首页 > 最新文献

Saudi Dental Journal最新文献

英文 中文
Association between dental diseases and stroke 牙科疾病与中风之间的关系
IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.sdentj.2024.09.012
Haocheng Zhang , Qian Yu , Caidi Ying , Yibo Liu , Xiaoyu Wang , Yinghan Guo , Liang Xu , Yuanjian Fang , Xiaoyue Liao , Sheng Chen

Introduction

This study aimed to analyze the existing evidence on the association between dental diseases and stroke. Various pathogenic mechanisms, including bacteraemia and systemic inflammation, were investigated to explore their impact on stroke occurrence and severity.

Methods

A comprehensive literature search was conducted through the online databases PubMed, Google Scholar, Web of Science, and Scopus. The initial screening process resulted in a total of 138 articles being gathered. Upon subsequent refinement, 52 articles were discarded due to duplication or non-English language, leaving 86 articles for further assessment.

Results

Oral bacteria can travel to the brain’s blood vessels and cause bacteraemia, leading to local inflammation and the release of toxins. This process can result in the blockage or rupture of blood vessels, leading to stroke. Oral infections consistently trigger immune responses and systemic inflammation, with inflammation-related proteins playing a crucial role in stroke development. Notably, periodontal treatment could reduce the risk of stroke.

Conclusion

This review emphasizes the role of dental diseases in promoting stroke occurrence through various mechanisms. Dental diseases contribute to the development of stroke by facilitating bacteraemia and systemic inflammation. Furthermore, through effectively treating and preventing dental diseases, the risk of strokes can be significantly reduced.
引言 本研究旨在分析牙科疾病与中风之间关系的现有证据。方法通过在线数据库 PubMed、Google Scholar、Web of Science 和 Scopus 进行了全面的文献检索。经过初步筛选,共收集到 138 篇文章。结果口腔细菌可进入脑血管并引起菌血症,导致局部炎症和毒素释放。这一过程可导致血管堵塞或破裂,从而引发中风。口腔感染会持续引发免疫反应和全身炎症,与炎症相关的蛋白质在中风的发生中起着至关重要的作用。本综述强调了牙科疾病通过各种机制促进中风发生的作用。牙科疾病通过促进菌血症和全身性炎症而导致中风的发生。此外,通过有效治疗和预防牙科疾病,可大大降低中风的风险。
{"title":"Association between dental diseases and stroke","authors":"Haocheng Zhang ,&nbsp;Qian Yu ,&nbsp;Caidi Ying ,&nbsp;Yibo Liu ,&nbsp;Xiaoyu Wang ,&nbsp;Yinghan Guo ,&nbsp;Liang Xu ,&nbsp;Yuanjian Fang ,&nbsp;Xiaoyue Liao ,&nbsp;Sheng Chen","doi":"10.1016/j.sdentj.2024.09.012","DOIUrl":"10.1016/j.sdentj.2024.09.012","url":null,"abstract":"<div><h3>Introduction</h3><div>This study aimed to analyze the existing evidence on the association between dental diseases and stroke. Various pathogenic mechanisms, including bacteraemia and systemic inflammation, were investigated to explore their impact on stroke occurrence and severity.</div></div><div><h3>Methods</h3><div>A comprehensive literature search was conducted through the online databases PubMed, Google Scholar, Web of Science, and Scopus. The initial screening process resulted in a total of 138 articles being gathered. Upon subsequent refinement, 52 articles were discarded due to duplication or non-English language, leaving 86 articles for further assessment.</div></div><div><h3>Results</h3><div>Oral bacteria can travel to the brain’s blood vessels and cause bacteraemia, leading to local inflammation and the release of toxins. This process can result in the blockage or rupture of blood vessels, leading to stroke. Oral infections consistently trigger immune responses and systemic inflammation, with inflammation-related proteins playing a crucial role in stroke development. Notably, periodontal treatment could reduce the risk of stroke.</div></div><div><h3>Conclusion</h3><div>This review emphasizes the role of dental diseases in promoting stroke occurrence through various mechanisms. Dental diseases contribute to the development of stroke by facilitating bacteraemia and systemic inflammation. Furthermore, through effectively treating and preventing dental diseases, the risk of strokes can be significantly reduced.</div></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"36 11","pages":"Pages 1389-1396"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142658528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessing the quality of AI information from ChatGPT regarding oral surgery, preventive dentistry, and oral cancer: An exploration study 评估来自 ChatGPT 的有关口腔外科、预防性牙科和口腔癌的人工智能信息的质量:探索研究
IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.sdentj.2024.09.009
Arwa A. Alsayed , Mariam B. Aldajani , Marwan H. Aljohani , Hamdan Alamri , Maram A. Alwadi , Bodor Z. Alshammari , Falah R. Alshammari

Aim

Evaluation of the quality of dental information produced by the ChatGPT artificial intelligence language model within the context of oral surgery, preventive dentistry, and oral cancer.

Methodology

This study adopted quantitative methods approach. The experts prepared 50 questions (including dimensions of, risk factors, preventive measures, diagnostic methods, and treatment options) that would be presented to ChatGPT, and its responses were rated for their accuracy, completeness, relevance, clarity or comprehensibility, and possible risks using a standardized rubric. To carry out the assessment of the responses by ChatGPT, a standardized scoring rubric was used. Evaluation process included feedback concerning the strengths, weaknesses, and potential areas of improvement in the responses provided by ChatGPT.

Results

While achieving the highest score for preventive dentistry at 4.3/5 and being able to communicate the complex information coherently, the tool showed lower accuracy for oral surgery and oral cancer, scoring 3.9/5 and 3.6/5, respectively, with several gaps for post-operative instructions, personalized risk assessments, and specialized diagnostic methods. Potential risks, such as a lack of individualized advice, were shown in 53% of the oral cancer and in 40% of the oral surgery. While showing promise in some domains, ChatGPT had important limitations in specialized areas that require nuanced expertise.

