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Healthy ageing and oral health: priority, policy and public health. 健康的老龄化和口腔健康:优先事项、政策和公共卫生。
IF 2.5 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-10-09 DOI: 10.1038/s41405-024-00262-z
Rakhee Patel, Jennifer E Gallagher

The global population ageing, and the pace of ageing is accelerating. Although people are living longer, these additional years are not being gained in health, and disability, chronic and long-term conditions increase with age. In response to the challenges of an ageing population, the United Nations and World Health Organisation declared 2021-2030 the Decade of Healthy Ageing, with the purpose of collaborative action to foster longer and healthier lives. This review explores the WHO public health framework for healthy ageing and global trends and policies, using the UK as an example of policy implementation. In response to the urgent need to consider the impact of ageing on oral health and oral healthcare systems, an integrated model for healthy ageing and oral health is proposed.

全球人口老龄化和老龄化的步伐正在加快。虽然人们的寿命越来越长,但健康状况却没有得到改善,残疾、慢性病和长期疾病随着年龄的增长而增加。为应对人口老龄化带来的挑战,联合国和世界卫生组织宣布 2021-2030 年为 "健康老龄化十年",目的是采取合作行动,让人们活得更长、更健康。本报告以英国的政策实施为例,探讨了世界卫生组织的健康老龄化公共卫生框架以及全球趋势和政策。鉴于迫切需要考虑老龄化对口腔健康和口腔医疗保健系统的影响,本文提出了健康老龄化和口腔健康的综合模式。
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引用次数: 0
Parent-perceived oral habits among a group of school children: prevalence and predictors. 一组学童的家长口腔习惯:流行程度和预测因素。
IF 2.5 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-10-05 DOI: 10.1038/s41405-024-00261-0
Nagwa Mohamed Ali Khattab, Mennat Allah Ashraf Abd-Elsabour, Ola Moustafa Omar

Purpose: Practicing oral habits beyond the normal age range is assumed to be due to underlying psychological disturbance and could result in a deformation of the orofacial structure. The first step in managing such a health condition is to evaluate its size. Thus, this study aimed primarily to assess the prevalence of oral habits among a group of school children aged from 5 to 7 years, in Cairo, Egypt. The secondary aim of the study was to investigate some possible related predictors along with the mother's perception of the child's oral health-related quality of life.

Methods: A Google form questionnaire was designed, utilizing the third domain of Nordic Orofacial Test-Screen (NOT-S), to assess the presence or absence of oral habits and their types, if reported. Also, there were two global rating items to test the child's oral health-related quality of life from the mother's prospection, along with one item to inquire if the mother thinks that the oral habits are harmful to the child. A total number of 23 schools in Cairo, Egypt were randomly selected, and the link to the Google form was distributed through the parent's groups on social media. All high-quality complete responses were analyzed using the SPSS program, and a Log-binomial regression model was constructed, to determine the significant predictors of practicing oral habits in children.

Results: Among the analyzed 1128 responses, the total number of answers to the third domain of interview part of NOT-S was 1235, with a response rate of (60.39%), no habits were reported in 635 children (51.4%), while nail biting was noted in 21.8%, bruxism in 17.9% and Sucking habits in 8.9%. In total, 63.8% of children who were reported by their parents to be the "only child" didn't practice any habit, and a higher prevalence of oral habits was detected in children with siblings. There was no detectable association between the mother's educational level and practicing any of the habits, although there was an association between the mother's educational level and their awareness of the harmful effect of oral habits on the child. The mothers' answers to the global rating items were not associated with any of the oral habits.

Conclusion: The most prevalent oral habit in the current study was the nail-biting habit. The presence of other siblings and the number of siblings were contributory factors in the occurrence of oral habits, while mothers' educational level was not associated with practicing oral habits. The mothers' awareness of the harmful effect of oral habits on the children was not satisfactory, and there was no association between oral health-related quality of life and the children's oral habits, from the mothers' perspective.

