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Effectiveness of Phytic Acid as an Etchant in Dentistry: A Systematic Review Phytic Acid作为口腔蚀刻剂的有效性:系统评价
Q4 Dentistry Pub Date : 2023-09-06 DOI: 10.1055/s-0043-1770986
Ishwarya Dharmalingam, Victor Samuel, K. Ramar, Rajakumar Sekar, Anand Kasi, Sujitha Ponraj, Gayathri Jaganathan
Abstract The aim of this study was to assess the effect of phytic acid and to compare it with the phosphoric acid etching through a systematic review. systematic search was carried out using PubMed/MEDLINE, Cochrane library, Indmed, Scopus, and Liliacs databases conducted upto January 2022. In vitro studies comparing phytic acid and phosphoric acid as an etchant on tooth surfaces that performed bond strength, smear layer removal, collagen degradation and monomer penetration were included. The risk of bias was assessed considering Checklist for Reporting In-vitro Studies guidelines. Five studies were chosen for full-text assessment out of 830 that were potentially eligible. The studies found that phytic acid improved bond strength, collagen degradation, smear layer removal, and monomer penetration. Every study had a moderate-to-high risk of bias. Phytic acid enhanced the etch and rinse adhesive's binding strength to dentin, effectively eradicated the smear layer, protected dentin collagen from degradation, and had better resin infiltration and minimal effect on pulpal cells.
摘要本研究的目的是通过系统的综述来评估磷酸的蚀刻效果,并将其与磷酸蚀刻进行比较。使用PubMed/MEDLINE、Cochrane图书馆、Indmed、Scopus和Liliacs数据库进行系统搜索,直至2022年1月。体外研究比较了植酸和磷酸作为牙齿表面蚀刻剂的结合强度、涂抹层去除、胶原蛋白降解和单体渗透。根据体外研究报告检查表指南评估偏倚风险。从830项可能符合条件的研究中选择了5项进行全文评估。研究发现,植酸改善了粘合强度、胶原蛋白降解、涂抹层去除和单体渗透。每项研究都有中度到高度的偏倚风险。Phytic acid增强了蚀刻冲洗胶与牙本质的结合强度,有效地根除了涂抹层,保护了牙本质胶原的降解,树脂浸润性较好,对牙髓细胞的影响最小。
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引用次数: 0
Concurrent left ventricular and left anterior coronary artery thrombus: is COVID-19 an innocent bystander? 并发左心室和左冠状动脉前动脉血栓:COVID-19 是无辜的旁观者吗?
Q4 Dentistry Pub Date : 2023-05-02 eCollection Date: 2023-01-01 DOI: 10.5837/bjc.2023.015
Vincenzo Somma, Anthony Brennan, Francis Ha, Adam Trytell, Khoa Phan, Kegan Moneghetti

We present the angiographic findings of a case of myocardial infarction associated with COVID-19 with a heavy burden of thrombus, despite only minor obstructive coronary disease.

我们介绍了一例与 COVID-19 相关的心肌梗死病例的血管造影结果,尽管该病例只有轻微的冠状动脉阻塞性病变,但血栓负担很重。
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引用次数: 0
Indirect Anterior Restorations with no-prep technique: Aesthetic and Biological Effectiveness 无预备技术间接前牙修复:美学和生物学效果
Q4 Dentistry Pub Date : 2023-05-01 DOI: 10.1055/s-0043-1772571
Alfio Pappalardo, Luca Fiorillo, Francesco Catalano, Gabriele Cervino
Abstract The aesthetic result in the ceramic restoration of anterior teeth has always been a challenge in clinical practice and, in these cases, success depends on the skills of both the clinician and the dental technician. In current dentistry, the main objective is to pursue aesthetic results while preserving biological structures. Among the various conservative techniques available for anterior restorations, veneers are the most advantageous, compared to traditional crown preparation, both for the amount of tooth structure preserved in the preparation phase and for the direct adhesion on the enamel in the cementation. This article presents a clinical case of no-prep porcelain veneers (no-prep technique) for smile frame restoration.
