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Cannabidiol in Dentistry: A Scoping Review 大麻二酚在牙科:范围审查
IF 1.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-10-01 DOI: 10.3390/dj10100193
C. David, Alejandro Elizalde-Hernández, A. S. Barboza, G. C. Cardoso, Mateus B F Santos, R. Moraes
Cannabidiol (CBD) has been gaining increased attention in contemporary society but seems to have been little explored in dentistry. This scoping review mapped the scientific and technological scenarios related to the use of CBD in dentistry. Peer-reviewed publications were searched in five international databases, patents were searched in five technological platforms. In total, 11 articles and 13 patents involving CBD in dentistry-related applications were included. The countries contributing to most articles were Brazil (27.3%) and USA (18.2%). The studies involved experiments on animals (63.6%) and/or using bacteria or cells (36.4%), and no clinical study was found. Three different applications of CBD were observed: periodontal therapy (45.4%), aid for bone regeneration (27.3%), and general use in oral therapies (27.3%). Patent inventors were based in China (53.8%) or USA (46.2%). The patent claims were mainly compositions for oral care, tooth whitening, injury repair, antifungal, anti-inflammatory, and analgesic effects. A total of 76.9% of the patents were filed in association with a company. In general, research suggests that CBD has promising biological properties for applications in dentistry, whereas patents indicate that the current interest of industry relies on compositions for oral care. There appears to be extensive room available for research and technological applications of CBD in dentistry.
大麻二酚(CBD)在当代社会受到越来越多的关注,但在牙科领域似乎很少被探索。这一范围审查绘制了与在牙科中使用CBD相关的科学和技术情景。同行评议的出版物在5个国际数据库中检索,专利在5个技术平台中检索。涉及CBD在牙科相关应用中的11篇文章和13项专利。贡献文章最多的国家是巴西(27.3%)和美国(18.2%)。这些研究涉及动物实验(63.6%)和/或使用细菌或细胞(36.4%),未发现临床研究。观察到CBD的三种不同应用:牙周治疗(45.4%),辅助骨再生(27.3%)和一般口腔治疗(27.3%)。专利发明人来自中国(53.8%)或美国(46.2%)。该专利权利要求主要是用于口腔护理、牙齿美白、损伤修复、抗真菌、抗炎和镇痛作用的组合物。共有76.9%的专利是与一家公司联合申请的。总的来说,研究表明CBD在牙科应用方面具有很好的生物学特性,而专利表明,目前的工业兴趣依赖于口腔护理组合物。CBD在牙科领域的研究和技术应用似乎有广阔的空间。
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引用次数: 4
An Analysis of Different Techniques Used to Seal Post-Extractive Sites—A Preliminary Report 不同的技术用于密封后拔牙部位的分析-初步报告
IF 1.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-10-01 DOI: 10.3390/dj10100189
P. Pesce, E. Mijiritsky, L. Canullo, M. Menini, V. C. Caponio, A. Grassi, L. Gobbato, D. Baldi
Background: Bone grafting in post-extractive site improves tissue regeneration. Soft tissue sealing of the grafted post-extractive alveolus is supposed to limit microbiological contamination from the oral cavity and to stabilize the coagulum. Several techniques are presented in the literature to reach this goal using different heterologous matrices or autogenous grafts. In addition, recently, a technique based on the use of granulation tissue in the post-extractive alveolus has been proposed. Aim: To compare the effect of different graft sealing approaches in post-extractive sites by qualitatively evaluating their healing process. Materials and Methods: This retrospective investigation included 30 patients requiring post-extractive site regeneration in the aesthetic area. Post-extractive sites were regenerated using a bovine bone matrix and patients were divided into three groups (10 patients in each group) according to the material used to seal the alveolar socket. In the UD group, the granulation tissue was used to seal the defect; in the PC group, epithelial-connective soft tissue graft was used, and in the COLL group, a collagen-based membrane was employed. Images of the post-extractive sites at different follow-up periods (2 and 12 weeks) were taken and the healing process was blindly evaluated by two independent practitioners. The Healing Index (HI) by Landry, Turnbull and Howley was used to assess the quality of the healing process. The combination of presence/absence of five clinical criteria defines an HI ranging from 1 (very poor) to 5 (excellent). Patients’ clinical-pathological variables were recorded. One-way ANOVA was used to explore the dependence of HI on the different socket preservation protocols. Results: Based on clinical-pathological characteristics of the included patients, there were no statistically significant differences among the different sealing techniques. At the 2-week follow-up appointment, HI did not differ among the socket preservation protocols evaluated. Moreover, smoking status and reason for extraction did not influence the HI among the three groups (two-way ANOVA p-value = 0.686, p-value = 0.248 respectively). At the 2-week follow-up appointment, HI was significantly different among the socket preservation protocols investigated. Specifically, the group undergoing collagen-based socket preservation procedure reported the highest HI, compared to the other two techniques (COLL mean 4.60 ± 0.5; PC mean 3.5 ± 1.2; UD mean 3.4 ± 0.5, one-way ANOVA p-value 0.006). Conclusions: The use of collagen porcine membranes may represent a suitable option to improve the patient healing process in grafted post-extractive sites together with reducing the surgical intervention time compared to alternative sealing techniques.
