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Evaluation of Color Changes of Different Resin Cements in Feldspathic Ceramic Crowns After Accelerated Aging: An In Vitro Research 长石陶瓷冠加速老化后不同树脂胶结物颜色变化的体外研究
IF 0.7 Pub Date : 2021-10-09 DOI: 10.1177/23202068211044390
M. Eskitaşçıoğlu, Mehmet Şerif Akdeniz, B. Değirmenci
Aims: To evaluate the color changes that occur after accelerated aging in feldspathic ceramic crowns cemented with three different dual-cured resin cements. Materials and Methods: For each of the A2-colored RelyX U200, G-CEM LinkForce, and Panavia V5 cement groups, 45 dies from A2-colored zirconia blocks and 45 crowns from CEREC blocks were prepared. Color measurements after 24 h of cementation (T1) and after cycles of aging of 1750 (T2), 3500 (T3), and 7000 (T4) in the thermal cycle device were made using SpectroShade Micro device. The coordinates of the color were used L*, a*, and b* as base and the color change was calculated with ∆E00 in determining the color. One-way analysis of variance test was used to compare the times in terms of ∆L*, ∆a*, and ∆b* values. Results: It was found that ∆L* value decreased significantly in period of the T2, T3, and T4 times compared to T1 in all groups (P < .05), whereas the change between period of T2, T3, and T4 times was not significant (P > .05). The ∆a* value increased significantly in the period of T3 and T4 times compared to T1 in the only G-CEM LinkForce group, whereas the ∆b* value increased significantly in the period of T4 time compared to T1 in the only Panavia V5 group. The changes in ∆E00 values, which were observed in all period of times, were found to be between 0.43 and 1.04, 0.43 and 1.43, and 0.40 and 0.97 in RelyX U200, G-CEM LinkForce, and Panavia V5 groups, respectively. Conclusion: After accelerated aging, it was found that the color of all cements became darker and the G-CEM LinkForce group turned red and the Panavia V5 group turned yellow. However, it was found that the color changes that occurred were within clinically acceptable visible levels.
目的:评价三种不同双固化树脂胶结长石陶瓷冠加速老化后的颜色变化。材料和方法:分别制备a2色RelyX U200、G-CEM LinkForce和Panavia V5水泥组,其中a2色氧化锆块模45个,CEREC块冠45个。使用SpectroShade Micro设备测量胶结24 h (T1)和热循环装置中1750 (T2)、3500 (T3)和7000 (T4)老化循环后的颜色。颜色坐标以L*、a*、b*为基底,确定颜色时用∆E00计算颜色变化。采用单因素方差检验分析,比较分别以∆L*、∆a*、∆b*值的次数。结果:与T1比较,各组患者T2、T3、T4时间段的∆L*值均显著降低(P < 0.05),而T2、T3、T4时间段的变化无统计学意义(P > 0.05)。仅G-CEM LinkForce组T3、T4时间的∆a*值较T1显著升高,而仅Panavia V5组T4时间的∆b*值较T1显著升高。各时间段观察到的∆E00值变化,RelyX U200组、G-CEM LinkForce组、Panavia V5组分别在0.43 ~ 1.04、0.43 ~ 1.43、0.40 ~ 0.97之间。结论:加速老化后,所有骨水泥颜色变深,G-CEM LinkForce组变红,Panavia V5组变黄。然而,发现发生的颜色变化在临床可接受的可见水平之内。
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引用次数: 0
The Microbial Neck: A Biological Review of the Various Implant–Abutment Connections 微生物颈部:各种种植体-基台连接的生物学综述
IF 0.7 Pub Date : 2021-09-17 DOI: 10.1177/23202068211041785
Pronoy Mukhopadhyay, A. Khalikar, S. Wankhade, Suryakant Deogade
Aim: This study reviews the importance of selecting implant systems with connection designs that ensure better long-term prognosis of the prosthesis, thus placed. Materials and Methods: An electronic search on the PubMed database was done using MeSH keywords (“dental implant OR abutment OR connection AND microleakage OR bone loss”) to review English language articles published since the year 2011, which compared the crestal bone levels and microleakage around various implant–abutment connection designs (external hex, internal hex, and Morse taper). The search screened for articles on human trials and in vitro studies to be included within the review. Results: Based on the inclusion and exclusion criteria applied to the preliminary search, a total of four articles were included in the review for evaluating the influence of connection type on peri-implant bone loss, while nine articles were included to study the influence on bacterial leakage across the implant–abutment interface. Conclusion: Based on the studies reviewed, the conical connection design proved to be the most biologically stable junctional geometry because of the better microbial seal and the lesser micromovement observed in these types of implants during functional loading. Moreover, this review even emphasizes the need for more longitudinal clinical trials to assess the microbial seal of these connection designs within the actual oral environment to evaluate long-term changes in the peri-implant tissues, and subsequently even factor the prognosis of the planned prosthetic intervention.
