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Patient-Specific Implant for Primary Orbital Reconstruction: A Case Report 患者特异性种植体用于初级眼眶重建:1例报告
IF 0.2 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-12-22 DOI: 10.21315/aos2022.1702.cr01
Ting Jennifer, Mohd Ferdaus Isa, J. R. Rajaran, A. Nazimi
The main aim of orbital fracture reconstruction is to restore the functional and aesthetic components of the eye. However, it is known that surgery for complex three-dimensional anatomy of the orbit is always a challenge. With recent advancements in technology, surgical predictability and outcomes have greatly improved. Several methods for orbital reconstruction surgery have been documented such as virtual surgical planning, intraoperative navigation, intraoperative imaging, and the use of patient-specific implant (PSI). PSI made of titanium can be designed by using a computer-aided design process and manufacturing (CAD-CAM) of CT-scan routinely used during diagnostic imaging. With precise analyses in shape and size followed by personalised implant design, the surgical precision can be alleviated further and at the same time, the surgical duration could be reduced with anticipation of better surgical outcomes. However, meticulous planning needs to be done preoperatively, with the timing of the surgery being an important factor. In the present case, pure orbital blowout fracture primarily treated with a personalised-implant solution derived from 3D-printing technology is described. Both pre-surgical and surgical workflow of this computer-assisted surgical method is elaborated. PSI for primary orbital reconstruction can be regarded as a viable alternative surgical solution including its working timeframe and adherence to the surgical protocol or algorithm.
眼眶骨折重建的主要目的是恢复眼的功能和美观。然而,众所周知,手术对复杂的三维解剖的眼眶一直是一个挑战。随着最近技术的进步,手术的可预测性和结果有了很大的提高。眼眶重建手术的几种方法已被记录,如虚拟手术计划、术中导航、术中成像和使用患者特异性植入物(PSI)。钛制PSI可以通过计算机辅助设计过程和计算机辅助制造(CAD-CAM)来设计诊断成像中常用的ct扫描。通过对种植体形状和大小的精确分析,以及个性化的种植体设计,可以进一步降低手术精度,同时减少手术时间,预期手术效果更好。然而,术前需要进行细致的计划,手术时机是一个重要因素。在本病例中,纯粹的眼眶爆裂骨折主要用3d打印技术衍生的个性化植入物治疗。阐述了这种计算机辅助手术方法的术前及手术流程。原发性眼眶重建的PSI可被视为一种可行的替代手术解决方案,包括其工作时间和对手术方案或算法的遵守。
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引用次数: 0
Prevalence of Impacted Teeth in a South Indian Population using Cone Beam Computed Tomography: A Retrospective Study 锥束计算机断层扫描在南印度人群中阻生牙的患病率:一项回顾性研究
IF 0.2 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-12-22 DOI: 10.21315/aos2022.1702.oa01
Sachi Bhutani, Vidya Ajila, G. Babu, Shruthi S Hegde
Localisation of impacted teeth is essential for surgical and orthodontic management. The study objective was to evaluate the prevalence and type of tooth impaction in the jaws using cone beam computed tomography (CBCT). The CBCT records of subjects between 2018 and 2020 were retrieved from our institution archives and examined by two oral radiologists. A total of 760 CBCT scans were evaluated, of which 140 (18.4%) scans had impacted teeth. From the 140 CBCT scans, 216 impacted teeth were identified. Maximum impactions were in the age group of 21–30 years. Third molars were the most commonly impacted teeth (66.2%), followed by canines (23.6%), supernumerary teeth (4.6%), premolars (3.2%), incisors (1.4%), and second molars (0.9%). Among the impacted canines, 53% were buccally impacted, 43% were palatally impacted and other impactions were 4%. Among the third molars, mesioangular impactions were the most frequent (41.2%), followed by horizontal (28%), vertical (16.7%) and distoangular impaction (4.1%). The most frequently impacted teeth were the third molars, followed by canines. Canine impactions were more frequent in the maxilla, while third molar impactions were thrice as common in the mandible compared to the maxilla. Mesioangular third molar impactions were the commonest, followed by horizontal, vertical and distoangular.
