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Laminate veneers: mimetizing nature through anatomical remodeling – case report 层压板贴面:通过解剖重建模拟自然——病例报告
Q4 Dentistry Pub Date : 2018-12-30 DOI: 10.15448/1980-6523.2018.1.28767
D. T. Higashi, M. G. Hoeppner, R. Terada, Mariana Paizana Iris, Renato Batista Cogo
OBJECTIVE: Dental aesthetics is one of the areas of dentistry that has most advanced in terms of procedures, techniques and materials. Changes in color, shape, and texture are commonly cited as grounds for complaint, which are sometimes characterized by details, making the work challenging. The objective of this work is to report the planning and execution of a clinical case of smile harmonization with ceramic laminates for remodeling smile.CASE DESCRITION: A male patient consulted a specialist to refine the appearance of his smile that already had a satisfactory pattern of color and texture. The planning was started using digital smile planning, followed by diagnostic waxing of the elements involved. The planning approval took place through the Mock up. The dental grinding performed was minimal and followed a silicone wear guide. The pieces were made in lithium disilicate and installed under absolute isolation according to the cementing protocol of the material. The finishing and polishing completed the installation of the pieces, removing excesses and guaranteeing periodontal compatibility.CONCLUSION: We conclude that indirect aesthetic treatments currently have a minimally invasive character and are highly accepted due to their ability to remodel the smile with perfection and naturalness.
目的:口腔美学是在程序、技术和材料方面最先进的牙科领域之一。颜色、形状和质地的变化通常被认为是抱怨的理由,有时这些变化的特点是细节,这使得作品具有挑战性。这项工作的目的是报告一个与陶瓷层压板协调微笑以重塑微笑的临床案例的计划和执行。病例描述:一名男性患者咨询了专家,以改善他的笑容,他的笑容已经有了令人满意的颜色和质地。该计划最初使用数字微笑计划,然后对相关元素进行诊断打蜡。规划审批是通过实物模型进行的。进行的牙齿研磨是最小的,并遵循硅胶磨损指南。这些部件由二硅酸锂制成,并根据材料的胶结协议在绝对隔离的情况下安装。修整和抛光完成了碎片的安装,去除了多余的部分并保证了牙周兼容性。结论:我们得出的结论是,间接美学治疗目前具有微创性,由于其能够完美自然地重塑微笑,因此被高度接受。
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引用次数: 0
Excisions of 4 unerupted canines in the mentonian region of the mandible – kisses teeth 4只未中断的犬科动物在下颌门顿区切除——亲吻牙齿
Q4 Dentistry Pub Date : 2018-12-30 DOI: 10.15448/1980-6523.2018.1.29663
R. Melo, M. Fernandes, Rodrigo Henrique Mello Varela Ayres de Melo, Milena Mello Varela Ayres de Melo Pinheiro, V. Melo, C. Aguiar
OBJECTIVE: Unerupted tooth, also called impacted tooth by some authors, is a dental organ that, even when fully developed did not erupt at the regular time, lying inside the bone completely surrounded by bone tissue or bone and mucosal tissue. The unerupted canines study is very important in dentistry, since successful results depend on early diagnosis for proper treatment management, however, despite the importance of this issue, few studies were found in the literature.CASE DESCRPTION: This paper reported a clinical case of a 14-year-old female patient who had four canines in the mentonian region of the mandible surrounded by a dentigerous cyst. The patient underwent a surgical procedure under general anesthesia for the teeth and dentigerous cyst removal.
