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The effect of antibacterial agents of composite resin materials in dental caries prevention and reduction of flexural strength of the material: Systematic review and meta-analysis 复合树脂材料抗菌剂在预防龋病和降低材料抗弯强度中的作用:系统综述和荟萃分析
IF 0.4 Pub Date : 2022-12-29 DOI: 10.34172/johoe.2022.13
F. Nilchian, Neda Mosayebi, M. Tarrahi, A. Feiz, Omid Sadr, Yahya Forozande
Background: The present study aimed to evaluate the antibacterial agents of composite resin materials, their efficacy in caries prevention, and their impact on the mechanical properties (flexural strength) of composite resin restorative materials. Methods: In this systematic review and meta-analysis, all published articles on the effects of antibacterial properties of composite resin materials in the prevention of dental caries (between 2005 to 2020) were evaluated using valid databases, including PubMed, Google Scholar, Web of Science, ISI, Scopus, Cochrane, ProQuest, and Embase, found by searching the keywords "anti-bacterial agents," "composite resins," "dental restoration," and "dental caries" according to the MeSH system. The context of the studies was extracted and subjected to modified CONSORT. The required data were extracted and analyzed with the Comprehensive Meta-Analysis software. Results: According to the results of the random effect model, the heterogeneity of biofilm colony forming unit (CFU) average was -1.90 (CI: -1.68 to -2.13). The mean value of the control group was higher than the intervention. The heterogeneity of flexural strength (FS) average was -11.92 (CI: -8.30 to -15.55). The mean value of the control group was higher than the intervention group. The heterogeneity of thiazolyl blue tetrazolium bromide (MTT) absorbance average was -0.90 (CI: -0.65 to -1.14). The mean value of the control group was higher than the intervention group. Conclusion: The results of the present study showed that the antibacterial agents had a significant effect on the caries prevention properties of the composite resin materials; however, due to the bias related to different control groups, laboratory conditions, and mismatch between in vitro and in vivo conditions, more studies are needed in this regard.
背景:本研究旨在评价复合树脂材料的抗菌剂、防龋效果及其对复合树脂修复材料力学性能(抗弯强度)的影响。方法:系统回顾和荟萃分析2005年至2020年间发表的所有关于复合树脂材料抗菌性能在预防龋病中的作用的文章,使用PubMed、谷歌Scholar、Web of Science、ISI、Scopus、Cochrane、ProQuest和Embase等有效数据库,根据MeSH系统检索关键词“抗菌剂”、“复合树脂”、“牙齿修复”和“龋齿”,进行评价。提取研究的背景并进行改良的CONSORT。采用综合meta分析软件提取所需数据并进行分析。结果:随机效应模型结果显示,生物膜菌落形成单位(CFU)平均异质性为-1.90 (CI: -1.68 ~ -2.13)。对照组的平均值高于干预组。抗弯强度(FS)平均异质性为-11.92 (CI: -8.30 ~ -15.55)。对照组的平均值高于干预组。噻唑蓝溴化四唑铵(MTT)吸光度平均异质性为-0.90 (CI: -0.65 ~ -1.14)。对照组的平均值高于干预组。结论:抗菌药物对复合树脂材料的防龋性能有显著影响;然而,由于不同的对照组、实验室条件、体外和体内条件不匹配等因素的偏倚,这方面还需要更多的研究。
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引用次数: 0
Developing a household socioeconomic status index tool for health studies in Iran: An analytic hierarchy process approach 开发用于伊朗健康研究的家庭社会经济地位指数工具:层次分析法
IF 0.4 Pub Date : 2022-12-29 DOI: 10.34172/johoe.2022.09
Sareh Shakerian, A. Zafarmand, S. Yazdani, S. Shafiei
Background: Socioeconomic status (SES) is a criterion consisting of several components that encompass socioeconomic and cultural dimensions. This study aimed to design and develop a methodological guideline for calculating a single summary index (SSI) using the contributing variables of SES in a family unit. Methods: The data consisted of 18700 urban and 19200 rural households. Effective components of SES were extracted using two-step factor analysis and the structural equational modeling (SEM) method for both populations separately with AMOS software. Then, in order to customize and validate the weight of each component, the analytic hierarchy process (AHP) method was performed by a panel of experts. Finally, the SES index computational tool was developed as an SSI using all effective components by Excel software. Statistical analysis was done with SPSS software version 21. Results: In rural areas, the four wealth components of education, job, income, and family size were recognized as effective socioeconomic factors. Yet, in urban areas, family size was disregarded as an effective factor. In both rural and urban communities the three welfare components of appropriate nutrition, appropriate home appliance, and appropriate housing were similarly effective. The SES of rural population had a homogeneous distribution, while urban population did not follow a particular trend. Conclusion: The SES index impacts all aspects of life, especially health status. The introduced method is comprehensive and applicable to both rural and urban populations. Due to ever-changing lifestyles, constant technological advances, and sociopolitical changes in each society, the tool requires modification in a specific time intervals.