Conclusion

The findings point to the need for professional supervision while using AI-generated information and ongoing evaluation as capabilities evolve, for the assurance of responsible implementation in the best interest of patient care.
目的评估 ChatGPT 人工智能语言模型在口腔外科、预防性牙科和口腔癌方面生成的牙科信息的质量。专家们准备了 50 个问题(包括风险因素、预防措施、诊断方法和治疗方案等方面)提交给 ChatGPT,并使用标准化评分标准对其回答的准确性、完整性、相关性、清晰度或可理解性以及可能存在的风险进行评分。为了对 ChatGPT 的回答进行评估,使用了标准化的评分标准。评估过程包括对 ChatGPT 所提供回答的优点、缺点和潜在改进领域的反馈。结果虽然该工具在预防牙科方面的得分最高,为 4.3/5,并且能够连贯地传达复杂的信息,但在口腔外科和口腔癌方面的准确性较低,分别为 3.9/5 和 3.6/5,在术后指导、个性化风险评估和专业诊断方法方面存在一些不足。53%的口腔癌和40%的口腔手术存在潜在风险,如缺乏个性化建议。结论:研究结果表明,在使用人工智能生成的信息时,需要专业人员的监督,并随着功能的发展进行持续评估,以确保负责任地实施最有利于患者的护理。
{"title":"Assessing the quality of AI information from ChatGPT regarding oral surgery, preventive dentistry, and oral cancer: An exploration study","authors":"Arwa A. Alsayed ,&nbsp;Mariam B. Aldajani ,&nbsp;Marwan H. Aljohani ,&nbsp;Hamdan Alamri ,&nbsp;Maram A. Alwadi ,&nbsp;Bodor Z. Alshammari ,&nbsp;Falah R. Alshammari","doi":"10.1016/j.sdentj.2024.09.009","DOIUrl":"10.1016/j.sdentj.2024.09.009","url":null,"abstract":"<div><h3>Aim</h3><div>Evaluation of the quality of dental information produced by the ChatGPT artificial intelligence language model within the context of oral surgery, preventive dentistry, and oral cancer.</div></div><div><h3>Methodology</h3><div>This study adopted quantitative methods approach. The experts prepared 50 questions (including dimensions of, risk factors, preventive measures, diagnostic methods, and treatment options) that would be presented to ChatGPT, and its responses were rated for their accuracy, completeness, relevance, clarity or comprehensibility, and possible risks using a standardized rubric. To carry out the assessment of the responses by ChatGPT, a standardized scoring rubric was used. Evaluation process included feedback concerning the strengths, weaknesses, and potential areas of improvement in the responses provided by ChatGPT.</div></div><div><h3>Results</h3><div>While achieving the highest score for preventive dentistry at 4.3/5 and being able to communicate the complex information coherently, the tool showed lower accuracy for oral surgery and oral cancer, scoring 3.9/5 and 3.6/5, respectively, with several gaps for post-operative instructions, personalized risk assessments, and specialized diagnostic methods. Potential risks, such as a lack of individualized advice, were shown in 53% of the oral cancer and in 40% of the oral surgery. While showing promise in some domains, ChatGPT had important limitations in specialized areas that require nuanced expertise.</div></div><div><h3>Conclusion</h3><div>The findings point to the need for professional supervision while using AI-generated information and ongoing evaluation as capabilities evolve, for the assurance of responsible implementation in the best interest of patient care.</div></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"36 11","pages":"Pages 1483-1489"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142658509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diagnosis and management of idiopathic condylar Resorption: A review of literature 特发性髁突吸收的诊断和治疗:文献综述
IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.sdentj.2024.09.013
Yasser S. Alali , Khaled M. Al Habeeb , Khaled A. Al Malhook , Sami Alshehri

Background and objectives

Idiopathic condylar resorption (ICR) can be described as a dysfunctional remodeling of the temporomandibular joint (TMJ). It is clinically characterized by morphological changes in TMJ including reduced ramus height, accelerated mandibular retrusion and reduced growth in juveniles. With a strong predilection towards females (90 %) within an age group of 10 to 40 years, diagnosis and management of ICR is a critical clinical challenge. The aim of this study is to present a comprehensive review of diagnosis and management strategies for ICR.

Materials and Methods

Literature search based on keywords relating to ICR was conducted on PubMed (Medline) database. Studies fulfilling the inclusion criteria (reports based on clinical diagnosis and management of ICR) were selected for comprehensive review.

Results

253 articles were identified through literature search. After abstract screening and full-text review, 54 studies were selected for qualitative synthesis. Diagnosis of ICR is established by combination of clinical and radiographic findings, patient history, and exclusion of all known local/systemic factors contributing to condylar resorption. Management of ICR depends on condylar activity and surgeon’s ability to preserve the articular disc and mandibular condyle, and could either be surgical or non-surgical. Surgical treatment can be either by orthognathic surgery alone or through a combination of orthognathic and TMJ surgeries.

Conclusion

Based on the present review, it may be concluded that diagnosis and management of ICR requires adequate clinical understanding of the condition. Identifying the stage of ICR is important in deciding optimum treatment plan. While early-stage ICR could be managed non-surgically by orthodontic and splint therapies, advanced stage disease require simultaneous TMJ Surgery with orthognathic correction for skeletal stability. Future research should focus on elucidating underlying mechanisms of ICR, refining diagnostic criteria, and optimizing treatment protocols to enhance patient outcomes.
背景和目的特发性髁状突吸收(ICR)可被描述为颞下颌关节(TMJ)的功能障碍重塑。它的临床特征是颞下颌关节的形态变化,包括臼齿高度降低、下颌加速后缩和青少年生长发育减慢。该病好发于 10 至 40 岁年龄组中的女性(90%),因此,ICR 的诊断和治疗是一项严峻的临床挑战。本研究旨在对 ICR 的诊断和治疗策略进行全面综述。材料和方法在 PubMed(Medline)数据库中根据 ICR 的相关关键词进行文献检索。结果通过文献检索确定了 253 篇文章。经过摘要筛选和全文审阅后,选择了 54 篇研究进行定性综合。综合临床和影像学检查结果、患者病史,并排除所有导致髁突吸收的已知局部/系统因素,即可确定ICR的诊断。ICR 的治疗取决于髁突的活动度以及外科医生保护关节盘和下颌髁突的能力,可以采用手术或非手术治疗。手术治疗可以是单纯的正颌手术,也可以是正颌手术和颞下颌关节手术的综合治疗。确定 ICR 的分期对于决定最佳治疗方案非常重要。早期的 ICR 可以通过正畸和夹板疗法进行非手术治疗,而晚期的 ICR 则需要同时进行颞下颌关节手术和正颌矫正以保持骨骼稳定。未来的研究应侧重于阐明 ICR 的潜在机制、完善诊断标准和优化治疗方案,以提高患者的治疗效果。
{"title":"Diagnosis and management of idiopathic condylar Resorption: A review of literature","authors":"Yasser S. Alali ,&nbsp;Khaled M. Al Habeeb ,&nbsp;Khaled A. Al Malhook ,&nbsp;Sami Alshehri","doi":"10.1016/j.sdentj.2024.09.013","DOIUrl":"10.1016/j.sdentj.2024.09.013","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Idiopathic condylar resorption (ICR) can be described as a dysfunctional remodeling of the temporomandibular joint (TMJ). It is clinically characterized by morphological changes in TMJ including reduced ramus height, accelerated mandibular retrusion and reduced growth in juveniles. With a strong predilection towards females (90 %) within an age group of 10 to 40 years, diagnosis and management of ICR is a critical clinical challenge. The aim of this study is to present a comprehensive review of diagnosis and management strategies for ICR.</div></div><div><h3>Materials and Methods</h3><div>Literature search based on keywords relating to ICR was conducted on PubMed (Medline) database. Studies fulfilling the inclusion criteria (reports based on clinical diagnosis and management of ICR) were selected for comprehensive review.</div></div><div><h3>Results</h3><div>253 articles were identified through literature search. After abstract screening and full-text review, 54 studies were selected for qualitative synthesis. Diagnosis of ICR is established by combination of clinical and radiographic findings, patient history, and exclusion of all known local/systemic factors contributing to condylar resorption. Management of ICR depends on condylar activity and surgeon’s ability to preserve the articular disc and mandibular condyle, and could either be surgical or non-surgical. Surgical treatment can be either by orthognathic surgery alone or through a combination of orthognathic and TMJ surgeries.</div></div><div><h3>Conclusion</h3><div>Based on the present review, it may be concluded that diagnosis and management of ICR requires adequate clinical understanding of the condition. Identifying the stage of ICR is important in deciding optimum treatment plan. While early-stage ICR could be managed non-surgically by orthodontic and splint therapies, advanced stage disease require simultaneous TMJ Surgery with orthognathic correction for skeletal stability. Future research should focus on elucidating underlying mechanisms of ICR, refining diagnostic criteria, and optimizing treatment protocols to enhance patient outcomes.</div></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"36 11","pages":"Pages 1397-1405"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142658530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mutagenicity and DNA damage assessment of locally produced nano-hydroxyapatite-silica-glass ionomer cement on human periodontal ligament fibroblasts using Ames and Comet assays 利用艾姆斯和彗星试验评估本地生产的纳米羟基磷灰石-硅玻璃离子水泥对人类牙周韧带成纤维细胞的致突变性和 DNA 损伤作用
IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.sdentj.2024.08.009
Fayez Hussain Niazi , Norhayati Luddin , Abdurahman Niazy , Suharni Mohamad , Masitah Hayati Harun , Mohammed Noushad , Kannan Thirumulu Ponnuraj

