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Catch them early and treat them Young: Early Orthodontic treatment in developing Class II cases, a review and case report 早发现早治疗发展中的 II 类病例的早期正畸治疗,回顾与病例报告
Pub Date : 2024-04-15 DOI: 10.18231/j.ijohd.2024.010
A. Nakib, Bibek Kr. Mandal
Developing Class II malocclusion is relatively a common presentation in the mixed dentition stage. Early interception and treatment at an appropriate age can avoid a host of problems that may complicate future orthodontic treatment. This article highlights a case report and gives an insight regarding the topic.
在混合牙列阶段,出现二类错合畸形是一种比较常见的表现。在适当的年龄进行早期干预和治疗,可以避免可能会使未来正畸治疗复杂化的一系列问题。本文重点介绍一个病例报告,并就这一主题发表见解。
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引用次数: 0
Internally weighted mandibular denture: Addressing severe resorption for enhanced stability and comfort: A case report 下颌内加权义齿:解决严重吸收问题,提高稳定性和舒适度:病例报告
Pub Date : 2024-04-15 DOI: 10.18231/j.ijohd.2024.007
Varun Kumar, Kedar Deole
The prosthetic rehabilitation resorbed mandibular ridges presents a clinical dilemma when opting not to proceed with endosteal implants. Over time, mandibular complete dentures supplemented with extra weight have demonstrated efficacy in meeting the requirements of patients with significantly resorbed ridges. The weight of such dentures, crafted from cast metal, has conventionally been calculated by taking into account the weight of the wax and the density of the alloy. This clinical report outlines the case of a 68-year-old woman with a significantly resorbed mandibular ridge, emphasizing the application of a weighted mandibular complete denture.
当选择不进行骨内种植时,下颌嵴吸收的修复就成了一个临床难题。随着时间的推移,在下颌全口义齿中添加额外的重量已证明能有效满足脊柱严重吸收患者的要求。这种由金属铸造而成的假牙的重量传统上是通过考虑蜡的重量和合金的密度来计算的。本临床报告概述了一名下颌嵴严重吸收的 68 岁女性的病例,强调了下颌全口义齿的重量计算方法。
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引用次数: 0
A case report on the rehabilitation anterior teeth using custom made post and pre fabricated fiber post and core 使用定制牙柱和预制纤维牙柱及牙髓修复前牙的病例报告
Pub Date : 2024-04-15 DOI: 10.18231/j.ijohd.2024.011
Faujia Tarannum, Ispita Roy, Shjanolima Hazarika, Asra Ahmed, Ankita Tiwari
Posts are recommended to fortify weak, endodontically treated teeth against intra-oral forces by channeling torquing forces through the radicular dentin to supportive tissue along the roots. The subsequent case studies demonstrate an interdisciplinary approach that employed custom cast posts and complete veneer crowns to repair severely damaged treated teeth, restoring both their appearance and functionality. Coordinating prosthetic and endodontic treatments, while carefully considering the patient's expectations and requirements, played a pivotal role in achieving positive outcomes and ensuring patient satisfaction. Traditionally, the cast metal post and core system has been widely used as the foundational restoration for a prosthetic crown, benefiting from a natural extension of the post within the core. The post's function is to bolster the core restoration, which rebuilds the compromised coronal structure. This article explores the utilization of cast post and core systems alongside porcelain-fused-to-metal restorations for addressing injured maxillary central incisors.
