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A Laboratory Study of the Effect of pH on Solubility of Bulk-Fill and Conventional Composites pH值对填充型和常规复合材料溶解度影响的实验室研究
Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-09-18 DOI: 10.1177/23202068231199028
Farnaz Farahat, Abbas Ali Jafari, Tayebe Sadat Baghaee Ardakani, Shima Sadat Shojasadati
Aim: Factors such as the low pH of acidic foods and beverages can affect long-term clinical success of restorative materials in the oral cavity. The aim of this study was to compare the solubility of Bulk-fill and Conventional Nano-Hybrid Resin Based Composites (RBCs) in different solutions. Material and Methods: A total of 60 cylindrical specimens were prepared from two RBCs (Tetric N-Ceram, Tetric N-Ceram Bulk-fill) and their constant weight was measured. The specimens were divided into six groups ( N = 10) in accordance with RBC type and pH solution (solution 1, 2, 3 with pH = 2.5, 5, 7, respectively), and were immersed in desired solutions for 30 days. Then they were weighed again and solubility levels of the specimens were calculated according to ISO 4049. Data were analysed by two-way ANOVA. The test power was considered at 80%. Results: The type of RBC had no significant effect on solubility; while the effect of PH was significant. Solution 1 caused significantly the highest solubility. No statistically significant differences were found among other groups. Conclusions: Considering the limitations of the laboratory investigations, it was concluded that solubility rate of Bulk-fill and Conventional RBCs was higher in solutions with lower pH. There was no difference among the RBCs. However, the solubility rates of all groups are within the clinically normal range.
目的:酸性食品和饮料的低pH值等因素会影响口腔修复材料的长期临床成功。本研究的目的是比较大块填充和常规纳米复合树脂基复合材料(rbc)在不同溶液中的溶解度。材料与方法:用两种红细胞(N-Ceram和N-Ceram本体填充)制备60个圆柱形试样,测量其恒重。根据红细胞类型和pH溶液(溶液1、溶液2、溶液3,pH分别为2.5、5、7)将标本分为6组(N = 10),分别浸泡在相应的溶液中30 d。然后再次称重,并根据ISO 4049计算样品的溶解度。数据采用双因素方差分析。试验功率为80%。结果:红细胞类型对溶解度无显著影响;PH值的影响显著。溶液1的溶解度最高。其他组间无统计学差异。结论:考虑到实验室研究的局限性,在较低ph的溶液中,填充型红细胞和常规红细胞的溶解度更高,两者之间没有差异。但各组溶解度均在临床正常范围内。
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引用次数: 0
The Antifungal Potential of Cardamom-based DenteezTM Mouthwash Against Opportunistic Fungal Infections in the Oral Cavity 豆蔻DenteezTM漱口水对口腔机会性真菌感染的抗真菌潜力
IF 0.7 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-09-07 DOI: 10.1177/23202068231194895
Matthan Tharakan, Manohar S. Kugaji, Kishore Bhat, Prashanth Varkey, Mayuri Joshi, Bhagyashree Nanda
Oral candidiasis is a fungal infection of the oral cavity caused by Candida albicans. Currently used antifungal drugs fail to treat oropharyngeal candidiasis. Herbal remedies are found to be safe and effective to treat bleeding gums, halitosis, mouth ulcers, and reduce tooth decay. Cardamom is known to possess antimicrobial, antioxidant, and immunomodulatory activity. In an in vitro study, we aim to evaluate the antifungal potential of cardamom-based DenteezTM mouthwash against opportunistic fungal infections in the oral cavity. Five Candida species were included in the study: namely C. albicans, C. tropicalis, C. krusei, C. parapsilosis, and C. glabrata. Additionally, 54 clinical isolates obtained from oral cavity of healthy individuals and patients suffering from oral candidiasis were randomly selected and included. Various antifungal agents tested included fluconazole, itraconazole, ketoconazole, miconazole, and amphotericin B. Minimum inhibitory concentration (MIC) and time-kill assay were performed as per standard guidelines. The MIC obtained for fluconazole against different Candida species was 1.25 µg/ml. The MIC of azole drugs was in the range of 0.312–0.62 µg/ml. The MIC of DenteezTM mouthwash was determined as 1.25%. The clinical isolates of Candida showed major resistance to fluconazole (75.9%) and absolute susceptibility to amphotericin B. DenteezTM was found effective in inhibiting 98.2% of the clinical isolates. DenteezTM mouthwash showed time-dependent inhibition of all Candida species. The mouthwash has comparable efficacy to that of other routinely used antifungal agents. DenteezTM can be effectively used to deal with oral candidiasis and antifungal resistance.
