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Computed tomography-assisted morphological assessment of the components of the temporomandibular joint – a pilot study 计算机断层扫描辅助颞下颌关节组成部分的形态学评估——一项初步研究
Q4 Medicine Pub Date : 2020-03-01 DOI: 10.25121/NEWMED.2020.24.1.20
Maja Stańczyk, Ronald Lukashevich, A. Gorzkowska, Paulina Urbańska, P. Laskowski, Dominika Wozniak, Z. Stopa, P. Regulski, R. Franczyk
Introduction. Temporomandibular joint (TMJ) disorders are a common diagnostic problem. No universal radiological parameter of the analysis was introduced. Aim. Comparison of values of selected radiological parameters between asymptomatic patients and those with the TMJ arthropathy. Material and methods. Retrospective analysis of CT scans of patients of the Department of Dental and Maxillofacial Radiology and the Department of Cranio-Maxillofacial Surgery, Oral Surgery and Implantology, Medical University of Warsaw. Patients were divided into two groups: 1. without TMJ disorders, 2. with TMJ dysfunction symptoms. Following parameters of heads of mandible were analyzed bilaterally: shape, anteroposterior and lateromedial dimensions, the distance between lateral points of both heads (HL-HR), distance between a head and the mandibular fossa. The angle between the horizontal axis of the head of mandible and the line drawn by posterior points of heads of mandible was measured. Results. The most common type of the head of mandible in group 1 (40 patients; 13 women, 27 men) was convex (14 patients), in group 2 (16 patients; 14 women, 2 men) – plane (8 patients). Significant differences between groups were obtained for: GL-GP (group 1 – 120.35 mm, group 2 – 115.4 mm), dimensions of heads of mandible: lateromedial – 19.7 mm, 18.14 mm, anteroposterior – 8.03 mm, 7.04 mm for group 1 and 2, respectively. Conclusions. Computed tomography allowed for an accurate analysis of the TMJ components. Measurements of structures discussed in this work should be a part of the diagnosis of patients with TMJ dysfunction.
介绍。颞下颌关节(TMJ)紊乱是一个常见的诊断问题。没有介绍该分析的通用放射学参数。的目标。无症状患者与TMJ关节病患者放射学参数的比较。材料和方法。华沙医科大学口腔颌面放射科和颅颌面外科、口腔外科和种植科患者CT扫描回顾性分析患者分为两组:1。2.无颞下颌关节障碍;有颞下颌关节功能障碍症状分析双侧下颌骨的外形、前后、内外尺寸、两头颅侧点之间的距离(HL-HR)、头颅与下颌窝之间的距离。测量下颌骨头横轴与下颌骨头后点所画直线之间的夹角。结果。1组最常见的下颌骨头型(40例);女性13例,男性27例)为凸型(14例),组2(16例);女14例,男2例)-平面(8例)。GL-GP组(1 ~ 120.35 mm组,2 ~ 115.4 mm组),1、2组下颌骨外内侧尺寸分别为19.7 mm、18.14 mm、8.03 mm、7.04 mm,组间差异有统计学意义。结论。计算机断层扫描允许对TMJ成分进行准确的分析。在这项工作中讨论的结构测量应该是颞下颌关节功能障碍患者诊断的一部分。
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引用次数: 0
Salivary antioxidant status and oral health in children and adolescents 儿童和青少年唾液抗氧化状态与口腔健康
Q4 Medicine Pub Date : 2019-12-01 DOI: 10.25121/newmed.2019.23.4.145
Paula Piekoszewska-Ziętek, Emilia Raćkowska, Natalia Korytowska, D. Olczak-Kowalczyk
Introduction. The pathogenesis of oral diseases may be associated with oxidative stress. Salivary antioxidant system constitutes one of the key salivary defence mechanisms against pathogens and a protective factor for oral cavity. Aim. To investigate the relationship between oral health (hygiene level, gingival and dental health), age and gender and antioxidant capacity parameters in children and adolescents with permanent dentition. Material and methods. A total of 87 patients were examined. DMFT/DMFS and white spot lesions (WSL), oral hygiene level and gingival health were assessed. Salivary samples were collected from all participants. Unstimulated salivary flow was calculated and salivary samples were assayed for total antioxidant capacity (TAC) and ferric reducing antioxidant power (FRAP). Results. Antioxidant capacity parameters were lower in patients with caries, active caries, white spot lesions, poor oral hygiene and gingivitis, but the differences were not statistically significant. Oxidative stress parameters were significantly higher in low unstimulated salivary flow. Spearman’s rank correlation analysis revealed no relationship between TAC or FRAP values and patients’ gender, but there was a positive correlation between TAC/FRAP and patients’ age. Conclusions. Salivary antioxidant capacity parameters differ in certain oral conditions. There is a correlation between salivary antioxidant capacity parameters and patients’ age.
