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Public health policies in dental traumatology: A call for action! 牙科创伤的公共卫生政策:行动呼吁!
IF 2.3 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-05-14 DOI: 10.1111/edt.12967
Daniela Atili Brandini, Ana Beatriz Carvalho de Souza Cantão, Liran Levin

Traumatic dental injuries (TDI) are a prevalent public health concern, requiring preventive measures as well as timely and appropriate interventions to prevent adverse outcomes and optimize patients' prognosis. Although dental trauma injuries require prompt clinical intervention, some challenges persist in effectively managing these injuries. In dental traumatology, the implementation of public health policies assumes critical importance, these policies play an important role in addressing preventive measures and mitigating the repercussions of TDI. This review aims to emphasize the importance of developing comprehensive public health policies in dental traumatology, recognizing the strategic importance of this approach and its benefits. By proactively addressing issues associated with dental injuries, these policies have extensive implications for individual quality of life and public health in general. Furthermore, this review will present a suggested structured framework for the development of public health policies, encompassing key domains including prevention, intervention, and education in dental traumatology. The creation and implementation of these policies will address dental trauma through prevention programs, research, and development, and will provide a significant step toward enhancing the well-being of the population and dental trauma victims' prognosis promoting a more resilient healthcare system.

牙科创伤(TDI)是一个普遍存在的公共卫生问题,需要采取预防措施以及及时、适当的干预措施,以防止不良后果的发生并优化患者的预后。尽管牙科创伤需要及时的临床干预,但在有效处理这些创伤方面仍存在一些挑战。在牙科创伤学中,公共卫生政策的实施具有至关重要的意义,这些政策在采取预防措施和减轻创伤性牙外伤的影响方面发挥着重要作用。本综述旨在强调制定全面的牙科创伤学公共卫生政策的重要性,认识到这一方法的战略重要性及其益处。通过积极主动地解决与牙科损伤相关的问题,这些政策对个人的生活质量和整体公共卫生有着广泛的影响。此外,本综述将为公共卫生政策的制定提出一个建议性的结构框架,包括牙外伤预防、干预和教育等关键领域。这些政策的制定和实施将通过预防计划、研究和发展来解决牙科创伤问题,并将为提高人口福利和牙科创伤受害者的预后迈出重要的一步,从而促进建立一个更有弹性的医疗保健系统。
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引用次数: 0
Assessment of artificial intelligence applications in responding to dental trauma 评估人工智能在应对牙科创伤中的应用。
IF 2.3 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-05-14 DOI: 10.1111/edt.12965
Idil Ozden, Merve Gokyar, Mustafa Enes Ozden, Hesna Sazak Ovecoglu

Background

This study assessed the consistency and accuracy of responses provided by two artificial intelligence (AI) applications, ChatGPT and Google Bard (Gemini), to questions related to dental trauma.

Materials and Methods

Based on the International Association of Dental Traumatology guidelines, 25 dichotomous (yes/no) questions were posed to ChatGPT and Google Bard over 10 days. The responses were recorded and compared with the correct answers. Statistical analyses, including Fleiss kappa, were conducted to determine the agreement and consistency of the responses.

Results

Analysis of 4500 responses revealed that both applications provided correct answers to 57.5% of the questions. Google Bard demonstrated a moderate level of agreement, with varying rates of incorrect answers and referrals to physicians.

Conclusions

Although ChatGPT and Google Bard are potential knowledge resources, their consistency and accuracy in responding to dental trauma queries remain limited. Further research involving specially trained AI models in endodontics is warranted to assess their suitability for clinical use.