背景:社会经济地位(SES)是一个由几个组成部分组成的标准,包括社会经济和文化层面。本研究旨在设计和开发一种方法指南,用于使用家庭单元中SES的贡献变量计算单一汇总指数(SSI)。方法:数据包括18700个城市家庭和19200个农村家庭。利用AMOS软件,分别采用两步因子分析和结构方程建模(SEM)方法提取两个群体的SES有效成分。然后,为了自定义和验证每个组件的权重,由专家小组执行层次分析法(AHP)。最后,通过Excel软件,将SES指数计算工具开发为使用所有有效组件的SSI。采用SPSS软件21版进行统计分析。结果:在农村地区,教育、工作、收入和家庭规模这四个财富组成部分被认为是有效的社会经济因素。然而,在城市地区,家庭规模作为一个有效因素被忽视了。在农村和城市社区,适当的营养、适当的家用电器和适当的住房这三个福利组成部分同样有效。农村人口的社会经济地位呈均匀分布,而城市人口则没有遵循特定的趋势。结论:SES指数影响生活的方方面面,尤其是健康状况。所介绍的方法是全面的,适用于农村和城市人口。由于每个社会不断变化的生活方式、不断的技术进步和社会政治变化,该工具需要在特定的时间间隔内进行修改。
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引用次数: 0
Evaluation of educational needs assessment and management of dental traumas in primary school teachers, in Iran and worldwide: A systematic review 在伊朗和世界范围内,小学教师的教育需求评估和牙科创伤管理的评价:系统综述
IF 0.4 Pub Date : 2022-12-29 DOI: 10.34172/johoe.2022.11
Mojde Molaei, Saeedeh Abedassar, Fatemeh Najminouri
Background: Every year, many primary school children suffer from dental trauma. The long-term success of treatment depends on immediate emergency care and initial professional management after the injury occurs. Therefore, primary school teachers can play an important role in the management of traumatic dental injuries (TDIs). As no systematic review has been conducted on this subject in Iran, the present study aimed to investigate the educational needs assessment and management of dental trauma in primary school teachers in Iran and in other countries. Methods: In this systematic review, four main electronic databases, PubMed, Web of Science, Scopus, and Google Scholar, were examined with keywords derived from MESH and by designing a detailed search strategy. The studies were then transferred to EndNote software version 20 and screened based on preferred reporting items for systematic reviews and according to the study input criteria. Then, the selected studies were reviewed to extract the data based on the objectives of the study. Results: Eventually 19 studies were included in the final review phase out of the 774 studies obtained during the systematic search. Five of these studies were specific to Iran. The present study showed that the knowledge of primary school teachers about managing dental traumas is insufficient, and it is necessary to train them on appropriate trauma management to improve their ability and performance. Conclusion: There are gaps in the management of dental traumas that confirm the need for effective education and intervention to improve the knowledge, performance, attitude, and ability of teachers.
