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Microbiological and Immunological Assessment of Peri-implant Sites in Healthy and Diabetic Individuals After Prosthetic Rehabilitation: A Prospective Case Control Study 假牙修复后健康人和糖尿病人种植体周围的微生物学和免疫学评估:前瞻性病例对照研究
IF 0.7 Pub Date : 2024-05-21 DOI: 10.1177/23202068241242626
Gera Dinesh, K. Ramesh, Gautami S Penmetsa, P. Swetha, NVS Sruthima G, P. M. Kumar
Microbial colonization contributes to periodontitis and peri-implantitis with an increase in proinflammatory cytokines like IL 17. This has a vital role in the destructive process of tissue and bone around the implant. Type 2 diabetes mellitus has the potential to increase these microbial colonies thus becoming a risk factor. To compare and correlate the association of peri-implant sulcular microflora and salivary IL-17 between healthy and controlled diabetic individuals. A total of 30 participants who have undergone dental implant placement with screw-retained prosthesis were included in the study. Participants were divided into two groups, healthy ( n = 15) and diabetic ( n = 15). The subgingival plaque was collected from peri-implant sites into TE buffer vials and the salivary sample was collected into Eppendorf tubes at the 7th, 14th, and 30th day. Microbiological counts of P. gingivalis, T. denticola, T .forsythia, and F. nucleatum were evaluated by polymerase chain reaction, and salivary interleukin (IL)-17 levels were obtained by enzyme-linked immunosorbent assay. The bacterial count was increased in both healthy and diabetic individuals but more prevalent in diabetes. The salivary IL-17 levels were increased in diabetic individuals which was statistically significant. Increased microbiota in both healthy and diabetic individuals along with increased IL-17 levels can lead to peri-implantitis which provides an insight into microbiological and immunological aspects in individuals with dental implants further acting as a predictor for peri-implantitis.
微生物定植会导致牙周炎和种植体周围炎,并增加促炎细胞因子,如 IL 17。这在种植体周围组织和骨质的破坏过程中起着至关重要的作用。2 型糖尿病有可能增加这些微生物菌落,从而成为一个风险因素。目的:比较和关联健康和受控糖尿病患者种植体周围龈沟微生物菌群与唾液 IL-17 的关系。本研究共纳入了 30 名接受过种植牙和螺钉固位修复的参与者。参与者分为两组,健康组(15 人)和糖尿病组(15 人)。在第 7 天、第 14 天和第 30 天,从种植体周围收集龈下菌斑,装入 TE 缓冲液瓶中,并用 Eppendorf 管收集唾液样本。通过聚合酶链式反应评估牙龈脓毒性杆菌、牙结石脓毒性杆菌、连翘脓毒性杆菌和核酸酵母菌的微生物数量,并通过酶联免疫吸附试验检测唾液中白细胞介素(IL)-17的水平。健康人和糖尿病人的细菌数量都有所增加,但糖尿病人的细菌数量更多。糖尿病患者唾液中的 IL-17 水平升高,这在统计学上有显著意义。健康人和糖尿病人体内微生物群的增加以及 IL-17 水平的升高都可能导致种植体周围炎,这为我们提供了对种植牙患者微生物和免疫学方面的深入了解,并可进一步作为种植体周围炎的预测指标。
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引用次数: 0
Translucency and Color Difference of Monolithic Zirconia Restorations: The Effect of Surface Finishing on Background Color 整体氧化锆修复体的半透明度和色差:表面处理对底色的影响
IF 0.7 Pub Date : 2024-04-11 DOI: 10.1177/23202068241238822
Emel Arslan, Kübra Deg˘irmenci
This study evaluates the effect of different surface finishing procedures on the color and translucency values of monolithic zirconia materials on three different colored composite backgrounds. Sixty monolithic zirconia blocks of three different translucency levels were prepared in vitro using computer-aided design/computer-aided manufacturing (CAD/CAM) systems. The correlation between repeat measurements was 0.5, resulting in a sample size of nine samples per group to detect a medium effect size, f = 0.25. Half of the zirconia blocks in each group were subjected to glazing, while the other half were polished ( n = 10). Composite blocks of three different colors were prepared to simulate dental substrates, and the zirconia specimens were placed on these composite backgrounds. The color parameters of the specimens were measured using a spectrophotometer on gray, black, and white backgrounds. Three-way repeated measure ANOVA was used to assess the interaction between the three independent variables (zirconia brand, surface finishing technique, and background color) and the effects of each tested variable on the changes in color and translucency. The surface finishing techniques had a significant effect on the color and translucency of the monolithic zirconia materials. Glazing resulted in higher color differences and lower translucency values compared to polishing. For backgrounds of the same color, no significant differences were detected between the glazed zirconia groups for the same condition ( p > .016). Overall, the study demonstrated the importance of selecting the appropriate surface finishing technique and translucency property of the monolithic zirconia materials to obtain the optimal esthetic results in dental restorations.
