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Gamut of tooth coloured opportunities to reinstate the paediatric smile: A review 牙齿颜色范围的机会,以恢复儿科微笑:回顾
Pub Date : 2022-01-15 DOI: 10.18231/j.jdp.2021.034
V. Ahuja, Arunima
Early Childhood Caries has been acknowledged as a root of severe decay in children at a global level. Most frequently we see involvement of upper incisors followed by the molars. This disturbs the phonetics and most importantly the aesthetics of the child. Over the years, there have been plenteous studies concerning the restoration of primary teeth. As the technology advanced, the level of parental satisfaction with the conventional stainless-steel crowns lowered, this made the Paediatric dentists to search for an aesthetic restoration for the decayed primary tooth. Treatment of decayed anterior teeth can be done by a variety of techniques which includes Strip crowns, Polycarbonate crowns, Cheng crowns, acrylic crowns, Zirconia crowns and the most recent is Figaro crowns. The advent of such advanced techniques and materials helps in creating beautiful restorations which help children to improve their self-image as the child aesthetics is the guide to the adult aesthetics. This article gives an overview of few of the aesthetic options for rehabilitation of ECC cases.
在全球范围内,幼儿龋齿已被公认为儿童严重龋齿的根源。最常见的是上门牙受累,其次是磨牙。这扰乱了孩子的语音,最重要的是影响了他们的审美。多年来,人们对乳牙的修复进行了大量的研究。随着技术的进步,父母对传统不锈钢牙冠的满意度降低,这使得儿科牙医寻找一种美学修复龋坏的乳牙。治疗前牙的方法有很多种,包括条形牙冠、聚碳酸酯牙冠、Cheng牙冠、丙烯酸牙冠、氧化锆牙冠以及最近的Figaro牙冠。这些先进的技术和材料的出现有助于创造美丽的修复,帮助儿童改善他们的自我形象,因为儿童美学是成人美学的指南。本文概述了几种修复ECC病例的美学选择。
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引用次数: 0
New paradigm shift in the times of pandemic: Effects and influence of covid-19 on prosthodontic practice 大流行时代的新范式转变:covid-19对修复实践的影响和影响
Pub Date : 2022-01-15 DOI: 10.18231/j.jdp.2021.033
Neha Pathania, R. Kanwar, A. Thakur, A. Nagpal, Jyoti Behl
The coronavirus disease 2019 (COVID-19) pandemic has put the world in a panic situation. It has been evident that the geriatric population is more susceptible to get this infection, mainly due to advanced age and comorbidities and thus reduced immunity. In this ongoing crisis, individuals could-not visit a dental clinic, hence unattended dental needs and emergencies. The prosthodontic management in geriatric patients is essential for their well-being, as the partial or complete edentulism are very prevalent among them. However, a prosthodontist remains at high risk for exposure to the novel coronavirus through the aerosol-generation, possibly through the contaminated surfaces and the indirect contact with dental laboratories and the technicians through the impressions, dental stone casts, and the prosthetic appliances. It demands the implementation of the preventive measures, including performing emergency treatments only, rescheduling patients with suspected COVID, disinfecting surfaces and prosthodontic materials with biocidal substances, and using protective equipment such as the N95 masks, gowns, and face-shields.
2019冠状病毒病(COVID-19)大流行使世界陷入恐慌。很明显,老年人更容易受到这种感染,这主要是由于老年人和合并症,从而降低了免疫力。在这场持续的危机中,个人无法前往牙科诊所,因此出现了无人看管的牙科需求和紧急情况。由于部分或全牙义齿在老年患者中非常普遍,因此老年患者的修复管理对他们的健康至关重要。然而,通过气溶胶的产生,可能通过受污染的表面以及通过印模、牙石模型和修复器具与牙科实验室和技术人员的间接接触,义齿医生仍然处于暴露于新型冠状病毒的高风险中。它要求实施预防措施,包括只进行紧急治疗,重新安排疑似患者,用杀菌剂对表面和修复材料进行消毒,并使用N95口罩、防护服和面罩等防护装备。
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引用次数: 0
Segmental orthodontics: Simplified approach in pediatric Orthodontics 节段性正畸:儿童正畸的简化方法
Pub Date : 2021-11-15 DOI: 10.18231/j.jdp.2021.021
V. Ahuja
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引用次数: 1
COVID-19 and oral lesions: A review COVID-19与口腔病变:综述
Pub Date : 2021-11-15 DOI: 10.18231/j.jdp.2021.023
Vinay S. Dua, Amandeep Kaur, Ankit Sikri, Mitasha Sachdeva
A new coronavirus (Sars-CoV-2) was detected in China at the end of 2019 and has since caused a worldwide pandemic. This virus is responsible for an acute respiratory syndrome (COVID-19), distinguished by a potentially lethal interstitial bilateral pneumonia. As Sars-CoV-2 is highly infective through airborne contamination, the high infection risk in the dental environment is a serious problem for both professional practitioners and patients. This literature overview at analyzing various reports available on oral symptoms along with possible causation, their relationship to the time of occurrence of clinical symptoms of this global pandemic.