阻生牙的定位对于外科和正畸治疗至关重要。本研究的目的是使用锥形束计算机断层扫描(CBCT)来评估颌骨中牙齿嵌塞的患病率和类型。2018年至2020年间受试者的CBCT记录是从我们的机构档案中检索的,并由两名口腔放射科医生检查。共评估了760次CBCT扫描,其中140次(18.4%)扫描有阻生牙齿。从140次CBCT扫描中,识别出216颗阻生牙齿。最大的影响发生在21-30岁的年龄组。第三磨牙是最常见的阻生牙(66.2%),其次是犬齿(23.6%)、多生牙(4.6%)、前臼齿(3.2%)、切牙(1.4%)和第二磨牙(0.9%)。在阻生犬齿中,53%为口腔阻生,43%为腭阻生,其他阻生占4%。在第三磨牙中,近角撞击最常见(41.2%),其次是水平撞击(28%)、垂直撞击(16.7%)和远角撞击(4.1%)。最常见的撞击牙齿是第三磨牙,其次是犬齿。犬类撞击在上颌骨更常见,而第三磨牙撞击在下颌骨的常见程度是上颌骨的三倍。斜方第三磨牙撞击最为常见,其次是水平、垂直和双尖牙撞击。
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引用次数: 0
Evaluation of Self-Adhering Flowable Composites on Repeated Bracket Bonding Process: An In Vitro Study 自粘性可流动复合材料在支架重复粘接过程中的评价:体外研究
IF 0.2 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-12-22 DOI: 10.21315/aos2022.1702.oa03
A. Akbulut, Gokcen Sahin
Duration of orthodontic treatment becomes major concern. The present study compared shear bond strength (SBS) and adhesive remnant index (ARI) values of different adhesive systems with different application methods on rebonding process of retrieved orthodontic brackets. Eighty premolar teeth were equally divided into five groups. Transbond XT (TXT) which belongs to total-etch system was used in Group 1 as the control group. Nova Compo-SF (NC) and Vertise Flow (VF) (Kerr Dental, Italy) which are self-adhering flowable composites were used in Group 2 (NC+etch) and Group 3 (VF+etch) respectively with additional etching before application. Group 4 (NC) and Group 5 (VF) were used by following instructions of each brand. The brackets were debonded with a bracket removing plier and rebonded with the same procedures after sandblasting of the bracket and surface cleaning of the enamel. SBS and ARI were measured for each sample. Comparison between all groups was performed by Kruskal-Wallis test and chisquare test. The highest SBS was observed in NC+etch (median = 11.44, mean = 13.49±9.42), followed by NC (median = 10.17, mean = 11.35±6.55), TXT (median = 6.36, mean = 8.06±6.33), VF+etch (median = 5.68, mean = 6.75±4.58), and VF (median = 2.62, mean = 2.92±2.57), respectively. ARI 1 was observed in 81.3% of TXT whereas 62.5% of NC+etch. ARI 1, 2, and 3 were equally distributed in VF+etch group (31.3%). ARI 5 was observed in 37.5% of NC and 62.5% of VF. Analyses referred to statistically significant differences between five groups regarding both SBS and ARI (p < 0.001). As NC showed the highest SBS on rebonding process, it can be a promising alternative to TXT which is the gold standard.
正畸治疗的持续时间成为主要问题。本研究比较了不同粘接剂体系和不同应用方法在矫治牙槽再粘接过程中的剪切粘接强度(SBS)和粘接残余指数(ARI)值。80颗前磨牙平均分为5组。第1组采用全蚀刻体系的Transbond XT (TXT)作为对照组。Nova composite - sf (NC)和Vertise Flow (VF)(意大利Kerr Dental, Italy)为自粘流动复合材料,分别用于第2组(NC+蚀刻)和第3组(VF+蚀刻),并在应用前进行额外的蚀刻。第4组(NC)和第5组(VF)按各品牌说明书使用。用支架拆卸钳将支架剥离,在支架喷砂和牙釉质表面清洗后,用同样的程序重新粘合。测定每个样品的SBS和ARI。各组间比较采用Kruskal-Wallis检验和chissquare检验。SBS以NC+etch组最高(中位数= 11.44,平均= 13.49±9.42),其次为NC组(中位数= 10.17,平均= 11.35±6.55)、TXT组(中位数= 6.36,平均= 8.06±6.33)、VF组(中位数= 5.68,平均= 6.75±4.58)、VF组(中位数= 2.62,平均= 2.92±2.57)。在TXT的81.3%中观察到ARI 1,而在NC+etch的62.5%中观察到ARI 1。ARI 1、2、3在VF+etch组平均分布(31.3%)。37.5%的NC和62.5%的VF出现ARI 5。分析表明,五组之间在SBS和ARI方面的差异具有统计学意义(p < 0.001)。NC在重粘过程中表现出最高的SBS,有望取代TXT作为金标准。
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引用次数: 0
In Vitro Cytotoxicity Analysis of Bioceramic Root Canal Sealers on Human Gingival Fibroblast Cells 生物陶瓷根管封闭剂对人牙龈成纤维细胞的体外细胞毒性分析
IF 0.2 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-12-22 DOI: 10.21315/aos2022.1702.oa05
Siti Aisyah Nadirah Ja’apar, S. Ichwan, M. Mustaffa
