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Molar Incisor Hypomineralization: Awareness among Postdoctoral Dental Residents: A Cross-Sectional Study 臼齿低矿化:博士后牙科住院医师的意识:一项横断面研究
IF 1.3 Q3 Dentistry Pub Date : 2022-04-01 DOI: 10.3390/dj10040064
Jana Negrescu, Laurenc Kodra, H. Ziada, Tanya Al-Talib, N. H. Abubakr
Background: Molar incisor hypomineralization (MIH) is the presentation of an enamel defect, where incisors and one (or more) molars are affected. Identifying MIH is significant in restoring its visual defect and avoiding pain or other consequences of this condition. The present cross-sectional study aimed to evaluate the awareness, ability, and confidence in identifying MIH among postgraduate residents in the state of Nevada. Methods: This cross-sectional study was conducted among postdoctoral dental residents at the School of Dental Medicine, University of Nevada, Las Vegas. This cross-sectional study used images of cases of MIH and a survey to collect the data. The survey included demographics, educational background, and basic knowledge of MIH. Results: The response rate to the invitation to participate was 91%. The confidence in identifying MIH was 100%, 50%, and 33.3% for pediatric, orthodontic, and general practice residency (GPR). A total of 70% were aware of this anomaly from their predoctoral dental education and indicated the need for further related education. There was 33% confusion with fluorosis and 16.6% with amelogenesis imperfecta. A total of 66.6% of the participants indicated that they require further education relating to MIH. Conclusion: Within the limitations of the present investigation, MIH awareness among the investigated groups varied but was highest amongst the pediatric residents.
背景:臼齿低矿化(MIH)是牙釉质缺陷的表现,其中门牙和一颗(或多颗)磨牙受到影响。识别MIH对于恢复其视觉缺陷和避免疼痛或其他后果具有重要意义。本横断面研究旨在评估内华达州研究生居民识别MIH的意识、能力和信心。方法:本横断面研究在内华达大学拉斯维加斯分校口腔医学院博士后牙科住院医师中进行。本横断面研究使用MIH病例的图像和调查来收集数据。调查内容包括人口统计、教育背景和MIH的基本知识。结果:参加邀请的回复率为91%。小儿、正畸和全科住院医师(GPR)识别MIH的置信度分别为100%、50%和33.3%。共有70%的人在其博士前牙科教育中意识到这一异常,并表示需要进一步的相关教育。33%与氟中毒相混淆,16.6%与无淀粉性发育不全相混淆。共有66.6%的参与者表示他们需要继续接受与MIH有关的教育。结论:在本调查的范围内,被调查人群对MIH的认识各不相同,但以儿科住院医生最高。
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引用次数: 2
Maximizing Student Clinical Communication Skills in Dental Education—A Narrative Review 在牙科教育中最大限度地提高学生的临床沟通技巧-叙述综述
IF 1.3 Q3 Dentistry Pub Date : 2022-04-01 DOI: 10.3390/dj10040057
Rod Moore
Dental student training in clinical communication skills and behavioral aspects of treatment are lauded as clinically meaningful in the dental education literature. However, many dental school curricula still only provide didactic, one-time coursework with multiple choice examination assessment and little or no student skill-activating activities. This article aims to review literature relevant to optimizing clinical communication and behavioral skills in dental education. The review summarizes findings of several relevant reviews and usable models to focus on four themes: (1) special characteristics of dentistry relevant to communication skill needs, (2) essential components of dental student learning of communications skills, (3) clinical consultation guides or styles and (4) optimal curricular structure for communication learning effectiveness. Contexts of communications in the dental chair differ from medical and other allied health professions, given the current mostly dentist-dominant and patient-passive relationships. Patient-centered communication should be trained. Dental students need more practical learning in active listening and patient-centered skills including using role-play, videotaping and ultimately, real patient training. Medical consultation guides are often unwieldy and impractical in many dental contexts, so a shortened guide is proposed. Communication skills need to be learned and taught with the same rigor as other core dental skills over the entire course of the dental curriculum.
