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Quantitative and qualitative assessment of enamel surface following two composite removal methods after bracket debonding 托槽脱粘后两种复合去除方法对牙釉质表面的定量和定性评价
Pub Date : 2023-01-01 DOI: 10.4103/ijds.ijds_1_22
Sunegha Kundal, PawanjitSingh Walia, Tulika Shokeen, Anubhav Bansal, DushyantSingh Janmeda
Aims: To evaluate and compare morphology and roughness of the enamel surface after debonding and polishing by two methods: aluminum oxide disks (Shofu, Super-Snap) and 30-fluted tungsten carbide bur (Strauss and Co.) using a surface roughness tester and a scanning electron microscope (SEM), respectively. Subjects and Methods: For this study, we selected 15 orthodontic patients with bonded metal brackets. After the completion of fixed orthodontic treatment, metal brackets for the maxillary central incisors were removed with a debonding plier. For every patient, teeth were chosen on a random basis to be finished and polished with Super-Snap aluminum oxide disks on one side (n = 15) and with 30-fluted tungsten carbide bur (n = 15) on the other side. Epoxy resin was used to obtain the replicas of maxillary anterior teeth (before and after tooth polishing). SEM analysis was done for five samples from each group. Results: The average roughness after resin removal in the 30-fluted tungsten carbide bur group (0.328 mm ± 0.099) was found to be significantly higher when compared to the Super-Snap aluminum oxide disks (0.299 mm ± 0.109). Conclusions: The Super-Snap aluminum oxide disks resulted in superior finishing and polishing than 30-fluted tungsten carbide bur.
目的:利用表面粗糙度测试仪和扫描电子显微镜(SEM)分别对氧化铝盘(Shofu, Super-Snap)和30槽碳化钨钎(Strauss and Co.)两种方法脱粘和抛光后的牙釉质表面形貌和粗糙度进行评价和比较。对象和方法:本研究选择了15例使用粘结金属托槽的正畸患者。固定正畸治疗完成后,用脱粘钳将上颌中切牙金属托架取出。随机选择每位患者的牙齿,在一侧(n = 15)使用Super-Snap氧化铝盘完成和抛光,另一侧(n = 15)使用30槽碳化钨钎头完成和抛光。采用环氧树脂获得上颌前牙抛光前后的复制品。每组5个样品进行扫描电镜分析。结果:30槽碳化钨焊盘去除树脂后的平均粗糙度(0.328 mm±0.099)明显高于Super-Snap氧化铝焊盘(0.299 mm±0.109)。结论:Super-Snap氧化铝盘的抛光效果优于30槽碳化钨钎头。
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引用次数: 0
A case report on anesthesia management for a patient with deep neck space infection (retropharyngeal and parapharyngeal abscess) 深颈间隙感染(咽后咽旁脓肿)麻醉处理1例报告
Pub Date : 2022-10-01 DOI: 10.4103/ijds.ijds_29_22
A. Jindal, Amit Kumar, K. Shekhawat, Parul Sharma
A 44-year-old woman complained of neck swelling, discomfort, and swallowing difficulties. She was admitted to the hospital on an emergency basis for incision and drainage. Deep neck space infection was diagnosed using a neck X-ray, ultrasonography, and contrast enhanced computed tomography. The successful anesthetic management of this patient at the Pacific Institute of Medical Sciences in Udaipur is presented here.