背景:骨移植可促进组织再生。摘牙后移植牙槽的软组织密封被认为可以限制口腔微生物的污染并稳定牙槽的凝固。文献中提出了几种技术来实现这一目标,使用不同的异种基质或自体移植物。此外,最近提出了一种基于在提取后肺泡中使用肉芽组织的技术。目的:通过定性评价不同植骨封堵方式在拔牙后的愈合情况,比较不同植骨封堵方式的效果。材料和方法:本回顾性研究包括30例需要拔牙后美观区再生的患者。拔牙后用牛骨基质再生,根据牙槽窝密封材料将患者分为三组(每组10例)。UD组采用肉芽组织封闭缺损;PC组采用上皮结缔组织移植物,COLL组采用胶原基膜。在不同随访期(2周和12周)取拔牙后部位图像,由2名独立执业医师盲目评估愈合过程。采用Landry, Turnbull和Howley的愈合指数(Healing Index, HI)来评估愈合过程的质量。5项临床标准的存在或缺失定义了HI,范围从1(非常差)到5(极好)。记录患者的临床病理变量。采用单因素方差分析探讨了HI对不同套接字保存协议的依赖关系。结果:根据纳入患者的临床病理特征,不同缝合方式间差异无统计学意义。在2周的随访中,不同的套接孔保存方案间的HI没有差异。此外,吸烟状况和拔牙原因对三组患者的HI没有影响(双向方差分析p值分别为0.686、0.248)。在2周的随访中,所调查的套接窝保留方案之间的HI有显著差异。具体而言,与其他两种技术相比,接受胶原基窝保存术的组报告了最高的HI (COLL平均值为4.60±0.5;PC平均值3.5±1.2;UD平均值3.4±0.5,单因素方差分析p值0.006)。结论:与其他封闭技术相比,使用猪胶原膜可能是一种合适的选择,可以改善患者在移植后拔牙部位的愈合过程,同时减少手术干预时间。
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引用次数: 3
Caries Experience and Treatment Needs in Urban and Rural Environments in School-Age Children from Three Provinces of Ecuador: A Cross-Sectional Study 来自厄瓜多尔三个省的学龄儿童在城市和农村环境中的龋齿经历和治疗需求:一项横断面研究
IF 1.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-10-01 DOI: 10.3390/dj10100185
E. Vélez-León, Alberto Albaladejo-Martínez, Katherine Cuenca-León, Liliana Encalada-Verdugo, A. Armas-Vega, M. Melo
In Ecuador, national epidemiological surveys have not been updated; however, some regional studies in the northern areas of the country still report a high prevalence of dental caries. The aim of this study was to determine the experience, severity, and need for treatment of dental caries in school children aged 6 to 12 years in urban and rural settings in three provinces of southern Ecuador. This cross-sectional, relational study examined 1938 schoolchildren in the provinces of Azuay, Cañar, and Morona Santiago. The survey instruments were based mainly on the WHO manual Methods of Oral Health Surveys (dmft) for primary and permanent dentition (DMFT), as well as the prevalence, severity, and Significant Caries Index (SCI). The parametric Student’s t-test was used to compare two groups, and the Spearman’s Rho and Tau-c Kendall correlation coefficients were used to associate the categorical variables. Results: The prevalence of caries in the primary dentition was 78% and 89.2% in the permanent dentition. The dmft (M = 4.12, SD = 2.86) and DMFT (M = 3.62: SD = 3.07) placed the general group in a moderate caries index. The need for treatment was 90.68% in the primary dentition, while it was 87.99% in the permanent dentition. Caries severity in both dentitions was high (M = 7.74; SD = 3.42). Conclusions. Alarming indicators of caries experience and the need for treatment were observed in the population studied.
