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Knowledge, Attitude and perception of anxiety and stress among undergraduate dental students 口腔医学本科生对焦虑和压力的认识、态度和感知
Pub Date : 2024-03-15 DOI: 10.18231/j.aprd.2024.003
Mahi Gupta, Lovepreet, Sheetal Grover, Aryama Balodi, Vertika Mahar, Anil Dhingra
This research endeavours to examine the levels of knowledge, attitude, and perception related to anxiety and stress among undergraduate dental students. The challenging and demanding nature of dental education may contribute to elevated stress levels among students, making it imperative to comprehend the factors influencing anxiety and stress. This study aims to provide insights that can guide the development of targeted interventions to enhance the mental well-being of dental students. A cross-sectional study was conducted using a structured questionnaire to gather data from undergraduate dental students. The questionnaire encompasses demographic details, academic-related stressors, awareness of mental health resources, coping mechanisms, and perceptions regarding anxiety and stress in dental education. The data was subjected to statistical analysis to identify patterns and associations. Findings include revelations about the prevalence and severity of anxiety and stress among dental students, factors contributing to heightened stress levels, and the efficacy of existing coping mechanisms. The study also aims to assess the awareness and utilization of mental health resources within the dental education community. This research aims to contribute valuable insights to the existing body of literature on the mental health of undergraduate dental students. The results may inform educational institutions and policymakers about potential areas for improvement in support services and interventions to alleviate anxiety and stress levels among dental students. Ultimately, enhancing the overall well-being of dental students is crucial for their academic success and personal growth.
本研究旨在探讨牙科本科生对焦虑和压力的认识、态度和感知水平。口腔医学教育的挑战性和高要求可能会导致学生的压力水平升高,因此了解影响焦虑和压力的因素势在必行。本研究旨在提供见解,以指导制定有针对性的干预措施,提高口腔医学专业学生的心理健康水平。本研究采用结构化问卷对牙科本科生进行了横断面研究,以收集数据。问卷内容包括人口统计学细节、与学业相关的压力、对心理健康资源的认识、应对机制以及对口腔医学教育中焦虑和压力的看法。数据经过统计分析,以确定模式和关联。研究结果包括揭示了牙科学生焦虑和压力的普遍性和严重程度、导致压力水平升高的因素以及现有应对机制的有效性。研究还旨在评估牙科教育界对心理健康资源的认识和利用情况。这项研究旨在为现有的有关口腔医学本科生心理健康的文献提供有价值的见解。研究结果可以为教育机构和政策制定者提供信息,帮助他们了解在支持服务和干预措施方面可能需要改进的地方,以减轻牙科学生的焦虑和压力。归根结底,提高口腔医学生的整体健康水平对他们的学业成功和个人成长至关重要。
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引用次数: 0
Navigating the COVID hide and seek: Strategies for a safe dentistry 驾驭 COVID 的 "捉迷藏":安全牙科策略
Pub Date : 2024-03-15 DOI: 10.18231/j.aprd.2024.016
Veena Benakatti
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引用次数: 0
Revascularization of immature permanent teeth with peri-apical lesions- A case series 对有根尖周病变的未成熟恒牙进行血管再造--病例系列
Pub Date : 2024-03-15 DOI: 10.18231/j.aprd.2024.015
Seema Dixit, Sheetal Grover, A. Dixit
When immature permanent teeth become non-vital, the prognosis of the teeth is compromised. Disinfection and obturation of root canals with open apices can be challenging. Revascularization is a useful tool for the treatment of permanent teeth with necrosed pulp and open apex. Clinically, Revascularization procedures consist of disinfection by intra-canal medicaments followed by inducing blood clot in the root canal or implantation of autologous fibrin matrices like PRP/PRF. Such procedures may improve prognosis of necrosed teeth with open apices. Existing studies indicate that regenerative procedures lead to increase in length and wall thickness of radicular dentin. This article presents a case series of three cases where revascularization procedures were successfully carried out.