在临床实践中,前牙陶瓷修复的美学效果一直是一个挑战,在这些情况下,成功取决于临床医生和牙科技师的技能。在目前的牙科,主要目标是追求美观的结果,同时保持生物结构。在用于前路修复的各种保守技术中,与传统的冠预备相比,贴面是最有利的,无论是在预备阶段保留牙齿结构的数量,还是在粘合过程中直接粘附在牙釉质上。本文介绍了一种无准备烤瓷贴面(无准备技术)修复微笑框架的临床病例。
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引用次数: 0
Attitude and Perception of Dental Students and Dentists toward Efficacy of Typhodont Exercise Practiced as a Part of Preclinical Conservative Dentistry Curriculum for Routine Clinical Practice 牙科学生和牙医对作为常规临床实践的临床前保守牙科课程一部分的Typhodont锻炼效果的态度和感知
Q4 Dentistry Pub Date : 2023-05-01 DOI: 10.1055/s-0043-1768649
S. Mulla, Fatima Sajid Munshi, A. Patil, S. Mali, H. Saoji, H. Jaiswal
Abstract Objective  Dentistry is a blend of both surgery and medicine. Cavity preparation in dentistry is a routine procedure used to remove defects or dental caries, which is irreversible and requires advanced skills. Preclinical training is done on typhodont, which are replicas of teeth that exhibit tooth morphology, as part of the dental curriculum. The aim of this study was to assess the attitude of dental professionals toward the efficacy of typhodont exercise in clinical practice. Materials and Methods  This study was a cross-sectional study conducted on dental professionals to understand the efficacy of typhodont exercise in clinical practice. The questionnaire consisted of 23 close-ended questions. The responses were coded as number/score (1–10). Responses were compiled on a MS Excel Worksheet and subjected to SPSS package. Chi-squared test and Mann–Whitney U test were used to analyze data. Results  A total of 250 responses were collected. About 72.8% participants stated that it helped them get oriented to the operating position. Regarding the preclinical exercises relevance to clinical exercise, a score of about 7 was obtained. However, the simulation of gingiva received a score of 5. Suggestions like integration of augmented reality (AR), virtual reality (VR), haptic technology along with extracted teeth as a conjunct to the typhodont exercise were received. Conclusion  This study suggested that preclinical typhodont exercises help the students in preparing for the upcoming clinical postings. However, the augmentation of typhodont exercise with AR, VR, haptic technology, and use of extracted teeth can furbish the current state of preclinical curriculum for conservative dentistry.
抽象目标 牙科是外科和医学的结合。口腔预备是一种用于去除缺陷或龋齿的常规程序,它是不可逆转的,需要高级技能。作为牙科课程的一部分,对斑牙进行临床前训练,斑牙是表现出牙齿形态的牙齿的复制品。本研究的目的是评估牙科专业人员在临床实践中对斑疹伤寒运动疗效的态度。材料和方法 这项研究是一项针对牙科专业人员的横断面研究,旨在了解斑疹伤寒运动在临床实践中的疗效。问卷由23个封闭式问题组成。回答被编码为数字/分数(1-10)。回答在MS Excel工作表上进行汇编,并使用SPSS软件包。采用卡方检验和Mann-Whitney U检验对数据进行分析。后果 共收集了250份回复。约72.8%的参与者表示,这有助于他们适应操作岗位。关于与临床锻炼相关的临床前锻炼,获得了大约7分。然而,牙龈的模拟得到了5分。收到了一些建议,如将增强现实(AR)、虚拟现实(VR)、触觉技术与拔出的牙齿结合起来,作为斑疹伤寒运动的一部分。结论 这项研究表明,临床前的斑疹伤寒练习有助于学生为即将到来的临床实习做准备。然而,通过AR、VR、触觉技术和使用拔出的牙齿来加强斑疹伤寒运动,可以改善保守牙科临床前课程的现状。
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引用次数: 0
Evaluation and Perception of an Edpuzzle Class Compared with a Traditional Class among Oral Radiology Undergraduate Students 口腔放射学本科学生益智课堂与传统课堂的评价与感知
Q4 Dentistry Pub Date : 2023-05-01 DOI: 10.1055/s-0043-1770987
Ebtihal Habeeb Zain-Alabdeen
Abstract Objectives Dental students are to an increasing extent presented with new digital learning technologies, especially online delivery of class content. Edpuzzle is a web-based eLearning application that allows educators to select subject-related videos and customize them by editing, cropping, voice-over recording, and adding questions directly to the video stream. Under the teacher's guidance, students log into Edpuzzle using their iPads, take the class, and answer questions. The aim of this study was to compare an Edpuzzle class with a traditional class for undergraduate oral radiology students in order to evaluate the educational effectiveness of each teaching method. Materials and Methods