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Hepatocellular Liver Function of Immunosuppressed Rats with Oral Candidiasisafter Hyperbaric Oxygen Treatment: Alanine Transaminase and Aspartate Transaminase Levels 高压氧治疗后免疫抑制口腔念珠菌病大鼠肝细胞肝功能:丙氨酸转氨酶和天冬氨酸转氨酶水平
IF 0.2 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2021-09-22 DOI: 10.21315/aos2021.16.s1.2
A. F. Pargaputri, D. Andriani
Hepatocellular utility is observed by measuring the hepatocellular enzymes. Changes in its serum levels are related to liver dysfunction. Liver is one of the immunoprotective organs. Continuous use of immunosuppressive drugs can cause oral candidiasis and give effects to liver function. Hyperbaric oxygen treatment (HBOT), while reducing fungal infections, can also repair the liver function. The aim of this study was to investigate the alanine transaminase (ALT) and aspartate transaminase (AST) levels of immunosuppressed rats with oral candidiasis treated with hyperbaric oxygen. Twelve Wistar rats were divided into three groups: K− (normal/ healthy), K+ (oral candidiasis immunosuppressed rats), and P (oral candidiasis immunosuppressed rats treated hyperbaric oxygen). K+ and P groups were immunosuppressed by giving dexamethasone 0.5 mg/day/rat orally for 14 days, added with tetracycline 1 mg/day/rat. HBOT was given in five days successively. Blood serum of rats in all groups were taken to calculate the ALT and AST levels. ALT and AST levels in K+ showed higher value than K− and P groups. The data were analysed with one-way ANOVA test and showed significant difference in ALT levels (p < 0.05), while in AST levels there was no significant difference among the groups (p > 0.05). This study showed that HBOT affected the ALT and AST levels of immunosuppressed rats with oral candidiasis.
通过测量肝细胞酶来观察肝细胞的效用。其血清水平的变化与肝功能障碍有关。肝脏是免疫保护器官之一。持续使用免疫抑制药物会导致口腔念珠菌感染并影响肝功能。高压氧治疗(HBOT)在减少真菌感染的同时,也可以修复肝功能。本研究的目的是研究高压氧治疗免疫抑制的口腔念珠菌感染大鼠的丙氨酸转氨酶(ALT)和天冬氨酸转氨酶(AST)水平。12只Wistar大鼠分为三组:K-(正常/健康)、K+(口腔念珠菌免疫抑制大鼠)和P(高压氧治疗的口腔念珠菌免疫抑制剂大鼠)。K+和P组通过给予地塞米松0.5mg/天/大鼠口服14天,并添加四环素1mg/天/大白鼠来抑制免疫抑制。连续5天给予HBOT。取各组大鼠血清,计算ALT和AST水平。K+组的ALT和AST水平高于K−和P组。结果表明,HBOT对免疫抑制的口腔念珠菌感染大鼠的ALT和AST水平有显著影响。
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引用次数: 1
Challenges in Diagnosis and Therapy of Recurrent Oral Herpes Infection: Study of Two Cases 复发性口腔疱疹感染诊断与治疗的挑战:附2例分析
IF 0.2 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2021-09-22 DOI: 10.21315/aos2021.16.s1.12
D. K. Sari, Febrina Rahmayanti, Harum Sasanti, A. Astuti
The symptoms of recurrent oral herpes infection may vary, from mild discomfort to life threatening. Dentists are more likely to be consulted in this oral infection, hence the ability to diagnose and treat this disease is mandatory. This article described manifestation and therapy of recurrent oral herpes infection. In the first case, a 41-year-old woman came with a complaint of painful sore mouth in her lower gingiva. She experienced canker sores for two to three times a year on the tongue, lips and palate. Laboratory results showed positive IgM anti HSV-2, which matched with the primary herpes infection. However, based on the history and clinical manifestations, she was diagnosed with recurrent intra oral herpes infection. In the second case, a 70-year-old man came with a very painful canker sores in his entire mouth. The patient had to be hospitalised for three days and received analgesic, antibiotic and gel containing triamcinolone. After hospitalisation, canker sores did not heal. Extraorally, we found a crust in the vermillion border of the upper lip and intraorally, we found multiple ulceration of keratinised and non-keratinised mucosa. The use of topical steroid in this patient may aggravated ulceration due to its ability to cause rapid spreading of the virus. The first patient was given chlorhexidine gluconate 0.2% and the second patient was prescribed with doxycycline rinse. Both patients received multivitamin containing zinc. Complete history taking, objective and adjunctive examination played a role in establishing the diagnosis and treatment of recurrent oral herpes infections.