This study evaluated the cytotoxicity of four bioceramic root canal sealers (bioceramic sealers): GuttaFlow Bioseal (GB), MTA Fillapex, CeraSeal Bioceramic root canal sealer (CS), and iRoot SP root canal sealer (iRSP). The viability of human gingival fibroblast (HGF) cells was used to evaluate the cytotoxicity of these bioceramic sealers. HGF cells were cultured and exposed to bioceramic sealer extracts for 24 hours, 48 hours and 72 hours at 37°C in an incubator humidified with 5% CO2. The 3-(4, 5-dimethylthiazol-2-yl)-2, 5-diphenyltetrazolium bromide or MTT assay was conducted to determine cell viability at each incubation period and compared among all bioceramic sealers. The Kruskal-Wallis test revealed statistically significant differences between the positive control group and MTA Fillapex, MTA Fillapex and GB, and between GB and iRSP with p < 0.05. However, no statistical differences were found in cell viability for each material across all the incubation periods. GB was the least cytotoxic bioceramic sealer with cell viability exceeding 90% throughout the 72-hour incubation followed by CS, iRSP, and MTA Fillapex with non-cytotoxicity after 72-hour incubation, mild cytotoxicity after 72-hour incubation, and mild cytotoxicity after 72-hour incubation, respectively. However, iRSP showed moderate cytotoxicity, and MTA Fillapex was severely cytotoxic (< 30% cell viability) after 24-hour incubation.
本研究评估了四种生物陶瓷根管密封剂(生物陶瓷密封剂):GuttaFlow Bioseal (GB)、MTA Fillapex、CeraSeal bioceramic根管密封剂(CS)和iRoot SP根管密封剂(iRSP)的细胞毒性。采用人牙龈成纤维细胞(HGF)细胞活力评价生物陶瓷密封材料的细胞毒性。培养HGF细胞,并在5% CO2加湿的37℃培养箱中暴露于生物陶瓷密封剂提取物24小时、48小时和72小时。采用3-(4,5 -二甲基噻唑-2-基)- 2,5 -二苯基溴化四唑或MTT法测定每个孵育期的细胞活力,并比较所有生物陶瓷密封剂之间的差异。Kruskal-Wallis检验显示阳性对照组与MTA Fillapex、MTA Fillapex与GB、GB与iRSP之间差异有统计学意义(p < 0.05)。然而,在所有孵育期间,每种材料的细胞活力没有统计学差异。GB是细胞毒性最小的生物陶瓷密封剂,在72小时内细胞活力均超过90%,其次是CS、iRSP和MTA Fillapex, 72小时后细胞毒性为无,72小时后细胞毒性为轻度,72小时后细胞毒性为轻度。然而,经24小时孵育后,iRSP表现出中度细胞毒性,MTA Fillapex表现出严重的细胞毒性(< 30%细胞活力)。
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引用次数: 0
Quantitative Assessment of Dentine Sialophosphoprotein, Aspartate Aminotransferase and Lactate Dehydrogenase in Gingival Crevicular Fluid of Teeth with Root Resorption 牙根吸收牙龈沟液中牙本质唾液磷蛋白、谷草转氨酶和乳酸脱氢酶的定量测定
IF 0.2 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-12-22 DOI: 10.21315/aos2022.1702.oa07
Noor Ayuni Ahmad Shafiai, Rohaya Megat Abdul Wahab
Root resorption is a shortening of root dentine which occurs physiologically in deciduous teeth. The present study aimed to quantify dentine sialophosphoprotein (DSPP), aspartate aminotransferase (AST) and lactate dehydrogenase (LDH) in gingival crevicular fluid (GCF) during the physiological process of root resorption of deciduous teeth. A cross-sectional study was conducted with 25 children aged between 4 and 10 years old. GCF was collected from the gingival sulcus using periopaper strips from the upper first deciduous molar (n = 45). The samples were divided equally into three groups, no resorption (R0), moderate resorption (RM) and severe resorption (RS), based on the existing radiographs taken. The GCF samples were then analysed using an enzyme-linked immunosorbent assay (ELISA) kit to determine the DSPP concentration levels and BioAssays System kit for AST and LDH. One-way ANOVA was used to determine the statistical differences between the means of the DSPP, AST and LDH concentration level in the three groups. A difference was considered significant when p < 0.05. High concentration levels of DSPP were significantly noted in RS (p < 0.05), compared to RM and R0. AST also portrayed significant high activity level (p < 0.05) similar to DSPP but LDH showed no significant changes between groups (p > 0.05). The high quantification of DSPP and AST levels in the severe and moderately resorbed roots indicated the potential use of this protein as a biomarker for detecting moderate-severe stages of root resorption.
