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The Treatment of Class III Malocclusion in Early Mixed Dentition: Two Case Reports/ Terapija malokluzija III klase u ranoj mešovitoj denticiji – prikaz dva slučaja
Pub Date : 2015-06-01 DOI: 10.1515/sdj-2015-0009
M. Sandić, J. Juloski, N. Stefanović, I. Scepan, B. Glišić
SUMMARY Class III malocclusion is orthodontic anomaly where mandibular arch is in mesial position to maxillary arch. Reasons for Class III malocclusion can be found in mandibular prognathism, maxillar retrognathism or combination of these two. In most cases of mandibular prognathism, it is necessary to postpone the treatment until the growth ceases. However, if certain conditions are accomplished it is possible to start early treatment of class III malocclusion to improve occlusal relations and provide more favorable environment for future growth. The aim of this study was to present treatment of two patients with Class III maloclussion in early mixed dentition, using two different appliances: Delaire mask and Frankel functional regulator type 3. The treatment with Delaire mask resulted in rotation of maxilla downward and forward due to the angle of extraoral part of the mask to the occlusal plane that was modified to be almost 45°. At the end of the treatment facial esthetics was significantly improved. Moving maxilla forward resulted in straight profile, whereas moving maxilla downward lead to coordination of upper, middle and lower facial third. The result of the treatment in patient who used Frankel functional regulator was correction of anterior crossbite by premaxilla development and incisors protrusion. Significant differences in SNA, SNB and ANB angle values at the beginning and at the end of the treatment were not found suggesting that most changes were dental but not skeletal KRATAK SADRŽAJ Skeletna malokluzija III klase je nesklad u međusobnom odnosu gornje i donje vilice, jer je donja vilica postavljena mezijalnije u odnosu na gornju. Uzrok nastanka skeletne malokluzije III klase može biti mandibularni prognatizam, maksilarni retrognatizam ili kombinacija ova dva uzroka. U slučaju isuviše razvijene donje vilice najčešće je potrebno sačekati završetak rasta, kako bi se primenilo konačno lečenje. Međutim, ako su ispunjeni određeni uslovi, moguće je primeniti ranu terapiju III klase, da bi se poboljšali okluzalni odnosi i obezbedila dobra osnova za dalji rast. Cilj ovog rada bio je da se prikaže terapijski efekat dva slučaja malokluzije III klase u ranom uzrastu pomoću različitih ortodontskih aparata: Delerove maske i Frenklovog regulatora funkcije tip 3. Kod pacijentkinje koja je tokom lečenja nosila Delerovu masku gornja vilica je zarotirana unapred i nadole, jer je ugao delovanja sile modifikovan da bude skoro 45 stepeni. Na kraju lečenja postignut je znatno bolji izgled lica. Pomeranjem gornje vilice unapred postignut je prav profil, dok je pomeranje nadole dovelo do usklađivanja visine srednje trećine lica sa gornjom i donjom. Kod pacijenta kod kojeg je tokom lečenja primenjena terapija Frenklovim regulatorom funkcije tip 3 do korekcije obrnutog preklopa sekutića došlo je kombinacijom razvijanja premaksile i protruzije sekutića. Značajne promene u vrednostima uglova SNA, SNB i ANB nisu zabeležene na kraju terapije u odnosu na početa
