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Scientometric Analysis of Activated Carbon or Probiotics in Mouthwashes or Toothpastes: Dynamicity, Spatiotemporal Evolution and Trends 漱口水或牙膏中活性炭或益生菌的科学计量分析:动态性、时空演变和趋势
Pub Date : 2024-07-02 DOI: 10.15517/ijds.2024.60813
Franco Mauricio, Cesar Mauricio-Vilchez, Diego Galarza-Valencia, Daniel Alvítez-Temoche, Luzmila Vilchez, Fran Espinoza-Carhuancho, Frank Mayta-Tovalino
The use of activated charcoal and probiotics is a controversial topic nowadays due to their potential oral health benefits. Thus, the aim of this research was to perform a scientometric analysis of activated charcoal or probiotics in mouthwashes or dentifrices by means of dynamicity, spatiotemporal evolution, and trends. A study was carried out to look back at scientific publications between 2005 and 2022 using the Web of Science. To analyze the data, various bibliometric indicators were used. The process of retrieving information was completed on July 28, 2023. It was found that only 1 article was published in 1990. Furthermore, the highest co-citation occurred in cluster 9 (Dentistry, Dermatology, Surgery), indicating a higher relevance and frequency with cluster 8 (Molecular Biology, Genetics). In the cluster view, 15 large clusters were identified, with cluster 0 (Activated Carbon) being the largest and occupying the greatest centrality. On the other hand, the cross-country collaboration map showed active collaborations between Australia and New Zealand, Brazil, and Canada. We found a significant growth of scientific publications on probiotics and activated charcoal in the field of dentistry and related disciplines between 1990 and 2023.
由于活性炭和益生菌对口腔健康的潜在益处,它们的使用如今是一个有争议的话题。因此,本研究旨在通过动态性、时空演变和趋势对漱口水或牙膏中的活性炭或益生菌进行科学计量分析。研究利用科学网对 2005 年至 2022 年间的科学出版物进行了回顾。为了分析数据,使用了各种文献计量指标。信息检索过程于 2023 年 7 月 28 日完成。结果发现,只有 1 篇文章发表于 1990 年。此外,共同引用率最高的是第 9 群组(牙科、皮肤科、外科),这表明该群组与第 8 群组(分子生物学、遗传学)具有更高的相关性和频率。在聚类视图中,发现了 15 个大的聚类,其中聚类 0(活性炭)最大,占据最大的中心性。另一方面,跨国合作图显示澳大利亚与新西兰、巴西和加拿大之间的合作十分活跃。我们发现,从 1990 年到 2023 年,牙科及相关学科领域有关益生菌和活性炭的科学出版物大幅增长。
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引用次数: 0
Teledentistry's Evolution Post-COVID-19: Moving from Crisis Response to Long-Term Solutions Teledentistry 在 COVID-19 之后的发展:从危机应对转向长期解决方案
Pub Date : 2024-04-17 DOI: 10.15517/ijds.2024.59571
A. Kamel, Ahmed Basuoni, Gamilah Al-Qadhi, Nermeen AbuBakr
Telehealth, the use of telecommunications technology and electronic information to aid in healthcare delivery, has revolutionized patient care. Health communities have already approved telemedicine for treating certain acute and chronic diseases, while teledentistry has emerged as a distinct field within the broader scope of telemedicine. Numerous trials have demonstrated the value of teledentistry in reducing dental expenses and expanding dental care access to remote and rural areas. With technological advancements, teledentistry holds the potential to further enhance dental services and patient care. The COVID-19 pandemic has brought healthcare to the forefront of public concern. The need for close face-to-face contact with patients largely led to the suspension of dentistry services. However, the increased use of cell phones and related software packages integrated into "teledentistry" has facilitated easier clinical data exchange between patients and clinicians. This technology proved invaluable for dentists managing dental emergencies during lockdowns, providing an innovative means to resume dental practice. As a result, integrating teledentistry into routine dental practice as a complement to the existing dental system is advisable. It has the potential to revolutionize dental care for the better by expanding access to care and decreasing expenses. Given these circumstances, this review discusses the value and implications of teledentistry, highlighting its potential as a game-changing solution for the dental industry.