本研究评估了在三种不同颜色的复合背景上,不同的表面处理程序对单片氧化锆材料的颜色和透光度值的影响。使用计算机辅助设计/计算机辅助制造(CAD/CAM)系统在体外制备了 60 个具有三种不同透光度的单片氧化锆块。重复测量之间的相关性为 0.5,因此每组样本量为 9 个,以检测中等效应大小(f = 0.25)。每组一半的氧化锆块进行上釉处理,另一半进行抛光处理(n = 10)。制备了三种不同颜色的复合材料块来模拟牙科基底,并将氧化锆试样放置在这些复合材料背景上。在灰色、黑色和白色背景上使用分光光度计测量试样的颜色参数。采用三因素重复测量方差分析来评估三个自变量(氧化锆品牌、表面处理技术和背景颜色)之间的交互作用,以及每个测试变量对颜色和透光度变化的影响。表面处理技术对整体氧化锆材料的颜色和半透明度有显著影响。与抛光相比,上釉会导致更高的颜色差异和更低的透光度值。对于相同颜色的背景,上釉氧化锆组之间在相同条件下没有发现明显差异(P > .016)。总之,该研究表明了选择合适的表面处理技术和单片氧化锆材料的半透明特性对获得最佳牙科修复美学效果的重要性。
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引用次数: 0
Effects of Fluoride Varnish on Roughness of Polyacid-Modified Composite Resins at Different Temperatures: An In Vitro Study 不同温度下氟化物清漆对聚酸改性复合树脂粗糙度的影响:体外研究
IF 0.7 Pub Date : 2024-03-25 DOI: 10.1177/23202068241237336
Nuran Çevik, E. Bodrumlu
The purpose of this study is to determine how fluoride varnish materials applied to polyacid modified composite resins (PMCR) affect roughness at various temperatures. In total, 100 PMCR discs were manufactured for this in vitro study, and the hundred samples were randomly split into five groups of twenty samples each. The samples in four groups had their surfaces coated with fluoride varnish at varying temperatures (4ºC, 23ºC, 39ºC, and 55ºC), while the samples in the control group did not get this treatment. A heating device is used for fluoride varnish. A profilometer was used to measure the samples’ surface roughness values after application. The Kruskal–Wallis and Shapiro–Wilk tests were used for statistical analysis. After comparing five groups with twenty samples apiece, it was found that 23ºC had the greatest average roughness value. For the fluoride varnish material cooked at various temperatures, there was no discernible statistical variation in the roughness values. The study’s results indicate that all groups’ surface roughness values following the application of fluoride varnish at varying temperatures were found to be clinically acceptable.