III类错牙合是指下颌弓位于上颌弓内侧的畸型畸形。III类错牙合的原因可以是下颌前突、上颌后突或两者兼有。在大多数情况下,下颌骨前突,有必要推迟治疗,直到生长停止。但是,如果具备一定条件,可以早期治疗III类错牙合,改善咬合关系,为以后的生长提供更有利的环境。本研究的目的是介绍两名早期混合牙列III类错颌患者的治疗,使用两种不同的器具:Delaire口罩和Frankel功能调节剂3型。使用Delaire口罩治疗,由于口罩的口外部分与咬合平面的角度被修改为近45°,导致上颌骨向下和向前旋转。治疗结束后,面部美观明显改善。向前移动的上颌骨形成了笔直的轮廓,而向下移动的上、中、下面部第三位协调。使用Frankel功能调节剂的患者,其治疗结果是通过前颌骨发育和门牙前突矫正前交叉牙合。治疗开始和结束时的SNA、SNB和ANB角度值无显著差异,提示大部分变化是牙齿而不是骨骼KRATAK SADRŽAJ skeletal na malokluzija III klase je nesklad and međusobnom odnosu gornje i donje vilice, jer je donja vilica postavljena mezijalnije u odnosu na gornju。骨骼肌malokluzije III klase može与下颌骨进展有关,与颌骨进展有关。U sluaju isuviše razvijene donje vilice najčešće je potrebno sa ekati završetak rasta, kako bi se primenilo kona no leenje。Međutim, ako su ispunjeni određeni uslovi, moguće je primeniti ranu terapiju III klase, da bi se poboljšali okluzalni odnosi i obezbedila dobra osnova za dalji rast。3.中华医学会口腔医学联合会(cij ovog rada bio je da se prikaže terapijski efekat dva sluaja malokluzije III klase u ranom uzrastu pomoću razli ith ortodontskih aparata: Delerove mask i Frenklovog regulatora funkcije tip 3。Kod pacijentkinje koja je tokom le enja nosila Delerovu masku gornja vilica je zarotirana unapaple, jer jugao delovanja sili modifikovan da bukoro 45 stepeni。Na kraju le enja postgnut je znatno bolji izgle lica。Pomeranjem gornje vice未批准的post - gngnypravyprofile, dok je pomeranjenadole dovelo do usklađivanja visine srednjetrećine lica sa gornjom i donjom。Kod pacijenta Kod kojejeje tokom leja enja primenjena terapija Frenklovim regulatorom funkcije tip 3 do korekcijeobrnutog preklopa sekutića došlo je kombinacijom razvijanja premakilili protruzije sekutića。znaajne promene u vrednostima uglova SNA, SNB i ANB nisu zabeležene na kraju terapije u odnosu na po etak, što bi ukazivalo na to da su postgnute promene ugavnom dentalne, a ne skeleton。
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引用次数: 0
Interaction Between Fibronectin Fragments and Immunoglobulin G in Gingival Crevicular Fluid of Patients with Periodontal Disease/ Kompleksi fibronektinskih fragmenata i imunoglobulina G u gingivalnoj tečnosti osoba obolelih od parodontopatije
Pub Date : 2015-06-01 DOI: 10.1515/sdj-2015-0006
Gavrilo Brajović, N. Nikolic-Jakoba, B. Popović, V. Ilić, Sonja S Mojsilovic, D. Marković, N. Milošević-Jovčić
SUMMARY Introduction Fibronectin (FN) can interact with immunoglobulin G (IgG) molecules affecting the process of physiological elimination and causing abnormal deposition of immune complexes. The aim of the study was to analyze interaction between FN fragments and IgG molecules with different glycosylation profiles in gingival crevicular fluid (GCF) of patients with periodontal disease and healthy controls. Material and Methods The study included 30 patients with moderate and advanced periodontitis and 22 healthy subjects. IgG and FN content in GCF were measured as well as the presence of FN and galactose expression on IgG molecules. Results IgG content in GCF was five times higher in patients with moderate (p<0.01) and eight time higher in patients with advanced periodontitis (p<0.001) compared to healthy