目的:未萌出的牙齿,也被一些作者称为阻生牙,是一种牙齿器官,即使在发育完全的时候也没有定期萌出,它位于骨骼内,完全被骨组织或骨和粘膜组织包围。无中断犬科动物研究在牙科中非常重要,因为成功的结果取决于早期诊断和正确的治疗管理,然而,尽管这个问题很重要,但文献中很少发现研究。病例描述:本文报道了一例14岁女性患者的临床病例,该患者在下颌门前区有四只犬科动物,周围有一个长牙囊肿。患者在全身麻醉下接受了牙齿和齿状囊肿切除手术。
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引用次数: 0
Human pulp pesponse to Portland cement and MTA 人牙髓对硅酸盐水泥和MTA的反应
Q4 Dentistry Pub Date : 2018-12-30 DOI: 10.15448/1980-6523.2018.1.29259
A. V. Barbosa, V. D. S. Junior, M. M. Martins, L. S. Ferreira, A. Sobral
OBJECTIVE: To investigate the pulpal response to direct pulp capping in healthy human teeth with Portland cement (PC) as against mineral trioxide aggregate (MTA) as control.METHODS: Forty healthy human third molars indicated for extraction were randomly divided into two groups: PC and MTA. The teeth had iatrogenic pulp exposed and direct pulp capping with PC or MTA. After 1, 7, 14 and 21 days, the teeth were extracted and prepared for histological examination and bacterial detection. The Mann-Whitney test was applied for statistical analysis (p < 0.05).RESULTS: The MTA presented higher capacity to form of dentin bridges at 14- and 21-day intervals (p < 0.05). However, no significant statistical difference was found between the groups at all evaluated intervals (p > 0.05) for the response variables of inflammatory cells, soft tissue organization and bacterial staining.CONCLUSION: The PC has a biocompatibility equivalent to the MTA but with a lower capacity to form of dentin bridges. Therefore, MTA should be the material of choice for direct pulp capping.
目的:研究硅酸盐水泥(PC)直接盖髓对健康人牙齿的牙髓反应,并与三氧化二矿物聚集体(MTA)作对照。方法:将40颗健康人第三磨牙随机分为PC组和MTA组。牙齿暴露于医源性牙髓,并用PC或MTA直接盖髓。在1、7、14和21天后,取出牙齿并准备进行组织学检查和细菌检测。应用Mann-Whitney检验进行统计分析(p<0.05)。结果:MTA在14天和21天的时间间隔内表现出更高的牙本质桥形成能力(p<0.05),但在炎症细胞、软组织组织组织和细菌染色的反应变量方面,两组在所有评估时间间隔内没有发现显著的统计学差异(p>0.05)。结论:PC具有与MTA相当的生物相容性,但形成牙本质桥的能力较低。因此,MTA应该是直接盖髓的首选材料。
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引用次数: 1
Molecular characterization of Streptococcus mutans gtfB gene isolated from families 变形链球菌gtfB家族分离基因的分子特征分析
Q4 Dentistry Pub Date : 2018-12-30 DOI: 10.15448/1980-6523.2018.1.29727
Mônica Moreira, M. M. Nascimento, M. M. Poletto, Débora do Rocio Kliisiowicz, R. R. Gomes, V. Vicente
OBJECTIVE: Caries is a multifactorial infectious disease and the main etiological agent is the bacteria Streptococcus mutans due to its virulence factors, which enable the adherence to dental enamel and favours the formation of dental biofilm through the production of extracellular polysaccharides. The transmission of S. mutans can occur between people, often within families. The present study aimed to evaluate the intrafamily genetic pattern of S. mutans through partial sequencing of the gene that encodes the glucosyltransferase β (gtfB) enzyme.METHODS: We previously analyzed saliva samples from 40 individuals from nine families, and it was obtained 64 isolates biochemically characterized as S. mutans. The isolates were evaluated by random amplification of polymorphic DNA (RAPD). Those with greater similarity were characterized by partial sequence 16S rRNA gene and the gtfB gene sequencing.RESULTS: It was observed genetic similarity among strains isolated from individuals with caries activity; while isolates from individual without caries showed that they are genetically distinct, suggesting a different virulence pattern.CONCLUSION: The present results demonstrated that partial sequencing of the gtfB gene showed to be a potential marker to investigate genetic pattern and virulence of S. mutans, deserving further investigation in order to identify families at risk of caries.