复发性口腔疱疹感染的症状可能各不相同,从轻微的不适到危及生命。这种口腔感染更有可能咨询牙医,因此诊断和治疗这种疾病的能力是强制性的。本文介绍复发性口腔疱疹感染的表现及治疗。在第一个病例中,一名41岁的妇女抱怨她的下牙龈疼痛。她每年在舌头、嘴唇和上颚上经历两到三次溃疡。实验室结果显示IgM抗HSV-2阳性,符合原发性疱疹感染。然而,根据病史和临床表现,她被诊断为复发性口腔内疱疹感染。在第二个案例中,一位70岁的老人整个口腔都有非常疼痛的溃疡。患者必须住院三天,并接受止痛药、抗生素和含有曲安奈德的凝胶治疗。住院后,溃疡没有痊愈。口腔外,我们在上唇的朱红色边界发现了一层硬皮,口腔内,我们发现了角化和非角化粘膜的多处溃疡。在该患者中使用局部类固醇可能会加重溃疡,因为它能够引起病毒的快速传播。第一名患者服用0.2%葡萄糖酸氯己定,第二名患者服用多西环素冲洗液。两名患者都服用了含有锌的多种维生素。完整的病史记录、客观和辅助检查在确定复发性口腔疱疹感染的诊断和治疗方面发挥了作用。
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引用次数: 1
Innovative Treatment Using Salmon Skin Extract as Topical Application for Traumatic Oral Ulcer Healing: Animal Models 三文鱼皮提取物局部应用于外伤性口腔溃疡愈合的创新疗法:动物模型
IF 0.2 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2021-09-22 DOI: 10.21315/aos2021.16.s1.7
S. Revianti, P. B. Prabowo, Lita Agustia, Isidora Karsini
Salmon skin extract contains high proline and hydroxyproline, and has been suggested as a potential topical agent for traumatic oral ulcer healing. The aim of this study was to evaluate the effect of salmon skin extract as traumatic oral ulcer healing. A total of 32 Wistar rats (200 g to 250 g) were distributed into four groups. Group 1 served as the control group (no treatment), Group 2 was topically treated with salmon skin extract agent 4%, Group 3 was topically treated with salmon skin extract agent 5%, and Group 4 was topically treated with salmon skin extract agent 6%. Traumatic ulcers at lip mucosa were performed in all rats and 0.1 ml salmon skin extract was applied on the ulcer twice daily for seven days. The animals were euthanised on the last day of treatment. Biopsy specimens were taken from the lip mucosa in all rats for epithelial thickness evaluation and the study for number of fibroblasts by histological analysis. Significant increase in epithelial thickness and the number of fibroblasts (p > 0.05) was observed in salmon skin extract treatment groups as compared to the control group. Salmon skin extract 6% treatment group had the highest epithelial thickness and the number of fibroblasts amongst the study groups. Salmon skin extract promises an innovative topical application treatment for traumatic oral ulcer healing. Salmon skin extract 6% was the most effective concentration for traumatic oral ulcer healing.
