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Toxicity of titanium in dental implants- Implications on patient health and clinical practice 牙种植体中钛的毒性-对患者健康和临床实践的影响
Pub Date : 2023-04-15 DOI: 10.18231/j.jdp.2023.005
Sankar Madhavan, V. Venugopal, Joseph Johny
The use of titanium implants in dentistry has become increasingly popular due to their biocompatibility and excellent mechanical properties. However, the release of titanium ions from the implants has the potential to lead to local and systemic toxicity, which may cause implant failure or have negative consequences on the body. In this article, the causes of titanium toxicity are discussed, including implant design, surgical methods, and patient specific elements. It also looks at the possible health hazards of titanium poisoning, such as inflammation, allergic reaction and neurological issues.
钛种植体由于其生物相容性和优异的力学性能,在牙科领域的应用越来越广泛。然而,钛离子从植入物中释放有可能导致局部和全身毒性,这可能导致植入物失败或对身体产生负面影响。本文讨论了钛毒性的原因,包括种植体设计、手术方法和患者特定因素。它还研究了钛中毒可能造成的健康危害,如炎症、过敏反应和神经问题。
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引用次数: 0
Evaluation of inferior alveolar canal course, entry point and visibility on digital panoramic radiographs: A radiographic study 数字全景x线片评价下牙槽管的路径、进入点和可见性:一项影像学研究
Pub Date : 2023-04-15 DOI: 10.18231/j.jdp.2023.009
Harpuneet Kaur, Prenika Sharma, Rashmeet Kaur
The location and orientation of the inferior alveolar canal must be considered in any surgical procedures involving the posterior mandible. Therefore, it is crucial to consider the frequent structural changes of the inferior alveolar nerve course before conducting any treatment in this area. The aim of this study is to evaluate the course of inferior alveolar canal (IAC), visibility of the inferior alveolar canal, and Inferior Alveolar Canal origin in Punjabi population (North India).A total of 200 panoramic radiographs were selected and the course, visibility and origin of Inferior Alveolar Canal were evaluated on left and right side of the mandible. The collected data were subsequently processed and analyzed using SPSS software version 20. The most common type of canal on right and left side was curved type, and the less common was Angled type. In the region of the third molar, on Right side, the mandibular canal was partially visible in 1.5% of cases, clearly visible in 96.5%, and invisible in 2%; whereas on left side, it was clearly visible in 97%, partially visible in 5%and invisible in 2.5%. The entrance point of the canal was located in the middle third area of the ramus in 87% of cases on the right side and 90% cases on the left side, and that the entrance point of the canal in the lower third area was 7.5% on the right side and 3.5% on the left side.This study was done to evaluate course, visibility, and entry point of Inferior Alveolar Nerve Canal on the Orthopantomograph. In our present study, the most common type of canal on right and left side was , and the less common was The entrance point of the canal was located in majority in the on left and right side of the mandible. of Inferior Alveolar Canal was more on distal regions of the canal on the both the sides of the mandible.
下牙槽管的位置和方向必须考虑在任何手术过程中涉及后下颌骨。因此,在对该区域进行任何治疗之前,考虑下肺泡神经路线的频繁结构变化是至关重要的。本研究的目的是评估旁遮普人口(北印度)的下牙槽管(IAC)的过程,下牙槽管的可见性和下牙槽管的起源。选择200张全景x线片,评估下颌骨左右两侧下牙槽管的走行、可见性和起始位置。收集的数据随后使用SPSS软件20版进行处理和分析。左右侧根管以弯曲型多见,角度型少见。在右侧第三磨牙区域,下颌管部分可见占1.5%,清晰可见占96.5%,不可见占2%;而左侧清晰可见的占97%,部分可见的占5%,不可见的占2.5%。右侧和左侧分别有87%和90%的病例进入根管,右侧和左侧分别有7.5%和3.5%的病例进入根管的下三分之一。本研究的目的是在骨断层摄影上评估下牙槽神经管的路线、可见度和进入点。在我们的研究中,最常见的是左右侧的根管类型,较少的是。根管的入口点主要位于下颌骨的左右侧。下牙槽管病变多发生在下颌两侧的下牙槽管远端。
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引用次数: 0
Tongue print and its role in forensic odontology- A review 舌印及其在法医牙科学中的作用综述
Pub Date : 2022-09-15 DOI: 10.18231/j.jdp.2022.024
S. Bhateja, Vibhuti Mudgal, Geetika Arora
With advancement of science and technology new methods of biometrics are being developed which aids in identification of individuals during time of disasters or in any legal matters. One of the most recently developed technology includes the use of tongue print in which human tongue serves as a source of evidence in human recognition. The human tongue is considered as one of the most reliable source of evidence as it is well protected in the oral cavity and can be easily stuck out of the mouth for inspection and along with this another great advantage of using our tongue as a source of identification is its uniqueness as no two same individuals have same tongue.