本研究的目的是确定涂在聚酸改性复合树脂(PMCR)上的氟化清漆材料在不同温度下对粗糙度的影响。这项体外研究共生产了 100 个 PMCR 盘,并将这 100 个样品随机分成五组,每组 20 个样品。四组样品在不同的温度下(4ºC、23ºC、39ºC 和 55ºC)在表面涂上氟化清漆,而对照组的样品没有经过这种处理。氟化物清漆使用了加热装置。使用轮廓仪测量涂抹后样品的表面粗糙度值。采用 Kruskal-Wallis 和 Shapiro-Wilk 检验进行统计分析。在对五组各 20 个样本进行比较后,发现 23ºC 的平均粗糙度值最大。对于在不同温度下烹制的氟化清漆材料,粗糙度值没有明显的统计差异。研究结果表明,在不同温度下涂抹氟化物清漆后,各组的表面粗糙度值均符合临床要求。
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引用次数: 0
Synthesis and Characterization of Zirconium Oxide Nanoparticles Based on Hemidesmus Indicus Extract: Evaluation of Biocompatibility and Bioactivity for Prosthetic Implant Coatings 基于半枝莲提取物的氧化锆纳米粒子的合成与表征:用于假体植入涂层的生物相容性和生物活性评估
IF 0.7 Pub Date : 2024-03-25 DOI: 10.1177/23202068241239150
Shereen Farhana P, Arul Prakash Francis, Gayathri R., K. Sankaran, V. Veeraraghavan
Zirconium oxide nanoparticles have unique properties that could be useful in various applications, including implants, biosensors, anticancer, and antimicrobial agents. To enhance their suitability as coatings for prosthetic implants, quercetin, a flavanol abundant in plants, serves as an effective functionalization agent, enhancing nanoparticle solubility, stability, and bioavailability. This study focuses on synthesizing zirconium oxide nanoparticles using Hemidesmus indicus (H. indicus) root extract and functionalizing them with quercetin. Further, their biocompatibility, antioxidant and antimicrobial activity are evaluated to target their application as coatings for prosthetic implants. Zirconium oxide nanoparticles were prepared using H. indicus root extract (H-ZrO2NPs) and decorated with quercetin followed by pegylation. The nanoparticles were characterized using various characterization techniques including UV–vis spectroscopy (UV–Vis), Fourier-transform infrared spectroscopy (FTIR), X-ray diffraction (XRD), scanning electron microscopy, and energy-dispersive X-ray analysis. The biological activity of the nanoparticles was evaluated using biocompatibility, antioxidant, and antibacterial assays. Biocompatibility was tested by investigating the interaction between the quercetin-functionalized zirconium oxide nanoparticles (HQZN) and erythrocytes. The antibacterial and antioxidant efficacy of H-ZrO2NPs and HQZN was tested and compared with the standard drug. The results were statistically analyzed using one-way ANOVA followed by Dunnett’s multiple comparison tests. H-ZrO2NPs were successfully synthesized using H. root extract and functionalized with quercetin. The characterization of nanoparticles using various techniques confirmed their morphology, elemental composition, functionalization, crystallinity, size, and stability. The nanoparticles were appearing spherical in shape with a size range of 20–120 nm. The crystallinity of H-ZrO2NPs is found to be enhanced with quercetin functionalization. In vitro, bioactivity studies revealed the antioxidant and antibacterial efficacy of HQZN. The hemocompatibility of HQZN was proved by investigating its interaction with erythrocytes. The study findings revealed that the biocompatible HQZN holds notable antioxidant and antibacterial properties. On the other hand, further comprehensive investigation using an in vivo model is vital to appreciate their efficacy and toxicity profile.