在厄瓜多尔,全国流行病学调查尚未更新;然而,在该国北部地区的一些区域研究仍然报告了龋齿的高患病率。本研究的目的是确定厄瓜多尔南部三个省城市和农村环境中6至12岁学龄儿童龋齿的经历、严重程度和治疗需求。这项横断面的相关研究调查了Azuay省、Cañar省和Morona Santiago省的1938名学童。调查工具主要基于世界卫生组织的口腔健康调查方法(dmft)手册,包括初级和永久牙列(dmft),以及患病率、严重程度和严重龋指数(SCI)。两组间比较采用参数Student’s t检验,分类变量间关联采用Spearman’s Rho和Tau-c Kendall相关系数。结果:初生牙列龋患病率为78%,恒牙列龋患病率为89.2%。dmft (M = 4.12, SD = 2.86)和dmft (M = 3.62, SD = 3.07)使普通组的龋指数处于中等水平。初生牙列需要率为90.68%,恒牙列需要率为87.99%。两牙列的龋病严重程度均较高(M = 7.74;Sd = 3.42)。结论。在所研究的人群中观察到令人震惊的龋齿经历和治疗需求指标。
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引用次数: 3
Effectiveness of 38% Silver Diamine Fluoride in Reducing Dentine Hypersensitivity on Exposed Root Surface in Older Chinese Adults: Study Protocol for a Randomised Double-Blind Study 38%的二胺氟化银降低中国老年人暴露根表面牙本质过敏的有效性:一项随机双盲研究方案
IF 1.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-10-01 DOI: 10.3390/dj10100194
Alice Kit Ying Chan, M. Tamrakar, C. -. Jiang, Y. C. Tsang, K. Leung, C. Chu
Background: Dentine hypersensitivity on an exposed root surface induces pain, affects daily oral hygiene practice, limits dietary choices and negatively affects quality of life. Silver diamine fluoride is marketed in the United States as a desensitising agent, but well-designed clinical trials are limited. This study evaluates the anti-hypersensitivity effect of silver diamine fluoride on hypersensitive teeth due to an exposed root surface in older Chinese adults. Methods/design: We will conduct a randomised double-blind clinical trial with a sample size of at least 148 Chinese older adults aged 65 or above who have dentine hypersensitivity due to an exposed root surface. We will collect written consent before the study. A trained examiner will examine the participants’ teeth with a blast of compressed air from a 3-in-1 syringe. Those adults who report a self-perceived sensitivity score (SS) (0 to 10) of 8 or more on at least one tooth with an exposed root surface will be recruited. The recruited older adults will be randomly allocated into two groups using a block randomisation of six. Group 1 participants will receive the application of 38% silver diamine fluoride solution every 4 weeks. Group 2 participants will receive the application of 5% potassium nitrate solution every 4 weeks. Dietary advice, oral hygiene instruction and fluoride toothpaste at 1450 ppm will be provided to participants in both groups. The same trained examiner will perform follow-up examinations for the participants and determine the dentine hypersensitivity in SS of the most hypersensitive tooth (with the highest pre-treatment SS) immediately after the intervention and at 4-week and 8-week intervals. Discussion: There is no consensus on the standard of care for a professionally applied desensitising agent in older adults. This trial will provide evidence for clinicians to devise an effective dental care plan for older adults with dentine hypersensitivity. Trial registration: NCT05392868 Registered on 22 May 2022.
