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Treatment of Recurrent Aphthous Stomatitis with 940nm Diode Laser 用 940nm 二极管激光治疗复发性口腔炎
Pub Date : 2024-01-20 DOI: 10.25130/tjds.2013.1.11
Muhamed I. Hazeem, Muthenna Sh. Rajab, Raed A. Badeia
Background & objectives: Ulcers in the mouth (recurrent aphthous stomatitis) are very common and may vary in size from very small to very large. The exact cause of mouth ulcers isn’t known but acidic foods and stress are thought to be factors, as well as local traumatic damage such as that caused vigorous toothbrushing. Although uncomfortable, small ulcers are tolerable, but large ulcers can last for up to 2 weeks and greatly affect the ability to eat, drink and even talk. This study aimed to evaluate the efficacy of treatment of recurrent aphthous stomatitis by application of 940 nm diode laser irradiation & its effect on the duration and pain sensation. Materials and methods: A total number of 32 patients having at least 2 ulcers for each. Those patients were enrolled in this study using a split mouth design. The study included two groups, The experimental (study group) consisted of thirty two ulcers ( in the 32 patients ) were subjected to 940 nm laser irradiation & control group comprised of thirty two ulcers ( in the same 32 patients ) left without laser irradiation. Pain scores were recorded before and after laser treatment. The patient subjected to follow-up visits until complete healing of the ulcers occurred. Results: There were immediate changes in the pain scores of the experimental group just after diode laser application. The duration of the control group lesions ranged between (7-14) days, while the lesion in the experimental group subsided with a range between (4-12) days. Conclusion: 1.Single session of diode laser irradiation can be used to produceimmediate, dramatic and sustained analgesic effect on RAS lesion.2.The lesion duration was significantly reduced to about 40%from that of control lesion.
背景与目的:口腔溃疡(复发性阿弗他口腔炎)非常常见,大小不一,有的很小,有的很大。口腔溃疡的确切病因尚不清楚,但酸性食物和压力以及局部创伤性损伤(如用力刷牙)被认为是导致口腔溃疡的因素。小的溃疡虽然不舒服,但还可以忍受,但大的溃疡可持续长达两周,严重影响进食、饮水甚至说话的能力。本研究旨在评估应用 940 纳米二极管激光照射治疗复发性口腔炎的疗效及其对持续时间和疼痛感觉的影响。材料与方法:共有 32 名患者,每名患者至少有两个溃疡。本研究采用分口设计。研究包括两组:实验组(研究组)包括 32 名患者的 32 个溃疡,接受 940 纳米激光照射;对照组包括 32 名患者的 32 个溃疡,不接受激光照射。记录激光治疗前后的疼痛评分。患者接受随访,直至溃疡完全愈合。结果:使用二极管激光治疗后,实验组患者的疼痛评分立即发生了变化。对照组病变持续时间为(7-14)天,而实验组病变消退时间为(4-12)天。结论:1.单次二极管激光照射可对 RAS 病变产生直接、显著和持续的镇痛效果。
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引用次数: 10
Two-Parts Bilateral Dse-Hinge Design Maxillary Denture Stabilizer 两件式双侧 Dse-Hinge 设计上颌义齿稳定器
Pub Date : 2024-01-20 DOI: 10.25130/tjds.2.1.10
Nadira A. Hatim, Ahmed I. Al-Khyet
Nowadays, the adult patient male or female demand for esthetic as a first choice in relation to other factors. The current case report introduces a technique of treating a young patient with complicated problems of bad condition of remaining teeth with partially edentulous arch. In this study a new precession attachment (Dse-HINGE) design was used to make prosthodontic appliance more comfortable, and esthetically acceptable than traditional design removable partial denture. The results of this procedure showed a successful clinical treatments with fixed bridge and new Dse-Hinge attachment removable prosthesis. Finally, patient remarks a preferable esthetic, stabilization, retention, and more comfortable function results of fixed prosthesis with Dse-Hinge attachment in relation to previous conventional removable prosthesis.