当未成熟恒牙失去活力时,牙齿的预后就会受到影响。对根尖开放的根管进行消毒和封堵具有挑战性。血管重建术是治疗牙髓坏死、根尖开放的恒牙的有效工具。在临床上,血管重建术包括通过根管内药物消毒,然后在根管内诱导血凝块或植入自体纤维蛋白基质(如 PRP/PRF)。这些方法可以改善开放性根尖坏死牙的预后。现有研究表明,再生程序可增加根尖牙本质的长度和壁厚。本文介绍了成功实施血管重建手术的三个病例系列。
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引用次数: 0
Comparative evaluation of the dimensional accuracy of two commercially available extended pour alginates and a conventional alginate impression material at various time intervals – An in vitro study 两种市售延长浇注藻酸盐和一种传统藻酸盐印模材料在不同时间间隔内的尺寸精度比较评估 - 体外研究
Pub Date : 2024-03-15 DOI: 10.18231/j.aprd.2024.007
Saee Deshpande, Tazeen Raees, Neelam Pande, Shachi Alsi, Usha Radee
Because of its acceptable accuracy, affordable price, accessible availability, and simplicity of handling, alginate impression materials continue to be a crucial component of dental practice despite many developments.The purpose of this study was to evaluate and compare the dimensional accuracy of two commercially available extended pour alginates (Cavex ColorChange and Algeniux) and a conventional alginate impression material (Zelgan) at different time intervals. On a maxillary model (Columbia Dentoform, Long Island City, N.Y.) the canines and the first molars were replaced with metal dies. This was selected as the master model. A ‘+’ mark was inscribed on these metal dies to serve as a reference for measurements. A self-cure acrylic resin custom tray was fabricated such that it was positioned over the model in the same spatial relationship with equal amount of space between the tray and model every time an impression was made. A total of 180 impressions were made of the master model, 15 impressions with each material at four different time intervals; immediate, 30 minutes, 48 hours (2 days) and 120 hours (5 days) to obtain gypsum cast. Manufacturer recommended water/powder ratios and storage conditions were followed in the process. Following the designated storage time interval, the casts were poured in minimum expansion Type IV dental stone. Measurements were done with a coordinate measuring machine after 7 days when the casts were completely dry. To evaluate and compare the dimensional accuracy of materials across various time points, for each group, the mean and standard deviation were estimated and subjected to statistical analysis. Two Way Repeated Measure Analysis of Variance (ANOVA) was performed to determine if the dimensions differed significantly across groups with time. The pair wise analysis for materials and time points was performed using Tukey’s post-hoc test. The p value was taken as significant when less than 0.05.Across different time points, a minimum % change was observed at immediate time point, which gradually increased at 30 minutes and at 48 hour, but at 120 hour the % change was maximum for all dimensions. Among three groups, Cavex ColorChange material showed minimum % change across time points, whereas Zelgan group showed maximum % change across all dimensions. All the paired differences were statistically insignificant (p > 0.05) for Algeniux and Cavex ColorChange group. But for Zelgan group, the difference between all the pairs of time points were statistically significant (p < 0.05), except for the pair immediate vs. 30 minutes. These results suggest that Zelgan material showed significant changes after 30 min for all the dimensions.: The results revealed that both the extended pour alginates Cavex ColorChange and Algeniux produced dimensionally accurate casts at all time intervals while the conventional alginate, Zelgan was accurate only at immediate and 30-minute time interval. It was also observed that, among the
