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Efficacy of subgingival ozone irrigation as an adjunct to non-surgical periodontal therapy in management of chronic periodontitis 龈下臭氧灌洗作为非手术牙周治疗的辅助手段在治疗慢性牙周炎中的疗效
Pub Date : 2024-01-15 DOI: 10.18231/j.ijohd.2023.052
Sneha Sharan, H. Aeran, A. Tuli
: Aim of the study was to determine the adjunctive role of subgingival irrigating solutions i.e., ozonated water, 0.2% chlorhexidine and 5% Povidine Iodine in Phase-I periodontal treatment and to compare the efficacy of subgingival irrigating medicament being used in studyRandomized controlled clinical trial was performed on 45 patients that were divided into three groups, the ozone group (Group A), chlorhexidine group (Group B) and povidone iodine group (Group C). Patients underwent scaling and root planing (SRP) in a single visit followed by irrigation with ozone water, chlorhexidine and povidone iodine in. The clinical parameters of Gingival Index (GI), Plaque Index (PI), probing pocket depth (PPD), Clinical Attachment Level (CAL) and modified sulcular bleeding index were measured at baseline, at 1 month and at the end of 3 months.All clinical parameters like plaque index, gingival index, probing pocket depth, clinical attachment level and modified sulcus bleeding index at baseline, 1 month and after 3 months. Ozone group was found to be superior than chlorhexidine followed by Povidone Iodine in terms of reduction of Plaque Index. However, intergroup comparison for other parameters did showed difference but it was not statistically significant.: It can be concluded that use of ozone can serve as beneficial irrigating solution to treat chronic periodontitis for home care and professional practice. More studies with a larger sample size may be used to evaluate the potential of these irrigating agents.
:该研究旨在确定龈下冲洗溶液(即臭氧水、0.2% 洗必泰和 5%聚维酮碘)在一期牙周治疗中的辅助作用,并比较研究中使用的龈下冲洗药物的疗效。患者在一次就诊中接受洗牙和根面平整(SRP),然后用臭氧水、洗必泰和聚维酮碘进行冲洗。在基线、1 个月和 3 个月后分别测量了牙龈指数(GI)、牙菌斑指数(PI)、探诊袋深度(PPD)、临床附着水平(CAL)和改良龈沟出血指数等临床参数。在降低牙菌斑指数方面,臭氧组优于洗必泰,其次是聚维酮碘。不过,其他参数的组间比较也显示出差异,但没有统计学意义:可以得出结论,使用臭氧可以作为治疗慢性牙周炎的有益冲洗液,用于家庭护理和专业实践。可以使用样本量更大的更多研究来评估这些冲洗剂的潜力。
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引用次数: 0
The distribution of malocclusion using the index of orthodontic treatment needs at a university dental hospital in and around Pretoria, South Africa 在南非比勒陀利亚及其周边地区的一所大学牙科医院,使用正畸治疗需求指数分析错牙合畸形的分布情况
Pub Date : 2024-01-15 DOI: 10.18231/j.ijohd.2023.049
Phumzile Hlongwa, Tshepiso D Ntseke, T. Madiba, Millicent Motsepe, Mpule AL Moshaoa
: The study described the patterns of malocclusion traits and the orthodontic treatment needs at a Dental Hospital using the Index of Orthodontic Treatment Needs (IOTN), Dental Health Component (DHC). We evaluated 2079 pre-treatment study models and clinical records of orthodontic patients from the Department of Orthodontics waiting list. The assessment of malocclusion was measured according to the molar relationship using Angle's classification.The DHC was further used to assess the five malocclusion traits: - missing teeth, overjet, crossbite, displacement of contact point, and overbite, including open bite (MOCDO). The MOCDO score was calculated to determine the orthodontic treatment needed based on the DHC grades 1–5. The data was analysed using SPSS version 28 and the level of significance was set at p≤ 0.05.: The sample consisted of 59.3% (n=1232) females and 40.7% (n= 847) males. The mean age of the study sample was 14 years (SD±2.3) and ranged between 12 to 20 years. Angle's Class I malocclusion was found in 57.7% of the sample, followed by Class II (35.4%) and Class III (6.9%). The orthodontic treatment needs DHC grade were: 53% grade 4 (need for orthodontic treatment), 21% grade 5 (great need for orthodontic treatment), 17% grade 3 (borderline need for orthodontic treatment), 6% grade 2 (little need for orthodontic treatment), and 3% grade 1 (no orthodontic treatment need). A statistically significant difference was found in Angle Class I malocclusion and the DHC grades (p=0.001), as well as MOCDO variables and DHC grades (p=0.001).Angle's Class I malocclusion was the most predominant in our study sample compared to Class II and Class III malocclusions. The DHC of IOTN was successfully used to evaluate the severity of malocclusion with the majority of the sample in Grades 4 and 5, requiring mandatory orthodontic treatment. A high frequency of the occlusal traits included missing teeth, overjet, crossbite, displaced contacts and overbite. The results of our study showed that most patients on the orthodontic waiting list require mandatory orthodontic treatment. Therefore, it is recommended that DHC be used to place patients on the waiting list to prioritise orthodontic treatment.