随着科学和技术的进步,正在开发新的生物测定方法,这些方法有助于在灾害期间或在任何法律事务中识别个人。最近开发的技术之一包括使用舌印,其中人类的舌头作为人类识别的证据来源。人类的舌头被认为是最可靠的证据来源之一,因为它在口腔中受到很好的保护,可以很容易地从嘴里伸出来接受检查。除此之外,使用我们的舌头作为身份识别来源的另一个巨大优势是它的独特性,因为没有两个相同的人有相同的舌头。
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引用次数: 0
Bromelain vs trypsin-chymotrypsin in management of complications following surgical removal of mandibular third molar 菠萝蛋白酶与胰蛋白酶-凝乳胰蛋白酶在处理下颌第三磨牙手术切除后并发症中的作用
Pub Date : 2022-09-15 DOI: 10.18231/j.jdp.2022.027
M. Nanjappa, Shivani, Somak Saha
Surgical removal of third molars is still the most common routine surgical procedure done by oral and maxillofacial surgeons which is usually associated with postoperative sequelae. In order to avoid or minimize post-surgical complications such as swelling, pain and trismus, patients are advised to use proteolytic enzyme and NSAID’s along with routine antibiotics. 50 patients who have bilateral symmetrical impacted mandibular third molars were included in the study. Post operatively, all patients were given antibiotics and analgesics for 5 days. Patients were given bromelain for 5 days after the procedure on one side and trypsin-chymotrypsin for 5 days on the other side with an interval of 21 days between the two procedures. Patients were recalled on day 1, day 3 and day 7 for assessment of post- operative trismus, pain and swelling based on measuring inter-incisal distance, visual analogue scale and, facial reference points. Data was gathered and statistical assessment was done using SPSS software by using descriptive statistics and chi square test. The conclusion drawn from the study was that bromelain has a significant effect on swelling, mouth opening and pain after surgical removal of impacted third molar than chymotrypsin. We suggest its usage in reduction of swelling and pain post operatively after surgical removal of third molar. However further studies with larger sample size and randomizations are required to confirm the same.
手术切除第三磨牙仍然是口腔颌面外科医生最常见的常规手术,通常伴有术后后遗症。为了避免或减少术后并发症,如肿胀、疼痛和牙关紧闭,建议患者在常规抗生素的同时使用蛋白水解酶和非甾体抗炎药。研究对象为50例双侧对称阻生下颌第三磨牙患者。术后给予抗生素和镇痛药5 d。患者在手术后给予一侧菠萝蛋白酶5天,另一侧给予胰蛋白酶-凝乳胰蛋白酶5天,两次手术之间间隔21天。患者于第1天、第3天和第7天被召回,根据测量切间距离、视觉模拟量表和面部参考点评估术后牙关、疼痛和肿胀。采用SPSS软件收集资料,采用描述性统计和卡方检验进行统计评价。本研究得出的结论是菠萝蛋白酶对阻生第三磨牙手术后的肿胀、开口和疼痛的影响明显大于胰凝乳蛋白酶。我们建议使用它来减少第三磨牙手术切除后的肿胀和疼痛。然而,需要更大样本量和随机化的进一步研究来证实这一点。
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引用次数: 0
The management of dental pain using pharmaceutical drugs-A review 牙痛的药物治疗综述
Pub Date : 2022-09-15 DOI: 10.18231/j.jdp.2022.022
L. Christabel. S, Khumukcham Sophia, Shalini Maria Sebastian, M. Claribel. S, Mutum Sangeeta Devi
Pain is an undesirable sensation that any person would never want to experience. Dental pain is unbearable as the inflammation of the dental pulp is encased by hard dentin and cementum unlike other parts of the body and that deteriorates the normal lifestyle of the person experiencing it. Patients experience extreme pain till the commencement of any dental treatment. Though the right treatment procedure relieves the cause of the pain, post-operative pain exists till the complete healing occurs. This proves to us the importance of dental analgesics. There are many analgesics available and not everything will be appropriate. Proper selection of analgesics helps in the betterment of the patient’s status. This article reviews the commonly available analgesics and their pharmacological aspects which help in managing dental pain.
