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Comparison of the morphological parameters of the face in a population with a full dental arch 具有完整牙弓人群面部形态学参数的比较
Q4 Dentistry Pub Date : 2022-01-01 DOI: 10.5937/asn2286469k
M. Kostić, M. Igić, Amar Đerlek, Nikola Gligorijević, M. Jovanovic, Kristina N. Burić, Marija Anđelković-Apostolović
Introduction: The analysis of facial parameters in young people with a full dental arch is an assessment of the representation of certain anthropological features in the Serbian geographical area, but also a starting point for their reconstruction after tooth loss in order to achieve the maximum therapeutic and aesthetic effect. Aim: The aim of the work was to measure and compare facial parameters among respondents with a complete dental arch. Material and methods: 91 dental students participated in the research, 32 (35.2%) male and 59 (64.8%) female. The average age of the respondents was 22.16±1.53 years. The length and width of the face were measured, as well as the vertical and horizontal parameters, and the facial index was calculated. Results: Men had a significantly longer (Z=4.567; p<0.001) and wider face (Z=5.962; p<0.001) compared to women. There was no significant difference in the face index between women and men (ch 2 =2.492; p=0.666). There was also no significant difference in the vertical analysis of the face according to gender (ch 2 =0.065; p=0.798). In the majority of subjects, the shorter middle third of the face was measured. In the case of the expected division of the lower third of the face, it exists in a significantly greater extent in males (ch 2 =5.989; p=0.014). In the majority of subjects, the intercanthal width corresponded to the width of the eye, in both sexes, without statistical significance. Further, in a significantly larger number of male and female respondents, it was determined that the bipupillary corresponds to the intercommissural distance. The interalar distance corresponding to the width of the eye was more significantly present in women (ch 2 =5.002; p=0.025). Conclusion: Measurement of facial parameters can significantly improve dental therapy by enabling optimal aesthetic performance.
前言:对具有完整牙弓的年轻人的面部参数进行分析是对塞尔维亚地理区域某些人类学特征代表的评估,也是牙齿脱落后重建的起点,以达到最大的治疗和美学效果。目的:这项工作的目的是测量和比较具有完整牙弓的受访者的面部参数。材料与方法:91名牙科学生参与研究,其中男性32人(35.2%),女性59人(64.8%)。受访者的平均年龄为22.16±1.53岁。测量面部的长度和宽度,以及垂直和水平参数,并计算面部指数。结果:男性的寿命明显更长(Z=4.567;p<0.001)和更宽的脸(Z=5.962;P <0.001)。女性和男性在面部指数上没有显著差异(ch 2 =2.492;p = 0.666)。在面部纵向分析中,性别差异也无统计学意义(ch2 =0.065;p = 0.798)。在大多数受试者中,测量的是脸中间较短的三分之一。在面部下三分之一的预期分割的情况下,它在男性中存在的程度要大得多(ch 2 =5.989;p = 0.014)。在大多数受试者中,无论男女,腰间宽度都与眼宽相对应,但没有统计学意义。此外,在大量的男性和女性受访者中,确定双瞳孔对应于关节间距离。与眼宽相对应的眼间距离在女性中更为显著(ch 2 =5.002;p = 0.025)。结论:面部参数测量可显著改善口腔治疗,实现最佳的美学表现。
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引用次数: 0
White-eyed blowout fracture: A 10 days delayed surgical intervention and outcomes: A case report 白眼爆裂骨折:延迟10天手术干预和结果:1例报告
Q4 Dentistry Pub Date : 2021-01-01 DOI: 10.5937/asn2184274k
Premkumar Kattur, Balamurugan Rajendran
The basis of the problem: Craniomaxillofacial trauma in pediatric group is less common with an incidence rate of 15% and the most commonly involved site is the fracture of orbital floor. Blow out fractures can either be pure or impure with trauma being the most predominant etiology. Method: Our case report present a 15 year old patient with a diagnosis of white eye blow out fracture reported ten days post trauma. The case was surgically dealt by releasing the entrapped inferior rectus muscle and placement of titanium mesh in the orbital floor with a postoperative follow up period of 6 months. Results: In the present report, although the eye movements i were evident without any restriction, the authors were unable to achieve a full range of eye movements due to delayed surgical intervention. Conclusion: Inferior rectus muscle entrapment is the most common entity encountered in cases of white eye blow out fractures, due to its close proximity with the orbital floor and lack of periodontal fat. Early diagnosis and immediate surgical intervention would bring about a best positive outcome in the management of white eye blow out fractures.