背景:本研究评估了 ChatGPT 和 Google Bard (Gemini) 这两款人工智能(AI)应用程序对牙科创伤相关问题所做回答的一致性和准确性:根据国际牙科创伤协会指南,在 10 天内向 ChatGPT 和 Google Bard 提出了 25 个二分法(是/否)问题。对回答进行记录,并与正确答案进行比较。进行了包括弗莱斯卡帕在内的统计分析,以确定回答的一致性和连贯性:对 4500 个回答的分析表明,两个应用程序都为 57.5%的问题提供了正确答案。Google Bard 显示出中等程度的一致性,错误答案和向医生转诊的比例各不相同:结论:虽然 ChatGPT 和 Google Bard 是潜在的知识资源,但它们在回答牙科创伤问题时的一致性和准确性仍然有限。有必要在牙髓病学领域对经过专门训练的人工智能模型进行进一步研究,以评估它们是否适合临床使用。
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引用次数: 0
Prevention of orofacial trauma in sports and beyond—What can be done further? 预防运动中及运动后的口面部创伤--还能做些什么?
IF 2.5 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-05-13 DOI: 10.1111/edt.12966
Lea Budak, Liran Levin
<p>Orofacial trauma is considered a public health problem in high-impact sports, imposing a detrimental impact on oral health-related quality of life.<span><sup>6-8</sup></span> The main concerns are not only the physical and functional impact but also the esthetic ramifications, psychosocial impairment, and incurred cost.<span><sup>9, 10</sup></span> To reduce the incidence and severity of oral trauma, a custom-made mouthguard is recommended.<span><sup>11-13</sup></span> Contact sports-related dental trauma contributes to a significant proportion of sports injuries among school children.<span><sup>6, 14</sup></span> In this issue, Udayamalee et al.<span><sup>15</sup></span> conducted a study among 1340 adolescent contact sports players in Sri Lanka. A checklist was administered to obtain demographic information, sports practices, and the use of mouthguards. A proper understanding of dental trauma prevalence makes targeting dental trauma reduction and oral health program plans possible and more effective.</p><p>Basketball is characterized by sprinting and jumping, a very aggressive defense system, and body contact among players, making contact injuries likely.<span><sup>8, 13</sup></span> In this issue, Doğan et al.<span><sup>16</sup></span> compared basketball players' subjective assessments of different thicknesses of custom-made and boil-and-bite mouthguards. Sixty systematically healthy male professional basketball players evaluated mouthguard comfort and usability, including comfort, fit, stability, tiredness, thirsting, oral dryness, nausea, speaking, breathing, drinking, ease of wear and removal, and inclination to chew. The optimal thickness of mouthguards for basketball players may lead to their consistent use and improved compliance with proper protection against dental trauma.</p><p>Oral injuries make up a large portion of the total injuries suffered by ice hockey players.<span><sup>17</sup></span> Along with the use of mouthguards, the introduction of face shields and helmets in ice hockey led to a reduction in dental injuries.<span><sup>12, 18</sup></span> In this issue, Opazo-Garcia et al.<span><sup>19</sup></span> aimed to determine characteristics and differences regarding mouthguard usage among field hockey players from different countries participating in the XII ODESUR games. A cross-sectional study included 78 voluntary hockey athletes who answered a questionnaire, collecting information on the type and the time of mouthguard use. There is a need for sports dentistry as a discipline to promote and adopt best practices to protect athletes from potential risks of dental trauma. Knowledge about dental trauma first aid is very important but at the same time deficient among many members of the public.<span><sup>20</sup></span> Essential areas of education that should be addressed include the use and availability of protective devices such as mouthguards, face shields, and helmets.<span><sup>21</sup></span> Better advocacy, regulati
33 研究了在三种不同的骨折模型中,通过两种不同的技术(原牙碎片再连接和直接复合材料修复)修复的牛门牙的抗骨折性。60 颗拔出的牛下门牙被随机分为三组(角、斜或横)。每组中一半的牙齿通过碎片再接合修复,另一半通过直接复合材料修复。牙冠折断是最常见的牙齿外伤形式,目前有多种技术可用于治疗牙冠折断。创伤后治疗方法的选择基于多种因素的综合考虑,如初始损伤的严重程度、牙根发育阶段和到达时间。所有复杂牙冠折断的牙齿都采用了牙髓切断术,而对于非复杂牙冠折断的牙齿,则采用了三种治疗方法(修复、间接盖髓或牙髓切断术)。分析了与牙髓存活相关的潜在因素。准确诊断和识别微暴露非常重要。牙科医生在选择最佳治疗策略时应将多种风险因素考虑在内。暴力是一种复杂的现象,大量的暴力事件导致颌面部受伤,包括软组织损伤和牙外伤。35, 36 由于其紧急性和突发性,牙外伤的处理对临床医生来说极具挑战性。他们收集并审查了在社会动员期间受到国家人员暴力行为影响的患者的临床记录。获得了患者的社会人口学特征、牙科创伤诊断及其治疗需求等信息。由于世界范围内发生了多起内乱事件,因此研究这些事件中与牙科外伤有关的具体特征是非常有意义的、39 牙齿自体移植是将萌出或未萌出的牙齿从一个部位移植到同一患者的另一个部位。40, 41 它是发育期患者替换前牙缺失的可行选择,因为它可以保留并刺激缺牙区域的骨继续形成。40, 42 在本期中,Sans 等人43 展示了使用铣制聚甲基丙烯酸甲酯临时贴面对自体移植牙齿进行即刻修复。开发一种简单、即时、无创伤的美学临时修复体对临床医生和患者都将大有裨益,并可解决术后立即制备牙齿和粘接永久修复体所带来的问题。颌面部外伤很常见,因为面部是人体最缺乏保护的部位之一,而且与相当大的功能、心理和美容方面的发病率和残疾有关、45 此外,牙槽外伤也是一个公共卫生问题,因为它会影响牙齿结构及其支持组织,引发美观、功能和心理损伤。26 在本期中,Turino 等人46 评估了全球有关老年人颌面部和牙槽外伤的科学出版物的趋势。在对 PubMed、Embase、Scopus、Web of Science、Cochrane 和 LILACS 的检索策略中使用了与老年人颌面和牙槽创伤相关的医学主题词(MeSH)、同义词和相关术语。该策略对牙科创伤学领域的出版物进行了很好的概括。恒牙脱落占牙科损伤的 0.5%-16%、48 有效处理牙齿脱落需要及时、适当的干预,以挽救牙齿并降低持久并发症的风险。49, 50 外部替代根吸收是牙齿脱落后最常见的牙周不良后果51。他们还评估了受影响牙齿的外部替代吸收率。多颗牙齿同时脱落凸显了立即采取适当干预措施的重要性,同时还必须认真考虑长期管理策略。
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引用次数: 0
Knowledge of undergraduate and postgraduate dental students about managing traumatic dental injuries based on the 2020 International Association of Dental Traumatology guidelines: A online survey of 10 dental schools from 10 countries 根据 2020 年国际牙科创伤学会指南,了解牙科本科生和研究生对处理牙科创伤的认识:对来自 10 个国家的 10 所牙科院校的在线调查
IF 2.3 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-04-30 DOI: 10.1111/edt.12961
Venkateshbabu Nagendrababu, Vellore Kannan Gopinath, Ana Arias, Frank C. Setzer, Meric Karapinar Kazandag, Anil Kishen, Francesco Mannocci, Raghavendra M. Shetty, Srinivasan Narasimhan, Wataru Ode, Sushmita Ravindran, Nandini Suresh, Igor Tsesis, Victoria Yu, Paul V. Abbott

Background/Aim

The knowledge of dental students about managing traumatic dental injuries (TDIs) may not be uniform, depending on global location and dental education. The aim of this study was to evaluate the level of knowledge of undergraduate and postgraduate students specializing in endodontics and pediatric dentistry at 10 dental schools in 10 countries about the 2020 International Association of Dental Traumatology (IADT) guidelines regarding the management of TDIs.