三文鱼皮提取物含有高脯氨酸和羟脯氨酸,被认为是创伤口腔溃疡愈合的潜在外用剂。本研究的目的是评估鲑鱼皮提取物对创伤口腔溃疡愈合的影响。将总共32只Wistar大鼠(200g至250g)分为四组。第1组为对照组(无治疗),第2组用4%的三文鱼皮提取物局部治疗,第3组用5%的三文鱼皮提取剂局部治疗,而第4组用6%的三文鱼皮萃取剂局部治疗。对所有大鼠进行唇粘膜创伤性溃疡,并在溃疡上涂抹0.1ml三文鱼皮提取物,每天两次,持续七天。这些动物在治疗的最后一天被实施了安乐死。从所有大鼠的唇粘膜中提取活检标本,用于上皮厚度评估和通过组织学分析研究成纤维细胞的数量。与对照组相比,三文鱼皮提取物处理组的上皮厚度和成纤维细胞数量显著增加(p>0.05)。三文鱼皮提取物6%处理组的上皮厚度和成纤维细胞数量在研究组中最高。三文鱼皮提取物有望成为一种创新的局部应用治疗创伤性口腔溃疡的方法。6%的三文鱼皮提取物是创伤口腔溃疡愈合最有效的浓度。
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引用次数: 0
Bone Augmentation in Extrusive Teeth Repositioned Using Bone Grafts 用骨移植物重新定位突牙的骨增强
IF 0.2 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2021-09-22 DOI: 10.21315/aos2021.16.s1.13
Charissa Roderica Hoediono, Ghita Hadi Hollanda
Extrusive luxation is a traumatic dental injury (TDI) due to the action of forces, especially in the oblique angle. Partial displacement of the tooth is one of its characteristics. Repositioning is the treatment of choice for this type of trauma. The mechanism of bone augmentation and splint in managing the post extrusive luxation teeth reposition was explored and reported. An 18-year-old male with a history of traffic accident which caused extrusive luxation of 11 and 21 with no alveolar bone fracture. The patient was managed by repositioning the teeth and applicating arch-bar on anterior maxillary teeth. After eight weeks of evaluation, periapical radiograph showed the distal bone of 21 had radiolucent appearance followed by Class 1 mobility. The arch-bar was removed, and the periosteal flap was made on the buccal side of 21 and the distal part was curetted then irrigated with 0.9% sodium chloride, then supplemented with bone graft material and pericardium membrane. Lastly, the flap was returned, the tooth was then stabilised using self-curing adhesive resin cement (Super-Bond). The tooth was kept under observation for two months. It was observed that the tooth was asymptomatic and still in function with no radiographic signs of pathosis. These results suggested that tooth reposition might be an alternative to prosthetic or implant dentistry. However, further human research is recommended with long standing follow-up periods and comparative studies to be carried out to identify whether dental implant replacement or reposition is the cost-effective treatment for extruded tooth.
挤压性脱位是一种由力的作用引起的创伤性牙齿损伤(TDI),尤其是在斜角处。齿的局部位移是其特征之一。对于这种类型的创伤,重新定位是首选的治疗方法。探讨并报道了隆骨和夹板在治疗牙突后脱位复位中的作用机制。一名18岁男性,有交通事故史,造成11岁和21岁的挤压性脱位,无牙槽骨骨折。患者通过重新定位牙齿并在上颌前牙上应用牙弓棒进行治疗。经过8周的评估,根尖周X线片显示21例患者的远端骨具有可透过射线的外观,随后为1级活动性。取下弓条,在21的颊侧制作骨膜瓣,刮除远端,然后用0.9%氯化钠冲洗,然后补充骨移植物材料和心包膜。最后,将皮瓣复位,然后使用自固化树脂粘固剂(Super Bond)稳定牙齿。这颗牙齿被观察了两个月。据观察,该牙齿无症状,仍处于功能状态,没有任何病理学影像学迹象。这些结果表明,牙齿复位可能是一种替代假牙或种植牙的方法。然而,建议进行进一步的人体研究,长期随访,并进行比较研究,以确定牙种植体置换或重新定位是否是治疗挤出牙的成本效益高的治疗方法。
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引用次数: 0
Acanthus ilicifolius L. Treatment for Oral Candidiasis with Immunosuppressive Conditions Subjected to p38 MAPK Enhancement 用p38 MAPK增强免疫抑制条件治疗口腔念珠菌
IF 0.2 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2021-09-22 DOI: 10.21315/aos2021.16.s1.4
D. Andriani, A. F. Pargaputri, K. Parisihni, S. Revianti
Methanolic extract from the leaves of Acanthus ilicifolius L. (A. ilicifolius L.) is a potent inhibitor of Candida albicans (C. albicans) growth and anti-inflammatory. C. albicans causes oral candidiasis in immunosuppressive condition. Mitogen-activated protein kinase (MAPK) signalling via p38 appears to discriminate between yeast and hyphal cells of C. albicans. Activation of p38 MAPK by hyphae results in the upregulation of proinflammatory cytokines. The p38 MAPK activation is known to impair corticosteroid action. The research was conducted to investigate the effect of methanolic extract A. ilicifolius L. treatment