Aim

This research assessed the mutagenicity and DNA damage of a novel type of nano-hydroxyapatite-silica glass ionomer cement (nano-HA-SiO2-GIC) and a conventional GIC (cGIC) using Ames and Comet assays.

Methods

Cell viability was tested on human periodontal ligament fibroblasts (HPLFs) using 3.125 mg/ml, 6.25, 12.5, 25, 50, 100 and 200 mg/ml, on both types of GICs employing MTT assay. For the Comet assay, HPLFs were treated with IC50, IC25 and IC10 of test materials and the tail moments were measured. In the Ames test, four genotypic variants of strains of Salmonella typhimurium (TA100, TA98, TA1537 and TA1535) and a strain of Escherichia coli (WP2 uvrA) were employed. The material tested was extracted using sterile distilled water (0.2 g per ml) at 37 °C for 72 h. This was considered as 100 %, which was diluted to 50, 25, 12.5 and 6.25 % utilizing sterile distilled water. These five concentrations were incubated with the bacterial strains with and without metabolic activation (S9), along with appropriate positive controls. The number of revertant colonies was used to evaluate the outcome.

Results

The highest cell viability (159.4 %) for nano-HA-SiO2-GIC was noticed at 3.125 mg/ml, while the lowest (24.26 %) was observed at 200 mg per ml. IC50, IC25 and IC10 values were 95.27, 51.4 and 20.1 mg/ml for cGIC, 106.9, 55.8 and 22.9 mg/ml for nano-HA-SiO2-GIC, respectively. The IC10 of both test materials showed no significant DNA damage compared to that of the negative control based on the Comet assay. The plate treated with nano-HA-SiO2-GIC showed less than double the average number of revertant colonies compared to that of negative control with regard to the Ames test.

Conclusions

It can be concluded that nano-HA-SiO2-GIC is non-mutagenic based on the Ames test and did not cause DNA damage at the lowest concentration of IC10 based on the Comet assay.
目的本研究使用艾姆斯和彗星试验评估了一种新型纳米羟基磷灰石-二氧化硅玻璃离聚体水泥(纳米羟基磷灰石-二氧化硅-GIC)和一种传统玻璃离聚体水泥(cGIC)的诱变性和 DNA 损伤。方法在两种 GIC 上分别使用 3.125 毫克/毫升、6.25 毫克/毫升、12.5 毫克/毫升、25 毫克/毫升、50 毫克/毫升、100 毫克/毫升和 200 毫克/毫升的 MTT 法检测人牙周韧带成纤维细胞(HPLF)的细胞活力。在彗星试验中,用 IC50、IC25 和 IC10 的试验材料处理 HPLF,并测量其尾矩。在艾姆斯试验中,采用了鼠伤寒沙门氏菌的四种基因型变异菌株(TA100、TA98、TA1537 和 TA1535)和大肠杆菌的一种菌株(WP2 uvrA)。测试材料用无菌蒸馏水(每毫升 0.2 克)在 37 °C 下提取 72 小时,提取率为 100%,然后用无菌蒸馏水稀释至 50%、25%、12.5% 和 6.25%。将这五种浓度与有代谢活化(S9)和无代谢活化(S9)的细菌菌株以及适当的阳性对照一起培养。结果纳米海藻糖-二氧化硅-GIC 的细胞存活率在 3.125 毫克/毫升时最高(159.4%),而在 200 毫克/毫升时最低(24.26%)。cGIC 的 IC50、IC25 和 IC10 值分别为 95.27、51.4 和 20.1 毫克/毫升,纳米HA-SiO2-GIC 的 IC50、IC25 和 IC10 值分别为 106.9、55.8 和 22.9 毫克/毫升。根据彗星试验,与阴性对照相比,两种试验材料的 IC10 均未显示出明显的 DNA 损伤。结论 根据艾姆斯试验,纳米-HA-SiO2-GIC 不具有致突变性;根据彗星试验,在最低浓度 IC10 时,纳米-HA-SiO2-GIC 不会造成 DNA 损伤。
{"title":"Mutagenicity and DNA damage assessment of locally produced nano-hydroxyapatite-silica-glass ionomer cement on human periodontal ligament fibroblasts using Ames and Comet assays","authors":"Fayez Hussain Niazi ,&nbsp;Norhayati Luddin ,&nbsp;Abdurahman Niazy ,&nbsp;Suharni Mohamad ,&nbsp;Masitah Hayati Harun ,&nbsp;Mohammed Noushad ,&nbsp;Kannan Thirumulu Ponnuraj","doi":"10.1016/j.sdentj.2024.08.009","DOIUrl":"10.1016/j.sdentj.2024.08.009","url":null,"abstract":"<div><h3>Aim</h3><div>This research assessed the mutagenicity and DNA damage of a novel type of nano-hydroxyapatite-silica glass ionomer cement (nano-HA-SiO<sub>2</sub>-GIC) and a conventional GIC (cGIC) using Ames and Comet assays.</div></div><div><h3>Methods</h3><div>Cell viability was tested on human periodontal ligament fibroblasts (HPLFs) using 3.125 mg/ml, 6.25, 12.5, 25, 50, 100 and 200 mg/ml, on both types of GICs employing MTT assay. For the Comet assay, HPLFs were treated with IC<sub>50</sub>, IC<sub>25</sub> and IC<sub>10</sub> of test materials and the tail moments were measured. In the Ames test, four genotypic variants of strains of <em>Salmonella typhimurium</em> (TA100, TA98, TA1537 and TA1535) and a strain of <em>Escherichia coli</em> (WP2 uvrA) were employed. The material tested was extracted using sterile distilled water (0.2 g per ml) at 37 °C for 72 h. This was considered as 100 %, which was diluted to 50, 25, 12.5 and 6.25 % utilizing sterile distilled water. These five concentrations were incubated with the bacterial strains with and without metabolic activation (S9), along with appropriate positive controls. The number of revertant colonies was used to evaluate the outcome.</div></div><div><h3>Results</h3><div>The highest cell viability (159.4 %) for nano-HA-SiO<sub>2</sub>-GIC was noticed at 3.125 mg/ml, while the lowest (24.26 %) was observed at 200 mg per ml. IC<sub>50</sub>, IC<sub>25</sub> and IC<sub>10</sub> values were 95.27, 51.4 and 20.1 mg/ml for cGIC, 106.9, 55.8 and 22.9 mg/ml for nano-HA-SiO<sub>2</sub>-GIC, respectively. The IC<sub>10</sub> of both test materials showed no significant DNA damage compared to that of the negative control based on the Comet assay. The plate treated with nano-HA-SiO<sub>2</sub>-GIC showed less than double the average number of revertant colonies compared to that of negative control with regard to the Ames test.</div></div><div><h3>Conclusions</h3><div>It can be concluded that nano-HA-SiO<sub>2</sub>-GIC is non-mutagenic based on the Ames test and did not cause DNA damage at the lowest concentration of IC<sub>10</sub> based on the Comet assay.</div></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"36 11","pages":"Pages 1432-1437"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142658998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Computer guided versus freehand dental implant surgery: Randomized controlled clinical trial 计算机辅助与徒手种植牙手术:随机对照临床试验
IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.sdentj.2024.09.006
Nermine Ramadan Mahmoud , Mohamed Hatem Kamal Eldin , Mai Hassan Diab , Omar Samy Mahmoud , Yasser El-Sayed Fekry