远程医疗是利用电信技术和电子信息协助提供医疗服务的一种方式,它给病人护理带来了革命性的变化。健康社区已经批准远程医疗用于治疗某些急性和慢性疾病,而远程牙科则已成为远程医疗大范围内的一个独特领域。大量试验证明,远程牙科治疗在降低牙科费用、扩大偏远和农村地区牙科医疗覆盖面方面具有重要价值。随着技术的进步,远程医疗有望进一步提高牙科服务和患者护理水平。COVID-19 大流行使医疗保健成为公众关注的焦点。由于需要与患者进行面对面的密切接触,牙科服务在很大程度上被暂停。然而,手机和集成到 "远程医疗 "中的相关软件包的使用日益增多,为患者和临床医生之间的临床数据交换提供了便利。事实证明,这项技术对于牙医在封锁期间处理牙科急诊非常有价值,为恢复牙科诊疗提供了一种创新手段。因此,将远程医疗作为现有牙科系统的补充纳入常规牙科诊疗是可取的。它有可能通过扩大就医渠道和降低费用来彻底改变牙科保健的现状。鉴于这些情况,本综述将讨论远程医疗的价值和影响,强调其作为改变牙科行业游戏规则的解决方案的潜力。
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引用次数: 0
Chemical-Mechanical Agents Versus Rotary Systems for Caries Removal: A Systematic Review of In Vitro Studies 去除龋齿的化学机械制剂与旋转系统:体外研究的系统回顾
Pub Date : 2024-04-11 DOI: 10.15517/ijds.2024.59516
Josselyn Myriam Quiroz-Reynoso, Sabina Mungi-Castañeda, Consuelo Marroquín-Soto, Kilder Maynor Carranza-Samanez, Julissa Amparo Dulanto-Vargas
The purpose of this systematic review was to compare the efficacy and efficiency of chemical-mechanical agents (CMA) versus rotary systems (RS) for the removal of dental caries (DC) in permanent molars. The search was carried out in five electronic databases (PubMed, Ebsco, Scopus, ScienceDirect, LILACS) and gray literature, complemented with a manual search in impact journals until July 2022 in English, Spanish and Portuguese. The efficacy of DC treatment was analyzed histologically, microbiologically, radiographically, or physicochemical-mechanically and efficiency was evaluated according to the shortest time for removal. Risk of bias was assessed with the RoB tool. Nine studies were included out of 914 publications that evaluated 337 molars with split design treated with low- or high-speed RS and CMA, such as Carisolv, Papacarie, Carie Care and Brix 3000. Significant differences were found among the studies (p<0.05), with Carisolv presenting a higher amount of residual caries, the presence of bacteria in dentin and less extent or volume of extracted caries, while Papacarie showed an absence of smear in dentin tubules and RS obtained higher microhardness values and required less time for removal. There was no difference between the two methods with respect to calcium-phosphorus titration or bond strength (p≥0.05). CMAs removed DC with less invasion to sound dentin tissues compared to RS, but reduced surface hardness and required a longer removal time.