of oral candidiasis with the immunosuppressive condition through enhancement of p38 MAPK expression in the epithelial cells. Immunosuppressed conditions were obtained when 16 healthy male Rattus norvergicus (Wistar) was given oral administration of dexamethasone and tetracycline for 14 days and induced with C. albicans (ATCC-10231) 1 McFarland. The subjects were divided into four groups (n = 4/group): immunosuppression (IS), immunosuppression with oral candidiasis without treatment (ISC), immunosuppression with oral candidiasis and nystatin treatment (ISC+N), and immunosuppression with oral candidiasis and A. ilicifolius L. treatment (ISC+AI), and were treated for 14 days. Later, the rats were euthanised, and their tongue were biopsied. The p38 MAPK expression was subjected to immunohistochemical examination, observed under a microscope (400× magnification) and statistically analysed (one-way ANOVA, LSD-test, p < 0.05). The p38 MAPK expression of ISC+AI (36.05 ± 1.54) was higher than IS (26 ± 2.32), ISC (26.4 ± 3.71), IS+N (34.2 ± 0.99). Significant differences existed between ISC+AI and ISC+N to IS and ISC (p < 0.05). No significant differences were present between IS and ISC; ISC+AI and ISC+N (p > 0.05). Therefore, this treatment could enhance p38 MAPK expression in oral candidiasis with the immunosuppressed condition.
从刺槐叶提取的甲醇提取物是一种有效的白色念珠菌生长抑制剂和抗炎剂。在免疫抑制的情况下,白色念珠菌引起口腔念珠菌病。丝裂原活化蛋白激酶(MAPK)信号通过p38似乎区分酵母和白色念珠菌的菌丝细胞。通过菌丝激活p38 MAPK导致促炎细胞因子的上调。已知p38 MAPK激活会损害皮质类固醇的作用。本研究通过提高上皮细胞中p38 MAPK的表达,探讨了甲醇提取物对免疫抑制条件下口腔念珠菌病的治疗作用。对16只健康雄性褐家鼠(Wistar)给予地塞米松和四环素口服14 d,并用白色假丝酵母(ATCC-10231) 1 McFarland诱导免疫抑制。将受试者分为免疫抑制组(IS)、口腔念珠菌病未治疗免疫抑制组(ISC)、口腔念珠菌病合并制霉菌素治疗免疫抑制组(ISC+ n)、口腔念珠菌病合并鹅毛单胞菌治疗免疫抑制组(ISC+AI) 4组(n = 4人/组),疗程14 d。之后,对老鼠实施安乐死,并对它们的舌头进行活检。免疫组化检测p38 MAPK表达,显微镜下观察(400倍放大),统计学分析(单因素方差分析,lsd检验,p < 0.05)。ISC+AI的p38 MAPK表达量(36.05±1.54)高于IS(26±2.32)、ISC(26.4±3.71)、IS+N(34.2±0.99)。ISC+AI、ISC+N与IS、ISC差异有统计学意义(p < 0.05)。IS和ISC之间无显著差异;ISC+AI和ISC+N (p < 0.05)。因此,该治疗可以提高免疫抑制口腔念珠菌病中p38 MAPK的表达。
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引用次数: 1
Irradiation Time of Photodynamic Therapy to the Number of Lactobacillus acidophilus 光动力疗法对嗜酸乳杆菌数量的照射时间
IF 0.2 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2021-09-22 DOI: 10.21315/aos2021.16.s1.6
S. Kunarti, Nunik Nuraini, Farida Astuti, Cecilia Gj Lunardi, Lulytha Rahmanike Putri
Lactobacillus acidophilus (L. acidophilus) is one of the etiological agents for dental caries and dominant in the deep carious lesion. L. acidophilus has also been identified in persistent root canal infection and also related to the failure of endodontic treatment. Photodynamic therapy is a therapeutic process involving the combination of a nontoxic photosensitizer and a light source. The excited photosensitizer reacts with reactive oxygen species (ROS), which induce injury and death of the microorganism. This study aimed to prove the effect of irradiation time of photodynamic therapy to the number of L. acidophilus. Fortytwo Eppendorf tubes were treated with 0.5 ml L. acidophilus distributed into seven groups. Group 1 as the control group received no treatment. Groups 2, 3, 4, 5, 6 and 7 were treated with a combination of 0.5 ml toluidine blue O (TBO) as a photosensitizer and 630 nm photoactivated (Fotosan®) exposure time for 10, 20, 30, 40, 50 and 60 sec. Then, all were stored in an incubator of 37ºC for 48 h. Later, the colony-forming unit (CFU) was counted for each group. There were significant differences in the number of L. acidophilus in CFU of the various irradiation times. The longer the photodynamic therapy irradiation was, the lesser the number of live L. acidophilus became. At 50 sec and 60 sec irradiation, none of the L. acidophilus was found alive.