:该研究使用正畸治疗需求指数(IOTN)和牙齿健康指数(DHC)描述了一家牙科医院的错颌畸形特征模式和正畸治疗需求。我们对正畸科候诊名单上的 2079 名正畸患者的治疗前研究模型和临床记录进行了评估。DHC 进一步用于评估五种错颌畸形特征:缺失牙、过咬合、交叉咬合、接触点移位和过咬合,包括开放咬合(MOCDO)。计算 MOCDO 分数的目的是根据 DHC 1-5 级确定所需的正畸治疗。数据使用 SPSS 28 版进行分析,显著性水平设定为 p≤ 0.05:样本中女性占 59.3%(n=1232),男性占 40.7%(n=847)。研究样本的平均年龄为 14 岁(SD±2.3),介于 12 至 20 岁之间。57.7%的样本属于安氏Ⅰ类错颌畸形,其次是Ⅱ类(35.4%)和Ⅲ类(6.9%)。正畸治疗需求的 DHC 等级为53%为 4 级(需要正畸治疗),21%为 5 级(非常需要正畸治疗),17%为 3 级(边缘需要正畸治疗),6%为 2 级(几乎不需要正畸治疗),3%为 1 级(不需要正畸治疗)。在我们的研究样本中,与Ⅱ类和Ⅲ类错颌畸形相比,Ⅰ类错颌畸形是最主要的错颌畸形。IOTN的DHC被成功地用于评估错颌畸形的严重程度,大多数样本都属于4级和5级,需要进行强制性正畸治疗。高频率的咬合特征包括缺失牙、过咬合、交叉咬合、移位接触和过咬合。我们的研究结果表明,正畸候诊名单上的大多数患者都需要强制正畸治疗。因此,建议使用 DHC 将患者列入候诊名单,以便优先进行正畸治疗。
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引用次数: 0
Relationship of complete unilateral and bilateral cleft palate with malposition and malformation of maxillary lateral incisors 单侧和双侧完全性腭裂与上颌侧切牙错位和畸形的关系
Pub Date : 2024-01-15 DOI: 10.18231/j.ijohd.2023.048
Rizqa Septianoly Pratiwi, W. Soewondo, Eka Chemiawan, Belly Sam, E. Riyanti, A. Setiawan
Cleft palate is a facial deformity that allows primary and permanent teeth to be affected by anomalies such as malpositions and malformations. The lateral incisors are the most commonly affected in patients with cleft palate. The diagnosis of malposition and dental malformation is established through history taking, clinical examination, and diagnostic evaluation in the form of study models, clinical photos, and panoramic radiographs. The aim of this study was to analyze the relationship between complete unilateral and bilateral cleft palate and maxillary lateral incisor malposition and malformation. The research method is analytic cross-sectional, with the research sample consisting of 35 primary data from clinical examinations and secondary data from panoramic radiographs of pediatric patients 5-13 years old at YPPCBL RSGM Padjadjaran University, Bandung. This study looked at the clinical condition of dental anomalies and the interpretation of panoramic radiographs. Data were analyzed using Kendall Concordal analysis and Spearman rank correlation. The results showed that the impaction is the most common type of maxillary lateral incisor malposition found in complete unilateral and bilateral cleft palate. Peg shape is the most common type of maxillary lateral incisor malformation found in complete unilateral cleft palate. The highest rate of maxillary lateral incisor agenesis was found in bilateral complete cleft palate compared to complete unilateral clefts. There is a relationship between complete unilateral and bilateral cleft palate, which was statistically significant at 78% with p-value = 5.69E-32 <0.05. The conclusion of the study is there is a relationship between the unilateral cleft palate; and bilateral complete with malposition and malformation of maxillary lateral incisors.