乳牙根质吸收是乳牙根质缩短的一种生理现象。本研究旨在定量测定乳牙根吸收生理过程中龈沟液(GCF)中牙本质唾液磷蛋白(DSPP)、天冬氨酸转氨酶(AST)和乳酸脱氢酶(LDH)的含量。对25名年龄在4至10岁之间的儿童进行了一项横断面研究。采用第一上乳牙牙周纸条从龈沟收集龈cf (n = 45)。根据现有x线片,将标本平均分为无吸收组(R0)、中度吸收组(RM)和重度吸收组(RS)。然后使用酶联免疫吸附试验(ELISA)试剂盒分析GCF样品,以确定DSPP浓度水平和AST和LDH的生物测定系统试剂盒。采用单因素方差分析(One-way ANOVA)确定三组患者DSPP、AST、LDH浓度水平均值之间的统计学差异。p < 0.05时,差异为被认为是显著的。与RM和R0相比,RS中DSPP浓度显著升高(p < 0.05)。AST与DSPP均表现出显著的高活性水平(p < 0.05), LDH组间无显著变化(p < 0.05)。重度和中度吸收根中DSPP和AST水平的高定量表明,该蛋白可能用作检测中重度根吸收阶段的生物标志物。
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引用次数: 0
In Vitro Evaluation of Human Demineralised Teeth Matrix on Osteogenic Differentiation of Gingival Mesenchymal Stem Cells 人脱矿牙基质对牙龈间充质干细胞成骨分化的体外研究
IF 0.2 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-12-22 DOI: 10.21315/aos2022.1702.oa08
D. Deshpande, Arvind Karikal, C. Kumar, B. Kumar, V. Shetty
The use of tooth-derived material as a scaffold has gained attention recently due to its ease of availability and bioactive properties. Hence, the objective of this study was to determine in vitro interaction of human gingival mesenchymal stem cells (hGMSCs) with human demineralised teeth matrix (hDTM) on osteogenic potential with or without osteogenic inducers. The hGMSCs were established and characterised on their morphology, proliferation, population doubling time (PDT), viability, colony-forming ability, expression of cell surface markers and adipogenic differentiation. Further, the effect of hDTM on the biocompatibility and osteogenic differentiation ability of hGMSCs was evaluated. The hGMSCs displayed a fibroblast-like appearance and exhibited a greater proliferative activity. The cells showed > 91% viability, and PDT varied between 39.34 hours and 62.59 hours. Further, hGMSCs indicated their propensity to form clusters/ colonies, and expressed the markers, such as CD29, CD44, CD73 and CD90, but were negative for CD34 and CD45. When treated with adipogenic induction medium, hGMSCs were able to exhibit the formation of neutral lipid vacuoles. The hGMSCs cultured with hDTM did not show any cytotoxic changes including morphology and viability. Mineralisation of calcium nodules was observed in hGMSCs when cultured in osteogenic induction (OI) medium as an indication of osteogenesis. hGMSCs when cultured with hDTM confirmed the presence of a mineralised matrix. Further, when the cells were cultured with hDTM along with OI, they showed slightly enhanced differentiation into osteocytes. In conclusion, hGMSCs were shown to be biocompatible with hDTM, and demonstrated their enhanced osteogenic potential in the presence of hDTM and osteogenic supplements.