Objective

This study compares, in terms of rehabilitation and recovery, freehand implant placement using flapless or mini-flap procedures with the use of 3D implant design software and specialized surgical templates among patients who are partially or completely edentulous. A secondary aim is to propose an algorithm for predicting the accuracy of implant placement. Method.
Patients with an alveolar height of at least 7 mm and an alveolar width of at least 4 mm were randomly assigned to two groups. Group I comprised ten patients who received computer-guided dental implant placement, while Group II comprised ten patients who received manual placements. A temporary prosthodontic was immediately inserted onto the implants, which was replaced by a permanent one after 4–6 months.

Results

The study enrolled twenty patients. A blinded, independent assessor evaluated the outcome variables, which included implant failure, marginal bone loss, treatment duration, post-surgical pain and swelling, use of painkillers, surgical time, and patient satisfaction. Pain scores in Group II were significantly higher than those in Group I, but there were no other significant differences. All patients experienced pain after 2 days, but by 7 days, only two patients in Group I and four patients in Group II were still suffering, although this difference was not statistically significant. After 14 days, all patients were asymptomatic.

Conclusion

Although the freehand technique is straightforward for experienced surgeons, surgical guides enhance the accuracy of implant placement, particularly in a deficient alveolar ridge.
目的 本研究比较了在部分或完全无牙颌患者中使用无瓣或迷你瓣手术与使用三维种植体设计软件和专用手术模板进行徒手种植的康复和恢复效果。另一个目的是提出一种预测种植体植入准确性的算法。方法:将牙槽高度至少为 7 毫米、牙槽宽度至少为 4 毫米的患者随机分为两组。第一组的十名患者接受计算机引导下的种植体植入,第二组的十名患者接受人工植入。种植体上立即植入临时义齿,4-6 个月后再植入永久义齿。由盲人独立评估员对结果变量进行了评估,其中包括种植失败、边缘骨损失、治疗时间、术后疼痛和肿胀、止痛药的使用、手术时间和患者满意度。第二组的疼痛评分明显高于第一组,但没有其他显著差异。所有患者在 2 天后都感到疼痛,但到 7 天时,只有第一组的两名患者和第二组的四名患者仍感到疼痛,尽管这一差异在统计学上并不显著。结论虽然徒手技术对于有经验的外科医生来说很简单,但手术导板可以提高种植体植入的准确性,尤其是在牙槽嵴不足的情况下。
{"title":"Computer guided versus freehand dental implant surgery: Randomized controlled clinical trial","authors":"Nermine Ramadan Mahmoud ,&nbsp;Mohamed Hatem Kamal Eldin ,&nbsp;Mai Hassan Diab ,&nbsp;Omar Samy Mahmoud ,&nbsp;Yasser El-Sayed Fekry","doi":"10.1016/j.sdentj.2024.09.006","DOIUrl":"10.1016/j.sdentj.2024.09.006","url":null,"abstract":"<div><h3>Objective</h3><div>This study compares, in terms of rehabilitation and recovery, freehand implant placement using flapless or mini-flap procedures with the use of 3D implant design software and specialized surgical templates among patients who are partially or completely edentulous. A secondary aim is to propose an algorithm for predicting the accuracy of implant placement. Method.</div><div>Patients with an alveolar height of at least 7 mm and an alveolar width of at least 4 mm were randomly assigned to two groups. Group I comprised ten patients who received computer-guided dental implant placement, while Group II comprised ten patients who received manual placements. A temporary prosthodontic was immediately inserted onto the implants, which was replaced by a permanent one after 4–6 months.</div></div><div><h3>Results</h3><div>The study enrolled twenty patients. A blinded, independent assessor evaluated the outcome variables, which included implant failure, marginal bone loss, treatment duration, post-surgical pain and swelling, use of painkillers, surgical time, and patient satisfaction. Pain scores in Group II were significantly higher than those in Group I, but there were no other significant differences. All patients experienced pain after 2 days, but by 7 days, only two patients in Group I and four patients in Group II were still suffering, although this difference was not statistically significant. After 14 days, all patients were asymptomatic.</div></div><div><h3>Conclusion</h3><div>Although the freehand technique is straightforward for experienced surgeons, surgical guides enhance the accuracy of implant placement, particularly in a deficient alveolar ridge.</div></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"36 11","pages":"Pages 1472-1476"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142659005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cumulative effect of digital manufacturing techniques, preparation taper and finish line designs on the retention of aged temporary molar crowns − An in vitro study 数字化制造技术、制备锥度和完成线设计对老化临时臼齿冠固位的累积效应 - 体外研究
IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.sdentj.2024.09.008
Firas K. Alqarawi , Mohammed E. Sayed , Harisha Dewan , Fawzia Ibraheem Shaabi , Hina Naim , Manawar Ahmad , Hanan Ibrahim Hakami , Ebrahim Fihaid Alsubaiy , Areen Sultan , Saad Saleh AlResayes

Objective

This study evaluated the effects of finish-line design, tooth preparation taper or total occlusal convergence (TOC), and digital production technology on the retention of provisional crowns for molars.