subjects. Also, hypogalactosylated forms of IgG were found in higher concentration in GCF of patients with advanced periodontitis compared to moderate periodontitis and healthy subjects (p<0.05). FN fragments of molecular mass 48 - 53 kDa were the most commonly found fragments in all three groups. Furthermore, in patients with advanced periodontitis, fibronectin fragments were attached to IgG molecules. Conclusion IgG and FN fragments form complexes in GCF in patients with periodontal disease and healthy subjects KRATAK SADRŽAJ Uvod Fibronektin može da interreaguje s molekulima imunoglobulina G (IgG) i utiče na normalan klirens ili poremećeno deponovanje imunskih kompleksa. Cilj ovog rada je bio da se ispita veza između fibronektina i IgG različitih glikoformi u gingivalnoj tečnosti osoba obolelih od parodontopatije i parodontalno zdravih ispitanika. Materijal i metode rada U studiju je uključeno 30 pacijenata s umerenom i uznapredovalom parodontopatijom i 22 parodontalno zdrave osobe. U gingivalnoj tečnosti određivan je sadržaj IgG i fibronektina dot blot i imunoblot tehnikama. IgG iz gingivalnih tečnosti su afinitetno izolovani i analizirani na prisustvo fibronektina i ekspresiju galaktoze. Rezultati Sadržaj IgG u gingivalnoj tečnosti osoba s umerenom parodontopatijom bio je oko pet puta veći u odnosu na sadržaj IgG kod zdravih osoba (p<0,01), dok je kod uznapredovalih oblika bio oko osam puta veći (p<0,001). Takođe, hipogalaktozilovane forme IgG su većoj meri postojale kod osoba sa uznapredovalom parodontopatijom u odnosu na zdrave i osobe s umerenom parodontopatijom (p<0,05). U sve tri analizirane grupe dominirali su fibronektinski fragmenti od 48 do 53 kDa. Uočeno je da su IgG izolovani iz gingivalne tečnosti vezani za fragmente fibronektina, pri čemu su IgG osoba sa uznapredovalom parodontopatijom, imali najveću količinu ovih vezanih fragmenata. Zaključak Dobijeni rezultati pokazuju da IgG gingivalne tečnosti zdravih i osoba s parodontopatijom formiraju komplekse sa fibronektinom.
纤连蛋白(FN)可与免疫球蛋白G (IgG)分子相互作用,影响生理消除过程,引起免疫复合物异常沉积。本研究的目的是分析牙周病患者和健康对照者龈沟液(GCF)中FN片段与不同糖基化谱的IgG分子之间的相互作用。材料与方法研究对象为中晚期牙周炎患者30例,健康者22例。测定GCF中IgG和FN的含量,以及IgG分子上FN和半乳糖的表达。结果中重度牙周炎患者GCF中IgG含量比正常人高5倍(p<0.01),晚期牙周炎患者GCF中IgG含量比正常人高8倍(p<0.001)。晚期牙周炎患者GCF中低半乳糖基化形式的IgG浓度高于中度牙周炎和健康受试者(p<0.05)。分子质量为48 ~ 53 kDa的FN片段在三组中最常见。此外,在晚期牙周炎患者中,纤维连接蛋白片段与IgG分子结合。结论牙周病患者和健康人GCF中IgG和FN片段形成复合物KRATAK SADRŽAJ Uvod Fibronektin može da interreaguje s molekulima免疫球蛋白G (IgG) i utreak na normalan klirens ili poremećeno deonovanje munskih kompleksa。Cilj ovog rada je bio da se ispita veza između fibronektina i IgG razli with glikoformi u gingivalnoj nosti osoba obolelih od pardontopatije i pardontalno zdravih ispitanika。材料与方法研究:ustudiju je uklju no 30 pacijenata的umumi为uznapredovalom pardontopatijom为22 pardontalno zdrosobe。U gingivalnoj te nosti određivan je sadržaj IgG i fibronektina dot blot i immunoblot tehnikama。免疫球蛋白g (IgG)是一种免疫球蛋白g (IgG),它是一种免疫球蛋白g,它是一种免疫球蛋白g,它是一种免疫球蛋白g。Rezultati Sadržaj IgG u gingivalnoj te nosti osoba的umumumpardontopatijom bio je oko pet puta veći u odnosuna sadržaj IgG kold zdravih osoba (p< 0.01), dok je kold uznapredovalih oblika bio oko osam puta veći (p< 0.001)。Takođe, hipogalaktozilovane形成IgG su većoj meri postojale kod osoba sa uznapredovalom pardontopatijom, odnosua - drve i osobe umenum pardontopatijom (p< 0.05)。研究了三种分析蛋白组,如纤维蛋白片段,长度为48 ~ 53 kDa。uo je da su IgG izolovani iz gingivalne te nosti vezani za fragmente fibronektina, pri emu su IgG osoba sa uznapredovalom pardontopatijom, imali najveću koliinu ovih vezanih fragmenata。【中文译文】Dobijeni rezultati pokazuju da IgG gingivalne;【中文译文】【中文译文】