目的:龋病是一种多因素感染性疾病,其主要病原体是变形链球菌,其毒力因子使其能够粘附在牙釉质上,并通过产生细胞外多糖促进牙齿生物膜的形成。变异链球菌的传播可能发生在人与人之间,通常发生在家庭内部。本研究旨在通过对编码葡糖基转移酶β(gtfB)的基因进行部分测序来评估变异链球菌的家族内遗传模式。方法:我们先前分析了来自9个家族的40个个体的唾液样本,获得了64个生物化学特征为变异链球菌的分离株。采用随机扩增多态性DNA(RAPD)对分离株进行鉴定。通过16S rRNA基因部分序列和gtfB基因测序来表征那些具有更大相似性的基因。结果:从具有龋齿活性的个体中分离的菌株之间存在遗传相似性;而来自无龋个体的分离株显示它们在基因上是不同的,这表明它们具有不同的毒力模式。结论:目前的结果表明,gtfB基因的部分测序是研究变异链球菌遗传模式和毒力的潜在标志物,值得进一步研究,以确定有龋齿风险的家族。
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引用次数: 0
Effect size: a statistical basis for clinical practice 效应量:临床实践的统计基础
Q4 Dentistry Pub Date : 2018-12-30 DOI: 10.15448/1980-6523.2018.1.29437
J. Valladares-Neto
OBJECTIVE: Effect size (ES) is the statistical measure which quantifies the strength of a phenomenon and is commonly applied to observational and interventional studies. The aim of this review was to describe the conceptual basis of this measure, including its application, calculation and interpretation.RESULTS: As well as being used to detect the magnitude of the difference between groups, to verify the strength of association between predictor and outcome variables, to calculate sample size and power, ES is also used in meta-analysis. ES formulas can be divided into these categories: I – Difference between groups, II – Strength of association, III – Risk estimation, and IV – Multivariate data. The d value was originally considered small (0.20 > d ≤ 0.49), medium (0.50 > d≤ 0.79) or large (d ≥ 0.80); however, these cut-off limits are not consensual and could be contextualized according to a specific field of knowledge. In general, a larger score implies that a larger difference was detected.CONCLUSION: The ES report, in conjunction with the confidence interval and P value, aims to strengthen interpretation and prevent the misinterpretation of data, and thus leads to clinical decisions being based on scientific evidence studies.
目的:效应量(Effect size, ES)是一种量化现象强度的统计度量,通常用于观察性和干预性研究。这次审查的目的是描述这一措施的概念基础,包括其应用、计算和解释。结果:除了用于检测组间差异的大小,验证预测变量和结局变量之间的关联强度,计算样本量和功率外,ES还用于meta分析。ES公式可分为以下几类:I -组间差异,II -关联强度,III -风险估计,IV -多变量数据。d值最初被认为是小(0.20 > d≤0.49)、中(0.50 > d≤0.79)或大(d≥0.80);然而,这些分界点不是双方同意的,可以根据具体的知识领域加以背景化。一般来说,分数越大意味着检测到的差异越大。结论:ES报告结合置信区间和P值,旨在加强解释,防止数据的误读,从而使临床决策基于科学证据研究。
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引用次数: 5
Survival and factors associated with mandibular overdenture fractures with immediate loading 即刻负荷下颌骨覆盖义齿骨折的生存率及相关因素
Q4 Dentistry Pub Date : 2018-12-30 DOI: 10.15448/1980-6523.2018.1.29729
Claudia Regina da Silva, D. Farias, M. Campos, L. A. D. Melo, M. A. F. Ferreira, A. F. P. Carreiro
OBJECTIVE: Survival rates of mandibular overdentures on two implants retained by bar-clip system with immediate loading and the factors related to fractures was analyzed.METHODS: Twenty-three subjects were followed for 32 months. Fracture occurrence was the outcome variable, while the thickness of denture base, maxillomandibular space and masticatory efficiency comprised the independent variables.RESULTS: The survival rate was 49.5%, with 34.7% of fractures. There was no association between the independent variables and fractures.CONCLUSION: So, the risk of mandibular overdenture fractures with immediate loading is high. Furthermore, masticatory efficiency, thickness of the denture base and maxillomandibular space did not influence the incidence of fractures.
