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Application of a topical collagen agent after tooth extraction to control hemostasis should be immediate and not delayed: a comparative randomized trial 拔牙后应用局部胶原蛋白剂控制止血应立即而不是延迟:一项比较随机试验
Q3 Dentistry Pub Date : 2023-01-01 DOI: 10.1051/mbcb/2023033
Anaïs Protin, Charlotte Cameli, Anne-Laure Sérandour, Julien Hamon, Anne-Gaëlle Chaux, Maxime Guillemin, Flora Thibaut
Objective: The main objective was to demonstrate that the delay of placement of a collagen-based hemostatic cylindrical dressing, here ETIK COLLAGENE, affects postoperative bleeding. Other objectives were to evaluate the safety of this medical device. Material and methods : 38 patients under antithrombotic treatment and consulting for tooth extraction were included. The antithrombotic treatment was maintained. Patients were randomized: In group 1: the hemostatic dressing ETIK COLLAGENE was applied immediately after the tooth extraction and curettage; the surgeon assessed the presence of bleeding (Yes/No) every 30 s up to a total time of 8 min, then he sutured. In group 2: the bleeding was assessed every 30 s up to a total time of 8 min immediately after the tooth extraction and curettage, then the surgeon placed ETIK COLLAGENE before suturing. Seven days later, patients were asked about the occurrence of bleedings and adverse events. Results: The mean bleeding time after tooth extraction was of 1:13 ± 0:49 (min: sec) and 3:39 ± 3:06 respectively in the group 1 and in the group 2; the difference between groups is 2:26 (95% CI [0:52 – 4:01]) in favor to the group 1 (p = 0.0144). There were significantly more adverse effects in group 2. Conclusions: The delay in placement of ETIK COLLAGENE after extraction has an impact on bleeding time and postoperative adverse events: these parameters are reduced in a statistically significant way when the placement is performed immediately after the end of the curettage rather than after an 8 min delay.
目的:主要目的是证明延迟放置胶原基止血圆柱形敷料(这里是ETIK COLLAGENE)会影响术后出血。其他目的是评估这种医疗器械的安全性。材料和方法:纳入38例接受抗栓治疗并咨询拔牙的患者。维持抗血栓治疗。患者随机分为两组:第一组:拔牙刮除后立即使用止血敷料ETIK COLLAGENE;外科医生每30秒评估一次出血(是/否),总时间为8分钟,然后缝合。2组:拔牙刮除后,每30 s评估一次出血,总时间为8 min,缝合前置入ETIK胶原蛋白。7天后,询问患者出血和不良事件的发生情况。结果:1组和2组拔牙后平均出血时间分别为1:13±0:49 (min: sec)和3:39±3:06;组间差异为2:26 (95% CI[0:52 - 4:01]),组1优于组1 (p = 0.0144)。2组不良反应明显增多。结论:拔牙后延迟放置ETIK COLLAGENE对出血时间和术后不良事件有影响:在刮除结束后立即放置而不是延迟8分钟放置,这些参数有统计学意义的减少。
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引用次数: 0
Management of third molars projected into the temporal fossa and infratemporal fossa: systematic literature review 第三磨牙投射到颞窝和颞下窝的处理:系统的文献回顾
Q3 Dentistry Pub Date : 2023-01-01 DOI: 10.1051/mbcb/2023002
Brendan Guégan, Théo Casenave, P. Lapeyrie, Vincent Benard
Introduction: Projection of the maxillary third molar into the temporal or infra temporal fossa is a rare complication. There is no recommendation for the management of such complication. The aim of this work is to try establishing a removal protocol. Materials and methods: A systematic review of the literature was conducted using all cases reports of iatrogenic projection of the tooth into the temporal fossa or infratemporal fossa and how they were treated. The last search was conducted in July 2021. Results: 27 cases involving 28 teeth, published between 1986 and 2020 were included. Discussion: The intraoral approach seems to be preferred in the first instance for teeth in the infra temporal fossa and a cutaneous approach for teeth in the temporal fossa. This should be done within 3–6 weeks after projection to attempt removal. This allows the formation of a fibrous capsule and the downward migration of the tooth to facilitate removal. The use of complementary technological means can improve the chances of success. Conclusion: Resulting a flow chart, who is an aid to management of this type of situation, providing a clear idea of the approach to be taken.