本研究的目的是评估和比较两种市售延长浇注藻酸盐(Cavex ColorChange 和 Algeniux)和传统藻酸盐印模材料(Zelgan)在不同时间间隔内的尺寸精度。在一个上颌模型(Columbia Dentoform, Long Island City, N.Y.)上,用金属模具替换了犬齿和第一臼齿。该模型被选为主模型。在这些金属模具上刻有 "+"标记,作为测量参考。制作了一个自固化丙烯酸树脂定制托盘,每次取模时,托盘和模型之间的空间关系都是相同的。在四个不同的时间间隔内,即立即、30 分钟、48 小时(2 天)和 120 小时(5 天),对主模型总共取了 180 个印模,每种材料取 15 个印模,以获得石膏铸模。在此过程中遵循了制造商推荐的水/粉比例和储存条件。在指定的储存时间间隔后,将石膏浇注在最小膨胀的 IV 型牙科石中。7 天后,当石膏完全干燥时,使用三坐标测量机进行测量。为了评估和比较材料在不同时间点的尺寸精度,对每组的平均值和标准偏差进行了估算和统计分析。进行了双向重复测量方差分析(ANOVA),以确定各组的尺寸是否随着时间的推移而有显著差异。材料和时间点的配对分析采用 Tukey 的事后检验。在不同的时间点上,观察到即刻时间点的变化百分比最小,在 30 分钟和 48 小时后逐渐增加,但在 120 小时后,所有维度的变化百分比都最大。在三个组别中,Cavex 变色材料组在各时间点的变化率最小,而 Zelgan 组在所有维度的变化率最大。Algeniux 组和 Cavex 变色材料组的所有配对差异在统计学上都不显著(p > 0.05)。但在泽尔甘组,除了立即与 30 分钟这一对时间点之外,所有时间点之间的差异都具有统计学意义(p < 0.05)。这些结果表明,Zelgan 材料在 30 分钟后的所有尺寸都发生了显著变化:结果显示,延展浇注藻酸盐 Cavex ColorChange 和 Algeniux 在所有时间间隔内都能制作出尺寸准确的铸型,而传统藻酸盐 Zelgan 仅在即时和 30 分钟时间间隔内才准确。研究还发现,在调查的 4 个时间间隔中,立即浇注印模获得的铸型最为精确。
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引用次数: 0
Comparative evaluation of effectiveness of chemical, mechanical and chemico-mechanical methods of denture cleaning for removal of stains from heat polymerised acrylic resin denture base - An in- vitro study 化学、机械和化学机械义齿清洁方法去除热聚合丙烯酸树脂义齿基托污渍效果的比较评估 - 体外研究
Pub Date : 2024-03-15 DOI: 10.18231/j.aprd.2024.009
Shachi Alsi, Vaishnavi Kulkarni, U. Radke, Saee Deshpande, Neelam Pande
An essential quality of acrylic resin denture bases is colour stability. Over time, acrylic resin bases have a tendency to attract stains, which causes the denture base's colour to alter. These modifications sometimes make the denture less aesthetically pleasing for the wearer, which leads to patient unhappiness and higher replacement costs. The study's objective was to evaluate and compare the effectiveness of cleaning dentures using chemical, mechanical, and chemico-mechanical methods for removing stains from the heat polymerized acrylic resin denture base.A total of 120 samples of heat polymerised acrylic resin were fabricated and stained using sambhar solution for 10 days under controlled conditions. The baseline optical density of the samples was determined. The samples were then subjected to stain removal procedure by either - chemical, mechanical or chemico-mechanical method. After which the optical density was again determined. The efficiency of the three methods used was determined by the difference in the optical density after staining and post cleaning and compared with the baseline optical density measured previously. The data was analysed using One-way ANOVA test. Post hoc comparison was made by Bonferroni t-test. p<0.0.5 was considered as statistically significant. Data analysis was done using the statistical software STATA version 13.0.The results suggested that the chemico-mechanical method was the best method for stain removal from the acrylic samples. However, the mechanical method of denture cleaning was found to be equally effective. The chemical method was least effective in removing stains from the surface of heat polymerised acrylic resin. The chemico-mechanical method was 95.16% effective and the mechanical method used was 92.12% effective, proving that the chemico-mechanical was the most effective method for removing stains from the acrylic resin amongst the 3 techniques compared.