The study sample comprised 20 fourth-year dental students who agreed to participate in the study. A traditional class developed a differential diagnosis topic with pre- and post-knowledge tests. A second differential diagnosis topic was developed for an Edpuzzle class, also with a pre- and post-knowledge test. After the two classes were given, a Google Forms feedback questionnaire was sent to the students to evaluate their perceptions and preferences regarding the two classes. The educational effectiveness of each class type was evaluated by comparing means and analyzing the feedback questionnaires. Statistical Analysis The Wilcoxon signed-rank test was used to examine pre- and post-knowledge for each class, and Welch's t-test was used to test for differences in means of post-knowledge of both classes. Results Students in both classes obtained significantly better scores in the posttest than they did in the pretest (p = 0.0001). However, the differences in means of post-knowledge of both classes showed no significant differences (p = 0.0975). The feedback questionnaire showed higher percentages of positive attitude toward Edpuzzle class. Conclusion As a first-time experience, the Edpuzzle class interested most of the students. Workshops for the staff are needed to become expert in these technologies and to overcome any obstacles in implementing them for undergraduate dental students.
摘要目的牙科学生越来越多地接触到新的数字学习技术,特别是在线交付课程内容。Edpuzzle是一个基于网络的电子学习应用程序,允许教育工作者选择与主题相关的视频,并通过编辑,裁剪,配音录制和直接向视频流添加问题来定制它们。在老师的指导下,学生们用ipad登录Edpuzzle,上课,回答问题。本研究的目的是比较Edpuzzle课堂与传统课堂对口腔放射学本科学生的教育效果,以评估每种教学方法的教育效果。研究样本包括20名同意参与研究的四年级牙科学生。一个传统的班级发展了一个鉴别诊断主题,包括知识前和知识后的测试。第二个鉴别诊断主题是为益智类开发的,也有知识前和知识后测试。在这两节课结束后,我们向学生们发送了一份谷歌表单反馈问卷,以评估他们对这两节课的看法和偏好。通过对比方法和反馈问卷分析,评价各类型班级的教学效果。统计分析采用Wilcoxon符号秩检验检验各班级的前知识和后知识,采用Welch t检验检验两班级的后知识均值的差异。结果两班学生的后测成绩均显著高于前测(p = 0.0001)。但两类学生的后知识均值差异无统计学意义(p = 0.0975)。反馈问卷显示,对益智课持积极态度的比例较高。作为第一次体验,Edpuzzle课程吸引了大多数学生。需要为工作人员举办讲习班,使他们成为这些技术的专家,并克服在为牙科本科学生实施这些技术时遇到的任何障碍。
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引用次数: 0
Oral Hygiene Knowledge, Practice, and Awareness among Jazan Population of Saudi Arabia 沙特阿拉伯吉赞人口的口腔卫生知识、实践和意识
Q4 Dentistry Pub Date : 2023-05-01 DOI: 10.1055/s-0043-1771532
Mohammed Najmuddin, Saja Abdullah Ahmed Alzhrani, Omnia Mohammed Ageeli, Safeena Abdul Khader Saheb, Mohanad Abdullah Ahmad Alzhrani, Samaher Hassan Kasadi Almahdi, Haifa Fathuldeen Bakmani, Razan Khudhayr, Elham Khudhayr, Masood Ahmed Nasser Depsh, Mohammed Wahajuddin
Abstract ObjectivesThe aim of this study was to assess the knowledge and awareness of oral hygiene among individuals of Jazan, Southern Saudi Arabia using a well-designed questionnaire. Materials and MethodsThis prospective study was conducted on 1,000 study subjects using a self-constructed 16-item close-ended questionnaire in English and the reply was recorded by a single investigator. Both the genders were compared in terms of awareness regarding their oral health by evaluating responses to the questions asked. Statistical AnalysisData collected was subjected to statistical analysis using IBM SPSS 20.0 version. ResultsA total of 1000 study subjects were assessed, out of which equal distribution (50%) was seen among both the genders. Statistically a significant difference (p-value < 0.05) was observed between both the genders in relation to most of the questions, with females being more aware as compared with males regarding oral hygiene practices. ConclusionThis study revealed that although females were more aware of maintaining oral health practices than males, still lack of knowledge and awareness was observed among both the genders in Jazan region. Thus, it is essential to implement various educational and awareness programs regarding oral hygiene practices, so that oral health-related quality of life can be improved.