建议使用桩来加固经过牙髓治疗的薄弱牙齿,使其免受口内力的影响,将扭力通过根管牙本质传导到牙根的支持组织。随后的病例研究展示了一种跨学科的方法,该方法采用定制的铸造柱和完整的贴面牙冠来修复严重受损的牙齿,从而恢复牙齿的外观和功能。协调修复和牙髓治疗,同时仔细考虑患者的期望和要求,在取得积极成果和确保患者满意度方面发挥了关键作用。传统上,铸造金属桩核系统被广泛用作修复牙冠的基础修复体,受益于桩核内的自然延伸。柱的作用是支撑核心修复体,重建受损的冠状结构。本文将探讨如何利用铸造柱和桩核系统以及金属烤瓷修复体来修复受伤的上颌中切牙。
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引用次数: 0
Impact of clear aligners on plaque and periodontal health 透明矫治器对牙菌斑和牙周健康的影响
Pub Date : 2024-04-15 DOI: 10.18231/j.ijohd.2024.002
Pramod Kumar Yadav, Sanjeev Kumar Verma, Deepika Rajendra Singh Bais, Shriya Singh
In recent years, clear aligners have become a well-liked substitute for traditional braces in orthodontic treatment. Examining the effects of clear aligners on periodontal health and plaque accumulation is the goal of this review. To examine pertinent studies that have been published up to this point, a comprehensive evaluation of the literature was carried out. The review includes research on the microbial alterations in tooth plaque composition that occur during clear aligner therapy and the subsequent impact on periodontal tissues. Clear aligners and traditional braces are also compared with respect to how they affect gingival health, periodontal disease prevalence, and oral hygiene practices.In terms of plaque control, the results imply that transparent aligners offer special benefits and challenges. An important factor influencing the microbiological environment in the oral cavity is patient compliance, the type of aligner used, and the subtleties of its design. Moreover, the effect of orthodontic therapies on periodontal health is explored, providing insight into possible associations between the use of clear aligners and periodontal results. By underlining the necessity of individualized oral hygiene management strategies during clear aligner therapy, this review offers orthodontic practitioners’ insightful information. It highlights the need of maintaining periodontal health throughout orthodontic treatment and stresses the necessity of a multidisciplinary approach to optimize patient outcomes. In summary, this comprehensive review provides an overview of the most recent findings regarding the impact of clear aligners on plaque and periodontal health. By teaching clinicians, researchers, and patients about the subtleties of oral hygiene care during orthodontic treatment, the findings are meant to direct the development of effective strategies for maintaining good periodontal health in patients getting clear aligner therapy.
近年来,透明矫治器已成为正畸治疗中传统矫治器的理想替代品。本综述的目的是研究透明矫治器对牙周健康和牙菌斑累积的影响。为了研究迄今为止已发表的相关研究,我们对文献进行了全面评估。综述包括关于透明矫治器治疗过程中牙菌斑成分发生的微生物变化以及随后对牙周组织的影响的研究。此外,还比较了透明矫治器和传统矫治器对牙龈健康、牙周病发病率和口腔卫生习惯的影响。影响口腔微生物环境的一个重要因素是患者的依从性、所使用的矫治器类型及其设计的微妙之处。此外,还探讨了正畸疗法对牙周健康的影响,从而深入了解透明矫治器的使用与牙周效果之间可能存在的关联。通过强调透明矫治器治疗期间个性化口腔卫生管理策略的必要性,这篇综述为正畸医师提供了具有洞察力的信息。它强调了在整个正畸治疗过程中保持牙周健康的必要性,并强调了采用多学科方法优化患者疗效的必要性。总之,本综述概述了有关透明矫治器对牙菌斑和牙周健康影响的最新研究结果。通过向临床医生、研究人员和患者传授正畸治疗期间口腔卫生护理的微妙之处,这些发现旨在指导制定有效的策略,以保持透明矫治器治疗患者良好的牙周健康。
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引用次数: 0
Non - extraction treatment of class ii division 2 malocclusion with forsus fatigue-resistant device – 2 case report 使用 Forsus 抗疲劳装置对 II 类 2 分区错牙合畸形进行非拔牙治疗 - 2 例报告
Pub Date : 2024-04-15 DOI: 10.18231/j.ijohd.2024.009
Vaishanavi Mahajan, I. Aggarwal, Sanjay Mittal, Merry Goyal, Abida Parveen
Class II malocclusion is one of the most frequent problems encountered in orthodontic. The most common characteristic of Class II malocclusion is mandibular retrognathia rather than maxillary protrusion according to McNamara. Non-growing patients with Class II mandibular retrusion are mostly treated with fixed functional appliances. This article represents two case reports of Class II division 2 malocclusion cases treated with Forsus Fatigue Resistant Appliance after initial levelling and alignment. Forsus Fatigue Resistant appliance in particular when used in conjunction with full bonded fixed appliance facilitate the correction of Class II Div 2 malocclusion by skeletal and dental changes.