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引用次数: 0
Implant Retained Orbital Prosthesis – Case Report/ Implantatno retinirana orbitalna proteza – prikaz slučaja
Pub Date : 2015-06-01 DOI: 10.1515/sdj-2015-0010
V. Lazić, V. Konstantinovic, I. Djordjevic, Milinko Mihailović
SUMMARY Orbital defects after tumor resection (exenteration of orbital content) have been traditionally reconstructed with adhesive-retained craniofacial prostheses, also known as epistheses. The breakthrough in rehabilitation of facial defects with implant-retained prostheses has come with development of modern silicones (vynilpolysiloxane) and bone anchorage called osseointegration. Craniofacial implant technology offers improved reconstructive options to patients. This paper describes therapeutical procedure on a patient who received craniofacial implant-retained orbital prosthesis after orbital exenteration. The patient reported excellent prosthesis handling and stability KRATAK SADRŽAJ Orbitalna oštećenja nastala resekcijom tumora (egzenteracija sadržaja orbite) se uglavnom rekonstruišu kraniofacijalnim protezama pričvršćenim adhezivima koji se nazivaju i epitezama. Izuzetne mogućnosti u rehabilitaciji defekata lica sa implantatno retiniranim protezama nastale su razvojem savremenih silikona (vinilpolisiloksana) i oseointegracijom implantata. Kraniofacijalna implantatna tehnologija danas pruža široke i poboljšane rekonstruktivne mogućnosti. U ovom radu je opisana terapijska procedura na pacijentu sa defektom orbite gde je izrađena implantatno retinirana orbitalna proteza. Pacijent je posle završene terapije bio zadovoljan zbog jednostavnog rukovanja i izuzetne stabilnosti proteze.
{"title":"Implant Retained Orbital Prosthesis – Case Report/ Implantatno retinirana orbitalna proteza – prikaz slučaja","authors":"V. Lazić, V. Konstantinovic, I. Djordjevic, Milinko Mihailović","doi":"10.1515/sdj-2015-0010","DOIUrl":"https://doi.org/10.1515/sdj-2015-0010","url":null,"abstract":"SUMMARY Orbital defects after tumor resection (exenteration of orbital content) have been traditionally reconstructed with adhesive-retained craniofacial prostheses, also known as epistheses. The breakthrough in rehabilitation of facial defects with implant-retained prostheses has come with development of modern silicones (vynilpolysiloxane) and bone anchorage called osseointegration. Craniofacial implant technology offers improved reconstructive options to patients. This paper describes therapeutical procedure on a patient who received craniofacial implant-retained orbital prosthesis after orbital exenteration. The patient reported excellent prosthesis handling and stability KRATAK SADRŽAJ Orbitalna oštećenja nastala resekcijom tumora (egzenteracija sadržaja orbite) se uglavnom rekonstruišu kraniofacijalnim protezama pričvršćenim adhezivima koji se