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The Incidence of Two Root Canals in the Mesial Root of the Extracted Permanent Maxillary First Molars Among a Sulaimani-Iraq Population (Ex Vivo Study) 在苏莱曼尼-伊拉克人口中拔除的上颌永久第一磨牙中上根两个根管的发生率(活体研究)
Pub Date : 2024-01-21 DOI: 10.25130/tjds.2.2.4
Bestoon M. Faraj
The aim of this study was to assess the incidence of two root canals in the mesial root of the extracted permanent maxillary first molars of a Sulaimani population. An ex vivo study on 180 extracted permanent maxillary first molars was conducted. The teeth were examined clinically and radiographically. The results showed that 23.3 % of the examined teeth had two canals in the mesial root (17.0 % with one apical foramen and 6.3 % with two separate foramens)
这项研究的目的是评估苏莱曼尼居民拔出的上颌永久第一磨牙中上根两个根管的发生率。本研究对 180 颗拔出的上颌永久性第一磨牙进行了体外研究。对这些牙齿进行了临床和放射学检查。结果显示,23.3% 的受检牙齿的中牙根有两个根管(17.0% 有一个根尖孔,6.3% 有两个单独的根尖孔)。
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引用次数: 0
Incidence of Dry Socket in Relation to Psychological Stress: A Retrospective Study 干槽症发病率与心理压力的关系:回顾性研究
Pub Date : 2024-01-21 DOI: 10.25130/tjds.2.2.12
Munir Y. Al-Kotany
This study concerns with the incidence of dry sockets among a sample of patients attending different dental clinics after tooth extraction for three consecutive years in relation to their age, sex, tooth location and to patients perceived stress.Dry socket patients records were investigated for age, sex and tooth location. And a control group was chosen of exactly the same age and sex distribution as that of the patients but free from any symptoms . A questionnaire sheet with a list of possible life events for the last twelve months before the extractions were distributed among both, then the results was subjected to statistical analysis.Out of 956 patients, 58 (6%) developed dry sockets, (36%) of them were located on wisdom teeth with the lower ones comprising (25.86%). There were significant difference in mean perceived psychological stress between the patients (477.07 ± 7.38 L.C.U) and those in control group (240.44 ± 7.12 L.C.U.) regarding different ages and sexes.There were higher incidence of dry sockets in this study than most other studies around the world and female /male ratio was nearly equal. They occurred mostly on lower and posterior more than upper and anterior teeth wisdom teeth were most, highly affected, and there were a relationship between psychological stress and dry socket.
这项研究关注的是连续三年在不同牙科诊所就诊的拔牙后干槽症患者样本中,干槽症的发病率与患者的年龄、性别、牙齿位置和患者感知到的压力有关。对干槽症患者的年龄、性别和牙齿位置记录进行了调查,并选择了一个年龄和性别分布与患者完全相同但没有任何症状的对照组。在 956 名患者中,有 58 人(6%)出现干槽症,其中智齿(36%)和下颌智齿(25.86%)出现干槽症。患者(477.07 ± 7.38 L.C.U)和对照组(240.44 ± 7.12 L.C.U)的平均心理压力感知值在不同年龄和性别方面存在明显差异。干槽症主要发生在下牙和后牙,而不是上牙和前牙,智齿受影响最大、最严重,心理压力与干槽症有一定关系。
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引用次数: 0
A Comparative Study for Localization of Odontoclast in Crown and Root of Physiological Resorbed Primary Teeth 生理性再吸收基牙牙冠和牙根中的牙合体定位比较研究
Pub Date : 2024-01-21 DOI: 10.25130/tjds.2.2.2
Rafea M. Al-Gburi
Root and crown resorption is a physiologic event for the primary teeth. It is still unclear whether odontoclasts, the cells which resorb the dental har d tissue, are different from the osteoclasts, the cells that resorb bone. Dental tissue resorption seems to be initiated and regulated by the stellate reticulum and the dental follicle of the underlying permanent tooth via the secretion of stimulatory molecules, i.e. cytokines and transcription factors. The primary teeth resorption process is regulated in a manner similar to bone remodeling, involving the same receptor ligand system known as RANK/RANKL (receptor activator of nuclear factor-kappa B/ RANK Ligand), which represent two cytokine-like proteins of the tumor necrosis factor superfamily, are localized on bone cells and dental cells .They are crucial for the regulation of osteoclastic/odontoclast cell differentiation and also for the upregulation of mature osteoclasts/odontoclasts mediated by cell-to-cell contact and a subsequent cascade of diverse intracellular signaling processes .The aim of the present study was to localize and compare the IHC rea ctions for RANKL along root surface and the crown of human phs iological resorbed primary teeth. Fifteen human upper deciduous (second molar) teeth ,undergoing root and crown resorption wer e used for immunohistochemical study to identify RANKL expre ssion. The results demonstrated a high mean of expression of R ANKL in root as compared with crown in human primary shedding teeth. The present study concludes that RANKL play a role in res orption process of the primary teeth.