目的:本研究回顾了选择具有连接设计的种植体系统的重要性,以确保假体更好的长期预后,从而放置。材料和方法:使用MeSH关键词(“牙种植体或基台或连接和微渗漏或骨质流失”)对PubMed数据库进行电子检索,回顾2011年以来发表的英文文章,比较各种种植体-基台连接设计(外六角、内六角和莫尔斯锥度)的牙冠骨水平和微渗漏。搜索筛选了关于人体试验和体外研究的文章,以纳入审查。结果:根据初步检索的纳入和排除标准,评估连接类型对种植体周围骨丢失影响的文献共纳入4篇,研究对种植体-基牙界面细菌渗漏影响的文献共纳入9篇。结论:根据所回顾的研究,锥形连接设计被证明是生物学上最稳定的连接几何形状,因为在这些类型的植入物中,在功能负荷期间观察到更好的微生物密封和较少的微运动。此外,这篇综述甚至强调需要更多的纵向临床试验来评估这些连接设计在实际口腔环境中的微生物密封,以评估种植体周围组织的长期变化,随后甚至考虑到计划的假体干预的预后。
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引用次数: 0
Effect of Antioxidant and Buffering Agent Mixture on Dentin Shear Bond Strengths of Laminate Veneer and pH Change of External Medium After Intracoronal Bleaching 抗氧化缓冲剂对牙本质剪切强度及牙釉质内漂白后外介质pH变化的影响
IF 0.7 Pub Date : 2021-09-08 DOI: 10.1177/23202068211039711
Z. G. B. Kurklu
Aim: To investigate the effect of sodium ascorbate (SA), an antioxidant and calcium hydroxide (Ca(OH)2), a buffering agent mixture, on the shear bond strength of a luting resin to dentin, and pH changes of the extraradicular medium solution after intracoronal bleaching with hydrogen peroxide. Materials and Methods: In this in vitro study, 60 human maxillary central incisors were randomly assigned into six groups (n: 10): Group 1: restored, no bleach; group 2: bleached, bonded immediately; group 3: bleached, treated with 10% SA applications before bonding; group 4: bleached, treated with calcium hydroxide applications before bonding; group 5: bleached, treated with CaOH2 and SA mixture applications before bonding; group 6: delay bonding by seven days. For bleach treatment in groups 2 to 6, intracoronal bleaching was performed with 35% hydrogen peroxide for four days. SA or CaOH2 or mixture of SA and CaOH2 were left in the access cavity for four days. Hybrid blocks, 4 mm × 4 mm wide × 2–mm thick, were luted with resin cements on dentin surface and then the specimens were subjected to shear bond strength testing. Analysis of variance and Tukey post hoc multiple comparison tests were applied (P < .05). Results: G2 and G4 showed significantly low bond strength values and they were lower than the other groups (P < .05). There were no significant differences between G1, G3, and G6 (P > .05). The pH values had risen markedly in the groups containing calcium hydroxide (G4 and G5) after four days (P < .05). Conclusion: The application of 10% SA or 10% SA and CaOH2 mixture were effective at reversing bleaching effects on bond strength. CaOH2 or CaOH2 and 10% SA mixture increased the external medium pH and were effective for alkalinization after intracoronal bleaching.