问题的基础:儿童组颅颌面外伤较少见,发生率为15%,最常见的受累部位是眶底骨折。爆裂性骨折可以是单纯的也可以是不单纯的,创伤是最主要的病因。方法:我们的病例报告了一个15岁的诊断为白色眼爆裂骨折外伤后10天报告。手术解除下直肌夹持,眶底置入钛网,术后随访6个月。结果:在本报告中,虽然眼球运动明显,没有任何限制,但由于延迟手术干预,作者无法实现全范围的眼球运动。结论:下直肌卡压是白眼爆裂骨折最常见的情况,因其靠近眶底且缺乏牙周脂肪。早期诊断和及时手术治疗是治疗白眼爆裂骨折的最佳方法。
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引用次数: 0
Traumatic intrusion of primary tooth: a case Report 外伤性乳牙侵入1例报告
Q4 Dentistry Pub Date : 2021-01-01 DOI: 10.5937/asn2184288z
E. Zabokova-Bilbilova, E. Stefanovska
Introduction: Anterior teeth are of utmost importance with regard to chewing, speaking, and beauty. Therefore, any traumatic dental injury has psychologically undesirable effects on children and their parents. The present study reported a case of a traumatic dental injury induced by falling off a chair and referral to an emergency department as well as measures taken for dental reconstruction and patient's improvement. Case Report: Parents with a 3-year-old girl came to the Clinic for Pediatric and Preventive Dentistry at University Dental Clinic Center "St. Panteleimon", Skopje with injuries to her face and oral structures resulting from a fall from a chair. The extraoral examination revealed a laceration on the submental skin surface and an injury to the upper lip. The child was examined and it was found that the maxillary left primary central incisor was compressed in the alveoli. The surrounding soft tissue was injured. Intraorally, the anterior segment of the maxilla showed injury consistent with low-velocity blunt-force trauma, including several lacerations of the gingival tissues. The patient's maxillary left central incisor was intruded from the socket. Conclusion: The prognosis of many cases of dental injuries is time-dependent. The intrusion of a tooth can have ramifications and the possibility that it has been fully intruded should be considered. The use of a radiograph is of great importance for the correct diagnosis of deciduous tooth intrusion.
介绍:前牙对咀嚼、说话和美容至关重要。因此,任何创伤性牙齿损伤都会对儿童及其父母产生不良的心理影响。本研究报告了一例因从椅子上摔下而导致的外伤性牙齿损伤,并转介到急诊科,以及采取的牙齿重建和患者的改善措施。病例报告:父母带着一名3岁女孩来到斯科普里“St. Panteleimon”大学牙科诊所中心的儿科和预防牙科诊所,她的面部和口腔结构因从椅子上摔下而受伤。口腔外检查发现颏下皮肤表面有撕裂伤上唇也有伤口。检查发现患儿上颌左初级中切牙在牙槽内受压。周围软组织受损。口腔内,上颌前段显示低速钝力创伤的损伤,包括牙龈组织的几处撕裂伤。患者上颌左中切牙从牙槽侵入。结论:许多牙外伤患者的预后具有时间依赖性。牙齿的侵入可能有分支,应该考虑到它已经完全侵入的可能性。x线片的使用对乳牙侵入的正确诊断具有重要意义。
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引用次数: 0
Anthropometric parameters and aesthetics in the making of fixed prosthodontic restaurations: Part 1 固定义齿修复器制作中的人体测量参数和美学:第1部分
Q4 Dentistry Pub Date : 2021-01-01 DOI: 10.5937/asn2184325g
N. Gligorijević, M. Igić, M. Andjelković, M. Jovanovic, N. Janković, M. Kostić
Introduction: Modern dental procedures, especially those in prosthodontics, restore the functional capacity of the orofacial system and improve the patient's appearance. The modern concept of aesthetic dentistry is the most natural appearance of the teeth, and the success of the therapy is closely connected with the respect of anthropometric parameters and the correct ratio of hard and soft oral tissues. Orofacial elements should not be viewed separately from the composition of the face because they form an inseparable whole with it. The aim of this study was to analyze the parameters of the orofacial system that affect the aesthetics of fixed prosthodontic restorations based on literature data and clinical experience. Conclusion: The beauty of a smile is determined by the shape, color and proportions of the upper front teeth. The harmony in creating a smile is not significantly affected by individual numerical values of tooth width and length, but by their mutual relationship. A beautiful smile implies the convergence of the longitudinal axes of the front teeth in relation to the midline of the dental arch, which progresses from the central incisor to the canine. In addition to these criteria, the visibility of the incisors, the midline of the face and dental arch, interdental points and contacts, incisal free spaces as well as the color of the teeth should be taken into account in order to achieve maximum aesthetic effects.