目的:超过正常年龄范围的口腔习惯被认为是潜在的心理障碍所致,可能导致口面部结构变形。管理这种健康状况的第一步是评估其规模。因此,本研究的主要目的是评估埃及开罗一群 5 至 7 岁学龄儿童的口腔习惯流行率。研究的第二个目的是调查一些可能的相关预测因素,以及母亲对儿童口腔健康相关生活质量的看法:利用北欧口腔测试筛查(NOT-S)的第三个领域设计了一份谷歌问卷,以评估是否存在口腔习惯及其类型(如有报告)。此外,还有两个总体评分项目,从母亲的角度测试儿童与口腔健康相关的生活质量,以及一个询问母亲是否认为口腔习惯对儿童有害的项目。我们随机抽取了埃及开罗的 23 所学校,并通过社交媒体上的家长群组发布了谷歌表格的链接。我们使用 SPSS 程序对所有高质量的完整回复进行了分析,并构建了对数二项式回归模型,以确定儿童口腔习惯的重要预测因素:在分析的 1128 份答卷中,NOT-S 访谈部分第三域的答卷总数为 1235 份,答卷率为(60.39%),635 名儿童(51.4%)未报告有口腔习惯,21.8% 的儿童有咬指甲习惯,17.9% 的儿童有磨牙习惯,8.9% 的儿童有吸吮习惯。在父母报告为 "独生子女 "的儿童中,共有 63.8%的儿童没有任何习惯,在有兄弟姐妹的儿童中,口腔习惯的发生率较高。虽然母亲的教育水平与她们对口腔陋习对孩子有害影响的认识之间存在关联,但在母亲的教育水平与陋习之间没有发现任何关联。母亲对总体评分项目的回答与任何口腔习惯都没有关联:结论:本次研究中最普遍的口腔习惯是咬指甲的习惯。结论:在本次研究中,最普遍的口腔习惯是咬指甲的习惯,其他兄弟姐妹的存在和兄弟姐妹的数量是导致口腔习惯发生的因素,而母亲的教育水平与口腔习惯的养成无关。从母亲的角度来看,她们对口腔陋习对儿童有害影响的认识并不令人满意,口腔健康相关生活质量与儿童口腔陋习之间也没有关联。
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引用次数: 0
Artificial intelligent-driven decision-making for automating root fracture detection in periapical radiographs. 人工智能驱动决策,自动检测根尖周X光片中的根部断裂。
IF 2.5 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-10-01 DOI: 10.1038/s41405-024-00260-1
Riem Abdelazim, Eman M Fouad

Background: The detection and early diagnosis of root fractures can be challenging; this difficulty applies particularly to newly qualified dentists. Aside from clinical examination, diagnosis often requires radiographic assessment. Nonetheless, human fallibility can introduce errors due to a lack of experience.

Aim: The proposed system aimed to assist in detecting root fractures through the integration of artificial intelligence techniques into the diagnosis process as a step for automating dental diagnosis and decision-making processes.

Materials and method: A total of 400 radiographic images of fractured and unfractured teeth were obtained for the present research. Data handling techniques were implemented to balance the distribution of the samples. The AI-based system used the voting technique for five different pretrained models namely, VGG16, VGG19, ResNet50. DenseNet121, and DenseNet169 to perform the analysis. The parameters used for the analysis of the models are loss and accuracy curves.

Results: VGG16 exhibited notable success with low training and validation losses (0.09% and 0.18%, respectively), high specificity, sensitivity, and positive predictive value (PPV). VGG19 showed potential overfitting concerns, while ResNet50 displayed progress in minimizing loss but exhibited bias toward unfractured cases. DenseNet121 effectively addressed overfitting and noise issues, achieving balanced metrics and impressive PPVs for both fractured and unfractured cases (0.933 and 0.898 respectively). With increased depth, DenseNet169 demonstrated enhanced generalization capability.

Conclusion: The proposed AI- based system demonstrated high precision and sensitivity for detecting root fractures in endodontically treated teeth by utilizing the voting method.

背景:牙根折断的检测和早期诊断具有挑战性;这一困难尤其适用于刚获得资格的牙科医生。除了临床检查外,诊断通常还需要进行放射评估。目的:所提议的系统旨在通过将人工智能技术整合到诊断过程中来协助检测牙根断裂,作为牙科诊断和决策过程自动化的一个步骤:本研究共获取了 400 张折断和未折断牙齿的放射影像。采用数据处理技术平衡样本分布。基于人工智能的系统使用了五种不同预训练模型的投票技术,即 VGG16、VGG19、ResNet50、DenseNet121 和 DenseNet121。DenseNet121 和 DenseNet169 进行分析。用于分析模型的参数是损失曲线和准确率曲线:VGG16 取得了显著的成功,训练和验证损失较低(分别为 0.09% 和 0.18%),特异性、灵敏度和阳性预测值(PPV)较高。VGG19 显示出潜在的过拟合问题,而 ResNet50 在最大限度减少损失方面取得了进展,但表现出偏向于未骨折病例。DenseNet 121 有效地解决了过拟合和噪声问题,实现了均衡的指标,并为断裂和未断裂病例提供了令人印象深刻的 PPV 值(分别为 0.933 和 0.898)。随着深度的增加,DenseNet169 显示出更强的泛化能力:本文提出的基于人工智能的系统利用投票法检测牙髓治疗牙根折断的精确度和灵敏度都很高。
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引用次数: 0
Impact of different disinfection protocols on the bond strength of NeoMTA 2 bioceramic sealer used as a root canal apical plug (in vitro study). 不同消毒方案对用作根管根尖塞的 NeoMTA 2 生物陶瓷封闭剂粘接强度的影响(体外研究)。
IF 2.5 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-09-23 DOI: 10.1038/s41405-024-00257-w
Nada Omar, Nihal Refaat Kabel, Muhammad Abbass Masoud, Tamer M Hamdy

Introduction: Treatment of an immature permanent tooth required a special disinfection protocol due to the presence of thin radicular walls, which are prone to fracture. Mineral Trioxide Aggregate (MTA) has been proposed as a root repair material for root canal treatment. The aim of this in vitro study was to compare the push-out bond strength of conventional White MTA cements and second generation NeoMTA 2 in imitated immature roots treated with different disinfection protocols, which are 5.25% sodium hypochlorite (NaOCl), followed by 17% ethylenediaminetetraacetic acid (EDTA), and NaOCl, followed by 20% etidronic acid (HEBP).