介绍。口腔疾病的发病机制可能与氧化应激有关。唾液抗氧化系统是唾液防御病原体的关键机制之一,也是口腔的保护因子。的目标。探讨有恒牙的儿童和青少年口腔健康(卫生水平、牙龈和牙齿健康)、年龄和性别与抗氧化能力参数的关系。材料和方法。共检查87例患者。评估DMFT/DMFS和白斑病变(WSL)、口腔卫生水平和牙龈健康状况。收集了所有参与者的唾液样本。计算未受刺激的唾液流量,测定唾液样品的总抗氧化能力(TAC)和铁还原抗氧化能力(FRAP)。结果。龋齿、活动性龋齿、白斑病变、口腔卫生不良、牙龈炎患者抗氧化能力指标较低,但差异无统计学意义。低无刺激唾液流量组氧化应激参数显著升高。Spearman秩相关分析显示,TAC和FRAP值与患者性别无关,而TAC/FRAP值与患者年龄呈正相关。结论。唾液抗氧化能力参数在某些口腔条件下是不同的。唾液抗氧化能力参数与患者年龄有相关性。
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引用次数: 0
Minimally invasive therapy of lymphatic malformations in patients treated in the Paediatric Teaching Clinical Hospital, University Clinical Centre of the Medical University of Warsaw (DSK UCK WUM) 华沙医科大学临床中心儿科教学临床医院(DSK UCK WUM)接受治疗的患者淋巴畸形的微创治疗
Q4 Medicine Pub Date : 2019-12-01 DOI: 10.25121/newmed.2019.23.4.119
A. Wasilewska, Małgorzata Badełek-Izdebska, L. Zawadzka-Głos, R. Krysiak, J. Żyłkowski
Introduction. Lymphatic malformations (LMs) are benign lesions thought to be caused by the abnormal development of the lymphatic system in utero. Most commonly, LMs affect the head and neck. Because of LM morphology and location close to important vascular and nervous structures, surgical treatment is difficult, associated with a high risk of complications, and often incomplete. Aim. Bleomycin sclerotherapy is a recognised minimally invasive technique used in the treatment of LMs. We present the outcomes of bleomycin therapy of LMs located in the head and neck area in children receiving therapy in our centre. Material and methods. Between September 2017 and October 2019, treatment with bleomycin was provided to a total of 6 patients with LMs of the head and neck, aged from 3 weeks to 10 years. The procedures were performed under ultrasound and/or fluoroscopy guidance. The aspects analysed included the number of procedures applied in patients, drug doses, treatment response and complications. Results. In 4 patients, the LM was located on the neck, in 1 patient ? on the neck and in the mediastinum, and in 1 patient in the cheek region. Three patients underwent 2 procedures, 1 patient ? 3 procedures, and 2 patients ? 1 procedure. The treatment outcome was excellent and good in 4 patients and 1 patient, respectively. However, in 1 patient, the therapeutic effect was unsatisfactory, and a decision was made to administer another course of treatment. The maximum single dose of bleomycin was 10,000 IU; the dose of 700 IU/kg BW was not exceeded. No complications were observed after the procedures. Conclusions. Preliminary results suggest that bleomycin sclerotherapy of LMs in the head and neck region in children is an effective and safe treatment modality.
介绍。淋巴畸形(LMs)是一种良性病变,被认为是由子宫内淋巴系统的异常发育引起的。最常见的是,LMs影响头部和颈部。由于LM的形态和位置靠近重要的血管和神经结构,手术治疗困难,并发症风险高,而且往往不完整。的目标。博莱霉素硬化疗法是一种公认的用于治疗LMs的微创技术。我们介绍了博来霉素治疗在我们中心接受治疗的儿童头颈部LMs的结果。材料和方法。在2017年9月至2019年10月期间,共有6例头颈部LMs患者接受博来霉素治疗,年龄从3周至10岁不等。手术在超声和/或透视指导下进行。分析的方面包括患者应用的程序数量、药物剂量、治疗反应和并发症。结果。在4例患者中,LM位于颈部,1例患者?在颈部和纵隔,1例患者在脸颊区域。3例患者接受了2次手术,1例患者?3个手术,2个病人?1程序。治疗效果优4例,良1例。然而,有1例患者治疗效果不理想,决定进行另一个疗程的治疗。博莱霉素单次最大剂量为10000 IU;未超过700 IU/kg BW的剂量。术后无并发症发生。结论。初步结果提示,博来霉素硬化治疗儿童头颈部LMs是一种有效、安全的治疗方式。
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引用次数: 0
Congenital cholesteatoma of the middle ear in children: a hidden pathology 儿童先天性中耳胆脂瘤:一种隐性病理
Q4 Medicine Pub Date : 2019-12-01 DOI: 10.25121/newmed.2019.23.4.127
Jolanta Jadczyszyn, Karolina Raczkowska-Łabuda, L. Zawadzka-Głos
Introduction. Congenital cholesteatoma is a rare middle ear pathology in children. An abnormality can be classified as congenital cholesteatoma if it meets certain clinical criteria. Aim. To present patients with congenital cholesteatoma hospitalised at the Department of Paediatric Otolaryngology of the Medical University of Warsaw in 2018-2019 in whom the abnormality was detected incidentally during paediatric and ENT examination. The disease was hidden behind an intact tympanic membrane with no clinical symptoms. Material and methods. A thorough ENT history was taken and microotoscopy and a hearing test were conducted. Preoperative computed tomography of the temporal bone was performed to assess the extent of the pathology in the middle ear. A single-stage surgical procedure was performed in all the patients to remove the pathological growths from the middle ear. Subsequently the patients’ hearing and surgical outcomes were evaluated. Results. During surgery, in two patients cholesteatoma masses were found in the anterosuperior part of the tympanic cavity and in the Eustachian tube area; in one patient, the growth filled the whole mesotympanum. No inflammatory lesions were found in the mastoid cells and antrum. No cholesteatoma recurrence has been found found in follow-up to date. Conclusions. 1. Congenital cholesteatoma in children is most often detected accidentally and localized in the antero-upper quadrant of the tympanic cavity. 2. Congenital cholesteatoma is a slow-growing lesion and develops behind the unchanged eardrum.3. Diagnosis is based on microotoscopy. 4. The only method of treatment is surgical removal of the lesion.