nazivaju i epitezama. Izuzetne mogućnosti u rehabilitaciji defekata lica sa implantatno retiniranim protezama nastale su razvojem savremenih silikona (vinilpolisiloksana) i oseointegracijom implantata. Kraniofacijalna implantatna tehnologija danas pruža široke i poboljšane rekonstruktivne mogućnosti. U ovom radu je opisana terapijska procedura na pacijentu sa defektom orbite gde je izrađena implantatno retinirana orbitalna proteza. Pacijent je posle završene terapije bio zadovoljan zbog jednostavnog rukovanja i izuzetne stabilnosti proteze.","PeriodicalId":52984,"journal":{"name":"Stomatoloski glasnik Srbije","volume":"40 1","pages":"89 - 94"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81376365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Culture in Health Care in the Republic of Serbia 塞尔维亚共和国的保健文化
Pub Date : 2015-03-01 DOI: 10.1515/sdj-2015-0004
Ivana Stevanović, Milena Gajic-Stevanovic, J. Aleksić
Summary Culture encompasses entire societies, influences everything we feel, see, do and believe and shape the way we approach the world around us. Culture is an inseparable part of human existence and as such an important part of health and health care. The aim of this paper was to present specific forms of culture in health care that have influence on the quality of health care system, as well as to investigate in which capacity is work on culture in the health care system in Serbia represented. National and international literature and documentation was processed using analytical methods - observation and comparative method. Health culture as responsibility of health care users and culture in health care as responsibility of health care employees are key factors in improving the health system in Serbia. The most important step has been made with the strategic plan of the Government of the Republic of Serbia in 2010, however, everyone has to accept and understand the importance of culture in health care and apply its rules into the practise.
文化包含了整个社会,影响着我们所感受到的、看到的、所做的和所相信的一切,并塑造了我们对待周围世界的方式。文化是人类生存不可分割的一部分,也是健康和保健的重要组成部分。本文的目的是介绍对医疗保健系统质量有影响的医疗保健文化的具体形式,以及调查塞尔维亚医疗保健系统中文化工作的能力。使用分析方法-观察法和比较法处理国内和国际文献和文件。卫生保健文化是卫生保健使用者的责任,卫生保健文化是卫生保健员工的责任,这是改善塞尔维亚卫生系统的关键因素。2010年塞尔维亚共和国政府的战略计划迈出了最重要的一步,但是,每个人都必须接受和理解文化在保健中的重要性,并将其规则应用于实践。
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引用次数: 0
Inadequate Prosthetic Rehabilitation Caused by Fibrous and Bone Hyperplasia of Maxilla – Case Report 上颌纤维及骨增生所致义肢康复不良1例
Pub Date : 2015-03-01 DOI: 10.1515/sdj-2015-0005
B. Gačić, L. Stojčev-Stajčić, Ana Djinić, M. Kalanović, B. Ilić, Kristina Rebić
Summary Normal bone healing after tooth extraction includes the following steps: blood clot forming, granulation, bone forming and final bone reorganization. In clinical settings connective tissue infiltration of extraction socket can result in fibrous scar formation rather than bone healing. Local and systemic factors seem to be major contributors to the occurrence of erratic socket healing. The aim of this case report was to describe oral-surgery treatment of a patient with inadequate bone and soft supportive tissue for prosthetic rehabilitation. Surgical procedure and recovery are presented, including final complete denture rehabilitation.