氧化锆纳米粒子具有独特的性能,可用于各种应用,包括植入物、生物传感器、抗癌和抗菌剂。为提高其作为假体植入涂层的适用性,槲皮素(一种植物中含量丰富的黄烷醇)可作为一种有效的功能化剂,提高纳米粒子的可溶性、稳定性和生物利用率。本研究的重点是利用半枝莲(H. indicus)根提取物合成氧化锆纳米粒子,并用槲皮素对其进行功能化。此外,还对其生物相容性、抗氧化性和抗菌活性进行了评估,以便将其用作假体植入物的涂层。使用猕猴桃根提取物制备了氧化锆纳米颗粒(H-ZrO2NPs),并用槲皮素对其进行装饰,然后再进行虫胶化。纳米颗粒的表征采用了多种表征技术,包括紫外可见光谱(UV-Vis)、傅立叶变换红外光谱(FTIR)、X射线衍射(XRD)、扫描电子显微镜和能量色散 X 射线分析。利用生物相容性、抗氧化性和抗菌性实验对纳米颗粒的生物活性进行了评估。生物相容性通过研究槲皮素功能化氧化锆纳米粒子(HQZN)与红细胞之间的相互作用进行测试。测试了 H-ZrO2NPs 和 HQZN 的抗菌和抗氧化功效,并与标准药物进行了比较。结果采用单因素方差分析和邓尼特多重比较检验进行统计分析。使用根茎提取物成功合成了 H-ZrO2NPs,并用槲皮素进行了功能化。使用各种技术对纳米颗粒进行的表征证实了它们的形态、元素组成、功能化、结晶度、尺寸和稳定性。纳米颗粒呈球形,尺寸范围为 20-120 纳米。槲皮素官能化后,H-ZrO2NPs 的结晶度有所提高。体外生物活性研究表明,HQZN 具有抗氧化和抗菌功效。通过研究 HQZN 与红细胞的相互作用,证明了它的血液相容性。研究结果表明,具有生物相容性的 HQZN 具有显著的抗氧化和抗菌特性。另一方面,利用体内模型进行进一步的综合研究对了解其功效和毒性概况至关重要。
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引用次数: 0
Comparative Evaluation of Penetrability of Various Bioceramic Sealers into the Tubules of Radicular Dentin 各种生物陶瓷封闭剂对根尖牙本质小管渗透性的比较评估
IF 0.7 Pub Date : 2024-03-21 DOI: 10.1177/23202068241237329
Deebah Choudhary, Ana Gupta, Nidhi Bharti
This study aimed to evaluate the penetration depth and persistence of sealer residues in obturated canals with three different bioceramic sealers using confocal microscopy. In total, 60 single-rooted human premolars were selected and decoronated to maintain the working length of 14 mm. The samples were biomechanically prepared and obturated with Protaper Universal GP coated with three different bioceramic sealers, that is, CeraSeal RC, Bio-C and MTA Fillapex. The specimens were divided into three groups ( n = 20) depending on the sealer used. Rhodamine B fluorescent dye was added to the sealers before using them for obturation. The obturated samples were sealed and placed in 100% humidity at 37oC for 7 days. Gutta-percha was removed from all the samples using retreatment files. Each sample was horizontally sectioned into 2 mm thick slices at 3 mm and 5 mm from the apex, which were analysed under a confocal scanning microscope to detect the depth of penetration of sealer into the dentinal tubules. Data were analysed using one-way ANOVA and Tukey’s post hoc tests. Intergroup comparison of penetration depth at 3 mm showed that the mean depth of penetration among CeraSeal samples was found to be significantly more as compared to the other two materials, while, no statistically significant difference was found among Bio-C and MTA Fillapex with the significance level established at 5% ( P < .05). Similarly, an intergroup comparison of penetration depth at 5 mm showed that the mean depth of penetration among CeraSeal samples was found to be significantly more as compared to the other two materials, while, no statistically significant difference was found among Bio-C and MTA Fillapex. CeraSeal RC sealer showed significantly higher depth of penetration than Bio-C and MTA Fillapex. All bioceramic sealers show a significant penetration into the dentinal tubules. However, none of the sealers was completely removed from the tubules following retreatment.
本研究旨在使用共聚焦显微镜评估三种不同生物陶瓷封闭剂在封闭后的残留物的渗透深度和持久性。研究共选择了 60 颗单根人类前臼齿,并对其进行了装饰,以保持 14 毫米的工作长度。对样本进行生物力学制备,并用涂有三种不同生物陶瓷封闭剂(即 CeraSeal RC、Bio-C 和 MTA Fillapex)的 Protaper Universal GP 进行封闭。根据所用封闭剂的不同,试样被分为三组(n = 20)。在使用封闭剂进行封闭前,在封闭剂中添加罗丹明 B 荧光染料。封固后的样本被密封,并放置在 37oC 100%湿度的环境中 7 天。使用再处理锉去除所有样本上的水凝胶。在共聚焦扫描显微镜下进行分析,以检测封闭剂渗入牙本质小管的深度。数据分析采用单因素方差分析和 Tukey 后检验。3 毫米渗透深度的组间比较显示,CeraSeal 样品的平均渗透深度明显高于其他两种材料,而 Bio-C 和 MTA Fillapex 之间则没有显著差异,显著性水平为 5%(P < .05)。同样,5 毫米渗透深度的组间比较显示,CeraSeal 样品的平均渗透深度明显高于其他两种材料,而 Bio-C 和 MTA Fillapex 之间则没有统计学意义上的显著差异。CeraSeal RC 封闭剂的渗透深度明显高于 Bio-C 和 MTA Fillapex。所有生物陶瓷封闭剂都能明显渗入牙本质小管。不过,在再治疗后,没有一种封闭剂能完全从牙本质小管中清除。
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引用次数: 0
Color Matching between Resin Cements and Try-in Pastes in Glass Ceramics at Different Thicknesses 不同厚度玻璃陶瓷中树脂胶结料和试模浆料的颜色匹配
IF 0.7 Pub Date : 2024-03-14 DOI: 10.1177/23202068241235748