Materials & Methods

A previously published questionnaire was used in the current survey. It was an online survey with 12 questions regarding the management of TDIs and some additional questions regarding sociodemographic and professional profiles of the participants were added. The survey was distributed to final-year undergraduate students and postgraduate students in pediatric dentistry and endodontics from 10 dental schools. Simple frequency distributions and descriptive statistics were predominantly used to describe the data. Differences in the median percentage scores among the student categories were assessed using the Kruskal–Wallis test followed by Dwass–Steel–Critchlow–Fligner pairwise comparisons.

Results

A total of 347 undergraduates, 126 postgraduates in endodontics, and 72 postgraduates in pediatric dentistry from 10 dental schools participated in this survey. The postgraduates had a significantly higher percentage score for correct responses compared with the undergraduates. No significant difference was observed between the endodontic and pediatric dentistry postgraduates.

Conclusion

The knowledge possessed by undergraduate and postgraduate students concerning the IADT-recommended management of TDIs varied across the globe and some aspects were found to be deficient. This study emphasizes the critical importance of reassessing the teaching and learning activities pertaining to the management of TDIs.

背景/目的牙科学生对处理牙外伤(TDI)的知识可能不尽相同,这取决于全球的地理位置和牙科教育。本研究旨在评估10个国家10所牙科学校牙髓病学和儿童牙科专业的本科生和研究生对2020年国际牙科创伤协会(IADT)TDIs管理指南的了解程度。这是一份在线调查问卷,包含12个有关TDI管理的问题,还增加了一些有关参与者社会人口学和专业概况的问题。调查对象是来自 10 所牙科学校的儿童牙科和牙髓病学专业的应届本科生和研究生。简单的频率分布和描述性统计主要用于描述数据。采用 Kruskal-Wallis 检验和 Dwass-Steel-Critchlow-Fligner 配对比较来评估学生类别之间百分比中位数得分的差异。结果 共有来自 10 所牙科学校的 347 名本科生、126 名根管科研究生和 72 名儿童牙科研究生参与了此次调查。与本科生相比,研究生的回答正确率明显更高。结论全球各地的本科生和研究生对国际牙科医师协会推荐的TDIs管理方法的了解程度不同,有些方面还存在不足。这项研究强调了重新评估有关 TDIs 管理的教学和学习活动的极端重要性。
{"title":"Knowledge of undergraduate and postgraduate dental students about managing traumatic dental injuries based on the 2020 International Association of Dental Traumatology guidelines: A online survey of 10 dental schools from 10 countries","authors":"Venkateshbabu Nagendrababu,&nbsp;Vellore Kannan Gopinath,&nbsp;Ana Arias,&nbsp;Frank C. Setzer,&nbsp;Meric Karapinar Kazandag,&nbsp;Anil Kishen,&nbsp;Francesco Mannocci,&nbsp;Raghavendra M. Shetty,&nbsp;Srinivasan Narasimhan,&nbsp;Wataru Ode,&nbsp;Sushmita Ravindran,&nbsp;Nandini Suresh,&nbsp;Igor Tsesis,&nbsp;Victoria Yu,&nbsp;Paul V. Abbott","doi":"10.1111/edt.12961","DOIUrl":"10.1111/edt.12961","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Aim</h3>\u0000 \u0000 <p>The knowledge of dental students about managing traumatic dental injuries (TDIs) may not be uniform, depending on global location and dental education. The aim of this study was to evaluate the level of knowledge of undergraduate and postgraduate students specializing in endodontics and pediatric dentistry at 10 dental schools in 10 countries about the 2020 International Association of Dental Traumatology (IADT) guidelines regarding the management of TDIs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials &amp; Methods</h3>\u0000 \u0000 <p>A previously published questionnaire was used in the current survey. It was an online survey with 12 questions regarding the management of TDIs and some additional questions regarding sociodemographic and professional profiles of the participants were added. The survey was distributed to final-year undergraduate students and postgraduate students in pediatric dentistry and endodontics from 10 dental schools. Simple frequency distributions and descriptive statistics were predominantly used to describe the data. Differences in the median percentage scores among the student categories were assessed using the Kruskal–Wallis test followed by Dwass–Steel–Critchlow–Fligner pairwise comparisons.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 347 undergraduates, 126 postgraduates in endodontics, and 72 postgraduates in pediatric dentistry from 10 dental schools participated in this survey. The postgraduates had a significantly higher percentage score for correct responses compared with the undergraduates. No significant difference was observed between the endodontic and pediatric dentistry postgraduates.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The knowledge possessed by undergraduate and postgraduate students concerning the IADT-recommended management of TDIs varied across the globe and some aspects were found to be deficient. This study emphasizes the critical importance of reassessing the teaching and learning activities pertaining to the management of TDIs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":"40 5","pages":"586-598"},"PeriodicalIF":2.3,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140840400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Appraisal of the IADT fellowship – A member survey 对 IADT 研究金的评价--会员调查。
IF 2.3 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-04-23 DOI: 10.1111/edt.12962
Juan Onetto, Michal Sobczak, Tony Skapetis, Bill Kahler, Olga Tishkina, Geertje Van Gorp, Anne C. O'Connell
