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Step 2 for the treatment of periodontal diseases 治疗牙周病的步骤 2
Pub Date : 2024-05-02 DOI: 10.12968/denu.2024.51.5.312
Melissa Shemie, Mira Shah, Ian Dunn
This article discusses the modalities of treatment involved in step 2 of periodontal therapy, including exploring looking at the evidence-based recommendations produced by the S3 stages I–III periodontal treatment guideline. CPD/Clinical Relevance: Step 2 of periodontal therapy is essential for removal of the subgingival biofilm and reduction in the bacterial load.
本文讨论了牙周治疗第二步所涉及的治疗方式,包括探讨 S3 阶段 I-III 牙周治疗指南所提出的循证建议。CPD/临床相关性:牙周治疗的第 2 步对于清除龈下生物膜和减少细菌负荷至关重要。
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引用次数: 0
Step 3 for the treatment of periodontal diseases: non-regenerative periodontal surgery 牙周病治疗步骤 3:非再生性牙周手术
Pub Date : 2024-05-02 DOI: 10.12968/denu.2024.51.5.324
Viren Vithlani, Mark Ide
This article outlines the key aspects of considering non-regenerative periodontal surgery in step 3 of the UK version of the EFP S3-level clinical practice guidelines for the treatment of periodontitis. The third step of periodontal treatment is aimed at treating those sites that have not responded adequately, targeting non-responding or residual deep pockets. The purpose of non-regenerative surgery is to achieve access to root surfaces associated with residual pockets for further subgingival instrumentation, aiming to eliminate those lesions that add complexity to the management of periodontitis (such as infrabony defects, root concavities and furcations). At these localized sites, the main objective of periodontal surgery is to improve direct vision and access for professional instrumentation, to reduce or correct anatomical factors, partially regenerate lost periodontal tissue where possible, and ultimately create an environment that is easy and comfortable for the patient and the dental professional to maintain. CPD/Clinical Relevance: Knowledge of the non-regenerative surgical treatment of Stage III and IV periodontitis patients is valuable for dental clinicians.
本文概述了在英国版的EFP S3级牙周炎治疗临床实践指南的第三步中考虑非再生性牙周手术的主要方面。牙周治疗的第三步旨在治疗那些反应不充分的部位,针对无反应或残留的深袋。非再生手术的目的是进入与残留深袋相关的根面,进一步进行龈下器械治疗,旨在消除那些增加牙周炎治疗复杂性的病变(如骨下缺损、根凹和沟)。在这些局部部位,牙周手术的主要目的是改善专业器械的直接视野和进入,减少或纠正解剖因素,在可能的情况下部分再生丧失的牙周组织,最终为患者和牙科专业人员创造一个轻松舒适的维护环境。持续专业发展/临床相关性:了解牙周炎 III 期和 IV 期患者的非再生手术治疗对牙科临床医生非常有价值。
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引用次数: 0
An update on the prevention and treatment of peri-implant diseases 预防和治疗种植体周围疾病的最新进展
Pub Date : 2024-05-02 DOI: 10.12968/denu.2024.51.5.360
P. Menhadji, E. Lu
Peri-implant diseases, especially peri-implantitis, present a growing public health concern owing to their rising prevalence and adverse outcomes, and lead to substantial dental care costs and an overall economic impact. This article outlines the case definitions and diagnoses for peri-mucositis and peri-implantitis and summarizes the EFP S3-level clinical practice guidelines. CPD/Clinical Relevance: Understanding case definitions and diagnoses of peri-implant diseases, including peri-mucositis and peri-implantitis, is essential for dental professionals to provide effective treatment and prevent complications.
种植体周围疾病,尤其是种植体周围炎,由于其发病率和不良后果不断上升,已成为一个日益严重的公共卫生问题,并导致大量牙科医疗费用和整体经济影响。本文概述了粘膜周炎和种植体周围炎的病例定义和诊断,并总结了 EFP S3 级临床实践指南。CPD/临床相关性:了解包括黏膜炎和种植体周围炎在内的种植体周围疾病的病例定义和诊断对于牙科专业人员提供有效治疗和预防并发症至关重要。
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引用次数: 0
Restoration of Discoloured Incisors with Ceramic Veneers: A Workflow Case Report 用陶瓷贴面修复变色的门牙:工作流程案例报告
Pub Date : 2024-01-02 DOI: 10.12968/denu.2024.51.1.22
Luis Gustavo Barrote Albino, Eduardo Trota Chaves, Verônica Pereira de Lima, Giana da Silveira Lima
This case reports the treatment of two discoloured incisors with feldspar ceramic veneers using an integrated work approach, and the active participation of a dental technician. The patient presented an upper left central incisor with a composite restoration, and a lateral incisor with discolouration after trauma and endodontic treatment. Planning was developed in collaboration with the technician, the decision was to perform ceramic veneers on the discoloured teeth. Central incisor previous restoration was included in preparation, and lateral preparation was limited to create enough space for the veneer. This case highlights the importance of communication between patient, clinician, and technician to achieve excellent results in restorative dentistry. CPD/Clinical Relevance: Feldspar ceramic veneers might be a good option for masking light and mediumly discoloured substrates.
