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Implant retained nasal epithesis – case report 植入物保留鼻上盖1例报告
Pub Date : 2017-06-01 DOI: 10.1515/sdj-2017-0010
A. Todorović, Igor Đorđević, V. Konstantinovic, D. Popović, V. Lazić
Summary Nasal defects can occur as a result of head and neck trauma, or due to partial or complete ablation or resection of the tumor in the nasal area and surroundings. Smaller defects can be reconstructed surgically while large defects are mainly reconstructed combined surgically and prosthetically. The aim of this paper was to present prosthetic reconstruction of the nasal defect by colored vinyl polysiloxane prosthesis retained with craniofacial basal disc implants. An adequate aesthetics and stability of the prosthesis was achieved during mandible and mimic muscles movements.
鼻部缺损可因头颈部外伤或部分或完全切除鼻腔及周围肿瘤而发生。较小的缺损可通过手术修复,较大的缺损主要采用手术与假体联合修复。本文的目的是用彩色乙烯基聚硅氧烷假体保留与颅面基底盘种植体重建鼻缺损。在下颌骨和模拟肌肉运动时,假体具有足够的美观性和稳定性。
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引用次数: 0
Relationship between Molar Incisor Hypomineralization and dental caries at eight-year-old children 8岁儿童磨牙切牙低矿化与龋病的关系
Pub Date : 2017-06-01 DOI: 10.1515/sdj-2017-0008
Ljiljana Marković Đurić, O. Dolić, M. Obradović, M. Tošić, Maja Ernaut
Summary Introduction The aim of the present study was to determine the relationship between Molar Incisor Hypomineralization (MIH) and caries in school children from Banja Luka region, Republic of Srpska. Materials and methods One calibrated dentist evaluated a sample of 529 schoolchildren, eight years old, according to the European Academy of Pediatric Dentistry (EAPD) criteria on MIH presence. Dental caries was assessed using the DMFT (Decayed, Missing, Filled Teeth) criteria. Results DMFT/dmft was significantly higher in children with MIH than without MIH (p < 0.001). In the MIH group of children, high values of caries indices (%DMFT/%dmft and mean DMFT/dmft) were found. Conclusion Significant association between MIH and dental caries in eight-year-olds was found.
摘要介绍本研究的目的是确定来自塞族共和国巴尼亚卢卡地区学龄儿童的磨牙切牙低矿化(MIH)与龋齿的关系。根据欧洲儿科牙科学会(EAPD)的MIH存在标准,一位校准的牙医评估了529名8岁学童的样本。使用DMFT(蛀牙、缺牙、补牙)标准评估龋病。结果MIH患儿DMFT/ DMFT明显高于非MIH患儿(p < 0.001)。MIH组患儿的龋指数(%DMFT/% DMFT和平均值DMFT/ DMFT)均较高。结论8岁儿童MIH与龋病有显著相关性。
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引用次数: 1
Clinical and radiological analysis of the causes for endodontic treatment failure 根管治疗失败原因的临床与影像学分析
Pub Date : 2017-06-01 DOI: 10.1515/sdj-2017-0006
Jelena Neskovic, Milica Jovanovic-Medojevic, S. Živković
Summary Introduction Development of inflammatory lesions or their persistence after primary treatment is considered endodontic failure. The reason for failure can be complex anatomy of the canal system and numerous iatrogenic factors. The objective of this study was to analyze, clinically and radiographically, the causes of primary endodontic treatment failure and assess possibilities for retreatment of teeth with failed endodontic treatment. Method The study included 79 teeth (36 multirooted and 43 singlerooted tooth) indicated for repeated endodontic treatment. Based on the radiographic assessment of the status of periapical structures, teeth were divided into two groups. The first group included teeth without periapical lesions, i.e. the healthy periodontal tissues (PAI score of 1 and 2) in which retreatment was required for prosthodontic reason due to the poor quality of obturation (28 teeth), and the second group included teeth with visible signs of periapical tissue damage (PAI scores 3, 4 and 5) (51 teeth). In both groups, quality of obturation, coronal sealing and the presence or absence of clinical symptoms was analyzed. Results The most common radiographic finding of definitive obturation was short filling (65.8% of cases); “forgotten” canals (25.3%); non-homogeneous obturation with correct length (5.1%) and fractured instrument (3.8%). There was significant difference between healthy periodontal ligament and adequate restoration (P < 0.001). In 95% of patients with symptoms, changes in the periapical tissue were observed. Also, there was significant difference in the presence of symptoms after primary treatments, between the teeth with healthy apical periodontal tissue and teeth with periapical lesions (P = 0.019). Conclusion The outcome of the root canal treatment is significantly affected by the quality (density) of obturation and the presence and quality of coronal restoration. In patients with symptoms there were changes in the periapical tissue.