<div> <section> <h3> Background/Aim</h3> <p>The International Association of Dental Traumatology (IADT) is considered the foremost authority in Dental Traumatology. Fellowship status was introduced in 2015 and is considered an international standard of excellence. The Fellowship Committee of the IADT believed it was essential to survey members seeking information on the benefits of the IADT Fellowship and potential considerations for future development. This survey aimed to explore the perceptions of members of IADT surrounding the fellowship process in terms of interest, accessibility, equality, perceived prestige, and value to the membership.</p> </section> <section> <h3> Material and Methods</h3> <p>The survey was sent to 546 IADT members, of whom 89 were fellows (as of 31 July 2022) from 74 countries via an email invitation. Answers were analysed using the Chi<sup>2</sup> and Fisher's exact test (<i>p</i> < .05).</p> </section> <section> <h3> Results</h3> <p>The response rate to the survey was 20.69% (<i>n</i> = 113), including 28 fellows (24.78%). Forty-six respondents (40.71%) were female, and 67 (59.30%) were male. Dentists identified as specialists were significantly more likely to be involved in teaching dental trauma (<i>p</i> = .000008). A majority of respondents (87.76%; 86/98) expressed interest in obtaining fellowship, with increased interest from more recent graduates. Learning opportunities, obtaining expertise, networking and a sense of community and prestige, were key factors in considering fellowship. There was interest in alternate pathways other than examination alone, with 60.2% of 98 respondents suggesting a combination of publications /service to IADT/ reviewer for Dental Traumatology, 57.14% suggesting the submission of case reports, and 42.86% suggesting Honorary Fellowship. Respondents (73%) were willing to participate in online discussion forums and other professional development opportunities. This preference was more notable among non-fellows (75.29%) than fellows (67.85%).</p> </section> <section> <h3> Conclusions</h3> <p>The survey indicates the diverse motivations and perceptions regarding the IADT Fellowship, despite the low participation of IADT members. Achieving fellowship status is desired by 87.7% of non-fellows. The majority of respondents were aware of the process, but main concerns were identified as eligibility criteria and examination difficulty. Options for alternate pathways and other initiatives promoting engagement were identified. Further exploration of these issues is required to be representativ
背景/目的国际牙科创伤协会(IADT)被认为是牙科创伤领域最权威的机构。研究员资格于 2015 年推出,被视为国际卓越标准。IADT 奖学金委员会认为有必要对会员进行调查,以了解 IADT 奖学金的益处以及未来发展的潜在考虑因素。本调查旨在探讨IADT会员对研究金程序在兴趣、可及性、平等性、感知声望以及对会员价值等方面的看法。材料与方法本调查通过电子邮件邀请函发送给来自74个国家的546名IADT会员,其中89名是研究员(截至2022年7月31日)。结果调查的回复率为20.69%(n = 113),其中包括28名研究员(24.78%)。46名受访者(40.71%)为女性,67名受访者(59.30%)为男性。被认定为专科医生的牙科医生参与牙科创伤教学的可能性明显更高(p = .000008)。大多数受访者(87.76%;86/98)表示有兴趣获得研究金,应届毕业生的兴趣更高。学习机会、获得专业知识、人际网络以及社区感和声望是考虑获得研究金的关键因素。除了考试之外,受访者对其他途径也很感兴趣,98 位受访者中有 60.2% 建议结合发表论文/为国际牙科创伤学会服务/担任牙科创伤学评审员,57.14% 建议提交病例报告,42.86% 建议担任荣誉研究员。受访者(73%)愿意参加在线论坛和其他专业发展机会。结论:尽管 IADT 会员的参与率较低,但调查显示,非研究员(75.29%)比研究员(67.85%)对 IADT 研究员资格有不同的动机和看法。87.7%的非研究员希望获得研究员资格。大多数受访者都了解这一程序,但主要关注的问题是资格标准和考试难度。受访者提出了其他途径和促进参与的其他倡议。需要进一步探讨这些问题,以代表整个 IADT 成员。解决这些障碍可以极大地提高研究金的参与度和 IADT 社区成员的整体满意度。
{"title":"Appraisal of the IADT fellowship – A member survey","authors":"Juan Onetto,&nbsp;Michal Sobczak,&nbsp;Tony Skapetis,&nbsp;Bill Kahler,&nbsp;Olga Tishkina,&nbsp;Geertje Van Gorp,&nbsp;Anne C. O'Connell","doi":"10.1111/edt.12962","DOIUrl":"10.1111/edt.12962","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background/Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The International Association of Dental Traumatology (IADT) is considered the foremost authority in Dental Traumatology. Fellowship status was introduced in 2015 and is considered an international standard of excellence. The Fellowship Committee of the IADT believed it was essential to survey members seeking information on the benefits of the IADT Fellowship and potential considerations for future development. This survey aimed to explore the perceptions of members of IADT surrounding the fellowship process in terms of interest, accessibility, equality, perceived prestige, and value to the membership.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Material and Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The survey was sent to 546 IADT members, of whom 89 were fellows (as of 31 July 2022) from 74 countries via an email invitation. Answers were analysed using the Chi&lt;sup&gt;2&lt;/sup&gt; and Fisher's exact test (&lt;i&gt;p&lt;/i&gt; &lt; .05).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The response rate to the survey was 20.69% (&lt;i&gt;n&lt;/i&gt; = 113), including 28 fellows (24.78%). Forty-six respondents (40.71%) were female, and 67 (59.30%) were male. Dentists identified as specialists were significantly more likely to be involved in teaching dental trauma (&lt;i&gt;p&lt;/i&gt; = .000008). A majority of respondents (87.76%; 86/98) expressed interest in obtaining fellowship, with increased interest from more recent graduates. Learning opportunities, obtaining expertise, networking and a sense of community and prestige, were key factors in considering fellowship. There was interest in alternate pathways other than examination alone, with 60.2% of 98 respondents suggesting a combination of publications /service to IADT/ reviewer for Dental Traumatology, 57.14% suggesting the submission of case reports, and 42.86% suggesting Honorary Fellowship. Respondents (73%) were willing to participate in online discussion forums and other professional development opportunities. This preference was more notable among non-fellows (75.29%) than fellows (67.85%).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The survey indicates the diverse motivations and perceptions regarding the IADT Fellowship, despite the low participation of IADT members. Achieving fellowship status is desired by 87.7% of non-fellows. The majority of respondents were aware of the process, but main concerns were identified as eligibility criteria and examination difficulty. Options for alternate pathways and other initiatives promoting engagement were identified. Further exploration of these issues is required to be representativ","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":"40 5","pages":"599-606"},"PeriodicalIF":2.3,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/edt.12962","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140668447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A systematic search, heuristic evaluation and analysis of dental trauma mobile applications 对牙科创伤移动应用程序进行系统搜索、启发式评估和分析。
IF 2.3 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-04-23 DOI: 10.1111/edt.12964
Tarun Walia, M. S. Muthu, Ankita Saikia, Robert Anthonappa, M. S. Satyanarayana