2019年底,中国发现了一种新的冠状病毒(Sars-CoV-2),此后引发了全球大流行。该病毒可导致急性呼吸综合征(COVID-19),其特征是可能致命的间质性双侧肺炎。由于Sars-CoV-2通过空气污染具有高度传染性,因此牙科环境中的高感染风险对专业医生和患者来说都是一个严重的问题。本文献综述分析了各种关于口腔症状的报告,以及可能的原因,它们与全球大流行临床症状发生时间的关系。
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引用次数: 0
Clinical evaluation of excisional new attachment procedure versus laser assisted new attachment procedure in the treatment of periodontal pockets 切除新附着体与激光辅助新附着体治疗牙周袋的临床评价
Pub Date : 2021-11-15 DOI: 10.18231/j.jdp.2021.025
Priyanka Kumari, M. Khatri, M. Bansal, K. Puri
TheLaser Assisted New Attachment Procedure (LANAP) protocol is a laser based periodontal regenerative procedure and was patterned, conceptually, after the Excisional New Attachment Procedure (ENAP) to separate the diseased epithelium from the underlying connective tissue and to selectively vaporize and disrupt inflamed and necrotic tissue from connective tissue.: The present study was designed to compare and evaluate the clinical efficacy of LANAP versus ENAP in the treatment of chronic periodontitis.: Twenty periodontal pocket sites of ≥5mm in systemically healthy patients were selected and randomly allocated to either (ENAP) Excisional New Attachment Procedure (Group I) or (LANAP) Laser Assisted New Attachment Procedure (Group II). Patients were evaluated for Plaque Index, Gingival Index, Gingival Bleeding Index, Probing Depth, Loss of attachment, recession and VAS scores. Patients were recalled for follow up at 1 week, 1 month and 3 months at which clinical parameters were recorded.: The results of the present study revealed statistically insignificant difference in both groups however clinically significant reduction in probing depth was seen with ENAP as compared to LANAP but laser procedure had less VAS scores as compared to ENAP.Although probing depth reduction was more for ENAP, patient discomfort with less bleeding was observed with LANAP.
激光辅助新附着手术(LANAP)是一种基于激光的牙周再生手术,在概念上,在切除新附着手术(ENAP)之后,将病变上皮从潜在的结缔组织中分离出来,并选择性地蒸发和破坏结缔组织中的炎症和坏死组织。本研究旨在比较和评价LANAP与ENAP治疗慢性牙周炎的临床疗效。选择20个≥5mm的全身健康患者牙周袋部位,随机分配到(ENAP)切除新附着体手术组(I组)或(LANAP)激光辅助新附着体手术组(II组)。评估患者的菌斑指数、牙龈指数、牙龈出血指数、探探深度、附着丧失、消退和VAS评分。分别于1周、1个月和3个月回访,记录临床参数。本研究结果显示两组间差异无统计学意义,但与LANAP相比,ENAP在临床上明显减少了探查深度,但激光手术的VAS评分低于ENAP。虽然ENAP的探深减少更多,但LANAP观察到患者不适,出血较少。
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引用次数: 0
Surgical management of RT2 gingival recession using sub epithelial connective tissue graft and coronally advanced flap: A case report 上皮下结缔组织移植物联合冠状进展皮瓣治疗RT2龈退缩1例
Pub Date : 2021-11-15 DOI: 10.18231/j.jdp.2021.029
Eshani Yeragi, K. Nalawade, Saurabh Gotmare, A. Benjamin, Varun Putta, Ajinkya Lavekar
Apical migration of the gingival fiber attachment and marginal gingiva leads to gingival recession and can be caused due to many factors such as faulty tooth brushing, masochistic habits, periodontal disease etc. This causes dentinal hypersensitivity, aesthetic problems, root caries, cervical abrasion, and difficulty in maintaining oral hygiene and often possess a challenging situation for the clinician to deliver best care to the patients. This case reports about the use of SCTG along with coronally advanced flap. To report a case of RT2 recession, older term – Millers Class II recession which showed promising result when root coverage procedure was done using sub-epithelial connective tissue and coronally advancing the flap. A 62-year-old male patient was referred to the Department of Periodontology, with a chief complaint of hypersensitivity and downward shifting of gum in upper front left teeth region which was progressive in nature with no obvious medical history.After achieving profound anaesthesia over the concerned region the recipient site was prepared. After which the donor tissue was retrieved from the palatal area using trap door method and placed over the recipient site. No root biomodification agents were used. The graft was stabilised using interrupted suture and then criss-cross suturing was done, and non-eugenol periodontal dressing was given. The follow up results showed good outcome with predictable root coverage achieved using Sub-epithelial Connective Tissue Graft (SCTG) and coronally advanced flap in the canine region which is often the most difficult one to achieve complete root coverage because of canine prominence. SCTG can be used successfully along with coronally advanced flap and clinicians must opt for such treatment modalities for patients benefit.