本系统性综述旨在比较化学机械制剂(CMA)和旋转系统(RS)去除恒磨牙龋齿(DC)的功效和效率。这项研究在五个电子数据库(PubMed、Ebsco、Scopus、ScienceDirect、LILACS)和灰色文献中进行了搜索,并在 2022 年 7 月之前在有影响力的英文、西班牙文和葡萄牙文期刊中进行了人工搜索。对直流电治疗的疗效进行了组织学、微生物学、放射学或物理化学机械学分析,并根据最短清除时间评估了效率。偏倚风险采用 RoB 工具进行评估。在 914 篇文献中纳入了 9 项研究,这些研究评估了采用低速或高速 RS 和 CMA(如 Carisolv、Papacarie、Carie Care 和 Brix 3000)治疗的 337 颗具有分裂设计的磨牙。这些研究之间存在显著差异(p<0.05),Carisolv 显示的残余龋齿量较高,牙本质中存在细菌,拔除龋齿的范围或数量较少,而 Papacarie 显示牙本质小管中没有涂片,RS 获得的显微硬度值较高,拔除所需的时间较短。两种方法在钙磷滴定和粘接强度方面没有差异(p≥0.05)。与 RS 相比,CMA 在去除 DC 时对健全牙本质组织的侵袭较少,但会降低表面硬度,并且需要更长的去除时间。
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引用次数: 0
Reshaping Smiles: A Successful Clinical Case with Botulinum Toxin for Gummy Smile Reduction 重塑笑容:使用肉毒杆菌毒素矫正牙龈笑容的成功临床案例
Pub Date : 2024-04-03 DOI: 10.15517/ijds.2024.59407
A. K. Dall'Magro, Felipe Gomes Dallepiane, Júlia Calliari Martin, Priscila Nicolini, Paulo Ricardo Marques Stefanello, Marciele Cristiane Spanenberg Führ, M. Trentin, E. Dall’Magro, J. D. de Carli
The use of botulinum toxin (BTX) represents an effective and safe approach in treating the gummy smile, reducing excessive gum exposure during smiling. This minimally invasive procedure can yield remarkable aesthetic results and contribute to an increase in the patient's self-confidence. The aim of this study is to report a clinical case of a female patient undergoing treatment to correct a gummy smile. The case study involves a 21-year-old patient with excessive gum exposure (5 mm when smiling) who sought dental treatment. The origin of her gummy smile was mixed, and the treatment involved the application of 6 units of BTX type A at three specific points on the face. No complications were observed during the three-month follow-up period. Based on the case report, it can be concluded that BTX application for gummy smile treatment proved to be effective, safe, and comfortable in terms of recovery. The BTX approach to correcting a gummy smile is considered safe and entails straightforward recovery, producing satisfactory results that contribute to the improvement of aesthetics and the patient's well-being.
使用肉毒杆菌毒素(BTX)治疗牙龈笑是一种有效而安全的方法,可以减少微笑时牙龈的过度暴露。这种微创手术可产生显著的美学效果,并有助于增强患者的自信心。本研究旨在报告一例女性患者接受矫正牙龈笑治疗的临床病例。该病例涉及一名 21 岁的患者,她的牙龈暴露过多(微笑时露出 5 毫米),并寻求牙科治疗。她的牙龈笑是由多种原因引起的,治疗包括在面部的三个特定部位涂抹 6 个单位的 BTX A 型。三个月的随访期间未发现并发症。根据该病例报告,可以得出结论:应用 BTX 治疗牙床笑在恢复方面被证明是有效、安全和舒适的。BTX 矫正牙龈笑的方法被认为是安全的,而且恢复期短,效果令人满意,有助于改善患者的美观和健康。
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引用次数: 1
Ethical Principles in Dental Research of Behavioral and Social Factors 行为和社会因素牙科研究的伦理原则
Pub Date : 2024-04-03 DOI: 10.15517/ijds.2024.59408
Karol Ramírez
Given the importance of conducting research ethically when studying humans, this article involves considerations on basic ethical principles in dental research of behavioral and social factors. Research in these fields contribute to understand social interactions, attitudes, individual and group dynamics. As well, research in these areas not only delve into scientific knowledge of human nature, but also support evidence-based decision-making of health policies and interventions. The four main ethical principles apply to studies on behavioral and social factors. First, respect for persons dictates researchers must protect participants’ autonomy, which is the basis for informed consent. Moreover, the principle of beneficence refers to act in such a way that participants benefit from taking part of a research study. Also, beneficence promotes participants’ safety and well-being. Non-maleficence requires that researchers avoid or minimize harm to others. Justice implies fair treatment. Additional aspects of justice involve respecting participants’ privacy and confidentiality. Ethical principles require interpretation. Therefore, some examples are provided, aiming that researchers overview and apply these norms. Ethical judgement and appropriate decision making are of great importance at any stage of research with human beings.