如今,无论男女,成年患者都要求将美观作为与其他因素相关的第一选择。本病例报告介绍了一种治疗年轻患者的技术,该患者患有余留牙齿状况不佳和部分无牙弓的复杂问题。与传统设计的可摘局部义齿相比,该研究采用了一种新的前移附着体(Dse-HINGE)设计,使义齿修复装置更舒适、更美观。手术结果显示,固定桥和新型 Dse-Hinge 活动义齿的临床治疗取得了成功。最后,患者表示,与之前的传统活动义齿相比,Dse-Hinge连接的固定义齿具有更好的美观性、稳定性、固位性和更舒适的功能。
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引用次数: 0
Evaluation of Carisolv in the Chemico-Mechanical Removal of Carious Dentine in Primary Molars (In vivo study) 评估 Carisolv 在化学机械去除小磨牙龋齿中的作用(体内研究)
Pub Date : 2024-01-20 DOI: 10.25130/tjds.2013.1.9
Huda E.A. Al-Rubaye
Caries removal by the Chemo-mechanical technique involves the application of chemical agents, to cause a selective softening of the carious dentine and facilitate removal by gentle excavation. Carisolv is one such new chemical agent used in this minimal invasive technique of carious dentine removal. The aims of this study was to evaluate the efficacy of Carisolv in the chemo-mechanical removal of carious dentine in primary teeth, the time taken for caries removal and to evaluate the restorations radiographically. Forty primary 1st and 2nd molars with dentinal carious lesions were excavated using this technique of caries removal. After isolation of the involved tooth, the Carisolv " new gel" marketed by Mediteam Dental AB (Goteborg, Sweden) was applied then the superficial softened carious dentine was gently excavated and scraped using a spoon excavator, the procedure repeated until the cavity was free from caries and the cavity was checked for remaining caries using an explorer. The time taken for the removal of carious dentine, beginning from the application of the gel until the completion of the procedure was evaluated using a stopwatch. After the placement of the restoration an intra-oral periapical radiograph was taken for immediate evaluation and after a period of six months, the longevity of the restorations and the presence of secondary caries at the restoration- dentine interface were evaluated radiographically. The statistical analysis of the results showed that the soft carious dentine was removed more effectively than the hard carious dentine and the removal of the soft carious dentine required a shorter period of time (4.96±0.99) minutes when compared to the removal of hard carious dentine (6.09±1.04) minutes and on radiographic evaluation of the restoration, none of the treated lesions showed the presence of secondary caries. In conclusion, the chemico-mechanical caries removal technique using Carisolv proved to be an effective atraumatic treatment modality with potential interest for use in clinical pediatric dentistry.
通过化学机械技术去除龋齿包括使用化学制剂,使龋坏的牙本质发生选择性软化,便于通过轻柔的挖掘去除龋坏的牙本质。Carisolv 就是用于这种微创龋齿去除技术的一种新型化学制剂。这项研究的目的是评估 Carisolv 用化学机械方法去除乳牙龋坏牙本质的效果、去除龋坏牙本质所需的时间,并对修复体进行放射学评估。使用这种龋齿去除技术,对 40 颗有牙本质龋损的第一和第二磨牙进行了挖掘。隔离患牙后,涂上 Mediteam Dental AB(瑞典哥德堡)销售的 Carisolv "新凝胶",然后用勺子挖掘器轻轻挖掘和刮除表层软化的龋坏牙本质,重复这一过程直到龋洞内没有龋坏为止,并用探针检查龋洞内是否有残留的龋坏。使用秒表评估了从涂抹凝胶开始到整个过程结束去除龋坏牙本质所需的时间。修复体植入后,立即拍摄口内根尖X光片进行评估,6个月后,通过X光片评估修复体的寿命以及修复体-牙本质界面是否存在继发龋。统计分析结果显示,软龋牙本质的去除效果优于硬龋牙本质,与硬龋牙本质的去除时间(6.09±1.04)分钟相比,软龋牙本质的去除时间(4.96±0.99)分钟。总之,使用 Carisolv 的化学机械除龋技术被证明是一种有效的非创伤性治疗方法,有望用于临床儿童牙科。
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引用次数: 0