Background

Despite the exponential growth of mobile device applications in promoting awareness on traumatic dental injuries (TDIs), the overall validity of existing applications in content, engagement, usability, functionality, esthetics, and user perception remains largely uncertain.

Aims

The primary aim was to systematically search and assess the quality, functionality, perceived impact and usability of available applications related to TDIs using the User Version of the Mobile Application Rating Scale (uMARS) and the Coventry, Aberdeen, and London–Revised (CA-LO-RE) scale. A heuristic evaluation was additionally performed. The secondary aim was to categorize existing mobile applications according to their target users, including general population, dentists, dental students, medical healthcare professionals, and researchers.

Methods

A systematic search for dental trauma applications (free and paid) was conducted using the AppStore and Google Play store. Two reviewers independently performed data extraction and quality assessment for all the included applications using uMARS and CA-LO-RE. A user experience architect conducted a heuristic evaluation.

Results

Only 6 of the 3061 initially screened applications were eligible for qualitative and quantitative assessments. These applications' average star uMARS rating was 12.5 (standard deviation [SD] 2.6). The mean and SD for the uMARS objective items were as follows: A-engagement (mean 12.1 [SD 3.3]), B-functionality (mean 15.5 [SD 1.4]), C-esthetics (mean 9.5 [SD 2.5]), and D-information (mean 13 [SD 4.5]). The severity rating for the heuristic evaluation criteria was low to moderate for all the included applications, excluding tooth emergencies with a high severity score.

Conclusion

Despite moderate quality, functionality, user perception, behavioural impact and usability scores, the inclusion of advanced features to “engagement” and “usability” in existing trauma based apps will enhance their purpose. A design-thinking approach coupled with interactive features is recommended for future mobile applications on TDIs.