牙科学生在临床沟通技巧和治疗行为方面的训练在牙科教育文献中被称赞为具有临床意义。然而,许多牙科学校的课程仍然只提供说教式的、一次性的课程,有多项选择考试评估,很少或根本没有学生技能激活活动。本文旨在回顾有关优化牙科教育中的临床沟通和行为技能的文献。本综述总结了几篇相关综述和可用模型的发现,重点关注四个主题:(1)与沟通技能需求相关的牙科特点;(2)牙科学生学习沟通技能的基本组成部分;(3)临床咨询指南或风格;(4)沟通学习效果的最佳课程结构。鉴于目前主要是牙医主导和患者被动的关系,牙科主席的交流背景不同于医疗和其他联合卫生专业。应训练以病人为中心的沟通。牙科专业的学生需要在积极倾听和以病人为中心的技能方面进行更多的实践学习,包括使用角色扮演、录像和最终的真正的病人培训。医疗咨询指南往往是笨拙和不切实际的,在许多牙科的情况下,因此缩短指南是建议。在整个牙科课程中,沟通技巧需要像其他核心牙科技能一样严格地学习和教授。
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引用次数: 7
Radiographic and Histomorphologic Evaluation of the Maxillary Bone after Crestal Mini Sinus Lift Using Absorbable Collagen—Retrospective Evaluation 利用可吸收胶原蛋白对上颌小窦嵴提升术后颌骨的影像学和组织学评价
IF 1.3 Q3 Dentistry Pub Date : 2022-04-01 DOI: 10.3390/dj10040058
S. Cosola, B. Di Dino, T. Traini, Young-Sam Kim, Young-Min Park, S. Marconcini, U. Covani, R. Vinci
Background: After tooth extraction, the alveolar bone loses volume in height and width over time, meaning that reconstructive procedures may be necessary to perform implant placement. In the maxilla, to increase the bone volume, a mini-invasive surgery, such as a sinus lift using the crestal approach, could be performed. Methods: A crestal approach was used in this study to perform the sinus lift, fracturing the bone and inserting collagen (Condress®). The single dental implant was placed in the healed bone after six months. Results: The newly formed bone was histologically analyzed after healing. Histomorphological analyses confirmed the quality of the new bone formation even without graft biomaterials. This is probably due to the enlargement of the space, meaning more vascularization and stabilization of the coagulum. Conclusion: Using just collagen could be sufficient to induce proper new bone formation in particular clinical situations, with a minimally invasive surgery to perform a sinus lift.
背景:拔牙后,随着时间的推移,牙槽骨的高度和宽度会减少,这意味着在进行种植体放置时可能需要进行重建手术。在上颌骨,为了增加骨体积,可以进行微创手术,如使用嵴入路进行窦提升。方法:本研究采用嵴入路进行鼻窦提升、骨折和插入胶原蛋白(Condress®)。6个月后,将单颗牙植入愈合的骨中。结果:愈合后对新生骨进行组织学分析。组织形态学分析证实了新骨形成的质量,即使没有移植生物材料。这可能是由于空间的扩大,意味着更多的血管化和凝固的稳定。结论:在特定的临床情况下,仅使用胶原蛋白就足以诱导适当的新骨形成,并进行微创手术进行鼻窦提升。
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引用次数: 1
Comparison of Two Root Canal Filling Techniques: Obturation with Guttacore Carrier Based System and Obturation with Guttaflow2 Fluid Gutta-Percha 两种根管充填技术的比较:Guttacore载体系统和Guttaflow2液体杜仲胶充填
IF 1.3 Q3 Dentistry Pub Date : 2022-04-01 DOI: 10.3390/dj10040071
G. Migliau, G. Palaia, Daniele Pergolini, Tommaso Guglielmelli, Roberta Fascetti, A. Sofan, A. Del Vecchio, U. Romeo
Introduction: The aim of the present study was to compare the quality of the root canal obturation obtained with two different techniques, i.e., thermoplastic gutta-percha introduced through a carrier (GuttaCore) and fluid gutta-percha (GuttaFlow2). Materials and Methods: The study included 40 permanent single-rooted human teeth, divided into two groups and obturated with Guttaflow (group G) and with GuttaCore (group T). The teeth were fixed and transversely sectioned, they were examined by scanning electron microscopy. The dentin–cement–gutta–percha interface and the percentage of voids produced by the two techniques were statistically analyzed. Results: GuttaCore