由于其易于获得和具有生物活性,牙齿衍生材料作为支架的使用最近受到了关注。因此,本研究的目的是确定人牙龈间充质干细胞(hGMSC)与人脱矿化牙齿基质(hDTM)在有或没有成骨诱导剂的情况下对成骨潜力的体外相互作用。建立了hGMSC,并对其形态、增殖、群体倍增时间(PDT)、活力、集落形成能力、细胞表面标记物的表达和成脂分化进行了表征。此外,还评估了hDTM对hGMSCs的生物相容性和成骨分化能力的影响。hGMSC表现出成纤维细胞样外观,并表现出更大的增殖活性。细胞显示出>91%的活力,PDT在39.34小时和62.59小时之间变化。此外,hGMSC显示其形成簇/集落的倾向,并表达标记物,如CD29、CD44、CD73和CD90,但对CD34和CD45呈阴性。当用脂肪诱导培养基处理时,hGMSCs能够表现出中性脂质液泡的形成。用hDTM培养的hGMSC没有显示出任何细胞毒性变化,包括形态和活力。当在成骨诱导(OI)培养基中培养时,在hGMSC中观察到钙结节的矿化,作为成骨的指示。当与hDTM一起培养时,hGMSC证实了矿化基质的存在。此外,当用hDTM和OI培养细胞时,它们显示出向骨细胞的分化略有增强。总之,hGMSCs被证明与hDTM具有生物相容性,并在hDTM和成骨补充剂存在的情况下显示出其增强的成骨潜力。
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引用次数: 0
An Insight into the Role of Periodontitis as a Potential Risk Factor for Development of Erectile Dysfunction 牙周炎作为勃起功能障碍潜在危险因素的作用
IF 0.2 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-08-03 DOI: 10.21315/aos2022.17s1.oa08
Zuhrah Mohd Sood, Nik-Madihah Nik-Azis, B. Baharin, Z. Md Zainuddin, M. Razali, H. Hussaini
Erectile dysfunction (ED) is one of the common sexual disorders affecting many men worldwide. Owing to shared common risk factors, periodontitis is related to ED. However, the prevalence of periodontitis among Malaysian patients with ED is currently unknown. This study aimed to investigate the prevalence of periodontitis in patients with ED in Malaysia and the factors associated with this relationship. Forty-one subjects aged 27–59 years old were recruited to participate in this study. The International Index of Erectile Function (IIEF-5) was used in assessing the presence of ED. Their periodontal health was assessed through comprehensive periodontal examination including plaque index, bleeding on probing and clinical attachment level. The subjects were categorised according to the severity of their periodontal health and ED. A questionnaire on general health and oral habits was administered. The prevalence of periodontitis (95.5%) among subjects with ED was significantly higher than those without ED (52.6%). Subjects with ED had the worst periodontal health, as indicated by the mean clinical attachment loss and percentage of sites with bleeding on probing. No differences in oral hygiene habits were found between subjects with and without ED. The prevalence of periodontal disease among Malaysian patients with ED was high. Periodontitis was positively associated with the severity of ED, supporting a dose-dependent association between the two diseases. Oral hygiene habits were not significantly related to any periodontitis parameters nor were significantly different between subjects with and without ED.