丙烯酸树脂义齿基托的一个基本特性是颜色稳定性。随着时间的推移,丙烯酸树脂基托容易吸附污渍,从而导致义齿基托的颜色发生改变。这些改变有时会降低义齿佩戴者的美观度,从而导致患者的不满意和更高的更换费用。这项研究的目的是评估和比较使用化学、机械和化学-机械方法清洁义齿以去除热聚合丙烯酸树脂义齿基托上的污渍的效果。共制作了 120 个热聚合丙烯酸树脂样本,并在受控条件下使用桑巴溶液染色 10 天。样品的基线光密度已经测定。然后用化学、机械或化学-机械方法对样品进行去污处理。之后再次测定光密度。染色后和清洗后的光密度差值与之前测量的基线光密度进行比较,从而确定三种方法的效率。数据分析采用单因素方差分析。p<0.0.5 为具有统计学意义。结果表明,化学-机械法是去除丙烯酸样本污渍的最佳方法。不过,机械义齿清洁法也同样有效。化学方法去除热聚合丙烯酸树脂表面污渍的效果最差。化学-机械方法的有效率为 95.16%,机械方法的有效率为 92.12%,这证明化学-机械方法是三种比较技术中去除丙烯酸树脂污渍最有效的方法。
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引用次数: 0
Repositioning of herniated buccal fat pad following blunt trauma - Rare case report in pediatric patients 钝伤后疝出的颊脂垫复位--儿科患者罕见病例报告
Pub Date : 2024-03-15 DOI: 10.18231/j.aprd.2024.013
Zeba Ambreen, Divya Sanjay Sharma, Himani Gupta, Nehal Ahmad, S. Y. Khan
Herniation of the buccal fat pad in pediatric patients is a rare injury, occurring due to a breach in the buccinator muscle, often termed traumatic pseudolipoma in infants. This condition plays a crucial role in cheek contour in adults. Two case reports detailing the management of this rare injury in young children emphasize the importance of assessing mucosal perforation and considering previous trauma history for accurate diagnosis. These reports provide valuable insights for healthcare professionals, contributing to the understanding and management of uncommon medical conditions.
儿童患者的颊脂垫疝出是一种罕见的损伤,发生原因是颊舌肌破损,通常被称为婴儿外伤性假脂肪瘤。这种情况对成年人的面颊轮廓起着至关重要的作用。两份病例报告详细介绍了如何处理这种罕见的幼儿损伤,强调了评估粘膜穿孔和考虑既往外伤史对于准确诊断的重要性。这些报告为医护人员提供了宝贵的见解,有助于理解和处理不常见的医疗状况。
{"title":"Repositioning of herniated buccal fat pad following blunt trauma - Rare case report in pediatric patients","authors":"Zeba Ambreen, Divya Sanjay Sharma, Himani Gupta, Nehal Ahmad, S. Y. Khan","doi":"10.18231/j.aprd.2024.013","DOIUrl":"https://doi.org/10.18231/j.aprd.2024.013","url":null,"abstract":"Herniation of the buccal fat pad in pediatric patients is a rare injury, occurring due to a breach in the buccinator muscle, often termed traumatic pseudolipoma in infants. This condition plays a crucial role in cheek contour in adults. Two case reports detailing the management of this rare injury in young children emphasize the importance of assessing mucosal perforation and considering previous trauma history for accurate diagnosis. These reports provide valuable insights for healthcare professionals, contributing to the understanding and management of uncommon medical conditions.","PeriodicalId":492477,"journal":{"name":"IP Annals of prosthodontics and restorative dentistry","volume":"3 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140239491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparative evaluation of antimicrobial efficacy of QMix 2in1, Octenidine Dihydrochloride irrigants, 940nm diode laser with and without NaOCl, against mature E. faecalis biofilm: An in vitro study QMix 2in1、盐酸奥替尼啶冲洗剂、940 纳米二极管激光(含或不含 NaOCl)对成熟粪肠球菌生物膜抗菌效果的比较评估:体外研究
Pub Date : 2024-03-15 DOI: 10.18231/j.aprd.2024.008
Sri Devi Mamidibathula, Ravi Kumar Janga, Rambabu Tanikonda, Rani Sirisha Malkapuram
