different lining techniques: An in vitro study 两种衬里技术在II类复合修复体中牙龈微渗漏和内腔的比较研究
Q3 Dentistry Pub Date : 2022-01-01 DOI: 10.4103/jisppd.jisppd_228_21
R. Shishodia, Virinder Goyal, Almas Shaikh, Aushili Mahule, Jay Dondani
Aim: The aim of this study was to evaluate the gingival microleakage and internal voids in Class II composite restoration restored with precure and co-cure lining techniques using stereomicroscopic method. Materials and Methods: Forty-five freshly extracted permanent multirooted human molar teeth were collected and used in the study. After surface debridement and scaling of all teeth, standard Class II mesio-occlusal cavities were prepared. Forty-five samples were randomly divided into three experimental groups (n = 15), and filled according to manufacturer's instructions. Group I was precure group, Group II was co-cure group, and Group III was only bulk fill. The finishing and polishing of the restorations was done after 24 h. Then, all the specimens were subjected to thermocycling for 500 cycles. The gingival microleakage and internal voids of all the groups were evaluated using dye penetration method. Samples were then sectioned and examined under the stereomicroscope at ×40. Readings obtained were subjected to statistical analysis using SPSS ver 20.0 (IBM Corp, ARMONK USA) and Chi-square test. Results: The statistical analysis revealed that extent of microleakage was maximum in Group II (co-cure), followed by Group III (only bulk fill) and Group I (precure). The gingival voids were maximum in Group III (only bulk fill), minimum in Group II (co-cure), and least in Group I (precure). The cervical voids were maximum in Group II (co-cure) and Group III (only bulk fill), followed by Group I (precure). The occlusal voids were maximum in Group II (co-cure) and similar in Group I (precure) and Group III (only bulk fill). Conclusion: The precure lining technique was better than co-cure lining technique in terms of both microleakage and internal voids.
目的:本研究的目的是使用立体显微镜方法评估采用预固化和共固化内衬技术修复的II类复合修复体中的牙龈微渗漏和内部空隙。材料和方法:本研究收集并使用了45颗新鲜提取的人类恒牙。在对所有牙齿进行表面清创和洁牙后,制备标准的II类近中咬合腔。四十五个样本被随机分为三个实验组(n=15),并根据制造商的说明进行填充。第一组为预切组,第二组为共治组,第三组仅为大块充填。修复体的精加工和抛光在24小时后完成。然后,对所有样品进行500个循环的热循环。使用染料渗透法评估所有组的牙龈微渗漏和内部空隙。然后对样品进行切片,并在×40的立体显微镜下进行检查。使用SPSS ver 20.0(IBM Corp,ARMONK USA)和卡方检验对获得的读数进行统计分析。结果:统计分析显示,微渗漏程度在第二组(共治)最大,其次是第三组(仅大块填充)和第一组(预治)。牙龈空隙在第III组最大(仅为大块填充),在第II组最小(共固化),在第一组最小(预固化)。第二组(共固化)和第三组(仅大体积填充)的宫颈空洞最大,其次是第一组(预固化)。咬合间隙在第II组(共固化)中最大,在第I组(预固化)和第III组(仅大块填充)中相似。结论:预固化内衬技术在微渗漏和内部空隙方面均优于共固化内衬技术。
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引用次数: 0
Effect of silver diamine fluoride, potassium iodide, and glutathione on micro-shear bond strength of glass ionomer cement to caries affected dentine 氟化二胺银、碘化钾和谷胱甘肽对玻璃离子水门汀与龋齿牙本质微剪切结合强度的影响
Q3 Dentistry Pub Date : 2022-01-01 DOI: 10.4103/jisppd.jisppd_96_21
Deepthy Priya, R. Karale, B. Prashanth, A. Raj, K. N. Vathsala Heggade
Background: Silver diamine fluoride (SDF, 38%) is an efficient topical fluoride used to arrest dental caries though it causes black staining of both teeth and restoration. The application of potassium iodide (KI) after SDF reduces the stain, but the color change is only temporary. An alternative method suggested is by mixing glutathione (GSH) with SDF, which preserves the silver ions of SDF within the solution. Hence, the purpose of this in vitro study was to evaluate the microshear bond strength (μSBS) of glass ionomer cement (GIC) to caries affected dentin (CAD) pretreated with SDF/KI/GSH. Materials and Methods: Thirty dentine slices of 2 mm thickness from human permanent upper premolars were demineralized using pH cycling method to mimic CAD. They were allocated to three groups of 10 each and treated with SDF, SDF-KI (SDF followed by KI), SDF + GSH (SDF mixed with GSH), respectively. Specimens were bonded with GICs. The μSBS was assessed using a universal testing machine and the data obtained were analyzed using one-way ANOVA and Tukey's post hoc test. Results: The μSBS (mean ± standard deviation) values for groups SDF, SDF-KI, and SDF + GSH were 4.81 ± 2.026, 5.78 ± 1.809, 8.18 ± 2.828 megapascal respectively. Group 3 showed significantly better bond strength compared to groups 1 and 2. In group 2, the addition of KI showed better bond strength when compared to group 1, but the difference was not statistically significant. Conclusion: Pretreatment of teeth with GSH along with SDF application showed significantly better bond strength of GIC to CAD compared to SDF and SDF-KI.