简介:现代牙科手术,特别是在口腔修复术中,恢复了口腔面部系统的功能,改善了患者的外观。现代牙科美学的概念是牙齿最自然的外观,治疗的成功与人体测量参数的尊重和口腔软硬组织的正确比例密切相关。面部元素不应该从面部组成中分开来看,因为它们形成了一个不可分割的整体。本研究的目的是根据文献资料和临床经验,分析影响固定修复体美学的口面部系统参数。结论:微笑的美丽是由上门牙的形状、颜色和比例决定的。牙齿宽度和长度的单个数值并不会显著影响微笑的和谐度,而会影响它们之间的相互关系。美丽的微笑意味着门牙纵轴与牙弓中线的汇合,从中门牙一直延伸到犬齿。除了这些标准外,还应考虑门牙的可见性,面部中线和牙弓,牙间点和接触,门牙的自由空间以及牙齿的颜色,以达到最大的美学效果。
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引用次数: 0
Dry extraoral storage and delayed replantation of avulsed tooth: Therapy and outcome 干性口外储存和脱脱牙的延迟再植:治疗和结果
Q4 Dentistry Pub Date : 2021-01-01 DOI: 10.5937/ASN2183175T
Olivera Tričković-Janjić, Mila Janjić-Ranković, B. Stojković, Marija Igić, Simona Stojanović
Introduction: The aim of this study was to present the therapeutic procedure and the outcome of replantation of the avulsed permanent central maxillary incisor, found at the site of high contamination, after an extraoral period of 15 hours and dry transport. Case report: By clinical examination it was determined that the root reached the full length, with parallel edges, which corresponded to the age of the girl-8.5 years. After carefully removing the necrotic periodontal ligament from the root of the tooth, extraoral endodontic treatment was performed. The pulp was removed, the multi-sessional intracanal medicament fillings were avoided and the definitive obturation of the root canal was performed. The tooth was returned to the alveolar socket and immobilized with a wire-composite splint. After replantation, the condition of the tooth was monitored. Replacement resorption and dentoalveolar ankylosis occurred after nine months, and then cervical inflammatory resorption led to tooth loss after three and a half years. Conclusion: The achieved result can be considered as a success because during this time the replanted tooth met the developmental, functional and aesthetic requirements, which is especially important in the period of intensive growth and development of the child.