疼痛是一种不受欢迎的感觉,任何人都不想经历。牙痛是无法忍受的,因为牙髓的炎症与身体其他部位不同,被坚硬的牙本质和牙骨质包裹着,从而影响了患者的正常生活方式。在任何牙科治疗开始之前,病人都会经历极度的疼痛。虽然正确的治疗方法减轻了疼痛的原因,但术后疼痛一直存在,直到完全愈合。这向我们证明了牙科止痛药的重要性。有许多镇痛药可用,并不是每一种都适用。正确选择镇痛药有助于改善患者的病情。这篇文章回顾了常用的镇痛药和他们的药理学方面,帮助管理牙齿疼痛。
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引用次数: 0
MRI in implant planning: A future towards radiation free imaging MRI在种植计划中的应用:无辐射成像的未来
Pub Date : 2022-09-15 DOI: 10.18231/j.jdp.2022.025
Raina Susan Reji
Since the past few years, dental implants have gained popularity as best treatment option for missing teeth. Accurate diagnosis and treatment planning plays a key role in successful implant placements. Radiography is the most widely used method for assessing quality and quantity of bone in implant site. Selection of proper diagnostic imaging modality and their adequate interpretation is very important in implant planning. With the evolution of different imaging techniques ranging from two dimensional radiography to sophisticated three dimensional imaging modalities, proper selection of technique has become a challenge for the clinicians. However, cone beam computed tomography is the most commonly used technique for implant planning. But the serious effects caused by its radiation dose are also a concern. This article gives a short review about the uses of dental magnetic resonance imaging over cone beam computed tomography in implant planning.
在过去的几年里,种植牙作为治疗缺牙的最佳选择而越来越受欢迎。准确的诊断和治疗计划是成功种植体放置的关键。x线摄影是评估种植体骨质量和数量最广泛使用的方法。选择合适的诊断成像方式及其充分的解释在种植体规划中非常重要。随着不同影像技术的发展,从二维影像到复杂的三维影像,正确选择技术已成为临床医生面临的挑战。然而,锥束计算机断层扫描是种植体计划中最常用的技术。但其辐射剂量造成的严重影响也令人担忧。本文简要综述了牙磁共振成像在种植体规划中的应用。
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引用次数: 0
Verruco-papillary dilemma for the oral diagnostician: A case series of two interesting cases 口腔诊断医师的疣状乳头困境:两个有趣病例的病例系列
Pub Date : 2022-09-15 DOI: 10.18231/j.jdp.2022.029
S. Ramesh, P. Ramdurg, S. Puranik, N. S., E. N. Amaran
Oral Verrucous Lesions (OVL) comprise of Verrucous Hyperplasia (VH), Verrucous Keratosis, Proliferative Verrucous Leukoplakia (PVL) and Verrucous Carcinoma of Oral Cavity (VC) known as Ackermann’s Tumour. These predominantly emerge as slow proliferating, gray or white, warty, exophytic lesion with micro-nodular surface & commonly seen on the buccal, labial mucosa, gingiva, tongue and palate. These are associated with consumption of tobacco in smoke and smokeless ways and in conjugation with alcohol and viral opportunists have known to be reported. Despite being delineated as benign lesions of minimum aggressive potential, these are difficult to tell apart from each other & long-standing cases have shown transformation into squamous cell carcinoma. This case report, we discuss case scenarios of an 80 year old female and a 42 year old male patient presenting with a diagnostic dilemma of verruco-papillary lesions which was successfully managed by early intervention and surgical intervention and extensive chemo-prevention.