口腔念珠菌病是由白色念珠菌引起的口腔真菌感染。目前使用的抗真菌药物无法治疗口咽念珠菌病。草药被发现对治疗牙龈出血、口臭、口腔溃疡和减少蛀牙是安全有效的。众所周知,豆蔻具有抗菌、抗氧化和免疫调节活性。在一项体外研究中,我们旨在评估豆蔻基DenteezTM漱口水对口腔机会性真菌感染的抗真菌潜力。研究中包括5种念珠菌:白色念珠菌、热带念珠菌、克鲁西念珠菌、副念珠菌和光秃秃念珠菌。此外,从健康个体和口腔念珠菌病患者的口腔中随机抽取54株临床分离株进行研究。检测的抗真菌药物包括氟康唑、伊曲康唑、酮康唑、咪康唑和两性霉素b。最低抑菌浓度(MIC)和时间杀伤试验按标准指南进行。氟康唑对不同念珠菌的MIC均为1.25µg/ml。唑类药物的MIC范围为0.312 ~ 0.62µg/ml。测定DenteezTM漱口水的MIC为1.25%。临床分离的念珠菌对氟康唑主要耐药(75.9%),对两性霉素b绝对敏感(98.2%)。DenteezTM漱口水对所有念珠菌的抑制均具有时间依赖性。漱口水的功效与其他常规使用的抗真菌剂相当。DenteezTM可有效治疗口腔念珠菌病和抗真菌耐药性。
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引用次数: 0
The Optical Translucency, Opalescence, and Reflectance of Different As-Received Ceramic Brackets: A Spectrophotometer Study 不同接收陶瓷支架的光学半透明性、乳光性和反射率:分光光度计研究
IF 0.7 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-09-07 DOI: 10.1177/23202068231195181
Anisa H. AlBadr, Nabeel F. Talic
To determine the difference in the reflected color coordinates and to compare the translucency and opacity of different as-received ceramic brackets using a spectrophotometer. Four types of ceramic brackets were investigated in this in vitro study. A total of 72 ceramic brackets were examined using a spectrophotometer. Reflected color coordinates of the labial side of bracket were measured according to the Commission Internationale de l’Eclairage (CIE) color scale. Color difference between brackets was calculated using the equation: Δ E*ab = [(Δ L*)2 + (Δ a*)2 + (Δ b*)2] 1/2. Translucency parameter (TP) and opalescence parameter (OP) were calculated to determine translucency and opacity of the brackets, respectively. Data was collected and analyzed using IBM SPSS V25. The significance level was set at p ≤ .05. One-way ANOVA and post hoc multiple comparison tests were utilized. The range for CIE L* (lightness) was 62.69 to 58.83, for a* (red–green parameter) −0.33 to −2.9 and for b* (yellow–blue parameter) −2.19 to 2.29. All these color co-ordinates were influenced by bracket brand ( p < .05). DISCREET™ showed the highest TP = 16.342 and Symetri™ Clear showed the lowest = 10.823. The OP values ranged between 1.783 and 3.781 and Symetri™ Clear showed the highest OP. Color coordinates, TP, and OP of esthetic brackets investigated with a spectrophotometer were significantly different and influenced by the material microstructure and/or manufacturing process.