II 类错牙合畸形是正畸中最常见的问题之一。麦克纳马拉认为,II类错牙合畸形最常见的特征是下颌后缩,而不是上颌前突。下颌后缩II类的非生长期患者大多采用固定功能矫治器进行治疗。本文报告了两例 II 类 2 级错颌畸形病例,在经过初步矫治和对齐后,使用 Forsus 抗疲劳矫治器进行了治疗。Forsus 抗疲劳矫治器与全粘结固定矫治器一起使用时,尤其有助于通过骨骼和牙齿的改变来矫正 II 类 2 分区错颌畸形。
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引用次数: 0
Comparative evaluation of antimicrobial efficacy of triphala, assa-foetida and 0.2% chlorhexidine mouth rinses on salivary streptococcus mutans 三苯氧胺、阿萨-佛手达和 0.2% 洗必泰漱口水对唾液变异链球菌抗菌功效的比较评估
Pub Date : 2024-04-15 DOI: 10.18231/j.ijohd.2024.004
Ajay Rao H.T, Raena Simon, S. Sargod, R. Suvarna, A. Shabbir
Oral diseases, such as dental caries and periodontal diseases are major worldwide oral health problems. Poor oral health has a profound effect on general health and quality of life. Dental caries is still a major health problem in most industrialized countries, school-aged children and the vast majority of adults. Streptococcus mutans is considered as one of the most important cariogenic species of the human oral microbial flora. Studies have proved the association between S. mutans and dental caries. Traditional Indian system of medicine “Ayurveda” includes several important medicinal herbs, which are used since ancient days. Triphala, which has a wide range of systemic benefits, is one among them. Studies have shown that Triphala has good antimicrobial effects against S. mutans. Ferula assa-foetida (F.assa-foetida), is a large herbaceous perennial plant from the Apiaceae family. The properties of Assa-foetida according to Traditional Persian Medicine resources suggest it is very effective for relieving toothache. Different parts of F. assa-foetida have a wide variety of medicinal applications including antifungal, anti-diabetic, anti-inflammatory, anti-mutagenic and anti-microbial effects. To compare and evaluate the antimicrobial efficacy of Triphala, Assa-foetida and 0.2% Chlorhexidine mouth rinses on the salivary Streptococcus mutans level. Saliva samples were collected from children of age group of 5-11 years with a DMFT/def score ≥4 and with minimum of four active caries. Triphala and Asafoetida mouth rinses were prepared indigenously. Samples were plated on the culture media and then smeared on MHA media for assessing the antimicrobial efficacy against Chlorhexidine. The zone of inhibition was measured which showed the resistance against S.mutans. Results were statistically analyzed using one way ANOVA. Significant resistance was noted with asafoetida mouth rinse by measuring the zone of inhibition. Considering the results, Triphala and asafoetida mouth rinses serve as effective herbal mouth rinses for reducing the salivary Streptococcus mutans load and can be considered as an alternative to chemical mouthwash, like Chlorhexidine.
龋齿和牙周病等口腔疾病是全球主要的口腔健康问题。口腔健康状况不佳会对总体健康和生活质量产生深远影响。龋齿仍然是大多数工业化国家、学龄儿童和绝大多数成年人的主要健康问题。变异链球菌被认为是人类口腔微生物菌群中最重要的致龋菌之一。研究证明,变异链球菌与龋齿之间存在关联。印度传统医学 "阿育吠陀 "体系包括几种自古以来就被使用的重要药草。Triphala 就是其中之一,它对全身具有广泛的益处。研究表明,Triphala 具有很好的抗菌效果,能有效抑制 S. mutans。阿苏阿魏(Ferula assa-foetida)是繖形花科多年生大型草本植物。根据传统波斯医学资料,阿萨-佛手草(Assa-foetida)的特性对缓解牙痛非常有效。Assa-foetida的不同部分具有广泛的药用价值,包括抗真菌、抗糖尿病、抗炎、抗突变和抗微生物作用。比较和评估 Triphala、Assa-foetida 和 0.2% 洗必泰漱口水对唾液中变异链球菌水平的抗菌效果。采集对象为 DMFT/def 评分≥4 分且至少有四颗活动性龋齿的 5-11 岁年龄组儿童的唾液样本。本土制备了三叶草和阿育吠陀漱口水。将样本培养在培养基上,然后涂抹在 MHA 培养基上,以评估其对洗必泰的抗菌效果。抑制区的测量结果显示了对 S.mutans 的抗药性。结果采用单向方差分析进行统计分析。通过测量抑制区,发现阿沙弗他漱口水具有明显的抗药性。考虑到这些结果,Triphala 和 Asafoetida 漱口水可作为有效的中草药漱口水来减少唾液中的变异链球菌数量,并可作为洗必泰等化学漱口水的替代品。
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引用次数: 0
A rare case of impacted mandibular distomolar: Identification and management at a remote high altitude location 一例罕见的下颌远臼齿撞击病例:偏远高海拔地区的识别和管理
Pub Date : 2024-04-15 DOI: 10.18231/j.ijohd.2024.008