A. Ozdogan, Gizem Erdas, Ozge Gulmez, Furkan Karatas
This study aims to assess how well light-cured resin cements and the corresponding try-in pastes match in terms of color. A1 color blocks containing three different types of ceramic materials were used to generate 120 specimens (5 × 5 mm2). These specimens were split into two thickness-based groups, and the groups were then randomly allocated to receive various kinds of resin cement. Composite substrate blocks with A3 color and dimensions of 4 mm thickness were used to simulate dentin substrates. Color measurements were taken before and after the application of try-in pastes and resin cements using a spectrophotometer. The obtained results were analyzed using the CIELab and CIEDE2000 frameworks, and statistical analysis was performed using a three-way ANOVA test and paired sample t-test with a significance level of α = 0.05. There were no significant interactions between material, thickness, and cement in relation to color in both evaluation systems ( p > .05). However, there were significant differences in the a* values (green-red axis) between the try-in pastes and resin cements ( p < .05), while no significant differences were observed in the L* (lightness) and b* (blue-yellow axis) values ( p > .05). The try-in pastes utilized for pre-cementation evaluation exhibited favorable color compatibility with the corresponding resin cements.
本研究旨在评估光固化树脂水门汀和相应的试入膏在颜色方面的匹配程度。我们使用含有三种不同类型陶瓷材料的 A1 色块制作了 120 个试样(5 × 5 mm2)。这些试样按厚度分成两组,然后随机分配各组接受不同种类的树脂粘接剂。使用颜色为 A3、尺寸为 4 毫米厚的复合基质块来模拟牙本质基质。使用分光光度计测量试色膏和树脂水门汀使用前后的颜色。所得结果使用 CIELab 和 CIEDE2000 框架进行分析,统计分析采用三方方差分析和配对样本 t 检验,显著性水平为 α = 0.05。在两个评价系统中,材料、厚度和水泥与颜色之间没有明显的交互作用(P > .05)。然而,试色浆和树脂水门汀之间的 a* 值(绿-红轴)存在明显差异(p < .05),而 L*(亮度)和 b*(蓝-黄轴)值没有明显差异(p > .05)。用于固化前评估的试色浆与相应的树脂水门汀具有良好的颜色相容性。
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引用次数: 0
Comparative Evaluation of the Efficacy of Different Ni-Ti Rotary Instruments in Removal of Gutta-Percha During Root Canal Retreatment: An in vitro Study 不同镍钛旋转器械在根管修补过程中去除古塔粉的功效比较评估:体外研究
IF 0.7 Pub Date : 2024-02-19 DOI: 10.1177/23202068231220446
S. K. Kumar, Mohit Kumar, Nikita Sharma, Pulkit Arora, Megna Bhatt, Sravyanjali Akkanapally
An assessment and comparison of three retreatment files was conducted to determine their effectiveness in the retrieval of gutta-percha. In the investigation, 60 extracted single-rooted human teeth having straight canals and complete apices were used. The ProTaper Universal file system was used to prepare teeth and obturated using gutta-percha with sealant AH Plus utilizing down pack and backfill obturation technique. Removal was performed with ProTaper, D-RaCe files, MTwo, and R-Endo retreatment files. Using a stopwatch, the time needed to take out the GP was also calculated in seconds. We used ANOVA along with the post hoc Tukey’s test to analyze the quantity of obturating material in apical, middle, and coronal third following decoronation and longitudinal splitting. The average percentage of gutta-percha points removed across root levels varied significantly among the ProTaper, D-RaCe MTwo, and R-Endo groups. With the exception of the ProTaper group, when the middle level displayed the most removal, the coronal level showed much higher removal than the mid-root level, while the apical level often exhibited the highest removal. ProTaper retreatment files outperformed MTwo, D-RaCe, and R-Endo among the four groups in terms of removing root canal filling material. However, none of the experimental groups removed gutta-percha completely from root canals.