背景:每年都有许多小学生遭受牙科创伤。治疗的长期成功取决于损伤发生后立即的急救和初步的专业管理。因此,小学教师可以在外伤性牙损伤(TDIs)的管理中发挥重要作用。由于伊朗尚未对这一主题进行系统审查,本研究旨在调查伊朗和其他国家小学教师的教育需求评估和牙科创伤管理。方法:在这篇系统综述中,通过设计详细的搜索策略,对PubMed、Web of Science、Scopus和Google Scholar四个主要的电子数据库进行了检索。然后将研究转移到EndNote软件版本20中,并根据系统审查的首选报告项目和研究输入标准进行筛选。然后,对选定的研究进行审查,以根据研究目标提取数据。结果:在系统搜索期间获得的774项研究中,最终有19项研究被纳入最终审查阶段。其中五项研究是针对伊朗的。本研究表明,小学教师对牙科创伤的管理知识不足,有必要对他们进行适当的创伤管理培训,以提高他们的能力和表现。结论:在牙科创伤的管理方面存在差距,这证实了需要进行有效的教育和干预,以提高教师的知识、表现、态度和能力。
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引用次数: 0
Knowledge and attitudes about emergency management of avulsed teeth among primary and secondary school teachers in Malatya, Turkey 土耳其马拉蒂亚中小学教师对牙齿脱落应急管理的认识和态度
IF 0.4 Pub Date : 2022-10-04 DOI: 10.34172/johoe.2022.06
G. Duruk
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引用次数: 0
Prevalence of taurodontism and its associated anomalies in dental patients in Kerman 克尔曼地区牙齿患者的牛头畸形患病率及其相关异常
IF 0.4 Pub Date : 2022-10-04 DOI: 10.34172/johoe.2022.02
Mansoureh Darijani
Background: Taurodontism is an anomaly that can cause problems in dental treatment. It is essential for clinicians to accurately determine the prevalence of this anomaly. This study aimed to determine the prevalence of taurodontism and its associated anomalies in patients visiting clinics in Kerman in 2019. Methods : This cross-sectional study was conducted on 424 digital panoramic radiographs of patients who visited private clinics in Kerman in 2019. The panoramic radiographs were evaluated for the presence of taurodont molars and possible related anomalies such as microdontia, severe hypodontia, as well as enamel and dentin hypoplasia. The statistical analysis was performed using SPSS 21 and chi-square test. The significance level was set at 0.05. Results : The findings of this study showed there were 82 taurodont teeth in 33 (7.78%) out of a total of 424 panoramic radiographs (6.6% in males and 9.0% in females with an age range of 18-52(. There was no significant relationship between sex and taurodontism ( P = 0.36). Of 82 taurodont molars, 34.1% were in the mandible and 65.9% in the maxilla. The most involved teeth were the mandibular second molars. There was no significant relationship between maxilla and mandible concerning the infected teeth ( P = 0.74). Taurodontism and hypodontia were observed simultaneously in only one man who had 4 taurodont teeth. Conclusion : The prevalence of taurodont molars in this study was 7.78% and it was more common in second molars and in the mandible. Moreover, hypotaurodontism was found as the most common type of anomaly.