上颌第三磨牙突出颞窝或颞下窝是一种罕见的并发症。对于此类并发症的处理尚无建议。这项工作的目的是试图建立一个清除协议。材料和方法:我们对所有医源性牙齿突出到颞窝或颞下窝的病例以及治疗方法进行了系统的文献回顾。最后一次搜寻是在2021年7月。结果:纳入1986 ~ 2020年间发表的27例28牙。讨论:对于颞下窝的牙齿,口腔内入路似乎是首选的,而对于颞窝的牙齿,皮肤入路是首选的。这应在投射后3-6周内完成,以尝试移除。这允许纤维囊的形成和牙齿的向下移动,以方便移除。利用互补的技术手段可以提高成功的机会。结论:得出一个流程图,帮助管理这类情况,提供了一个明确的思路,采取的方法。
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引用次数: 1
A lobular capillary haemangioma on the lower lip 下唇小叶毛细血管瘤
Q3 Dentistry Pub Date : 2023-01-01 DOI: 10.1051/mbcb/2023007
Sindhura Thanneru, S. Mani
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引用次数: 0
A decade after the creation of the oral surgery specialized graduate degree in France: assessments and prospects 法国口腔外科专业研究生学位设立十年后:评估与展望
Q3 Dentistry Pub Date : 2023-01-01 DOI: 10.1051/mbcb/2023034
Jeanne Le Maître, Alexandre Alpy
Introduction : The Oral Surgery Specialized Graduate Degree (Diplôme d’Études Spécialisées en Chirurgie Orale, DESCO) was created in France in 2011. The purpose of this study was to assess the current situation, ten years after its creation. The evaluation concerns both the training and the professional opportunities. Material and Method : An observational, cross-sectional, descriptive study was performed in 2022 on students who were enrolled in the DESCO-residencies and on former students from this residency. Eleven generations of students (from 2011 to 2021) were included in our study, which represents 330 persons. Each enrolled subjects had to fill an anonymous survey. Conclusions : The current situation’s review obtained in this study is consistent with the initial purpose of this new degree’s creation: training practitioners, specialized in oral medicine and surgery, to provide a quality healthcare in this sector in deficit.
简介:口腔外科专业研究生学位(Diplôme d ' Études spcialises en Chirurgie Orale, DESCO)于2011年在法国创立。这项研究的目的是评估其创建十年后的现状。评估既关系到培训,也关系到职业机会。材料和方法:一项观察性、横断面、描述性研究于2022年对desco住院医师的学生和该住院医师的前学生进行了研究。我们的研究包括11代学生(从2011年到2021年),共330人。每个登记的受试者都必须填写一份匿名调查问卷。结论:本研究获得的现状综述与设立这一新学位的最初目的是一致的:培训口腔医学和外科专业的从业人员,为这一短缺的部门提供优质的医疗保健。
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引用次数: 0
Knowledge, attitude, and perception of dentists regarding the role of Artificial Intelligence and its applications in Oral Medicine and Radiology: a cross sectional study 牙医对人工智能的作用及其在口腔医学和放射学中的应用的知识、态度和看法:一项横断面研究
Q3 Dentistry Pub Date : 2023-01-01 DOI: 10.1051/mbcb/2023018
Sridhar Murali, A. Bagewadi, L. Kumar S., Anabelle Fernandes, J. T, Arun Panwar, V. Keluskar
Background and objective: There is a paradigm shift in the medical and dental fields due to the introduction of artificial intelligence (AI). Since AI has a potential impact on current and future practitioners, understanding the basic concept, working principle, and likely applications of AI as a diagnostic tool in Oral Medicine and Radiology is necessary for its widespread use. Therefore, this study aims to assess the knowledge, attitude, and perception of dental students and dentists regarding the possible applications of AI in the field of Oral Medicine and Radiology. Materials and methods: This was a cross-sectional questionnaire-based study comprising 15 questions circulated through Google Forms® to 460 dental students and professionals. The questionnaire collected demographic data of participants and assessed their knowledge, perception, and attitude about AI in Oral Medicine and Radiology answered using a 5-point Likert scale. Responses obtained were statistically analyzed using descriptive statistics and a chi-square test. Results: Out of 460 participants, majority had an idea about AI (94.13%) and its working principle (73.30%). Participants agreed that AI can be used in the diagnosis and formulating of treatment plans (88.47%), early detection of cancer (77.82%), forensic dentistry (74.13%), and as a prognostic (80.65%) and quality control tool (81.30%). A majority felt that AI should be incorporated into the dental curriculum (92.39%) and most of them were against suggesting AI in clinical incorporation (35.87%) with a fear that AI might replace the clinician in the future (76.52%). Conclusion: Based on the findings of the study, we strongly recommend that further research and insights into AI should be delivered through lectures, curricular courses, and scientific meetings to explore and increase awareness about this fascinating technology.