我们对三种再治疗锉进行了评估和比较,以确定它们在回收水凝胶方面的有效性。调查中使用了 60 颗拔出的单根人类牙齿,这些牙齿具有直管和完整的根尖。使用 ProTaper 通用锉系统对牙齿进行预备,并使用古塔水门汀和密封剂 AH Plus,利用下包和回填封堵技术进行封堵。使用 ProTaper、D-RaCe 锉、MTwo 和 R-Endo 再治疗锉进行拔除。我们还使用秒表计算了取出 GP 所需的时间(秒)。我们使用方差分析和事后Tukey's检验来分析装饰和纵向劈开后根尖、中部和冠状三分之一处的钝化材料数量。ProTaper组、D-RaCe MTwo组和R-Endo组在各牙根水平上去除的古塔胶点的平均百分比有显著差异。除ProTaper组的中层去除率最高外,冠状层的去除率远高于根中层,而根尖层的去除率往往最高。在去除根管填充材料方面,ProTaper 再治疗锉的表现优于 MTwo、D-RaCe 和 R-Endo。然而,没有一个实验组能完全去除根管内的水凝胶。
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引用次数: 0
Association Between Temporomandibular Joint Disorders and Metastatic Breast Cancer—A Mapping Review 颞下颌关节紊乱与转移性乳腺癌的关系--图谱回顾
IF 0.7 Pub Date : 2024-02-19 DOI: 10.1177/23202068241228722
M. Shaikh, Nikolaos Christidis, Muhammad Sohail Zafar, D. Michelogiannakis, P. E. Rossouw, K. I. Afrashtehfar, Fawad Javed
The authors of the present study speculate that metastasis of breast cancer cells to the temporomandibular joint (TMJ) region mimics classical signs and symptoms of temporomandibular disorders (TMD). The aim of this mapping review was to investigate the association between metastatic breast cancer (MBC) and TMD. The focused question was, “Is there an association between MBC and TMD?” Indexed databases (PubMed/Medline, EMBASE, OVID, Scopus, Google Scholar, and Web of Science) were electronically searched up to and including March 2022. These databases were searched using different combinations of the following keywords: cancer, carcinoma, temporomandibular disorders, temporomandibular joint, disc displacement disorder, nociception, and tumor. Original clinical studies that meet the inclusion criteria were included. The risk of bias (RoB) was assessed using the Joanna Briggs Institute Critical Appraisal Checklist for case reports. The structure of this current evidence-based review was tailored to primarily condense the relevant information. Fifteen case reports were selected after screening the retrieved records from the electronic search. Fifteen out of 16 patients were women aged between 32 and 78 years. All patients were diagnosed with MBC, and most presented with adenocarcinoma. The symptoms identified in patients with TMD included: (a) preauricular pain; (b) preauricular swelling; (c) limited mouth opening; and (d) malocclusion. Fourteen of the included studies had a low RoB, while one had a moderate RoB. Based on the currently available evidence, a direct association between TMD and MBC or vice versa cannot be established. Routine visits to medical and oro-dental healthcare providers can contribute toward early diagnosis and management of TMD and MBC.
本研究的作者推测,乳腺癌细胞转移到颞下颌关节 (TMJ) 区域会模仿颞下颌关节紊乱 (TMD) 的典型体征和症状。本图谱综述旨在研究转移性乳腺癌 (MBC) 与 TMD 之间的关联。重点问题是:"MBC 与 TMD 之间是否存在关联?对截至 2022 年 3 月(含 2022 年 3 月)的索引数据库(PubMed/Medline、EMBASE、OVID、Scopus、Google Scholar 和 Web of Science)进行了电子检索。使用以下关键词的不同组合对这些数据库进行了检索:癌症、癌、颞下颌关节紊乱、颞下颌关节、椎间盘移位症、痛觉和肿瘤。符合纳入标准的原创临床研究均被纳入其中。偏倚风险(RoB)采用乔安娜-布里格斯研究所(Joanna Briggs Institute)病例报告批判性评估清单进行评估。本篇循证综述的结构主要是为了浓缩相关信息。在对电子搜索检索到的记录进行筛选后,选出了 15 篇病例报告。16 位患者中有 15 位是女性,年龄在 32 岁至 78 岁之间。所有患者均被确诊为多发性乳腺癌,其中大多数患者表现为腺癌。TMD 患者的症状包括(a) 耳前疼痛;(b) 耳前肿胀;(c) 张口受限;以及 (d) 咬合不良。其中 14 项研究的 RoB 值较低,1 项研究的 RoB 值中等。根据现有证据,无法确定 TMD 与 MBC 之间存在直接联系,反之亦然。对医疗和口腔保健提供者进行常规就诊有助于对 TMD 和 MBC 进行早期诊断和管理。
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引用次数: 0
Incidence and Mortality of Salivary Gland Cancer Worldwide and Its Correlation with Tobacco Use (Smoking and Chewing) and With the Human Development Index 全球唾液腺癌症发病率和死亡率及其与烟草使用(吸烟和咀嚼)和人类发展指数的相关性
IF 0.7 Pub Date : 2024-02-19 DOI: 10.1177/23202068241229302
Antonio Hernández-Morales, B. S. González-López, R. Scougall-Vilchis, U. Velázquez-Enriquez, Mario I. Ortiz, M. Veras-Hernández, J. F. Casanova-Rosado, A. J. Casanova-Rosado, Carlo Eduardo Medina-Solís, G. Maupomé