背景尽管移动设备应用在提高人们对牙科外伤(TDI)的认识方面呈指数级增长,但现有应用在内容、参与性、可用性、功能性、美观性和用户感知方面的整体有效性在很大程度上仍不确定。目的主要是使用用户版移动应用评分量表(uMARS)和考文垂、阿伯丁和伦敦修订版(CA-LO-RE)量表系统地搜索和评估与牙科外伤有关的现有应用的质量、功能、感知影响和可用性。此外还进行了启发式评估。次要目的是根据目标用户对现有移动应用程序进行分类,包括普通用户、牙医、牙科学生、医疗保健专业人员和研究人员。方法通过AppStore和Google Play商店对牙科创伤应用程序(免费和付费)进行了系统搜索。两名审查员使用uMARS和CA-LO-RE对所有收录的应用程序独立进行了数据提取和质量评估。结果在 3061 个初步筛选的应用程序中,只有 6 个符合定性和定量评估的条件。这些应用程序的 uMARS 平均星级为 12.5(标准差 [SD] 2.6)。uMARS 客观项目的平均值和标准差如下:A-参与度(平均值 12.1 [标准差 3.3])、B-功能性(平均值 15.5 [标准差 1.4])、C-美观度(平均值 9.5 [标准差 2.5])和 D-信息量(平均值 13 [标准差 4.5])。尽管在质量、功能、用户感知、行为影响和可用性方面的评分都处于中等水平,但在现有的基于创伤的应用程序中加入 "参与性 "和 "可用性 "方面的高级功能将增强其目的性。建议在未来的创伤数据采集系统移动应用中采用设计思维方法和互动功能。
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引用次数: 0
Midterm outcomes of autogenous mature third molars transplantation into surgically created sockets: A retrospective cohort study 将自体成熟第三磨牙移植到手术创建的牙槽中的中期效果:回顾性队列研究
IF 2.3 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-04-20 DOI: 10.1111/edt.12958
Ailimaierdan Ainiwaer, Zhongcheng Gong, Zulikamaier Zuolipahaer, Ling Wang
<div> <section> <h3> Background/Aims</h3> <p>The purpose of this study was to observe the outcome of mature third molars transplantation into surgically created sockets with the assistance of computer designed three dimensional (3-D) printed replicas and compare its outcome with the conventional fresh socket autotransplantation.</p> </section> <section> <h3> Material and Methods</h3> <p>This study included total of 96 mature third molars autotransplanted in 96 cases with the guidance of computer designed 3-D printed replicas. Forty-eight teeth autotransplanted into surgically created sockets were enrolled into the surgically created socket group and 48 teeth conventionally autotransplanted into fresh sockets were enrolled into the fresh socket group. In the surgically created socket group, mature third molars were autotransplanted into surgically prepared sockets at the site of previously missed or extracted molars in the alveolar bone and in the fresh socket group, autotransplantation of mature third molars were performed in fresh sockets of extracted diseased molars simultaneously. After transplantation, the visual analogue scale (VAS) score, Landry Wound Healing Index (LWHI), mobility and probing depth (PD) of the transplanted teeth were measured and the patient satisfaction questionnaire were held in both group. All patients underwent clinical and radiographic examinations during the follow-up.</p> </section> <section> <h3> Results</h3> <p>During the mean follow-up period of 47.63 ± 16.78 months (range 18–78 months), 92 out of 96 teeth remained in situ without clinical or radiographic complications with overall success rate of 95.83%. No statistically significant differences were found in success and survival rates between the two group. The average extra-oral time of the donor teeth were 60.76 ± 22.41 s and mean positioning trials of the donor teeth were 2.43 ± 1.19. The VAS score at Day 1 in the surgically created socket group was higher than the fresh socket group (<i>p</i> < .05). LWHI scores in the surgically created group were lower than the fresh socket group during the first 2 weeks (<i>p</i> < .05). The degree of mobility of the transplanted teeth in both group showed no statistically significant difference during the first 3 months. PD in the surgically created group were higher than the fresh socket group in the first month but there were no statistically significant difference after 1 month. Twenty-six out of 48 cases in the surgically created group needed crown restoration while only 10 cases went through crown restoration in the fresh socket group. Most patients in both group were satisfied with the treatment.</p> </section> <section>
背景/目的本研究的目的是观察在计算机设计的三维(3-D)打印复制品的帮助下将成熟的第三磨牙移植到手术创建的牙槽窝的结果,并将其与传统的新鲜牙槽窝自体移植的结果进行比较。将 48 颗牙齿自体移植到手术创建的牙槽窝中被纳入手术创建牙槽窝组,将 48 颗牙齿传统自体移植到新鲜牙槽窝中被纳入新鲜牙槽窝组。在手术创建牙槽窝组中,成熟的第三磨牙被自动移植到牙槽骨中先前遗漏或拔除的磨牙部位的手术准备牙槽窝中,而在新鲜牙槽窝组中,成熟的第三磨牙被同时自动移植到拔除的病变磨牙的新鲜牙槽窝中。移植后,两组患者均测量了移植牙齿的视觉模拟量表(VAS)评分、兰德里伤口愈合指数(LWHI)、活动度和探诊深度(PD),并进行了患者满意度问卷调查。结果在平均 47.63 ± 16.78 个月(18-78 个月)的随访期间,96 颗牙齿中有 92 颗保持原位,未出现临床或影像学并发症,总体成功率为 95.83%。两组患者的成功率和存活率在统计学上无明显差异。供体牙齿的平均口外时间为(60.76 ± 22.41)秒,供体牙齿的平均定位试验为(2.43 ± 1.19)次。手术创建牙槽窝组第一天的 VAS 评分高于新鲜牙槽窝组(p < .05)。在前两周,手术创建牙槽窝组的 LWHI 评分低于新鲜牙槽窝组(p < .05)。在最初的 3 个月中,两组移植牙齿的活动度没有明显的统计学差异。手术移植组在第一个月的活动度高于新鲜牙槽骨组,但 1 个月后差异无统计学意义。手术修复组的 48 个病例中有 26 个需要进行牙冠修复,而新鲜牙槽窝修复组只有 10 个病例需要进行牙冠修复。结论将自体成熟的第三磨牙移植到手术创建的牙槽中与传统的新鲜牙槽移植一样有效。这项技术值得推荐给经过仔细筛选的病例,并能取得乐观的效果。
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引用次数: 0
Comparative analysis of dental trauma in contact and non-contact sports: A systematic review 接触性和非接触性运动中牙齿创伤的比较分析:系统回顾
IF 2.3 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-04-20 DOI: 10.1111/edt.12959
Luiz Gustavo Healt de Lima, Caroline Souza dos Santos, Juliana Schaia Rocha, Orlando Tanaka, Edvaldo Antonio Ribeiro Rosa, Gil Guilherme Gasparello

Dental traumas in sports are common and have physical, social, psychological, and economic impacts. The aim of this study was to determine, through a systematic review, the prevalence of dental trauma in contact and non-contact sports. This review was submitted to PROSPERO (CRD42023421206). Included studies addressed the prevalence of dental trauma in young athletes and adults above 18 years, excluding reviews, editorials, symposiums, or those evaluating athletes under 18 years. A literature search was conducted using the databases PubMed, Web of Science, Scopus, Embase, LIVIVO, SPORTDiscus, Dentistry & Oral Sciences Source (via EBSCO), and Lilacs and BBO, as well as gray literature. Bias risk was assessed using the Joanna Briggs Institute's Critical Appraisal Checklist. Data were synthesized considering study characteristics, population, sport, and outcomes. R Statistics software was used for all meta-analyses. A total of 1707 articles were identified. After applying eligibility criteria, eight were selected. Three studies, not previously observed, were later added after reading four systematic reviews on a similar topic. Fourteen contact sports and five non-contact sports were analyzed. The prevalence of dental trauma was 11.38% in contact sports and 5.24% in non-contact sports. Regardless of the type of sport, athletes face risks of dental trauma, with contact sports showing higher prevalence. The use of mouthguards is essential across all contact and non-contact sports as a preventive measure.