摘要目的本研究的目的是评估吉赞,沙特阿拉伯南部的个人口腔卫生知识和意识使用精心设计的问卷。材料与方法本前瞻性研究采用自编16题封闭式英文问卷,由一名调查人员记录问卷内容,共1000名研究对象参与。通过评估对所问问题的回答,比较了两种性别对口腔健康的认识。统计分析采用IBM SPSS 20.0版本对收集的数据进行统计分析。结果共评估了1000名研究对象,其中男女比例相等(50%)。统计学上有显著差异(p-value <在大多数问题上,两性之间的差异为0.05),女性比男性更了解口腔卫生习惯。结论吉赞地区女性对保持口腔卫生习惯的意识高于男性,但男女对保持口腔卫生习惯的认识和意识均较低。因此,实施各种有关口腔卫生习惯的教育和意识计划是必不可少的,这样口腔健康相关的生活质量才能得到改善。
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引用次数: 0
Tooth as a Bone Graft Material: A Narrative Review 牙作为骨移植材料:述评
Q4 Dentistry Pub Date : 2023-05-01 DOI: 10.1055/s-0043-1771533
Vishnu Teja Obulareddy, Amit Porwal, Toufiq Noor, Francesco Catalano, Giuseppe Minervini, Cesare D'Amico, Maura Mancini, Francesca Gorassini, Luca Fiorillo, Gabriele Cervino
Abstract To treat osseous defects, a range of bone grafts and their replacements have been accessible, but appropriate reconstruction by any bony defect persists as a therapeutic hurdle. Based on peer-reviewed literature, the current narrative review analyzes significant outcomes in patients treated with bone grafts and bone graft substitutes for surgical therapy of osseous defects. Despite autograft, xenograft, and alloplastic bone graft substitutes being employed in several periodontic procedures, they all have their restrictions. Autogenous tooth bone graft is functional in clinics due to different available forms, which can be availed for other clinical challenges. Moreover, genetic uniformity fosters efficient bone regeneration by allowing osteoinduction and osteoconduction and reducing foreign body reactions.
为了治疗骨缺损,各种骨移植及其替代物都是可行的,但任何骨缺损的适当重建仍然是治疗的障碍。基于同行评议的文献,当前的叙述性回顾分析了骨移植和骨移植替代品在骨缺损手术治疗中的显著结果。尽管自体骨移植、异种骨移植和同种异体骨移植替代品被用于几种牙周治疗,但它们都有其局限性。自体牙骨移植在临床上具有不同的功能形式,可以用于其他临床挑战。此外,遗传均匀性通过允许骨诱导和骨传导以及减少异物反应来促进有效的骨再生。
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引用次数: 0
Veganism and Oral Health—An Overview through the Perspective 纯素食主义与口腔健康——透视综述
Q4 Dentistry Pub Date : 2023-05-01 DOI: 10.1055/s-0043-1771381
Visha Shailesh Pandya, Luca Fiorillo, Sneha Kalpe, Vini Mehta, Aida Meto, Agostino Di Certo, Diana Russo, Francesca Gorassini, Maura Mancini, Alessandra Mancini, Cesare D'Amico
Abstract When meat and dairy products are no longer consumed, the practice of veganism, which forgoes the use of animal products, substantially impacts diet. The prevention and treatment of diseases like rheumatoid arthritis, diabetes, neurodegeneration, hypertension, and vascular diseases are usually aided by vegan diets. Vegan diets are associated with improved cardiovascular health and better nutrition quality than omnivorous diets. Vegans and vegetarians have a lower risk of periodontal disease but may be more prone to tooth erosion and dental caries due to deficiencies in vitamin B12 and lower saliva pH. A vegetarian or vegan diet may increase the risk of developing tooth erosion, but an omnivorous diet may increase the risk of periodontal disease and dental caries. Further clinical research must be performed to produce more statistically significant results and to support future studies that contrast omnivore, vegetarian, and vegan diets and their effects on dental health status.