showed a better filling in the apical third of the canal with a percentage of voids equal to 5%. GuttaFlow showed a lower percentage of voids in the middle and coronal thirds of the canal, 1.6% of coronal voids. Statistical analysis showed a statistically significant difference in the percentage of voids in the two groups (GuttaCore and Guttaflow2) in each portion. Conclusions: GuttaFlow2 seems to flow optimally in the middle and coronal third of the canal, with greater difficulty in filling the apical third. Due to the rigidity of the carrier, GuttaCore is able to reach better the most apical portions of the canals, with greater difficulty in creating the three-dimensional seal at the level of the middle third and coronal third.
本研究的目的是比较两种不同技术获得的根管封闭质量,即通过载体引入的热塑性杜仲胶(GuttaCore)和液体杜仲胶(GuttaFlow2)。材料与方法:选取40颗人单根恒牙,分为两组,分别用guttflow (G组)和GuttaCore (T组)封闭,固定后横切面,扫描电镜观察。统计分析两种方法产生的牙本质-骨水泥-胶胶界面和空隙率。结果:GuttaCore在根管顶端三分之一处充填效果较好,空隙率为5%。GuttaFlow显示,在根管的中部和冠状面三分之一的空隙率较低,冠状面空隙率为1.6%。统计分析显示,两组(GuttaCore和Guttaflow2)各部位的空隙率差异有统计学意义。结论:GuttaFlow2在根管中部和冠状三分之一处流动最佳,在根尖三分之一处填充困难较大。由于载体的刚性,GuttaCore能够更好地到达根管的最顶端部分,但在中间三分之一和冠状三分之一的水平上创建三维密封比较困难。
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引用次数: 4
Exploring the Association between Emotional Intelligence and Academic Performance and Stress Factors among Dental Students: A Scoping Review 探讨牙科学生情绪智力与学业成绩及压力因素的关系:范围回顾
IF 1.3 Q3 Dentistry Pub Date : 2022-04-01 DOI: 10.3390/dj10040067
S. Jahan, J. Nerali, A. Parsa, R. Kabir
Background: Numerous studies have been conducted to explicate the scope of emotional intelligence in educational success and coping with stress in different academic sectors, but very few have been conducted with dental students. This scoping review aimed to ascertain the role of emotional intelligence in academic performance and stress factors among dental students. Methods: All publications in the English language between 2001 and 2020 were retrieved employing MeSh keywords. Academic resources such as Pubmed, Pubmed Central, EMBASE, Web of Science, EBSCO-Host, Cochrane, PROSPERO, and ARU E-library were comprehensively searched for empirical research. One thousand, three hundred and fifty-nine papers were screened according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standards for inclusion and exclusion criteria. These publications were then evaluated further by deleting duplicates, examining full-text articles, and conducting an abstract assessment. This review included a critical appraisal of 24 articles. Results: The narrative analysis method was applied to evaluate the data retrieved from publications regarding EI, academic performance, and stress factors. The review found that EI had a greater impact on the educational success of dental students throughout their clinical years. Moreover, EI may be a key tool in coping with stress and negative emotions. Higher EI scores were shown to be associated with better performance in organizational and leadership abilities, which are important for career advancement. Conclusion: The review suggested including EI training in the dental curriculum. Furthermore, EI should be used as a selection criterion for admission to dental education.