用分光光度计测定反射色坐标的差异,并比较不同接收陶瓷支架的半透明性和不透明度。四种类型的陶瓷托槽进行了体外研究。用分光光度计对72个陶瓷托架进行了检测。根据CIE (Commission Internationale de l’eclairage)色标测量支架唇侧反射色坐标。括号间色差计算公式为:Δ E*ab = [(Δ L*)2 + (Δ a*)2 + (Δ b*)2] 1/2。计算半透明参数(TP)和乳光参数(OP),分别确定括号的半透明和不透明。数据收集和分析采用IBM SPSS V25软件。显著性水平设为p≤0.05。采用单因素方差分析和事后多重比较检验。CIE L*(亮度)的范围为62.69 ~ 58.83,a*(红绿参数)的范围为- 0.33 ~ - 2.9,b*(黄蓝参数)的范围为- 2.19 ~ 2.29。这些颜色坐标均受支架品牌的影响(p < 0.05)。DISCREET™最高TP = 16.342, Symetri™Clear最低TP = 10.823。OP值范围在1.783和3.781之间,Symetri™Clear显示出最高的OP值。用分光光度计研究美学支架的颜色坐标、TP和OP显著不同,并受材料微观结构和/或制造工艺的影响。
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引用次数: 0
Effect of Delayed Endodontic Sealing with Dentin Biomodification on Fracture Resistance of Endodontically Treated Teeth 牙本质生物修饰延迟牙髓封闭对牙髓治疗后牙体抗折性的影响
IF 0.7 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-09-01 DOI: 10.1177/23202068231193606
Javed Ahmad, G. Sajjan, Durga Bhavani Panithini, Madhu Varma, Kalyan Satish R, K. D. Prasad
Endodontically treated teeth display altered tooth structure pertaining to various chemical irrigants and intracanal medicaments. To prevent the compromised adhesive bond, dentin biomodification is indicated. This study was designed to evaluate the influence of dentin biomodification on the fracture resistance of root canal-treated teeth following Delayed Endodontic Sealing (DES). In 50 maxillary central incisors, Class III cavities along with access cavities were prepared. The samples were randomly divided into five groups. Group 1: Intact teeth ( N = 10), Group 2: Immediate Endodontic Sealing (IES) ( N = 10); Group 3: DES after irrigation with 3% NaOCl ( N = 10); Group 4: DES with 2% chlorhexidine (CHX) as a biomodifier ( N = 10) and Group 5: DES with 5% grape seed extract (GSE) as a biomodifier ( N = 10). In Group 2 samples, composite restorations were done prior to irrigation with 3% sodium hypochlorite (NaOCl). Group 3 samples received root canal irrigation with 3% NaOCl for 1 min, etch and rinse procedure and composite restorations. In Groups 4 and 5, dentin biomodification was done prior to composite restorations. Teeth were subjected to fracture resistance tests. Statistical analysis was carried out employing analysis of variance (ANOVA) and Tukey’s post hoc tests ( p < .05). IES group demonstrated the highest fracture resistance, with a significant difference statistically ( p < .05) when compared with the DES groups. DES modified with GSE resulted in significantly superior fracture resistance compared to DES only, but no statistical difference was present between the CHX and grape seed-treated DES groups. DES with the use of dentin biomodifiers such as 5% GSE and 2% CHX increased the fracture resistance of root canal-treated teeth compared to DES only.