腭裂是一种面部畸形,会使基牙和恒牙受到位置不正和畸形等异常情况的影响。腭裂患者最常受影响的是侧切牙。错位和牙齿畸形的诊断是通过病史采集、临床检查和以研究模型、临床照片和全景X光片为形式的诊断评估来确定的。本研究旨在分析单侧和双侧完全性腭裂与上颌侧切牙错位和畸形之间的关系。研究方法为横断面分析法,研究样本包括万隆YPPCBL RSGM Padjadjaran大学的35名5-13岁儿科患者的临床检查原始数据和全景X光片辅助数据。这项研究关注牙齿畸形的临床状况和全景X光片的解读。数据采用肯德尔协和分析法和斯皮尔曼等级相关法进行分析。结果显示,在完全性单侧和双侧腭裂中,最常见的上颌侧切牙错位类型是嵌合。在完全性单侧腭裂中,上颌侧切牙畸形最常见的类型是 "杵状"。与完全性单侧腭裂相比,双侧完全性腭裂的上颌侧切牙缺失率最高。单侧完全性腭裂与双侧完全性腭裂之间存在一定的关系,统计学意义为 78%,P 值 = 5.69E-32 <0.05。该研究的结论是,单侧腭裂与双侧完全性腭裂之间存在着上颌侧切牙位置不正和畸形的关系。
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引用次数: 0
Harmony in attachment: A case report of tooth-supported overdenture using locator attachment 附着体的和谐:使用定位附着体的牙齿支撑覆盖义齿病例报告
Pub Date : 2024-01-15 DOI: 10.18231/j.ijohd.2023.059
Varun Kumar, Lara Jain, Kedar Deole
The over-denture is a frequently employed treatment for elderly patients who have two or more remaining teeth in the arch. The presence of these remaining teeth contributes to the preservation of the alveolar ridge, provides sensory feedback, and enhances the stability and retention of the denture. This is in contrast to conventional complete dentures, where stability and retention are typically improved by utilizing coping or attachments over the remaining portions of the teeth. The incorporation of these remaining teeth significantly enhances the overall stability and retention of the denture. This case report presents prosthetic rehabilitation of a partially dentulous mandibular arch with a tooth supported overdenture with extra coronal attachments aimed to attain normal structure and functionality.