拔牙后正常的骨愈合包括以下几个步骤:血凝块形成、肉芽形成、骨形成和最后的骨重组。在临床设置中,拔牙槽的结缔组织浸润可导致纤维瘢痕形成,而不是骨愈合。局部和全身因素似乎是发生不稳定的窝愈合的主要原因。本病例报告的目的是描述一个病人的口腔手术治疗不足的骨和软的支持组织进行假肢康复。手术程序和恢复提出,包括最终全口义齿康复。
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引用次数: 0
Effect of Carisolv Gel on Sound, Demineralized and Carious Dentin: In Vitro Study Carisolv凝胶对健康、脱矿和龋齿牙本质影响的体外研究
Pub Date : 2015-03-01 DOI: 10.1515/sdj-2015-0003
M. Eftimoska, S. Apostolska, V. Rendžova, S. Elenčevski, Aleksandra Popovac, Mirjana Perić
Summary Intoduction Pain and discomfort during dental interventions caused by high-speed dental burs are the most frequent reasons for avoiding dental visits. Numerous possibilities have been offered in the last decade aiming to replace burs for caries removal, one of them is chemo-mechanical method of caries elimination. The aim of this study was to analyze micromorphological changes caused by Carisolv on sound, demineralized and carious (softened) dentin using SEM. Material and Methods Study included 30 teeth (20 intact and 10 with carious lesions) extracted for orthodontic reasons. Carisolv™ system (MediTeam, Sweden) that contains Carisolv gel and specific nickel-titanium hand instruments was used for chemo-mechanical caries elimination. In our study only Carisolv gel was applied on sound, demineralized and carious dentin for 20 min. Dentin surface was analyzed using scanning electronic microscope (SEM). Results SEM showed that Carisolv gel affected soft carious dentin only with no changes on sound dentin regardless of demineralization status. Conclusion Carisolv did not affect sound and demineralized dentin while it selectively dissolved carious dentin.
高速牙刺在牙科治疗过程中引起的疼痛和不适是避免牙科就诊的最常见原因。在过去的十年中,人们提出了许多可能性来取代牙钉去除龋齿,其中之一是化学-机械消除龋齿的方法。本研究的目的是利用扫描电镜(SEM)分析Carisolv对健全、脱矿和龋齿(软化)牙本质的微观形态学变化。材料与方法研究对象为30颗因正畸原因拔除的牙齿(20颗完整,10颗龋齿)。Carisolv™系统(MediTeam, Sweden)包含Carisolv凝胶和特定的镍钛手器械,用于化学机械龋消除。本研究仅将Carisolv凝胶应用于健全、脱矿和龋齿的牙本质上20分钟,用扫描电镜(SEM)对牙本质表面进行分析。结果扫描电镜显示,无论脱矿状态如何,Carisolv凝胶仅对软牙本质有影响,对健全牙本质无影响。结论Carisolv不影响牙本质的健康和脱矿,但有选择性地溶解蛀牙本质。
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引用次数: 0
Schwannoma of the lower lip mucosa: An unexpected finding 下唇粘膜神经鞘瘤:一个意想不到的发现
Pub Date : 2015-03-01 DOI: 10.2298/SGS1403157R
K. Raikwar, Monali Ghodke, V. Deshmukh, J. Garde, R. Suryavanshi
Of all neurogenic tumors, about half are seen in the region of head and neck. Schwannomas are benign tumors of Schwann cells nerve sheath and are quite uncommon in the oral cavity, rarely occurring in the lip area. A MEDLINE search of the literature in English from 1969 to 2013 revealed only 20 documented cases of schwannomas of the lip. In the current study, authors reported a case of an intraoral schwannoma located in the lower lip. The diagnosis was established based on clinical and histopathological findings of the schwanoma which was treated by complete surgical excision. Although rare, schwannoma should be considered in the differential diagnosis of any nodule or mass in the oral mucosa.