经根管治疗的牙齿显示出与各种化学冲洗剂和管内药物有关的牙齿结构改变。为防止牙本质粘连受损,建议对牙本质进行生物修饰。本研究旨在评估牙本质生物修饰对延迟根管封闭(DES)后根管治疗牙的抗骨折能力的影响。对50例上颌中切牙进行III类空腔及通道空腔的制备。这些样本被随机分为五组。组1:完整牙(N = 10),组2:即刻牙髓密封(IES) (N = 10);第三组:3% NaOCl灌胃后DES (N = 10);第4组:以2%氯己定(CHX)为生物调节剂的DES (N = 10);第5组:以5%葡萄籽提取物(GSE)为生物调节剂的DES (N = 10)。在第2组样品中,在用3%次氯酸钠(NaOCl)冲洗之前进行复合修复。第3组采用3% NaOCl根管冲洗1分钟、蚀刻冲洗和复合修复。在第4组和第5组中,牙本质生物修饰在复合修复之前进行。牙齿进行了抗断裂试验。统计学分析采用方差分析(ANOVA)和Tukey事后检验(p < 0.05)。IES组抗骨折能力最强,与DES组比较,差异有统计学意义(p < 0.05)。经GSE修饰的DES的抗骨折性明显优于单纯DES,但CHX与葡萄籽处理的DES组之间无统计学差异。与仅使用DES相比,使用5% GSE和2% CHX等牙本质生物改性剂的DES增加了根管处理牙齿的抗折断性。
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引用次数: 0
Fluorescence-based Evaluation of the Efficacy of Augmented Reality-assisted Toothbrush on Oral Hygiene Practices Among 6–8 Years Old Children 荧光法评价增强现实辅助牙刷对6-8岁儿童口腔卫生习惯的影响
IF 0.7 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-08-31 DOI: 10.1177/23202068231193772
Sreejeeta Dey, S. Deshmukh, U. Maheshwari, Dheeraj, Sinchan
Effective toothbrushing is the most simple way to maintain a child’s oral hygiene for a cavity-free mouth. Yet, most children find it an uninteresting task and they fail to understand its scientific basis. Augmented reality (A-R)-assisted toothbrushes for pediatric population are commercially available to make toothbrushing interactive, interesting, and educative for the child, aided by gamification providing an interactive videogame platform between the real and the virtual world. The aim of the study was to evaluate the efficacy of A-R-assisted brushing experience of children with respect to fluorescence imaging data and plaque Streptococcus mutans count at clinical and microbiological levels, respectively. A total of 32 children in the age group of 6-8 years were included and allocated in two study groups (A-R-assisted toothbrushing and manual toothbrushing). Fluorescence-based lesion area scoring was done using FC, Duerr Dental, Vistaproof, Germany. Microbiological analysis of plaque Streptococcus mutans was done to evaluate change in bacterial count. The parameters were recorded again after two weeks. Pre- and post-intervention scores were subjected to statistical analysis. Significantly higher reduction of fluorescent scores and mean bacterial count were found in A-R-assisted tooth-brushing group when compared to that of manual toothbrushing. Based on the findings of the study, A-R-assisted toothbrushing proves to be an effective tool for motivating and maintaining oral hygiene among children and efforts should be made in incorporating this practice in daily domestic healthcare.
有效的刷牙是保持孩子口腔卫生,使口腔无蛀牙的最简单方法。然而,大多数孩子觉得这是一项无趣的任务,他们不理解它的科学依据。增强现实(A-R)辅助的儿童牙刷已经上市,可以使刷牙对孩子来说具有互动性、趣味性和教育性,通过游戏化提供现实世界和虚拟世界之间的互动视频游戏平台。本研究的目的是评估a - r辅助儿童刷牙体验在荧光成像数据和菌斑变形链球菌计数方面的临床和微生物水平的效果。本研究共纳入32名6-8岁儿童,分为两组(A- r辅助刷牙组和手动刷牙组)。采用FC, Duerr Dental, Vistaproof,德国进行荧光病灶面积评分。对菌斑变形链球菌进行微生物学分析,以评估细菌计数的变化。两周后再次记录各项参数。对干预前和干预后的得分进行统计分析。与手动刷牙组相比,a - r辅助刷牙组的荧光评分和平均细菌计数的下降幅度明显高于手动刷牙组。基于这项研究的结果,a - r辅助刷牙被证明是促进和保持儿童口腔卫生的有效工具,应努力将这种做法纳入日常家庭保健。
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引用次数: 0
Fixed Functional Appliance Therapy With and Without Skeletal Anchorage in Class II Malocclusion: A Systematic Review of Randomized Controlled Trials 带或不带骨支抗的固定功能矫治器治疗II类错牙合:随机对照试验的系统综述
IF 0.7 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-08-13 DOI: 10.1177/23202068231190199
Preethi Rajamanickam, K. Sundari
For its synergistic effects in producing skeletal changes as well as to lessen the proclination of the lower incisors, which is a common negative result of mandibular advancement, fixed functional appliances with skeletal anchorage have recently been used. Objective was to evaluate the skeletal and dentoalveolar effects with fixed functional appliances with and without skeletal anchorage. Electronic database search and manual search were performed up to 2021, April in four databases namely The Cochrane Library, PubMed, Lilac, and Google Scholar. RCTs that employed the use of fixed functional appliances in Class II malocclusion with and without skeletal anchoring were collected. Two co-authors independently extracted the data, and a pre-designed template was followed during the data extraction process. Data including inclusion and exclusion criteria; study design, the year of publication; age