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Effect of cryotherapy on postoperative pain: Randomized controlled trial 冷冻治疗对术后疼痛的影响:随机对照试验
Pub Date : 2021-10-01 DOI: 10.4103/ijds.ijds_114_20
Atul Jain, S. Chauhan, R. Bahuguna, Abhinay Agarwal, Rohit Sharma, F. Khan
Context: Postoperative pain(POP) as a consequence of root canal preparation, is a major side effect, of endodontic treatment. It can be prevented by the use of cryotherapy. This randomized control trial was carried out, to test the latter's efficacy, so that it can be recommended, as a preventive measure for POP, during endodontic treatment. Aims: To evaluate the effect of cryotherapy on post-operative pain (POP) during endodontic treatment. Setting and design: Randomized controlled trial was conducted on 40 patients based on inclusion and exclusion criteria [Table 1] in mandibular premolars, diagnosed with symptomatic irreversible pulpitis and normal periapical tissues. Methods & Material: 40 patients were randomly distributed into two groups, Experimental and Control. In the experimental group, 10ml cold saline solution, at -, while in the control group, 10ml of saline solution at room temperature, was used as the final irrigant. Patients were asked to fill a questionnaire, pre-operatively and post-operatively at 6, 24, 48 and 72 hours. Statistical analysis: The obtained data was subjected to statistical analysis using SPSS version ' .0' software. Results: Incidence and intensity of POP, was found to be lower in patients treated with cold saline. Conclusion: Use of cold saline solution as final irrigant, during endodontic treatment, reduces the incidence and intensity of post endodontic pain.
背景:术后疼痛(POP)是根管预备的结果,是牙髓治疗的主要副作用。它可以通过冷冻疗法来预防。进行了这项随机对照试验,以测试后者的疗效,从而可以推荐它作为牙髓治疗期间POP的预防措施。目的:评价冷冻治疗对牙髓病术后疼痛的影响。设置和设计:根据纳入和排除标准[表1],对40名诊断为症状性不可逆牙髓炎和正常根尖周组织的下颌前磨牙患者进行了随机对照试验。方法与材料:将40例患者随机分为实验组和对照组。实验组使用10ml低温盐水溶液作为最终冲洗剂,温度为-,而对照组则使用10ml室温盐水溶液作为最后冲洗剂。患者被要求在术前和术后6、24、48和72小时填写问卷。统计分析:所得数据采用SPSS’.0’版软件进行统计分析。结果:在接受冷盐水治疗的患者中,POP的发生率和强度较低。结论:在根管治疗过程中,使用冷盐水溶液作为最终冲洗剂,可以降低根管后疼痛的发生率和强度。
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引用次数: 0
Saliva as a reliable diagnostic tool during the coronavirus disease times: A focused review 唾液作为冠状病毒疾病时期的可靠诊断工具:一项重点综述
Pub Date : 2021-10-01 DOI: 10.4103/ijds.ijds_206_20
Sarita Shaukari, S. Bellam, K. Nandan, Revathi Peddu
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), also currently known as CoV disease 2019 (COVID-19), has created a global health upheaval. The saliva of an infected person serves as a source for the transmission of CoV. The angiotensin-converting enzyme-2 receptors serve as the host receptor cells for CoV which is expressed in high numbers in salivary glands, oral mucosa, and gingiva. The salivary gland is a potential reservoir for COVID-19 even in asymptomatic but infected carriers. This knowledge could be used to employ salivary sampling as a noninvasive diagnostic method. IgA, IgM antibodies detected in self-collected saliva show more stability than RNA and may aid in the identification of asymptomatic patients. Saliva shows high sensitivity and specificity in the diagnosis of COVID-19 with >90% concordance reported between the saliva and nasopharyngeal swabs. Standardization with respect to sample collection, storage, and transport media can help in validation of diagnostic application of salivary-based testing.