牙龈纤维附着体和边缘牙龈的尖移导致牙龈萎缩,其原因有很多,如不正确的刷牙、受虐习惯、牙周病等。这会导致牙本质过敏、审美问题、牙根龋病、颈椎磨损和保持口腔卫生困难,并且通常对临床医生提供最好的护理患者具有挑战性。本病例报道了SCTG与冠状进展皮瓣的应用。报告一例RT2衰退,旧术语-米勒II级衰退,当使用亚上皮结缔组织进行根覆盖手术并冠状推进皮瓣时,显示出令人满意的结果。病患男性,62岁,主诉为左前上颌牙区牙龈过敏及下移,无明显病史。在相关区域实现深度麻醉后,准备受体部位。然后用活板门法从腭区取出供体组织,置于受体部位。未使用根生物改性剂。采用间断缝合稳定植牙,然后交叉缝合,并给予非丁香酚牙周敷料。随访结果显示,使用亚上皮结缔组织移植(SCTG)和冠状皮瓣在犬区实现可预测的根覆盖,这通常是由于犬突出而最难实现完全根覆盖的区域。SCTG可以成功地与冠状动脉晚期皮瓣一起使用,临床医生必须选择这种治疗方式以使患者受益。
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引用次数: 0
Treatment of localized gingival recession with chorion membrane- A case report 绒毛膜治疗局部牙龈萎缩1例
Pub Date : 2021-11-15 DOI: 10.18231/j.jdp.2021.027
Sandhya T Nair, Prashantha Janam, G. Manikandan
Aim of root coverage procedure is to restore the tissue margin to the Cemento-enamel junction. Many surgical techniques have been developed throughout the years and Guided tissue regeneration (GTR) based rootcoverage using different allograft membranes has been utilized to treat gingival recession with excellent results.This case report describes a case of gingival recession managed by chorion membrane with coronally advanced flap.
牙根覆盖术的目的是修复牙骨质与牙釉质交界处的组织边缘。多年来发展了许多外科技术,使用不同的同种异体移植物膜引导组织再生(GTR)为基础的根覆盖已被用于治疗牙龈退缩,并取得了良好的效果。本病例报告描述了一例由绒毛膜与冠状推进皮瓣治疗牙龈萎缩的病例。
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引用次数: 0
Efficacy of probiotic Lactobacillus reuteri on chronic generalised periodontitis: A systematic review of randomized controlled clinical trials in humans 益生菌罗伊氏乳杆菌对慢性全身性牙周炎的疗效:对人类随机对照临床试验的系统评价
Pub Date : 2021-11-15 DOI: 10.18231/j.jdp.2021.024
V. Ahuja, A. Ahuja
It is well recognized fact that periodontal diseases are caused by multifactorial etiologies; in which microorganisms play an important role. An essential component of therapy is to eliminate or manage these pathogens. This has been traditionally accomplished through mechanical means by scaling and root planning and adjunctive anti-infective therapy, which includes local and systemic antimicrobials. But the unwarranted use of antimicrobial is associated with adverse effects and development of resistance. To overcome these problems newer technologies have been tested in the field of periodontics; one of these therapies is use of probiotic. This approach of therapy is of interest to periodontist due to the aforementioned shortcomings of conventional methods. A manual and electronic search was made for human studies up to November 2020 that presented systemic and local use of probiotics in generalised chronic periodontitis. A systematic approach was followed by two independent reviewers and included eligibility criteria for study inclusion, quality assessment, and determination of outcome measures, data extraction, data synthesis, and drawing of conclusion. Only 3 randomized controlled human trials qualified, and they concluded that use of probiotic Lactobacillus Reuteri proves beneficial in improving clinical and microbiological parameters in generalised chronic periodontitis.