Material and Methods

 Different taper angles (10° TOC and 20° TOC) and finish line designs (chamfer and shoulder) were used to prepare four mandibular first molar teeth. Two subgroups of the prepared teeth received temporary crowns that were either “Computer-Aided Design” and “Computer-Aided Manufacturing (CAD/CAM) milled or 3D printed. Hence, eight test groups of temporary crowns containing 10 samples each were created. Groups 1–4 were milled, and Groups 5–8 were 3D printed specimens. A consistent procedure was used to cement 80 temporary crowns. The specimens were thermocycled for a total of 5000 heat cycles, initially at 5 °C for 30 s (dwell time) and then at 55 °C for 30 s. The pull-off force necessary to remove the temporary crowns was recorded, and the tensile strength, which served as the dependent variable, was calculated. Analysis of variance (ANOVA) was used to assess the variations in retention forces among the test groups.

Results

 The mean tensile strengths at maximum load [MPa] were higher in Groups 5, 6, 7, 8 (6.6 MPa, 6.91 MPa, 7.65 MPa, and 7.45 MPa respectively) as compared to the mean tensile strengths at maximum load [MPa] in Groups 1, 2, 3, 4 (2.35 MPa, 3.52 MPa, 3.21 MPa, and 2.45 MPa respectively).

Conclusion

For extended periods, 3D-printed crowns with steeper preparation tapers (20° TOC) and shoulder finish lines exhibited enhanced retention.
材料和方法 采用不同的锥度角(10° TOC 和 20° TOC)和完成线设计(倒角和肩)制备四颗下颌第一磨牙。在准备好的牙齿中,有两个分组接受了 "计算机辅助设计 "和 "计算机辅助制造(CAD/CAM)"铣制或三维打印的临时牙冠。因此,共创建了八个临时牙冠测试组,每组包含 10 个样本。第 1-4 组为铣制样本,第 5-8 组为 3D 打印样本。80 个临时牙冠采用统一的粘接程序。记录取下临时牙冠所需的拉力,并计算作为因变量的拉伸强度。结果 第 5、6、7、8 组在最大负荷下的平均拉伸强度[兆帕]比第 5、6、7、8 组高(分别为 6.6 兆帕、6.91 兆帕、7.65 兆帕和 7.45 兆帕),而第 5、6、7、8 组在最大负荷下的平均拉伸强度[兆帕]比第 5、6、7、8 组低(分别为 6.6 兆帕、6.91 兆帕、7.65 兆帕和 7.45 兆帕)。45 MPa)相比,第 1、2、3、4 组的最大负荷[MPa]下的平均抗拉强度(分别为 2.35 MPa、3.52 MPa、3.21 MPa 和 2.45 MPa)更高。
{"title":"Cumulative effect of digital manufacturing techniques, preparation taper and finish line designs on the retention of aged temporary molar crowns − An in vitro study","authors":"Firas K. Alqarawi ,&nbsp;Mohammed E. Sayed ,&nbsp;Harisha Dewan ,&nbsp;Fawzia Ibraheem Shaabi ,&nbsp;Hina Naim ,&nbsp;Manawar Ahmad ,&nbsp;Hanan Ibrahim Hakami ,&nbsp;Ebrahim Fihaid Alsubaiy ,&nbsp;Areen Sultan ,&nbsp;Saad Saleh AlResayes","doi":"10.1016/j.sdentj.2024.09.008","DOIUrl":"10.1016/j.sdentj.2024.09.008","url":null,"abstract":"<div><h3>Objective</h3><div>This study evaluated the effects of finish-line design, tooth preparation taper or total occlusal convergence (TOC), and digital production technology on the retention of provisional crowns for molars.</div></div><div><h3>Material and Methods</h3><div> <!-->Different taper angles (10° TOC and 20° TOC) and finish line designs (chamfer and shoulder) were used to prepare four mandibular first molar teeth. Two subgroups of the prepared teeth received temporary crowns that were either “Computer-Aided Design” and “Computer-Aided Manufacturing (CAD/CAM) milled or 3D printed. Hence, eight test groups of temporary crowns containing 10 samples each were created. Groups 1–4 were milled, and Groups 5–8 were 3D printed specimens. A consistent procedure was used to cement 80 temporary crowns. The specimens were thermocycled for a total of 5000 heat cycles, initially at 5 °C for 30 s (dwell time) and then at 55 °C for 30 s. The pull-off force necessary to remove the temporary crowns was recorded, and the tensile strength, which served as the dependent variable, was calculated. Analysis of variance (ANOVA) was used to assess the variations in retention forces among the test groups.</div></div><div><h3>Results</h3><div> <!-->The mean tensile strengths at maximum load [MPa] were higher in Groups 5, 6, 7, 8 (6.6 MPa, 6.91 MPa, 7.65 MPa, and 7.45 MPa respectively) as compared to the mean tensile strengths at maximum load [MPa] in Groups 1, 2, 3, 4 (2.35 MPa, 3.52 MPa, 3.21 MPa, and 2.45 MPa respectively).</div></div><div><h3>Conclusion</h3><div>For extended periods, 3D-printed crowns with steeper preparation tapers (20° TOC) and shoulder finish lines exhibited enhanced retention.</div></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"36 11","pages":"Pages 1477-1482"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142659006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An in vitro study of fluoride-preloaded halloysite nanotubes to enhance the fluoride release in conventional and resin-modified glass ionomer cements 含氟预载埃洛石纳米管在传统和树脂改性玻璃离子聚合物水门汀中增强氟释放的体外研究
IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.sdentj.2024.09.010
Martha Esperanza García-Moreno, Elias Nahum Salmerón-Valdés, Adriana Alejandra Morales-Valenzuela, Ulises Velázquez-Enríquez, Víctor Hugo Toral-Rizo, Edith Lara-Carrillo

Objective

The purpose of the study was to compare the fluoride release in two conventional glass ionomer cements (Ionobond, Ketac Molar) and two resin-modified glass ionomer cements (Vitrebond, Fuji II LC) adapted with halloysite nanotubes preloaded with sodium fluoride at different concentrations.