Use of Fine Needle Aspiration Biopsy in Diagnosis Oral and Maxillo-Facial Tumors 在诊断口腔颌面部肿瘤时使用细针抽吸活检术
Pub Date : 2024-01-20 DOI: 10.25130/tjds.2.1.12
Emad H. Abdulla, Khalid Y. Igzeer
The Technique of fine needle aspiration biopsy (F.N.A.B.) was evaluated in the field of maxillofacial surgery. For this purpose comparison of cyt ological results with the conventional histo pathological results were take place. Seventy-two specimens were obtained by F.N.A.B. from 60 patients with age range from 3-84 years of both sexes, 11.7% of the patients had previous history of diagnosed malignant tumors. Cytological results show 40 cases(55.5%) were benign tumor, 27 cases (37.5 %) were malignant, 3 cases (4.2 %) unsatisfactory for diagnosis and 2 cases (2.8 %) were suspicious to be malignant. The statistical analysis showed that F.N.A.B. had sensitivity (92.6%), specificity (100%), positive predictive value (92.3%), and accuracy rate (96%).
在颌面外科领域对细针穿刺活检(F.N.A.B.)技术进行了评估。为此,对细胞学结果与传统组织病理学结果进行了比较。F.N.A.B.从 60 名年龄在 3-84 岁之间的男女患者身上获取了 72 份标本,其中 11.7% 的患者曾有过恶性肿瘤病史。细胞学结果显示,40 例(55.5%)为良性肿瘤,27 例(37.5%)为恶性肿瘤,3 例(4.2%)诊断不满意,2 例(2.8%)怀疑为恶性肿瘤。统计分析显示,F.N.A.B.的灵敏度(92.6%)、特异度(100%)、阳性预测值(92.3%)和准确率(96%)均高于其他方法。
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引用次数: 0
Comparison of Some Properties between Commercially Available Gypsum Products 市售石膏产品某些性能的比较
Pub Date : 2024-01-20 DOI: 10.25130/tjds.2.1.11
Tameem K. Jassim تميم خضر جاسم
Gypsum models are often used in dental healthcare, and there is an increased need for manipulation of master casts in extensive reconstructions requi ring a material that is not easily abraded or damaged with dimensional accuracy, accurate reproduction of details, and the use of a voids free surface master model. This study was conducted to compare between commercially available type III and type IV dental stones in some of their properties. Four groups were compared: Zhermack and Geastone of Type III dental stone, and Zhermack and Bluejey of Type IV improved dental stone. Ten specimens were fabricated for each material from a rubber ring w ith dimensions of 20mm height and 30mm diameter. Dimensional stability, reproduction of details, surface porosity, and surface hardness were evaluated for the different gypsum products. Results of this study show that for the dimensional stability there was an increase in dimension more than that of the test block and was only highly significant for groups Z3 and Z4. The surface hardness for groups Z3 and Z4 was significant higher than groups G3 and B4 in all of time intervals except after 24h for groups Z4 and B4 this was insignificant. Surface porosity test and reproduction of details test, both revealed no significant difference between the test groups. As conclusion the Zhermack dental stone products, type III & IV, showed higher surface hardness than Zeus dental stone products, type III & IV (Geastone and Bluejey). On the other hand we found that Zeus dental stone products showed good dimensional stability than the Zhermack dental stone products. All stone products provided similar scores for details reproduction, and were similar in relation to surface porosity.