目的:研究抗氧化剂抗坏血酸钠(SA)与缓冲剂氢氧化钙(Ca(OH)2)混合对牙本质剪切结合强度的影响,以及过氧化氢漂白牙本质后根外介质溶液pH值的变化。材料与方法:将60颗人上颌中切牙随机分为6组(n: 10): 1组:修复,未漂白;组2:漂白后立即粘接;第3组:漂白,粘接前用10% SA处理;第4组:漂白,在粘接前用氢氧化钙处理;第5组:漂白,粘接前用过氧化氢和SA混合物处理;第六组:延迟绑定7天。对于第2至6组的漂白治疗,使用35%过氧化氢进行冠状内漂白4天。SA或CaOH2或SA与CaOH2的混合物在通道腔中放置4天。采用4 mm × 4 mm宽× 2 mm厚的树脂胶结剂粘接在牙本质表面,进行抗剪粘结强度测试。采用方差分析和Tukey事后多重比较检验(P < 0.05)。结果:G2、G4组黏结强度值明显低于其他组(P < 0.05)。G1、G3、G6间比较差异无统计学意义(P > 0.05)。4 d后,含氢氧化钙组(G4和G5)的pH值显著升高(P < 0.05)。结论:10% SA或10% SA与cooh2混合使用可有效逆转白化对粘结强度的影响。cooh2或cooh2与10% SA的混合物增加了外部介质的pH值,对冠状内漂白后的碱化有效。
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引用次数: 0
Influence of Apical Patency, Coronal Preflaring and Calcium Hydroxide on the Accuracy of Root ZX Apex Locator for Working Length Determination: An In Vitro Study 根尖通畅、冠状面预扩和氢氧化钙对ZX根尖定位仪测定工作长度准确性的影响:体外研究
IF 0.7 Pub Date : 2021-09-06 DOI: 10.1177/23202068211036139
Mostafa Godiny, Reza Hatam, R. Safari-Faramani, Atefeh Khavid, Mohammad Reza Rezaei
Aim: One of the main steps in a successful endodontic treatment is determining the correct working length (WL) of the root canal. In this regard, electronic apex locators (EAL) have been widely used for measuring the WL. The accuracy of EALs in determining the WL may be influenced by various factors. This study is aimed to evaluate the effects of apical patency, coronal preflaring, and calcium hydroxide on the accuracy of the EAL. Materials and Methods: In this in vitro study, 20 central incisor single-rooted human teeth with fully formed apex were considered. Then, samples were randomly divided into two study groups, ten samples in each group. The WL was determined and recorded at 0.5 mm distance to the apex using Root ZX apex locator before and after creating patency, coronal preflaring, and calcium hydroxide administration. All WLs were measured separately for each tooth and reviewed independently by two experienced operators with extensive experience in using EALs. Paired t test and Wilcoxon signed-rank test were applied and the significant level was at .05. Results: Statistical analysis of the obtained data showed a significant decline in the WL after apical patency and coronal preflaring (P < .05). Moreover, WL exhibited a significant enhancement after calcium hydroxide application (P < .05). Conclusion: Apical patency and coronal preflaring increased the accuracy of apex locators in determining the WL of the teeth. Besides, calcium hydroxide residues in the root canal reduced the accuracy of the apex locator.