and gender of the patients; type of fixed functional device; stage of skeletal maturation; size and site of mini-implant or miniplate placement, amount of force applied in grams or Newtons; method of study outcome assessment (2D or 3D); and follow up were collected. The skeletal and dentoalveolar parameters were extracted. The risk of bias was evaluated, and the SMD and 95% confidence intervals (CIs) were also calculated. Four RCTs were evaluated for qualitative and quantitative analysis. The review involved data of 179 Class II individuals. The results of a random-effects meta-analysis showed that the SNB differed significantly from the control group (SMD = 0.50 (95% CI –1.55 to –0.10)). No significant differences noted between the two groups in terms of lower incisor inclination and mandibular length changes [SMD = –0.04 (95% CI −2.06 to 1.98) and –1.33 (95% CI −3.28 to 0.62), respectively]. The studies under this were not able to provide enough data to draw any conclusions about the effects of using skeletal anchorage with FFA. According to the evidence that is currently available, using FFA coupled with skeletal anchorage does not appear to have any superior skeletal effects than those without skeletal anchorage.
由于其在产生骨骼变化方面的协同作用,以及减少下门牙的下垂,这是下颌向前发展的常见负面结果,最近使用了带有骨骼锚固的固定功能矫治器。目的是评价带和不带骨支抗的固定功能矫治器对骨骼和牙槽骨的影响。截至2021年4月,在The Cochrane Library、PubMed、Lilac和Google Scholar四个数据库中进行了电子检索和人工检索。收集了使用固定功能矫治器治疗II类错牙合的随机对照试验。两位共同作者独立提取数据,在数据提取过程中遵循预先设计的模板。数据包括纳入和排除标准;研究设计,出版年份;患者年龄、性别;固定功能装置类型;骨骼成熟阶段;微型植入物或微型钢板的大小和位置,施加的力的大小(以克或牛顿为单位);研究结果评估方法(2D或3D);并收集了随访数据。提取骨骼和牙槽参数。评估偏倚风险,并计算SMD和95%置信区间(ci)。对4个随机对照试验进行定性和定量分析。本综述涉及179例II类个体的数据。随机效应荟萃分析的结果显示,SNB与对照组有显著差异(SMD = 0.50 (95% CI -1.55 ~ -0.10))。两组在下切牙倾斜度和下颌长度变化方面无显著差异[SMD分别= -0.04 (95% CI - 2.06至1.98)和-1.33 (95% CI - 3.28至0.62)]。这项研究没有提供足够的数据来得出关于骨骼锚具与FFA的效果的任何结论。根据目前可获得的证据,使用FFA联合骨骼锚固剂并不比不使用骨骼锚固剂有任何优越的骨骼效果。
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引用次数: 0
Evaluation of the Effect of Oral Vitamin D3 Supplement on Orthodontic Tooth Movement: A Randomized Clinical Trial Study 评价口服维生素D3补充剂对正畸牙齿运动的影响:一项随机临床试验研究
IF 0.7 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-06-11 DOI: 10.1177/23202068231177239
F. Farzanegan, Ghazal Ghasemi Nour, M. Mobarhan, Abdolrasoul Rangrazi
One of the problems that orthodontists commonly face is the prolonged duration of the treatment. Therefore, it is important to find an effective method to increase the rate of orthodontic tooth movement (OTM). This study aimed to evaluate the effectiveness of oral administration of vitamin D3 on OTM rates in humans. In this randomized clinical trial study, we selected 29 healthy women aged 18–25 years who sought orthodontic treatment and required bilateral maxillary first premolar extraction. Participants were tested to measure the blood levels of vitamin D3 and, based on the outcomes, were divided into three groups: control (without vitamin D3 deficiency; N = 10), placebo ( N = 9), and experiment ( N = 10), both with vitamin D3 deficiency. Subjects of the last two groups, who were randomly assigned, received 50,000 IU (International Unit) vitamin D3 pearls (Dana Pharmaceutical Company, Tabriz, Iran) or a placebo every 2 weeks for 2 months. Inclusion criteria were patients requiring bilateral extraction of the first premolar in the maxilla. The canines were retracted by nickel-titanium (NiTi) coil springs into the extraction sites. At the beginning, after 1 and 2 months, the distance between canine and lateral teeth on both sides was measured to calculate OTM. In the first month ( t (1–2)), the mean values of OTM in the placebo group were higher than the other groups. However, during the second month ( t (2–3)) and overall ( t (1–3)), the experiment group showed a higher OTM. The experiment and control groups were statistically different in all three time periods ( P-value < .05). The difference between the experiment and placebo groups was only significant in t (2–3) ( P-value < .05). Whereas the placebo and control groups showed a significant difference in t (1–2) ( P-value < .05). Vitamin D3 deficiency seems to increase OTM. Receiving oral supplements of vitamin D3 may not have much effect on increasing the level of vitamin D3. The lowest OTM rate was observed in the control group.