严重急性呼吸综合征冠状病毒2 (SARS-CoV-2),目前也被称为冠状病毒病2019 (COVID-19),已经造成了全球卫生动荡。感染者的唾液是冠状病毒传播的来源。血管紧张素转换酶-2受体是冠状病毒的宿主受体细胞,在唾液腺、口腔黏膜和牙龈中大量表达。即使在无症状但已感染的携带者中,唾液腺也是COVID-19的潜在宿主。这一知识可用于将唾液取样作为一种非侵入性诊断方法。自采唾液中检测到的IgA、IgM抗体比RNA更稳定,可能有助于无症状患者的识别。唾液对COVID-19的诊断具有较高的敏感性和特异性,唾液与鼻咽拭子的一致性达90%以上。关于样品收集、储存和运输介质的标准化有助于验证基于唾液的检测的诊断应用。
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引用次数: 0
Effectiveness of chemical disinfection in discarding pathogenic bacteria of human particulate tooth graft: An In vitro study 化学消毒对人颗粒牙移植物病原菌去除效果的体外研究
Pub Date : 2021-10-01 DOI: 10.4103/ijds.ijds_79_21
J. Calvo-Guirado, M. Garcés-Villalá, L. Mahesh, Félix de Carlos-Villafranca
Introduction: Extracted teeth are utilized in dentistry as particulate autologous dentin for immediate grafting of the extraction site after mechanical cleaning and chemical disinfection. The objective of this study was to determine the effectiveness of 0.5M sodium hydroxide in 20% ethanol (Dentin Cleanser™) in eliminating three different types of pathogenic bacteria in comparison to ethylenediaminetetraacetic acid (EDTA) or citric acid. Seven naive extracted teeth were mechanically cleaned, dried, and sectioned to separate the crown from the roots. Each tooth was separately crushed using the Smart Dentin Grinder® device. The sterile particles of crown or root were subdivided into three equal-size groups where each was then contaminated and incubated in an oven at 37°C under low pressure and oxygen flow over 48 h for Escherichia coli (Group A) and Enterococcus faecalis (Group B) and over 72 h for Porphyromonas gingivalis (Group C), respectively. On each agar Petri dish, four paper discs, each loaded with one of the following solutions: Dentin Cleanser (sodium hydroxide plus ethanol), 10% EDTA, phosphate-buffered saline (PBS), or 10% citric acid, were placed in the safe distance for not interfering with disinfectant agent activity. All pathogenic bacteria were highly sensitive to Dentin Cleanser and EDTA disinfectant activity while citric acid or PBS exhibited low or no sensitivity. No difference in sensitivity was found between crown and root particulate or particle size. Our findings show that Dentin Cleanser is most effective in eliminating those pathogenic bacteria without demineralizing the particulate. Context: The experiment was done in the University Laboratory. Aims: The objective of this study was to determine the effectiveness of 0.5M sodium hydroxide in 20% ethanol (Dentin Cleanser™) in eliminating three different types of pathogenic bacteria in comparison to EDTA or citric acid, before tooth graft will be used as a biomaterial. Settings and Design: The study protocol was approved by the Catholic University of Murcia Ethics Committee (UCAM; registration number 6781; July 21, 2017). Seven human teeth were extracted from a 60-year-old patient due to advanced periodontal disease (two central upper incisors, one upper canine, one upper premolar, two lower molars, and one lower canine). The patient received no financial compensation for participating in this study. Materials and Methods: Seven naïve extracted teeth were mechanically cleaned, dried, and sectioned to separate the crown from the roots. Each tooth was separately crushed using the Smart Dentin Grinder® device (KometaBio Inc., Cresskill, NJ, USA). The particles were sieved to obtain particles ranging from 400 to 600 um and 800–1200 um in size, all sterilized using an autoclave. The sterile particles of crown or root were subdivided into three equal-size groups where each was then contaminated and incubated in an oven at 37°C under low pressure and oxygen flow over 48 h for E. col