介绍。摘要先天性胆脂瘤是一种罕见的儿童中耳疾病。如果符合一定的临床标准,可以将其归类为先天性胆脂瘤。的目标。介绍2018-2019年在华沙医科大学儿科耳鼻喉科住院的先天性胆脂瘤患者,这些患者在儿科和耳鼻喉科检查中偶然发现了异常。疾病隐藏在完整的鼓膜后,无临床症状。材料和方法。详细的耳鼻喉科病史,显微镜检查和听力测试。术前对颞骨进行计算机断层扫描以评估中耳病变的程度。所有患者均采用单阶段手术切除中耳病变。随后对患者的听力和手术结果进行评估。结果。术中2例患者胆脂瘤肿块位于鼓室前上部及耳咽管区;在一个病人中,肿瘤填满了整个中鼓室。乳突细胞及窦腔未见炎性病变。随访至今未见胆脂瘤复发。结论:1。儿童先天性胆脂瘤最常被偶然发现并局限于鼓室前上象限。2. 先天性胆脂瘤是一种生长缓慢的病变,在不变的鼓膜后面发展。诊断基于显微镜检查。4. 唯一的治疗方法是手术切除病变。
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引用次数: 0
Shear bond strength of different materials used for pit and fissure sealing 坑缝密封用不同材料的剪切粘结强度
Q4 Medicine Pub Date : 2019-12-01 DOI: 10.25121/newmed.2019.23.4.152
Emil Korporowicz, Piotr Firlej, D. Gozdowski, D. Olczak-Kowalczyk
Introduction. Pit and fissure sealing is a effective procedure in preventing caries, as proven in numerous clinical trials. Materials used for this technique are usually resin-based fissure sealants, but some studies suggested using flowable composites as well. The latest generations of these materials include self-adhesive flowable composites and bulk fill composites. Retention of these materials is one of the main factors that contribute to caries prevention. Therefore, shear bond strength tests that determine the material’s ability to bond with the enamel may help determine their clinical effectiveness. Aim. The aim of the study was to assess the shear bond strength to the enamel of the following materials: Helioseal F (Ivoclar Vivadent), Vertise Flow (Kerr), and SDR (Dentsply Sirona) with XP Bond (Dentsply Sirona). Material and methods. 15 permanent third molars extracted for orthodontic reasons with prepared flat enamel surfaces were randomly divided into three groups. Tested materials ? Helioseal F, Vertise Flow and SDR with XP Bond were polymerised on these surfaces, using a mould. Samples were immersed in distilled water, kept at 37°C for 24 h, and then installed in an Instron testing machine. The machine stopped at sample fracture and the load was recorded. Shear bond strengths were calculated. Statistical analysis was performed. Also, samples were assessed using an optical microscope to assess sample failure type. Results. 35 samples, including 11 Helioseal F, 12 Vertise Flow, and 12 SDR were analysed. SDR with XP bond had the highest shear bond strength ? 23.70 (± 6.35) MPa; Vertise Flow ? 20.10 (± 3.95) MPa, and Helioseal F the lowest ? 15.93 (± 3.17) MPa. There was a statistically significant difference between flowable composites (SDR and Vertise Flow) and resin-based fissure sealant (Helioseal F). There were 18 cohesive sample fractures within the enamel, 14 adhesive fractures and 4 mixed. Conclusions. The shear bond strength of SDR with XP Bond and Vertise Flow is statistically significantly higher than that of Helioseal F. However, it is also crucial to clinically assess the effectiveness of these materials.