对于牙弓上有两颗或更多余留牙的老年患者来说,过度义齿是一种常用的治疗方法。这些剩余牙齿的存在有助于保护牙槽嵴,提供感觉反馈,并增强义齿的稳定性和固位。这与传统的全口义齿形成鲜明对比,传统的全口义齿通常通过在剩余的牙齿部分使用覆盖物或附件来提高稳定性和固位力。这些剩余牙齿的加入大大增强了义齿的整体稳定性和固位力。本病例报告介绍了使用带额外冠状附着体的牙齿支撑覆盖义齿对部分缺牙的下颌牙弓进行修复,以达到正常的结构和功能。
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引用次数: 0
Assessment of oral health awareness and hygiene practice in hemophilic patients in Indore: A cross-sectional study 评估印多尔血友病患者的口腔健康意识和卫生习惯:横断面研究
Pub Date : 2024-01-15 DOI: 10.18231/j.ijohd.2023.053
Satish Saroshe, Rupali Saroshe, M. Ratre, Shaleen Khetarpal, Manish Verma, Ram Ratre
: Haemophilia is a genetic X linked recessive bleeding disorder characterized by a deficiency or absence of certain clotting factors in the blood, primarily factors VIII (haemophilia A) or factor IX (haemophilia B). Dental caries and periodontal diseases are two main oral diseases affecting majority of population, but their effects are enhanced in hemophiliacs and medically compromised patients. There is a lack of epidemiological studies regarding oral health and oral hygiene of hemophilic patient especially in central India. This study therefore, aimed to evaluate the oral hygiene awareness and hygiene practices of patients with hemophilia in Indore district. This cross-sectional study was conducted on 30 hemophilic patients who were selected via snow ball sampling technique. The patients who were ready to participate voluntarily in the study were included. A study questionnaire in Hindi and English was given to the patients to obtain their knowledge about oral hygiene and dental health awareness.: Thirty hemophilic patients participated in the study with a mean age of 20 ±15 years. All the participants were male. Although hemophilic patients were conscious of oral hygiene, the study found most of them had poor dental practices. The majority of participants (56.67%) reported of using soft-bristled brushes. Only 56.67% of the participants reported cleaning their mouths after meals and having seen gum bleeding. The majority of hemophilia patients (46.15%) reported using Factor VIII, while some also used Tranexamic acid (15.39%).: Oral hygiene is crucial for everyone, but it holds particular importance for individuals with hemophilia. Good oral hygiene reduces the need for invasive dental treatments, minimizing potential complications.
:血友病是一种遗传性 X 连锁隐性出血性疾病,其特征是血液中缺乏或缺少某些凝血因子,主要是第八因子(血友病 A)或第九因子(血友病 B)。龋齿和牙周病是影响大多数人的两种主要口腔疾病,但它们对血友病患者和病情危重的病人的影响更大。有关血友病患者口腔健康和口腔卫生的流行病学研究非常缺乏,尤其是在印度中部地区。因此,本研究旨在评估印多尔地区血友病患者的口腔卫生意识和卫生习惯。这项横断面研究通过雪球抽样技术选取了 30 名血友病患者。自愿参与研究的患者被纳入研究范围。研究人员向患者发放了印地语和英语调查问卷,以了解他们对口腔卫生和牙齿健康意识的认识:30 名血友病患者参与了研究,平均年龄为 20 ± 15 岁。所有参与者均为男性。虽然血友病患者有口腔卫生意识,但研究发现他们中的大多数人牙科习惯不良。大多数参与者(56.67%)表示使用软毛刷子。只有 56.67% 的参与者表示在饭后清洁过口腔,并见过牙龈出血。大多数血友病患者(46.15%)表示使用因子 VIII,有些患者还使用氨甲环酸(15.39%):口腔卫生对每个人都至关重要,但对血友病患者尤为重要。良好的口腔卫生可减少对侵入性牙科治疗的需求,将潜在的并发症降至最低。
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引用次数: 0
Orthodontic wires: newer approach for impression making and neutral zone in severely resorbed mandibular ridge: A case report 正畸钢丝:在严重吸收的下颌嵴上制作印模和中性区的新方法:病例报告
Pub Date : 2024-01-15 DOI: 10.18231/j.ijohd.2023.055
Nishma Ade, S. Khalikar, K. Mahale, Vilas L Rajguru, Sonali Mahajan, Ulhas E Tandale
The management of the resorbed mandibular ridge is a difficult task. Rehabilitating a patient who is completely edentulous is a common dental procedure, but it can sometimes be challenging and difficult. Making an impression with the available stock trays, even after modification, is difficult in extremely resorbed ridges.Many materials have been used to record and transfer the neutral zone in complete dentures. So here we present a new technique of making an impression with properly adapted wire for recording the impression along with recording the neutral zone with a heavy body addition silicone impression material that rests on the wire loops projecting upward on the denture base to achieve maximum retention and stability and also for the preservation of residual alveolar ridge.