摘出的牙齿在牙科中是作为颗粒状的自体牙本质,在拔牙部位经过机械清洗和化学消毒后立即移植。本研究的目的是确定0.5M氢氧化钠在20%乙醇(牙本质清洁剂™)中与乙二胺四乙酸(EDTA)或柠檬酸相比,在消除三种不同类型致病菌方面的有效性。七颗刚拔出的牙齿被机械清洁、干燥并切片,使冠与根分离。使用Smart Dentin Grinder®设备分别粉碎每颗牙齿。将树冠或根的无菌颗粒再分成大小相等的三组,分别在37℃的烤箱中进行污染,在低压和氧气流下对大肠杆菌(A组)和粪肠球菌(B组)进行48 h的培养,对牙龈卟啉单胞菌(C组)进行72 h的培养。在每个琼脂培养皿上,放置四个纸盘,每个纸盘装入以下溶液之一:牙本质清洁剂(氢氧化钠加乙醇),10% EDTA,磷酸盐缓冲盐水(PBS)或10%柠檬酸,放置在不干扰消毒剂活性的安全距离处。所有病原菌对牙本质清洁剂和EDTA消毒剂活性均高度敏感,而柠檬酸或PBS对其敏感性较低或无敏感性。冠和根的颗粒或颗粒大小在敏感性上没有差异。我们的研究结果表明,牙本质清洁剂是最有效的消除这些致病菌,而不脱矿颗粒。背景:实验是在大学实验室进行的。目的:本研究的目的是在植牙用作生物材料之前,与EDTA或柠檬酸相比,确定0.5M氢氧化钠在20%乙醇(牙本质清洁剂™)中去除三种不同类型致病菌的有效性。环境和设计:研究方案经穆尔西亚天主教大学伦理委员会(UCAM;注册号6781;2017年7月21日)。我们从一位60岁的晚期牙周病患者身上拔下7颗牙齿(2颗中上门牙、1颗上犬牙、1颗上前磨牙、2颗下磨牙和1颗下犬牙)。患者参与本研究未获得经济补偿。材料和方法:将7颗naïve拔牙进行机械清洗、干燥、切片,使冠与根分离。使用Smart Dentin Grinder®设备(KometaBio Inc., Cresskill, NJ, USA)分别粉碎每颗牙齿。颗粒经过筛分,得到大小在400 - 600微米和800-1200微米之间的颗粒,所有颗粒都使用高压灭菌器灭菌。将冠或根的无菌颗粒分成大小相等的三组,分别在37°C的烤箱中污染大肠杆菌(A组)和粪肠杆菌(B组),分别在低压和氧气流下孵育48小时,牙龈假杆菌(C组)孵育72小时。然后,每个亚组浸泡在15个琼脂培养皿中,每个亚组再次接种相同的细菌,使细菌充分生长。在每个琼脂培养皿上,放置四个纸盘,每个纸盘装入以下溶液之一:牙本质清洁剂(氢氧化钠加乙醇),10% EDTA, PBS或10%柠檬酸,放置在不干扰消毒剂活性的安全距离处。统计学分析使用:采用PASW Statistics v. 18.0.0软件进行统计学分析。光晕的均值比较采用单因素方差分析,假设显著性水平为95% (P < 0.05)。正态性采用Kolmogorov-Smirnov检验和Shapiro-Wilk检验。结果:本研究结果表明,0.5M氢氧化钠加20%乙醇(牙本质清洁剂)的游离菌生长光晕直径最宽,对牙龈假单胞菌(15.76±0.28)的效果最好,对粪肠杆菌(13.21±0.72)和大肠杆菌(12.14±0.12)的效果最差。同样,EDTA对相同菌株的抑菌效果较好,而柠檬酸在Duraffourd halo抑制量表中效果不佳。PBS对细菌生长无抑制作用。与PBS和柠檬酸相比,牙本质清洁剂和EDTA在抑制细菌生长方面都显着有效。牙本质颗粒和牙本质-牙釉质混合颗粒或人类骨髓之间没有观察到与每种测试消毒剂测量的敏感性水平相关的显著差异。结论:牙本质清洁剂(氢氧化钠加乙醇)或10% EDTA是牙微粒作为自体移植材料使用前的有效消毒方法。虽然大肠杆菌、牙龈假单胞杆菌和大肠杆菌。 发现粪球菌对这些消毒剂敏感,应进一步调查其他细菌类型。
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引用次数: 2
Effect of root canal irrigants on calcium silicate cements: An In vitro study 根管冲洗剂对硅酸钙胶结物影响的体外研究
Pub Date : 2021-10-01 DOI: 10.4103/ijds.ijds_188_20
Astha Agrawal, A. Mittal, Shifali Dadu, Aditi Dhaundiyal, Nikita Tyagi
Aim: The objective of the study was to compare the effect of different irrigation regimes on push out bond strength of calcium silicate cements – Biodentine and mineral trioxide aggregate (MTA). Materials and Methods: Forty-eight human teeth with single root canals were divided into three groups according to irrigation regimes. Each canal was irrigated with 5 ml of each irrigant during and after biomechanical preparation as follows: 3% sodium hypochlorite (NaOCl) and 17% ethylenediaminetetraacetic acid; 3% NaOCl during and Q mix 2 in 1 after instrumentation and distil water as the control group. Canals were filled with biodentine and MTA accordingly. A horizontal middle root section of 1.5-mm thickness was taken, and analysis was done under the universal testing machine. Statistical Analysis Used: The statistical analysis was done by the one-way analysis of variance and post hoc Tukey test. The comparative analysis was done by using the independent t-test. Results: The push-out bond strength of 3% NaOCl + Q mix 2 in 1 was highest. The least was of the control group. Conclusion: The irrigation regimes have a differential effect on root canal sealers.