背景:暴露的牙根表面的牙本质过敏会引起疼痛,影响日常口腔卫生习惯,限制饮食选择,并对生活质量产生负面影响。氟化二胺银作为一种脱敏剂在美国上市,但精心设计的临床试验有限。本研究评价氟化二胺银对中国老年人根面外露致过敏牙的抗过敏作用。方法/设计:我们将进行一项随机双盲临床试验,样本量为至少148名65岁或以上因根面暴露而有牙本质过敏的中国老年人。我们将在研究前收集书面同意。训练有素的审查员将用三合一注射器吹出压缩空气来检查参与者的牙齿。那些报告自我感知敏感性评分(SS)(0到10)为8或以上的成年人,至少有一颗牙齿有暴露的根面,将被招募。被招募的老年人将被随机分为两组,每组6人。第1组参与者每4周接受38%的氟化二胺银溶液的应用。第二组每4周使用5%硝酸钾溶液。为两组参与者提供饮食建议、口腔卫生指导和含氟1450ppm的牙膏。同一名训练有素的检查员将对参与者进行随访检查,并在干预后立即、4周和8周间隔确定最敏感牙齿(治疗前SS最高)的SS的牙本质过敏。讨论:对于老年人专业应用脱敏剂的护理标准尚无共识。该试验将为临床医生设计有效的牙本质过敏老年人牙科护理计划提供证据。试验注册:NCT05392868于2022年5月22日注册。
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引用次数: 2
Challenges and Opportunities for Dental Education from COVID-19 2019冠状病毒病对牙科教育的挑战和机遇
IF 1.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-10-01 DOI: 10.3390/dj10100188
Bolei Li, Lei Cheng, Haohao Wang
With the ongoing COVID-19 pandemic, dental education has been profoundly affected by this crisis. First of all, COVID-19 brought physical and psychological health problems to dental students and educators. In addition, both non-clinical teaching and clinical-based training experienced challenges, ranging from fully online educational content to limited dental training, students’ research was delayed in achieving project milestones and there was hesitancy in respect of the COVID-19 vaccine. On the other hand, the COVID-19 pandemic has increased the demand for teledentistry and dental emergency treatment, and brought awareness of the advantages and high-speed development of distance education. This review aims to present these challenges and opportunities for dental education, and suggest how dental institutions should prepare for the future demand for dental education.
随着COVID-19大流行的持续,牙科教育受到这场危机的深刻影响。首先,新冠肺炎给牙科学生和教育工作者带来了身心健康问题。此外,非临床教学和临床培训都面临挑战,从完全在线的教育内容到有限的牙科培训,学生的研究在实现项目里程碑方面被推迟,并且在COVID-19疫苗方面存在犹豫。另一方面,新冠肺炎疫情增加了对远程牙科和牙科急诊治疗的需求,使人们意识到远程教育的优势和高速发展。这篇综述的目的是提出这些挑战和机遇的牙科教育,并建议如何牙科机构应准备为未来的牙科教育的需求。
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引用次数: 7
Peripheral Osteoma of the Mandibular Condyle—Case Series 下颌髁周围性骨瘤病例系列
IF 1.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-09-29 DOI: 10.3390/dj10100182
I. Tilaveridis, T. Katopodi, Panagiotis Karakostas, G. Venetis, I. Dimitrakopoulos, Stavros Tilaveridis, Sofia Tilaveridou, Katerina Zarampouka
The purpose of this article is to present four new cases of peripheral osteoma of the mandibular condyle and the literature review. A retrospective study of files from our Department of Oral and Maxillofacial Surgery over the last 6 years revealed four cases of peripheral osteomas located in the area of the mandibular condyle. Diagnostic procedure included clinical, radiographic, and histologic criteria. Gardner’s syndrome was excluded from patient history and clinical evaluation. One patient had only an aesthetic disturbance, with facial swelling, and the other three patients presented disturbances of the mandibular function, including deviation during mouth opening along with malocclusion. Three of the patients were male and one was female; all were of middle age (45–65 years old). The proposed surgical treatment was accepted by half of the patients, while the remaining half declined the operation after a confirmation of the diagnosis. Peripheral osteomas of the maxillofacial region are uncommon, and some cases with multiple osteomas are related to Gardner’s syndrome. An osteoma of the mandibular condyle is very rare and surgical treatment is challenging for the surgeon with regards to the approach selection and the related complications. In the two cases that accepted the proposed surgical treatment, no recurrence and no complication was observed.