石膏模型经常被用于牙科医疗保健中,在大面积重建中,对石膏模型的操作要求越来越高,需要一种不易磨损或损坏、尺寸精确、细节再现准确、表面无空隙的材料。本研究对市售的 III 型和 IV 型牙科石的某些特性进行了比较。共有四组进行了比较:Zhermack 和 Geastone 的 III 型牙科石材,以及 Zhermack 和 Bluejey 的 IV 型改良牙科石材。每种材料都用一个高 20 毫米、直径 30 毫米的橡胶圈制作了十个试样。对不同石膏产品的尺寸稳定性、细节再现、表面气孔率和表面硬度进行了评估。研究结果表明,在尺寸稳定性方面,尺寸的增加幅度大于试块的增加幅度,只有 Z3 和 Z4 组的尺寸增加幅度非常显著。Z3 组和 Z4 组的表面硬度在所有时间间隔内都明显高于 G3 组和 B4 组,只有 Z4 组和 B4 组在 24 小时后显著降低。表面孔隙率测试和细节再现测试显示,各测试组之间没有明显差异。综上所述,Zhermack 牙科石产品 III 和 IV 型的表面硬度高于 Zeus 牙科石产品 III 和 IV 型(Geastone 和 Bluejey)。另一方面,我们发现 Zeus 牙科石材产品比 Zhermack 牙科石材产品具有良好的尺寸稳定性。所有石材产品在细节再现方面的得分相似,在表面孔隙率方面也相似。
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引用次数: 3
Flowable Composite for Orthodontic Bracket Bonding (in vitro study) 用于正畸托槽粘接的可流动复合材料(体外研究)
Pub Date : 2024-01-20 DOI: 10.25130/tjds.2.1.8
Bahn Agha
Flowable resin composites have been recommended for many clinical uses and have been formulated in a variety of compositions and viscosities to meet various uses. The aim of this study was to determine if flowable composite with or without resins could be used as orthodontic bracket bonding. Sixty noncarious human premolars were divided into three equal groups. Metal brackets were bonded to etched enamel using a composite resin control (Resilience® orthodontic adhesive) and flowable composite with and without sealant resin (Resilience® flowable composite). After 72 hours of incubation in deionized water at 37 C°, debonding was performed with a shearing force. The shear bond strength (SBS) and the mode of bond failure were examined. High significant difference was observed in the SBS between control and flowable groups. Clinically acceptable SBS was found for the two flowable adhesives with bond failures occurred mostly in the bracket–adhesive interface. No significant differences between flowable groups. In conclusion, the use of flowable composite with and without sealant resin is advocated for orthodontic bracket bonding
可流动树脂复合材料已被推荐用于多种临床用途,并已配制成各种成分和粘度以满足各种用途。本研究的目的是确定含树脂或不含树脂的可流动树脂复合材料是否可用作正畸托槽粘结剂。研究人员将 60 颗未龋坏的人类前臼齿分为三组。使用复合树脂对照组(Resilience® 正畸粘合剂)和含或不含封闭树脂的可流动复合材料(Resilience® 可流动复合材料)将金属托槽粘结到蚀刻的牙釉质上。在 37 摄氏度的去离子水中培养 72 小时后,用剪切力进行脱粘。对剪切粘接强度(SBS)和粘接破坏模式进行了检测。对照组和可流动组的 SBS 差异很大。发现两种可流动粘合剂的 SBS 在临床上是可以接受的,粘接失败主要发生在托槽-粘合剂界面。可流动组之间无明显差异。总之,在正畸托槽粘接中使用含或不含密封树脂的可流动复合材料是值得提倡的。
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引用次数: 5
Comparison of Three Dimensional Dental Software Computed Tomography Findings with Real Time Surgical Approaches for Impacted Teeth 三维牙科软件计算机断层扫描结果与实时外科手术法治疗受撞击牙齿的比较
Pub Date : 2024-01-20 DOI: 10.25130/tjds.2013.1.16
Nazhat M. Abdlkareem, Shefaa H. AL-Nuome, Haider A. Rassul, Taha Y.Hamad
An exact localization of impacted teeth is often difficult to assume by using two dimensional conventional radiological techniques like OPG or dental films. In contrast to these two dimensional imaging method, the Dental slice Software Computed Tomography offers a three-dimensional imaging of maxilla-facial region, providing the opportunity to study objectives in all standard plans with three-dimension, reconstructed and multisection views. The aim of this study is to prove the effectiveness of the Dental slice Software Computed Tomography in evaluating the position of impacted teeth as a presurgical diagnostic aid. 25 patients with total of 40 impacted teeth were classified and evaluated by three sets .The first set of radiographs consist of traditional two dimensional images(per apical , occlusal films and OPG).The second set comprised three-dimensional views obtained