目的:根管治疗成功的主要步骤之一是确定根管的正确工作长度(WL)。在这方面,电子顶点定位器(EAL)已被广泛用于测量WL。EALs测定WL的准确性可能受到各种因素的影响。本研究旨在探讨根尖通畅、冠状面预扩及氢氧化钙对EAL准确度的影响。材料与方法:以20颗人中切牙单根尖牙为研究对象。然后,将样本随机分为两个研究组,每组10个样本。在建立通畅、冠状面预扩和氢氧化钙给药前后,使用根ZX根尖定位仪测定并记录距离根尖0.5 mm处的白度。所有的WLs分别测量每个牙齿,并由两名经验丰富的使用EALs的操作员独立审查。采用配对t检验和Wilcoxon符号秩检验,显著性水平为0.05。结果:经统计分析,经根尖开放和冠状面预扩后WL明显下降(P < 0.05)。氢氧化钙处理后WL明显增强(P < 0.05)。结论:根尖开放和冠状面预扩提高了根尖定位仪测定牙齿长宽的准确性。此外,根管内的氢氧化钙残留降低了根尖定位器的准确性。
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引用次数: 3
Indian Propolis Little Known and More to Explore for Dental Applications: A Review 印度蜂胶在牙科领域的应用研究综述
IF 0.7 Pub Date : 2021-08-27 DOI: 10.1177/23202068211033742
B. Godhi, H. Jaishankar, H. T. Darla, Sonali Saha, Sumana M.N., S. Rudraswamy
Aim: The present trend in health care is toward the use of natural products for curing diseases. “Propolis” or bees wax is a natural, nontoxic resinous material collected by bees from exudates and buds of the plant. It has many beneficial biological and pharmacological properties such as antimicrobial, anti-inflammatory, antifungal, antiviral, and anticancer activities. Propolis is widely applied in dentistry as an anticariogenic agent, hypersensitivity reducing agent, and endodontic disinfection to name a few. The diverse phytochemical constituents of propolis are responsible for its valuable properties. Considering its vast potential, propolis has gained the attention of many researchers. The aim of this study is to offer a comprehensive evidence which will enable the readers and researchers to appreciate the prospects of the application of Indian propolis in present-day dentistry. Material and Methods: In vitro and in vivo studies on Indian propolis and its application in dentistry searches were performed in PubMed, Scopus, and Cochrane library databases up to December 2020. Results: The search identified 31 records; 12 full-text articles which met the eligibility criteria were assessed. Based on the results of in vitro studies, further in vivo studies need to be carried out to prove the feasibility of Indian propolis as an anticariogenic agent, a desensitizing agent, and an intracanal irrigant/medicament in the field of dentistry. Conclusion: Indian propolis has shown an immense amount of potentiality which demands for more clinical research to have sufficient evidence-based literature for future usage in oral health care.
目的:目前医疗保健的趋势是使用天然产品来治疗疾病。“蜂胶”或蜂蜡是一种天然的,无毒的树脂材料,由蜜蜂从植物的分泌物和芽中收集。它具有许多有益的生物学和药理学特性,如抗菌、抗炎、抗真菌、抗病毒和抗癌活性。蜂胶作为抗致癌剂、降敏剂、牙髓消毒等广泛应用于牙科领域。蜂胶的多种植物化学成分是其宝贵特性的原因。鉴于蜂胶的巨大潜力,它已经引起了许多研究者的关注。本研究的目的是提供一个全面的证据,这将使读者和研究人员能够欣赏印度蜂胶在当今牙科应用的前景。材料和方法:截至2020年12月,在PubMed、Scopus和Cochrane图书馆数据库中进行了印度蜂胶的体外和体内研究及其在牙科中的应用。结果:检索到31条记录;评估了符合资格标准的12篇全文文章。在体外研究的基础上,还需要进行进一步的体内研究来证明印度蜂胶在牙科领域作为抗致癌剂、脱敏剂和肛管冲洗剂/药物的可行性。结论:印度蜂胶已显示出巨大的潜力,需要更多的临床研究,以获得足够的循证文献,为未来在口腔保健中的应用提供依据。
{"title":"Indian Propolis Little Known and More to Explore for Dental Applications: A Review","authors":"B. Godhi, H. Jaishankar, H. T. Darla, Sonali Saha, Sumana M.N., S. Rudraswamy","doi":"10.1177/23202068211033742","DOIUrl":"https://doi.org/10.1177/23202068211033742","url":null,"abstract":"Aim: The present trend in health care is toward the use of natural products for curing diseases. “Propolis” or bees wax is a natural, nontoxic resinous material collected by bees from exudates and buds of the plant. It has many beneficial biological and pharmacological properties such as antimicrobial, anti-inflammatory, antifungal, antiviral, and anticancer