牙根和牙冠吸收是基牙的生理现象。目前还不清楚吸收牙齿组织的细胞--破骨细胞与吸收骨骼的细胞--是否有所不同。牙组织的吸收似乎是由恒牙下部的星状网和牙囊通过分泌刺激分子(即细胞因子和转录因子)启动和调节的。原牙吸收过程的调控方式与骨重塑类似,涉及相同的受体配体系统,即 RANK/RANKL(核因子卡巴 B 受体激活剂/RANK 配体),它们是肿瘤坏死因子超家族的两种细胞因子样蛋白,定位于骨细胞和牙细胞。本研究的目的是定位和比较 RANKL 在人牙根表面和牙冠上的 IHC 反应。15 颗经历了牙根和牙冠吸收的人类上部乳牙(第二磨牙)被用于免疫组化研究,以确定 RANKL 的表达情况。结果表明,与牙冠相比,人类初级脱落牙齿根部的 RANKL 平均表达量较高。本研究得出结论,RANKL 在基牙的吸收过程中发挥了作用。
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引用次数: 2
Effects of Irradiation of Continuous Wave Carbon Dioxide Laser on Caries Resistance of Deciduous Teeth 连续波二氧化碳激光辐照对乳牙抗龋能力的影响
Pub Date : 2024-01-21 DOI: 10.25130/tjds.2.2.3
Muthenna Sh, R. Bds, S. Salih, A. Rahman, M. M. Saleh
The objective of this st udy aimed to assess the caries-preventive potential of various CW CO2 laser parameters, and to explore the effect of the laser power density on the caries inhibition activity.Extracted human deciduous molars were irradiated with three various power dens ities, by changing the output power, the exposure time, and the spot diameter. The CO2 laser system emitted laser with 10.6µm in wavelength. All teeth were subjected to carieslike lesion form ation by 3.5 pH lactic acid for 21 days. The teeth after that were sectioned into ground cross sections and the lesion depths were measured under a polarizing microscope.CW CO2 laser preventive treatments inhibited carieslike lesion progres sion up to 82%. This effect was improved with increasing power d ensity within the limits of the examined laser parameters.
本研究旨在评估不同CW CO2激光参数的防龋潜力,并探索激光功率密度对龋抑制活性的影响。CO2 激光系统发射的激光波长为 10.6µm。所有牙齿在 3.5 pH 值的乳酸作用下形成龋齿样病变,持续 21 天。之后将牙齿切成地面横截面,在偏光显微镜下测量病变深度。在所考察的激光参数范围内,随着功率密度的增加,这种效果也有所改善。
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引用次数: 3
Mandibular Notch Configuration in Iraqi Adults 伊拉克成年人的下颌槽沟结构
Pub Date : 2024-01-21 DOI: 10.25130/tjds.2.2.14
Saad A. Mohammad, Mohammad A. Abd-alla, Abdul-Jabbar J. Mahdi
The shape of the mandibular notch (mandibular incisure) of both sides of 100 fresh macerated and dry adult human mandibles divided between 58 males and 42 females of Iraqi origin with their age ranges (23-52) years that had been studied in order to classify the variations in the shapes of mandibular incisure.Three types were evident: type I triangular shape, type II rounded shape and type III truncated quadrilateral shape. The triangular shape mandibular notch were found in 92 (46%) sides and truncated quadrilateral shape in 40 (20%) sides, they are mainly prevalent in male, while the rounded shape was founded in 68 (34%) sides mainly prevalent in female.Minor differences appeared on both sides founded in 28 sides but keep the general shape. The incidence of the rounded types was almost in female mandible while triangular &truncated shapes were faced mainly in the male mandibles.