本文报告4例新发的下颌髁外周骨瘤,并复习相关文献。回顾性分析我院口腔颌面外科近6年来的病例资料,发现4例位于下颌髁部的周围骨瘤。诊断程序包括临床、放射学和组织学标准。加德纳综合征被排除在患者病史和临床评估之外。1例患者仅出现审美障碍,面部肿胀,另外3例患者出现下颌功能障碍,包括开口时偏差和错颌。其中3名男性,1名女性;所有患者均为中年人(45-65岁)。建议的手术治疗被一半的患者接受,而剩下的一半在确诊后拒绝手术。颌面部周围骨瘤并不常见,一些多发性骨瘤的病例与加德纳综合征有关。下颌髁骨瘤是非常罕见的,手术治疗对于外科医生来说具有挑战性的关于入路的选择和相关的并发症。2例接受手术治疗,无复发及并发症发生。
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引用次数: 2
Comparison in Terms of Accuracy between DLP and LCD Printing Technology for Dental Model Printing 牙科模型打印DLP与LCD打印技术的精度比较
IF 1.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-09-28 DOI: 10.3390/dj10100181
Ioannis A Tsolakis, W. Papaioannou, Erofili Papadopoulou, Maria Dalampira, A. Tsolakis
Background: The aim of this study is to evaluate the accuracy of a Liquid Crystal Display (LCD) 3D printer compared to a Direct Light Processing (DLP) 3D printer for dental model printing. Methods: Two different printers in terms of 3D printing technology were used in this study. One was a DLP 3D printer and one an LCD 3D printer. The accuracy of the printers was evaluated in terms of trueness and precision. Ten STL reference files were used for this study. For trueness, each STL file was printed once with each 3D printer. For precision, one randomly chosen STL file was printed 10 times with each 3D printer. Afterward, the models were scanned with a model scanner, and reverse engineering software was used for the STL comparisons. Results: In terms of trueness, the comparison between the LCD 3D printer and DLP 3D printer was statistically significant, with a p-value = 0.004. For precision, the comparison between the LCD 3D printer and the DLP 3D printer was statistically significant, with a p-value = 0.011. Conclusions: The DLP 3D printer is more accurate in terms of dental model printing than the LCD 3D printer. However, both DLP and LCD printers can accurately be used to print dental models for the fabrication of orthodontic appliances.
背景:本研究的目的是评估液晶显示(LCD) 3D打印机与直接光处理(DLP) 3D打印机在牙科模型打印方面的准确性。方法:采用两种不同3D打印技术的打印机进行研究。一台是DLP 3D打印机,另一台是LCD 3D打印机。从正确率和精密度两方面对打印机的准确性进行了评价。本研究使用了10个STL参考文件。为了准确性,每个STL文件都用每个3D打印机打印一次。为了精确起见,每台3D打印机随机选择一个STL文件打印10次。随后,用模型扫描仪扫描模型,并使用逆向工程软件进行STL比较。结果:在正确率方面,LCD 3D打印机与DLP 3D打印机比较有统计学意义,p值= 0.004。在精度方面,LCD 3D打印机与DLP 3D打印机的比较具有统计学意义,p值= 0.011。结论:DLP 3D打印机打印牙体模型的精度高于LCD 3D打印机。然而,DLP和LCD打印机都可以准确地用于打印牙齿模型,用于制造正畸器具。
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引用次数: 9
Comparing Distal-Jet with Dental Anchorage to Distal-Jet with Skeletal Anchorage: A Prospective Parallel Cohort Study 一项前瞻性平行队列研究:远端喷射与牙齿支抗与远端喷射与骨骼支抗的比较
IF 1.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-09-27 DOI: 10.3390/dj10100179
F. Altieri, M. Mezio, Rosanna Guarnieri, M. Cassetta
The use of traditional intra-oral devices in maxillary molar distalization is not without undesirable consequences. The aim of the present study was to compare the miniscrew-supported distal-jet appliance to a traditional distal-jet appliance by evaluating the amount of upper first molar distalization and the dentoalveolar side effects. Data of 600 subjects visited at the orthodontic unit of Sapienza University of Rom were analyzed. Only 46 patients met the inclusion criteria and were selected and treated. Subjects were assigned randomly to receive treatment either with miniscrew-supported distal-jet appliance (Group A) or with a traditional distal-jet appliance (Group B). In Group A, miniscrews were inserted using a computer-guided surgical guide. The amount of upper first molar distalization and the dentoalveolar side effects were assessed both on the digital casts and on the lateral cephalometric radiograph at the end of the distalization phase. A descriptive statistical analysis that included the mean values and the standard deviation was conducted to evaluate the molar distalization and the dentoalveolar effects in two groups. Intergroup differences were determined using the Student’s t-test. The significance was set at p ≤ 0.05. In Group A, greater maxillary first molar distalization and a spontaneous distalization of the first premolars and a palatal inclination of central incisors were observed. By contrast, in Group B, the first premolars tipped mesially and a proclination of the maxillary central incisors was observed. In both groups, the transverse widths of the dental arch increased while a greater tendency of first premolar extrusion and of maxillary first molar rotation was observed in Group B. The skeletal anchorage device achieved greater first molar distalization and did not cause dento-alveolar side effects.