activities. Propolis is widely applied in dentistry as an anticariogenic agent, hypersensitivity reducing agent, and endodontic disinfection to name a few. The diverse phytochemical constituents of propolis are responsible for its valuable properties. Considering its vast potential, propolis has gained the attention of many researchers. The aim of this study is to offer a comprehensive evidence which will enable the readers and researchers to appreciate the prospects of the application of Indian propolis in present-day dentistry. Material and Methods: In vitro and in vivo studies on Indian propolis and its application in dentistry searches were performed in PubMed, Scopus, and Cochrane library databases up to December 2020. Results: The search identified 31 records; 12 full-text articles which met the eligibility criteria were assessed. Based on the results of in vitro studies, further in vivo studies need to be carried out to prove the feasibility of Indian propolis as an anticariogenic agent, a desensitizing agent, and an intracanal irrigant/medicament in the field of dentistry. Conclusion: Indian propolis has shown an immense amount of potentiality which demands for more clinical research to have sufficient evidence-based literature for future usage in oral health care.","PeriodicalId":43017,"journal":{"name":"Journal of Advanced Oral Research","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85002647","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
The Effect of Cooling Times on the Bonding Between Porcelain and Metal Alloys Fabricated by Different Techniques: In Vitro Study 冷却时间对不同工艺制备的陶瓷与金属合金结合的影响:体外研究
IF 0.7 Pub Date : 2021-08-23 DOI: 10.1177/23202068211037174
Emine Ünal, Faik Tugut
Aim: The aim of this study was to evaluate the effect of different cooling times on shear bond strength between cobalt–chromium metal frameworks fabricated by different techniques and veneering porcelain. Materials and Methods: One hundred twenty cobalt–chromium metal ceramic samples were obtained by three different techniques (casting, milling, and laser sintering). During the porcelain firing, fast and slow cooling protocols were applied. Ten specimens from each group were determined for all groups. The shear bond strength of the metal ceramic samples was measured by a universal testing machine with a constant crosshead speed of 0.5 mm/min. One sample from each group was evaluated by the scanning electron microscopy analysis in terms of surface change and fracture morphology. Variance analysis and Tukey test were used to analyze statistically significant differences between groups. Results: It was seen that the difference between the bond strengths of the metal frameworks obtained by different techniques was statistically significant (P < .05). All groups except for difference between the bond strengths of all the frameworks metal groups with G-Ceram porcelain were statistically significant (P < .05). The best bond strengths that were statistically significant were fast cooling G-Ceram (19.65 ± 2.65 MPa) with metal frameworks fabricated by laser sintering, fast cooling with metal framework fabricated by milling Noritake (19.17 ± 2.91 MPa), and the metal framework fabricated by casting was found to be slow cooling Noritake (12.99 ± 2.08 MPa) were seen. Conclusion: The porcelain cooling times had significant effect on the shear bond strength of porcelain to casting, milling and laser sintering alloys.