背景:氟化二胺银(SDF,38%)是一种有效的局部氟化物,用于阻止龋齿,尽管它会导致牙齿和修复体的黑色染色。SDF后应用碘化钾(KI)可以减少污渍,但颜色变化只是暂时的。建议的另一种方法是将谷胱甘肽(GSH)与SDF混合,将SDF的银离子保留在溶液中。因此,本体外研究的目的是评估玻璃离聚物粘固剂(GIC)与SDF/KI/GSH预处理的龋齿影响的牙本质(CAD)的微剪切结合强度(μSBS)。材料和方法:采用pH循环法模拟CAD,对30块2 mm厚的人永久性上前磨牙牙本质切片进行脱矿处理。他们被分为三组,每组10人,分别用SDF、SDF-KI(SDF后为KI)、SDF+GSH(SDF与GSH混合)处理。样品用GIC粘合。μSBS使用通用测试机进行评估,并使用单因素方差分析和Tukey的事后检验对获得的数据进行分析。结果:SDF组、SDF-KI组和SDF+GSH组的μSBS(平均值±标准差)分别为4.81±2.026、5.78±1.809和8.18±2.828兆帕。与第1组和第2组相比,第3组显示出明显更好的结合强度。在第2组中,与第1组相比,添加KI显示出更好的结合强度,但差异无统计学意义。结论:与SDF和SDF-KI相比,GSH预处理结合SDF的GIC与CAD的结合强度显著提高。
{"title":"Effect of silver diamine fluoride, potassium iodide, and glutathione on micro-shear bond strength of glass ionomer cement to caries affected dentine","authors":"Deepthy Priya, R. Karale, B. Prashanth, A. Raj, K. N. Vathsala Heggade","doi":"10.4103/jisppd.jisppd_96_21","DOIUrl":"https://doi.org/10.4103/jisppd.jisppd_96_21","url":null,"abstract":"Background: Silver diamine fluoride (SDF, 38%) is an efficient topical fluoride used to arrest dental caries though it causes black staining of both teeth and restoration. The application of potassium iodide (KI) after SDF reduces the stain, but the color change is only temporary. An alternative method suggested is by mixing glutathione (GSH) with SDF, which preserves the silver ions of SDF within the solution. Hence, the purpose of this in vitro study was to evaluate the microshear bond strength (μSBS) of glass ionomer cement (GIC) to caries affected dentin (CAD) pretreated with SDF/KI/GSH. Materials and Methods: Thirty dentine slices of 2 mm thickness from human permanent upper premolars were demineralized using pH cycling method to mimic CAD. They were allocated to three groups of 10 each and treated with SDF, SDF-KI (SDF followed by KI), SDF + GSH (SDF mixed with GSH), respectively. Specimens were bonded with GICs. The μSBS was assessed using a universal testing machine and the data obtained were analyzed using one-way ANOVA and Tukey's post hoc test. Results: The μSBS (mean ± standard deviation) values for groups SDF, SDF-KI, and SDF + GSH were 4.81 ± 2.026, 5.78 ± 1.809, 8.18 ± 2.828 megapascal respectively. Group 3 showed significantly better bond strength compared to groups 1 and 2. In group 2, the addition of KI showed better bond strength when compared to group 1, but the difference was not statistically significant. Conclusion: Pretreatment of teeth with GSH along with SDF application showed significantly better bond strength of GIC to CAD compared to SDF and SDF-KI.","PeriodicalId":35797,"journal":{"name":"Journal of the Indian Society of Pedodontics and Preventive Dentistry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49298887","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
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Journal of the Indian Society of Pedodontics and Preventive Dentistry
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