简介:本研究的目的是介绍在高污染部位发现的撕脱的上颌中切牙在口外干燥运输15小时后再植的治疗方法和结果。病例报告:经临床检查,根达到全长,边缘平行,对应女孩的年龄-8.5岁。在小心地从牙根取出坏死的牙周韧带后,进行口外根管治疗。去除牙髓,避免了多次的管内药物充填,完成了根管的完全封闭。将牙齿放回牙槽窝,用金属丝复合夹板固定。再植后监测牙体状况。9个月后出现替代吸收和牙槽关节强直,3年半后出现颈椎炎症性吸收导致牙齿脱落。结论:这段时间的再植牙达到了发育、功能和美观的要求,这在儿童的生长发育时期尤为重要。
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引用次数: 0
Permanent tooth avulsion in children and adults: Therapeutic options for longer survival 儿童和成人恒牙撕脱:延长生存期的治疗选择
Q4 Dentistry Pub Date : 2021-01-01 DOI: 10.5937/ASN2183213S
Simona Stojanović, M. Tijanić, Kristina Burić, Nina N. Burić, M. Spasić, Kosta Todorović, B. Stojković, M. Jovanovic, M. Petrović, Dušan M. Mitić
Introduction: Permanent tooth avulsions (traumatic extraction; total luxation) are one ofthe most severe permanent tooth injuries and can occur as single injuries or associated with other dental injuries or injuries to the face and jaws region. They are defined as the luxation of teeth from the alveoli with complete rupture of periodontal fibres, or with one part attached to the rootcementum and the other to the alveolar bone, thus compromising the dental pulp, root cementum,and alveolar bone. The high prevalence and numerous negative consequences on the stomatognathic systems they have suggest permanent tooth avulsions should be regarded as an important public health problem. The aim: is to point out the therapeutic possibilities of permanent tooth avulsion that can ensure their longer survival in the oral cavity. Conclusion: The treatment strategy for avulsed permanent teeth is always based on limiting root canal infection and periradicular inflammation, shifting the balance from unfavourable (replacement resorption) to favourable (periodontal) healing. The success of therapy and periodontal healing depend on the duration and conditions of extraoral tooth preservation, the degree of damage to the periodontal ligament, and the condition of the pulp.
介绍:恒牙撕脱(外伤性拔牙;全脱位是最严重的永久性牙齿损伤之一,可单独发生,也可合并其他牙齿损伤或面部和颌骨损伤。它们被定义为牙齿脱离牙槽,牙周纤维完全断裂,或一部分附着于牙根骨质,另一部分附着于牙槽骨,从而损害牙髓、牙根骨质和牙槽骨。永久性牙齿撕脱的高患病率和对口腔-牙齿系统的许多负面影响表明,永久性牙齿撕脱应被视为一个重要的公共卫生问题。目的:指出恒牙撕脱的治疗可能性,以确保恒牙在口腔内的存活时间更长。结论:恒牙撕脱的治疗策略应以限制根管感染和根周炎症为基础,将不利的(替代吸收)平衡转移到有利的(牙周)愈合。治疗和牙周愈合的成功与否取决于口腔外牙保存的时间和条件、牙周韧带的损伤程度以及牙髓的状况。
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引用次数: 0
Oral manifestations in patients infected with COVID-19 COVID-19感染患者的口腔表现
Q4 Dentistry Pub Date : 2021-01-01 DOI: 10.5937/asn2184334z
Emilija Živković-Marinkov, D. Milisavljevic, M. Stankovic, G. Filipović, M. Bojanović, N. Nikolić, S. Babac
Introduction:In addition to the characteristic clinical picture of respiratory infection, patients with COVID-19 can also be diagnosed with oral manifestations. Aim: The aim of this study was to review current literature for the prevalence of changes in the oral cavity i.e., the presence of oral symptoms in patients with COVID-19, in order to indicate that oral manifestations may occur due to viral infection with SARS-CoV-2. Methods: Important information relevant to the study was obtained by searching the available electronic PubMed and Google Scholar database. Results: Oral lesions were found in different locations in patients with COVID-19: tongue mucosa (dorsum and lateral sides of the tongue), buccal mucosa, hard and soft palate, inner lip and gingiva. The most common were ulcerations in different parts of the oral cavity. It is still unclear whether oral lesions in SARS-CoV-2 virus infection were a consequence of the primary effect of the virus itself or a secondary manifestation of the infection. The high presence of angiotensin-converting enzyme 2 in oral epithelial cells of the tongue and salivary glands indicates that the oral cavity may be particularly susceptible to SARS-CoV-2 infection. Taste disorder is the most common oral symptom in patients with COVID-19. Conclusion: Oral lesions, xerostomia, taste disorders can occur in patients diagnosed with COVID-19. Therefore, a comprehensive intraoral examination is necessary in order to determine changes in the oral cavity and apply proper treatment.