初级治疗后炎症病变的发展或持续存在被认为是牙髓治疗失败。失败的原因可能是复杂的根管系统解剖和许多医源性因素。本研究的目的是分析牙髓治疗失败的临床和影像学原因,并评估牙髓治疗失败的牙齿再治疗的可能性。方法选择79颗牙(多根牙36颗,单根牙43颗)进行重复根管治疗。根据根尖周结构的影像学评估,将牙齿分为两组。第一组为无根尖周病变的牙齿,即健康牙周组织(PAI评分为1分和2分),由于封闭质量较差而需要再治疗的牙齿(28颗);第二组为根尖周组织损伤明显迹象的牙齿(PAI评分为3分、4分和5分)(51颗)。分析两组患者的封闭、冠状动脉密封质量及有无临床症状。结果确定性闭塞最常见的影像学表现为短充填(65.8%);“被遗忘的”运河(25.3%);长度正确的非均匀封闭(5.1%)和器械断裂(3.8%)。健康牙周韧带与充分修复的差异有统计学意义(P < 0.001)。在95%有症状的患者中,观察到根尖周围组织的变化。根尖牙周组织健康的牙齿与根尖周病变的牙齿在初次治疗后出现症状的差异有统计学意义(P = 0.019)。结论根管封闭质量(密度)、冠状体修复的存在和质量对根管治疗效果有显著影响。在有症状的患者中,有根尖周围组织的变化。
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引用次数: 1
Case report. Endodontic treatment of lower molar in a patient with paraesthesia of inferior alveolar nerve – A Case Report 病例报告。下牙槽神经感觉异常患者下磨牙根管治疗1例
Pub Date : 2017-03-01 DOI: 10.1515/sdj-2017-0005
Milica Jovanovic-Medojevic, Jelena Neskovic
Summary Root canal (endodontic) treatment is demanding and complex procedure. A variety of difficulties can occur in different phases of endodontic procedure. Complex anatomorphological tooth structure, curved canals, close proximity of lower molars and premolars to inferior alveolar nerve make endodontic treatment even more challenging. During endodontic treatment, an inferior alveolar nerve may become traumatized and symptoms may vary from mild neurosensory dysfunction to a complete loss of sensation in the innervation area of damaged nerve. The aim of this paper is to present a clinical case of endodontic treatment of lower second molar with C-shaped root canal in a patient with paraesthesia of inferior alveolar nerve due to endodontic origin.
根管治疗是一项要求高且复杂的手术。在牙髓治疗的不同阶段会出现各种各样的困难。复杂的牙齿解剖结构,弯曲的牙根管,下磨牙和前磨牙靠近下牙槽神经,使得根管治疗更具挑战性。在根管治疗过程中,下牙槽神经可能受到损伤,症状可能从轻微的神经感觉功能障碍到受损神经支配区完全丧失感觉。本文报告一例因根管起源导致下牙槽神经感觉异常的患者,采用根管治疗下第二磨牙c形根管的临床病例。
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引用次数: 0
Informative article. Scaffold in bone tissue engineering 信息的文章。骨组织工程中的支架
Pub Date : 2017-03-01 DOI: 10.1515/sdj-2017-0004
V. Jokanović, B. Čolović, Marijana Popović-Bajić, Marija Živković-Sandić
Summary Treatment of bone tissue injuries and diseases is still a great challenge for surgeons, but also for researchers who work with materials. Today stem cells are commonly used in bone tissue engineering. However, advances in biocompatible materials design, especially biodegradable porous structure (scaffold) is gaining an important role in the treatment of diseased bone tissue. The basic advantage of these carriers is specifically designed scaffold with defined porosity and pore structure that is favourable for cells settlement. Scaffolds are most commonly used as ceramic brackets because they have excellent characteristics in biodegradation and bioactivity. The process of scaffold production is important because the appropriate technology must ensure control of liquids and reproducibility of scaffold production through standardized process. The aim of this study was to present some of different procedures of scaffold production in bone tissue engineering and point out the advantages and disadvantages of these methods.