一名44岁的妇女抱怨颈部肿胀、不适和吞咽困难。她被紧急送往医院进行切开和引流。使用颈部X光片、超声检查和对比增强计算机断层扫描诊断颈深间隙感染。乌代浦太平洋医学科学研究所对这名患者的成功麻醉管理在这里介绍。
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引用次数: 1
The why and how of pulpal pain 牙髓疼痛的原因和方法
Pub Date : 2022-10-01 DOI: 10.4103/ijds.ijds_137_21
Preeti Nair, Priyanka Deshmukh, Somya Bhavsar, Ganiga Shivkumar
A proper understanding of pulpal pain has been an enigma to the scientific community. While neurons and transmitters are active participants, focus on neuropeptides has not been emphatic. A complex array of interaction of inflammatory substances, with assortment of nerve fibers in the presence of these molecules, has shed some light to this mysterious phenomenon of pulp pain. A literature search was made of the standard textbooks, Google Scholars, Pubmed and Scopus database for review, original research, case control studies using key words like “pulpal pain” and 'chemicals responsible for pain mechanism' . This paper is an attempt at highlighting not only the roles of these proteinaceous materials, so that they could be targeted to eliminate pain, but also the neuro anatomy and neurophysiology of the pulp.
对牙髓痛的正确理解一直是科学界的一个谜。虽然神经元和递质是积极的参与者,但对神经肽的关注并不突出。炎症物质的一系列复杂的相互作用,以及这些分子存在下的各种神经纤维,为这种神秘的髓痛现象提供了一些线索。检索标准教科书、谷歌学者、Pubmed和Scopus数据库进行文献检索、原始研究、病例对照研究,关键词为“牙髓痛”和“负责疼痛机制的化学物质”。本文不仅试图强调这些蛋白质物质的作用,以便它们可以有针对性地消除疼痛,而且还试图强调牙髓的神经解剖学和神经生理学。
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引用次数: 0
Comparison of dental occlusion in children with mouth breathing and different types of pharyngeal lymphoid tissue obstruction 口腔呼吸患儿牙合及不同类型咽淋巴组织阻塞的比较
Pub Date : 2022-10-01 DOI: 10.4103/ijds.ijds_124_21
Tanzeem Ahmed, Samsuddin Ahmed, Nikhil Kaushal
Background: The relationship between malocclusion and respiration has been debated for decades. Aim: The aim of this study is to assess dental occlusion in relation to mouth breathing and different types of pharyngeal lymphoid tissue obstruction in children. Settings and Design: This was a cross-sectional study of 200 children aged between 6 and 12 years who were clinically examined and divided into two groups: mouth breathers and nasal breathers. Materials and Methods: The children were subjected to otorhinolaryngologic examination to identify the type of pharyngeal obstruction. Dental interarch relationship and pharyngeal tissue obstruction were diagnosed and appropriate cross tabulations were done. Statistical Analysis Used: The data collected were statistically analyzed using the SPSS version 15.0 software. Results: Statistically significant association was found between type of breathing and pharyngeal lymphoid tissue obstruction (P = 0.001), dental occlusion and type of breathing (P = 0.001), and pharyngeal lymphoid tissue obstruction and dental occlusion (P = 0.001). Higher prevalence of crossbite, deep bite, and Class II malocclusion was seen in children with adenotonsillar hypertrophy as well as mouth breathing habit. Conclusion: Obstructive tonsils and adenoids are risk factors for the development of malocclusion. Early detection and correction of airway obstruction can help in proper growth of the dentofacial region.