目的:本研究的目的是比较不同灌溉制度对硅酸钙水泥-生物牙本质和矿物三氧化物骨料(MTA)推出粘结强度的影响。材料和方法:将48颗单根管人类牙齿按灌溉制度分为三组。在生物力学制备期间和之后,用5ml每种冲洗剂冲洗每条管,如下:3%次氯酸钠(NaOCl)和17%乙二胺四乙酸;3%NaOCl和Q混合二合一,蒸馏水作为对照组。运河中充满了生物柴油和相应的MTA。取1.5mm厚的水平中间根部,在万能试验机上进行分析。使用的统计分析:通过单向方差分析和事后Tukey检验进行统计分析。采用独立t检验进行比较分析。结果:3%NaOCl+Q混合物二合一的推出结合强度最高。最少的是对照组。结论:不同灌溉方式对根管封闭剂的影响不同。
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引用次数: 0
Virtual microscopy: The future of pathological diagnostics, dental education, and telepathology 虚拟显微镜:病理诊断、牙科教育和远程病理学的未来
Pub Date : 2021-10-01 DOI: 10.4103/ijds.ijds_194_20
R. V. Vatchala Rani, B. Manjunath, M. Bajpai, Rohit Sharma, P. Gupta, A. Bhargava
Objectives: The objectives of this study were as follows: (1) to provide an overview of the feasibility, utility, merits, and demerits of virtual microscopy (VM) in pathological diagnostics and (2) to evaluate its advantages in dental and medical teaching over conventional microscopes. Materials and Methods: A literature survey was carried out in August 2020 in electronic databases such as PubMed using keywords such as virtual microscopy and whole slide imaging. The searches revealed 956 articles out of which 36 were selected after reading the full-text articles. Results: The review of 36 articles revealed that VM or whole-slide imaging (WSI) allows access to entire scanned sections of tissue that can be viewed on a computer in exactly the same way as conventional glass slides with a microscope and can be explored at several magnifications. VM offers many advantages like ease of accessibility through the Internet anytime or in any place, and moreover, the virtual slide does not get damaged or fade away like glass slide. Since it increases learning and comprehension, virtual microscopes have been used extensively in dental and medical education. Conclusions: VM opens a new world in tissue-based diagnosis through digitization of slides. The experiences of telepathology applications have already proved that it is a promising technology which has been adopted by histopathologists and cytologists across the world and contributing immensely to telepathology consultation in underserved areas. It is a feasible, valid, and approved technology for pathological diagnosis.
目的:本研究的目的如下:(1)概述虚拟显微镜(VM)在病理诊断中的可行性、实用性、优缺点;(2)评估其在牙科和医学教学中相对于传统显微镜的优势。材料和方法:2020年8月,在PubMed等电子数据库中使用虚拟显微镜和全玻片成像等关键词进行了一项文献调查。搜索发现956篇文章,其中36篇是在阅读全文文章后选择的。结果:对36篇文章的综述显示,VM或全玻片成像(WSI)可以访问组织的整个扫描切片,这些切片可以在计算机上以与显微镜下的传统载玻片完全相同的方式查看,并且可以在几个放大倍数下进行探索。虚拟机提供了许多优点,如随时随地都可以通过互联网访问,而且虚拟幻灯片不会像玻璃幻灯片一样损坏或褪色。由于虚拟显微镜可以提高学习和理解能力,因此在牙科和医学教育中得到了广泛应用。结论:VM通过幻灯片的数字化为基于组织的诊断开辟了一个新的世界。远程病理学应用的经验已经证明,这是一项很有前途的技术,已被世界各地的组织病理学家和细胞学家所采用,并为服务不足地区的远程病理学咨询做出了巨大贡献。这是一种可行、有效且经批准的病理诊断技术。
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引用次数: 0
Comparative evolution of clinical efficacy of manual tooth brush versus chewable tooth brush a randomized clinical trail 手动牙刷与咀嚼式牙刷临床疗效的比较进展——一项随机临床试验
Pub Date : 2021-10-01 DOI: 10.4103/ijds.ijds_108_20
K. Reddy, M. Soubhgya, N. Begum, Vikram Vuggirala, K. Nallagula, Nagakishore
Background: Plaque control is the daily removal of dental plaque, oral biofilms, and also prevention of their accumulation on the other parts of the oral cavity. Dental plaque is the major etiology of maximum gingival and periodontal diseases. This study is an effort to find if chewable brushing is better than manual. Objective: The objective was to evaluate and compare the efficacy of manual toothbrush and chewable toothbrush on fifty patients, in the age group of 8–12 years over a period of 28 days. Materials and Methods: This study used a randomized, double-blinding, single-center, two-treatment, parallel group, design subjects with mild to moderate plaque and gingivitis were evaluated for baseline whole mouth gingival margin and approximal plaque. Clinical assessments were performed using the Quigley-Hein Plaque