Methods: The root canals of freshly extracted single-root teeth were manually prepared until 90 K-file to imitate immature roots. Roots were randomly divided into four groups (G) according to the disinfection protocol (n = 15 per group). where G1 (NaOCl + EDTA + White MTA) and G2 (NaOCl + EDTA + NeoMTA 2) While G3 (NaOCl + HEBP + White MTA) and G4 (NaOCl + HEBP + NeoMTA 2) All groups were activated with manual agitation. All specimens were incubated for 48 h. The apical third of each root was perpendicularly sectioned to attain a slice of 3 mm thickness. Push-out bond strength values were assessed using a two-way ANOVA and a Student's t test.

Results: G3 and G4 that were treated with HEPB showed higher significant push-out bond strength mean values than G1 and G2 treated with an EDTA chelating agent. Irrespective of the chelating agent used, it was found that both NeoMTA 2 and White MTA had no significant influence on push-out bond strength mean values (p ≤ 0.05).

Conclusion: The combined use of 5.25% NaOCl and 20% HEBP increased the push-out strength values of both NeoMTA 2 and White MTA, rendering them suitable to be used as an alternative chelating agent to EDTA.

简介治疗未成熟恒牙需要特殊的消毒方案,因为根管壁很薄,容易断裂。三氧化二铝骨料(MTA)已被提议作为根管治疗的根部修复材料。这项体外研究的目的是比较传统白色 MTA 水门汀和第二代 NeoMTA 2 在使用不同消毒方案(5.25% 次氯酸钠(NaOCl),然后是 17% 乙二胺四乙酸(EDTA),以及 NaOCl,然后是 20% 乙膦酸(HEBP))处理的模仿未成熟根中的推出粘接强度:对刚拔出的单根牙根管进行人工预备,直至 90 K-锉,以模仿未成熟的牙根。其中,G1(NaOCl + EDTA + White MTA)和 G2(NaOCl + EDTA + NeoMTA 2),G3(NaOCl + HEBP + White MTA)和 G4(NaOCl + HEBP + NeoMTA 2)。将每个牙根顶端三分之一处垂直切片,切片厚度为 3 毫米。使用双向方差分析和学生 t 检验来评估推出粘接强度值:结果:使用 HEPB 处理的 G3 和 G4 比使用 EDTA 螯合剂处理的 G1 和 G2 显示出更高的显著推出粘接强度平均值。无论使用哪种螯合剂,NeoMTA 2 和白色 MTA 对推出粘接强度平均值都没有显著影响(p ≤ 0.05):结论:联合使用 5.25% NaOCl 和 20% HEBP 可提高 NeoMTA 2 和 White MTA 的推出强度值,使其适合用作 EDTA 的替代螯合剂。
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引用次数: 0
Recommended procedures for managing carious lesions in primary teeth with pulp involvement—a scoping review 处理涉及牙髓的原牙龋坏的推荐程序--范围审查
IF 3 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-09-18 DOI: 10.1038/s41405-024-00259-8
Ilze Maldupa, Waraf Al-Yaseen, Julius Giese, Rokaia Ahmed Elagami, Daniela Prócida Raggio

Background

Managing dental caries in primary teeth with pulp involvement is a significant challenge. Clinical guidelines offer recommendations for effective management.

Aim

To identify and analyze policies, guidelines, and recommendations for treating primary teeth with pulp-involved carious lesions, highlighting existing research gaps and setting the foundation for future research.

Methods

A comprehensive search was conducted across databases (PubMed, Scopus, Embase, GIN, and LILACS) and grey literature sources (Trip and ProQuest) to identify guidelines, consensus, policy, and position statements on primary teeth pulp therapy and extraction thresholds. Two independent reviewers screened the abstracts and titles, followed by full-text screening.

Results

After removing duplication, of the 1098 records, 14 were selected for analysis. This review examined various treatments for deep caries lesions in primary teeth, including indirect/direct pulp capping, pulpotomy, pulpectomy, lesion sterilization/tissue restoration, and extraction. Time search was restricted to documents published from 30th January 2008 to 30th January 2024, offering insights into evolving clinical practices.

Conclusion

Treatment for carious lesions in primary teeth involving the pulp depends on clinical indications and may involve minimally invasive techniques. Recommended options are indirect pulp capping, pulpotomy, and pulpectomy, while direct capping and tooth removal are discouraged. Further research is needed to address gaps, improve guideline development, and enhance consistency of recommendations.