简介:COVID-19患者除了具有呼吸道感染的特征性临床表现外,还可诊断为口腔表现。目的:本研究的目的是回顾目前关于COVID-19患者口腔变化(即出现口腔症状)的患病率的文献,以表明口腔症状可能是由于病毒感染SARS-CoV-2而发生的。方法:通过检索现有的PubMed电子数据库和谷歌Scholar数据库,获取与本研究相关的重要信息。结果:新冠肺炎患者口腔病变部位不同:舌黏膜(舌背和舌外侧)、颊黏膜、软硬腭、内唇和牙龈。最常见的是口腔不同部位的溃疡。目前尚不清楚SARS-CoV-2病毒感染的口腔病变是病毒本身的主要影响还是感染的继发表现。舌头和唾液腺的口腔上皮细胞中血管紧张素转换酶2的高含量表明口腔可能特别容易受到SARS-CoV-2感染。味觉障碍是COVID-19患者最常见的口腔症状。结论:新冠肺炎患者可出现口腔病变、口干、味觉障碍。因此,全面的口腔内检查是必要的,以确定口腔的变化,并采取适当的治疗。
{"title":"Oral manifestations in patients infected with COVID-19","authors":"Emilija Živković-Marinkov, D. Milisavljevic, M. Stankovic, G. Filipović, M. Bojanović, N. Nikolić, S. Babac","doi":"10.5937/asn2184334z","DOIUrl":"https://doi.org/10.5937/asn2184334z","url":null,"abstract":"Introduction:In addition to the characteristic clinical picture of respiratory infection, patients with COVID-19 can also be diagnosed with oral manifestations. Aim: The aim of this study was to review current literature for the prevalence of changes in the oral cavity i.e., the presence of oral symptoms in patients with COVID-19, in order to indicate that oral manifestations may occur due to viral infection with SARS-CoV-2. Methods: Important information relevant to the study was obtained by searching the available electronic PubMed and Google Scholar database. Results: Oral lesions were found in different locations in patients with COVID-19: tongue mucosa (dorsum and lateral sides of the tongue), buccal mucosa, hard and soft palate, inner lip and gingiva. The most common were ulcerations in different parts of the oral cavity. It is still unclear whether oral lesions in SARS-CoV-2 virus infection were a consequence of the primary effect of the virus itself or a secondary manifestation of the infection. The high presence of angiotensin-converting enzyme 2 in oral epithelial cells of the tongue and salivary glands indicates that the oral cavity may be particularly susceptible to SARS-CoV-2 infection. Taste disorder is the most common oral symptom in patients with COVID-19. Conclusion: Oral lesions, xerostomia, taste disorders can occur in patients diagnosed with COVID-19. Therefore, a comprehensive intraoral examination is necessary in order to determine changes in the oral cavity and apply proper treatment.","PeriodicalId":39229,"journal":{"name":"Acta Stomatologica Naissi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71202710","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
Modern view on mechanisms of epithelium differentiation of the oral mucosa in normal and pathological processes 口腔黏膜正常和病理过程中上皮分化机制的现代观点
Q4 Dentistry Pub Date : 2021-01-01 DOI: 10.5937/asn2184314h
N. Hasiuk, S. Bozhyk, V. Radchuk
Background:In everyday clinical practice, patients who seek dental care in case of oral mucosa diseases are one of the most difficult categories of patients due to difficulties in diagnosis and treatment. Materials and methods: The review and analysis of scientific and medical literature based on the Scopus, Web of Science, MedLine, PubMed, NCBI databases, the study of which does not exceed 5 years, including literature reviews and the results of clinical trials. Results: Changes in the oral mucosa can be clearly specific. Clinicians can make the correct diagnosis and determine the tactics of treatment by appearance. However, in most cases the diagnosis of diseases with this anatomical location is complicated, because the clinical picture is nonspecific and often burdened with additional local and general adverse factors. A detailed clinical examination and additional research methods are required to establish the correct diagnosis. Diagnosis of oral mucosa diseases is based on a careful assessment of clinical and laboratory data. Conclusions: Taking into account the prevalence of diseases of the oral mucosa, of particular interest is the question of the course of the process of differentiation of the epithelium of various anatomical zones in the norm and the mechanisms of restructuring of the cellular composition in pathological processes, with the cops of objectifying the diagnosis, predicting the course of the disease and pathogenetically substantiated treatment.