Index (TQHI) and Simplified Oral Hygiene Index. Subjects received either manual or chewable toothbrush. Data were entered on to the Microsoft Excel and statically analyzed using (SPSS version 21.0 IBM, Chicago III, IL, USA). Data were evaluated by t-test with a P < 0.005 considered to be statistically significant. Results: Fifty subjects participated in the study; 25 in the manual toothbrush and 25 in the chewable toothbrush group. Both brushes demonstrated significant reductions in plaque and gingivitis over the 28 days study period (P < 0.001). The chewable toothbrush was significantly more effective than the manual toothbrush. No adverse events were observed with either brush. Conclusion: The plaque and gingivitis reduction for the chewable toothbrush were significantly greater than for the Manual toothbrush.
背景:牙菌斑控制是指每天清除牙菌斑、口腔生物膜,并防止其积聚在口腔其他部位。牙菌斑是最大牙龈和牙周病的主要病因。这项研究是为了发现咀嚼式刷牙是否比手动刷牙更好。目的:评估和比较手动牙刷和咀嚼式牙刷在28天内对50名8-12岁患者的疗效。材料和方法:本研究采用随机、双盲、单中心、双治疗、平行组的设计,对轻度至中度牙菌斑和牙龈炎的受试者进行基线全口牙龈边缘和近端牙菌斑的评估。使用Quigley-Hein牙菌斑指数(TQHI)和简化口腔卫生指数进行临床评估。受试者接受手动牙刷或可咀嚼牙刷。将数据输入到Microsoft Excel中,并使用(SPSS版本21.0 IBM,Chicago III,IL,USA)进行静态分析。数据通过t检验进行评估,P<0.005被认为具有统计学意义。结果:50名受试者参与了本研究;25在手动牙刷中,25在可咀嚼牙刷组中。在28天的研究期间,两种牙刷都显示出牙菌斑和牙龈炎的显著减少(P<0.001)。咀嚼式牙刷明显比手动牙刷更有效。两种刷子均未观察到不良事件。结论:咀嚼式牙刷对牙菌斑和牙龈炎的减少明显大于手动牙刷。
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引用次数: 1
Faculty members' perception of the challenges and prospects of online learning in dental institutes in India during the COVID-19 pandemic scenario 新冠肺炎大流行期间,教师对印度牙科机构在线学习挑战和前景的看法
Pub Date : 2021-07-01 DOI: 10.4103/ijds.ijds_40_21
Rupandeep Kaur Samra, A. Nirola, A. Verma, A. Nagpal, Gauri Malik, Gurinder Singh Thind
Aim: The aim of this study was to determine the impact and challenges of emergency remote teaching faced by the dental faculty during the first and the second wave of COVID-19 in India. Materials and Methods: A cross-sectional descriptive questionnaire study was carried out consisting of two surveys. Data for the first questionnaire was recruited from 135 faculty members engaged in online teaching and comprised details about sociodemographic, designation, teaching experience, online teaching practices, perceptions, and challenges faced by the faculty members during online teaching during the first wave of COVID-19 pandemic in India. Categorical variables were reported as counts and percentages. Group comparisons were made with the Chi-square test. The same participants were given the second questionnaire to access their efficacy in overcoming the challenges faced by them during the second wave. Results: 54.8% of the participants were female. 46.7% of respondents were Professors by designation. Variation was evident for the personal, technical, financial barriers and challenges caused by students' attitude with designation as a variable. 67.4% of the participants devoted extra time to prepare their lectures. 62.2% of the faculty faced network issues. 53.3% of the faculty reported increased expenditure on data. Maximum challenges were seen in the category based on students' attitude which deteriorated the quality of the lectures. 74.1% of the teachers agreed that online teaching was better for theoretical learning. There was not much difference observed in the response regarding personal barriers among faculty members with gender as a variable in the first wave, but notable differences were seen for technical barriers, especially lack of formal training. During second-wave study, Internet connectivity still remained a barrier. Conclusion: Challenges faced by the faculty members regarding online learning decreased in the second wave as compared to the first wave, but network connectivity and students' attitude remained an issue. Scope of theoretical online teaching was perceived to be better as compared to practical teaching.