当肉类和乳制品不再消费时,素食主义的实践,放弃使用动物产品,极大地影响了饮食。像类风湿关节炎、糖尿病、神经退行性疾病、高血压和血管疾病等疾病的预防和治疗通常都得益于纯素饮食。与杂食饮食相比,纯素饮食与改善心血管健康和更好的营养质量有关。纯素食者和素食者患牙周病的风险较低,但由于缺乏维生素B12和唾液ph值较低,可能更容易患牙齿侵蚀和龋齿。素食者或纯素食者可能会增加患牙齿侵蚀的风险,但杂食者可能会增加患牙周病和龋齿的风险。必须进行进一步的临床研究,以产生更多具有统计意义的结果,并支持未来的研究,以对比杂食、素食和纯素饮食及其对牙齿健康状况的影响。
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引用次数: 0
Prevalence of Dental Anomalies in Various Categories of Malocclusion among Orthodontic Patients in the Kosovo Region: A Retrospective Study 科索沃地区正畸患者中不同类型咬合不良的牙齿异常患病率:一项回顾性研究
Q4 Dentistry Pub Date : 2023-05-01 DOI: 10.1055/s-0043-1768650
M. Selmani, M. S. Bukleta
Abstract Objectives  The objective of this retrospective research was to investigate the prevalence and the association between dental anomalies and malocclusion in a subset of Kosovo's population. Materials and Methods  This retrospective descriptive study was conducted by recruiting 557 patients; 215 (38.6%) were males and 342 (61.4%) were females. The age range was from 7 to 44 years. The exclusion criteria were employed for the sample size, and 307 of 864 patients were excluded from the study. Malocclusion groups were divided through Angle's classification, and dental anomalies were defined according to the literature. Pretreatment panoramic radiographs, medical and dental history, study casts, and photographs were included to categorize malocclusion and identify dental anomalies (i.e., hypodontia, ectopic eruption, impaction, and diastema). The data were analyzed with IBM SPSS software version 16.0. The chi-squared test was utilized to calculate the frequency and percentages of malocclusion and dental anomalies. A p -value of 0.05 was considered statistically significant. Results  Five hundred and fifty-seven patient records from 2015 to 2020 were included. An increased prevalence of ectopic eruption (24.8%) was found in this study, whereas the least common was hypodontia (7.0%). The most common malocclusion was class I (46.9%). Vertical plane malocclusion demonstrated that 31.4% had a deep bite and 9.5% had an open bite. Most dental anomalies were significantly associated with class I malocclusion and least associated with class III malocclusion. Transverse malocclusion exhibited that 14% had anterior crossbite and 10.8% had posterior crossbite. Posterior crossbite was significantly less in the class III malocclusion group ( p  = 0.019). Conclusion  The prevalence of the selected dental anomalies was overall high in our study; 557 of 864 patients faced dental anomalies. An association was seen between malocclusion and dental anomalies in the Kosovan population, especially with class I malocclusion. Deep bite was prominent in the vertical plane malocclusion, whereas anterior crossbite was the most common finding in the transverse plane. Anterior crowding was prevalent in the maxilla and posterior crowding in the mandible.