背景:在日常临床实践中,口腔黏膜疾病患者因诊断和治疗困难而寻求牙科护理是最困难的患者类别之一。材料和方法:基于Scopus、Web of Science、MedLine、PubMed、NCBI数据库,对研究不超过5年的科学和医学文献进行综述和分析,包括文献综述和临床试验结果。结果:口腔黏膜的变化具有明显的特异性。临床医生可以根据症状做出正确的诊断并确定治疗策略。然而,在大多数情况下,这种解剖位置的疾病的诊断是复杂的,因为临床表现是非特异性的,而且往往有额外的局部和全身不利因素。需要详细的临床检查和额外的研究方法来建立正确的诊断。口腔黏膜疾病的诊断是基于对临床和实验室数据的仔细评估。结论:考虑到口腔黏膜疾病的患病率,特别感兴趣的是正常情况下各解剖区上皮分化过程的过程和病理过程中细胞成分重组的机制,以客观诊断,预测疾病的进程和病理证实的治疗为目标。
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引用次数: 1
Smoking and alcohol consumption as risk factors in 112 oncology patients diagnosed with bisphosphonate-associated osteonecrosis of the jaw 112例诊断为双膦酸盐相关性颌骨骨坏死的肿瘤患者吸烟和饮酒的危险因素
Q4 Dentistry Pub Date : 2021-01-01 DOI: 10.5937/asn2184225h
M. Hristamyan, R. Raycheva, V. Hristamyan
Background: Bisphosphonate-associated osteonecrosis of the jaws (BAONJ) is a complication of great medical importance. Some of the most discussed and controversial aspects are the risk factors, some of which are related to patients' smoking and alcohol consumption. The Aim: To study cancer patients with BAONJ and determine their participation in the mentioned above risky health-related habits. Material and methods: A prospective epidemiological study of 112 patients diagnosed with bisphosphonate-associated osteonecrosis of the jaw in 2016 and 2017 was conducted at the Clinic of Maxillofacial surgery of University hospital "St. George", Plovdiv, Bulgaria, based on anamnesis, clinical examination, and hospital documentation. SPSS Statistics v.24 was used for statistical analysis, at a significance level p<0.05. Results: Over 2/3 of the patients were smokers (40.18%) or ex-smokers (25.00%), which linked them with the risk factor of smoking. At the time of the study, patients smoking between 1 and 9 and between 10 and 19 cigarettes a day had equal relative shares of 44.22%. More than half of the patients smoked from the age of 20-39, which we explain by the high average age. The majority of patients studied consumed alcohol, most often once a week or on weekends (28.57%) or only on occasions (26.79%), followed by 24.11% who used alcohol several times per week. Nearly 2/3 drink drinks with both low and high alcohol content. Conclusion: The highest proportion of patients are smokers / ex-smokers and consume alcoholic beverages occasionally, which links them to these risk potential factors.