The aim of this study was to quantify the association between the incidence and mortality of salivary gland cancer (SGC) with the consumption of tobacco and with the Human Development Index (HDI). An ecological study was designed using SGC incidence and mortality data in 172 countries in 2020, reported per 100,000 population with an age range of 10–85 years. Such dependent variables were obtained from the Global Cancer Observatory (GLOBOCAN). The prevalences of smoked and chewed tobacco were obtained from reports made in 2019, sourced from Global Burden of Diseases Study, while the HDI was obtained from the Human Development Report (2019) presented by the United Nations Development Program, and were considered independent variables. Statistical analysis was performed in Stata using Spearman’s correlation test. In 2020, there were 53,583 new cases of SGC worldwide, and countries with very high HDI exhibited a higher incidence. In terms of mortality, there were 22,778 cases worldwide, and countries with a moderate HDI showed a higher number of deaths. SGC mortality was associated with chewing tobacco use overall and in women. Surprising negative associations were found with the incidence of SGC and tobacco smoking in men, as well as with mortality of SGC and smoking overall and in women. CGS mortality was negatively associated with the HDI and all its components. In this international overview, SGC mortality is associated with chewing tobacco in women, as well as with the HDI and its components.
本研究旨在量化唾液腺癌(SGC)的发病率和死亡率与烟草消费和人类发展指数(HDI)之间的关系。我们设计了一项生态学研究,利用 2020 年 172 个国家的唾液腺癌症发病率和死亡率数据,报告每 10 万人口中 10-85 岁年龄段的发病率和死亡率。这些因变量来自全球癌症观察站(GLOBOCAN)。吸烟和咀嚼烟草的流行率来自 2019 年的报告,来源于《全球疾病负担研究》,而人类发展指数则来自联合国开发计划署发布的《人类发展报告(2019 年)》,被视为自变量。统计分析使用斯皮尔曼相关检验法在 Stata 中进行。2020 年,全球共有 53,583 例 SGC 新发病例,人类发展指数非常高的国家发病率更高。在死亡率方面,全球共有 22 778 例,中等人类发展指数国家的死亡人数较多。SGC死亡率与咀嚼烟草的总体使用情况和女性使用情况有关。令人惊讶的是,SGC发病率与男性吸烟率呈负相关,SGC死亡率与吸烟率呈负相关。CGS死亡率与人类发展指数及其所有组成部分呈负相关。在这份国际综述中,女性 SGC 死亡率与咀嚼烟草有关,也与人类发展指数及其组成部分有关。
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引用次数: 0
Radiographic Outcomes of Mineral Trioxide Aggregate (MTA) with and Without Platelet-Rich Fibrin (PRF) In Direct Pulp Capping: A Clinical Pilot Study 含或不含血小板富集纤维蛋白 (PRF) 的三氧化二铝矿物骨料 (MTA) 直接覆盖牙髓的放射学结果:临床试验研究
IF 0.7 Pub Date : 2023-12-20 DOI: 10.1177/23202068231210739
Meena Singh, A. Tikku, Promila Verma, Rakesh K. Yadav, Ramesh Bharti, Rhythm Bains
The purpose of the current investigation was to determine by radiographic means if a calcific dentinal bridge had formed following direct pulp capping (DPC) with calcium hydroxide (CH), mineral trioxide aggregate (MTA), or a combination of platelet-rich fibrin (PRF) and MTA. In the beginning, 45 systemically healthy patients who needed DPC and had pulpal exposure were enrolled in the trial. They were then randomly assigned to one of three groups: CH (control, n = 15), MTA ( n = 15), or PRF + MTA ( n = 15). To determine the radiographic density of the dentin immediately underneath the location of pulpal exposure, pre-operative intraoral digital radiographs of the afflicted teeth were acquired. Through sequential imaging, the radiographic evaluation of dentinal bridge formation was performed. All images were studied carefully, keeping the reference point constant. Out of the 45 patients, finally 10 per group were analysed. According to an analysis of variance, difference in mean density values among the various groups was found to be significant [( p = .001). On bi-group comparison (using post-Tukey HSD), difference between CH and PRF + MTA was significant ( p = .001), between MTA and PRF + MTA was significant ( p = .022), and between CH and MTA not significant ( p = .347)]. The PRF + MTA group showed the highest increase in mean density values. The results of the present study suggest that PRF and MTA when used in combination have better radiographic outcomes compared to MTA alone when used as DPC agents.