Methods

In total, 96 samples were prepared and distributed into four control groups and eight experimental groups (5 % and 10 %). Totals of 10 % and 5 % of the total weight of ionomer powder needed to prepare the samples were replaced with nanotubes, preloaded at 2,000 parts per million, respectively. The experimental groups were followed for 120 days at seven time intervals. All the samples were stored at 37 °C.

Results

All the experimental groups showed significant differences compared with the control groups; likewise, differences were observed between the concentrations of 5% and 10%.

Conclusion

The experimental groups (conventional and resin-modified glass ionomer cements adapted with preloaded nanotubes) released a higher and more constant amount of fluoride compared to the control groups.
该研究的目的是比较两种传统玻璃离子聚合物水门汀(Ionobond、Ketac Molar)和两种树脂改性玻璃离子聚合物水门汀(Vitrebond、Fuji II LC)中氟化钠的释放情况。制备样品所需的离子聚合物粉末总重量的 10 % 和 5 % 分别被预载了 2,000 ppm 的纳米管所取代。对实验组进行了为期 120 天的跟踪观察,每次间隔 7 天。所有实验组与对照组相比都有显著差异;同样,5% 和 10% 浓度的实验组之间也有差异。
{"title":"An in vitro study of fluoride-preloaded halloysite nanotubes to enhance the fluoride release in conventional and resin-modified glass ionomer cements","authors":"Martha Esperanza García-Moreno,&nbsp;Elias Nahum Salmerón-Valdés,&nbsp;Adriana Alejandra Morales-Valenzuela,&nbsp;Ulises Velázquez-Enríquez,&nbsp;Víctor Hugo Toral-Rizo,&nbsp;Edith Lara-Carrillo","doi":"10.1016/j.sdentj.2024.09.010","DOIUrl":"10.1016/j.sdentj.2024.09.010","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of the study was to compare the fluoride release in two conventional glass ionomer cements (Ionobond, Ketac Molar) and two resin-modified glass ionomer cements (Vitrebond, Fuji II LC) adapted with halloysite nanotubes preloaded with sodium fluoride at different concentrations.</div></div><div><h3>Methods</h3><div>In total, 96 samples were prepared and distributed into four control groups and eight experimental groups (5 % and 10 %). Totals of 10 % and 5 % of the total weight of ionomer powder needed to prepare the samples were replaced with nanotubes, preloaded at 2,000 parts per million, respectively. The experimental groups were followed for 120 days at seven time intervals. All the samples were stored at 37 °C.</div></div><div><h3>Results</h3><div>All the experimental groups showed significant differences compared with the control groups; likewise, differences were observed between the concentrations of 5% and 10%.</div></div><div><h3>Conclusion</h3><div>The experimental groups (conventional and resin-modified glass ionomer cements adapted with preloaded nanotubes) released a higher and more constant amount of fluoride compared to the control groups.</div></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"36 11","pages":"Pages 1490-1494"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142658510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Topical fluoride varnish application shifts dysbiotic dental plaque microbiome towards eubiosis in children with dental caries 龋齿儿童局部涂氟使菌群失调的牙菌斑微生物群向优生转变
IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-10-01 DOI: 10.1016/j.sdentj.2024.07.010
Armelia Sari Widyarman , Nadeeka S. Udawatte , Idham Tegar Badruzzaman , Caesary Cloudya Panjaitan , Anie Apriani , Jeddy , Tri Erri Astoeti , Chaminda Jayampath Seneviratne

Objective

This study used high-throughput amplicon sequencing to examine the impact of long-term continuous fluoride treatment on the dental plaque microbiota of children aged 8 to 9 with mixed dentition.

Design

The study population consisted of twenty 8–9-year-old children with dental caries. Topical application of fluoride-varnish was weekly administered for one month to all subjects. Clinical indicators and anthropological data, such as the caries index (DMFT and dmft), were documented for every participant at baseline. A baseline assessment and a month after the fluoride varnish treatment were conducted for the salivary pH level and the Patient-Hygiene-Performance (PHP) index. Following application of the fluoride varnish, plaque samples were obtained both one month later and before (baseline) and were then used for 16S rRNA gene-based Next Generation Sequencing.

Results

The results showed significant differences in the community composition structure (p < 0.01). Notable caries-associated pathogens in the dental plaque microbiome were depleted whilst health associated phylum Proteobacteria was increased in the abundance following fluoride-varnish application. In children with mixed dentition, this study found that after one month of fluoride-varnish treatment, there was a significant decrease in the prevalence of the dominant pathogenic genera, Fusobacterium, Porphyromonas, Capnocytophaga, Neisseria, and Leptrotrichia, along with an increase in certain genera related to healthy oral condition, mostly from the phylum Proteobacteria, such as Areinmonas, Pseudoxanthomonas, and Luteimonas.