背景和目的:由于人工智能(AI)的引入,医学和牙科领域出现了范式转变。由于人工智能对当前和未来的从业者具有潜在的影响,因此了解人工智能作为口腔医学和放射学诊断工具的基本概念、工作原理以及可能的应用对于其广泛使用是必要的。因此,本研究旨在评估牙科学生和牙医对人工智能在口腔医学和放射学领域可能应用的知识、态度和感知。材料和方法:这是一项基于横截面问卷的研究,包括15个问题,通过谷歌Forms®分发给460名牙科学生和专业人员。问卷收集了参与者的人口统计数据,并使用5分李克特量表评估了他们对口腔医学和放射学中人工智能的知识、感知和态度。得到的应答采用描述性统计和卡方检验进行统计学分析。结果:460名参与者中,大多数人对人工智能(94.13%)和其工作原理(73.30%)有所了解。与会者认为,人工智能可用于诊断和制定治疗方案(88.47%)、早期发现癌症(77.82%)、法医牙科(74.13%),以及作为预后(80.65%)和质量控制工具(81.30%)。大多数人(92.39%)认为应该将人工智能纳入牙科课程,大多数人(35.87%)反对将人工智能纳入临床,担心人工智能未来可能取代临床医生(76.52%)。结论:基于研究结果,我们强烈建议通过讲座、课程课程和科学会议来进一步研究和洞察人工智能,以探索和提高对这一迷人技术的认识。
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引用次数: 1
Reliability of two difficulty indexes in predicting the surgical extraction difficulty of impacted mandibular third molars 两项难度指标预测下颌阻生第三磨牙手术拔牙难度的可靠性
Q3 Dentistry Pub Date : 2023-01-01 DOI: 10.1051/mbcb/2023006
Mohammed T. Albayati, S. Bede
Introduction: The aim of this study was to compare the reliability and the agreement of the Pederson and Pernambuco difficulty indexes in predicting the surgical extraction difficulty of the impacted mandibular third molars. Materials and methods: A prospective observational cohort study was conducted on 83 patients who had undergone surgical removal of impacted mandibular third molar. The difficulty of extraction was determined preoperatively according to the total scores obtained from the Pederson and Pernambuco difficulty indexes, the operative difficulty was determined by the surgical technique and the duration of extraction. The accuracy of prediction of the surgical difficulty and the degree of agreement of the two indexes were calculated. Results: The accuracy of Pederson and Pernambuco indexes in predicting the operative difficulty measured by duration of surgery was 36.1% and 55.4% respectively, and with operative difficulty measured by the technique was 21.7% and 37.3% respectively with statistically significant differences. The agreement between the 2 indexes was poor. Conclusion: Both indexes were limited in predicting the surgical difficulty of impacted mandibular third molars although the Pernambuco index was better than the Pederson index and the agreement between the two indexes was poor.