Paras Angrish, Prachi Garhia, H. R. Ramamurthy, Nishant Sinha
Planning the surgical extraction of an impacted supernumerary tooth poses a very peculiar problem for a dental professional. The management of this unique clinical situation is quite challenging and requires meticulous preparation, especially in a remote high altitude regions. Supernumerary teeth are those which are present in excess of the normal permanent or deciduous dentition in the oral cavity. A distomolar, also commonly known as the fourth molar, is a supernumerary tooth located distal to the third molars. The occurrence of supernumerary teeth is much more frequently observed in the maxillary arch as compared to the mandible. While the distomolar is quite infrequently observed, its occurrence in the mandible is even rarer. In this article, we present an overview of distomolars along with a case report on the management of a symptomatic mandibular distomolar at a remote setup in Tangtse region of the Union Territory of Ladakh.
对于牙科专业人员来说,计划对一颗受影响的超常牙齿进行手术拔除是一个非常特殊的问题。处理这种特殊的临床情况相当具有挑战性,需要精心准备,尤其是在偏远的高海拔地区。超常牙是指口腔中超过正常恒牙或乳牙的牙齿。上臼齿,通常也被称为第四臼齿,是位于第三臼齿远端的一种超常牙齿。与下颌相比,上颌牙弓更常出现超常牙。上磨牙很少见,而下颌的上磨牙则更为罕见。在这篇文章中,我们概述了远磨牙的情况,并就拉达克中央直辖区唐采地区一个偏远地区的症状性下颌远磨牙的治疗进行了病例报告。
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引用次数: 0
Recent progress in alleviating orthodontic discomfort: Mechanism and management-the state of evidence 缓解正畸不适的最新进展:机制和管理--证据现状
Pub Date : 2024-04-15 DOI: 10.18231/j.ijohd.2024.001
Aamir Javed, Syed Aasif Hussain, Ashim Roy, Ajinkya Prataprao Kale, Suraj Jadhao, Ashvin Pathak, Krushna Ramdas Patil
Orthodontic treatment has demonstrated efficacy in enhancing dental health and rectifying tooth misalignments. Nevertheless, patients experience substantial discomfort and distress. Advancements in orthodontic technology and treatment procedures have led to a decrease in orthodontic discomfort. Orthodontic discomfort refers to the inflammation that occurs due to the obstruction of blood vessels by orthodontic force. This leads to inflammatory responses, which encompass alterations in blood vessels, recruitment of inflammatory and immune cells, and heightened sensitivity of nerves along with the release of chemicals that promote inflammation. The body's inherent analgesic systems ultimately regulate the inflammatory response, thereby diminishing pain. Orthodontic pain signals are transmitted by three-order neurons, beginning with the trigeminal neuron located in the trigeminal ganglia. The signals subsequently arrive at the trigeminal nucleus caudalis located in the medulla oblongata, as well as the ventroposterior nucleus in the thalamus, where the sensation of pain is perceived. The processing of orthodontic pain involves the interplay of emotion, cognition, and memory in many parts of the brain. The structures encompassed in this list are the insular cortex, amygdala, hippocampus, locus coeruleus, and hypothalamus. The inherent analgesic neuronal pathway of the periaqueductal gray and dorsal raphe regions alleviates orthodontic discomfort. Various techniques are employed to manage orthodontic discomfort. These therapies encompass pharmacological, mechanical, behavioral, and low-level laser treatments. Nonsteroidal anti-inflammatory medicines (NSAIDs) alleviate pain, but their impact on tooth movement remains uncertain. Additional research is required to establish the effectiveness of alternative modalities. Gene therapy provides a new, practical, and hopeful approach to treating orthodontic pain. This article explores new advancements and techniques that have enhanced the level of comfort experienced by orthodontic patients.