抽象目标 这项回顾性研究的目的是调查科索沃一部分人口中牙齿异常和错牙合之间的患病率和相关性。材料和方法 这项回顾性描述性研究通过招募557名患者进行;男性215例(38.6%),女性342例(61.4%)。年龄范围从7岁到44岁。样本量采用排除标准,864名患者中有307人被排除在研究之外。通过Angle分类法对咬合不良组进行分类,并根据文献定义牙齿异常。包括预处理全景X线片、病史和牙科病史、研究模型和照片,以对错牙合进行分类,并识别牙齿异常(即牙缺失、异位萌出、嵌塞和牙缝)。数据采用IBM SPSS 16.0版软件进行分析。卡方检验用于计算错牙合和牙齿异常的频率和百分比。0.05的p值被认为具有统计学意义。后果 包括2015年至2020年的五百五十七份患者记录。本研究发现异位萌出的发生率增加(24.8%),而最不常见的是牙缺失(7.0%)。最常见的错牙合为I类(46.9%)。垂直面错牙合表明,31.4%的患者有深咬合,9.5%的患者有开放咬合。大多数牙齿异常与I类错牙合显著相关,而与III类错牙列相关最少。错牙合表现为前牙合14%,后牙合10.8%。III类错牙合组的后牙反牙明显较少(p = 0.019)。结论 在我们的研究中,所选牙齿异常的患病率总体较高;864名患者中有557人患有牙齿畸形。在科索沃人群中,发现错牙合与牙齿异常之间存在关联,尤其是I类错牙合。深度咬合在垂直面错牙合中表现突出,而前反牙合在横向面最常见。上颌骨前部拥挤,下颌骨后部拥挤。
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引用次数: 0
Salivary Biomarker IL-8 Levels in Smokers and NonSmokers: A Comparative Study 吸烟者和非吸烟者唾液生物标志物IL-8水平的比较研究
Q4 Dentistry Pub Date : 2023-05-01 DOI: 10.1055/s-0043-1768651
Haafsa Arshad Sahibzada, Kanwal Sohail, K. Siddiqi, Z. Khurshid, Hina Mahmood, Sana Riaz
Abstract Objective  It is estimated that the mortality rate from tobacco-related diseases will reach 10 million worldwide by 2030. It is validated that every three out of four oral cancers are caused by the use of tobacco in various forms especially smoking. Early detection is the only way to reduce this burden. Molecular-level analysis has currently become a valuable tool in the diagnosis and prognosis of diseases. Around 1000 different salivary protein biomarkers are being investigated in saliva for this purpose. Some of these markers are being investigated to evaluate the proportionality of cigarette smoking. The objective of this study was to evaluate the levels of salivary biomarker interleukin-8 (IL-8) among smokers and nonsmokers as a control group. Materials and Methods  This is a comparative cross-sectional study conducted in Islamabad Dental Hospital, Bhara Kahu. A total of 60 patients were recruited and divided into two equal groups of smokers and nonsmokers. Unstimulated saliva samples were collected and analyzed using an enzyme-linked immunosorbent assay kit. Statistical Analysis  The results were then analyzed by SPSS v25 using an independent sample t -test to evaluate the statistical difference and significance. Results  A p -value (<0.001) was found to be significant for the IL-8 levels in smokers when compared with nonsmokers. The mean value for smokers was found to be 122.69 pg/mL and the mean for nonsmokers was evaluated to be 20.68 pg/mL. Conclusion  As the levels of IL-8 were high, it was concluded to be an effective biomarker for the evaluation of smoking-based initial inflammatory changes detectable from saliva.
【摘要】目的预计到2030年,全球因烟草相关疾病死亡的人数将达到1000万。经证实,四分之三的口腔癌是由使用各种形式的烟草,特别是吸烟引起的。早期发现是减轻这一负担的唯一途径。分子水平分析目前已成为疾病诊断和预后的重要工具。大约有1000种不同的唾液蛋白生物标志物正在为此目的进行研究。正在对其中一些标志进行调查,以评估吸烟的比例。本研究的目的是评估吸烟者和非吸烟者作为对照组的唾液生物标志物白细胞介素-8 (IL-8)的水平。材料和方法本研究是在巴拉卡胡的伊斯兰堡牙科医院进行的一项比较横断面研究。共招募了60名患者,并将其分为吸烟和不吸烟两组。收集未受刺激的唾液样本,并使用酶联免疫吸附测定试剂盒进行分析。统计分析采用SPSS v25对结果进行分析,采用独立样本t检验,评价统计差异及显著性。结果与非吸烟者相比,吸烟者IL-8水平的p值(<0.001)有显著性差异。吸烟者的平均值为122.69 pg/mL,非吸烟者的平均值为20.68 pg/mL。结论IL-8水平较高,可作为评价唾液中吸烟引起的初始炎症变化的有效生物标志物。
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引用次数: 0
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European Journal of General Dentistry
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