口腔疣状病变(OVL)包括疣状增生(VH)、疣状角化病、增生性疣状白斑(PVL)和被称为阿克曼瘤的口腔疣状癌(VC)。这些主要表现为缓慢增殖,灰色或白色,疣状,外生性病变,表面有微结节&常见于颊,唇粘膜,牙龈,舌和腭。据报道,这些疾病与吸烟和无烟方式的烟草消费有关,并与酒精和病毒机会主义者结合在一起。尽管被描述为具有最小侵袭潜力的良性病变,但这些病变很难相互区分,长期存在的病例已转化为鳞状细胞癌。在这个病例报告中,我们讨论了一名80岁女性和一名42岁男性患者的病例情况,他们表现出疣状乳头状病变的诊断困境,通过早期干预和手术干预以及广泛的化学预防成功地控制了这一困境。
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引用次数: 0
A common cyst in an uncommon location 在不常见位置的普通囊肿
Pub Date : 2022-09-15 DOI: 10.18231/j.jdp.2022.028
Chandana Vishwanath, R. Koppalkar
OKC is the rare and noteworthy developmental odontogenic cyst which arises from dental lamina. Around 7.8% of all cysts of the jaw are categorized in to this type and grow in an antero-posterior direction in the medullary cavity of the bone without causing bone expansion until & unless when expansion is large. The frequent location is the mandibular posterior body. It is uncommon in the maxilla and only 13% occur in the anterior region. An interesting case of OKC in the maxillary central and lateral incisor region of a 36-year-old male patient is being presented. Such a case can be a diagnostic challenge for the clinician, as it can closely mimic the inflammatory cysts in the anterior region.
OKC是一种罕见且值得注意的发生于牙板的发育性牙源性囊肿。大约7.8%的颌骨囊肿属于这种类型,并且在骨髓腔中沿前后方向生长,除非扩张很大,否则不会引起骨扩张。常见的位置是下颌后体。它在上颌骨并不常见,只有13%发生在前区。一个有趣的病例OKC在上颌中央和侧切牙区域的一个36岁的男性患者被提出。这种情况对临床医生来说是一种诊断挑战,因为它与前区炎症囊肿非常相似。
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引用次数: 0
Ephebodontics – The dentistry for youth and adolescence 青少年和青少年的牙科
Pub Date : 2022-09-15 DOI: 10.18231/j.jdp.2022.021
V. Ahuja, A. Ahuja
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引用次数: 0
Diversity of an Odontogenic cyst of Jaws – A case report with literature review 颌骨牙源性囊肿的多样性- 1例报告并文献复习
Pub Date : 2022-09-15 DOI: 10.18231/j.jdp.2022.030
Sowmya Gv, M. Astekar, Hersheal Aggarwal
A dental lesion called a lateral periodontal cyst (LPC) can appear on a tooth's lateral radicular surface. Standish and Shafer described LPC for the first time in 1958. The mandibular premolars are where this cyst is most frequently found, however it has also been noted in other places too. The average age of incidence is 52 years, and there is no preference for any race or gender. It is frequently found during routine radiography examinations. The remnants of dental lamina in the alveolar bone are most likely the histogenetic source of LPC. The lateral periodontal cyst is surgically removed, and there is no risk of recurrence. The present article aims to present a case of Lateral periodontal cyst in anterior mandible in a young female patient with added literature review.
一种叫做外侧牙周囊肿(LPC)的牙齿病变可以出现在牙齿的外侧根表面。Standish和Shafer在1958年首次描述了LPC。下颌骨前磨牙是这种囊肿最常被发现的地方,但在其他地方也有发现。发病的平均年龄为52岁,不分种族或性别。在常规x线摄影检查中经常发现。牙槽骨中残留的牙板最有可能是LPC的组织发生来源。外侧牙周囊肿手术切除,没有复发的危险。本文报告一位年轻女性患者的前颌骨侧面牙周囊肿,并附文献复习。
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引用次数: 0
期刊
The Journal of Dental Panacea
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