目的:分析两种杆夹式种植体即刻加载下颌覆盖义齿的成活率及骨折的相关因素。方法:23名受试者接受为期32个月的随访。骨折发生率是结果变量,义齿基托厚度、上下颌间隙和咀嚼效率是自变量。结果:生存率为49.5%,骨折占34.7%。自变量与骨折之间没有关联。结论:即刻加载下颌覆盖义齿发生骨折的风险较高。此外,咀嚼效率、义齿基托厚度和上下颌间隙对骨折发生率没有影响。
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引用次数: 0
Performance evaluation of different observers in the interpretation of panoramic radiographs by the mandibular cortical index 下颌皮质指数对不同观察者在全景x线片判读中的表现评价
Q4 Dentistry Pub Date : 2018-12-30 DOI: 10.15448/1980-6523.2018.1.29202
L. Munhoz, Jun Ho Kim, Moses Park, E. M. Aoki, Reinaldo Abdala Júnior, E. Arita
OBJECTIVE: Mandibular Cortical Index (MCI) is useful in osteoporosis screening. This study aim was to verify the impact of different expertise levels in the observers’ performances of MCI evaluation in panoramic radiographs (PR).METHODS: Six participants were recruited: one Oral Radiology professor with previous experience (#1), one master’s degree student and radiologist with previous experience (#2), one PhD student and non-radiologist with previous experience (#3), one PhD student and radiologist with no prior experience (#4) and two master’s degree students with no prior experience (#5 and #6). Observers were trained to use the MCI before analyzing 150 PRs of patients with dual energy X-ray absorptiometry (DXA) examination.RESULTS: The Spearman’s Correlation test showed inverse and weak to moderate correlation between MCI and T-scores, and it varied was according to the observe that performed the evaluation. Observers #2 and #3 (with previous MCI experience) showed the highest agreement with the professor, followed by students #4, #5 and #6.CONCLUSION: Students’ expertise using the MCI increased the agreement with the professor regardless of whether the student was an oral radiology specialist; the MCI was correlated with the DXA in all the observer’s evaluations, which indicates that previous training for the MCI can enable any dentist to apply it in osteoporosis screening.
目的:下颌骨皮质指数(MCI)可用于骨质疏松症的筛查。本研究旨在验证不同专业水平对观察者在全景放射学(PR)中MCI评估表现的影响,一名没有既往经验的博士生和放射科医生(#4)和两名没有既往经历的硕士生(#5和#6)。在用双能X射线吸收仪(DXA)检查分析患者的150个PR之前,观察者被训练使用MCI。结果:Spearman相关检验显示MCI与T评分呈负相关和弱至中度相关,并根据进行评估的观察结果而变化。观察者#2和#3(有过MCI经验)与教授的一致性最高,其次是学生#4、#5和#6。结论:无论学生是否口腔放射学专家,学生使用MCI的专业知识都增加了与教授的共识;在所有观察者的评估中,MCI与DXA相关,这表明之前对MCI的培训可以使任何牙医将其应用于骨质疏松症筛查。
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引用次数: 2
Analysis of preparation time, wear, transportation and centering ability of Flexofile and Prodesign® M manual instruments in curved root canals preparation Flexofile和Prodesign®M手工器械在弯曲根管预备中的预备时间、磨损、运输和定心能力分析
Q4 Dentistry Pub Date : 2018-12-30 DOI: 10.15448/1980-6523.2018.1.29468
Fernanda Inês Zarpelon, Eduardo Nesello Barp, D. Galafassi, Tiago André Fontoura de Melo
OBJECTIVE: This in vitro study aimed to evaluate preparation time, wear, transportation, and centering ability of two manual instruments, namely Flexofile and Prodesign® M, in curved root canal preparation.METHODS: Forty mesiobuccal and mesiolingual canals of the first or second lower molars were used, with standard length, degree, and radius of curvature among all samples. The canals were randomly divided into two experimental groups (n=20) according to the preparation instrument analyzed. The preparations were performed by a single operator. The preparation time was controlled, and the values obtained were analyzed. To verify the wear, transportation, and centering ability of the instruments, tomography images were taken before and after instrumentation. The analysis was performed using axial sections previously identified at 2 mm below the tooth apex with the aid of the OnDemand3DTM Dental program. For statistical analysis, Student’s t-test was used, with a significance level of 5%.RESULTS: The time required to prepare root canals was lesser using Prodesign® M instruments than using Flexofile instruments. Regarding tooth wear, no statistical difference was observed. However, Flexofile instruments had a low centralization capacity in root canal preparation, and there is a trend of transport in the mesial direction of the root canal.CONCLUSION: Although no statistical difference was observed between the two instruments, the Prodesign® M instruments had a better cantering ability in the preparation. As well as, the time required to prepare the root canals was inferior when Prodesign® M was used.