嗜酸乳杆菌(L.acidophilus)是龋病的病原之一,在龋深部病变中占主导地位。嗜酸乳杆菌也被鉴定为持续性根管感染,也与牙髓治疗的失败有关。光动力疗法是一种将无毒光敏剂和光源相结合的治疗过程。被激发的光敏剂与活性氧(ROS)反应,导致微生物的损伤和死亡。本研究旨在证明光动力疗法的照射时间对嗜酸乳杆菌数量的影响。用0.5ml嗜酸乳杆菌处理Fortytwo Eppendorf管,嗜酸乳杆菌分为七组。第1组为对照组。第2、3、4、5、6和7组用0.5 ml甲苯胺蓝O(TBO)作为光敏剂和630 nm光活化(Fotosan®)暴露时间的组合处理10、20、30、40、50和60秒。然后,所有组均在37ºC的培养箱中储存48小时。随后,对每组的集落形成单位(CFU)进行计数。不同照射时间的嗜酸乳杆菌在CFU中的数量存在显著差异。光动力疗法照射的时间越长,活嗜酸乳杆菌的数量就越少。在50秒和60秒的照射下,没有发现嗜酸乳杆菌存活。
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引用次数: 0
Peri-Implant Diseases and Gastrointestinal Diseases 种植体周围疾病和胃肠道疾病
IF 0.2 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2021-09-22 DOI: 10.21315/aos2021.16.s1.1
Utmi Arma, Nadhifah Salsabila
Peri-implant diseases are serious problems that plagues today’s dentistry, both in terms of therapy and epidemiology. With the expansion of implantology practice and the increasing number of implants placed annually, the frequency of peri-implant diseases has greatly expanded. The clinical manifestations, in the absence of a globally established classification, are peri-implant mucositis and peri-implantitis, the counterparts of gingivitis and periodontitis, respectively. However, many doubts remain about their features. Official diagnostic criteria, globally recognised by the dental community, have not yet been introduced. The review presented possible association between gastrointestinal diseases and peri-implant diseases. Previous studies had revealed the association with significantly higher levels of bacteria in patient’s gastrointestinal disease at either gingivitis or in periodontitis site. Additionally, pathogenesis of the periodontitis is similar to peri-implant diseases.