处理吸收的下颌嵴是一项艰巨的任务。对完全无牙颌的患者进行修复是一种常见的牙科治疗方法,但有时也具有挑战性和难度。用现有的托盘制作印模,即使经过改良,在牙脊极度吸收的情况下也很困难。因此,我们在这里介绍一种新的印模技术,即使用经过适当调整的金属丝来记录印模,同时使用重体添加硅酮印模材料来记录中性区,这种印模材料放置在义齿基托上向上突出的金属丝环上,以达到最大的固位和稳定性,同时还能保留残余的牙槽嵴。
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引用次数: 0
Evaluation of attitude and awareness among parents with regards to avulsed permanent tooth and its management 评估家长对恒牙脱落及其处理的态度和认识
Pub Date : 2024-01-15 DOI: 10.18231/j.ijohd.2023.050
Rashmi K B, Kannan Vadakkepurayil
To determine the attitude and awareness among parents of different educational level, socioeconomic status and geographic background with regard to avulsed permanent tooth and its management. 400 parents of children, aged between 6-12 years, in the rural and urban areas of Kozhikode District were randomly selected. The participant’s awareness regarding the avulsed permanent tooth and its management was evaluated based on questionnaire. The questionnaire was essentially be comprised of two parts: First part included the general demographic data and the second part contained closed questions which assessed the knowledge, attitude and previous experience of the participants toward the first-aid management of avulsed permanent tooth. Statistical significance of factors influencing good awareness of groups were calculated using Pearson Chi-Square test.Regardless of educational background, socio-economic status and geographical background, parental awareness regarding the first aid measures to be taken in the case of dental avulsion was inadequate. But at the same time they exhibited positive attitude toward receiving more informations on emergency management of avulsed permanent tooth.
确定不同教育水平、社会经济地位和地理背景的家长对恒牙脱落及其处理的态度和认识。随机抽取了科济科德县城乡地区 400 名 6-12 岁儿童的家长。根据调查问卷对参与者对恒牙脱落及其处理的认识进行了评估。问卷主要由两部分组成:第一部分包括一般人口统计学数据,第二部分包含封闭式问题,评估参与者对恒牙脱落急救处理的知识、态度和以往经验。无论教育背景、社会经济地位和地理背景如何,家长对牙齿脱落急救措施的认识都不足。但与此同时,他们对获得更多有关恒牙脱落紧急处理的信息表现出积极的态度。
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引用次数: 0
Enhancing dental care through artificial intelligence: A comprehensive overview 通过人工智能加强牙科护理:全面概述
Pub Date : 2024-01-15 DOI: 10.18231/j.ijohd.2023.047
Pramod Kumar Yadav, Md. Asdullah, Juhi Gupta, MasoodH Khan
Artificial intelligence (AI) in dentistry is poised to alter a number of aspects of the industry, marking a paradigm shift of profound significance. Dental diagnostic procedures are being streamlined and optimized with the use of artificial intelligence technologies. Machine learning algorithms have demonstrated exceptional competence in the early identification of dental disorders, including cavities, periodontal diseases, and structural abnormalities in teeth, thanks to their extensive training on large datasets of dental pictures. These developments make it easier to intervene quickly, which enhances patient outcomes and lessens the strain on healthcare systems.Furthermore, tailored care and AI-driven treatment planning have become important areas of innovation. AI algorithms assist in the creation of customized treatment plans by analysing patient data, including genetic predispositions and medical histories. The application of AI extends beyond diagnostics and treatment planning to optimize administrative tasks within dental practices. Automated appointment scheduling, billing processes, and electronic health record management systems powered by AI technologies contribute to increased operational efficiency, allowing dental professionals to focus more on patient care.Combining human knowledge with AI skills has the potential to completely change the dental care industry by offering more precise diagnosis, individualized treatment plans, and enhanced patient experiences all around. As AI develops, its application to dentistry serves as a shining example of advancement, bringing about a new era in oral healthcare marked by increased accessibility, efficiency, and precision.