背景:咬合错与呼吸的关系已经争论了几十年。目的:本研究的目的是评估牙合与口腔呼吸和不同类型咽淋巴组织阻塞的关系。环境与设计:这是一项对200名年龄在6至12岁之间的儿童进行的横断面研究,他们被临床检查并分为两组:口腔呼吸和鼻腔呼吸。材料与方法:对患儿行耳鼻喉科检查,明确咽阻塞类型。诊断牙弓间关系和咽组织阻塞,并进行适当的交叉制表。使用方法:采用SPSS 15.0软件对收集到的数据进行统计分析。结果:呼吸类型与咽淋巴组织阻塞(P = 0.001)、牙咬合与呼吸类型(P = 0.001)、咽淋巴组织阻塞与牙咬合(P = 0.001)有统计学意义。在腺扁桃体肥大和口腔呼吸习惯的儿童中,交叉咬合、深咬合和II类错颌的发生率较高。结论:梗阻性扁桃体和腺样体是发生错牙合的危险因素。早期发现和纠正气道阻塞有助于牙面区域的正常生长。
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引用次数: 0
A review of photobiomodulation and its application in dentistry 光生物调制及其在牙科中的应用综述
Pub Date : 2022-10-01 DOI: 10.4103/ijds.ijds_58_22
S. Soni, S. Thakar
Photobiomodulation (PBM), which is further termed as low-level laser therapy is a noninvasive type of therapy. It uses a certain wavelength of red and infrared light and brings about many physiological effects in cells and tissues which establish the basis of PBM. This light therapy photochemically triggers the cells and results in the production of molecules for example, adenosine triphosphate, reactive oxygen species, calcium ions, etc., This further contributes to cell proliferation, differentiation, and migration. PBM contributes in alleviating pain, promotes tissue healing and also has an anti-inflammatory effect on targeted tissues. Research on PBM began back in the 1960s and various studies conducted in the past documented that this therapy has many applications in various specialties of dentistry. Till date, further studies are being conducted to discover more beneficial properties of this therapy. This therapy can be used for the treatment of multitudinous conditions of the oral cavity such as aphthous ulcers, herpes, pemphigus, burning mouth syndrome, and many more conditions, it can mitigate the pain following the orthodontic treatment, can be used to deal with the temporomandibular disorders (TMDs), alleviate dental pains, enhances the depth of anesthesia and many more uses in dentistry.
光生物调制(PBM)是一种非侵入性的治疗方法,也称为低水平激光治疗。它使用一定波长的红光和红外光,在细胞和组织中产生许多生理作用,为PBM奠定了基础。这种光疗法通过光化学触发细胞,产生分子,例如三磷酸腺苷、活性氧、钙离子等。这进一步促进了细胞增殖、分化和迁移。PBM有助于减轻疼痛,促进组织愈合,对靶组织也有抗炎作用。对PBM的研究始于20世纪60年代,过去进行的各种研究表明,这种疗法在牙科的各个专业中都有许多应用。到目前为止,正在进行进一步的研究,以发现这种疗法的更多有益特性。该疗法可用于治疗口腔的多种疾病,如口腔溃疡、疱疹、天疱疮、灼口综合征等,还可减轻正畸治疗后的疼痛,可用于治疗颞下颌关节紊乱病(TMDs),减轻牙痛,增强了麻醉的深度,并在牙科中有更多的应用。
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引用次数: 0
How much disinfected ground tooth do we need to fill an empty alveolus after extraction? Experimental in vitro study 拔出后,我们需要多少消毒过的磨牙才能填满一个空的肺泡?体外实验研究
Pub Date : 2022-10-01 DOI: 10.4103/ijds.ijds_24_22
J. Calvo-Guirado, Félix de Carlos-Villafranca, M. Garcés-Villalá, N. García-Carrillo, Vidushi Jindal, F. Martínez-Martínez
Aim and Objectives: The main objective of this study was to evaluate how much crushed, extracted human teeth material can use to fill an empty alveolus of the mandibular anterior teeth. Material and Methods: Fifty-four human teeth were collected from 10 donors due to advanced periodontal disease. The patients were clinically selected, signed informed consent, and receive no financial compensation for participating in this study. Fifty-four teeth were mechanically cleaned, dried, sectioned, and grounded. All teeth are grounded using the Smart Dentin Grinder machine. Cone-beam computed tomography scanners of each patient were done and processed the standard tessellation language images by a three-dimensional (3D) printer, and 3D models were obtained. Results: The mean of each alveolus was 12.1 ± 0.34 mm for lower incisors and 17 ± 0.29 mm for lower canines. The mean values of root material we need for central and lateral incisors alveolus filling were 0.298 ± 0.14 cc, and for lower canines was 1.02 cc. Therefore, we need one root or one and half-crowns must be needed to fill a lower incisor alveolus. A lower canine needs at least one canine root or one canine crown and two lower incisors crown to fill the canine alveoli. Conclusions: Dentin is a helpful graft to fulfill an empty alveolus due to osteoinductive properties, and a ground crown is useful for buccal bone protection due to osteoconductive properties before and after implant placement.