鉴于对人类进行研究时遵守伦理的重要性,本文涉及对牙科行为和社会因素研究的基本伦理原则的思考。这些领域的研究有助于了解社会互动、态度、个人和群体动态。此外,这些领域的研究不仅能深入探讨有关人性的科学知识,还能为健康政策和干预措施的循证决策提供支持。四大伦理原则适用于行为和社会因素研究。首先,尊重人的原则要求研究人员必须保护参与者的自主权,这是知情同意的基础。此外,"受益原则 "指的是要让参与者从参与研究中受益。此外,"受益原则 "还能促进参与者的安全和福祉。非公益原则要求研究人员避免或尽量减少对他人的伤害。公正意味着公平对待。公正的其他方面还包括尊重参与者的隐私和保密性。伦理原则需要解释。因此,我们提供了一些例子,目的是让研究人员了解并应用这些规范。伦理判断和适当决策在人类研究的任何阶段都非常重要。
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引用次数: 0
Evolution of Regulatory Governance for Human Research in Costa Rica 哥斯达黎加人类研究监管治理的演变
Pub Date : 2024-03-13 DOI: 10.15517/ijds.2024.59202
Karol Ramírez
Regulatory governance of human research derives from historical abuses of people participating in health related and non-health relates studies.  Costa Rica was no exception and nowadays counts with a Regulatory Law of Biomedical Research (Law 9234) that guarantees the protection of research participants’ human rights.  The aim of this narrative review is to overview the gradual development and state of the art of protections and oversight of research with humans in Costa Rica. A recapitulation of why regulatory governance for biomedical human research was enacted in 2014 will be discussed. Even so, there is no legal requirement in Costa Rica, as in other developing nations, for non-health related protocols with human participants, to undergo the scrutiny of research boards. Nonetheless, even before Law 9234 was passed, the University of Costa Rica made efforts to compel compliance with research ethics when studying humans. Therefore, another objective is to review the current ethical guidelines dictated by the University of Costa Rica and Scientifical Ethics Committee of the University of Costa Rica to conduct responsible human research. The University of Costa Rica’s institutional regulatory framework on human research, can serve as a model to other national and international institutions from developing nations, where ethical assessment of sociocultural research is relatively neglected, compared to the review of biomedical and clinical studies.
对人类研究的监管源于历史上对参与健康相关和非健康相关研究的人员的虐待。 哥斯达黎加也不例外,如今已制定了《生物医学研究监管法》(第 9234 号法律),保障研究参与者的人权。 本综述旨在概述哥斯达黎加在保护和监督人类研究方面的逐步发展和现状。此外,还将讨论 2014 年颁布人类生物医学研究监管条例的原因。尽管如此,哥斯达黎加与其他发展中国家一样,没有法律规定与人类参与者无关的健康协议必须接受研究委员会的审查。尽管如此,甚至在第 9234 号法律通过之前,哥斯达黎加大学就已做出努力,要求在研究人类时遵守研究伦理。因此,另一个目标是审查哥斯达黎加大学和哥斯达黎加大学科学伦理委员会规定的现行伦理准则,以开展负责任的人类研究。哥斯达黎加大学关于人类研究的机构监管框架可以为发展中国家的其他国家和国际机构树立榜样,因为与审查生物医学和临床研究相比,这些国家和国际机构相对忽视对社会文化研究的伦理评估。
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引用次数: 0
Immediate Loaded Post Extraction Implant and Connective Graft-Guided Bone Regeneration: A Case Report 即刻加载拔牙后种植体和结缔组织移植引导的骨再生:病例报告
Pub Date : 2024-03-12 DOI: 10.15517/ijds.2024.59182
Ivan Calderon, Daniel Alvitez-Temoche, Fran Espinoza-Carhuancho, Roman Mendoza, Franco Mauricio, Frank Mayta-Tovalino
This case report describes the clinical and therapeutic approach used in a 32-year-old female patient with a tooth fracture in tooth 22. The patient, with no history of systemic disease, presented with a chronic periapical lesion and a cervical fracture in the affected tooth. Treatment included atraumatic extraction of the tooth, followed by placement of a 3.75 x 10mm post-extraction implant with immediate loading and guided bone regeneration. The minimally invasive surgical technique was employed using the Dentoflex® drilling sequence. The primary stability of the implant, measured in 37 Newtons of torque, allowed the placement of a prefabricated metal abutment for the subsequent cemented crown. Bone regeneration of the interimplant space was successfully performed, supplemented by connective grafting due to the patient's thin gingival phenotype. Postoperative follow-up, including controls at 7, 14 days and four months, showed a satisfactory conformation of the gingival margin and papillary tissue, consolidating the success of the treatment.