正畸医生通常面临的一个问题是治疗时间过长。因此,寻找一种提高正畸牙齿移动率的有效方法显得尤为重要。本研究旨在评估口服维生素D3对人类OTM率的影响。在这项随机临床试验研究中,我们选择了29名年龄在18-25岁之间寻求正畸治疗并需要双侧上颌第一前磨牙拔除的健康女性。研究人员对参与者进行了血液中维生素D3水平的测试,并根据测试结果将他们分为三组:对照组(不缺乏维生素D3);N = 10),安慰剂(N = 9)和实验(N = 10),均为维生素D3缺乏症。后两组受试者随机分配,每两周服用50,000 IU(国际单位)维生素D3珍珠(伊朗大不里士达纳制药公司)或安慰剂,持续2个月。纳入标准为需要双侧拔除上颌第一前磨牙的患者。用镍钛(NiTi)线圈弹簧将拔牙犬缩回拔牙部位。开始时,1个月和2个月后,测量犬齿与两侧侧牙之间的距离,计算OTM。在第一个月(t(1-2)),安慰剂组的OTM平均值高于其他组。然而,在第2个月(t(2-3))和总体(t(1-3)),实验组表现出更高的OTM。试验组与对照组在三个时间段内差异均有统计学意义(p值< 0.05)。实验组与安慰剂组之间的差异仅在t(2-3)上有统计学意义(p值< 0.05)。而安慰剂组和对照组在t(1-2)上有显著差异(p值< 0.05)。维生素D3缺乏似乎会增加OTM。口服维生素D3补充剂可能对提高维生素D3水平没有太大作用。对照组的OTM率最低。
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引用次数: 0
Fatigue Resistance of Two Different Materials Used as Retentive Attachments in Implant Supported Overdenture after Immersion in Denture Cleansing Solution: An In Vitro Comparative Study 义齿清洁液浸泡后两种不同材料固位附着体对种植覆盖义齿抗疲劳性能的体外比较研究
IF 0.7 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-05-21 DOI: 10.1177/23202068231174808
Akanksha Shinde, Nilesh Bulbule, Varun Bhatt, B. Gayathri, Amit K Jagtap
This in vitro study compared the fatigue resistance of two polymeric materials (Nylon and Polytetrafluoroethylene (PTFE)) used as retentive attachments in implant-retained overdentures after immersion in denture cleansing solution. A total of 24 samples (N=24), of which 12 capsule-shaped samples of commercially available nylon material from ADIN dental implants, India, and similar sized and shaped 12 PTFE (medical grade) capsules custom fabricated from AAA Industries, Mumbai was obtained. Six samples of each material were immersed in distilled water and six samples in Clinsodent denture cleanser, simulating an 8–h daily immersion of the denture for a period of 2 years. After completion of the immersion protocol, samples were subjected to 2900 fatigue cycles using the Universal Testing Machine (UTM), simulating 4 cycles per day of removal and insertion of the overdenture for a duration of 2 years. Before and after immersion, the wear of the samples was assessed for internal and external diameter changes using the Sipcon Inspection System. The statistical analysis of the obtained results was tested by applying the paired-t test, Fisher analysis of variance, and Tukey’s honest significant difference test, with a probability value less than 0.05 used as statistically significant. Statistically significant differences were observed after immersion in denture cleanser for nylon and PTFE. The greatest fatigue for ID, IHL, and IVL was demonstrated in nylon immersed in Clinsodent at p = .000. ED and EHL of PTFE in distilled water showed greater deformation than others ( p = .000). PTFE attachments have shown better fatigue resistance after immersion in Clinsodent denture cleanser. Nylon material immersed in distilled water as well as in Clinsodent cleanser showed greater deformation after fatigue cycles.