种植体周围疾病是困扰当今牙科的严重问题,无论是在治疗还是流行病学方面。随着种植实践的扩大和每年植入物数量的增加,种植体周围疾病的频率大大增加。在缺乏全球公认分类的情况下,临床表现为种植体周围粘膜炎和种植体周围炎,分别是牙龈炎和牙周炎的对应物。然而,对它们的特性仍有许多疑问。牙科界公认的官方诊断标准尚未出台。这篇综述介绍了胃肠道疾病和种植体周围疾病之间的可能联系。先前的研究表明,在患者的胃肠道疾病中,牙龈炎或牙周炎部位的细菌水平明显较高。此外,牙周炎的发病机制和种植体周围疾病相似。
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引用次数: 0
Skeletal Class II Malocclusion Treatment with Combined Twin Block and Lip Bumper Appliances: A Case Report 双牙块与护唇器联合治疗骨骼ⅱ类错颌:1例报告
IF 0.2 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2021-09-22 DOI: 10.21315/aos2021.16.s1.9
H. Lubis, N. Harahap, A. Sari
Functional appliances have been used over a century in clinical orthodontic treatments for skeletal Class II malocclusion patients. Its popularity is attributed to its high patient adaptability and ability to produce rapid treatment changes. The twin block and lip bumper can be combined depending on the patient’s cases. The purpose of therapy with twin block is effective in mandibular growth deficiencies to induce supplementary lengthening of mandibular by stimulating increased growth at the condylar cartilage. The patient was a ten-year-old male patient with skeletal Class II malocclusion. He had a convex facial profile, SNA (sella, nasion, A point) angle of 77.5°, SNB (sella, nasion, B point) angle of 73.0°, ANB (A point, nasion, B point) angle of 4.5°, overjet of 6.5 mm, overbite of 11/41 = 5.0 mm, 21/31 = 4.5 mm, abnormal upper labial frenulum, crossbite in the second left premolar of maxilla, crowded anterior teeth of mandibular, deficiency of mandibular growth, lower lip sucking habit, anterior teeth of maxilla with diastema and proclination. Orthodontic treatment for patient is a combination of twin block and lip bumper appliances. After seven months, frenectomy is used to eliminate and correct the spacing in the frenulum. After 10 months, the patient’s skeletal and profile had improved to skeletal Class I malocclusion, SNA angle of 78.0°, SNB angle of 75.0°, ANB angle of 3.0°, overbite and overjet of 4.0 mm, and the lower lip sucking habit had stopped. Twin block and lip bumper appliances are particularly good alternative treatment in managing selected cases of skeletal Class II malocclusion.
一个多世纪以来,功能性矫治器已被用于骨骼II类错牙合患者的临床正畸治疗。它的流行归因于它对患者的高度适应性和产生快速治疗变化的能力。双挡块和挡唇器可以根据患者的情况组合使用。双块治疗的目的是通过刺激髁突软骨的生长来诱导下颌的补充延长,从而有效治疗下颌生长不足。患者是一名10岁男性患者,患有骨骼II类错牙合。面部轮廓凸起,SNA(鞍、鼻、a点)角77.5°,SNB(鞍、鼻尖、B点)角73.0°,ANB(a点、鼻、B点,下唇吸吮习惯,上颌骨前牙有纵裂和向错。患者的正畸治疗是双块和唇保护器的组合。七个月后,使用系带切除术来消除和矫正系带中的间距。10个月后,患者的骨骼和外形已改善为骨骼I类错牙合,SNA角度为78.0°,SNB角度为75.0°,ANB角度为3.0°,上覆和外覆4.0 mm,下唇吮吸习惯已停止。双块和唇挡矫治器是治疗骨骼II类错牙合的特别好的替代治疗方法。
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引用次数: 0
Intraoperative Computed Tomography Image Fusion for Orbital Blowout Fracture Reconstruction 眼眶爆裂性骨折术中计算机断层扫描图像融合重建
IF 0.2 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2021-06-24 DOI: 10.21315/aos2021.16.1.1
A. Nazimi, S. Nabil
Intraoperative computed tomography (CT) has been previously described and acknowledged for its use in orbital blowout fracture reconstructions. We described a clinical case series managed by this technique combined with intraoperative image fusion for accuracy in orbital implant position. In total, eight patients who sustained a total number of 19 orbital wall fractures were described. From the total number of 19 blowout orbital fracture reconstructions comprised of medial and inferior (floor) orbital fractures, malposition was identified in a total of four orbital implants by using image fusion. All cases of implant malposition were immediately revised intraoperatively. Subsequent fusion was carried out to confirm whether the revision was satisfactorily achieved. We found that the intraoperative image fusion technique utilised to determine orbital implant position, especially at the posterior ledge, further augmented the role of intraoperative CT scanning. Image fusion conceptually provides an immediate, real-time, and objective solution for intraoperative image analysis and potentially eliminates problems with misaligned CT images. It also reduces the need for the surgeon to ‘eye-ball’ the CT images acquired or the need for additional intraoperative time, since the patient’s head orientation is always axially at random during the acquisition of the CT. Conventional methods for CT image assessment are subjected to one’s own interpretation and may introduce inconsistent or longer intraoperative decision-making. The technique facilitates intraoperative decision-making and reduces the risk of orbital implant malposition in orbital blowout fracture reconstructions. Hence, surgical complication in relation to orbital implant malposition in orbital blowout fracture management could be minimised. In addition, no further postoperative imaging is required.