本病例报告描述了一名 32 岁女性患者的临床和治疗方法,她的第 22 号牙发生了牙折。该患者无全身性疾病史,患牙出现慢性根尖周病变和牙颈部骨折。治疗包括无创拔牙,然后植入 3.75 x 10 毫米的拔牙后种植体,并立即加载和引导骨再生。采用 Dentoflex® 钻孔顺序进行微创手术。种植体的主要稳定性以 37 牛顿的扭矩来衡量,因此可以为随后的粘接牙冠植入预制金属基台。由于患者牙龈较薄,在结缔组织移植的辅助下,种植体临时空间的骨再生成功完成。术后随访(包括 7 天、14 天和 4 个月的对照)显示,龈缘和乳头组织的形态令人满意,巩固了治疗的成功。
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引用次数: 0
Forensic Insights: Unmasking Technology-Assisted Child Sexual Abuse Through the Lens of Child Healthcare Workers 法医透视:通过儿童医护人员的视角揭开技术辅助儿童性虐待的面纱
Pub Date : 2024-03-12 DOI: 10.15517/ijds.2024.59186
Varshini Marimuthu, Sachin Ram Ganesh, Lakshman Baalaji L.
COVID-19 infection prevention measures have enhanced risks of abuse for children, especially in terms of high vulnerability to technology. Despite the rise in technology-assisted child sexual abuse (TA-CSA), little research has been conducted on Child Healthcare Workers’ perceptions beyond reporting on young people’s experiences. This novel study aims to understand how Childcare Workers perceive technology-assisted child sexual abuse, risks, impacts, therapeutics, and perceptions of need. Qualitative research methodology was used for the study. Child healthcare workers volunteering to participate in the study were approached by a purposive sampling strategy and interviewed in person. Field notes were taken to record the conversation. Grounded theory approach was used to analyze the results to eliminate bias associated with presumptive knowledge from literature. Participants reported an exponential rise in cases of TA-CSA during the COVID-19 pandemic. Impacts of TA-CSA such as self-blame, fear of offender, and inability to manage emotions were the most common and peculiar aspects of TA-CSA in this population. Though the childcare workers recognized the risks and impacts of TA-CSA, they were unaware of the need for distinct frameworks and therapeutic approaches essential for handling cases of TA-CSA. Complexities in TA-CSA necessitate an algorithm in addressing TA-CSA as a separate entity. Therapy should be focused on the specific impacts of TA-CSA. Further, the observations of the study stipulate the exigent shift in community perspective from blaming the victim to shaming the offender.