目的:本体外研究旨在评估Flexofile和Prodesign®M两种手动器械在弯曲根管预备中的准备时间、磨损、运输和对中能力。方法:选取40根第一或第二下磨牙的中颊和中舌管,所有样本均具有标准的长度、度和曲率半径。根据制备器械的不同,随机分为两组(n=20)。这些准备工作是由一个操作人员完成的。控制制备时间,并对所得值进行分析。为了验证仪器的磨损、运输和定心能力,在仪器使用前后分别拍摄了断层扫描图像。在OnDemand3DTM牙科程序的帮助下,使用先前在牙尖以下2mm处确定的轴向截面进行分析。统计分析采用Student’s t检验,显著性水平为5%。结果:使用Prodesign®M器械准备根管所需的时间少于使用Flexofile器械。在牙齿磨损方面,无统计学差异。但Flexofile器械在根管预备中集中能力较低,且有根管近中方向运输的趋势。结论:虽然两种器械之间没有统计学差异,但Prodesign®M器械在制备过程中具有更好的集中能力。此外,当使用Prodesign®M时,准备根管所需的时间更短。
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引用次数: 0
A very difficult farewell editorial 一篇非常艰难的告别社论
Q4 Dentistry Pub Date : 2018-12-30 DOI: 10.15448/1980-6523.2018.1.33971
J. A. P. de Figueiredo
---
---
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引用次数: 0
Musculoskeletal Disorders among Brazilian Dentists in São Paulo 圣保罗巴西牙医的肌肉骨骼疾病
Q4 Dentistry Pub Date : 2018-12-30 DOI: 10.15448/1980-6523.2018.1.29699
G. Soares, C. Siqueira, Lorena M. Estrada-Martínez, C. Garbin, A. Garbin
OBJECTIVE: This study aimed at investigating the relationships between health and work-related musculoskeletal disorders (WMSDs) in dentists, and the relationship with socio-demographic, work and health variables.METHODS: We conducted a cross-sectional study of 204 dentists who work in public clinics in the state of São Paulo, Brazil. We used a self-administered survey that included questions on sociodemographic and health aspects, work-related factors, and the Nordic questionnaire.RESULTS: WMSDs were often reported in the neck, shoulder, lower back, and hand/wrists. Logistic regression analysis revealed that there was a correlation between reports of WMSD in the neck and age (OR = 9.48) and health problems (OR = 6.71). Moreover, strong associations were found between MSDs in the shoulders, gender (OR = 5.88) and breaks between appointments (OR = 4.17).CONCLUSION: We concluded that the health problems diagnosed, work-related activities and gender contributed to musculoskeletal disorders in dentists in this clinic.
目的:本研究旨在调查牙医的健康与工作相关肌肉骨骼疾病(WMSD)之间的关系,以及与社会人口学、工作和健康变量的关系。方法:我们对在巴西圣保罗州公共诊所工作的204名牙医进行了横断面研究。我们使用了一项自我管理的调查,其中包括社会人口和健康方面的问题、与工作相关的因素和北欧问卷。结果:WMSD常见于颈部、肩部、下背部和手/手腕。Logistic回归分析显示,颈部WMSD的报告与年龄(OR=9.48)和健康问题(OR=6.71)之间存在相关性。此外,肩部MSD、性别(OR=5.88)和预约间隔(OR=4.17)之间存在很强的相关性,与工作相关的活动和性别导致了该诊所牙医的肌肉骨骼疾病。
{"title":"Musculoskeletal Disorders among Brazilian Dentists in São Paulo","authors":"G. Soares, C. Siqueira, Lorena M. Estrada-Martínez, C. Garbin, A. Garbin","doi":"10.15448/1980-6523.2018.1.29699","DOIUrl":"https://doi.org/10.15448/1980-6523.2018.1.29699","url":null,"abstract":"OBJECTIVE: This study aimed at investigating the relationships between health and work-related musculoskeletal disorders (WMSDs) in dentists, and the relationship with socio-demographic, work and health variables.METHODS: We conducted a cross-sectional study of 204 dentists who work in public clinics in the state of São Paulo, Brazil. We used a self-administered survey that included questions on sociodemographic and health aspects, work-related factors, and the Nordic questionnaire.RESULTS: WMSDs were often reported in the neck, shoulder, lower back, and hand/wrists. Logistic regression analysis revealed that there was a correlation between reports of WMSD in the neck and age (OR = 9.48) and health problems (OR = 6.71). Moreover, strong associations were found between MSDs in the shoulders, gender (OR = 5.88) and breaks between appointments (OR = 4.17).CONCLUSION: We concluded that the health problems diagnosed, work-related activities and gender contributed to musculoskeletal disorders in dentists in this clinic.","PeriodicalId":38878,"journal":{"name":"Revista Odonto Ciencia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.15448/1980-6523.2018.1.29699","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48919200","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: 5
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Revista Odonto Ciencia
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