术中计算机断层扫描(CT)在眼眶爆裂性骨折重建中的应用已被描述和认可。我们描述了一系列临床病例,通过该技术结合术中图像融合来精确定位眼眶植入物。共有8名患者,共有19处眶壁骨折。在总共19例爆裂性眼眶骨折重建中,包括眼眶内侧和下(底)骨折,通过图像融合识别了总共4例眼眶植入物的错位。所有植入物错位的病例均在术中立即矫正。随后进行融合,以确认翻修是否令人满意。我们发现,用于确定眼眶植入物位置的术中图像融合技术,特别是在后壁架处,进一步增强了术中CT扫描的作用。图像融合在概念上为术中图像分析提供了一种即时、实时和客观的解决方案,并有可能消除CT图像错位的问题。它还减少了外科医生对所采集的CT图像进行“眼珠”检查的需要,也减少了额外的术中时间的需要,因为在CT采集过程中,患者的头部方向总是随机的。CT图像评估的传统方法取决于自己的解释,可能会导致不一致或更长的术中决策。该技术有助于术中决策,并降低眼眶爆裂性骨折重建中眼眶植入物错位的风险。因此,在眼眶爆裂性骨折治疗中,与眼眶植入物错位相关的手术并发症可以最小化。此外,不需要进一步的术后成像。
{"title":"Intraoperative Computed Tomography Image Fusion for Orbital Blowout Fracture Reconstruction","authors":"A. Nazimi, S. Nabil","doi":"10.21315/aos2021.16.1.1","DOIUrl":"https://doi.org/10.21315/aos2021.16.1.1","url":null,"abstract":"Intraoperative computed tomography (CT) has been previously described and acknowledged for its use in orbital blowout fracture reconstructions. We described a clinical case series managed by this technique combined with intraoperative image fusion for accuracy in orbital implant position. In total, eight patients who sustained a total number of 19 orbital wall fractures were described. From the total number of 19 blowout orbital fracture reconstructions comprised of medial and inferior (floor) orbital fractures, malposition was identified in a total of four orbital implants by using image fusion. All cases of implant malposition were immediately revised intraoperatively. Subsequent fusion was carried out to confirm whether the revision was satisfactorily achieved. We found that the intraoperative image fusion technique utilised to determine orbital implant position, especially at the posterior ledge, further augmented the role of intraoperative CT scanning. Image fusion conceptually provides an immediate, real-time, and objective solution for intraoperative image analysis and potentially eliminates problems with misaligned CT images. It also reduces the need for the surgeon to ‘eye-ball’ the CT images acquired or the need for additional intraoperative time, since the patient’s head orientation is always axially at random during the acquisition of the CT. Conventional methods for CT image assessment are subjected to one’s own interpretation and may introduce inconsistent or longer intraoperative decision-making. The technique facilitates intraoperative decision-making and reduces the risk of orbital implant malposition in orbital blowout fracture reconstructions. Hence, surgical complication in relation to orbital implant malposition in orbital blowout fracture management could be minimised. In addition, no further postoperative imaging is required.","PeriodicalId":44961,"journal":{"name":"Archives of Orofacial Science","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42788834","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: 1
Fluoride and Functionalized β-tricalcium Phosphate (fTCP) Fluoride Toothpaste Affect the Primary Dentin Caries Surface: A Comparison by Estimation Statistics 含氟牙膏与功能化β-磷酸三钙(fTCP)牙膏对初级牙本质龋面影响的估计统计比较
IF 0.2 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2021-06-24 DOI: 10.21315/aos2021.16.1.6
Trieu Kim Ly, T. Q. Kieu, N. Huynh, L. Ngo