众所周知,牙周病是由多因素病因引起的;微生物在其中起着重要的作用。治疗的一个重要组成部分是消除或控制这些病原体。传统上,这是通过机械手段完成的,包括刮治和根规划以及辅助抗感染治疗,包括局部和全身抗菌剂。但未经授权使用抗菌素与不良反应和耐药性的发展有关。为了克服这些问题,在牙周病领域测试了新技术;其中一种疗法是使用益生菌。由于上述传统方法的缺点,这种治疗方法引起了牙周病专家的兴趣。对截至2020年11月的人体研究进行了手工和电子检索,这些研究显示益生菌在全身性慢性牙周炎中的全身和局部使用。两名独立的审稿人采用了系统的方法,包括纳入研究的资格标准、质量评估、结果测量的确定、数据提取、数据合成和得出结论。只有3个随机对照人体试验合格,他们得出结论,使用益生菌罗伊氏乳杆菌证明对改善全身性慢性牙周炎的临床和微生物参数有益。
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引用次数: 2
Various applications of platelet rich fibrin in dentistry: A literature review 富血小板纤维蛋白在牙科中的各种应用:文献综述
Pub Date : 2021-11-15 DOI: 10.18231/j.jdp.2021.022
Prashanti Wahengbam, Nenavata Ravi, S. Bharathesh, Dimple Budhiraja, Neha Nandal, Dania Fatima
Platelet rich fibrin is a part of platelet concentrate, that is derived from human blood and made through the process of centrifugation. It is an autogeneous bio material, which basically constitutes various growth factors, and cytokines that are entrapped in its matrix of fibrin. Platelet rich fibrin provides ideal environment for healing of the wound and the regeneration of the tissue. Platelet rich fibrin helps in regulating the inflammation process and increases the healing process.
富血小板纤维蛋白是血小板浓缩物的一部分,血小板浓缩物来源于人的血液,通过离心过程制成。它是一种自相生物材料,主要由各种生长因子和细胞因子组成,这些生长因子和细胞因子被包裹在纤维蛋白基质中。富含血小板的纤维蛋白为伤口愈合和组织再生提供了理想的环境。富含血小板的纤维蛋白有助于调节炎症过程并促进愈合过程。
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引用次数: 0
Gingival depigmentation with scalpel and diode laser 用手术刀和二极管激光治疗牙龈色素脱色
Pub Date : 2021-11-15 DOI: 10.18231/j.jdp.2021.026
Ayush Khatri, Archi, Priyanka., M. Khatri, M. Bansal, M. Rehan
Melanin, a nonhemoglobin-derived brown pigment, is the most common of the endogenous pigments and is produced by melanocytes present in the basal layer of the epithelium. Gingival hyperpigmentation is caused by excessive deposition of melanin located in the basal and suprabasal cell layers of the epithelium. Pigmentation of gingiva not just has an impact on esthetics but also creates psychological negativity. Though a wide range of techniques are available to manage this condition. Depigmentation procedures such as scalpel surgery, gingivectomy with free gingival autografting, electrosurgery, cryosurgery, chemical agents such as 90% phenol and 95% alcohol, abrasion with diamond bur, Nd: YAG laser, semiconductor diode laser, and CO laser have been employed for removal of melanin hyper pigmentation. The following case report describes two different surgical depigmentation techniques scalpel technique and lasers. Better results of depigmentation were achieved with diode laser than conventional scalpel with respect to esthetics and less postoperative discomfort.
黑色素是一种非血红蛋白来源的棕色色素,是最常见的内源性色素,由存在于上皮基底层的黑色素细胞产生。牙龈色素沉着症是由位于上皮基底和上基底细胞层的黑色素过度沉积引起的。牙龈色素沉着不仅会影响审美,还会产生消极的心理。尽管有各种各样的技术可以控制这种情况。诸如手术刀手术、自体游离牙龈移植牙龈切除术、电外科手术、冷冻手术、90%苯酚和95%酒精等化学试剂、金刚钻磨损、Nd: YAG激光、半导体二极管激光和CO激光等脱色方法已被用于去除黑色素过度色素沉着。下面的病例报告描述了两种不同的手术脱色技术,手术刀技术和激光。与传统手术刀相比,二极管激光在美观和术后不适方面取得了更好的脱色效果。
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引用次数: 0
期刊
The Journal of Dental Panacea
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