介绍。许多临床试验证明,牙窝和牙缝密封是预防龋齿的有效方法。用于该技术的材料通常是树脂基裂缝密封剂,但一些研究也建议使用可流动的复合材料。这些材料的最新一代包括自粘流动复合材料和散装填充复合材料。这些物质的保留是有助于预防龋齿的主要因素之一。因此,确定材料与牙釉质结合能力的剪切结合强度测试可能有助于确定其临床效果。的目标。本研究的目的是评估以下材料与牙釉质的剪切结合强度:Helioseal F (Ivoclar Vivadent), Vertise Flow (Kerr)和SDR (Dentsply Sirona)与XP bond (Dentsply Sirona)。材料和方法。15颗因正畸原因拔牙的恒磨牙,牙釉质面平整,随机分为3组。测试材料?使用模具将Helioseal F、Vertise Flow和SDR与XP Bond在这些表面聚合。样品浸泡在蒸馏水中,37℃保存24 h,然后安装在Instron测试机上。机器在试样断裂处停机,并记录载荷。计算剪切粘结强度。进行统计学分析。同时,使用光学显微镜对样品进行评估,以评估样品的失效类型。结果:分析了35份样本,其中11份为Helioseal F, 12份为Vertise Flow, 12份为SDR。具有XP粘结的SDR剪切粘结强度最高。23.70(±6.35)MPa;广告流量?20.10(±3.95)MPa, Helioseal F最低?15.93(±3.17)MPa。可流动复合材料(SDR和Vertise Flow)与树脂基裂缝密封剂(Helioseal F)的差异有统计学意义。牙釉质内粘连性骨折18例,粘连性骨折14例,混合性骨折4例。结论。SDR与XP bond和Vertise Flow的剪切结合强度在统计学上显著高于Helioseal F.然而,临床评估这些材料的有效性也是至关重要的。
{"title":"Shear bond strength of different materials used for pit and fissure sealing","authors":"Emil Korporowicz, Piotr Firlej, D. Gozdowski, D. Olczak-Kowalczyk","doi":"10.25121/newmed.2019.23.4.152","DOIUrl":"https://doi.org/10.25121/newmed.2019.23.4.152","url":null,"abstract":"Introduction. Pit and fissure sealing is a effective procedure in preventing caries, as proven in numerous clinical trials. Materials used for this technique are usually resin-based fissure sealants, but some studies suggested using flowable composites as well. The latest generations of these materials include self-adhesive flowable composites and bulk fill composites. Retention of these materials is one of the main factors that contribute to caries prevention. Therefore, shear bond strength tests that determine the material’s ability to bond with the enamel may help determine their clinical effectiveness. Aim. The aim of the study was to assess the shear bond strength to the enamel of the following materials: Helioseal F (Ivoclar Vivadent), Vertise Flow (Kerr), and SDR (Dentsply Sirona) with XP Bond (Dentsply Sirona). Material and methods. 15 permanent third molars extracted for orthodontic reasons with prepared flat enamel surfaces were randomly divided into three groups. Tested materials ? Helioseal F, Vertise Flow and SDR with XP Bond were polymerised on these surfaces, using a mould. Samples were immersed in distilled water, kept at 37°C for 24 h, and then installed in an Instron testing machine. The machine stopped at sample fracture and the load was recorded. Shear bond strengths were calculated. Statistical analysis was performed. Also, samples were assessed using an optical microscope to assess sample failure type. Results. 35 samples, including 11 Helioseal F, 12 Vertise Flow, and 12 SDR were analysed. SDR with XP bond had the highest shear bond strength ? 23.70 (± 6.35) MPa; Vertise Flow ? 20.10 (± 3.95) MPa, and Helioseal F the lowest ? 15.93 (± 3.17) MPa. There was a statistically significant difference between flowable composites (SDR and Vertise Flow) and resin-based fissure sealant (Helioseal F). There were 18 cohesive sample fractures within the enamel, 14 adhesive fractures and 4 mixed. Conclusions. The shear bond strength of SDR with XP Bond and Vertise Flow is statistically significantly higher than that of Helioseal F. However, it is also crucial to clinically assess the effectiveness of these materials.","PeriodicalId":55698,"journal":{"name":"New Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44335365","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: 1
Assessment of the severity of chronic sinusitis in children with cystic fibrosis using the Lund-Mackay Score depending on genotype 基于基因型的Lund-Mackay评分评估囊性纤维化儿童慢性鼻窦炎的严重程度
Q4 Medicine Pub Date : 2019-09-01 DOI: 10.25121/newmed.2019.23.3.75
Piotr Kwast, O. Olszewska-Sosińska, M. Wolniewicz, K. Zybert, D. Sands, L. Zawadzka-Głos
Introduction. Chronic sinusitis affects most patients with cystic fibrosis (CF). The Lund-Mackay (LM) scale is an objective tool allowing for easy assessment of the severity of lesions in sinuses observed in computed tomography (CT). The link between clinical picture, image results and CFTR gene mutations is not well evaluated. Aim. To specify the correlation of the severity of lesions found in computed tomography and the CFTR gene mutation type causing an underlying disease in children with cystic fibrosis. Material and methods. Data of the children with cystic fibrosis who underwent CT between 2016-2018 at the Department of Paediatric Otolaryngology of the Medical University of Warsaw was analysed. The following factors were taken into account: age, sex and CFTR gene mutation type. Each CT was assessed using the basic and modified Lund-Mackay Score (LMS and MLMS). The study was retrospective. Results. 34 children, 16 girls and 18 boys aged between 3 and 17 years (median age ? 10 years), were enrolled to the study at the time of CT. LMS median was 17 (range 2-23), and MLMS ? 18 (range 2-24), and their difference was statistically significant. 16 patients were F508del homozygous. Severe CFTR mutation in both alleles was observed in 28 patients, and mild mutation was found in at least one allele in 6 patients. LMS median in the group of patients with severe mutation was 17.5, and in the group of patients with mild mutation ? 14.5. MLMS median was 18 and 14.5, respectively. The difference was statistically significant for both LMS and MLMS. No statistically significant correlation was found between the LMS and MLMS results and sex. The weak positive correlation between LMS and MLMS and patient’s age was not statistically significant. Hypoplasia or aplasia of one or more paranasal sinuses was observed in 11 children (32%). Conclusions. The score on the modified Lund-Mackay scale is higher than the score on the basic LMS scale in children with cystic fibrosis. The group of patients with a severe CFTR gene mutation has higher scores for both LMS and MLMS than the group with a mild mutation. Due to frequent sinus aplasia in children with cystic fibrosis, the use of the modified Lund-Mackay scale allows for error avoidance when comparing CT results of different patients.