To compare the antimicrobial efficacy of NaOCl, QMix 2in1, Octenidine dihydrochloride, 940nm diode laser with and without NaOCl against matured E. faecalis biofilm.Ninety extracted single-rooted teeth were instrumented and autoclaved. The specimens were exposed to E. faecalis contamination over a period of 21 days and subsequently divided into six distinct groups through a random assignment process. Group I-Control, Group II-NaOCl, Group III-940nm Diode laser, Group IV-940nm Diode laser + NaOCl, Group V-QMix 2in1, Group VI-Octenidine Dihydrochloride. Microbial specimens were gathered, cultured, and the quantification of colony-forming units was conducted.ANOVA, Post hoc test, And Tuckey test were applied to find significance.940nm Diode laser +NaOCl group showed a greater antimicrobial effect compared to other groups. No significant difference was observed between 940nm Diode laser and 940nm diode laser +NaOCl (p=.550), NaOCl and QMix 2 in 1 (p=.121), NaOCl and 940nm Diode laser groups (p =.680)The concurrent use of both sodium hypochlorite and 940nm Diode laser light manifests a synergistic influence, enhancing the bactericidal efficacy. The antibacterial effect of QMix 2in1 is comparable to that of NaOCl, 940nm Diode laser, more effective than OCT and less effective than the combination of sodium hypochlorite and 940nm Diode laser.A combination of 940nm laser and NaOCl is effective in reducing the bacterial count because of their capacity to penetrate effectively deep into dentinal tubules, resulting in intensified bactericidal action compared to newer irrigants used alone.
比较 NaOCl、QMix 2in1、盐酸奥替尼啶、940nm 二极管激光对成熟的粪大肠杆菌生物膜的抗菌效果。九十颗拔出的单根牙齿经过器械处理和高压灭菌后,暴露于粪大肠杆菌污染中长达 21 天,随后通过随机分配程序分为六个不同的组别。第一组--对照组,第二组--NaOCl,第三组--940 纳米二极管激光器,第四组--940 纳米二极管激光器 + NaOCl,第五组--QMix 2in1,第六组--二盐酸奥替尼啶。对微生物标本进行收集、培养,并对菌落形成单位进行定量。采用方差分析、Post hoc 检验和 Tuckey 检验来发现显著性。940nm 二极管激光器组和 940nm 二极管激光器 +NaOCl 组(p=.550)、NaOCl 组和 QMix 2 in 1 组(p=.121)、NaOCl 组和 940nm 二极管激光器组(p=.680)之间无明显差异。QMix 2in1 的抗菌效果与 NaOCl 和 940nm Diode 激光相当,比 OCT 更有效,比次氯酸钠和 940nm Diode 激光的组合效果差。
{"title":"Comparative evaluation of antimicrobial efficacy of QMix 2in1, Octenidine Dihydrochloride irrigants, 940nm diode laser with and without NaOCl, against mature E. faecalis biofilm: An in vitro study","authors":"Sri Devi Mamidibathula, Ravi Kumar Janga, Rambabu Tanikonda, Rani Sirisha Malkapuram","doi":"10.18231/j.aprd.2024.008","DOIUrl":"https://doi.org/10.18231/j.aprd.2024.008","url":null,"abstract":"To compare the antimicrobial efficacy of NaOCl, QMix 2in1, Octenidine dihydrochloride, 940nm diode laser with and without NaOCl against matured E. faecalis biofilm.Ninety extracted single-rooted teeth were instrumented and autoclaved. The specimens were exposed to E. faecalis contamination over a period of 21 days and subsequently divided into six distinct groups through a random assignment process. Group I-Control, Group II-NaOCl, Group III-940nm Diode laser, Group IV-940nm Diode laser + NaOCl, Group V-QMix 2in1, Group VI-Octenidine Dihydrochloride. Microbial specimens were gathered, cultured, and the quantification of colony-forming units was conducted.ANOVA, Post hoc test, And Tuckey test were applied to find significance.940nm Diode laser +NaOCl group showed a greater antimicrobial effect compared to other groups. No significant difference was observed between 940nm Diode laser and 940nm diode laser +NaOCl (p=.550), NaOCl and QMix 2 in 1 (p=.121), NaOCl and 940nm Diode laser groups (p =.680)The concurrent use of both sodium hypochlorite and 940nm Diode laser light manifests a synergistic influence, enhancing the bactericidal efficacy. The antibacterial effect of QMix 2in1 is comparable to that of NaOCl, 940nm Diode laser, more effective than OCT and less effective than the combination of sodium hypochlorite and 940nm Diode