背景:牛牙畸形是一种异常现象,会给牙齿治疗带来问题。对于临床医生来说,准确地确定这种异常的患病率是至关重要的。本研究旨在确定2019年在克尔曼就诊的患者中牛牙症的患病率及其相关异常。方法:对2019年在克尔曼市私人诊所就诊的患者的424张数字全景x线片进行横断面研究。全景x线片评估是否存在牛头齿磨牙和可能的相关异常,如小牙畸形,严重牙下畸形,以及牙釉质和牙本质发育不全。统计学分析采用SPSS 21和卡方检验。显著性水平设为0.05。结果:本研究结果显示,年龄18-52岁的患者共拍摄424张全景x线片,其中33张(男性6.6%,女性9.0%)中有82颗牛头齿,占7.78%。性别与牛牙症无显著相关(P = 0.36)。其中,下颌骨占34.1%,上颌骨占65.9%。受累最多的牙齿是下颌第二磨牙。上颌与下颌骨感染牙的关系无统计学意义(P = 0.74)。只有1例患者有4颗牛头齿,同时出现了牛头齿畸形和下颌畸形。结论:本研究中牛头齿臼齿的患病率为7.78%,以第二磨牙和下颌骨多见。此外,发现低牙齿畸形是最常见的异常类型。
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引用次数: 0
Application of queuing theory and simulation to reduce waiting time in dental hospitals 排队理论与仿真在牙科医院缩短候诊时间中的应用
IF 0.4 Pub Date : 2022-10-04 DOI: 10.34172/johoe.2022.03
S. Kakooei
Background: Patient waiting time is an important factor in the management of the health sector. This study aimed to develop a suitable queuing theory and simulation technique to optimize dental hospital management. Methods: A descriptive-analytical study was performed in a dental hospital in Tehran, Iran. A sample of 3364 patients referred to the hospital was selected to calculate the patient flow and queuing system performance. After an initial data assessment, the dental hospital queuing system performance indicators were calculated for two shifts. The queuing system of the current situation was modeled using ARENA software, and two scenarios were examined. Results: The average number of patients waiting in the queuing system was 38 and 17 in the morning and evening, respectively. The average time patients spend waiting in the system was 110 and 49 minutes in the morning and evening, respectively. The two scenarios, based on the simulated queuing network model, showed that in the first scenario, by using two nurses (one male and one female) as triage clerks for filing requests, one clerk for managing financial records, and one information desk secretary, the average queue length and waiting time were reduced to 0.02 patients and 4 minutes, respectively. In the second scenario, by using two nurses (one male and one female) as triage clerks for filing requests and two secretaries (one male and one female) for financial record management and registration, the average queue length and the waiting time in triage were reduced to 0.03 people and 5 minutes, respectively. Conclusion: Based on the results, using queuing theory and simulation techniques can improve the queuing status of health centers without any changes in the number of staff and only by implementing a suitable rearrangement in staff duties, establishing parallel service lines in busy service-providing centers, and using nurses able to multitask.
背景:患者等待时间是卫生部门管理中的一个重要因素。本研究旨在开发一种合适的排队理论和模拟技术来优化牙科医院的管理。方法:在伊朗德黑兰的一家牙科医院进行描述性分析研究。选择3364名转诊到医院的患者作为样本,计算患者流量和排队系统性能。在初步数据评估后,计算了两个班次的牙科医院排队系统性能指标。使用ARENA软件对当前情况下的排队系统进行了建模,并对两种情况进行了检验。结果:早上和晚上在排队系统等待的患者平均人数分别为38人和17人。患者在系统中等待的平均时间分别为上午110分钟和晚上49分钟。基于模拟排队网络模型的两个场景显示,在第一个场景中,通过使用两名护士(一男一女)作为分诊员来提交请求,一名职员负责管理财务记录,以及一名咨询台秘书,平均排队长度和等待时间分别减少到0.02名患者和4分钟。在第二种情况下,通过使用两名护士(一男一女)作为分诊员提出申请,并使用两名秘书(一男一女)进行财务记录管理和登记,分诊的平均排队时间和等待时间分别减少到0.03人和5分钟。结论:根据研究结果,运用排队理论和模拟技术,在不改变工作人员数量的情况下,只有对工作人员的职责进行适当的重新安排,在繁忙的服务提供中心建立平行的服务线,并使用能够多任务处理的护士,才能改善卫生中心的排队状态。
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引用次数: 0
Frenotomy procedure of a cleft lip and palate case 1例唇腭裂的截骨术
IF 0.4 Pub Date : 2022-10-04 DOI: 10.34172/johoe.2022.08
Ezgi Sila Taskaldiran
Background: Cleft lip and palate are malformations that occur in 1–2 in every 1000 people and require multidisciplinary treatment. In this case, we aimed to present the repositioning of a band-shaped buccal frenulum, which is thought to have prevented oral hygiene practices in a patient with cleft lip and palate. Case Report: A 19-year-old non-smoking, systemically healthy male with a cleft lip and palate history was referred to the Periodontology Department of the Gazi University Dentistry Faculty with periodontal problems and was diagnosed with gingivitis. A thick, band-shaped buccal frenulum that directly affected the left maxillary teeth and caused difficulties in plaque elimination was observed. A frenotomy procedure was performed by repositioning the frenulum after non-surgical periodontal treatment to improve the hygiene of the region. Through operation, the buccal frenulum was repositioned, and adequate vestibular depth was achieved. Before and after periodontal treatment, halitosis scores were measured. Conclusion: An improvement was observed in plaque elimination and intraoral Halimeter scores in the first- and second-month controls of the region after frenotomy and non-surgical periodontal treatment. The improvements show the importance of periodontal treatment for such cases.