勃起功能障碍(ED)是影响世界各地许多男性的常见性疾病之一。由于共同的危险因素,牙周炎与ED有关。然而,目前马来西亚ED患者中牙周炎的患病率尚不清楚。本研究旨在调查马来西亚ED患者牙周炎的患病率及其相关因素。招募了41名年龄在27-59岁之间的受试者参与本研究。国际勃起功能指数(IIEF-5)用于评估ED的存在。通过全面的牙周检查评估他们的牙周健康状况,包括牙菌斑指数、探查出血和临床附着水平。受试者根据其牙周健康和ED的严重程度进行分类。对其进行一般健康和口腔习惯问卷调查。ED受试者的牙周炎患病率(95.5%)显著高于非ED受试人群(52.6%)。ED受试对象的牙周健康状况最差,表现为平均临床附着丧失和探查时出血部位的百分比。ED患者和非ED患者的口腔卫生习惯没有差异。马来西亚ED患者的牙周病患病率较高。牙周炎与ED的严重程度呈正相关,支持这两种疾病之间的剂量依赖关系。口腔卫生习惯与任何牙周炎参数没有显著相关性,患有ED和未患有ED的受试者之间也没有显著差异。
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引用次数: 0
Antibacterial Activity of Phenolic Compounds in Olive Oil Extracts on Periodontopathogenic Oral Bacteria 橄榄油提取物中酚类化合物对口腔致牙周菌的抗菌活性
IF 0.2 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-08-03 DOI: 10.21315/aos2022.17s1.oa01
Wahidatunur Musa, N. Mohd, Z. Zainal-Abidin, Mazlina Mohd Said, B. Baharin
Phenolic compounds are secondary metabolites of plants metabolism and can be found in olive oil. They exhibit antimicrobial activity towards both gram-positive and gram-negative bacteria. However, little is known about the antibacterial activity of the compounds towards periodontopathogens. The study aimed to investigate the potential of these compounds as antibacterial agents towards pathogens, specifically Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis and Fusobacterium nucleatum. Phenolic compounds were extracted from extra virgin olive oil (EVOO) through liquid-liquid separation using methanol:water (70:30), and hexane. It was then prepared in various concentrations to determine its minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) against the periodontopathogens. The anti-adhesion activity was quantified using crystal violet staining while the effects on the morphology were examined through scanning electron microscopy (SEM). The MICs of the phenolic compounds on A. actinomycetemcomitans, P. gingivalis and F. nucleatum were 31.25 mg/mL, 62.5 mg/mL and 125 mg/mL, respectively. The MBCs of the phenolic compounds on A. actinomycetemcomitans and F. nucleatum were 62.5 mg/mL and 125 mg/mL, respectively suggesting this compound can eradicate these bacteria. There was no bactericidal effect on P. gingivalis. The adhesion of all the bacteria was interrupted by the compounds at the lowest concentration (1.95 mg/mL). SEM findings showed disruption of bacterial cell surfaces such as blebs and disintegration of cells after exposure to this extract. Phenolic compounds of olive oil exhibited antibacterial activity against the tested pathogens, with bactericidal effects on A. actinomycetemcomitans and F. nucleatum and bacteriostatic effects on P. gingivalis.
酚类化合物是植物代谢的次生代谢产物,可在橄榄油中找到。它们对革兰氏阳性菌和革兰氏阴性菌都表现出抗菌活性。然而,人们对这些化合物对牙周病病原体的抗菌活性知之甚少。本研究旨在研究这些化合物作为病原体的抗菌剂的潜力,特别是联合放线聚合杆菌、牙龈卟啉单胞菌和有核梭杆菌。采用甲醇∶水(70∶30)和己烷进行液-液分离,从特级初榨橄榄油(EVOO)中提取酚类化合物。然后以不同浓度制备,以确定其对牙周病病原体的最小抑制浓度(MIC)和最小杀菌浓度(MBC)。使用结晶紫染色对抗粘附活性进行定量,同时通过扫描电子显微镜(SEM)检查对形态的影响。酚类化合物对共放线菌、牙龈卟啉单胞菌和有核假丝酵母的MIC分别为31.25mg/mL、62.5mg/mL和125mg/mL。酚类化合物对共生放线菌和有核放线菌的MBCs分别为62.5mg/mL和125mg/mL,表明该化合物可以根除这些细菌。对牙龈卟啉单胞菌没有杀菌作用。所有细菌的粘附被最低浓度(1.95mg/mL)的化合物阻断。SEM结果显示暴露于该提取物后细菌细胞表面如气泡的破坏和细胞的崩解。橄榄油中的酚类化合物对测试的病原体具有抗菌活性,对共放线菌和有核放线菌具有杀菌作用,对牙龈卟啉单胞菌具有抑菌作用。
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引用次数: 0
The Evidence-based Periodontal Risk Assessment (PRA) Tool for Nonsurgical Periodontal Therapy in a Comprehensive Periodontal Management by Risk Assessment (PEMBRA) 基于证据的牙周风险评估(PRA)工具在综合牙周风险评估管理(PEMBRA)中的非手术牙周治疗
IF 0.2 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-08-03 DOI: 10.21315/aos2022.17s1.oa06
M. Masud, Izza Ilyani Mohd Ishak, Najihah Kamarazaman, I. H. Baharuddin
In the management of periodontitis patients, periodontal risk assessment (PRA) tool is currently being applied during periodontal review (PR). However, an assessment of risk profiles during examination and diagnosis (E&D) may and would effectively assess and diagnose patients’ periodontal conditions, provide personalised treatment planning, and render an enhanced patient care through periodontal management by risk assessment (PEMBRA). From a retrospective study on selected records of 81 patients treated for chronic periodontitis, the PRA profiles of the patients were evaluated during E&D and two to three months after completion of nonsurgical periodontal therapy (NSPT) during PR. The results were analysed using SPSS version 24 for descriptive statistics. On E&D, the patients presented with 25.9% localised and 74.1% generalised chronic periodontitis. Of these, 2.5% of low-risk patients on E&D increased to 21% during PR signifying an improvement after the treatment. However, the medium-risk patients have a slight increase from 32% to 35%, and patients with a high risk of 62% were reduced to 43%. The improvement of the risk profiles for both low and high-risk groups was mostly contributed by the reduction in the plaque score, percentages of bleeding on probing (BOP), and probing pocket depth (PPD) ≥ 5 mm. This evidence-based evaluation of PRA tool during E&D and PR is important for PEMBRA as it encouraged the clinicians to adopt periodontal management through basic periodontal examination, detailed periodontal charting, radiographic interpretation, tooth per tooth prognosis, diagnosis, and targeted NSPT.