运动中的牙外伤很常见,会对身体、社会、心理和经济造成影响。本研究旨在通过系统性综述,确定接触性和非接触性运动中牙齿创伤的发生率。本综述已提交至 PROSPERO(CRD42023421206)。所纳入的研究涉及 18 岁以上年轻运动员和成年人的牙外伤发生率,不包括综述、社论、专题讨论会或评估 18 岁以下运动员的研究。我们使用 PubMed、Web of Science、Scopus、Embase、LIVIVO、SPORTDiscus、Dentistry & Oral Sciences Source(通过 EBSCO)、Lilacs 和 BBO 等数据库以及灰色文献进行了文献检索。使用乔安娜-布里格斯研究所(Joanna Briggs Institute)的 "批判性评估清单"(Critical Appraisal Checklist)对偏倚风险进行评估。数据综合考虑了研究特点、人群、运动和结果。所有荟萃分析均使用 R 统计软件。共确定了 1707 篇文章。在应用资格标准后,共筛选出 8 篇文章。在阅读了四篇类似主题的系统综述后,又增加了三篇以前未观察到的研究。对 14 项接触性运动和 5 项非接触性运动进行了分析。在接触性运动中,牙外伤的发生率为 11.38%,在非接触性运动中为 5.24%。不管是哪种运动,运动员都面临着牙外伤的风险,其中接触性运动的发生率更高。在所有接触性和非接触性运动中,使用护齿器都是必不可少的预防措施。
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引用次数: 0
Contextual and individual factors associated with traumatic dental injuries in deprived 12-year-old schoolchildren: A cohort study 与贫困的 12 岁学龄儿童牙外伤相关的环境和个人因素:一项队列研究
IF 2.3 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-04-09 DOI: 10.1111/edt.12955
Emmanuelle de Fátima Noberto Bezerra, Fernando José Herkrath, Mario Vianna Vettore, Maria Augusta Bessa Rebelo, Adriana Corrêa de Queiroz, Janete Maria Rebelo Vieira, Juliana Vianna Pereira, Mariana Oliveira da Silva Freitas, Ana Paula Corrêa de Queiroz Herkrath

Aim

Traumatic dental injuries (TDIs) among children and adolescents have been acknowledged as of public health concern worldwide. The aim of the study was to assess the relationship between contextual and individual characteristics and TDIs in 12-year-old schoolchildren.

Materials and Methods

A cohort study was conducted with 355 schoolchildren living in deprived communities in the city of Manaus, Brazil. Contextual factors (place of residence and socio-economic indicators) and individual characteristics, including sex, family income, parents/guardians years of schooling, overjet and open bite (Dental Aesthetic Index), self-esteem (Rosenberg Self-Esteem Scale), sense of coherence (Sense of Coherence Scale), oral health beliefs, social support (Social Support Appraisals) were assessed at baseline. TDIs were measured at baseline and at 2-year follow-up using the O'Brien Index. Data were analysed through confirmatory factor analysis and structural equation modeling.

Results

The baseline prevalence of TDIs was 17.6% and the incidence of TDIs at 2-year follow-up was 26.8%. Better psychosocial status had a direct protective effect on the incidence of TDIs (β = −.184). Better contextual characteristics (β = −.135) and greater overjet (β = −.203) were directly associated with poor psychosocial status. Higher schooling of parents/guardians directly predicted better psychosocial status (β = .154). Psychosocial status mediated the relationship of greater overjet (β = .036), contextual factors (β = .024) and parental/guardian schooling (β = −.027) with TDIs.

Conclusions

Contextual factors and individual characteristics predicted TDIs. Psychosocial status was a relevant individual attribute in the causal network of TDIs, due to the direct effect on the incidence of TDIs as well as a mediator on the influence of contextual factors, overjet and parents/guardians schooling on the incidence of TDIs.

目的儿童和青少年牙齿外伤(TDIs)已成为全球公认的公共卫生问题。本研究的目的是评估环境和个人特征与 12 岁学龄儿童牙外伤之间的关系。材料与方法对生活在巴西玛瑙斯市贫困社区的 355 名学龄儿童进行了队列研究。研究人员在基线时评估了环境因素(居住地和社会经济指标)和个人特征,包括性别、家庭收入、父母/监护人受教育年限、牙齿咬合过度和开牙合(牙齿美学指数)、自尊(罗森伯格自尊量表)、协调感(协调感量表)、口腔健康信念、社会支持(社会支持评估)。在基线和 2 年随访时,使用奥布莱恩指数测量 TDI。通过确证因子分析和结构方程模型对数据进行了分析。结果基线TDI发病率为17.6%,随访2年时的TDI发病率为26.8%。较好的社会心理状态对 TDIs 的发生率有直接的保护作用(β = -.184)。较好的环境特征(β = -.135)和较大的过牙合(β = -.203)与较差的社会心理状态直接相关。父母/监护人受教育程度越高,其社会心理状况越好(β = .154)。社会心理状况对过高牙合(β = .036)、环境因素(β = .024)和父母/监护人受教育程度(β = -.027)与 TDIs 的关系起着中介作用。在 TDIs 的因果网络中,社会心理状态是一个相关的个体属性,因为它对 TDIs 的发生率有直接影响,同时也是背景因素、过度喷射和父母/监护人就学情况对 TDIs 发生率影响的中介因素。
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引用次数: 0
Evaluation of the reliability and accuracy of YouTube™ and TikTok™ contents about storage media for avulsed teeth: A cross-sectional study 评估YouTube™和TikTok™上有关脱落牙齿存储介质内容的可靠性和准确性:横断面研究
IF 2.3 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-04-09 DOI: 10.1111/edt.12952
Selin Saygili, Ilke Gezer, Hatice Sena Oner, Elif Bahar Tuna-Ince, Yelda Kasimoglu

Background/Aims

The preservation of avulsed teeth is critical in dental trauma management, necessitating effective storage media to ensure viable tooth reimplantation. The urgent need for accurate information has led both professional and non-professional individuals to increasingly seek guidance from video-sharing platforms such as YouTube™ and TikTok™. These platforms have become key resources for advice on such dental emergencies, but the reliability and accuracy of this information have not yet been systematically evaluated. This study aimed to assess the quality, accuracy, and reliability YouTube™ and TikTok™ of videos regarding storage solutions for avulsion injuries.