在上颌磨牙远端中使用传统的口腔内装置并非没有不良后果。本研究的目的是比较微型支架远端喷射矫治器与传统远端喷射矫治器,通过评估上颌第一磨牙远端化的数量和牙槽牙的副作用。对罗马大学正畸科600名患者的资料进行分析。只有46例患者符合纳入标准,并被选择和治疗。受试者被随机分配接受微型螺钉支持的远端喷射矫治器(A组)或传统的远端喷射矫治器(B组)的治疗。在A组中,微型螺钉使用计算机引导的手术指南插入。在数字铸型和侧位头颅x线片上评估上第一磨牙远端量和牙槽副副作用。采用描述性统计分析,包括平均值和标准差,评价两组的磨牙远端和牙槽牙的影响。使用学生t检验确定组间差异。p≤0.05为显著性。A组上颌第一磨牙远端、第一前磨牙自发远端、中切牙腭倾斜。B组第一前磨牙中尖,上颌中切牙前倾。在两组中,牙弓的横向宽度增加,而b组观察到第一前磨牙更倾向于挤压和上颌第一磨牙旋转。骨骼支抗装置实现了更大的第一磨牙远端,并且没有引起牙槽-牙槽的副作用。
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引用次数: 5
Effects of Multibracket Orthodontic Treatment versus Clear Aligners on Periodontal Health: An Integrative Review 多托槽正畸治疗与透明矫正器对牙周健康的影响:一项综合综述
IF 1.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-09-21 DOI: 10.3390/dj10100177
Aaron Jacob David Partouche, Filipe Castro, A. Baptista, L. Costa, Juliana Campos Hasse Fernandes, G. V. O. Fernandes
Objective: This integrative review aimed to identify studies comparing the periodontal health in patients wearing multibracket orthodontic appliances and clear aligners. Materials and methods: An integrative literature search was performed through different databases, PubMed/Medline, PMC, and the Cochrane Library. This work was submitted to a search strategy following the PICO method and included the focus question: “Could the chosen orthodontic appliance change significantly the oral hygiene of the patient, impairing the periodontal health?” This work included analytical and controlled studies on humans published between 2005 and 2020, in the English language, establishing a comparison of the periodontal status in patients undergoing orthodontic multibracket and clear aligners therapies. The main periodontal indexes assessed were plaque index (PI), pocket depth (PD), gingival index (GI), and bleeding on probing (BoP). Results: The electronic research displayed 386 articles on PMC, 106 on PubMed, and 40 on the Cochrane Library. After removal, just 25 articles were selected for full-text screening, but just eight studies were eligible for this integrative review. It was enumerated that 204 patients were treated with aligners and 294 with multibracket orthodontic appliances, mainly elastomeric ligated brackets. Only the plaque index displayed a significant difference between the two groups and general data obtained showed a better control for periodontal health in the clear aligners. Limitations such as age, malocclusion severity, therapeutic choice, and different time measure was observed. In addition, the oral hygiene instruction and follow-up by a professional were different, and the role of malocclusion was not present in the studies. Conclusions: Within the limitations of this study, better results for periodontal health were found in the clear aligners. Therefore, more studies are necessary to affirm that aligners are synonymous with better gingival conditions in comparison with multibracket appliances. Other variables such as oral hygiene instructions, motivation, and supportive treatment tend to be more prevalent than the type of appliance itself in the periodontal evaluation.