目的和目的:本研究的主要目的是评估粉碎、提取的人类牙齿材料可用于填充下颌前牙的空牙槽的量。材料和方法:从10名因晚期牙周病而供牙者中收集54颗人类牙齿。患者经过临床筛选,签署知情同意书,参与本研究不收取任何经济补偿。54颗牙齿进行了机械清洁、干燥、切片和接地。所有牙齿均使用Smart Dentin研磨机进行接地。对每位患者进行锥束计算机断层扫描,并通过三维(3D)打印机对标准镶嵌语言图像进行处理,获得3D模型。结果:下切牙平均每个牙槽为12.1±0.34mm,下犬齿平均每个牙槽17±0.29mm。中切牙和侧切牙牙槽填充所需的牙根材料的平均值为0.298±0.14 cc,下犬齿为1.02 cc。因此,我们需要一个牙根或一个半牙冠来填充下切牙牙槽。下犬齿需要至少一个犬根或一个犬齿冠和两个下切牙冠来填充犬齿肺泡。结论:由于骨诱导特性,牙本质是一种有助于填补空牙槽的移植物,而由于植入前后的骨传导特性,地冠有助于颊骨保护。
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引用次数: 1
Third-order effects and maxillary incisor control in lingual orthodontics – A finite element study of a ribbon arch and edgewise straight wire system 舌侧正畸中的三阶效应和上切牙控制——带弓和扁直丝系统的有限元研究
Pub Date : 2022-10-01 DOI: 10.4103/ijds.ijds_93_21
S. Konwar, Manjusha Goswami, A. Kalha, Vishal Singh
Introduction: The aim of the present study was to analyze the effects of retraction mechanics on torque control when retraction forces were applied on the maxillary anterior dentition in two distinct lingual appliance systems. Materials and Methods: A three-dimensional bilateral maxillary model was created where the first premolar extraction case was included. 150 g (1.47 N) of retraction force was applied on each side from canine (C) hook to molar for both edgewise straight wire system and ribbonarch appliances. Results: In the edgewise appliance, it was observed in the X-axis that there was less amount of tipping of the six anterior teeth of the canine and central incisor (CI) when compared with the lateral incisor (LI) at occlusal point. In the Y-axis, overall extrusion was observed. In the Z-axis, there was less lingual crown movement. In the ribbonarch appliance, it was observed in the X-axis that there was less tipping, prominently in the canine and CI than in the LI. In the Y-axis, overall extrusion was observed. In the Z-axis, there was less lingual crown movement, whereas the CI and canine showed less movement when compared with the LI. Conclusions: It was observed that there was greater torque loss and extrusion in the edgewise appliance along with greater maximum principal stress in the cervical half of the facial side in the periodontal ligament (PDL) and minimum principal stress on the cervical half of the palatal side in the PDL when compared with the ribbonarch appliance.