from a Dental slice Soft ware Computed Tomography and a third set which was surgical interventions results. Teeth crowns were classified into: type I (buccal or labial), type II (palatal or lingual), type III (half distance of the labio-palatal or bucco-palatal ,labio-lingual or bucco-lingual) according to their position within dental arches. The dental soft ware Computed Tomography succeeded to identify the exact situations of whole 40(100%) impacted teeth crowns that were confirmed surgically in the same anatomical locations. On the other hand there was a Failure of 33(82.5%) crowns that could not be determine their positions by two dimensional images and proved surgically in opposite sides. Three dimensional Computed Tomography is a helpful and stimulating tools by providing the surgeons a perfect mulitislices: axial, coronal, sagital, two dimensional and three dimensional images in one visit and once exposure and permits the oral surgeons to visualize the position and surgical anatomy of the tooth as it will be in the operating theatre, thus establishing sufficient patterns for adequate surgical planning ,reduce of need for exploratory procedures with less morbidity to the osseous structure and time saving.
使用传统的二维放射技术,如 OPG 或牙科胶片,通常很难对阻生牙进行准确定位。与这些二维成像方法不同的是,牙科切片软件计算机断层扫描提供了上颌骨-面部区域的三维成像,通过三维、重建和多切面视图提供了在所有标准计划中研究目标的机会。本研究的目的是证明 Dental slice 软件计算机断层扫描在评估阻生牙位置方面的有效性,作为手术前诊断的辅助工具。25 名患者共 40 颗阻生牙被分为三组并进行了评估,第一组射线照片由传统的二维图像(根尖、咬合片和 OPG)组成,第二组由牙科切片软件计算机断层扫描获得的三维视图组成,第三组是手术干预结果。牙冠根据其在牙弓中的位置分为:I 型(颊或唇)、II 型(腭或舌)、III 型(唇-腭或颊-腭、唇-舌或颊-舌的一半距离)。牙科软器械计算机断层扫描成功地确定了全部 40 个(100%)撞击牙牙冠的确切位置,这些牙冠经手术确认位于相同的解剖位置。另一方面,有 33 个(82.5%)失败的牙冠无法通过二维图像确定其位置,经手术证实位于相反的一侧。三维计算机断层扫描是一种有用的刺激性工具,它为外科医生提供了完美的多层面图像:轴向、冠状、矢状、二维和三维图像,只需一次就诊和一次曝光,并允许口腔外科医生在手术室中可视化牙齿的位置和手术解剖结构,从而为充分的手术规划建立足够的模式,减少探查手术的需要,降低骨结构的发病率,并节省时间。
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引用次数: 1
Microleakage of Root Canal Sealed with Temporary Endodontic Sealing Materials 使用临时牙髓封闭材料封闭的根管出现微渗漏
Pub Date : 2024-01-20 DOI: 10.25130/tjds.2013.1.4
Rajaa T .Sulieman
To measure the microleakage of different materials used as temporary endodontic sealing materials and to compare between them. Sixty sound human premolars extracted for orthodontic purpose, caries and cracks free were used. Teeth were divided into 6 groups depending on type of temporary materials (glass ionomer cement, zinc phosphate cement, amalgam, temporary filling "zinc oxide eugenol") for temporization and control groups (negative and positive). For each tooth, an access opening was done followed by instrumentation, irrigation and dryness. Then application of different temporary materials. Evaluation of marginal microleakag e (tooth – restoration interface) were done by using dye penetration test. The study was done in Department of Conservative Dentistry, College of Dentistry, University of Mosul. The results showed significant differences (p< 0.05) in marginal microleakage among groups tested. But there were no significant difference between buccal and lingual tooth restoration – interface for each group. Glass i onomer cement showed less microleakage at tooth – restoration interface when compared with other temporary filling mater ials which used in this study. Glass ionomer cement has sup erioer effect on reduction of microleakage when compared with other temporary filling,when used for temporization had more ability to reduce microleakage than zinc phosphate cement, amal gam and lastly temporary filling (zinc oxide eugenol).