在所有神经源性肿瘤中,约有一半见于头颈部。神经鞘瘤是雪旺细胞神经鞘的良性肿瘤,在口腔中相当罕见,很少发生在唇部。MEDLINE检索了1969年至2013年的英文文献,发现只有20例记录在案的唇部神经鞘瘤病例。在目前的研究中,作者报告了一例位于下唇的口内神经鞘瘤。诊断是建立在临床和组织病理学的结果,神经鞘瘤治疗完全手术切除。虽然罕见,但在口腔粘膜的任何结节或肿块的鉴别诊断中都应考虑到神经鞘瘤。
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引用次数: 6
The Effect of Altered pH on Push-Out Bond Strength of Biodentin, Glass Ionomer Cement, Mineral Trioxide Aggregate and Theracal pH值变化对生物牙素、玻璃离子水门汀、矿物三氧化骨料和胶黏剂推出强度的影响
Pub Date : 2015-03-01 DOI: 10.1515/sdj-2015-0001
S. Makkar, R. Vashisht, A. Kalsi, Pranav Gupta
Summary Introduction Throughout the history of dentistry, a wide variety of materials such as gold-foil, silver posts, amalgam, zinc oxide eugenol, glass ionomer cements, mineral trioxide aggregate have been used as retrograde fillings. Altered pH in periapical lesions can affect push-out bond strength of these materials. The aim of this study was to evaluate the effect of altered pH on push-out bond strength of Biodentin, Glass ionomer cement (GIC), Mineral trioxide aggregate (MTA) and Theracal. Material and Methods Forty-eight dentin slices of extracted single-rooted human teeth were sectioned and their canal portion instrumented to achieve a diameter of 1.4 mm. The specimens were then assigned into the four groups (one group for each material) with 12 samples in each group. All groups were further divided into 3 subgroups (with 4 specimens in each subgroup): acidic (butyric acid buffered at pH 6.4), neutral (phosphate buffer saline solution at pH 7.4) and alkaline (buffered potassium hydroxide at pH 8.4). Samples were incubated for 4 days at 37°C in acidic, neutral or alkaline medium. Push-out bond strength was measured using a Universal Testing Machine. The slices were examined under a stereomicroscope to determine the nature of bond failure. Results GIC showed the highest bond strength (33.33MPa) in neutral and acidic medium (26.75MPa) compared to other materials. Biodentin showed the best result in alkaline medium. Conclusion Altered pH level affected push-out bond strength of root end materials. GIC demonstrated good push-out bond strength that increased with decrease of pH whereas newer materials Biodentin and Theracal showed satisfying results in altered pH.
在整个牙科历史上,各种各样的材料,如金箔、银桩、汞合金、氧化锌丁香酚、玻璃离子水泥、矿物三氧化物骨料等,都被用作逆行填充物。改变的pH值在根尖周围病变可影响这些材料的推出结合强度。本研究的目的是评估pH改变对生物牙髓素、玻璃离子水门汀(GIC)、三氧化二矿骨料(MTA)和Theracal的推出结合强度的影响。材料与方法将48颗拔除的单根人牙本质切片进行切片,根管部分矫治至直径1.4 mm。然后将样品分为四组(每种材料一组),每组12个样品。各组进一步分为3个亚组(每亚组4只):酸性(pH 6.4缓冲的丁酸)、中性(pH 7.4缓冲的磷酸盐溶液)和碱性(pH 8.4缓冲的氢氧化钾)。样品在37°C的酸性、中性或碱性培养基中孵育4天。推出粘结强度采用万能试验机测量。切片在体视显微镜下检查,以确定粘结破坏的性质。结果与其他材料相比,GIC在中性和酸性介质中的结合强度最高(33.33MPa)。生物牙素在碱性培养基中效果最好。结论pH值的改变会影响根端材料的推出结合强度。GIC表现出良好的推出结合强度,随着pH值的降低而增加,而较新的材料Biodentin和Theracal在改变pH值时表现出令人满意的结果。
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引用次数: 7
Dental Status and Prosthetic Rehabilitation in Elderly Population in Relation to Socioeconomic Factors in Republika Srpska 塞族共和国老年人口牙齿状况和义肢康复与社会经济因素的关系
Pub Date : 2015-03-01 DOI: 10.1515/sdj-2015-0002
Igor Radovic, Lado Davidović, Jelena Krunić, N. Stojanović
Summary : Introduction The aim of this study was to determine dental status and prosthetic rehabilitation in elderly population in relation to socioeconomic factors in Republika Srpska. Material and Methods The study included 262 subjects (133 males and 129 females) aged 65-74 years. Dental status was assessed using DMFT index and its components (D - decayed, M - extracted, F - filled tooth) and analysed in relation to socioeconomic factors: gender, level of education and monthly income. Prosthetic restorations were recorded for both jaws in accordance with criteria of the World Health Organisation. Results The mean DMFT was 27.2. Females had the highest DMFT index score (29.1) while highly educated subjects had the lowest score (22.7). The mean number of missing teeth was 22.7. There were 28.2% edentulous respondents. Significant difference in the number of edentulous persons was recorded in relation to gender, education and monthly income. In total, 16.8% of subjects had functional dentition (≥20 natural teeth). 48.5% and 32.1% of elderly respondents were found to have at least one form of prosthetic restoration in upper and lower jaw, respectively. Complete dentures were the most common prosthetic restorations. Conclusion Socioeconomic factors influenced dental status in elderly population. Removable dentures were more common restorations compared to crowns and bridges.