背景:在不同的学术领域,已经进行了大量的研究来解释情商在教育成功和应对压力方面的范围,但很少有针对牙科学生的研究。本综述旨在确定情绪智力在牙科学生学业成绩和压力因素中的作用。方法:采用MeSh关键词检索2001 ~ 2020年所有英文出版物。综合检索Pubmed、Pubmed Central、EMBASE、Web of Science、EBSCO-Host、Cochrane、PROSPERO、ARU电子图书馆等学术资源进行实证研究。根据系统评价和荟萃分析首选报告项目(PRISMA)标准的纳入和排除标准筛选了一千三百五十九篇论文。然后通过删除重复、检查全文文章和进行摘要评估来进一步评估这些出版物。这篇综述包括对24篇文章的批判性评价。结果:采用叙事分析方法对从出版物中检索到的有关EI、学业成绩和应激因素的数据进行评价。研究发现,在牙科学生的整个临床生涯中,情商对他们的教育成功有更大的影响。此外,情商可能是应对压力和负面情绪的关键工具。高情商的人在组织能力和领导能力方面表现较好,这对职业发展很重要。结论:综述建议在口腔医学课程中纳入EI培训。此外,应将EI作为牙科教育录取的选择标准。
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引用次数: 7
Prevalence of Moderate to Severe Periodontitis in an 18-19th Century Sample-St. Bride's Lower Churchyard (London, UK). 18-19 世纪样本中中度至重度牙周炎的患病率--圣布里德下教堂墓地(英国伦敦)。
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-04-01 DOI: 10.3390/dj10040056
Ruqayah Al-Mutairi, Helen Liversidge, David Geoffrey Gillam

The aim of the study was to determine the prevalence of moderate to severe periodontitis in 18-19th century skulls in the St Bride's Lower Churchyard in London, UK.

Materials and methods: A total of 105 adult skulls (66 M: F 39) from the Museum of London collection were examined for evidence of dental disease. The primary method was to measure the presence of moderate to severe periodontitis. Other dental pathologies were recorded such as tooth wear, calculus, and caries.

Results: Overall, the prevalence of moderate to severe periodontitis in the sample was 21-24%. Males were observed to be more susceptible to periodontal disease than females. The severity of bone loss in the skull collection also increased with age. There was no significant difference in the amount of calculus deposition when comparing either age or sex. A total of 14% of the individuals in the sample showed signs of smoking.

Conclusion: The results of the study indicated that the prevalence of moderate to severe periodontitis in an 18-19th century skull sample was 21-24%, which was higher than in previous studies. This may be due to the lack of basic personal mouth care and professional dental treatment as well as known risk factors such as smoking, stress, low socioeconomic status, and malnutrition.

该研究的目的是确定英国伦敦圣布赖德下教堂墓地中 18-19 世纪头骨的中重度牙周炎患病率:研究人员对伦敦博物馆收藏的 105 个成人头骨(66 男:39 女)进行了检查,以寻找牙科疾病的证据。主要方法是测量是否存在中度至重度牙周炎。还记录了其他牙齿病变,如牙齿磨损、牙结石和龋齿:总体而言,样本中中度至重度牙周炎的发病率为 21-24%。男性比女性更易患牙周病。头骨样本中骨质流失的严重程度也随着年龄的增长而增加。与年龄或性别相比,牙结石沉积量没有明显差异。样本中共有 14% 的人有吸烟的迹象:研究结果表明,在 18-19 世纪的头骨样本中,中重度牙周炎的发病率为 21-24%,高于以往的研究。这可能是由于缺乏基本的个人口腔护理和专业牙科治疗,以及吸烟、压力、社会经济地位低下和营养不良等已知风险因素造成的。
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引用次数: 0
A Novel Approach to Immediate Implants: The CastleWall Surgical Technique 一种即时种植的新方法:CastleWall手术技术
IF 1.3 Q3 Dentistry Pub Date : 2022-04-01 DOI: 10.3390/dj10040062
C. Castle
Objective: The purpose of this study was to investigate the volumetric stability around immediate implants, in which a 360-degree socket-shield was retained using the CastleWall Surgical Technique (CWST). Material and methods: This retrospective study examined the results of the CWST used for 25 consecutive patients, involving 31 immediate implants. Silicone impressions taken prior to extraction, and at a review appointment were converted to STL files and compared. The median follow-up time was 14.2 ± 5.5 months. Volumetric changes and gingival recession on both buccal and lingual sites were measured. Papillary