测量用作临时牙髓密封材料的不同材料的微渗漏情况,并对它们进行比较。使用了 60 颗为正畸目的拔出的无龋无裂的健全人类前臼齿。根据临时材料的类型(玻璃离子粘固剂、磷酸锌粘固剂、汞合金、"氧化锌丁香酚 "临时充填剂),牙齿被分为 6 组,对照组(阴性和阳性)。对每颗牙齿都要打开一个通道,然后进行器械操作、冲洗和干燥。然后使用不同的临时材料。使用染料渗透测试对边缘微渗漏(牙齿-修复体界面)进行评估。这项研究是在摩苏尔大学牙科学院保守牙科系进行的。结果显示,各测试组之间的边缘微渗漏存在明显差异(P< 0.05)。但各组的颊舌面牙齿修复界面之间没有明显差异。与本研究中使用的其他临时充填材料相比,玻璃离子水泥在牙齿-修复体界面的微渗漏较少。与其他临时充填材料相比,玻璃离子水门汀在减少微渗漏方面的效果更好,用于临时充填时,玻璃离子水门汀比磷酸锌水门汀、阿玛尔伽和最后一种临时充填材料(氧化锌丁香酚)更能减少微渗漏。
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引用次数: 0
Flow Rates of Resting whole Saliva of Diabetic Patients in Relation to Age and Gender 糖尿病患者静息全唾液流速与年龄和性别的关系
Pub Date : 2024-01-20 DOI: 10.25130/tjds.2.1.1
Abdullah I. Hamad, Riyadh O. Alkaisi, Intesar J. Alkaisi
Diabetes mellitus is a metabolic disorder characterized by chronic hyperglycemia, present with symptoms such as thirst, polyuria, and weight loss. The oral complications associated with this disease include dry mouth due to decrease in salivary flow and enlargement of the salivary glands.Cross sectional study conducted to estimate flow rates of resting whole saliva in 150 subjects (100 diabetic patients of both types I & II as experimental group, and 50 subjects as control group) which correlated with age and gender.The subjects were divided into three main groups: control group and two diabetic groups according to the types of diabetes mellitus( I& II).Unstimulated saliva were collected, and salivary flow rate was measured by establishing the time factor (5 minutes), after estimating the volume of collected saliva the salivary flow rate was calculate as ml/min.Results indicated that poorly controlled diabetic patients had more diminished salivary flow rate when compared with good controlled diabetic and non-diabetic subjects. Female diabetic patients older than 45 years, revealed a lowered salivary flow rate when compared with male diabetic patients younger than 45 years.