目的:研究不同冷却时间对不同工艺制作的钴铬金属框架与贴面瓷之间剪切结合强度的影响。材料和方法:通过三种不同的技术(铸造、铣削和激光烧结)获得120个钴铬金属陶瓷样品。在瓷器烧制过程中,采用快速和慢速冷却方案。各组各取10个标本。采用恒十字速度0.5 mm/min的万能试验机测试金属陶瓷试样的剪切结合强度。每组各取一个样品,通过扫描电子显微镜分析表面变化和断口形貌。采用方差分析和Tukey检验分析组间差异有统计学意义。结果:不同方法获得的金属框架粘结强度差异有统计学意义(P < 0.05)。除各框架金属组与G-Ceram瓷的结合强度差异有统计学意义(P < 0.05)外,其余各组间差异均有统计学意义。结合强度最好的是激光烧结快速冷却G-Ceram(19.65±2.65 MPa)和铣磨Noritake金属框架(19.17±2.91 MPa),而铸造缓慢冷却Noritake金属框架(12.99±2.08 MPa)。结论:冷却时间对陶瓷与铸造、铣削和激光烧结合金的剪切结合强度有显著影响。
{"title":"The Effect of Cooling Times on the Bonding Between Porcelain and Metal Alloys Fabricated by Different Techniques: In Vitro Study","authors":"Emine Ünal, Faik Tugut","doi":"10.1177/23202068211037174","DOIUrl":"https://doi.org/10.1177/23202068211037174","url":null,"abstract":"Aim: The aim of this study was to evaluate the effect of different cooling times on shear bond strength between cobalt–chromium metal frameworks fabricated by different techniques and veneering porcelain. Materials and Methods: One hundred twenty cobalt–chromium metal ceramic samples were obtained by three different techniques (casting, milling, and laser sintering). During the porcelain firing, fast and slow cooling protocols were applied. Ten specimens from each group were determined for all groups. The shear bond strength of the metal ceramic samples was measured by a universal testing machine with a constant crosshead speed of 0.5 mm/min. One sample from each group was evaluated by the scanning electron microscopy analysis in terms of surface change and fracture morphology. Variance analysis and Tukey test were used to analyze statistically significant differences between groups. Results: It was seen that the difference between the bond strengths of the metal frameworks obtained by different techniques was statistically significant (P < .05). All groups except for difference between the bond strengths of all the frameworks metal groups with G-Ceram porcelain were statistically significant (P < .05). The best bond strengths that were statistically significant were fast cooling G-Ceram (19.65 ± 2.65 MPa) with metal frameworks fabricated by laser sintering, fast cooling with metal framework fabricated by milling Noritake (19.17 ± 2.91 MPa), and the metal framework fabricated by casting was found to be slow cooling Noritake (12.99 ± 2.08 MPa) were seen. Conclusion: The porcelain cooling times had significant effect on the shear bond strength of porcelain to casting, milling and laser sintering alloys.","PeriodicalId":43017,"journal":{"name":"Journal of Advanced Oral Research","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86826831","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
Comparison of Various Root Canal Filling Materials and Obturation Techniques for Primary Teeth Using Microcomputed Tomography 不同根管充填材料与乳牙充填技术的微计算机断层扫描比较
IF 0.7 Pub Date : 2021-08-14 DOI: 10.1177/23202068211036148
G. Ozturk, M. Aydınbelge, H. Gumus
Aim: The aim of this study was to compare the effectiveness of different filling materials and obturation techniques for root canal obturation in primary teeth. Materials and Methods: Eighty maxillary primary incisors were included in this in vitro study. After biomechanical preparation, all samples were scanned using microcomputed tomography (micro-CT) and root canal volumes were calculated. Samples were grouped according to filling materials and obturation techniques, with ten samples in each group. The samples were filled with zinc oxide eugenol (ZOE) and Vitapex using four different obturation techniques (local anesthesia syringe, lentulo spiral, pastinject, and lentulo spiral–ultrasonic activation). After filling, samples were scanned a second time using micro-CT and root canal volumes were calculated. The statistical analysis was performed using SPSS version 24.0. Data were analyzed by Kruskal–Wallis and Mann–Whitney U tests. Results: When the ZOE and Vitapex were compared, it was observed that there were no significant differences between their postobturated volumes, percentage obturated volume (POV), internal void (IV), and percentage of internal void volume (PIV) (P > .05). The local anesthesia syringe group had a significantly lower postobturated volume and POV, and a significantly higher IV and PIV for both filling materials than that by the other groups (P < .05). There was no significant difference between the other obturation techniques (P > .05). For the local anesthesia syringe group, postobturated volume and POV were significantly higher and IV and PIV were significantly lower with Vitapex than with ZOE (P < .05). There was no significant difference between the other obturation techniques filled either with ZOE or Vitapex (P > .05). Conclusion: Except for the syringe technique, no difference was observed between the ZOE and Vitapex materials. The syringe technique used in the primary root canal filling was less effective than the other techniques, which had similar efficacy, and in this technique, more effective canal filling was achieved with Vitapex.