laser.A combination of 940nm laser and NaOCl is effective in reducing the bacterial count because of their capacity to penetrate effectively deep into dentinal tubules, resulting in intensified bactericidal action compared to newer irrigants used alone.","PeriodicalId":492477,"journal":{"name":"IP Annals of prosthodontics and restorative dentistry","volume":"26 56","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140240017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Management of type III Dens Invaginatus with a periapical lesion in a maxillary lateral incisor: A case report 上颌侧切牙根尖周病变的 III 型畸形牙(Dens Invaginatus)的治疗方法:病例报告
Pub Date : 2024-03-15 DOI: 10.18231/j.aprd.2024.012
Snigdho Das, Parthasarathi Mondal, Baishakhi Sarkar
Dens Invaginatus (DI) is a developmental abnormality, usually affecting the maxillary incisor teeth, particularly lateral incisors. These cases usually present technical difficulties concerning their management owing to their aberrant canal morphology. Conventional root canal therapy, periapical surgery, and extraction have been reported as treatment modalities for such anomalies. The following case report depicts surgical endodontic management of an Oehler’s Type III DI involving a maxillary lateral incisor associated with periapical lesion aided by cone beam computed tomography (CBCT) and with the use of mineral trioxide aggregate (MTA), hydroxyapatite bone graft and platelet-rich fibrin (PRF) membrane. At 12 months post-treatment, the patient did not report any eventful episodes, and the size of the periapical lesion was markedly reduced.
牙齿畸形(Dens Invaginatus,DI)是一种发育异常,通常影响上颌切牙,尤其是侧切牙。由于其牙根管形态异常,这些病例通常在治疗方面存在技术难度。据报道,传统的根管治疗、根尖周手术和拔除术都是治疗此类异常的方法。下面的病例报告描述了在锥形束计算机断层扫描(CBCT)的辅助下,通过使用三氧化物矿物骨料(MTA)、羟基磷灰石骨移植和富血小板纤维蛋白(PRF)膜,对一颗上颌侧切牙伴有根尖周病变的奥勒氏 III 型根管畸形进行手术根管治疗的情况。治疗后 12 个月,患者未再出现任何不良反应,根尖周病变的大小也明显缩小。
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引用次数: 0
Assessment of dental bur sterilization awareness among general dentists in Uttarakhand 评估北阿坎德邦普通牙医对牙科锉刀消毒的认识
Pub Date : 2024-03-15 DOI: 10.18231/j.aprd.2024.004
Nistha Chamola, Jyotinayana Das, Nishika Rawat, Anshdeep Singh, Arpit Arora, Anil Dhingra
This study assesses general dentists' knowledge and adherence to dental bur sterilization practices in Uttarakhand, aiming to enhance patient safety and clinical precision by identifying implementation gaps. Evaluate practitioners' understanding of optimal sterilization protocols for burs, pinpoint areas for improvement, and establish a baseline of current practices in general dentistry. A state-wide distribution of a structured questionnaire gathered responses from 237 general dentists. The survey focused on sterilization equipment usage, frequency, and compliance with industry guidelines. Quantitative data were analyzed for insights into current practices. Preliminary findings show varying awareness and adherence levels among practitioners. While a significant proportion demonstrated commendable knowledge, specific gaps and deviations were identified, suggesting areas for improvement. Continuous education and reinforcement of best practices in bur sterilization are crucial within the general dentistry community. Addressing identified gaps can elevate the standard of care, ensuring patient safety and precision in dental procedures. Ongoing education and awareness campaigns are vital for sustained improvement in bur sterilization practices.