正畸治疗在增进牙齿健康和矫正牙齿错位方面已被证明具有疗效。然而,患者仍会感到非常不适和痛苦。正畸技术和治疗程序的进步已经减少了正畸不适感。正畸不适是指由于正畸力阻塞血管而引起的炎症。这会导致炎症反应,其中包括血管的改变、炎症和免疫细胞的募集、神经敏感性的提高以及促进炎症的化学物质的释放。人体固有的镇痛系统最终会调节炎症反应,从而减轻疼痛。正畸疼痛信号由三阶神经元传递,首先是位于三叉神经节的三叉神经元。信号随后到达位于延髓的三叉神经尾核,以及丘脑的腹后核,在那里疼痛的感觉被感知。正畸疼痛的处理涉及大脑许多部位的情感、认知和记忆的相互作用。这些结构包括岛叶皮层、杏仁核、海马体、室管膜和下丘脑。脊髓周围灰质和背侧剑突区域固有的镇痛神经元通路可减轻正畸带来的不适。目前采用了多种技术来控制正畸不适。这些疗法包括药物、机械、行为和低强度激光治疗。非甾体抗炎药(NSAIDs)可以减轻疼痛,但其对牙齿移动的影响仍不确定。要确定替代方法的有效性,还需要进行更多的研究。基因疗法为治疗正畸疼痛提供了一种新的、实用且充满希望的方法。本文探讨了提高正畸患者舒适度的新进展和新技术。
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引用次数: 0
Appliance therapy for temporo-mandibular disorder- A case report 颞下颌关节紊乱的矫治器治疗--病例报告
Pub Date : 2024-04-15 DOI: 10.18231/j.ijohd.2024.012
Md. Rabiul Islam, Partha Pratim Das, Gautam Naskar
Disorder of the or facial complex that affects a vast majority of the people now-a days, almost about 1/3rd of the population is “Temper mandibular Disorders” also commonly referred to as TMDs. These are essential disorders of masticatory structures whose onset is associated with the motion and movement of the mandible in relation to the temper mandibular complex and has wide similarities with musculoskeletal disorders of other parts of the human body. Clinical presentation a young college going student presented with pain in the right temper mandibular joint region following trauma.(?) Treatment anterior positioning appliance was used for the treatment. Conclusion after proper case selection and treatment planning following relevant physical examination and other diagnostic procedures Anterior Positioning Appliance can be used as a non-pharmacological method of pain management and treatment of the described condition.
如今,影响绝大多数人(约占总人口的 1/3)的面部综合症是 "下颌骨节律紊乱",通常也称为 TMD。这些都是咀嚼结构的基本疾病,其发病与下颌骨的运动和下颌脾气复合体的运动有关,与人体其他部位的肌肉骨骼疾病有广泛的相似之处。临床表现:一名年轻的大学生因外伤导致右侧下颌关节疼痛而就诊。 治疗中使用了前牙定位矫治器。结论 在进行了相关的体格检查和其他诊断程序后,经过适当的病例选择和治疗规划,前定位矫治器可作为一种非药物疼痛控制和治疗方法用于所述病症。
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引用次数: 0
Psychosomatic disorders and their importance in dentistry 心身疾病及其在牙科中的重要性
Pub Date : 2024-01-15 DOI: 10.18231/j.ijohd.2023.046
H. Aeran, Monika Singh, Soundarya Singh, Jyotsna Seth
Psychosomatic disorders are disturbances of visceral function, secondary to chronic attitude and long continued reaction to stress. Psychosomatic dentistry helps to acknowledge the relationshipThis paper deals with a wide spectrum of psychosomatic disorders which may affect oro-facial region, where, unfortunately they remain unrecognized because of common and limiting nature of their presenting features. Therefore, these disorders allow patients to occupy a sick role while psychologically unwell, to avoid responsibility for life by occupying position of suffering victim.
心身疾病是内脏功能紊乱,继发于慢性态度和长期持续的压力反应。本文论述了可能影响口面部区域的各种心身疾病,不幸的是,这些疾病由于其表现特征的常见性和局限性而一直未被认识。因此,这些疾病让患者在心理不健康的情况下扮演病人的角色,通过扮演痛苦的受害者来逃避对生活的责任。
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引用次数: 0
期刊
International Journal of Oral Health Dentistry
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