目的:比较不同充填材料和充填技术对乳牙根管充填的效果。材料与方法:采用80颗上颌一切牙进行体外实验。生物力学准备完成后,使用微计算机断层扫描(micro-CT)对所有样本进行扫描,并计算根管体积。按填充物和封堵技术进行分组,每组10个。采用四种不同的封闭技术(局麻注射器、lentulo螺旋、pastinject和lentulo螺旋-超声激活)填充氧化锌丁香酚(ZOE)和Vitapex。充填后,使用micro-CT对样品进行第二次扫描,计算根管体积。采用SPSS 24.0版本进行统计分析。数据分析采用Kruskal-Wallis和Mann-Whitney U检验。结果:将ZOE与Vitapex进行比较,发现它们的闭孔后容积、闭孔容积百分比(POV)、内腔容积百分比(IV)、内腔容积百分比(PIV)差异无统计学意义(P > 0.05)。局麻注射器组闭合后容积和POV均显著低于其他组,两种填充物的IV和PIV均显著高于其他组(P < 0.05)。其他封闭技术间差异无统计学意义(P > 0.05)。局麻注射器组,Vitapex组闭孔后容积和POV显著高于ZOE组,IV和PIV显著低于ZOE组(P < 0.05)。ZOE充填与Vitapex充填两种充填方式间无显著性差异(P > 0.05)。结论:除了注射技术外,ZOE与Vitapex材料之间无显著差异。使用注射器技术填充主根管的效果不如其他技术,但效果相似,在这种技术中,使用Vitapex可以更有效地填充根管。
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引用次数: 0
An American Perspective of the Dental and Public Health Initiatives in Cuba 美国人对古巴牙科和公共卫生倡议的看法
IF 0.7 Pub Date : 2021-08-09 DOI: 10.1177/23202068211030143
Colleen Watson, L. Rhein, S. Fanelli
Aim: To compare following the Cuban Revolution, Cuba’s economy and civil society was transformed by the initiation of a program of nationalization and political consolidation. The Cuban government operates a national health system and assumes fiscal and administrative responsibility for the healthcare of its citizens. Other industrialized nations continue to surpass the US in health-related outcomes indicating areas of improvement in its healthcare system. Assessing the successes and failures as well as the advantages and disadvantages of other countries’ healthcare systems may be instrumental in the development of modifications to the organization and delivery system of healthcare in the US. This paper aims to report the information attained from previous literature as well as from first-hand observations from a public health trip to Cuba in order to compare the healthcare systems in Cuba and the United States. Materials and Methods: A group of New York University College of Dentistry faculty and students traveled to Cuba in April 2019 for professional research and professional meetings (CFR 515.564). While in Cuba, the researchers took written notes of the lecture-based material and conversations. Upon return to the United States, published literature was searched for the collection of any additional data and all qualitative data and quantitative data was compiled and organized. Since 1959, Cuba has made continuous adjustments and improvements to its universal, free and accessible healthcare system. Results: There have been notable improvements to the country’s public health status, such as the implementation of an immunization program and subsequent eradication of communicable diseases, such as polio and rubella. Additionally, the implementation of the National Program on Dentistry guarantees dental care to all Cuban children under the age of 19. Today, the Cuban National Health System (NHS) initiatives have evolved to combat the novel coronavirus (COVID-19) pandemic. Conclusion: Recognizing the advantages as well as the disadvantages of the Cuba’s National Health System (NHS) would be useful for future policymakers in the United States. Cuban approaches to health could be tailored to the United States environment to improve healthcare effectiveness and population health status in the future.