简介:本研究的目的是分析在两种不同的舌矫治器系统中,上颌前牙列施加牵收力时,牵收力学对扭矩控制的影响。材料与方法:建立双侧上颌三维模型,其中包括第一前磨牙拔除病例。在从犬齿(C)钩到磨牙的每一侧施加150 g (1.47 N)的收放力,用于边缘直丝系统和带弓矫治器。结果:在斜向矫治器中,在x轴上观察到犬齿和中切牙(CI)的六颗前牙在咬合点的倾斜度比侧切牙(LI)少。在y轴上,观察到整体挤压。在z轴上,舌冠运动较少。在带弓矫治器中,观察到在x轴上有较少的倾斜,特别是在犬和CI中比在LI中更明显。在y轴上,观察到整体挤压。在z轴上,舌冠运动较少,而中牙和犬齿运动较少。结论:与带状矫治器相比,边缘矫治器的扭矩损失和挤压更大,牙周韧带面侧颈侧最大主应力更大,腭侧颈侧最小主应力更小。
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引用次数: 0
Comparative evaluation of the effect of degree of convergence and surface area on the retentive force of titanium crowns cemented with various adhesive luting agents on extracted human teeth – A laboratory study 会聚度和表面积对不同粘接剂粘接钛冠对人类牙齿固位力影响的比较评估——一项实验室研究
Pub Date : 2022-10-01 DOI: 10.4103/ijds.ijds_132_21
Ashish Choudhary, E. Choudhary, S. Duggal
Introduction: The retention of base metal crowns and noble metal crowns cemented with various luting agents is well documented. However, little emphasis was given to the degree of convergence and surface area of tooth preparation. Aim and Objective: A study was planned to analyze the effect of the degree of convergence and surface area of the tooth preparation on the retention of titanium crowns with various adhesive luting agents. Materials and Methods: Forty-five caries-free extracted human premolars were obtained. They were divided into three groups according to the degree of convergence and further subdivided based on the type of luting agents used. The teeth were prepared with an angle of convergence of 5°, 10°, and 15° with a flat occlusal surface using K9 crown finishing installation, complete. Light body copper band impressions were made to determine the surface area. Titanium crowns thus obtained were sandblasted, ultrasonically cleaned, and cemented using Panavia F, Calibra, and Glass Ionomer Cement. Results: Results showed that Panavia F was the best luting agent exhibiting maximum retentive force to dislodge the crown in a vertical direction using the universal tensile testing machine at a cross-head speed of 1 mm/min. Conclusion: The force required to dislodge the titanium crown from the prepared tooth was maximum for Panavia F on 5°, 10°, and 15° angle of convergence at 65.23 kgf, 48.52 kgf, and 40.14 kgf. Retentive force values drastically reduced as the degree of convergence increased. There was a reduction in the surface area due to an increase in the taper.
简介:基底金属牙冠和贵金属牙冠用各种粘接剂粘接的固位有很好的记录。然而,很少强调牙齿预备的收敛程度和表面积。目的和目的:本研究旨在分析牙齿预备的收敛程度和表面积对不同粘接剂固位钛冠的影响。材料与方法:获得45颗无龋前磨牙。根据融合程度将其分为三组,并根据使用的洗脱剂类型进一步细分。使用K9牙冠精加工装置,以5°、10°和15°的会聚角和平坦的咬合面制备牙齿。制作轻体铜带压痕以确定表面积。对由此获得的钛冠进行喷砂、超声波清洗,并使用Panavia F、Calibra和玻璃离子水泥进行胶结。结果:Panavia F是使用万能拉伸试验机以1mm/min的十字头速度在垂直方向上移动牙冠时表现出最大保持力的最佳粘合剂。结论:Panavia F在5°、10°和15°会聚角时,从预备牙齿上拔出钛冠所需的力最大,分别为65.23kgf、48.52kgf和40.14kgf。随着收敛程度的增加,保持力值急剧降低。由于锥度的增加,表面积减小。
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引用次数: 0
A simplified intraoral appliance for protecting the flap in a patient with oral submucous fibrosis 一种用于保护口腔黏膜下纤维化患者皮瓣的简易口内矫治器
Pub Date : 2022-10-01 DOI: 10.4103/ijds.ijds_120_21
Sonia Abraham, P. Manoharan, N. Arivarasan, K. Prabhu, V. Karthik, A. Kirubakaran
Oral submucous fibrosis (OSMF) is a chronic, debilitating premalignant condition of the oral cavity predominantly caused by betel chewing. In this condition, the sub mucosal tissues (lamina propria and deeper connective tissue) show inflammation and progressive fibrosis that results in inability to open the mouth. Surgical excision of fibrous bands is usually the treatment of choice. Postsurgical trauma to the flap during occlusion is one of the common complications that may occur in those patients. Hence, an intraoral appliance which could protect the flap is necessary. This article explains about the fabrication of an intraoral appliance in a simplified manner to protect the flap from trauma during the occlusion of a patient diagnosed with OSMF who underwent surgical excision of fibrous tissue. The appliance helped in better healing of the surgical site, avoided the trauma to the flap, comfortable and cost effective.