牙科领域的人工智能(AI)将改变该行业的许多方面,标志着具有深远意义的范式转变。人工智能技术的使用正在简化和优化牙科诊断程序。机器学习算法在大量牙科图片数据集的广泛训练下,在早期识别牙科疾病(包括龋齿、牙周疾病和牙齿结构异常)方面表现出了卓越的能力。此外,量身定制的护理和人工智能驱动的治疗计划已成为重要的创新领域。人工智能算法通过分析患者数据,包括遗传倾向和病史,协助制定个性化治疗方案。人工智能的应用不仅限于诊断和治疗计划,还能优化牙科诊所的行政工作。由人工智能技术驱动的自动预约安排、计费流程和电子健康记录管理系统有助于提高运营效率,使牙科专业人员能够更加专注于患者护理。随着人工智能的发展,它在牙科领域的应用将成为一个光辉的进步典范,为口腔医疗带来一个以更方便、更高效、更精准为标志的新时代。
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引用次数: 0
TADS assisted camouflage orthodontic treatment of class ii malocclusion in a non-growing patient- A case report TADS 辅助伪装正畸治疗非生长期患者的 II 类错牙合畸形--病例报告
Pub Date : 2024-01-15 DOI: 10.18231/j.ijohd.2023.058
Yenika Manchanda, Merry Goyal, Sanjay Mittal, I. Aggarwal, Abida Parveen
In individuals with Class II malocclusions, there is an anteroposterior discrepancy between the maxillary and mandibular dentitions, which may or may not be accompanied with a skeletal discrepancy, the most effective treatment option to eliminate is by modified three-piece base arch combined with TADS for simultaneous deep bite correction and en masse retraction.The present case report showcases the treatment results and biomechanics involved for en masse retraction and intrusion of anterior teeth using three-piece intrusion arch and temporary anchorage device.The modified three-piece base arch combined with TADS is effective in controlled translation and intrusion of anteriors and would be a preferable mechanotherapy in low angle case with deep bite, proclined anteriors and Class II malocclusion.
对于Ⅱ类畸形患者,上颌和下颌牙体之间存在前后不一致,可能伴有或不伴有骨骼不一致,最有效的治疗方案是通过改良三件式基底牙弓结合TADS同时进行深咬合矫正和整体牵引来消除这种不一致。本病例报告展示了使用三件式固位牙弓和临时固位装置进行前牙整体牵引和内收的治疗效果和生物力学原理。改良三件式固位牙弓结合 TADS 能有效控制前牙的平移和内收,对于深咬合、前牙前突和 II 类错合畸形的低角度病例来说是一种理想的机械治疗方法。
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引用次数: 0
Endodontic management of taurodontic mandibular second molar: A case report 下颌第二磨牙牙髓治疗:病例报告
Pub Date : 2024-01-15 DOI: 10.18231/j.ijohd.2023.054
Mohit Zarekar, Apurva Satpute, Mohini Zarekar
Taurodontism is an infrequent dental anomaly that predominantly affects the molars and is commonly observed in conjunction with other anomalies or as a component of a syndrome. The phenomenon, previously regarded as a characteristic of early humans, is also observed in contemporary humans albeit with a lower incidence rate. This article presents a unique case study with a female patient who was 35 years old. The patient had taurodontism, a dental condition characterised by enlarged pulp chambers in the molars. Notably, this condition was not found to be connected with any further malformations or syndromes.
臼齿畸形是一种不常见的牙齿畸形,主要影响臼齿,通常与其他畸形同时出现,或作为一种综合症的组成部分。这种现象以前被认为是早期人类的特征,但在当代人类中也可观察到,尽管发病率较低。本文介绍了一个独特的病例研究,患者是一名 35 岁的女性。该患者患有臼齿牙髓腔扩大症,这是一种以臼齿牙髓腔扩大为特征的牙科疾病。值得注意的是,该病症并未发现与其他畸形或综合症有关。
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引用次数: 0
期刊
International Journal of Oral Health Dentistry
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