COVID-19 感染预防措施增加了儿童遭受虐待的风险,尤其是在技术方面的高度脆弱性。尽管技术辅助下的儿童性虐待(TA-CSA)在不断增加,但除了报道年轻人的经历外,很少有关于儿童保健工作者的看法的研究。这项新颖的研究旨在了解儿童保健工作者如何看待技术辅助下的儿童性虐待、风险、影响、治疗和需求感知。研究采用定性研究方法。通过有目的的抽样策略,对自愿参与研究的儿童保健工作者进行了接触,并当面进行了访谈。研究人员在谈话过程中做了现场记录。研究采用基础理论方法对结果进行分析,以消除与文献推测知识相关的偏差。参与者报告说,在 COVID-19 大流行期间,TA-CSA 病例呈指数级上升。TA-CSA的影响,如自责、害怕犯罪者和无法管理情绪,是该人群中TA-CSA最常见和最特殊的方面。尽管儿童保育工作者认识到 TA-CSA 的风险和影响,但他们并没有意识到处理 TA-CSA 个案所必需的独特框架和治疗方法。TA-CSA 的复杂性要求将 TA-CSA 作为一个单独的实体来处理。治疗应侧重于 TA-CSA 的具体影响。此外,本研究的观察结果表明,社区必须紧急转变视角,从指责受害者转变为羞辱犯罪者。
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引用次数: 0
Potential of Artificial Intelligence to Generate Health Research Reports of Decayed, Missed and Restored Teeth 人工智能生成蛀牙、缺失牙和修复牙健康研究报告的潜力
Pub Date : 2024-03-12 DOI: 10.15517/ijds.2024.59184
Eliana Dantas Costa, José Andery Carneiro, Breno Augusto Guerra Zancan, Hugo Gaêta-Araujo, C. Oliveira-Santos, Alessandra Alaniz Macedo, Camila Tirapelli
This study aims to indicate the potential of artificial intelligence (AI) in epidemiological reports of decayed, missed and restored teeth. As a proof of concept our study model used panoramic x-ray images and an AI algorithm for tooth numbering, detection of the caries and restorations with accuracy over 80% for such diagnostic tasks. The output came as the number of decayed, missed and restored teeth according to patient´s age and the DMFT index (number of decayed, missing, and filled teeth) which varied from 3.6 (up to 20 years old) to 20.4 (+60 years old). Thus, it is suggested that AI is a promising method to automate health data collection through the analysis of x-rays.
这项研究旨在说明人工智能(AI)在龋齿、缺失牙和修复牙流行病学报告中的潜力。作为概念验证,我们的研究模型使用全景 X 光图像和人工智能算法进行牙齿编号、龋齿检测和修复,此类诊断任务的准确率超过 80%。根据患者的年龄和 DMFT 指数(蛀牙、缺失牙和填充牙的数量),输出结果为蛀牙、缺失牙和修复牙的数量,DMFT 指数从 3.6(20 岁以下)到 20.4(60 岁以上)不等。因此,人工智能是通过分析 X 光片自动收集健康数据的一种可行方法。
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引用次数: 0
Quality Assessment of Matching Single-Cone Obturation in Canals Shaped with Different NiTi Systems: A Micro-CT Study 使用不同镍钛系统成型的管道中匹配单锥体封堵的质量评估:显微 CT 研究
Pub Date : 2024-03-08 DOI: 10.15517/ijds.2024.59144
Ayşenur Öztürk, Faruk Haznedaroğlu, Ali Keleş, Gülsüm Kutlu Basmacı
This study is aimed to evaluate the compatibility of single-cone filling technique in reciprocal and rotationally formed canals in using Micro-CT (Micro-computed tomography). The samples were split into two groups according to the kinematics system used. In both groups, one canal of the shaped roots was filled with the lateral compaction and the other one with a matched single-cone technique with a bioceramic root canal sealer, BioRoot RCS. The percentage of voids in the canal were evaluated by micro-CT radiograph before and after obturation. Regardless of the kinematics used, the single-cone technique left significantly fewer voids than the lateral compaction. In the kinematics comparison, the group shaped with the reciprocal system and filled with the single-cone system had the best results. The reciprocal nickel-titanium (NiTi) system with a matching single-cone gutta percha filling technique was found to be more effective in terms of reducing voids in root canal filling.
本研究旨在利用 Micro-CT(微型计算机断层扫描)评估单冠充填技术在往复和旋转形成的牙槽中的兼容性。根据所使用的运动学系统,样本被分为两组。在这两组中,一个异形根管采用侧向压实法填充,另一个采用匹配的单锥技术,并使用生物陶瓷根管封闭剂 BioRoot RCS。通过显微 CT X 光片评估了封固前后根管内空隙的百分比。无论使用哪种运动学方法,单锥技术留下的空隙都明显少于侧向压实法。在运动学比较中,使用往复式系统成形并用单锥系统充填的组结果最好。往复式镍钛(NiTi)系统和与之匹配的单锥胶充填技术在减少根管充填空隙方面更为有效。
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引用次数: 0
期刊
Odovtos - International Journal of Dental Sciences
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