本次调查的目的是通过放射学手段确定在使用氢氧化钙(CH)、三氧化物矿物质聚合体(MTA)或富血小板纤维蛋白(PRF)和 MTA 混合液直接覆盖牙髓(DPC)后是否形成了钙化牙本质桥。一开始,45 名需要 DPC 并有牙髓暴露的全身健康患者被纳入试验。然后,他们被随机分配到三组中的一组:CH(对照组,n = 15)、MTA(n = 15)或 PRF + MTA(n = 15)。为了确定紧邻牙髓暴露位置下方的牙本质的放射密度,术前采集了患牙的口内数字放射照片。通过顺序成像,对牙本质桥的形成进行放射学评估。在保持参考点不变的情况下,对所有图像进行了仔细研究。在 45 名患者中,最终对每组 10 名患者进行了分析。根据方差分析,发现各组之间的平均密度值差异显著[(P = .001)。在双组比较中(使用后Tukey HSD),CH组和PRF + MTA组之间差异显著(p = .001),MTA组和PRF + MTA组之间差异显著(p = .022),CH组和MTA组之间差异不显著(p = .347)]。PRF + MTA 组的平均密度值增幅最大。本研究结果表明,与单独使用 MTA 作为 DPC 制剂相比,联合使用 PRF 和 MTA 有更好的放射学效果。
{"title":"Radiographic Outcomes of Mineral Trioxide Aggregate (MTA) with and Without Platelet-Rich Fibrin (PRF) In Direct Pulp Capping: A Clinical Pilot Study","authors":"Meena Singh, A. Tikku, Promila Verma, Rakesh K. Yadav, Ramesh Bharti, Rhythm Bains","doi":"10.1177/23202068231210739","DOIUrl":"https://doi.org/10.1177/23202068231210739","url":null,"abstract":"The purpose of the current investigation was to determine by radiographic means if a calcific dentinal bridge had formed following direct pulp capping (DPC) with calcium hydroxide (CH), mineral trioxide aggregate (MTA), or a combination of platelet-rich fibrin (PRF) and MTA. In the beginning, 45 systemically healthy patients who needed DPC and had pulpal exposure were enrolled in the trial. They were then randomly assigned to one of three groups: CH (control, n = 15), MTA ( n = 15), or PRF + MTA ( n = 15). To determine the radiographic density of the dentin immediately underneath the location of pulpal exposure, pre-operative intraoral digital radiographs of the afflicted teeth were acquired. Through sequential imaging, the radiographic evaluation of dentinal bridge formation was performed. All images were studied carefully, keeping the reference point constant. Out of the 45 patients, finally 10 per group were analysed. According to an analysis of variance, difference in mean density values among the various groups was found to be significant [( p = .001). On bi-group comparison (using post-Tukey HSD), difference between CH and PRF + MTA was significant ( p = .001), between MTA and PRF + MTA was significant ( p = .022), and between CH and MTA not significant ( p = .347)]. The PRF + MTA group showed the highest increase in mean density values. The results of the present study suggest that PRF and MTA when used in combination have better radiographic outcomes compared to MTA alone when used as DPC agents.","PeriodicalId":43017,"journal":{"name":"Journal of Advanced Oral Research","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139168570","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
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Journal of Advanced Oral Research
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