本研究评估了北阿坎德邦普通牙科医生对牙科车针消毒方法的了解和遵守情况,旨在通过找出实施差距来提高患者安全和临床精确度。评估从业人员对最佳牙钻消毒规程的理解,指出需要改进的地方,并建立普通牙科当前实践的基线。在全州范围内发放了一份结构化问卷,收集了 237 名普通牙科医生的回复。调查的重点是消毒设备的使用情况、频率以及是否符合行业准则。对定量数据进行了分析,以深入了解当前的做法。初步调查结果显示,从业人员的认识和遵守水平参差不齐。虽然有相当一部分人表现出了值得称赞的知识水平,但也发现了具体的差距和偏差,提出了需要改进的地方。在全科牙医群体中,持续教育和强化纱布消毒的最佳实践至关重要。弥补发现的差距可以提高护理标准,确保患者安全和牙科手术的精确性。持续的教育和宣传活动对于持续改进牙钻消毒实践至关重要。
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引用次数: 0
Biomechanical evaluation of four different framework designs of cantilever zirconia resin bonded fixed dental prosthesis: A three-dimensional finite element analysis study 四种不同悬臂氧化锆树脂粘结固定义齿框架设计的生物力学评估:三维有限元分析研究
Pub Date : 2024-03-15 DOI: 10.18231/j.aprd.2024.005
Shachi Pankajbhai Patel, Ina Patel, K. M. Solanki, R. Chavda, R. Choksi, Chirag Raghuvir Rudakia, Pooja Sawarmal Poonia
: To measure stress and strain concentrations on four different RBFDP designs and its effect on cement layer and the Periodontal tissues using FEA.: Using CBCT data, two 3D models of a maxilla with missing lateral Incisor were printed. Tooth preparation for RBFDP was done. One model had proximal-groove of 4mm and other had 3mm proximal-groove. Four designs of cantilever RBFDPs were designed. Model-1: #21 abutment/ 3x3mm connector; Model-2: #21 abutment/ 3x4mm connector; Model-3: #23 abutment/ 3x3mm connector and; Model-4: #23 abutment/ 3x4mm connector. All Models were converted into FEA models, occlusal force of 200N was loaded at 450 to long axis of pontic and FEA was carried out. Maximum Principal Strain(MPS) in the RBFDP framework, periodontal tissues and Maximum Shear Stress(MSS) in cement layer were measured to evaluate the impact on periodontal tissues and the risk for framework-debonding respectively.: The MPS of framework in decreasing order was: Model-1>Model-2>Model-3>Model-4. The MPS of PDL: Model-1 and Model-2 > Model-3 and Model-4. MSS in cement layer: Model-1 and Model-2 > Model-3 and Model-4. Adhesion area with shear stress >11MPa: Model-1 and Model-2 > Model-3 and Model-4. MPS and MMS values were lower in models with 3×4mm connector than models with 3x3mm connector.: Adequate Connector dimension and adhesion-area are critical for success of RBFDP. Within the limitations of this study, RBFDP design with 3x4mm connector and Maxillary Canine as abutment for replacing Maxillary Lateral Incisor is better option in terms of framework-debonding risk and preservation of periodontal tissues.