口腔黏膜下纤维化(OSMF)是一种慢性的、使人衰弱的口腔癌前病变,主要由咀嚼槟榔引起。在这种情况下,粘膜下组织(固有层和深层结缔组织)表现出炎症和进行性纤维化,导致无法开口。手术切除纤维带通常是首选的治疗方法。皮瓣在闭塞过程中的术后创伤是这些患者可能发生的常见并发症之一。因此,一种可以保护皮瓣的口内矫治器是必要的。这篇文章解释了如何以简化的方式制造口内矫治器,以保护一名接受纤维组织手术切除的OSMF患者在闭塞过程中的皮瓣免受创伤。该器械有助于更好地愈合手术部位,避免对皮瓣的创伤,舒适且经济。
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引用次数: 0
Pattern of postoperative pain during endodontic treatment – A randomized control study 根管治疗期间术后疼痛的模式——一项随机对照研究
Pub Date : 2022-10-01 DOI: 10.4103/ijds.ijds_107_21
Anupama Kiran, Rashmi Chidanadappa, Artinder Kaur
Background: The purpose of this study was to evaluate the effect of occlusal relief on the pattern of postoperative pain at different time intervals in patients diagnosed with irreversible pulpitis and apical periodontitis. The null hypothesis proposed was, there is no difference in the postoperative pain in the experimental and control groups. Materials and Methods: In this randomized study, sixty posterior teeth with irreversible pulpitis and slight tender to percussion were included. Root canal treatment was initiated and biomechanical preparation was done. Closed dressing was given after placing calcium hydroxide as an intracanal medicament. The patients were randomized using computer-generated randomization software into the experimental group where occlusal contacts were relieved (n = 30) and to the control group where occlusal contacts were left intact (n = 30). Postoperative pain at different intervals was recorded using the Heft-Parker Visual Analog Scale and analyzed. Results: There is no statistically significant difference in the incidence of postoperative pain between the two groups. There is a significant reduction in pain at 6 h within the groups compared to all other time intervals, and flare-ups were reported in the occlusal intact group. Conclusion: The pattern of postoperative pain did show a gradual reduction in the occlusion relieved group. Flare-ups were reported in the occlusion intact group. Within the limitations of the study, the occlusal reduction could play an important role in prevention of flare-ups during endodontic treatment.
背景:本研究的目的是评估咬合缓解对诊断为不可逆性牙髓炎和根尖周炎患者不同时间间隔术后疼痛模式的影响。提出的无效假设是,实验组和对照组的术后疼痛没有差异。材料和方法:在这项随机研究中,包括60颗患有不可逆牙髓炎和轻微撞击感的后牙。开始根管治疗并进行生物力学准备。在放置氢氧化钙作为肛门内药物后进行封闭敷料。使用计算机生成的随机化软件将患者随机分为咬合接触缓解的实验组(n=30)和咬合接触保持完整的对照组(n=30%)。使用Heft-Parker视觉模拟量表记录并分析不同时间间隔的术后疼痛。结果:两组患者术后疼痛发生率差异无统计学意义。与所有其他时间间隔相比,两组在6小时时的疼痛明显减轻,据报道,咬合完整组出现了突发性疼痛。结论:闭塞缓解组的术后疼痛模式确实逐渐减轻。据报道,闭塞完整组出现闪光。在本研究的限制范围内,咬合复位可能在预防牙髓治疗过程中的突发事件方面发挥重要作用。
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引用次数: 1
期刊
Indian Journal of Dental Sciences
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