背景管理牙髓受累的乳牙龋齿是一项重大挑战。方法对数据库(PubMed、Scopus、Embase、GIN 和 LILACS)和灰色文献来源(Trip 和 ProQuest)进行了全面检索,以确定有关乳牙牙髓治疗和拔牙阈值的指南、共识、政策和立场声明。两位独立审稿人对摘要和标题进行了筛选,然后对全文进行了筛选。结果在去除重复的 1098 条记录后,选择了 14 条记录进行分析。该综述研究了针对乳牙深龋病变的各种治疗方法,包括间接/直接盖髓术、牙髓切断术、牙髓切除术、病变消毒/组织修复术和拔除术。时间搜索仅限于2008年1月30日至2024年1月30日期间发表的文献,从而为不断发展的临床实践提供了洞察力。结论对涉及牙髓的原牙龋坏的治疗取决于临床适应症,可能涉及微创技术。推荐的方法有间接盖髓术、牙髓切断术和牙髓切除术,而不鼓励直接盖髓和拔牙。需要进一步研究以弥补差距、改进指南的制定并提高建议的一致性。
{"title":"Recommended procedures for managing carious lesions in primary teeth with pulp involvement—a scoping review","authors":"Ilze Maldupa, Waraf Al-Yaseen, Julius Giese, Rokaia Ahmed Elagami, Daniela Prócida Raggio","doi":"10.1038/s41405-024-00259-8","DOIUrl":"https://doi.org/10.1038/s41405-024-00259-8","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>Managing dental caries in primary teeth with pulp involvement is a significant challenge. Clinical guidelines offer recommendations for effective management.</p><h3 data-test=\"abstract-sub-heading\">Aim</h3><p>To identify and analyze policies, guidelines, and recommendations for treating primary teeth with pulp-involved carious lesions, highlighting existing research gaps and setting the foundation for future research.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>A comprehensive search was conducted across databases (PubMed, Scopus, Embase, GIN, and LILACS) and grey literature sources (Trip and ProQuest) to identify guidelines, consensus, policy, and position statements on primary teeth pulp therapy and extraction thresholds. Two independent reviewers screened the abstracts and titles, followed by full-text screening.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>After removing duplication, of the 1098 records, 14 were selected for analysis. This review examined various treatments for deep caries lesions in primary teeth, including indirect/direct pulp capping, pulpotomy, pulpectomy, lesion sterilization/tissue restoration, and extraction. Time search was restricted to documents published from 30th January 2008 to 30th January 2024, offering insights into evolving clinical practices.</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>Treatment for carious lesions in primary teeth involving the pulp depends on clinical indications and may involve minimally invasive techniques. Recommended options are indirect pulp capping, pulpotomy, and pulpectomy, while direct capping and tooth removal are discouraged. Further research is needed to address gaps, improve guideline development, and enhance consistency of recommendations.</p>","PeriodicalId":36997,"journal":{"name":"BDJ Open","volume":"26 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142266092","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
Comparison between AH plus sealer and total fill bioceramic sealer performance in previously untreated and retreatment cases of maxillary incisors with large-sized periapical lesion: a randomized controlled trial AH 加封闭剂与全填充生物陶瓷封闭剂在上颌切牙大面积根尖周病变的既往未治疗病例和再治疗病例中的性能比较:随机对照试验
IF 3 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-09-12 DOI: 10.1038/s41405-024-00256-x
Eisa Wahbi, Hassan Achour, Yasser Alsayed Tolibah

Objective

This study aims to assess the efficacy of bioceramic (BC) sealer when applied using the single cone technique (SCT), in comparison to AH Plus sealer applied with the cold lateral condensation technique (LCT), concerning their impact on the healing of large-sized periapical lesions in both untreated and retreatment cases.

Materials and methods

A randomized controlled trial was conducted on 41 patients who had 60 permanent teeth in the maxillary incisors that were accompanied by large-sized periapical lesions. The included teeth were radiographed with cone beam computed tomography (CBCT) images and divided equally into two groups according to the endodontic treatment statute (30 untreated previous cases and 30 retreated cases). Subsequently, teeth received uniform preparation, irrigation, and dressing procedures. Then each group was divided equally according to the used sealer (15 teeth obturated using AH plus sealer with LCT and 15 teeth obturated using BC sealer with SCT). All cases were followed up after 6 and 12 months with CBCT images. Subsequently, the change in periapical lesion diameter (PLD) was observed as an indicator to determine the treatment outcome score. One-way ANOVA and Mann–Whitney U test were used to analyze the PLD changing and scoring the treatment outcome during the follow-up periods. The significance level was set at α = 0.05.

Results

There were no statistically significant differences between untreated and retreatment cases neither using AH plus sealer with LCT nor BC sealer with SCT regarding changes in PLD in the follow-up periods. Moreover, there were no significant differences between groups regarding treatment outcome scores in the follow-up periods. All groups showed a high success rate.