前言:本研究的目的是比较Pederson和Pernambuco难度指数预测下颌阻生第三磨牙手术拔牙难度的可靠性和一致性。材料与方法:对83例手术切除下颌阻生第三磨牙的患者进行前瞻性观察队列研究。术前根据Pederson和Pernambuco难度指数的总分确定拔牙难度,根据手术技术和拔牙时间确定手术难度。计算手术难度预测的准确率及两指标的吻合度。结果:Pederson指数和Pernambuco指数对手术时间测量的手术难度预测准确率分别为36.1%和55.4%,对该技术测量的手术难度预测准确率分别为21.7%和37.3%,差异有统计学意义。两个指标之间的一致性较差。结论:尽管Pernambuco指数优于Pederson指数,但两种指数在预测下颌阻生第三磨牙手术难度方面均有局限性,两者的一致性较差。
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引用次数: 0
Correction for articles: “Salivary biomarkers and burning mouth syndrome: a systematic review and meta-analysis of the literature” and “Management of biologics in oral surgery” 对文章“唾液生物标志物和灼口综合征:文献的系统回顾和荟萃分析”和“口腔手术中生物制剂的管理”进行了更正。
Q3 Dentistry Pub Date : 2023-01-01 DOI: 10.1051/mbcb/2023035
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引用次数: 0
Correlation between number of dental amalgam restorations and severity of oral mucositis after head-neck radiotherapy 头颈部放射治疗后汞合金修复次数与口腔黏膜炎严重程度的相关性研究
Q3 Dentistry Pub Date : 2023-01-01 DOI: 10.1051/mbcb/2023020
M. Baharvand, Marzie Kamali, S. Manifar, A. Kazemian, M. Alimohammadi
Background: Head and neck radiotherapy causes side effects such as stomatitis. In vitro studies demonstrated local dose enhancement due to backscatter radiation near metal restorations. The aim of this study was to analyze correlation between number of amalgam restorations with severity of oral mucositis in patients with head and neck radiotherapy. Method and materials: This cross-sectional study was accomplished on 80 patients under head and neck radiotherapy referred to Cancer Institute (Tehran, Iran) in 2014–2015. Severity of mucositis and pain were measured by three examinations according to WHO criteria and visual analogue scale. Descriptive statistics and Spearman's correlation coefficient test used to analyze the data by IBM SPSS statistics V22.0. Results: There was no significant correlation between the number of amalgam restorations and severity of mucositis and pain on second and third examinations. However, severity of mucositis and pain were found to be significantly correlated with radiation dose per session (p = 0.013, rs = 0.276), (p = 0.032, rs = 0.240) and total radiation dose (p < 0.001 rs = 0.393), (p < 0.001, rs = 0.445) on second and third examinations respectively. Conclusion: This study showed that number of dental amalgam restorations have no impact on aggravation of oral mucositis caused by head and neck radiotherapy.
背景:头颈部放射治疗有口腔炎等副作用。体外研究表明,由于金属修复体附近的后向散射辐射,局部剂量增强。本研究的目的是分析汞合金修复体数量与头颈部放疗患者口腔黏膜炎严重程度的相关性。方法与材料:本横断面研究于2014-2015年在伊朗德黑兰癌症研究所就诊的80例头颈部放疗患者中完成。根据WHO标准和视觉模拟量表,通过三项检查来衡量粘膜炎和疼痛的严重程度。采用描述性统计和Spearman相关系数检验,采用IBM SPSS统计V22.0对数据进行分析。结果:第二次和第三次检查时,银汞合金修复体的数量与粘膜炎和疼痛的严重程度无显著相关性。然而,粘膜炎和疼痛的严重程度分别与每次放射剂量(p = 0.013, rs = 0.276)、(p = 0.032, rs = 0.240)和总放射剂量(p < 0.001 rs = 0.393)、(p < 0.001, rs = 0.445)显著相关。结论:牙汞合金修复体的数量对头颈部放射治疗引起的口腔黏膜炎的加重没有影响。
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引用次数: 0
Correction Notice to: Platelet concentrates in periodontics: review of in vitro studies and systematic reviews 对血小板浓缩物用于牙周病的更正通知:体外研究和系统评价的回顾
Q3 Dentistry Pub Date : 2023-01-01 DOI: 10.1051/mbcb/2023008
Raghavendra Vamsi Anegundi, Santhosh B. Shenoy, S. Kaukab, A. Talwar
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引用次数: 0
Contribution of endoscopy in high sinus inclusions, a case report 内窥镜检查在高鼻窦内含物中的作用1例
Q3 Dentistry Pub Date : 2023-01-01 DOI: 10.1051/mbcb/2023032
Gabriel Moreau Santos, Thomas Pajot, Noémie Dutrieux, Emeline Malheiro, Asmandar Safaa, Emilie Bequignon, André Coste