This study aims to compare the effect of fTCP-contained toothpaste in combination with 950 ppm fluoride on primary dentin caries surface to ordinary 1100 ppm fluoride toothpaste by using estimation statistics. Dental caries with deep lesion and dentin exposure from nine primary teeth were cut into two equal parts and randomly divided into two groups in a before-after study. Each group was brushed with one type of toothpaste two times per day for 28 days and rested in artificial saliva. SEM images of cavity bottom surfaces and energy-dispersive X-ray spectrometry (EDX) were used to determine the percentage of calcium (Ca), phosphorus (P), fluoride (F) and oxygen (O) at six continuous measured areas from the surface of the cavity bottom into 45 µm depth before and after brushing. About 95% confidence interval of the mean difference was calculated by performing bootstrap resampling with 5000 resamples followed by comparison analysis. The percentage of Ca, P, F, O was shifted after treatment. There was no difference between the two groups. The SEM images reflected a similar illustration of EDX data. The combination of fTCP and 950 ppm fluoride in toothpaste showed equivalent effectiveness to the 1100 ppm fluoride toothpaste in primary dentin caries.
本研究旨在通过估计统计,比较含氟TCP牙膏与950ppm氟化物联合使用对原发性牙本质龋表面的影响与普通1100ppm氟化物牙膏的影响。将9颗乳牙的深部病变和牙本质暴露的龋齿切成两等分,并在前后研究中随机分为两组。每组每天用一种牙膏刷牙两次,持续28天,并在人造唾液中休息。使用腔底表面的SEM图像和能量色散X射线光谱法(EDX)测定刷涂前后从腔底表面到45µm深度的六个连续测量区域的钙(Ca)、磷(P)、氟化物(F)和氧(O)的百分比。通过对5000个重采样进行bootstrap重采样,然后进行比较分析,计算出平均差异的约95%置信区间。Ca、P、F、O的百分比在处理后发生变化。两组之间没有差异。SEM图像反映了EDX数据的类似说明。fTCP和950ppm氟化物在牙膏中的组合在治疗原发性牙本质龋方面显示出与1100ppm氟化物牙膏相当的效果。
{"title":"Fluoride and Functionalized β-tricalcium Phosphate (fTCP) Fluoride Toothpaste Affect the Primary Dentin Caries Surface: A Comparison by Estimation Statistics","authors":"Trieu Kim Ly, T. Q. Kieu, N. Huynh, L. Ngo","doi":"10.21315/aos2021.16.1.6","DOIUrl":"https://doi.org/10.21315/aos2021.16.1.6","url":null,"abstract":"This study aims to compare the effect of fTCP-contained toothpaste in combination with 950 ppm fluoride on primary dentin caries surface to ordinary 1100 ppm fluoride toothpaste by using estimation statistics. Dental caries with deep lesion and dentin exposure from nine primary teeth were cut into two equal parts and randomly divided into two groups in a before-after study. Each group was brushed with one type of toothpaste two times per day for 28 days and rested in artificial saliva. SEM images of cavity bottom surfaces and energy-dispersive X-ray spectrometry (EDX) were used to determine the percentage of calcium (Ca), phosphorus (P), fluoride (F) and oxygen (O) at six continuous measured areas from the surface of the cavity bottom into 45 µm depth before and after brushing. About 95% confidence interval of the mean difference was calculated by performing bootstrap resampling with 5000 resamples followed by comparison analysis. The percentage of Ca, P, F, O was shifted after treatment. There was no difference between the two groups. The SEM images reflected a similar illustration of EDX data. The combination of fTCP and 950 ppm fluoride in toothpaste showed equivalent effectiveness to the 1100 ppm fluoride toothpaste in primary dentin caries.","PeriodicalId":44961,"journal":{"name":"Archives of Orofacial Science","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48110366","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
期刊
Archives of Orofacial Science
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