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A Randomized, Double-Blind Trial of the Analgesic and Anti-Inflammatory Effects of Naproxen Sodium and Acetaminophen Following Implant Placement Surgery 植入手术后萘普生钠和对乙酰氨基酚镇痛和抗炎作用的随机双盲试验
Pub Date : 2022-12-30 DOI: 10.1101/2022.12.30.22284065
Katherine N. Theken, Mengxiang Chen, D. Lucas Wall, Truongan Pham, Stacey A. Secreto, Thomas H. Yoo, Allison N. Rascon, Yu-Cheng Chang, Jonathan M. Korostoff, Claire H. Mitchell, Elliot V. Hersh
Objectives The objectives of this study were to compare the analgesic and anti-inflammatory effects of naproxen sodium and acetaminophen after implant placement surgery.
目的比较萘普生钠和对乙酰氨基酚在种植体植入术后的镇痛和抗炎作用。
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引用次数: 0
Trends in self-reported cost barriers to dental care in Ontario 安大略省自我报告的牙科保健费用障碍趋势
Pub Date : 2022-12-30 DOI: 10.1101/2022.12.28.22284026
Mona Abdelrehim, Vahid Ravaghi, Carlos Quiñonez, Sonica Singhal
Background The affordability of dental care continues to receive attention in Canada. Since most dental care is privately financed, the use of dental care is largely influenced by insurance coverage and the ability to pay-out-of pocket.
在加拿大,牙科保健的可负担性继续受到关注。由于大多数牙科保健是由私人资助的,因此牙科保健的使用在很大程度上受保险范围和自费能力的影响。
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引用次数: 0
Prevalence of dental caries and associated risk factors among HIV-positive and HIV-negative adults at an HIV clinic in Kigali, Rwanda 在卢旺达基加利的一家艾滋病毒诊所,艾滋病毒阳性和艾滋病毒阴性成年人的龋齿患病率及相关危险因素
Pub Date : 2022-10-06 DOI: 10.1101/2022.10.04.22280701
Julienne Murererehe, Yolanda Malele Kolisa, Francois Niragire, Veerasamy Yengopal
Background Dental caries is among the most frequent oral conditions in HIV-positive (HIV+) persons. There is a lack of baseline information on dental caries prevalence and associated risk factors among HIV+ individuals in comparison to HIV-negative (HIV-) people in Rwanda. Objective This study was conducted to determine the prevalence of dental caries and associated risk factors among HIV+ and HIV- adults at an HIV clinic of Kigali Teaching Hospital (CHUK) in Kigali, Rwanda. Methods A comparative cross-sectional study was conducted among 200 HIV+ and 200 HIV- adults aged 18 years and above attending the HIV clinic of CHUK. An oral examination was performed by a calibrated examiner. Caries was assessed using the WHO Decayed (D), Missing (M), and Filled Teeth (F) index (DMFT). Descriptive statistics, Chi-square, t-tests, and multiple logistic regression were used to analyze data. Results Overall, a higher prevalence (50.5%) of HIV+ adults had dental caries experience (DMFT>0) compared to HIV- counterparts (40.5%) (p=0.045). The prevalence of Decayed teeth (D) was also higher (23.5%) among HIV+ participants compared to HIV- persons (13.6%) (p=0.011). The Mean(SD) DMFT scores among HIV+ and HIV- participant were 2.28 (3.68) and 1.29 (2.21) respectively (p=0.001). After performing multiple logistic regression analysis, the predictors of dental caries in HIV+ persons were being a female (OR= 2.33; 95%CI= 1.14-4.75), frequent dental visits (OR= 4.50; 95% CI=1.46-13.86) and detectable RNA viral load (OR= 4.50; 95% CI=1.46-13.86). In HIV- participants, the middle age range (36-45 years), and frequent dental visits were significantly associated with dental caries (OR= 6.61; 95%CI=2.14-20.37) and (OR=3.42; 95%CI: 1.337-8.760) respectively. Conclusion The prevalence of dental caries was higher in HIV+ adults than in HIV- counterparts. The reported higher prevalence of caries in HIV+ persons was associated with being a female, detectable viral load, and frequent dental visits. Therefore, there is a need for effective oral health interventions specific to HIV+ individuals in Rwanda to raise awareness of the risk of dental caries and provide preventive oral health services among this population. To ensure timely oral health care among HIV+ persons, there is a need for an effort from policymakers and other stakeholders to integrate oral health care services within the HIV treatment program in Rwanda.
背景:龋齿是HIV阳性(HIV+)人群中最常见的口腔疾病之一。在卢旺达,与艾滋病毒阴性(艾滋病毒-)人群相比,艾滋病毒阳性人群缺乏龋齿患病率和相关危险因素的基线信息。目的本研究旨在确定卢旺达基加利基加利教学医院(CHUK)艾滋病毒诊所中艾滋病毒阳性和艾滋病毒阳性成年人的龋齿患病率及相关危险因素。方法采用比较横断面研究的方法,对在CHUK HIV门诊就诊的200名18岁及以上HIV阳性和200名HIV阳性成人进行研究。口头检查由经过校准的审查员进行。使用世界卫生组织蛀牙(D)、缺牙(M)和补牙(F)指数(DMFT)评估龋病。采用描述性统计、卡方检验、t检验和多元逻辑回归进行数据分析。结果总体而言,HIV阳性成年人有龋齿经历(DMFT>0)的患病率(50.5%)高于HIV阳性成年人(40.5%)(p=0.045)。HIV阳性参与者的蛀牙(D)患病率(23.5%)也高于HIV阳性参与者(13.6%)(p=0.011)。HIV+和HIV-参与者的DMFT均值(SD)分别为2.28(3.68)和1.29(2.21),差异有统计学意义(p=0.001)。经多元logistic回归分析,HIV+人群龋齿的预测因子为女性(OR= 2.33;95%CI= 1.14-4.75),频繁看牙医(OR= 4.50;95% CI=1.46-13.86)和可检测RNA病毒载量(OR= 4.50;95% CI = 1.46 - -13.86)。在HIV参与者中,中年人(36-45岁)和频繁的牙科就诊与龋齿显著相关(OR= 6.61;95%CI=2.14-20.37)和(OR=3.42;95%CI: 1.337-8.760)。结论HIV阳性人群的龋病患病率高于HIV阴性人群。据报道,HIV阳性人群中较高的龋齿患病率与女性、可检测的病毒载量和频繁的牙科就诊有关。因此,卢旺达需要针对艾滋病毒阳性人群采取有效的口腔卫生干预措施,以提高人们对龋齿风险的认识,并在这一人群中提供预防性口腔卫生服务。为确保艾滋病毒阳性者获得及时的口腔保健,政策制定者和其他利益攸关方需要努力将口腔保健服务纳入卢旺达的艾滋病毒治疗方案。
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medRxiv - Dentistry and Oral Medicine
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