height changes were also evaluated from available photographs taken before and after treatment. Patients in the study completed a Visual Analogue Scale (VAS) for evaluation of post-operative discomfort and overall satisfaction with this procedure. Results: All implants integrated successfully without complications. Mean loss of buccal and lingual tissue was 0.30 ± 0.32 mm and 0.17 ± 0.27 mm, respectively. Mean recession at the mid-buccal and mid-lingual gingival margin was 0.66 ± 0.64 mm and 0.87 ± 0.84 mm, respectively. Mean recession of the mesial and distal papilla was 0.26 ± 0.55 mm and 0.29 ± 0.52 mm, respectively. Patients reported 97.74 ± 5.60% satisfaction with this procedure using the Visual Analogue Scale (VAS), with minimal post-operative discomfort. Conclusions: The results of this study showed excellent soft tissue stability and aesthetics were achieved using the CWST, with minimal postoperative pain. The other main advantage of retaining a 360-degree socket-shield, is there is more available surface area to lock the implant to the shield to prevent shield migration over time.
目的:本研究的目的是探讨即刻种植体周围的体积稳定性,其中使用CastleWall手术技术(CWST)保留360度的套窝屏蔽体。材料和方法:本回顾性研究检查了连续25例患者使用CWST的结果,包括31例即刻种植体。硅胶印模提取之前,并在审查预约转换为STL文件和比较。中位随访时间14.2±5.5个月。测量了颊部和舌部的体积变化和牙龈退缩。乳头高度的变化也从治疗前后拍摄的照片中进行评估。研究中的患者完成了视觉模拟量表(VAS)来评估术后不适和对该手术的总体满意度。结果:所有种植体均成功整合,无并发症。颊部和舌部组织的平均损失分别为0.30±0.32 mm和0.17±0.27 mm。颊中龈缘和舌中龈缘的平均退行度分别为0.66±0.64 mm和0.87±0.84 mm。中乳头和远端乳头平均后退分别为0.26±0.55 mm和0.29±0.52 mm。通过视觉模拟评分(VAS),患者对该手术的满意度为97.74±5.60%,术后不适最小。结论:本研究结果显示,使用CWST获得了良好的软组织稳定性和美观性,术后疼痛最小。保留360度插座屏蔽的另一个主要优点是有更多的可用表面积将植入物锁定在屏蔽上,以防止屏蔽随着时间的推移而迁移。
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引用次数: 0
The Effect of Symmetric and Asymmetric Loading of Frontal Segment with Two Curved Cantilevers: An In Vitro Study 双弯曲悬臂梁对称和非对称载荷对前段的影响:体外研究
IF 1.3 Q3 Dentistry Pub Date : 2022-03-29 DOI: 10.3390/dj10040052
M. Bilińska, M. Dalstra
Cantilevers generate statically determined force systems. The frontal segment loading with symmetric and asymmetric cantilevers in a three-piece intrusion base arch can be used to correct midline asymmetry. Three types of 0.017″ × 0.025″ beta-titanium cantilevers: tip-back (TB), deep curve (DC), utility arch (UA) were tested on typodonts simulating intrusion of the maxillary anterior segment. Typodonts with symmetric and asymmetric cantilevers were scanned with intraoral scanner (3Shape, TRIOS, Copenhagen, Denmark) before (T0) and after (T1) the experiment, scans were superimposed using Mimics software (Materialise, Leuven, Belgium). Data were analysed with qualitative analysis. All cantilevers generated vertical and horizontal forces. For symmetric design, the DC and TB displayed intrusive force with retrusive component, UA intrusion and protrusion. The asymmetric cantilevers produced transverse displacement of anterior segment. DC created lateral, UA medial force, the anterior segment displacement was consistent with the used configuration. The movement of an anterior segment with TB is smaller compared to DC and UA. Symmetric cantilevers configurations can achieve simultaneous intrusion and retrusion or protrusion of the anterior segment. The asymmetric design with transversal force can clinically aid the correction of midline discrepancies. The effect of the cantilever configuration on delivered force direction was confirmed.