目的:本综合综述旨在确定研究比较多托槽正畸矫治器和透明矫正器患者的牙周健康。材料和方法:通过不同的数据库PubMed/Medline、PMC和Cochrane图书馆进行综合文献检索。这项工作提交给PICO方法后的搜索策略,并包括焦点问题:“所选择的正畸器具是否会显著改变患者的口腔卫生,损害牙周健康?”这项工作包括2005年至2020年间发表的人类分析和对照研究,以英语发表,建立了接受多支架正畸和透明矫正器治疗的患者牙周状况的比较。评估的主要牙周指标为菌斑指数(PI)、牙袋深度(PD)、牙龈指数(GI)和探诊出血(BoP)。结果:PMC收录386篇,PubMed收录106篇,Cochrane Library收录40篇。删除后,只有25篇文章被选中进行全文筛选,但只有8项研究符合这项综合评价的条件。经点算,使用矫正器204例,多托槽矫治器294例,以弹性结扎托槽为主。只有菌斑指数在两组之间显示出显著差异,获得的一般数据表明,使用清洁矫正器对牙周健康有更好的控制。观察年龄、错牙合严重程度、治疗选择、不同时间测量等局限性。此外,口腔卫生的指导和专业人员的随访是不同的,并且在研究中没有出现错牙合的作用。结论:在本研究的限制范围内,发现透明矫正器对牙周健康有更好的效果。因此,需要更多的研究来证实,与多支架矫治器相比,矫正器是更好的牙龈状况的代名词。在牙周评估中,其他变量如口腔卫生指导、动机和支持性治疗往往比矫治器本身的类型更普遍。
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引用次数: 5
Assessment of Biochemical Parameters of the Oral Fluid before and after Using Office Teeth Whitening Systems 使用办公室牙齿美白系统前后口服液生化参数的评估
IF 1.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-09-21 DOI: 10.3390/dj10100178
E. Ryskina, F. Gilmiyarova, O. A. Magsumova, M. Postnikov, T. Lobaeva, D. D. Zhdanov
One of the most important functions of the oral fluid is to maintain oral homeostasis. In-office teeth whitening systems are able to change the mineral metabolism and the activity of a number of enzymes in the oral fluid, but there are conflicting data in publications about this. The aim of this study was to compare the effect of Opalescense Boost, ZOOM Advance POWER, and ZOOM Phillips White Speed, which contain different percentages of hydrogen peroxide, on the performance of oral fluid. After the procedure of whitening teeth with the studied in-office systems, the concentration of calcium in the oral fluid increased, and the activity of alkaline phosphatase decreased. Calcium levels returned to baseline values after 30 days, and alkaline phosphatase activity returned after 14 days. There was no significant difference in the changes in calcium concentration and alkaline phosphatase activity between different tooth whitening systems. Chemical teeth whitening with the Opalescense Boost system caused the largest change in the activity of superoxide dismutase in the oral fluid compared to the ZOOM Advance POWER and ZOOM Phillips White Speed photocatalytic teeth whitening systems. An increase in the activity of superoxide dismutase by +75.5% was shown immediately after the procedure of teeth whitening with the Opalescense Boost system, which indicated an increase in the power of antioxidant defense mechanisms. To assess the effectiveness and safety of using various whitening systems, it is possible to study the dynamics of the activity of superoxide dismutase, which reflects the processes of antioxidant protection of the oral cavity.
口服液最重要的功能之一是维持口腔内稳态。办公室牙齿美白系统能够改变口服液中的矿物质代谢和一些酶的活性,但在出版物中有相互矛盾的数据。本研究的目的是比较含有不同过氧化氢百分比的Opalescense Boost、ZOOM Advance POWER和ZOOM Phillips White Speed对口服液性能的影响。口腔内美白后,口腔液中钙浓度升高,碱性磷酸酶活性降低。钙水平在30天后恢复到基线值,碱性磷酸酶活性在14天后恢复。不同牙齿美白系统钙浓度和碱性磷酸酶活性变化无显著差异。与ZOOM Advance POWER和ZOOM Phillips White Speed光催化牙齿美白系统相比,Opalescense Boost系统的化学牙齿美白引起口腔液中超氧化物歧化酶活性的最大变化。用Opalescense Boost系统美白牙齿后,超氧化物歧化酶活性立即增加+75.5%,这表明抗氧化防御机制的能力增加。为了评估使用各种美白系统的有效性和安全性,可以研究反映口腔抗氧化保护过程的超氧化物歧化酶活性的动态变化。
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Open Dentistry Journal
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