目的:比较古巴革命后,古巴的经济和公民社会在国有化和政治巩固计划的启动下发生了变化。古巴政府经营一个国家卫生系统,并对其公民的卫生保健承担财政和行政责任。其他工业化国家在健康方面的结果继续超过美国,这表明美国的医疗保健系统有改进的领域。评估成功和失败,以及其他国家的医疗保健系统的优势和劣势,可能有助于发展修改组织和交付系统的医疗保健在美国。本文旨在报告从以前的文献中获得的信息,以及从古巴公共卫生之旅的第一手观察,以便比较古巴和美国的医疗保健系统。材料和方法:2019年4月,纽约大学牙科学院的一组教师和学生前往古巴进行专业研究和专业会议(CFR 515.564)。在古巴期间,研究人员对讲座材料和对话进行了书面记录。回到美国后,检索已发表的文献,收集任何额外的数据,并对所有定性数据和定量数据进行整理和整理。自1959年以来,古巴不断调整和改进其普及、免费和可及的医疗保健制度。结果:该国的公共卫生状况有了显著改善,例如实施了免疫方案,随后消灭了小儿麻痹症和风疹等传染病。此外,《国家牙科方案》的实施保证了所有古巴19岁以下儿童的牙科保健。今天,古巴国家卫生系统(NHS)的举措已经演变为对抗新型冠状病毒(COVID-19)大流行。结论:认识到古巴国家卫生系统(NHS)的优点和缺点将有助于美国未来的政策制定者。古巴的保健办法可以根据美国的环境加以调整,以提高今后的保健效力和人口健康状况。
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引用次数: 0
The Challenge of Early Prevention of Periodontal Diseases in Japan 日本牙周病早期预防的挑战
IF 0.7 Pub Date : 2021-06-18 DOI: 10.1177/23202068211022586
Masanobu Abe, A. Mitani, L. Zong, K. Hoshi, S. Yanagimoto
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引用次数: 3
Antimicrobial Effectiveness of Photodynamic Therapy, 5% Sodium Hypochlorite and 2% Chlorhexidine Gluconate in Root Canal Treated Teeth: A Clinical Study 光动力疗法、5%次氯酸钠和2%葡萄糖酸氯己定治疗根管治疗牙齿抗菌效果的临床研究
IF 0.7 Pub Date : 2021-05-21 DOI: 10.1177/23202068211018984
Ramesh Bharti, A. Tikku, A. Chandra, Prashant Gupta
Aim: To evaluate the effectiveness of photodynamic therapy (PDT), sodium hypochlorite (NaOCl) and chlorhexidine gluconate (CHO) in the endodontic re-treatment in the removing of microorganisms from previously filled infected root canals. Materials and Methods: The study samples consist of 54 root canal treated anterior teeth with apical periodontitis were randomly divided into three groups according to the disinfection protocol. Microbiological samples from the root canals were collected after removing the gutta-percha (S1) and following the endodontic re-treatment (S2) with either 5% NaOCl, 2% CHO or PDT procedure for 1 minute. Microbiological samples were cultivated on selective plates to assess the presence or absence of microbial growth and determine the average reduction of viable microorganisms. Results: Significant reduction in the total bacterial count in all the groups at post treatment (P < .001). PDT provided statistically higher (99.74%) elimination of Enterococcus faecalis in comparison to NaOCl (95%) and CHO (88%). Conclusions: The use of PDT in endodontic re-treatment led to the significant reduction of the remaining bacterial species. So, PDT can be used for routine endodontic disinfection in failed root canal cases.
目的:评价光动力疗法(PDT)、次氯酸钠(NaOCl)和葡萄糖酸氯己定(CHO)在根管再治疗中清除先前充填的感染根管微生物的效果。材料与方法:选取经根管治疗的根尖牙炎前牙54例,按消毒方案随机分为3组。取下杜胶(S1)后,再用5% NaOCl、2% CHO或PDT进行根管再处理(S2) 1分钟,收集根管微生物样本。微生物样品在选择板上培养,以评估微生物生长的存在或不存在,并确定活菌的平均减少。结果:治疗后各组细菌总数均显著减少(P < 0.001)。与NaOCl(95%)和CHO(88%)相比,PDT对粪肠球菌的去除率(99.74%)有统计学意义上更高。结论:在根管再治疗中使用PDT可显著减少剩余细菌种类。因此,PDT可用于根管消毒失败病例的常规根管消毒。
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引用次数: 3
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Journal of Advanced Oral Research
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