背景:唇腭裂是一种畸形,每1000人中就有1-2人发生,需要多学科治疗。在这种情况下,我们旨在介绍带状颊系带的重新定位,这被认为阻止了唇腭裂患者的口腔卫生实践。病例报告:一名有唇腭裂病史的19岁非吸烟者、全身健康男性因牙周问题被转诊至加孜大学牙科学院牙周学系,并被诊断为牙龈炎。观察到一个厚的带状颊系带直接影响左上颌牙齿,导致牙菌斑清除困难。在非手术牙周治疗后,通过重新定位系带进行系带切开术,以改善该区域的卫生状况。通过手术,对颊系带进行了复位,获得了足够的前庭深度。在牙周治疗前后,测量口臭评分。结论:在系带切开术和非手术牙周治疗后的第一个月和第二个月对照组中,观察到斑块消除和口内Halimeter评分有所改善。这些改善表明了牙周治疗对此类病例的重要性。
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引用次数: 0
A retrospective study on root canal treatment of first permanent molars in children aged 8-16 years 8 ~ 16岁儿童第一恒磨牙根管治疗的回顾性研究
IF 0.4 Pub Date : 2022-10-04 DOI: 10.34172/johoe.2022.04
A. Günay
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引用次数: 0
Frequency of various intensities of dentine hypersensitivity versus good and bad oral hygiene practices within Pakistani population 巴基斯坦人群中不同程度牙本质过敏的频率与良好和不良口腔卫生习惯的比较
IF 0.4 Pub Date : 2022-10-04 DOI: 10.34172/johoe.2022.07
Asma Shakoor
Background: Dentine sensitivity presents as short, sharp pain due to exposed dentine. To keep ourselves abreast with the challenging situation of increasing prevalence of dentine sensitivity within the country, this research was conducted to devise a better management strategy. The aim of this study was to evaluate the frequency and intensity of dentine sensitivity within patients reporting in Outpatient department (OPD) and to correlate good versus bad practices of dentine sensitivity patients with dentine sensitivity frequency. Methods: A questionnaire based cross sectional study was carried out in three dental institutes of Lahore, Pakistan over a period of four months. A sample size of 300 individuals was selected by non-probability convenient sampling technique. Information collected included demographic data, participant’s oral hygiene practices and intensity of dentine sensitivity in them. A numeric rating scale was used to record the degree of dentine sensitivity and descriptive statistics were presented as frequency and percentage. Results: 210 out of 300 patients reported dentine sensitivity (70%). Only 1/4th patients were highly qualified. 60% individuals were from low income group. 51% reported intensity as mild, 34% as moderate and 15% as severe sensitivity. Most common triggering factor was cold (36%). Good practices resulted in reduction in sensitivity. Conclusion: According to results, high frequency of dentine sensitivity is observed. More awareness needs to be created about factors leading to sensitivity focusing more on dietary patterns that cause erosive wear of enamel and reduction in aggressive brushing and parafunctional habits.