悬臂梁产生静定力系统。在三件式侵入式基础拱中,采用对称悬臂梁和非对称悬臂梁的前段加载可以纠正中线不对称。采用0.017″× 0.025″β -钛悬臂梁三种类型:后倾型(TB)、深弯型(DC)、实用弓型(UA)在模拟上颌前段侵入的压型牙上进行测试。在实验前(T0)和实验后(T1),使用Mimics软件(Materialise, Leuven, Belgium)对对称和非对称悬臂的Typodonts进行口腔内扫描仪(3Shape, TRIOS, Copenhagen, Denmark)扫描。对资料进行定性分析。所有悬臂都产生垂直和水平力。在对称设计下,DC和TB表现为具有后退分量的侵入力,UA表现为侵入和突出分量。不对称悬臂梁引起前节段横向位移。DC产生外侧力,UA产生内侧力,前段移位与使用的构型一致。与DC和UA相比,TB前节的运动较小。对称悬臂结构可以同时实现前段的侵入和后缩或突出。具有横向力的不对称设计在临床上有助于中线差异的矫正。验证了悬臂结构对传递力方向的影响。
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引用次数: 2
Rehabilitation of Worn Dentition with Direct Resin Composite Restorations: A Case Report 直接树脂复合材料修复牙列磨损1例
IF 1.3 Q3 Dentistry Pub Date : 2022-03-23 DOI: 10.3390/dj10040051
Marta Blasi Beriain, G. T. Rocca, L. Franchini, D. Dietschi, C. M. Saratti
The incidence of tooth wear has steadily increased in all Western populations during the past decades. A through-care strategy, extendable for a lifetime, has become crucial to prevent the extensive loss of sound dental structure and to make an eventual retreatment affordable in the long term. An interceptive treatment using resin composite materials and no-preparation approaches meets these requirements. Moreover, continual developments in digital dentistry makes possible to predict the treatment plan for the restorative rehabilitation of the mouth. The availability of digital resources allows clinicians to increase predictability for excellent esthetics and good functional results. This article provides a step-by-step description of a full-mouth additive rehabilitation achieved by employing digital workflows and direct resin composite restorations. A comprehensive functional and esthetic evaluation of the treatment is proposed and discussed.
在过去的几十年里,牙齿磨损的发生率在所有西方人群中稳步上升。一种终生可延续的全程护理策略,对于防止健康牙齿结构的广泛丧失,并使最终的再治疗在长期内负担得起,已变得至关重要。使用树脂复合材料和无制备方法的拦截处理满足了这些要求。此外,数字牙科的不断发展使得预测口腔恢复性康复的治疗计划成为可能。数字资源的可用性使临床医生能够提高对优秀美学和良好功能结果的可预测性。本文提供了通过采用数字工作流程和直接树脂复合修复实现全口添加剂康复的一步一步的描述。提出并讨论了对治疗的综合功能和美学评价。
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引用次数: 0
Acknowledgment to Reviewers of Dentistry Journal in 2021 感谢《牙科杂志》2021年审稿人
IF 1.3 Q3 Dentistry Pub Date : 2022-01-27 DOI: 10.3390/dj10020018
Rigorous peer-reviews are the basis of high-quality academic publishing [...]
严格的同行评议是高质量学术出版的基础[…]
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引用次数: 0
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Open Dentistry Journal
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