摘要:引言本研究的目的是确定老年人群的牙齿状况和假肢康复与社会经济因素的关系。材料与方法本研究纳入262例受试者,其中男性133例,女性129例,年龄65 ~ 74岁。采用DMFT指数及其组成部分(D -蛀牙、M -拔牙、F -补牙)评估牙齿状况,并分析与社会经济因素(性别、教育水平和月收入)的关系。根据世界卫生组织的标准,记录了双颌的假体修复。结果平均DMFT为27.2。DMFT指数得分最高的是女性(29.1),最低的是高学历人群(22.7)。平均缺牙数为22.7颗。28.2%的受访者无牙。无牙人数在性别、教育程度和月收入方面有显著差异。16.8%的受试者具有功能牙列(≥20颗天然牙)。48.5%和32.1%的老年人分别在上颚和下颚至少有一种形式的假体修复。全口义齿是最常见的义齿修复体。结论社会经济因素影响老年人口腔健康状况。与冠和桥相比,活动义齿是更常见的修复体。
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引用次数: 2
The Use of Ibuprofen in the Treatment of Postoperative Pain in Dentistry 布洛芬在牙科术后疼痛治疗中的应用
Pub Date : 2014-01-01 DOI: 10.2298/SGS1403134J
A. Jakovljević, E. Lazić, Neda Perunovic, N. Nedeljkovic
Postoperative pain is common complication after daily dental care. Non-steroidal anti-inflammatory drugs are among most widely prescribed analgesics for management of postoperative pain. The analgesic effect of a non-steroidal antiinflammatory drug (NSAID) is related to its ability to inhibit prostaglandin synthesis. Ibuprofen (2-proprionic acid derivate) was discovered in the 1960s as a representative of NSAIDs. It is a peripherally acting analgesic with a potent anti-inflammatory action. An extensive retrospective analysis of randomized clinical trials conducted over the last 40 years demonstrated that ibuprofen is effective in moderate to severe postoperative pain for different indications in dentistry. In comparison to other NSAIDs, ibuprofen is characterized by its efficiency, safety and good tolerance. The aim of this article was to present the most important pharmacological and therapeutic characteristics and side effects of ibuprofen used for postoperative pain treatment in dentistry.
术后疼痛是日常牙科护理后常见的并发症。非甾体抗炎药是治疗术后疼痛最广泛使用的镇痛药之一。非甾体抗炎药(NSAID)的镇痛作用与其抑制前列腺素合成的能力有关。布洛芬(2-本体酸衍生物)作为非甾体抗炎药的代表于20世纪60年代被发现。它是一种外周作用的镇痛药,具有有效的抗炎作用。对过去40年进行的随机临床试验的广泛回顾性分析表明,布洛芬对不同指征的牙科术后中度至重度疼痛有效。与其他非甾体抗炎药相比,布洛芬具有高效、安全、耐受性好等特点。本文的目的是介绍布洛芬用于牙科术后疼痛治疗的最重要的药理学和治疗特性和副作用。
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Stomatoloski glasnik Srbije
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