Conclusions

Successful treatment was achieved for untreated or retreatment maxillary incisor cases accompanied by large-sized periapical lesions using either BC sealer with the SCT or AH Plus sealer with LCT with a similar high success rate up to 12 months follow-up period.

本研究旨在评估生物陶瓷(BC)封闭剂在使用单锥技术(SCT)时与使用冷侧凝技术(LCT)的 AH Plus 封闭剂相比,对未经治疗和再治疗病例中大尺寸根尖周病变愈合的影响。这些患者的牙齿都经过了锥形束计算机断层扫描(CBCT)影像检查,并根据牙髓治疗章程平均分为两组(30 个以前未治疗过的病例和 30 个修复过的病例)。随后,牙齿接受统一的预备、冲洗和包扎程序。然后,根据封闭剂的使用情况将每组牙齿平均分成两组(15 颗牙齿使用 AH 加封闭剂和 LCT 封闭,15 颗牙齿使用 BC 封闭剂和 SCT 封闭)。所有病例均在 6 个月和 12 个月后接受 CBCT 图像随访。随后,观察根尖周病变直径(PLD)的变化,作为确定治疗效果评分的指标。采用单因素方差分析和曼-惠特尼 U 检验分析随访期间 PLD 的变化和治疗效果评分。结果未治疗病例和再治疗病例在随访期间的 PLD 变化方面,无论是使用 AH 加 LCT 封闭剂还是 BC 封闭剂加 SCT,均无显著统计学差异。此外,各组在随访期间的治疗效果评分方面也无明显差异。结论对于未经治疗或再治疗的上颌切牙病例,如果伴有大面积根尖周病变,无论是使用萃取封闭剂加SCT,还是使用AH加封闭剂加LCT,都能获得成功的治疗,而且在12个月的随访期内,成功率同样很高。
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引用次数: 0
Impact of LASER activated irrigation on the retrievability of Guttaflow bioseal (in-vitro study) 激光活化灌溉对 Guttaflow 生物胶片可回收性的影响(体外研究)
IF 3 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-09-11 DOI: 10.1038/s41405-024-00254-z
Maram Obeid, Mohamed El Sayed Zaghloul, Tariq Yehia Abdelrahman

Background

This study aimed to evaluate the efficiency of diode LASER activated irrigation in the removal of GuttaFlow Bioseal root canal filling material during retreatment.

Materials and subjects

Root canals of forty-five single-rooted human mandibular premolar teeth were prepared with ProTaper Universal rotary system and obturated with lateral condensation obturation technique using Gutta Percha and Roeko GuttaFlow Bioseal root canal sealer. All specimens were retreated with ProTaper Universal Retreatment System files then divided to three different groups according to the technique of activation of irrigation. Samples were sectioned, and the residual filling remnants were captured using digital camera attached to microscope. Data was collected by three different interpreters, to eliminate the subjectivity of the process, using the ImageJ Software. The mean value of the data was obtained and evaluated statistically. The significance level was set at P ≤ 0.05.

Results

The remaining filling materials in the canals irrigated with ultrasonic activation (6.17 ± 1.42 at coronal level, 10.93 ± 1.91at middle level, and 14.58 ± 2.23 at apical level) were less than these irrigated with LASER activation (15.87 ± 3.78 at coronal level, 21.28 ± 4.44 at middle level, and 27.06 ± 2.68 at apical level). Maximum amount of remaining filling materials was present in the canals irrigated with passive side-vented syringe (23.07 ± 3.22 at coronal level, 38.09 ± 7.27 at middle level, and 34.24 ± 9.77 at apical level).

Conclusion

The activation of irrigation techniques used were incapable of complete removal of filling material at root canal walls.

材料和受试者用 ProTaper 通用旋转系统对 45 颗单根人类下颌前磨牙的根管进行预备,并用 Gutta Percha 和 Roeko GuttaFlow Bioseal 根管封闭剂采用侧向冷凝封闭技术进行封闭。使用 ProTaper 通用再治疗系统锉对所有样本进行再治疗,然后根据冲洗激活技术将样本分为三组。对样本进行切片,并使用连接到显微镜上的数码相机拍摄残余填充物。数据由三位不同的解释者使用 ImageJ 软件收集,以消除过程中的主观性。获得数据的平均值并进行统计评估。结果超声波激活灌洗的牙槽中剩余的填充材料(冠水平为 6.17 ± 1.42,中水平为 10.93 ± 1.91,根尖水平为 14.58 ± 2.23)少于激光激活灌洗的牙槽中(冠水平为 15.87 ± 3.78,中水平为 21.28 ± 4.44,根尖水平为 27.06 ± 2.68)。使用被动式侧排气注射器灌洗的根管中残留的充填材料最多(冠水平为 23.07 ± 3.22,中水平为 38.09 ± 7.27,根尖水平为 34.24 ± 9.77)。
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引用次数: 0
SWOT analysis of the dental hygiene profession in Pakistan-past, present, and future. 巴基斯坦牙科卫生专业的 SWOT 分析--过去、现在和未来。
IF 2.5 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-09-05 DOI: 10.1038/s41405-024-00255-y
Iqra Damani, Shazia Taimoor, Fahad Umer, Rashna Hoshang Sukhia, Ali Sadiq

Background: Pakistan faces a significant burden of oral diseases, which can be effectively reduced through preventive measures. Dentistry in Pakistan predominantly focuses on corrective dental procedures, increasing the treatment costs and widens disparities in oral healthcare access. To address this gap and meet the country's oral health needs, Aga Khan University initiated a Dental Hygiene program aimed to expand and diversify the oral health workforce and improving access to quality care in various healthcare settings. Due to limited awareness of this profession in the country, the program encounters significant challenges.