:利用有限元分析法测量四种不同 RBFDP 设计的应力和应变浓度及其对骨水泥层和牙周组织的影响。 利用 CBCT 数据,打印出两颗缺失侧切牙的上颌骨三维模型。为 RBFDP 进行了牙体预备。其中一个模型的近侧凹槽为 4 毫米,另一个模型的近侧凹槽为 3 毫米。设计了四种悬臂式 RBFDP。模型-1:#21 号基台/ 3x3mm 连接器;模型-2:#21 号基台/ 3x4mm 连接器;模型-3:模型-3:#23 基台/3x3mm 连接器;模型-4:#23 基台/3x4mm 连接器:#23 号基台/ 3x4mm 连接器。将所有模型转换为有限元分析模型,在基台长轴 450 处加载 200N 的咬合力,然后进行有限元分析。测量了 RBFDP 框架、牙周组织的最大主应变(MPS)和骨水泥层的最大剪切应力(MSS),以分别评估对牙周组织的影响和框架脱粘的风险:骨架的最大剪切应力从大到小依次为模型-1>模型-2>模型-3>模型-4。PDL的MPS:模型-1和模型-2>模型-3和模型-4。水泥层的 MSS:模型-1 和模型-2 > 模型-3 和模型-4。剪应力大于 11MPa 的粘附区域:模型-1 和模型-2 > 模型-3 和模型-4。使用 3×4mm 连接器的模型的 MPS 和 MMS 值低于使用 3×3mm 连接器的模型:适当的连接器尺寸和粘附面积对 RBFDP 的成功至关重要。在本研究的限制条件下,使用 3x4mm 连接器和上颌犬牙作为基台替换上颌侧切牙的 RBFDP 设计在骨架脱粘风险和保护牙周组织方面是更好的选择。
{"title":"Biomechanical evaluation of four different framework designs of cantilever zirconia resin bonded fixed dental prosthesis: A three-dimensional finite element analysis study","authors":"Shachi Pankajbhai Patel, Ina Patel, K. M. Solanki, R. Chavda, R. Choksi, Chirag Raghuvir Rudakia, Pooja Sawarmal Poonia","doi":"10.18231/j.aprd.2024.005","DOIUrl":"https://doi.org/10.18231/j.aprd.2024.005","url":null,"abstract":": To measure stress and strain concentrations on four different RBFDP designs and its effect on cement layer and the Periodontal tissues using FEA.: Using CBCT data, two 3D models of a maxilla with missing lateral Incisor were printed. Tooth preparation for RBFDP was done. One model had proximal-groove of 4mm and other had 3mm proximal-groove. Four designs of cantilever RBFDPs were designed. Model-1: #21 abutment/ 3x3mm connector; Model-2: #21 abutment/ 3x4mm connector; Model-3: #23 abutment/ 3x3mm connector and; Model-4: #23 abutment/ 3x4mm connector. All Models were converted into FEA models, occlusal force of 200N was loaded at 450 to long axis of pontic and FEA was carried out. Maximum Principal Strain(MPS) in the RBFDP framework, periodontal tissues and Maximum Shear Stress(MSS) in cement layer were measured to evaluate the impact on periodontal tissues and the risk for framework-debonding respectively.: The MPS of framework in decreasing order was: Model-1>Model-2>Model-3>Model-4. The MPS of PDL: Model-1 and Model-2 > Model-3 and Model-4. MSS in cement layer: Model-1 and Model-2 > Model-3 and Model-4. Adhesion area with shear stress >11MPa: Model-1 and Model-2 > Model-3 and Model-4. MPS and MMS values were lower in models with 3×4mm connector than models with 3x3mm connector.: Adequate Connector dimension and adhesion-area are critical for success of RBFDP. Within the limitations of this study, RBFDP design with 3x4mm connector and Maxillary Canine as abutment for replacing Maxillary Lateral Incisor is better option in terms of framework-debonding risk and preservation of periodontal tissues.","PeriodicalId":492477,"journal":{"name":"IP Annals of prosthodontics and restorative dentistry","volume":"4 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140239892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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IP Annals of prosthodontics and restorative dentistry
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