本病例报告了使用长石陶瓷贴面治疗两颗变色门牙的过程,采用了综合工作方法,牙科技师也积极参与其中。患者的左上中切牙经过复合树脂修复,侧切牙经过外伤和牙髓治疗后变色。我们与技师合作制定了修复计划,决定对变色的牙齿进行陶瓷贴面修复。中切牙之前的修复包括在准备工作中,而侧边的准备工作则受到限制,以便为贴面创造足够的空间。本病例强调了患者、临床医师和技师之间沟通的重要性,以便在牙科修复中取得出色的效果。CPD/Clinical Relevance:长石陶瓷贴面可能是遮盖浅色和中度变色基底的不错选择。
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引用次数: 0
Penetrating Mid-facial Injury from a Wooden Branch 木枝穿透性中面部损伤
Pub Date : 2024-01-02 DOI: 10.12968/denu.2024.51.1.53
Christina Williams, Nicola Allison, Shakir F Mustafa
This case report discusses the management of a patient with severe penetrating wooden branch wounds to the left mid-face following a fall in the garden. Penetrating trauma is classified as an injury that is caused by a foreign object piercing the skin, causing damage to the underlying tissues resulting in an open wound. Penetrating injuries to the head and neck often require attendance to an emergency care unit and subsequent treatment. There are numerous vital structures that can be affected and an understanding of the complex anatomy is vital to the safe management of these patients. CPD/Clinical Relevance: Treatment of facial trauma demands comprehensive understanding of the vital structures of the head/neck along with efficacious treatment delivery.
本病例报告讨论了对一名在花园摔倒后左中面部严重木枝穿透伤患者的治疗。穿透性创伤是指异物刺破皮肤,导致下层组织受损,从而形成开放性伤口的损伤。头部和颈部的穿透伤通常需要到急诊室就诊并接受后续治疗。可能受到影响的重要结构很多,了解复杂的解剖结构对于安全处理这些患者至关重要。CPD/临床相关性:面部创伤的治疗需要全面了解头颈部的重要结构并进行有效的治疗。
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引用次数: 0
Troublesome tauri 麻烦的金牛座
Pub Date : 2024-01-02 DOI: 10.12968/denu.2024.51.1.66
Matt Smith, C. Shaw
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引用次数: 0
The role of AI in advancing evidence-based dentistry 人工智能在推进循证口腔医学中的作用
Pub Date : 2024-01-02 DOI: 10.12968/denu.2024.51.1.66a
Mojtaba Mehrabanian, Aisan Eskandari-Yaghbastlo
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引用次数: 0
Using Inhalation Sedation for Oral Surgery 在口腔手术中使用吸入镇静剂
Pub Date : 2024-01-02 DOI: 10.12968/denu.2024.51.1.57
Charlotte Richards, Carole Boyle
With increasing waiting lists across the UK for oral surgery under general anaesthesia (GA), inhalation sedation (IS) may provide the answer for patients to be treated more quickly. The authors believe it is an underused technique for the management of anxious and medically compromised patients requiring oral surgery. This article demonstrates, with patient examples, how IS can be used effectively. CPD/Clinical Relevance: This article is relevant to general dental practitioners, oral surgeons and those working in sedation services.
随着英国各地在全身麻醉(GA)下等待口腔手术的人数越来越多,吸入镇静(IS)或许能让患者更快地接受治疗。作者认为,吸入镇静是一种未被充分利用的技术,可用于治疗焦虑和病情危重的口腔手术患者。本文以患者为例,展示了如何有效使用 IS。CPD/临床相关性:本文与普通牙科医生、口腔外科医生和镇静服务人员相关。
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引用次数: 0
Sequelae of Primary Dental Trauma: A Case Series 原发性牙外伤后遗症:病例系列
Pub Date : 2024-01-02 DOI: 10.12968/denu.2024.51.1.12
Kirstie Lau, Shruti Patel, Cathy Bryant, Sanjeev Sood
Trauma to the primary dentition is a common occurrence affecting approximately 1 in 5 young children globally. Damage to the successor tooth may present as a localized enamel defect, dilaceration and disturbed eruption, with subsequent functional and social impact. Appropriate management of acute primary dental trauma, regular review and timely specialist referral upon detection of eruption sequence abnormalities is, therefore, imperative for long-term outcome to be optimal. This article presents a series of four case reports of paediatric patients with a history of severe primary dental trauma that resulted in significant dental anomalies requiring multidisciplinary treatment. CPD/Clinical Relevance: Information on the consequences of primary dental trauma and the advice to give to affected families is of value.
基牙外伤是一种常见病,全球每 5 个幼儿中就有 1 个受到影响。继发牙的损伤可能表现为局部釉质缺损、牙齿稀疏和萌出紊乱,进而对功能和社会产生影响。因此,对急性原发性牙外伤进行适当处理、定期复查并在发现萌出顺序异常时及时转诊专科医生,是获得最佳长期疗效的当务之急。本文介绍了四例儿科患者的系列病例报告,这些患者均有严重的原发性牙外伤病史,导致严重的牙齿畸形,需要进行多学科治疗。CPD/临床相关性:有关原发性牙外伤后果的信息以及对受影响家庭的建议都很有价值。
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引用次数: 0
Bleaching Complications: ‘Greening’ in a Post-crowned Tooth 漂白并发症:冠后牙 "变绿
Pub Date : 2024-01-02 DOI: 10.12968/denu.2024.51.1.48
Qingmei Joy Feng, Martin Kelleher
This article describes the management of a patient who experienced an unexpected and unattractive ‘greening’ of an anterior tooth following a course of bleaching. It examines the reasons for this phenomenon and describes a method for disguising the discolouration in a minimally invasive manner that can be carried out in general practice. CPD/Clinical Relevance: It is important that multiple post-operative complications are managed in a minimally invasive way whenever possible.
本文介绍了对一名患者的处理方法,该患者在接受漂白治疗后,一颗前牙意外地出现了不美观的 "变绿 "现象。文章探讨了出现这种现象的原因,并介绍了一种可在全科诊所使用的微创方法来掩盖变色。CPD/临床相关性:尽可能以微创方式处理多种术后并发症非常重要。
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引用次数: 0
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