介绍慢性鼻窦炎影响大多数囊性纤维化(CF)患者。Lund-Mackay(LM)量表是一种客观的工具,可以轻松评估计算机断层扫描(CT)中观察到的鼻窦病变的严重程度。临床图片、图像结果和CFTR基因突变之间的联系没有得到很好的评估。目标明确计算机断层扫描中发现的病变严重程度与导致囊性纤维化儿童潜在疾病的CFTR基因突变类型之间的相关性。材料和方法。分析了2016-2018年间在华沙医科大学儿科耳鼻咽喉科接受CT检查的囊性纤维化儿童的数据。考虑了以下因素:年龄、性别和CFTR基因突变类型。使用基本和改良的Lund-Mackay评分(LMS和MLMS)评估每个CT。该研究具有回顾性。后果CT时,34名年龄在3-17岁(中位年龄?10岁)之间的儿童(16名女孩和18名男孩)被纳入研究。LMS中位年龄为17岁(范围2-23),MLMS?18(范围2-24),并且它们的差异具有统计学意义。F508del纯合子16例。在28例患者中观察到两个等位基因的严重CFTR突变,在6例患者中发现至少一个等位蛋白的轻度突变。严重突变患者组的LMS中位数为17.5,而轻度突变患者组?14.5。MLMS中位数分别为18和14.5。LMS和MLMS的差异具有统计学意义。LMS和MLMS结果与性别之间没有发现统计学上显著的相关性。LMS和MLMS与患者年龄之间的弱正相关没有统计学意义。在11名儿童(32%)中观察到一个或多个鼻窦发育不全或发育不全。结论。在患有囊性纤维化的儿童中,改良Lund-Mackay量表的得分高于基本LMS量表的分数。具有严重CFTR基因突变的患者组的LMS和MLMS得分均高于具有轻度突变的患者。由于囊性纤维化儿童经常出现窦性发育不全,在比较不同患者的CT结果时,使用改良的Lund-Mackay量表可以避免错误。
{"title":"Assessment of the severity of chronic sinusitis in children with cystic fibrosis using the Lund-Mackay Score depending on genotype","authors":"Piotr Kwast, O. Olszewska-Sosińska, M. Wolniewicz, K. Zybert, D. Sands, L. Zawadzka-Głos","doi":"10.25121/newmed.2019.23.3.75","DOIUrl":"https://doi.org/10.25121/newmed.2019.23.3.75","url":null,"abstract":"Introduction. Chronic sinusitis affects most patients with cystic fibrosis (CF). The Lund-Mackay (LM) scale is an objective tool allowing for easy assessment of the severity of lesions in sinuses observed in computed tomography (CT). The link between clinical picture, image results and CFTR gene mutations is not well evaluated. Aim. To specify the correlation of the severity of lesions found in computed tomography and the CFTR gene mutation type causing an underlying disease in children with cystic fibrosis. Material and methods. Data of the children with cystic fibrosis who underwent CT between 2016-2018 at the Department of Paediatric Otolaryngology of the Medical University of Warsaw was analysed. The following factors were taken into account: age, sex and CFTR gene mutation type. Each CT was assessed using the basic and modified Lund-Mackay Score (LMS and MLMS). The study was retrospective. Results. 34 children, 16 girls and 18 boys aged between 3 and 17 years (median age ? 10 years), were enrolled to the study at the time of CT. LMS median was 17 (range 2-23), and MLMS ? 18 (range 2-24), and their difference was statistically significant. 16 patients were F508del homozygous. Severe CFTR mutation in both alleles was observed in 28 patients, and mild mutation was found in at least one allele in 6 patients. LMS median in the group of patients with severe mutation was 17.5, and in the group of patients with mild mutation ? 14.5. MLMS median was 18 and 14.5, respectively. The difference was statistically significant for both LMS and MLMS. No statistically significant correlation was found between the LMS and MLMS results and sex. The weak positive correlation between LMS and MLMS and patient’s age was not statistically significant. Hypoplasia or aplasia of one or more paranasal sinuses was observed in 11 children (32%). Conclusions. The score on the modified Lund-Mackay scale is higher than the score on the basic LMS scale in children with cystic fibrosis. The group of patients with a severe CFTR gene mutation has higher scores for both LMS and MLMS than the group with a mild mutation. Due to frequent sinus aplasia in children with cystic fibrosis, the use of the modified Lund-Mackay scale allows for error avoidance when comparing CT results of different patients.","PeriodicalId":55698,"journal":{"name":"New Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46232179","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
Dental care in pregnancy – the state of knowledge among Polish dentists and gynaecologists, and factors affecting knowledge about dental management in pregnancy 妊娠期牙科护理——波兰牙医和妇科医生的知识状况,以及影响妊娠期牙科管理知识的因素
Q4 Medicine Pub Date : 2019-09-01 DOI: 10.25121/newmed.2019.23.3.105
Angelika Kobylińska, G. Marczuk-Kolada, M. Studnicki, D. Olczak-Kowalczyk
Introduction. The overall health condition, as well as the course and duration of pregnancy are important determinants of the term of delivery and child’s well-being, including birth weight and oral health. Unfortunately, dental attendance of pregnant women is insufficient. This may result from the poor oral health knowledge of dentists and obstetrician-gynaecologists. Aim. The aim of the study was to assess the knowledge of Polish dentists and obstetrician-gynaecologists on oral health and dental care in pregnant women, as well as its socio-economic determinants. Material and methods. An anonymous questionnaire for dentists and obstetrician-gynaecologists, which included questions on the demographic characteristics