Material and Methods

A search was conducted on YouTube™ and TikTok™ on February 4th, 2023, using terms related to traumatic dental injuries, and 53 videos were included. Video demographics such as platform, duration, type, upload date, likes, and comments were recorded. Video content quality, reliability, and accuracy were measured using the Global Quality Scale (GQS), Journal of the American Medical Association (JAMA) benchmarks, and Video Information and Quality Index (VIQI). Research data were analyzed using SPSS IBM 24.0 at a 95% confidence interval.

Results

In total, 53 videos were examined. The average scores were JAMA: 1.70/4.00, modified DISCERN: 54.3/80.00, GQS: 3.88/5.00, and VIQI: 13.8/20.00. According to the modified DISCERN index, there were no “very poor” or “poor” quality videos, 49.05% were “moderate,” 22.6% were “good,” and 28.3% were “very good.” No difference was found between YouTube™ and TikTok™ videos in terms of the modified DISCERN index, JAMA scores, GQS, and VIQI scoring (p > .05).

Conclusions

Traumatic dental injuries are a common problem among children, and evaluating the reliability of available contents is becoming crucial for appropriate intervention. The study reveals that despite being sourced mainly from dental professionals, the overall quality of videos on avulsed tooth management was mediocre, underscoring the risks associated with misleading or incomplete information in such critical situations.

背景/目的脱落牙齿的保存在牙科创伤管理中至关重要,需要有效的存储介质来确保可行的牙齿再植。对准确信息的迫切需求使得专业和非专业人士越来越多地从 YouTube™ 和 TikTok™ 等视频共享平台上寻求指导。这些平台已成为就此类牙科紧急情况提供建议的重要资源,但这些信息的可靠性和准确性尚未得到系统评估。本研究旨在评估YouTube™和TikTok™上有关撕脱伤存储解决方案的视频的质量、准确性和可靠性。材料和方法2023年2月4日,使用与牙外伤相关的术语在YouTube™和TikTok™上进行了搜索,共纳入53个视频。记录了视频的人口统计学特征,如平台、持续时间、类型、上传日期、点赞和评论。使用全球质量量表(GQS)、《美国医学会杂志》(JAMA)基准和视频信息与质量指数(VIQI)衡量视频内容的质量、可靠性和准确性。研究数据使用 SPSS IBM 24.0 进行分析,置信区间为 95%。平均得分分别为 JAMA:1.70/4.00,修改后的 DISCERN:54.3/80.00,GQS:3.88/5.00,VIQI:3.88/5.00:3.88/5.00,VIQI:13.8/20.00。根据修改后的 DISCERN 指数,没有 "非常差 "或 "差 "的视频质量,49.05% 为 "中等",22.6% 为 "好",28.3% 为 "非常好"。在修正的 DISCERN 指数、JAMA 分数、GQS 和 VIQI 分数方面,YouTube™ 和 TikTok™ 视频之间没有差异(p > .05)。研究显示,尽管视频主要来源于牙科专业人士,但有关脱落牙齿处理的视频总体质量一般,这凸显了在这种危急情况下误导性或不完整信息所带来的风险。
{"title":"Evaluation of the reliability and accuracy of YouTube™ and TikTok™ contents about storage media for avulsed teeth: A cross-sectional study","authors":"Selin Saygili,&nbsp;Ilke Gezer,&nbsp;Hatice Sena Oner,&nbsp;Elif Bahar Tuna-Ince,&nbsp;Yelda Kasimoglu","doi":"10.1111/edt.12952","DOIUrl":"10.1111/edt.12952","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Aims</h3>\u0000 \u0000 <p>The preservation of avulsed teeth is critical in dental trauma management, necessitating effective storage media to ensure viable tooth reimplantation. The urgent need for accurate information has led both professional and non-professional individuals to increasingly seek guidance from video-sharing platforms such as YouTube™ and TikTok™. These platforms have become key resources for advice on such dental emergencies, but the reliability and accuracy of this information have not yet been systematically evaluated. This study aimed to assess the quality, accuracy, and reliability YouTube™ and TikTok™ of videos regarding storage solutions for avulsion injuries.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Material and Methods</h3>\u0000 \u0000 <p>A search was conducted on YouTube™ and TikTok™ on February 4th, 2023, using terms related to traumatic dental injuries, and 53 videos were included. Video demographics such as platform, duration, type, upload date, likes, and comments were recorded. Video content quality, reliability, and accuracy were measured using the Global Quality Scale (GQS), Journal of the American Medical Association (JAMA) benchmarks, and Video Information and Quality Index (VIQI). Research data were analyzed using SPSS IBM 24.0 at a 95% confidence interval.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Result<b>s</b></h3>\u0000 \u0000 <p>In total, 53 videos were examined. The average scores were JAMA: 1.70/4.00, modified DISCERN: 54.3/80.00, GQS: 3.88/5.00, and VIQI: 13.8/20.00. According to the modified DISCERN index, there were no “very poor” or “poor” quality videos, 49.05% were “moderate,” 22.6% were “good,” and 28.3% were “very good.” No difference was found between YouTube™ and TikTok™ videos in terms of the modified DISCERN index, JAMA scores, GQS, and VIQI scoring (<i>p</i> &gt; .05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Traumatic dental injuries are a common problem among children, and evaluating the reliability of available contents is becoming crucial for appropriate intervention. The study reveals that despite being sourced mainly from dental professionals, the overall quality of videos on avulsed tooth management was mediocre, underscoring the risks associated with misleading or incomplete information in such critical situations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":"40 5","pages":"522-529"},"PeriodicalIF":2.3,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140561186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Dental Traumatology
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