骨组织损伤和疾病的治疗对外科医生来说仍然是一个巨大的挑战,对从事材料研究的研究人员来说也是如此。如今,干细胞被广泛应用于骨组织工程。然而,生物相容性材料设计的进步,特别是可生物降解的多孔结构(支架)在病变骨组织的治疗中发挥着重要作用。这些载体的基本优点是专门设计的支架具有明确的孔隙率和孔隙结构,有利于细胞沉降。支架由于具有良好的生物降解和生物活性,是目前最常用的陶瓷支架。支架的生产过程很重要,因为适当的技术必须通过标准化的过程来保证液体的控制和支架生产的可重复性。本研究的目的是介绍骨组织工程中几种不同的支架制作方法,并指出这些方法的优缺点。
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引用次数: 2
Original article. The cost of individual health care in Serbia according to the international classification of diseases in the period 2010–2015 原来的文章。根据《国际疾病分类》,2010-2015年期间塞尔维亚个人保健费用
Pub Date : 2017-03-01 DOI: 10.1515/sdj-2017-0002
Milena Gajic-Stevanovic, P. Simonović, Dušica Banković-Lazarević, Ivana Stevanović, Lidija Stanković
Summary Introduction There is growing interest in the world for estimating the cost for the treatment of a disease. This value can be used to determine to which extent a particular disease or group of diseases burden society in terms of the global crisis (Segel 2006). In 2000, Organization for Economic Countries Development (OECD) established a System of Health Accounts (SHA), and provided methodological guide for calculating the cost of treating the disease. The aim of this study was to determine the cost of individual health care in the Republic of Serbia according to the major International Classification of Diseases (ICD) for the period 2010-2015. Material and Methods A retrospective and comparative analysis of health statistics from the database of the Institute of Public Health of Serbia (IPHS) and financial information provided by the National Health Insurance Fund (NHIF) in the period 2010-2015 was performed. Financial information and data on hospital services, outpatient, home health care, auxiliary health care services, drug consumption and consumer goods in healthcare were analyzed using SHA methodology. Results showed that during observation period the maximum cost of individual health care in Serbia by main classification ICD was achieved in 2015 and it was 194,128,864,011 RSD (€1,580,853,941; $1,764,807,854) and the minimal cost was achieved in 2010, 151,333,139,835 RSD (€1,434,464,541; $1,908,843,843). Conclusion The cost of individual health care in the Republic of Serbia in the period 2010-2015 increased by thirty percent. The highest amount was allocated to treat people with diseases of the circulatory system.
世界上对估算一种疾病的治疗费用越来越感兴趣。该值可用于确定某种疾病或一组疾病在全球危机中给社会造成的负担的程度(Segel, 2006年)。2000年,经济国家发展组织(OECD)建立了卫生核算系统(SHA),并提供了计算该病治疗费用的方法指南。这项研究的目的是根据2010-2015年期间主要的国际疾病分类(ICD)确定塞尔维亚共和国的个人医疗保健费用。材料与方法对2010-2015年塞尔维亚公共卫生研究所(IPHS)数据库中的卫生统计数据和国家健康保险基金(NHIF)提供的财务信息进行回顾性比较分析。采用SHA方法对医院服务、门诊、家庭保健、辅助保健服务、药品消费和卫生保健消费品的财务信息和数据进行分析。结果表明,在观察期内,塞尔维亚主要分类ICD的个人医疗保健费用在2015年达到最大,为194,128,864,011 RSD(€1,580,853,941;2010年的最低成本为151,333,139,835 RSD(1,434,464,541欧元;1908843843美元)。结论2010-2015年塞尔维亚共和国个人医疗保健费用增长了30%。最高的数额被分配给了患有循环系统疾病的人。
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引用次数: 2
Original article. The use of essential oils based antiseptic solution in the treatment of denture stomatitis 原来的文章。以精油为基础的防腐液在义齿口炎治疗中的应用
Pub Date : 2017-03-01 DOI: 10.1515/sdj-2017-0001
Ognjenka Janjić-Pavlović, I. Stančić, Smiljka Cicmil, Z. Stojanović, Jelena Lečić, S. Elenčevski
Summary Introduction Local therapy of denture stomatitis (DS) associated with Candida species fungi infection usually involves the application of nystatin and miconazole. Due to the fact that these drugs may be less efficient against biofilm and possible resistance development, a new approach in the treatment includes the use of antiseptic agents. The aim of the study was to compare clinical and microbiological therapeutic outcomes of antiseptic solution Listerine® and Daktanol® antifungal oral gel in the treatment of DS associated with Candida species fungi. Material and Methods The study included 30 patients affected by DS, divided into the two treatment groups, control group (n=15) treated by Daktanol® gel and experimental group (n=15) treated by the antiseptic solution Listerine®. Successful treatment was evaluated based on palatal mucosa inflammation reduction classified according to the Newton classification and the difference in the number of fungal colony- forming units (CFU) isolated by smears before and after the treatment that lasted 14 days. Results Reduction in inflammation intensity and fungal CFU number on palatal mucosa (p<0,01) as well as on denture base (p<0,01) were observed in both groups of subjects after the treatment. Conclusion Antiseptic solution Listerine® and Daktanol® antifungal gel both reduced palatal mucosal inflammation and CFU number of fungi in mouth without significant differences among them. CFU number of fungi isolated from denture base was significantly lower after the treatment with Listerine® (p<0.05).