Aim: This article aims to present a SWOT analysis of the Dental Hygiene profession in Pakistan and propose evidence-based strategic changes to address these challenges and improve future outcomes.

Methods: A SWOT analysis was conducted to identify the internal strengths, weaknesses, external opportunities, and threats related to the Dental Hygiene profession, gathering both quantitative and qualitative data through a survey of relevant stakeholders (Consultants, Dental hygiene graduates, dental auxiliaries, fresh dental graduates, and prospective students) using Research Electronic Data Capture (REDCap).

Results: A total of 267 respondents participated in the survey, providing insights into the current state of the Dental Hygiene profession.

Conclusion: The analysis reveals that the Dental Hygiene profession in Pakistan requires robust advocacy, increased collaboration with dentists, opportunities for higher education, and the establishment of proper legislative frameworks to prevent professional transgression beyond the scope of practice.

背景:巴基斯坦面临着严重的口腔疾病负担,可通过预防措施有效减少这些疾病。巴基斯坦的牙科主要集中在矫正性牙科手术,增加了治疗成本,扩大了口腔医疗服务的差距。为了弥补这一差距,满足国家的口腔健康需求,阿迦汗大学启动了口腔卫生专业,旨在扩大口腔卫生人才队伍并使其多样化,改善在各种医疗机构获得优质护理的机会。目的:本文旨在对巴基斯坦的口腔卫生专业进行 SWOT 分析,并提出以证据为基础的战略变革,以应对这些挑战并改善未来的成果:通过使用研究电子数据采集(REDCap)对相关利益者(顾问、口腔卫生专业毕业生、牙科辅助人员、应届牙科毕业生和未来的学生)进行调查,收集定量和定性数据,进行 SWOT 分析,以确定与口腔卫生专业相关的内部优势、劣势、外部机会和威胁:共有 267 名受访者参与了调查,对口腔卫生专业的现状有了深入的了解:分析表明,巴基斯坦的牙科卫生专业需要大力宣传,加强与牙医的合作,提供高等教育机会,并建立适当的立法框架,以防止超越执业范围的专业越轨行为。
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引用次数: 0
Comparing efficacies of various papain-based enzyme agents and 2.4% sodium hypochlorite gel in chemomechanical caries removal: a randomized controlled trial. 比较各种木瓜蛋白酶酶制剂和 2.4% 次氯酸钠凝胶在化学机械除龋中的功效:随机对照试验。
IF 2.5 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-09-04 DOI: 10.1038/s41405-024-00258-9
M H D Baraa Alsayed, Mawia Karkoutly, Hassan Achour, Souad Abboud

Objective: This study aimed to evaluate and compare the efficacies of Papacarie Duo gel, Brix 3000, Selecti-Solve gel, 2.4% sodium hypochlorite gel, and conventional rotary-mechanical method in caries removal and to evaluate the patient comfort.

Methods: It was a single-blinded, randomized, parallel-group, active-controlled trial with five arms. It was conducted at the Department of Restorative Dentistry and Endodontics, Damascus University. Seventy-five specimens were randomly allocated into five groups: chemomechanical caries removal (CMCR) using Selecti-Solve gel (G1), BRIX3000 (G2), Papacarie DUO gel (G3), or 2.4% sodium hypochlorite gel (G4), and caries excavation using conventional rotary-mechanical method (G5) (control group). The trial considered healthy patients aged 18-40. Permanent molars with class I carious lesions extending to the middle third of dentin with no pulpal and/or periodontal pathology were included. The efficacy of caries removal was considered the primary outcome measure, and the secondary outcome measures were treatment time, volumetric measurement of the cavity, and pain assessment.

Results: The majority (73.30%) of cases from BRIX3000 and conventional rotary-mechanical method groups showed complete caries removal (p = 0.982). The mean time of caries removal was the highest (17.45 ± 4.42) in the 2.4% sodium hypochlorite gel group (p < 0.05), and the lowest (6.33 ± 1.69) was in the conventional rotary-mechanical method group (p < 0.05). The mean cavity volume was the highest (18.97 ± 9.76) in the Papacarie DUO gel group, and the lowest (14.87 ± 4.76) was in the 2.4% sodium hypochlorite gel group (p = 0.506). The conventional rotary-mechanical group exhibited the highest mean score (5.40 ± 1.72) of pain (p < 0.05). However, the mean score (2.67 ± 1.11) of pain reported reduced in the BRIX3000 group.