Introduction: This paper will discuss the management of iatrogenic displacement of the third molar (3M) into the maxillary sinus through a specific case that we have encountered. Observation : This case reports the atypical clinical history of an ectopic intra sinusal 3M of iatrogenic origin, associated with an inflammatory cyst. A 52-year-old man presented with chronic sinusitis and an oral-sinus communication 30 yr after the displacement of his 3M into the maxillary sinus. A minimally invasive multidisciplinary management using endoscopy was proposed to the patient as well as an 18-month follow-up reporting a normalization of his initial sinus symptoms. Discussion : An analysis of the literature concerning intra sinusal teeth was carried out, whatever their etiology, in order to situate our case and to be able to propose the least invasive procedure for these patients. The different surgical approaches are analyzed as well as the effectiveness of a multidisciplinary management. Conclusion: In this case, the simultaneous oral and nasal approach enabled a minimally invasive procedure. The endoscope is now part of the surgeon's therapeutic arsenal, and the training of practitioners in its use could greatly facilitate procedures.
引言:本文将通过我们遇到的一个具体病例,讨论医源性第三磨牙(3M)移位到上颌窦的处理。观察:本病例报告了医源性异位窦内3M的不典型临床病史,并伴有炎性囊肿。一名52岁的男性在其3M移位至上颌窦30年后出现慢性鼻窦炎和口腔-鼻窦通讯。我们建议患者采用内镜微创多学科治疗,并随访18个月,报告其初始鼻窦症状正常化。讨论:我们对有关窦内牙的文献进行了分析,无论其病因如何,以便定位我们的病例,并能够为这些患者提出最小侵入性的手术方法。分析了不同的手术入路以及多学科管理的有效性。结论:在这种情况下,同时口鼻入路实现了微创手术。内窥镜现在是外科医生治疗武器的一部分,对从业人员进行使用内窥镜的培训可以极大地促进手术。
{"title":"Contribution of endoscopy in high sinus inclusions, a case report","authors":"Gabriel Moreau Santos, Thomas Pajot, Noémie Dutrieux, Emeline Malheiro, Asmandar Safaa, Emilie Bequignon, André Coste","doi":"10.1051/mbcb/2023032","DOIUrl":"https://doi.org/10.1051/mbcb/2023032","url":null,"abstract":"Introduction: This paper will discuss the management of iatrogenic displacement of the third molar (3M) into the maxillary sinus through a specific case that we have encountered. Observation : This case reports the atypical clinical history of an ectopic intra sinusal 3M of iatrogenic origin, associated with an inflammatory cyst. A 52-year-old man presented with chronic sinusitis and an oral-sinus communication 30 yr after the displacement of his 3M into the maxillary sinus. A minimally invasive multidisciplinary management using endoscopy was proposed to the patient as well as an 18-month follow-up reporting a normalization of his initial sinus symptoms. Discussion : An analysis of the literature concerning intra sinusal teeth was carried out, whatever their etiology, in order to situate our case and to be able to propose the least invasive procedure for these patients. The different surgical approaches are analyzed as well as the effectiveness of a multidisciplinary management. Conclusion: In this case, the simultaneous oral and nasal approach enabled a minimally invasive procedure. The endoscope is now part of the surgeon's therapeutic arsenal, and the training of practitioners in its use could greatly facilitate procedures.","PeriodicalId":37322,"journal":{"name":"Journal of Oral Medicine and Oral Surgery","volume":"151 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135211051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of Oral Medicine and Oral Surgery
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