背景:牙本质敏感性表现为由于暴露的牙本质而引起的短暂的尖锐疼痛。为了跟上国内牙本质敏感性日益普遍的挑战形势,进行了这项研究,以制定更好的管理策略。本研究的目的是评估在门诊(OPD)报告的患者中牙本质敏感的频率和强度,并将牙本质敏感患者的好与坏做法与牙本质敏感频率联系起来。方法:采用问卷调查法对巴基斯坦拉合尔3所牙科医院进行为期4个月的横断面调查。采用非概率方便抽样法,选取300人作为样本。收集的信息包括人口统计数据、参与者的口腔卫生习惯和他们的牙本质敏感程度。采用数值评定量表记录牙本质敏感程度,描述性统计以频率和百分比表示。结果:300例患者中有210例报告牙本质敏感(70%)。只有1/4的患者是高质量的。60%的人来自低收入群体。51%的报告强度为轻度,34%为中度,15%为重度敏感。最常见的触发因素是寒冷(36%)。良好的做法导致敏感性降低。结论:观察结果显示牙本质敏感性较高。我们需要更多地了解导致敏感的因素,更多地关注饮食模式,这些饮食模式会导致牙釉质的侵蚀磨损,减少积极刷牙和辅助功能习惯。
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引用次数: 0
Personal protective equipment against coronavirus in the field of dentistry: A rapid review 牙科领域的冠状病毒个人防护设备:快速综述
IF 0.4 Pub Date : 2022-10-04 DOI: 10.34172/johoe.2022.01
F. Arab pour
Background: The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) disease can be transmitted through direct or indirect contact with droplets from the infected person's respiratory system. The aim of this study was a rapid review of the use of personal protective equipment against coronavirus in the field of dentistry. Methods: This study was a rapid cross-sectional review and research. A search was performed in Scopus and PubMed. The key words were PPE) personal protective equipment) with "Corona virus" OR "Coronavirus" OR "Covid 19" as well as the combination of "oral health" and "dent" with "Corona virus" OR "Covid 19" OR "coronavirus." Finally, we selected nine articles and excluded 545 irrelevant articles. We reviewed these nine studies in full text and excluded two of them as they were unrelated to the review of personal protective equipment.Results: One study showed that patients with COVID-19 who do not yet have symptoms might seek emergency dental treatment. Two researchers concluded that dentists had good information about how the virus was transmitted but did not know its symptoms well. One study concluded that the use of filtering facepiece respirators (FFRs) during the COVID-19 pandemic is essential to preventing exposure to aerosols and droplets, as it is more fluid-resistant and functions better than surgical masks, which cause flooding around the mouth and nose.Conclusion: This study shows that many dentists do not have enough information about the disease and proper personal protective equipment. This may be due to a lack of precise operating instructions.
背景:严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)可通过直接或间接接触患者呼吸系统飞沫传播。本研究的目的是快速回顾牙科领域使用个人防护装备对抗冠状病毒的情况。方法:采用快速横断面回顾研究方法。在Scopus和PubMed中进行了搜索。关键词是“冠状病毒”、“冠状病毒”、“Covid - 19”、“口腔健康”和“凹痕”与“冠状病毒”、“Covid - 19”或“冠状病毒”的组合。最后,我们选择了9篇文章,并排除了545篇不相关的文章。我们对这九项研究进行了全文审查,并排除了其中两项研究,因为它们与个人防护装备的审查无关。结果:一项研究表明,尚未出现症状的COVID-19患者可能会寻求紧急牙科治疗。两位研究人员得出结论,牙医对病毒的传播方式有很好的了解,但对它的症状却不太了解。一项研究得出结论,在2019冠状病毒病大流行期间,使用过滤式面罩(ffr)对于防止接触气溶胶和飞沫至关重要,因为它比外科口罩更耐液体,功能更好,后者会导致口鼻周围积水。结论:这项研究表明,许多牙医对这种疾病缺乏足够的了解,也没有适当的个人防护装备。这可能是由于缺乏精确的操作说明。
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引用次数: 0
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Journal of Oral Health and Oral Epidemiology
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