Conclusions: CMCR agents could be a potential substitute for conventional rotary instrumentation methods, taking into account the long working time.

研究目的本研究旨在评估和比较Papacarie Duo凝胶、Brix 3000、Selecti-Solve凝胶、2.4%次氯酸钠凝胶和传统旋转机械法在去除龋齿方面的疗效,并评估患者的舒适度:这是一项单盲、随机、平行组、主动对照试验,共有五组。试验在大马士革大学牙体修复和牙髓病学系进行。75例标本被随机分配到五组:使用Selecti-Solve凝胶(G1)、BRIX3000(G2)、Papacarie DUO凝胶(G3)或2.4%次氯酸钠凝胶(G4)的化学机械除龋(CMCR)组,以及使用传统旋转机械方法的龋齿挖掘组(G5)(对照组)。试验对象为 18-40 岁的健康患者。试验对象包括Ⅰ类龋坏扩展至牙本质中三分之一处且无牙髓和/或牙周病变的恒磨牙患者。龋齿去除的疗效被认为是主要结果指标,次要结果指标是治疗时间、龋洞体积测量和疼痛评估:结果:BRIX3000 和传统旋转机械法组的大多数病例(73.30%)显示龋齿完全清除(P = 0.982)。2.4% 次氯酸钠凝胶组的平均除龋时间最长(17.45 ± 4.42)(p 结论:BRIX3000 和传统旋转机械法组的平均除龋时间最长(17.45 ± 4.42):考虑到工作时间较长,CMCR 药剂有可能替代传统的旋转器械方法。
{"title":"Comparing efficacies of various papain-based enzyme agents and 2.4% sodium hypochlorite gel in chemomechanical caries removal: a randomized controlled trial.","authors":"M H D Baraa Alsayed, Mawia Karkoutly, Hassan Achour, Souad Abboud","doi":"10.1038/s41405-024-00258-9","DOIUrl":"10.1038/s41405-024-00258-9","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate and compare the efficacies of Papacarie Duo gel, Brix 3000, Selecti-Solve gel, 2.4% sodium hypochlorite gel, and conventional rotary-mechanical method in caries removal and to evaluate the patient comfort.</p><p><strong>Methods: </strong>It was a single-blinded, randomized, parallel-group, active-controlled trial with five arms. It was conducted at the Department of Restorative Dentistry and Endodontics, Damascus University. Seventy-five specimens were randomly allocated into five groups: chemomechanical caries removal (CMCR) using Selecti-Solve gel (G1), BRIX3000 (G2), Papacarie DUO gel (G3), or 2.4% sodium hypochlorite gel (G4), and caries excavation using conventional rotary-mechanical method (G5) (control group). The trial considered healthy patients aged 18-40. Permanent molars with class I carious lesions extending to the middle third of dentin with no pulpal and/or periodontal pathology were included. The efficacy of caries removal was considered the primary outcome measure, and the secondary outcome measures were treatment time, volumetric measurement of the cavity, and pain assessment.</p><p><strong>Results: </strong>The majority (73.30%) of cases from BRIX3000 and conventional rotary-mechanical method groups showed complete caries removal (p = 0.982). The mean time of caries removal was the highest (17.45 ± 4.42) in the 2.4% sodium hypochlorite gel group (p < 0.05), and the lowest (6.33 ± 1.69) was in the conventional rotary-mechanical method group (p < 0.05). The mean cavity volume was the highest (18.97 ± 9.76) in the Papacarie DUO gel group, and the lowest (14.87 ± 4.76) was in the 2.4% sodium hypochlorite gel group (p = 0.506). The conventional rotary-mechanical group exhibited the highest mean score (5.40 ± 1.72) of pain (p < 0.05). However, the mean score (2.67 ± 1.11) of pain reported reduced in the BRIX3000 group.</p><p><strong>Conclusions: </strong>CMCR agents could be a potential substitute for conventional rotary instrumentation methods, taking into account the long working time.</p>","PeriodicalId":36997,"journal":{"name":"BDJ Open","volume":"10 1","pages":"70"},"PeriodicalIF":2.5,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11375084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Interfacial assessment of cention forte vs. equia forte and two forms of calcium silicate cements at two time intervals. 在两个时间间隔内对 cention forte 与 equia forte 以及两种形式的硅酸钙水泥进行界面评估。
IF 2.5 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-08-24 DOI: 10.1038/s41405-024-00252-1
Heba Abdelkafy, Nada A Salem, Rasha Mohamed Marzouk, Alaa M Eldehna

Aim: Assessment of interfacial gaps and mechanical impact of the materials layering between Cention Forte and Equia Forte restorations with two forms of Calcium Silicate Cements (CSCs) at the interfacial surface at two-time intervals.