为了对下颌切迹形状的变化进行分类,我们对伊拉克籍的 58 名男性和 42 名女性的 100 个新鲜浸渍和干燥的成人下颌骨两侧的下颌切迹(下颌切迹)形状进行了研究。三角形下颌切迹出现在 92 个侧面(46%),截断四边形下颌切迹出现在 40 个侧面(20%),主要以男性居多,而圆形下颌切迹出现在 68 个侧面(34%),主要以女性居多。圆形几乎出现在女性下颌骨中,而三角形和截形主要出现在男性下颌骨中。
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引用次数: 0
The Relation of Maxillary Posterior Teeth Roots to the Maxillary Sinus Floor Using Panoramic and Computed Tomography Imaging in a Sample of Kurdish People 在库尔德人样本中使用全景和计算机断层扫描成像分析上颌后牙根与上颌窦底的关系
Pub Date : 2024-01-20 DOI: 10.25130/tjds.2.1.14
Shakhawan M. Ali, Falah A. Hawramy, Kawa A. Mahmood
The relation of maxillary posterior teeth roots to the maxillary sinus floor is important for diagnosing and planning of many surgical procedures. In order to determine of this relation two imaging technique were used in this study.Paired panoramic radiographs and computed tomography images of maxilla from 27 subjects were taken and analyzed in the teaching hospitals of Sulaimani city during the period from Jan to Aug 2009. For both imaging modalities a total of 146 maxillary teeth were grouped according to their topographic relationship to the inferior border of the maxillary sinus followed Kwak et al. classification, were 0 indicated no contact between the root and inferior border of the maxillary sinus); 1 indicated that the root is in contact with the inferior border of the maxillary sinus; 2 indicated that the root is projecting laterally on the maxillary sinus cavity but its apex is outside the sinus boundaries; 3 and 4 indicated that the teeth roots that projected on the maxillary sinus cavity. Then roots were measured according to their projection lengths in the sinus cavity.Results of this study show that there was a high correlation between the two imaging technique for classification 0 and 1 relations. The OPG showed statistically significant (P>0.001) longer root projection in the sinus cavity in comparison with the root protrusion into the sinus measured by using CT images.As conclusion; for the majority of the roots projecting on the sinus cavity in panoramic radiographs, no vertical protrusion into the sinus was observed in CT images. Roots protrude into the sinus in the CT showed shorter projection length in comparison with panoramic radiography. Panoramic radiographs can provide adequate assessment about relation of the maxillary sinus floor. CT is indicated to provide the information about the relation to the maxillary sinus floor when there is protrusion detected in panoramic images.
上颌后牙根与上颌窦底的关系对许多外科手术的诊断和计划非常重要。2009 年 1 月至 8 月期间,苏莱曼尼市教学医院对 27 名受试者的上颌全景X光片和计算机断层扫描图像进行了拍摄和分析。在这两种成像模式中,共有 146 颗上颌牙齿根据其与上颌窦下缘的地形关系进行了分组,分组方法遵循 Kwak 等人的分类方法。0 表示牙根与上颌窦下缘无接触);1 表示牙根与上颌窦下缘接触;2 表示牙根侧向突出于上颌窦腔,但其顶点位于上颌窦边界之外;3 和 4 表示牙根突出于上颌窦腔。研究结果表明,两种成像技术在 0 级和 1 级关系中的相关性很高。OPG显示牙根在窦腔内的投影长度与使用CT图像测量的牙根突入窦内的长度相比具有统计学意义(P>0.001)。与全景放射摄影相比,CT 图像中突出到窦内的牙根投影长度较短。全景照片可以充分评估上颌窦底的关系。当在全景图像中发现牙根突出时,CT 可提供有关上颌窦底关系的信息。
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引用次数: 8
Evaluation of Sealing Ability of New Composite Filling Material 新型复合填充材料的密封能力评估
Pub Date : 2024-01-20 DOI: 10.25130/tjds.2.1.6
Emad F. AL-Khalidi عماد فرحان الخالدي, Sabah A. Ismail صباح عبد الوهاب اسماعيل, Mohammed M. Obosi محمد منذر العبوسي
This study was conducted to investigate the sealing ability (microleakage) of new composite restorative materials at tooth/composite interface.Thirty non carious, extracted human premolars teeth were mounted in acrylic resin, the teeth were randomly divided into three groups (n=10) according to the type of composite (tetric T-Econom, Evo ceram,IPS Empress). A standardize class V (5×3×2) mm dimensions cavity was prepared on the facial surface of each tooth (each group with corresponding bur type). After the specimens were filled with three types of composite restoration. They stored for one month in 37ºc distilled water, thermo cycled for 500 cycles between (5ºc & 55ºc) and immersed in 2% methylene blue solution for 24h., and then sectioned longitudinally. For both occlusal and gingival margins, dye penetration at the tooth/composite interfaces were scored from 0-3 under stereomicroscope at a magnification x10. Data were analyzed using unpaired T-test, ANOVA, and Duncan’s multiple rang test at 5% significant level.Kruskal-wallis test show that there was a significant difference in microleakage between the three types of composite it represent that there was less microleakage in group filled with IPS Empress while tetric T-Econom show the highest leakage.There was no significant difference in microleakage between IPS Empress and Evo ceram composite filling.AS Conclusions; Within the limitations of this in vitro study the results show that there was less microleakage in the cavities filled with IPS Empress composite and EVO ceram composite as compared with Tetric T-Econom composite.