of respondents, as well as 29 single-choice questions on dental issues in pregnancy, which we classified into 4 thematic categories (I ? relationship between maternal periodontal diseases and the course of pregnancy/child’s health; II ? dental management and oral physiological changes in pregnancy; III ? the safety of dental procedures in pregnancy; IV ? providing health advice) was carried out. The data were analysed statistically. Results. A total of 485 dentists and 185 obstetrician-gynaecologists (670 doctors in total) completed the questionnaire. Dentists were more likely to know the relationship between oral conditions in pregnancy and birth weight, the future risk of periodontal diseases and caries in the child. However, they were less likely to provide correct answers to questions on the safety of diagnostic radiology in pregnancy. On the other hand, obstetrician-gynaecologists were more likely to have doubts about performing some dental procedures, including fluoride varnish application and scaling. The mean number of correct answers to all questions was higher in the group of dentists vs. gynaecologists. Correlations with age and a longer period of practice were found in the group of dentists, while correlations with age and the type of practice were observed among gynaecologists. Conclusions. The poor level of knowledge of Polish dentists and gynaecologists on dental treatment and its safety in pregnant women indicates the need for education of dental and obstetric practitioners. The level of knowledge in both these professional groups is associated with age and, additionally, with the length of practice in the case of dentists, and the type of practice in the case of obstetrician-gynaecologists.
介绍整体健康状况以及怀孕的过程和持续时间是分娩期限和孩子健康的重要决定因素,包括出生体重和口腔健康。不幸的是,孕妇的牙科护理不足。这可能是由于牙医和妇产科医生口腔健康知识不足造成的。目标这项研究的目的是评估波兰牙医和妇产科医生对孕妇口腔健康和牙科护理的知识及其社会经济决定因素。材料和方法。一份针对牙医和妇产科医生的匿名问卷,其中包括关于受访者人口特征的问题,以及29个关于妊娠期牙科问题的单选题,我们将其分为4个主题类别(I?母亲牙周病与妊娠/儿童健康过程之间的关系;II?妊娠期的牙科管理和口腔生理变化;III?妊娠期牙科手术的安全性;IV?提供健康建议)。对数据进行了统计分析。后果共有485名牙医和185名妇产科医生(共670名医生)完成了问卷调查。牙医更有可能了解怀孕期间的口腔状况与出生体重、儿童未来患牙周病和龋齿的风险之间的关系。然而,他们不太可能为妊娠期诊断放射学的安全性问题提供正确答案。另一方面,妇产科医生更可能对进行一些牙科手术持怀疑态度,包括涂氟清漆和洁牙。牙医组所有问题的平均正确答案数高于妇科医生组。牙医组与年龄和较长的执业时间相关,妇科医生则与年龄和执业类型相关。结论。波兰牙医和妇科医生对孕妇牙科治疗及其安全性的了解程度很低,这表明需要对牙科和产科医生进行教育。这两个专业群体的知识水平都与年龄有关,此外,牙医的执业时间和妇产科医生的执业类型也有关。
{"title":"Dental care in pregnancy – the state of knowledge among Polish dentists and gynaecologists, and factors affecting knowledge about dental management in pregnancy","authors":"Angelika Kobylińska, G. Marczuk-Kolada, M. Studnicki, D. Olczak-Kowalczyk","doi":"10.25121/newmed.2019.23.3.105","DOIUrl":"https://doi.org/10.25121/newmed.2019.23.3.105","url":null,"abstract":"Introduction. The overall health condition, as well as the course and duration of pregnancy are important determinants of the term of delivery and child’s well-being, including birth weight and oral health. Unfortunately, dental attendance of pregnant women is insufficient. This may result from the poor oral health knowledge of dentists and obstetrician-gynaecologists. Aim. The aim of the study was to assess the knowledge of Polish dentists and obstetrician-gynaecologists on oral health and dental care in pregnant women, as well as its socio-economic determinants. Material and methods. An anonymous questionnaire for dentists and obstetrician-gynaecologists, which included questions on the demographic characteristics of respondents, as well as 29 single-choice questions on dental issues in pregnancy, which we classified into 4 thematic categories (I ? relationship between maternal periodontal diseases and the course of pregnancy/child’s health; II ? dental management and oral physiological changes in pregnancy; III ? the safety of dental procedures in pregnancy; IV ? providing health advice) was carried out. The data were analysed statistically. Results. A total of 485 dentists and 185 obstetrician-gynaecologists (670 doctors in total) completed the questionnaire. Dentists were more likely to know the relationship between oral conditions in pregnancy and birth weight, the future risk of periodontal diseases and caries in the child. However, they were less likely to provide correct answers to questions on the safety of diagnostic radiology in pregnancy. On the other hand, obstetrician-gynaecologists were more likely to have doubts about performing some dental procedures, including fluoride varnish application and scaling. The mean number of correct answers to all questions was higher in the group of dentists vs. gynaecologists. Correlations with age and a longer period of practice were found in the group of dentists, while correlations with age and the type of practice were observed among gynaecologists. Conclusions. The poor level of knowledge of Polish dentists and gynaecologists on dental treatment and its safety in pregnant women indicates the need for education of dental and obstetric practitioners. The level of knowledge in both these professional groups is associated with age and, additionally, with the length of practice in the case of dentists, and the type of practice in the case of obstetrician-gynaecologists.","PeriodicalId":55698,"journal":{"name":"New Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42427872","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: 1