本研究比较了两种聚合物材料(尼龙和聚四氟乙烯(PTFE))作为种植覆盖义齿固位附着体在义齿清洁液中浸泡后的抗疲劳性能。共获得24个样品(N=24),其中12个胶囊状样品来自印度ADIN牙科种植体的市购尼龙材料,以及孟买AAA工业定制的类似大小和形状的12个聚四氟乙烯(医疗级)胶囊。将每种材料的6个样品浸泡在蒸馏水中,6个样品浸泡在Clinsodent义齿清洁剂中,模拟义齿每天浸泡8小时,持续2年。在完成浸泡方案后,使用通用试验机(UTM)对样品进行2900次疲劳循环,模拟每天4次移除和插入覆盖义齿,持续2年。浸泡前后,使用Sipcon检测系统评估样品的内径和外径变化。采用配对t检验、Fisher方差分析和Tukey’s honest显著性差异检验对所得结果进行统计分析,以概率值小于0.05为具有统计学意义。尼龙和聚四氟乙烯义齿洗洁剂浸泡后差异有统计学意义。在p = 0.000时,尼龙浸泡在Clinsodent中,对ID、IHL和IVL的疲劳最大。PTFE在蒸馏水中的ED和EHL表现出较大的变形(p = .000)。在Clinsodent义齿清洁剂中浸泡后,PTFE附着物表现出较好的抗疲劳性能。尼龙材料浸泡在蒸馏水和Clinsodent清洁剂中,在疲劳循环后表现出较大的变形。
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引用次数: 0
Association Between Chronic Diseases and Need for Dental Treatment in a Stomatology of Special Patients Service 慢性病与特殊病人口腔治疗需求的关系
IF 0.7 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-05-21 DOI: 10.1177/23202068231171506
Lillie Elizabeth Abanto-Silva, Ana Cristina López-Torres, M. Garcés-Elías, R. León-Manco
To determine the association between chronic diseases (CD) and the need for dental treatment in patients of the stomatology of special patients service (SSPS) of the Teaching Dental Center (TDC) of Universidad Peruana Cayetano Heredia (UPCH) in Lima-Peru from 2016 to 2019. A cross-sectional study with a total population of 2024 digital medical records of individuals over 18 years old. A dependent variable was need for dental treatment, so an instrument to assess it was created; additionally, the presence of CD was evaluated. Other covariates considered were pharmacological treatment, last dental visit, provenance, age group, and sex. Statistical analyses were performed, including a bivariate analysis using the Chi-square test. Finally, a Poisson linear regression was performed to determine crude and adjusted prevalence ratios (aPR) with the variables showing associations, with a 95% confidence level (95%CI) and a p < .05 value. The need for low-complexity dental treatment was present in 2.62% ( n = 52) of patients, moderate complexity in 27.21% ( n = 541) of patients, and high complexity in 70.17% ( n = 1395) of patients. In relation to CD, 30.58% ( n = 608) had one, 31.39% ( n = 624) had two, and 38.03% ( n = 756) had three or more. In the multivariate analysis, the presence of three to more CD and the need for high-complexity vs. low-complexity treatment, an aPR of 1.02 (95%CI): 1.01–1.04; p = .019) was obtained. There is a positive association between the presence of three or more CD and the need for high complexity dental treatment compared to low-complexity dental treatment, adjusted for use of pharmacological treatment and age.