这项研究旨在探讨新型复合修复材料在牙齿/复合材料界面的密封能力(微渗漏)。将 30 颗未龋坏、已拔出的人类前臼齿安装在丙烯酸树脂中,根据复合材料类型(tetric T-Econom、Evo ceram、IPS Empress)将牙齿随机分为三组(n=10)。在每颗牙齿的面部制备一个标准的 V 级(5×3×2)mm 尺寸的牙洞(每组都有相应的毛刺类型)。然后用三种类型的复合树脂修复体填充试样。在 37ºc 蒸馏水中保存一个月,在(5ºc 和 55ºc)之间进行 500 次热循环,并在 2% 亚甲蓝溶液中浸泡 24 小时,然后纵向切片。对于咬合边缘和龈缘,在放大倍数为 x10 的体视显微镜下,对牙齿/复合材料界面的染料渗透进行 0-3 级评分。数据采用非配对 T 检验、方差分析和邓肯多重范围检验进行分析,显著性水平为 5%。Kruskal-wallis 检验表明,三种类型的复合材料在微渗漏方面存在显著差异,这表明填充 IPS Empress 的组别微渗漏较少,而填充 tetric T-Econom 的组别渗漏最多。AS 结论;在这项体外研究的局限性范围内,结果显示,与 Tetric T-Econom 复合材料相比,用 IPS Empress 复合材料和 EVO ceram 复合材料填充的牙洞微渗漏较少。
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引用次数: 1
Effect of Addition of ZrO2 on Biaxial Flexural Strength of Calcium Phosphate Ceramics 添加 ZrO2 对磷酸钙陶瓷双轴挠曲强度的影响
Pub Date : 2024-01-20 DOI: 10.25130/tjds.2013.1.6
Mohammed K. Hilal, Mohammed Y.Shareef, Maher K. Ali, R. Van Noort
The aim of this study is to investigate the effect of addition of ZrO2 on the biaxial flexural strength (BFS) of ceramics fabricated using a conventional powder technology. Various compositions of hydroxyapatite (HAp) Ca10(PO4)6(OH)2 and zirconia powder ZrO2, ranging from 10 to 90 wt% ZrO2, were prepared using a wet mixing process. Ten compacts (13.5mm3mm) were made for each group, pressed and sintered in air at sintering temperatures from 1100 to 1450oC for up to 12 hours. The bulk density, porosity, linear shrinkage and BFS. The porosity reduced and linear shrinkage increased with increasing sintering temperature and amounts of zirconia, whereas the sintering time had little effect. The highest mean value achieved for the BFS was 26920 MPa for a composition of 70% ZrO2 and 30% HAp fired at 1450oCfor 6 hours. From the experimental results can be conclude that sintering temperature and composition affect densification behaviour of calcium phosphate/ ZrO2 composites. The BFS increases with a reduction of porosity and increases with both sintering temperature and additions of ZrO2. It was noted that there is considerable scope for improvement in the BFS values by reducing the porosity of these composites.