Spatial changes in the dental arch after premature extraction of the first primary molar – a 12-month observational study 第一颗主磨牙过早拔除后牙弓的空间变化——一项为期12个月的观察性研究
Q4 Medicine Pub Date : 2019-09-01 DOI: 10.25121/newmed.2019.23.3.96
Angelika Kobylińska, Paula Piekoszewska-Ziętek, D. Gozdowski, Anna Turska-Szybka, D. Olczak-Kowalczyk
Introduction. Premature loss of the first primary molar may cause malocclusion or impair permanent tooth eruption. Aim. The aim of the study was to assess spatial changes in the dental arch after unilateral premature extraction of the first primary molar. Material and methods. The alginate impressions were taken in patients aged between 5 and 7 years who met the inclusion criteria based on medical history, clinical examination and panoramic x-ray during a preliminary qualifying examination 14 days before or on the day of extraction (before the procedure), as well as during follow up (at months 1, 3, 6 and 12 after extraction). Gypsum models were used to measure the circumference of the arch, the posterior and intercanine width, as well as the interdental distance: IIID-VM, IIID-VD on the side of extraction and the opposite side of the arch. The data were analysed statistically (Statistica 10, Statsoft, p < 0.05). Results. A total of 14 mandibular and 16 maxillary teeth were extracted in 27 children aged between 5 and 7 years (mean age ± SD = 6.64 ± 1.01; 15 boys and 12 girls). A significant loss of interdental spaces for IIID-VM and IIID-VD between the study vs. control side due to distalisation of canine and mesialisation of the second primary molar was observed. Much less significant displacement of these teeth was noted in the case of the presence of the first permanent molar at the time of first primary molar extraction. Conclusions. Premature loss of first primary molars results in reduced interdental distances which does not hinder the eruption of their permanent successors. There is no need for space maintainers.
介绍第一磨牙过早缺失可能导致错牙合或损害恒牙萌出。目标本研究的目的是评估单侧过早拔除第一颗主磨牙后牙弓的空间变化。材料和方法。在提取前14天或当天(手术前)以及随访期间(提取后第1、3、6和12个月)的初步合格检查中,年龄在5至7岁之间的患者根据病史、临床检查和全景x光检查符合纳入标准,进行藻酸盐印模。石膏模型用于测量齿弓的周长、齿后宽度和齿间宽度,以及齿间距离:IIID-VM、IIID-VD在拔牙侧和齿弓对侧。对数据进行统计学分析(Statistica 10,Statsoft,p<0.05)。27名年龄在5至7岁之间的儿童共拔除了14颗下颌和16颗上颌牙齿(平均年龄±SD=6.64±1.01;15名男孩和12名女孩)。在研究侧与对照侧之间,观察到由于犬的远侧和第二主齿的近侧,IIID-VM和IIID-VD的齿间间隙显著丧失。在第一次主齿拔除时存在第一恒磨牙的情况下,这些牙齿的位移要小得多。结论。第一乳磨牙过早缺失会导致齿间距离缩短,这不会阻碍其永久继任者的萌出。不需要空间维护人员。
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引用次数: 1
Assessment of the utility of ultrasonography and microbiology in the treatment of peritonsillar abscess in children 超声与微生物在儿童腹膜周围脓肿治疗中的应用评价
Q4 Medicine Pub Date : 2019-09-01 DOI: 10.25121/newmed.2019.23.3.81
A. Piotrowska, M. Frąckiewicz, L. Zawadzka-Głos
Introduction. Peritonsillar abscess is the most common deep neck and head space infection. It mostly occurs in young adults and teenagers, usually during the infectious season; at the turn of November and December as well as April and May. The peak incidence coincides with the highest incidence of streptococcal pharyngitis. Aim. A clinical analysis was performed in patients with peritonsillar abscess symptoms to determine the role of ultrasound imaging as a diagnostic tool confirming this condition. Material and methods. A retrospective, non-randomised study conducted in a group of 20 patients aged between 1 and 17 years, who were hospitalised due to peritonsillar abscess or infiltration in the Department of Paediatric Otolaryngology. Ultrasonography of the neck was performed in all patients in the study group to assess the presence of a fluid reservoir on the symptomatic side. Results. Ultrasound imaging revealed the presence of fluid indicative of abscess in 12 cases. Incision and puncture were performed in all these patients. Purulent content was obtained in 11 cases. Conclusions. Ultrasound was found useful in detecting the presence of an abscess and differentiating between peritonsillar infiltration and abscess.