Conclusions

Fluoride-varnish application may shift the community level microecology from dysbiosis to eubiosis. Moreover, application of fluoride-varnish with weekly intervals for one month reduced the caries-causing bacteria while enriching the rise of unique, ubiquitous genera primarily belonging to the Proteobacteria, which may plaque a defensive role against progression of caries. Furthermore, a rising pH level towards neutrality (pH 7) indicated a healthier oral environment following the application of fluoride varnish.
目的本研究采用高通量扩增子测序技术,研究长期连续氟化物治疗对 8-9 岁混合牙儿童牙菌斑微生物群的影响。所有受试者每周局部涂抹氟化清漆,为期一个月。每位受试者的临床指标和人类学数据,如龋齿指数(DMFT 和 dmft),均在基线时记录在案。对唾液 pH 值和患者-卫生-表现(PHP)指数进行了基线评估,并在涂氟后一个月进行了评估。涂抹氟化物清漆后,在一个月后和一个月前(基线)采集牙菌斑样本,然后进行基于 16S rRNA 基因的新一代测序。使用氟化清漆后,牙菌斑微生物群中与龋病相关的病原体减少了,而与健康相关的变形菌门的数量增加了。本研究发现,在混合牙儿童中,经过一个月的氟化清漆治疗后,主要致病菌属--镰刀菌属、卟啉单胞菌属、嗜盖细胞菌属、奈瑟氏菌属和钩端螺旋体属--的数量显著减少,而与口腔健康状况相关的某些菌属则有所增加,这些菌属大多来自变形菌门,如阿赖诺单胞菌属、假黄单胞菌属和鲁特单胞菌属。结论涂抹氟化清漆可能会使群落微生态从菌群失调转变为优生。此外,在一个月内每周涂抹一次氟化清漆,在减少致龋菌的同时,增加了主要属于变形菌的独特、普遍的菌属,这些菌属可能对龋病的发展起着防御作用。此外,pH 值升至中性(pH 值为 7)表明涂抹氟化物清漆后口腔环境更加健康。
{"title":"Topical fluoride varnish application shifts dysbiotic dental plaque microbiome towards eubiosis in children with dental caries","authors":"Armelia Sari Widyarman ,&nbsp;Nadeeka S. Udawatte ,&nbsp;Idham Tegar Badruzzaman ,&nbsp;Caesary Cloudya Panjaitan ,&nbsp;Anie Apriani ,&nbsp;Jeddy ,&nbsp;Tri Erri Astoeti ,&nbsp;Chaminda Jayampath Seneviratne","doi":"10.1016/j.sdentj.2024.07.010","DOIUrl":"10.1016/j.sdentj.2024.07.010","url":null,"abstract":"<div><h3>Objective</h3><div>This study used high-throughput amplicon sequencing to examine the impact of long-term continuous fluoride treatment on the dental plaque microbiota of children aged 8 to 9 with mixed dentition.</div></div><div><h3>Design</h3><div>The study population consisted of twenty 8–9-year-old children with dental caries. Topical application of fluoride-varnish was weekly administered for one month to all subjects. Clinical indicators and anthropological data, such as the caries index (DMFT and dmft), were documented for every participant at baseline. A baseline assessment and a month after the fluoride varnish treatment were conducted for the salivary pH level and the Patient-Hygiene-Performance (PHP) index. Following application of the fluoride varnish, plaque samples were obtained both one month later and before (baseline) and were then used for 16S rRNA gene-based Next Generation Sequencing.</div></div><div><h3>Results</h3><div>The results showed significant differences in the community composition structure (p &lt; 0.01). Notable caries-associated pathogens in the dental plaque microbiome were depleted whilst health associated phylum Proteobacteria was increased in the abundance following fluoride-varnish application. In children with mixed dentition, this study found that after one month of fluoride-varnish treatment, there was a significant decrease in the prevalence of the dominant pathogenic genera, <em>Fusobacterium, Porphyromonas, Capnocytophaga, Neisseria</em>, and <em>Leptrotrichia</em>, along with an increase in certain genera related to healthy oral condition, mostly from the phylum Proteobacteria, such as <em>Areinmonas</em>, <em>Pseudoxanthomonas</em>, and <em>Luteimonas</em>.</div></div><div><h3>Conclusions</h3><div>Fluoride-varnish application may shift the community level microecology from dysbiosis to eubiosis. Moreover, application of fluoride-varnish with weekly intervals for one month reduced the caries-causing bacteria while enriching the rise of unique, ubiquitous genera primarily belonging to the Proteobacteria, which may plaque a defensive role against progression of caries. Furthermore, a rising pH level towards neutrality (pH 7) indicated a healthier oral environment following the application of fluoride varnish.</div></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"36 10","pages":"Pages 1313-1320"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141838376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What is the impact of autotransplantation on the long-term stability and patient satisfaction of impacted canines? A Systematic Review 自体移植对撞击性犬齿的长期稳定性和患者满意度有何影响?系统回顾
IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-10-01 DOI: 10.1016/j.sdentj.2024.08.006
Sabina Saccomanno, Cristina Valeri, Daniela Di Giandomenico, Eda Fani, Giuseppe Marzo, Vincenzo Quinzi

Introduction

Autotransplantation is a surgical technique in which a tooth is repositioned after extraction. It is commonly used for impacted canines, which affect about 2% of the population and are more prevalent in females. These canines may remain embedded due to their late eruption. Treatment options include orthodontic appliances or autotransplantation, especially when canines are positioned too high or angled more than 45 degrees from the occlusal plane.

Aim

To review the literature regarding the effects of autotransplantation on patient satisfaction, aesthetic outcomes, and the long-term stability of autotransplantation.

Materials and Methods

This Systematic Review, registered with PROSPERO (CRD4202341), followed the PICO framework. Extensive searches were conducted in the Cochrane Library, PubMed, ScienceDirect, Scopus, VHL Regional Portal, and Web of Science, covering literature up to April 1, 2023.

Results

The review analyzed 11 studies involving the autotransplantation of 395 canine teeth, including two mandibular canines. Findings indicate higher success rates in younger patients, with a higher prevalence of transplantation in females (1 6 4) than males (1 0 5). The survival rate of transplanted canines was up to 67.9 % after 21 years, with some surviving up to 27.8 years. Success factors included young age, female gender, minimal extraoral time, proper root canal treatment, and effective post-operative care. Negative factors included ankylosis, root resorption, root fractures, infections, and periodontal issues. Complications included tooth darkening and the need for crowning. Patient satisfaction was rarely reported, with only three studies mentioning it and none addressing quality-of-life directly.

Conclusion

Canine autotransplantation is viable for selected patients when other treatments are insufficient. Despite various influencing factors, consensus guidelines for procedural decisions still need to be improved, and reports on patient satisfaction and quality-of-life impacts should be more frequent.
导言自体牙移植是一种在拔牙后对牙齿进行重新定位的外科技术。它通常用于治疗影响约 2% 人口的犬齿,在女性中更为常见。由于萌出较晚,这些犬齿可能会嵌入牙槽骨。治疗方法包括正畸矫治器或自体牙移植,尤其是当犬齿位置过高或与咬合面的角度超过 45 度时。目的综述有关自体牙移植对患者满意度、美学效果以及自体牙移植长期稳定性的影响的文献。在 Cochrane Library、PubMed、ScienceDirect、Scopus、VHL Regional Portal 和 Web of Science 中进行了广泛的检索,涵盖了截至 2023 年 4 月 1 日的文献。研究结果表明,年轻患者的成功率更高,女性(1 6 4)的移植率高于男性(1 0 5)。移植的犬齿在 21 年后的存活率高达 67.9%,部分存活时间长达 27.8 年。成功因素包括年龄小、性别为女性、口外时间短、根管治疗得当以及术后护理有效。不利因素包括强直、牙根吸收、牙根折断、感染和牙周问题。并发症包括牙齿变黑和需要镶牙。患者的满意度很少有报道,只有三项研究提到,没有一项研究直接涉及生活质量问题。尽管存在各种影响因素,但程序决策的共识指南仍需改进,有关患者满意度和生活质量影响的报告应更加频繁。
{"title":"What is the impact of autotransplantation on the long-term stability and patient satisfaction of impacted canines? A Systematic Review","authors":"Sabina Saccomanno,&nbsp;Cristina Valeri,&nbsp;Daniela Di Giandomenico,&nbsp;Eda Fani,&nbsp;Giuseppe Marzo,&nbsp;Vincenzo Quinzi","doi":"10.1016/j.sdentj.2024.08.006","DOIUrl":"10.1016/j.sdentj.2024.08.006","url":null,"abstract":"<div><h3>Introduction</h3><div>Autotransplantation is a surgical technique in which a tooth is repositioned after extraction. It is commonly used for impacted canines, which affect about 2% of the population and are more prevalent in females. These canines may remain embedded due to their late eruption. Treatment options include orthodontic appliances or autotransplantation, especially when canines are positioned too high or angled more than 45 degrees from the occlusal plane.</div></div><div><h3>Aim</h3><div>To review the literature regarding the effects of autotransplantation on patient satisfaction, aesthetic outcomes, and the long-term stability of autotransplantation.</div></div><div><h3>Materials and Methods</h3><div>This Systematic Review, registered with PROSPERO (CRD4202341), followed the PICO framework. Extensive searches were conducted in the Cochrane Library, PubMed, ScienceDirect, Scopus, VHL Regional Portal, and Web of Science, covering literature up to April 1, 2023.</div></div><div><h3>Results</h3><div>The review analyzed 11 studies involving the autotransplantation of 395 canine teeth, including two mandibular canines. Findings indicate higher success rates in younger patients, with a higher prevalence of transplantation in females (1<!--> <!-->6<!--> <!-->4) than males (1<!--> <!-->0<!--> <!-->5). The survival rate of transplanted canines was up to 67.9 % after 21 years, with some surviving up to 27.8 years. Success factors included young age, female gender, minimal extraoral time, proper root canal treatment, and effective post-operative care. Negative factors included ankylosis, root resorption, root fractures, infections, and periodontal issues. Complications included tooth darkening and the need for crowning. Patient satisfaction was rarely reported, with only three studies mentioning it and none addressing quality-of-life directly.</div></div><div><h3>Conclusion</h3><div>Canine autotransplantation is viable for selected patients when other treatments are insufficient. Despite various influencing factors, consensus guidelines for procedural decisions still need to be improved, and reports on patient satisfaction and quality-of-life impacts should be more frequent.</div></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"36 10","pages":"Pages 1268-1277"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142432513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of using single-file reciprocating system on the quality of root canal treatment treated by undergraduate students 使用单档往复式系统对本科生根管治疗质量的影响
IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-10-01 DOI: 10.1016/j.sdentj.2024.08.011
Marwa Ameen , Dunia Alhadi , Manal Almaslamani , Abdul Rahman Saleh