在牙周炎患者的管理中,牙周风险评估(PRA)工具目前正在牙周检查(PR)中应用。然而,在检查和诊断(E&D)期间对风险概况进行评估可以并且将有效地评估和诊断患者的牙周状况,提供个性化的治疗计划,并通过风险评估牙周管理(PEMBRA)提供增强的患者护理。回顾性研究了81例慢性牙周炎患者的治疗记录,评估了患者在E&D期间和PR期间完成非手术牙周治疗(NSPT)后2至3个月的PRA谱。使用SPSS 24版本对结果进行描述性统计分析。在E&D中,25.9%的患者表现为局部慢性牙周炎,74.1%为全身性慢性牙周炎。其中,2.5%接受E&D治疗的低风险患者在PR期间增加到21%,表明治疗后有所改善。然而,中等风险患者从32%略微增加到35%,高风险62%的患者减少到43%。低风险组和高风险组的风险概况的改善主要得益于斑块评分、探针出血百分比(BOP)和探针袋深度(PPD)≥5 mm的降低。在E&D和PR期间对PRA工具进行循证评估对PEMBRA非常重要,因为它鼓励临床医生通过基本的牙周检查、详细的牙周图表、x线片解释、每颗牙齿的预后、诊断和有针对性的NSPT来进行牙周管理。
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引用次数: 0
Desquamative Gingivitis as the First Clinical Sign of Pemphigus Vulgaris: A Case Report 脱皮性牙龈炎是寻常型天疱疮的首要临床症状:1例报告
IF 0.2 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-08-03 DOI: 10.21315/aos2022.17s1.cr02
Jane Evelyne Chong Huey Yuh, Evelyn Able Padtong, Fairuz Nazri Abdul Rahman
Desquamative gingivitis is characterised by desquamation of the gingiva with painful erosion and ulceration. It is predominantly a manifestation of several vesiculobullous diseases. Delayed diagnosis or misdiagnosis often led to disease progression. Pemphigus vulgaris is a chronic, life-threatening autoimmune disease resulting in blistering of the mucosa and skin. Oral lesions normally preceded skin lesions. Early diagnosis and treatment are important to prevent involvement of the skin, as the treatment and prognosis varies with extraoral involvement. Clinical, histopathological examination and direct immunofluorescent are necessary for the diagnosis of pemphigus vulgaris. Treatment of desquamative gingivitis involves improving oral hygiene, reduce irritation to the lesions and specific therapy to the underlying disease. This paper describes a case of a patient w
脱落性牙龈炎的特征是牙龈脱落,伴有疼痛的侵蚀和溃疡。它主要是几种水疱性疾病的表现。延误诊断或误诊往往导致疾病进展。寻常性天疱疮是一种慢性、危及生命的自身免疫性疾病,可导致粘膜和皮肤起泡。口腔病变通常先于皮肤病变。早期诊断和治疗对于预防皮肤受累很重要,因为治疗和预后因口腔外受累而异。临床、组织病理学检查和直接免疫荧光检查对寻常型天疱疮的诊断是必要的。脱屑性牙龈炎的治疗包括改善口腔卫生、减少对病变的刺激以及对潜在疾病的特定治疗。本文描述了一个病人
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引用次数: 0
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Archives of Orofacial Science
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