介绍。扁桃体周围脓肿是最常见的深颈部和头部感染。它主要发生在年轻人和青少年中,通常在传染季节;在11月和12月初以及4月和5月。发病率高峰与链球菌性咽炎的最高发病率一致。的目标。我们对有膀胱周围脓肿症状的患者进行了临床分析,以确定超声成像作为确认这种情况的诊断工具的作用。材料和方法。一项回顾性、非随机研究,对20名年龄在1 - 17岁之间,因耳膜周围脓肿或浸润在儿科耳鼻喉科住院的患者进行了研究。研究组所有患者均行颈部超声检查,以评估症状侧是否存在储液器。结果。超声显像显示有液体提示脓肿12例。所有患者均行切口穿刺。11例可见化脓性内容物。结论。超声在检测脓肿的存在和区分膀胱周围浸润和脓肿是有用的。
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引用次数: 0
The effects of overweight and obesity on oral health status in children and adolescents 超重和肥胖对儿童和青少年口腔健康状况的影响
Q4 Medicine Pub Date : 2019-09-01 DOI: 10.25121/newmed.2019.23.3.86
K. Deszczyńska, P. Piątkiewicz, R. Górska
Introduction. Improper eating habits among children and adolescents often lead to overweight and obesity. Research indicates that these are risk factors for many diseases, including diseases in the oral cavity. Aim. To analyse the correlations of selected parameters of dental and periodontal health as well as oral hygiene status in overweight and obese children and adolescents versus control group. Material and methods. The study included 120 patients aged 11-18 years, who were classified into a study group with 60 overweight/obese individuals and a control group of 60 individuals with normal body weight based on BMI (Body Mass Index). Each patient underwent anthropometric measurements, such as height (cm), body weight (kg), which were used to calculate BMI. Additional measurements were taken of waist circumference (WC) and hip circumference (HC), to obtain the waist-hip ratio (WHR). Clinical examination of the oral cavity included an assessment of dentition (DMF), oral hygiene API (Approximal Plaque Index) and periodontal tissue (PD ? Pocket Depth, CAL ? Clinical Attachment Level, %BOP ? % Bleeding On Probing) and CPITN (The Community Periodontal Index for Treatment Needs). Results. Statistically significant differences were found between patient groups with BMI ≥ 25 and BMI < 25 in the values of the following parameters: DMF p = 0.005, API p < 0.001, %BOP p < 0.001, PD p < 0.001, CPI p < 0.001. Conclusions. Overweight and obese children were found to have worse parameters of dental and periodontal health as well as oral hygiene status compared to the group with normal weight. Our observations indicate that overweight and obesity may be potential risk factors for periodontal diseases in the study group.
介绍儿童和青少年不适当的饮食习惯经常导致超重和肥胖。研究表明,这些都是许多疾病的危险因素,包括口腔疾病。目标分析超重和肥胖儿童和青少年与对照组的牙齿和牙周健康选择参数以及口腔卫生状况的相关性。材料和方法。这项研究包括120名年龄在11-18岁的患者,他们被分为一个研究组和一个对照组,研究组有60名超重/肥胖者,对照组根据BMI(体重指数)有60名体重正常的人。每位患者都接受了人体测量,如身高(cm)、体重(kg),用于计算BMI。对腰围(WC)和臀围(HC)进行额外测量,以获得腰臀比(WHR)。口腔临床检查包括牙列(DMF)、口腔卫生API(近似牙菌斑指数)和牙周组织(PD?袋深,CAL?临床附着水平,%BOP?%探测出血)和CPITN(治疗需求的社区牙周指数)的评估。后果BMI≥25和BMI<25的患者组在以下参数值方面存在统计学显著差异:DMF p=0.005,API p<0.001,%BOP p<0.001、PD p<0.001和CPI p<0.001。结论。研究发现,与体重正常的儿童相比,超重和肥胖儿童的牙齿和牙周健康参数以及口腔卫生状况较差。我们的观察结果表明,超重和肥胖可能是研究组患牙周病的潜在危险因素。
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引用次数: 0
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New Medicine
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