背景:双磷酸盐相关性颌骨骨坏死(BAONJ)是一种具有重要医学意义的并发症。一些讨论最多和争议最大的方面是风险因素,其中一些与患者吸烟和饮酒有关。目的:研究患有BAONJ的癌症患者,并确定他们是否参与了上述与健康相关的危险习惯。材料与方法:对保加利亚Plovdiv“St. George”大学医院颌面外科门诊2016年和2017年诊断为双膦酸盐相关性颌骨骨坏死的112例患者进行前瞻性流行病学研究,基于记忆、临床检查和医院文献。采用SPSS Statistics v.24进行统计分析,显著性水平p<0.05。结果:超过2/3的患者为吸烟者(40.18%)或已戒烟者(25.00%),与吸烟相关。在研究期间,每天吸烟1至9支和10至19支的患者的相对比例相等,为44.22%。超过一半的患者吸烟年龄在20-39岁之间,我们用高平均年龄来解释这一点。大多数研究的患者饮酒,最常见的是每周一次或周末(28.57%)或偶尔饮酒(26.79%),其次是24.11%每周饮酒几次。近三分之二的人饮用酒精含量高低的饮料。结论:吸烟者/已戒烟者及偶尔饮酒者所占比例最高,与上述危险因素有关。
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引用次数: 0
Statistical analysis of criteria for efficiency of filling of permanent teeth in children 儿童恒牙充填效率评价标准的统计分析
Q4 Dentistry Pub Date : 2021-01-01 DOI: 10.5937/asn2184232k
O. Klitynska, N. Hasiuk, P. Hasiuk, A. Vasko, V. Gurando, T. Zorivchak, Andriy Stishkovsky
Introduction: The effectiveness of caries treatment depends on many factors, such as the condition of dental tissues, the stage of root development, the period of dentition, the quality of preparation and isolation, the optimal choice of material for restoration. The problem of choosing the filling material is acute in each treatment of caries in children with mixed and permanent dentition. The aim: Todetermine and statistically substantiate parameters for choosing restorative material for permanent teeth in children with different stages of root development. Materials and methods: 248 children aged 7 to 11 (122 boys and 126 girls) and 246 children aged 12 to 17 (120 boys and 126 girls),students of Uzhhorod Secondary School №20 were examined. Restoration materials -"Polofil Supra" (VOCO, Germany) and "DyracteXtra" (Densply, USA). The following criteria were investigated: saliva pH, area of destruction of the occlusal surface of masticatory teeth, stage of root development, depth of the lesion and cavity topography, the acid resistance of the enamel. For the purpose of statistical justification of the selected parameters that pointed as significant in the choice of restorative materials, and for the analysis of the interrelations of the parameters studied, the Spearman correlation coefficient (r) was determined. The correlation coefficient was considered statistically significant when p <0.05. Results: For children aged 7-17 years to restore permanent teeth during the period of mixed and permanent dentition, the best materials in use were: "Polofil Supra" (VOCO, Germany) and "DyracteXtra" (Dentsply, USA). Conclusion: To restore permanent teeth in any stage of root development, it is rational to use a compomer material "DyracteXtra" (r = 0.80), and a composite material "Polofil Supra" -under the conditions of the formed root, at a pH level of more than 6.2, a high degree acid resistance of the enamel and the area of destruction of the occlusal surface less than 0.55 (r = 0.72).
龋齿治疗的效果取决于许多因素,如牙组织的状况、牙根发育的阶段、牙列生长的时期、准备和分离的质量、修复材料的最佳选择。在混合牙列和恒牙列儿童龋的治疗中,充填材料的选择是一个急迫的问题。目的:确定并统计证实不同牙根发育阶段儿童恒牙修复材料选择的参数。材料和方法:对乌日霍罗德第20中学7至11岁的248名儿童(男122名,女126名)和12至17岁的246名儿童(男120名,女126名)进行了调查。修复材料-“Polofil Supra”(德国VOCO)和“DyracteXtra”(美国Densply)。研究标准为:唾液pH值、咀嚼牙合面破坏面积、牙根发育阶段、病变深度及牙洞地形、牙釉质耐酸性。为了统计证明所选参数在选择修复材料时具有重要意义,并分析所研究参数之间的相互关系,确定了Spearman相关系数(r)。当p <0.05时认为相关系数有统计学意义。结果:7-17岁儿童混合恒牙期修复恒牙,首选材料为“Polofil Supra”(德国VOCO)和“DyracteXtra”(美国Dentsply)。结论:恒牙在牙根发育的任何阶段,复合材料“DyracteXtra”(r = 0.80)和复合材料“Polofil Supra”在牙根形成、pH值大于6.2、牙釉质耐酸程度高、咬合面破坏面积小于0.55 (r = 0.72)的条件下是合理的。
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引用次数: 0
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Acta Stomatologica Naissi
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