糖尿病是一种以慢性高血糖为特征的代谢性疾病,表现为口渴、多尿和体重减轻等症状。这项横断面研究对 150 名受试者(100 名 I 型和 II 型糖尿病患者为实验组,50 名受试者为对照组)的静息全唾液流速进行了估计,结果与受试者的年龄和性别相关。结果表明,与控制良好的糖尿病患者和非糖尿病患者相比,控制不佳的糖尿病患者的唾液流速更低。与 45 岁以下的男性糖尿病患者相比,45 岁以上的女性糖尿病患者的唾液流速更低。
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引用次数: 0
Efficacy of Intra-Pocket Application of Two Antimicrobial Agents as an Adjunct to Mechanotherapy of Chronic Periodontitis (a Comparative Study) 袋内应用两种抗菌剂作为慢性牙周炎机械疗法辅助手段的疗效(一项比较研究)
Pub Date : 2024-01-20 DOI: 10.25130/tjds.2013.1.12
Raed A. Badiea
Numerous studies have been performed to evaluate the effectiveness of the use of locally delivered antimicrobials as an adjunct to mechanotherapy in treatment of chronic periodontitis. Some studies were resulted in improved clinical outcomes and others were not. The aim of this study is evaluation of the efficacy and safety of subgingival application of a (10 mg metronidazole gel), (1% chlorhexidine collagen gel) and (CHLOSITE® GHIMAS, Italy) gel which is a combination of two chlorhexidine formulations: 0.5% chlorhexidine digluconate and 1.0% chlorhexidine dihydrochloride), as an adjunct to mechanical treatment (scaling and root planing) (SRP) of chronic periodontitis. A total of 120 sites from 15 patients with age range of (24-55 years), who had periodontal pockets measuring 5-9 mm and had been diagnosed as chronic periodontitis cases, were selected for the study. The 4-quadrant split-mouth design was used in this study. The pocket sites in each patient were randomly assigned to 4 groups (30 sites for each):(Group A) GA=(SRP) only.(Group B) GB=(SRP) + 10 mg metronidazole gel.(Group C) GC=(SRP) + 1% chlorhexidine collagen gel. (Group D) GD=(SRP) + CHLOSITE®Clinical parameters including (plaque index PI), (gingival index GI), (gingival bleeding index) GBI, (probing pocket depth PPD) & (clinical attachment level CAL) were measured and recorded at baseline before any treatment at (day 0) then the treatment was performed at the same day, The clinical parameters were also recorded at (day 30) & (day 90), in the selected sites of the four groups. The results of this study obviously showed a statistically significant reduction of all clinical parameters in all groups at (day 30 & day 90) from the base line (day 0). GD=(SRP) + CHLOSITE® revealed a reduction of the clinical parameters than groups (A, B and C) and the differences were highly statistically significant.
已有大量研究评估了使用局部给药抗菌剂作为机械疗法的辅助手段治疗慢性牙周炎的效果。一些研究结果显示临床疗效有所改善,而另一些研究结果则不然。本研究旨在评估龈下应用(10 毫克甲硝唑凝胶)、(1% 洗必泰胶原凝胶)和(CHLOSITE® GHIMAS,意大利)凝胶的有效性和安全性:0.5%二葡萄糖酸氯己定和 1.0%二盐酸氯己定),作为慢性牙周炎机械治疗(洗牙和根面平整)(SRP)的辅助疗法。研究共选取了 15 名患者的 120 个部位,这些患者的年龄在 24-55 岁之间,牙周袋大小为 5-9 毫米,被诊断为慢性牙周炎病例。本研究采用四象限分口设计。每位患者的牙周袋部位被随机分配到 4 组(每组 30 个部位):(A 组)GA=(SRP);(B 组)GB=(SRP)+ 10 毫克甲硝唑凝胶;(C 组)GC=(SRP)+ 1%洗必泰胶原凝胶;(D 组)GD=(SRP)+ 10 毫克甲硝唑凝胶。(临床参数包括(牙菌斑指数 PI)、(牙龈指数 GI)、(牙龈出血指数 GBI)、(探针探入袋深度 PPD)和(临床附着水平 CAL),并在治疗前(第 0 天)进行基线测量和记录,然后在同一天进行治疗。研究结果表明,与基线(第 0 天)相比,所有组别在(第 30 天和第 90 天)的所有临床参数都有明显的统计学下降。与 A、B 和 C 组相比,GD=(SRP)+ CHLOSITE® 组的临床参数有所降低,且差异具有高度统计学意义。
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引用次数: 1
期刊
Tikrit Journal for Dental Sciences
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