念珠菌类真菌感染引起的义齿口炎的局部治疗通常包括制霉菌素和咪康唑的应用。由于这些药物对生物膜的作用可能不太有效,并且可能产生耐药性,因此一种新的治疗方法包括使用防腐剂。本研究的目的是比较抗菌溶液Listerine®和Daktanol®抗真菌口服凝胶治疗念珠菌类真菌相关退行性退行性疾病的临床和微生物治疗效果。材料与方法将30例DS患者分为两组,对照组(n=15)采用Daktanol®凝胶治疗,实验组(n=15)采用李斯特林®防腐液治疗。根据Newton分类法对腭黏膜炎症减轻程度进行分类,并根据治疗前后14天的涂片分离真菌菌落形成单位(CFU)数量的差异来评估治疗是否成功。结果治疗后两组患者腭黏膜及义齿基托的炎症强度及真菌CFU数均明显减少(p< 0.01)。结论抗菌液李斯特林®和达克坦醇®抗真菌凝胶均可减轻口腔黏膜炎症及口腔真菌CFU数量,两者间无显著差异。李斯特林®处理后,义齿基托菌落CFU数显著降低(p<0.05)。
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引用次数: 1
Original article. Dental and Jaws Status in Pre-historic Human Population of the Gomolava Site 原来的文章。古莫拉瓦遗址史前人类的牙齿和颌部状况
Pub Date : 2017-03-01 DOI: 10.1515/sdj-2017-0003
Đurica Grga, Ilija Mikić, Bogdan Lisul, Tamara Zlopaša, B. Dzeletovic
Summary Introduction Knowledge of biological and cultural heritage represents a significant basis for the advance of human civilization. The aim of this study was to determine and define dental health status of pre-historic people of the Vinca culture. Material and method Study included twenty skeleton remnants of different gender and age from anthropological series of Gomolava. Skeletons originated from one necropolis and two individual graves dating from mid and early Neolithic periods of the Vinca culture. Based on radiocarbon analysis absolute skeletal age was determined to date within the periods from 5848±38 to 5739±35 BC. Preservation of skeletons varied from completely preserved skulls and jaws to fragmented parts of jaws. Data analysis was performed with methodology used in the research of human population teeth and jaws from the Lepenski Vir culture. Results Results showed high level of teeth abrasion (98,1%), medium level of dental calculus deposits (44,9%), low level of tooth decay, significant number of retained roots, as well as the occurrence of periapical lesions and periodontal disease within the neolith population of Gomolava site. Conclusion Taking into account absolute age of examined skeletons, collected data are very significant, from the perspective of its wide content. From a pathological perspective, teeth abrasion stands out as a dominant feature, while tooth decay fits within standard values for human population of the neolith period.