Background

This study aimed to evaluate the use of a single-file reciprocating system on the technical quality of root canal filling and treatment by radiographic assessment of cases treated by undergraduate dental students.

Materials and methods

This was a retrospective cross-sectional clinical study of endodontically treatments conducted by fourth-year undergraduate students during the academic year 2021–2022. Root canal preparation was performed using the WaveOne Gold system with matching single-cone gutta-percha. The collected data included sex, tooth position, number of canals, and treatment time (first or second semester). The quality of the root canal filling was assessed based on the root canal filling length, density, and taper. The presence of ledges, apical transportation, perforation, and instrument separation were recorded. Data were analyzed using SPSS version 28. Chi-square tests were used, and the statistical significance level was set at P < 0.05.

Results

A total of 601 teeth were included. The length of the root canal filling was adequate in 93.51 % of the teeth, underfilled in 2.82 %, and overfilled in 3.66 %. The density and taper were adequate in 96.5 % and 98.16 % of the teeth, respectively. There were no significant differences among the parameters of length, taper, density, or procedural errors relative to the arch type. However, there was a significant difference between the anterior and premolar teeth in terms of taper, density, and overall quality of the root canal filling. The overall quality of root canal treatment was acceptable in 527 teeth (87.68 %), with no significant difference between teeth (P = 0.256).

Conclusion

The quality of root canal treatment performed by undergraduate students using a single-file reciprocating system is good or acceptable.
背景本研究旨在通过对口腔医学本科生治疗的病例进行放射学评估,评估单档往复式系统的使用对根管充填和治疗技术质量的影响。材料和方法这是一项回顾性横断面临床研究,研究对象为2021-2022学年四年级本科生进行的根管治疗。根管预备使用 WaveOne Gold 系统和配套的单凝胶进行。收集的数据包括性别、牙齿位置、根管数量和治疗时间(第一或第二学期)。根管充填质量根据根管充填长度、密度和锥度进行评估。记录了根管充填中是否存在根尖突起、根尖搬运、穿孔和器械分离等情况。数据使用 SPSS 28 版进行分析。结果共纳入 601 颗牙齿。93.51%的牙齿根管充填长度合适,2.82%的牙齿根管充填不足,3.66%的牙齿根管充填过度。分别有 96.5% 和 98.16% 的牙齿的密度和锥度是适当的。相对于牙弓类型,长度、锥度、密度或程序错误等参数之间没有明显差异。但是,前磨牙和前臼齿在根管填充的锥度、密度和整体质量方面存在明显差异。527颗牙齿(87.68%)的根管治疗总体质量合格,不同牙齿之间无明显差异(P = 0.256)。
{"title":"Impact of using single-file reciprocating system on the quality of root canal treatment treated by undergraduate students","authors":"Marwa Ameen ,&nbsp;Dunia Alhadi ,&nbsp;Manal Almaslamani ,&nbsp;Abdul Rahman Saleh","doi":"10.1016/j.sdentj.2024.08.011","DOIUrl":"10.1016/j.sdentj.2024.08.011","url":null,"abstract":"<div><h3>Background</h3><div>This study aimed to evaluate the use of a single-file reciprocating system on the technical quality of root canal filling and treatment by radiographic assessment of cases treated by undergraduate dental students.</div></div><div><h3>Materials and methods</h3><div>This was a retrospective cross-sectional clinical study of endodontically treatments conducted by fourth-year undergraduate students during the academic year 2021–2022. Root canal preparation was performed using the WaveOne Gold system with matching single-cone gutta-percha. The collected data included sex, tooth position, number of canals, and treatment time (first or second semester). The quality of the root canal filling was assessed based on the root canal filling length, density, and taper. The presence of ledges, apical transportation, perforation, and instrument separation were recorded. Data were analyzed using SPSS version 28. Chi-square tests were used, and the statistical significance level was set at P &lt; 0.05.</div></div><div><h3>Results</h3><div>A total of 601 teeth were included. The length of the root canal filling was adequate in 93.51 % of the teeth, underfilled in 2.82 %, and overfilled in 3.66 %. The density and taper were adequate in 96.5 % and 98.16 % of the teeth, respectively. There were no significant differences among the parameters of length, taper, density, or procedural errors relative to the arch type. However, there was a significant difference between the anterior and premolar teeth in terms of taper, density, and overall quality of the root canal filling. The overall quality of root canal treatment was acceptable in 527 teeth (87.68 %), with no significant difference between teeth (P = 0.256).</div></div><div><h3>Conclusion</h3><div>The quality of root canal treatment performed by undergraduate students using a single-file reciprocating system is good or acceptable.</div></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"36 10","pages":"Pages 1369-1375"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142432309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Saudi Dental Journal
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1