本研究旨在探讨添加 ZrO2 对使用传统粉末技术制造的陶瓷的双轴抗弯强度(BFS)的影响。采用湿法混合工艺制备了不同成分的羟基磷灰石(HAp)Ca10(PO4)6(OH)2 和氧化锆粉 ZrO2,ZrO2 的含量范围为 10 至 90 wt%。每组制作 10 个压实物(13.5mm3mm),压制后在 1100 至 1450 摄氏度的空气中烧结 12 小时。测试结果包括体积密度、孔隙率、线性收缩率和 BFS。随着烧结温度和氧化锆用量的增加,孔隙率降低,线性收缩率增加,而烧结时间的影响很小。烧结温度为 1450 摄氏度、烧结时间为 6 小时、烧结成分为 70% ZrO2 和 30% HAp 时,BFS 的最高平均值为 26920 兆帕。从实验结果可以得出结论,烧结温度和成分会影响磷酸钙/氧化锆复合材料的致密化性能。BFS 随孔隙率的降低而增加,随烧结温度和 ZrO2 添加量的增加而增加。我们注意到,通过降低这些复合材料的孔隙率,BFS 值还有很大的提高空间。
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引用次数: 0
Shrinkage Deformation of Three Different Light Cure Composite Resin Using Image Correlation Method 使用图像相关法测量三种不同光固化复合树脂的收缩变形
Pub Date : 2024-01-20 DOI: 10.25130/tjds.2013.1.7
Fanar T. Abdul Hammed
The study performed were to measured the amount of shrinkage deformation of resin composites with and without bonding agent. The shrinkage defor mation of three types of composite resin (Ecusphere, Densply, CHARISMA) in cavities was studied using image correlation method. The cylindrical cavity in extracted teeth ( premolors) are to examine the shrinkage behavior on the top free surface. The cavities filled with resin after spreading a bonding agent are irradiated using LED unit, also performed on the cavities without bonding agent. One way analysis of variance and MOIRE analysis were used for statistical analysis. The shrinkage behavior was different in the cavities prepared with and without bonding agent. Polymerization of dental composites is characterized by heterogeneous deformation patterns with variable shrinkage values at different locations within the material.
研究旨在测量含粘接剂和不含粘接剂的树脂复合材料的收缩变形量。使用图像相关法研究了三种复合树脂(Ecusphere、Densply、CHARISMA)在龋洞中的收缩变形。在拔牙(前色)的圆柱形龋洞中检查顶部自由表面的收缩行为。对涂抹粘接剂后填充了树脂的龋洞使用 LED 进行照射,同时也对未涂抹粘接剂的龋洞进行照射。统计分析采用了单向方差分析和 MOIRE 分析法。结果表明,使用粘接剂和不使用粘接剂的牙洞收缩情况不同。牙科复合材料聚合的特点是异质变形模式,材料内部不同位置的收缩值各不相同。
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引用次数: 0
Evaluation of Density and Homogeneity of Three Different Root Canal Obturation Techniques: A Three –Dimensional Computed Tomography In Vitro Study 评估三种不同根管封堵技术的密度和均匀性:三维计算机断层扫描体外研究
Pub Date : 2024-01-20 DOI: 10.25130/tjds.2013.1.3
A. Mustafa
The aim of this in vitro study was to compare three dimensionally the density and homogeneity of cold lateral compaction, warm vertical compacti on and guttaflow root canal obturation techniques using computed tomography. Thirty canals of 12 mm from extracted lower single canal premolars were selected then instrumented and divided randomly into 3 groups with 10 roots in each group. Group I was obturation with cold lateral compaction technique, group II was obturated with warm vertical compaction technique and group III was obturated with guttaflow system. The specimens were then analyzed for the density and homogeneity in both vertical and hor i zontalsections in apical, middle and coronal third with 1 mm section thickness using computed tomography. The data obtained in hounsefield units were subjected to statistical analysis. In conclusionguttaflow was superior in the apical part and none of the tested obturation techniques can achieve three dimensional dense and homogenous obturation from apical to coronal parts of root.
这项体外研究的目的是使用计算机断层扫描技术,从三维角度比较冷侧向压实、温垂直压实和guttaflow根管封固技术的密度和均匀性。研究人员从拔出的下单管前磨牙中选择了 30 个 12 毫米长的根管,然后用器械将其随机分为 3 组,每组 10 根。第一组采用冷侧压技术封堵,第二组采用温垂直压技术封堵,第三组采用 guttaflow 系统封堵。然后,使用计算机断层扫描分析标本在根尖、中部和冠状三分之一处垂直和水平切面上的密度和均匀性,切面厚度为 1 毫米。对获得的峰场单位数据进行了统计分析。总之,根尖部分的 Guttaflow 更优越,没有一种测试过的密合技术可以实现从根尖到冠状部分的三维致密均匀密合。
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引用次数: 2
期刊
Tikrit Journal for Dental Sciences
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