生物和文化遗产知识是人类文明进步的重要基础。本研究的目的是确定和界定温卡文化史前人群的牙齿健康状况。材料与方法选取了20具不同性别、不同年龄的Gomolava人类学系列遗骨。骸骨来自于一个墓地和两个独立的坟墓,可以追溯到新石器时代中期和早期的长春文化。根据放射性碳分析,骨骼的绝对年龄确定在公元前5848±38至5739±35年间。保存完好的骨骼有完整的头骨和下颚,也有残缺的下颚。采用研究Lepenski Vir培养物中人类牙齿和颌骨的方法进行数据分析。结果Gomolava地区新石器人群牙磨损程度高(98.1%),牙结石沉积程度中等(44.9%),蛀牙程度低,牙根残留较多,牙根周病变和牙周病发生率较高。结论考虑到被检骨骼的绝对年龄,从其广泛的内容来看,所收集的数据非常有意义。从病理学的角度来看,牙齿磨损是主要特征,而蛀牙符合新石器时代人类人口的标准值。
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引用次数: 0
The Evolution of Articulators – Part II 发音器的演化-第二部分
Pub Date : 2017-01-01 DOI: 10.1515/sdj-2017-0018
N. Mann, Neeta Pasricha, Kavipal Singh, N. Mann
Abstract Articulators are instruments that aimed to reproduce the range of jaw movements. The first instrument designs were attempts to duplicate anatomic relations or reproduce functional movements of the anatomy. They were able to preserve centric position only. More sophisticated articulating instruments evolved as more was learned about the anatomy, mandibular movements, and mechanical principles. Over time, interest for articulators progressed. Articulators became adjustable, and they attempted to reproduce jaw movements of each patient by reproducing the anatomy of temporomandibular joints (TMJ’s) and related structures. Part I of the article has discussed evolution of articulators beginning from the 18th century till 1940. A history of articulators from 1940 till today is discussed in the present article.
摘要:关节器是一种旨在重现颌骨运动范围的器械。最初的仪器设计是试图复制解剖关系或复制解剖的功能运动。他们只能保持中心位置。随着人们对解剖学、下颌运动和机械原理的了解越来越多,更复杂的发音工具也随之发展。随着时间的推移,人们对发音器的兴趣越来越浓厚。关节变得可调节,他们试图通过再现颞下颌关节(TMJ)和相关结构的解剖来重现每个患者的下颌运动。文章的第一部分讨论了从18世纪到1940年发音器的演变。本文讨论了从1940年至今的发音器的历史。
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引用次数: 0
Distribution of Aggregatibacter actinomycetemcomitans in deep caries lesions 聚集菌放线菌在深部龋病变中的分布
Pub Date : 2016-12-01 DOI: 10.1515/sdj-2016-0018
I. Radman, Aleksandra Đeri, Adriana Arbutina, J. Milašin, L. Amidžić
Summary Introduction Deep caries is a reversible process where caries lesion has affected bigger part of dentin and only thin layer of softened dentin that separates lesion from the pulp is remained. The objective of this study was to identify and determine serotypes of Aggregatibacter actinomycetemcomitans in teeth with deep caries lesions at the beginning of their treatment. Material and methods Clinical research included 29 patients of both genders, aged 16 to 40 and 45 permanent teeth with diagnosed deep caries lesions based on medical history, clinical and radiographic examination. After cavity preparation and removal of softened dentin, microbiological swab was taken from the bottom of the cavity. Swabs were disposed in special sterile micro tubes and stored at the temperature of −80°C until serotyping was done (determination of serotypes of A. actinomycetemcomitans bacterium). Results In one of the 3 samples two serotypes of A. actinomycetemcomitans (b and c) were identified which is relatively rare finding, while in the second and third sample serotypes (a) and serotype (b) was identified, respectively. Conclusion In the three samples the 3 serotypes were found (a, b and c) and one of the samples was carrying even two different serotypes, which is a rare phenomenon. For more serious epidemiological study of A. Actinomycetemcomitans serotypes at the population level incomparably larger starting material is necessary, at least few hundred of samples.
深龋是一种可逆性的过程,即龋损对牙本质的影响较大,仅保留一层将龋损与牙髓隔开的软化牙本质。本研究的目的是在治疗开始时鉴定和确定深部龋齿病变中放线菌聚集菌的血清型。材料与方法临床研究纳入患者29例,年龄16 ~ 40岁,经病史、临床及影像学检查诊断为深部龋病的恒牙45颗。在准备好牙本质并去除软化牙本质后,从牙洞底部取出微生物拭子。拭子置于专用无菌微管中,在- 80℃温度下保存,直至血清分型(测定放线菌属细菌血清型)。结果在3份样品中,1份样品检出了较为罕见的放线菌a型(b)和c型(c),而在2份和3份样品中分别检出了a型和b型(b)。结论3份样本均存在a、b、c 3种血清型,其中1份样本同时携带两种不同的血清型,属罕见现象。要在种群水平上对放线菌线虫血清型进行更严肃的流行病学研究,需要更大的起始材料,至少几百个样本。
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引用次数: 2
期刊
Stomatoloski glasnik Srbije
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