Methodology: Six groups of 72 primary molars were categorized by restorative material type and CSCs: Cention Forte(C), Cention Forte without primer (Cx), and Equia Forte (EQ). All were applied over MTA Angelus powder (M) or Bio-C Repair putty (P). Restorative materials were applied immediately (subgroup A) or delayed (Subgroup B). SEM was used to detect interface gaps. EDX measured element migration from the interface at specific distances. Vickers Microhardness Tester assessed microhardness.

Results: Regarding SEM, there were no gaps between CSCs interfaces of both types (Powder and Putty) with all restorations at two-time intervals. Microhardness, there was a statistically nonsignificant difference between subgroups A & B in all groups except at 200 µm in the Cention groups (subgroup A) was significantly lower than (subgroup B) (P = 0.002, 0.03) respectively. At 400 µm in the MTA Angelus powder Group Cx, subgroup A was significantly higher than subgroup B (P = 0.003*). While Bio-C Repair putty in Group EQ (subgroup A) was significantly higher than (Subgroup B) (P < 0.0001*).

Conclusions: The delayed application of Cention Forte over two types of CSCs is useful in getting the maximum HV and, in turn, the long survival rate of the filling. Immediate application of Cention Forte without primer is better over both types of CSCs. The delayed application of Equia Forte over MTA angelus powder is more considerable.

目的:评估Cention Forte和Equia Forte修复体之间的界面间隙和材料分层的机械影响,在界面表面使用两种形式的硅酸钙水门汀(CSC),每隔两次:按修复材料类型和 CSCs 对六组 72 颗初级磨牙进行分类:Cention Forte (C)、Cention Forte(无底漆)(Cx) 和 Equia Forte (EQ)。所有材料都覆盖在 MTA Angelus 粉末 (M) 或 Bio-C 修复腻子 (P) 上。修复材料立即使用(A 组)或延迟使用(B 组)。SEM 用于检测界面间隙。EDX 测量元素从特定距离的界面迁移的情况。维氏硬度计对显微硬度进行评估:扫描电子显微镜(SEM)显示,所有修复体的两种类型(粉末和油灰)界面之间都没有间隙。显微硬度方面,除了在 200 微米处 Cention 组(A 组)明显低于 B 组(P = 0.002,0.03)外,A 组和 B 组在所有组别中均无显著差异。在 MTA Angelus 粉末 Cx 组中,400 微米处 A 亚组明显高于 B 亚组(P = 0.003*)。而 EQ 组(A 子组)的 Bio-C 修复腻子明显高于(B 子组)(P 结论):在两种类型的 CSC 上延迟使用 Cention Forte 有助于获得最大 HV 值,进而延长填充物的存活率。在两种类型的 CSC 上立即使用 Cention Forte 而不使用底漆的效果更好。在 MTA 安琪拉粉上延迟使用 Equia Forte 的效果更为显著。
{"title":"Interfacial assessment of cention forte vs. equia forte and two forms of calcium silicate cements at two time intervals.","authors":"Heba Abdelkafy, Nada A Salem, Rasha Mohamed Marzouk, Alaa M Eldehna","doi":"10.1038/s41405-024-00252-1","DOIUrl":"10.1038/s41405-024-00252-1","url":null,"abstract":"<p><strong>Aim: </strong>Assessment of interfacial gaps and mechanical impact of the materials layering between Cention Forte and Equia Forte restorations with two forms of Calcium Silicate Cements (CSCs) at the interfacial surface at two-time intervals.</p><p><strong>Methodology: </strong>Six groups of 72 primary molars were categorized by restorative material type and CSCs: Cention Forte(C), Cention Forte without primer (Cx), and Equia Forte (EQ). All were applied over MTA Angelus powder (M) or Bio-C Repair putty (P). Restorative materials were applied immediately (subgroup A) or delayed (Subgroup B). SEM was used to detect interface gaps. EDX measured element migration from the interface at specific distances. Vickers Microhardness Tester assessed microhardness.</p><p><strong>Results: </strong>Regarding SEM, there were no gaps between CSCs interfaces of both types (Powder and Putty) with all restorations at two-time intervals. Microhardness, there was a statistically nonsignificant difference between subgroups A & B in all groups except at 200 µm in the Cention groups (subgroup A) was significantly lower than (subgroup B) (P = 0.002, 0.03) respectively. At 400 µm in the MTA Angelus powder Group Cx, subgroup A was significantly higher than subgroup B (P = 0.003*). While Bio-C Repair putty in Group EQ (subgroup A) was significantly higher than (Subgroup B) (P < 0.0001*).</p><p><strong>Conclusions: </strong>The delayed application of Cention Forte over two types of CSCs is useful in getting the maximum HV and, in turn, the long survival rate of the filling. Immediate application of Cention Forte without primer is better over both types of CSCs. The delayed application of Equia Forte over MTA angelus powder is more considerable.</p>","PeriodicalId":36997,"journal":{"name":"BDJ Open","volume":"10 1","pages":"68"},"PeriodicalIF":2.5,"publicationDate":"2024-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11344803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142056788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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