确定2016年至2019年秘鲁利马佩鲁阿纳大学卡亚塔诺埃雷迪亚(UPCH)教学牙科中心(TDC)口腔特殊病人服务(SSPS)患者慢性疾病(CD)与牙科治疗需求之间的关系。一项横断面研究,共有2024名18岁以上个人的数字医疗记录。因变量是牙科治疗的需求,因此创建了一个评估工具;此外,还评估了乳糜泻的存在。其他协变量包括药物治疗、最后一次牙科就诊、来源、年龄组和性别。进行统计分析,包括使用卡方检验的双变量分析。最后,进行泊松线性回归,以确定粗患病率和调整患病率(aPR),变量显示相关性,95%置信水平(95% ci)和p < 0.05。2.62% (n = 52)的患者需要低复杂性牙科治疗,27.21% (n = 541)的患者需要中等复杂性牙科治疗,70.17% (n = 1395)的患者需要高复杂性牙科治疗。与CD相关,30.58% (n = 608)有1例,31.39% (n = 624)有2例,38.03% (n = 756)有3例及以上。在多变量分析中,出现3个或更多CD和需要高复杂性与低复杂性治疗,aPR为1.02 (95%CI): 1.01-1.04;P = .019)。三种或三种以上乳糜泻的存在与高复杂性牙科治疗的需求呈正相关,而不是低复杂性牙科治疗,并根据药物治疗的使用和年龄进行调整。
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引用次数: 0
Evaluation of Efficiency of Distal Shoe Space Maintainer: A Systematic Review 远端鞋空间保持器的效能评价:系统综述
IF 0.7 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-04-27 DOI: 10.1177/23202068231166499
Mahesh V. Dadpe, Nikita A. Chordiya, Y. Kale, Prasanna T. Dahake, Shrikant B. Kendre, Shrawani S. Mankar
Aim: A space deficiency in the dental arch may result from the early loss of a second deciduous molar before the eruption of the first permanent molar. In this circumstance, the Distal Shoe Space Maintainer (DSSM) is recommended to prevent space loss. We aimed to evaluate the effectiveness and safety of this device. Materials and Methods: PUBMED, Cochrane libraries, Google scholar, Ebsco, and Science Gov. were all thoroughly searched. The effectiveness of DSSM as measured by patient tolerance and gingival response to DSSM was our main outcome goal. Also, we evaluated each study’s quality and design. Results: Eleven publications that fit the criteria for inclusion were examined after duplicates were removed. These papers were eventually chosen and thoroughly examined. The studies provided insufficient details regarding the efficacy of space maintenance or gingival response to the DSSM. Conclusion: The main concern is to provide maximum benefit to the patient with minimum discomfort, maximum effectiveness, more cooperation and less chair-side time which can be achieved by the modified distal shoe appliance when compared with the conventional, as it was more stable and required less chair-side time. Though the appliances were designed keeping all the basic requirements in mind, it is firmly recommended to assess more patient-centered outcomes of DSSMs.
目的:牙弓间隙不足可能是由于在第一恒磨牙出牙前,第二乳牙过早脱落所致。在这种情况下,建议使用远端鞋空间维护器(DSSM)来防止空间丢失。我们旨在评估该器械的有效性和安全性。材料和方法:PUBMED, Cochrane图书馆,Google scholar, Ebsco和Science gov都进行了彻底的搜索。通过患者耐受性和牙龈对DSSM的反应来衡量DSSM的有效性是我们的主要结局目标。此外,我们评估了每个研究的质量和设计。结果:11篇符合纳入标准的出版物在删除重复后被检查。这些论文最终被挑选出来并进行了彻底的审查。这些研究没有提供足够的关于空间维持或牙龈对DSSM反应的疗效的细节。结论:改进的远端鞋矫治器比传统的更稳定,需要更少的椅侧时间,以最小的不适,最大的疗效,更多的配合和更短的椅侧时间为患者提供最大的利益。虽然器具的设计考虑了所有的基本要求,但强烈建议评估更多以患者为中心的dssm结果。
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引用次数: 0
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Journal of Advanced Oral Research
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