目的:本研究的目的是确定在印度第一波和第二波新冠肺炎期间,牙科教师面临的紧急远程教学的影响和挑战。材料和方法:采用横断面描述性问卷研究,包括两项调查。第一份问卷的数据是从135名从事在线教学的教职员工中招募的,包括社会人口统计、指定、教学经验、在线教学实践、认知以及印度第一波新冠肺炎疫情期间教职员工在在线教学中面临的挑战的详细信息。分类变量报告为计数和百分比。采用卡方检验进行分组比较。同样的参与者接受了第二次问卷调查,以了解他们在第二波浪潮中克服挑战的效果。结果:54.8%的参与者为女性。46.7%的受访者为教授。学生对指定作为变量的态度所造成的个人、技术、经济障碍和挑战存在明显差异。67.4%的参与者花了额外的时间准备讲座。62.2%的教师面临网络问题。53.3%的教师报告数据支出增加。根据学生的态度,这一类别面临着最大的挑战,这降低了讲座的质量。74.1%的教师认为网络教学更有利于理论学习。在第一波中,以性别为变量的教职员工对个人障碍的反应没有太大差异,但在技术障碍方面,尤其是缺乏正式培训方面,存在显著差异。在第二波研究中,互联网连接仍然是一个障碍。结论:与第一波相比,第二波教师在在线学习方面面临的挑战有所减少,但网络连接和学生的态度仍然是一个问题。与实践教学相比,理论在线教学的范围被认为更好。
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引用次数: 1
Morphological variability of permanent mandibular first premolar teeth in Manipuri population: An In vitro study 曼尼普尔人下颌第一前磨牙形态变异的体外研究
Pub Date : 2021-07-01 DOI: 10.4103/IJDS.IJDS_154_20
T. Premlata, Shamurailatpam Priyadarshini, Amandeep Kaur, B. Deepak, N. Kshetrimayum, N. Sanjeeta
Aim: To investigate anatomical and morphological variability of permanent mandibular first premolar teeth in the population of Manipur state of Indian subcontinent. Materials and Methods: Four hundred and eighty teeth from a pool of Manipuri population were studied for anatomical and morphological variability using staining and clearing technique. All samples were evaluated for the number of roots, root canals, root canal configuration, presence of lateral canals, intercanal communications, and apical deltas. Results: Single root with one canal was present in 81.25% (390/480) and single root with two canals in 18.75% (90/480) of samples. Root canal configuration according to Vertucci's classification was as follows: Type I (43.7%) followed by Type V (25%), Type VI (12.5%), and Type II, III, and VII (6.25%). Intercanal communications in the apical third were 12.5% (60/480) and 6.25% (30/480) in the middle third of the root. Occurrence of lateral canals in the apical third was 18.75% (90/480). Apical delta was found in 37.75% (180/480) of samples. Conclusion: The results of this study highlight the variability patterns of mandibular first premolar tooth existent in the population of the state of Manipur. Single-rooted teeth are most common with predominantly Vertucci's Type I root canal configuration and significant presence of lateral canals and apical ramifications. Clinical Significance: Sound knowledge of anatomy of the root canal and possible variations can contribute to a successful treatment outcome.
目的:研究印度次大陆曼尼普尔邦永久性下颌第一前臼齿的解剖和形态变异性。材料和方法:使用染色和清除技术对曼尼普尔人群体中的480颗牙齿的解剖和形态变异性进行了研究。对所有样本的根数、根管、根管形态、侧管的存在、肛门间通讯和根尖三角洲进行评估。结果:81.25%(390/480)的标本为单根双管,18.75%(90/480)为单根两管。根据Vertucci的分类,根管结构如下:I型(43.7%),其次是V型(25%),VI型(12.5%),以及II、III和VII型(6.25%)。根顶端三分之一的肛门间通讯为12.5%(60/480),中间三分之一为6.25%(30/480)。根尖三分之一侧管的发生率为18.75%(90/480)。在37.75%(180/480)的样本中发现了顶端三角洲。结论:本研究的结果突出了曼尼普尔邦人群中下颌第一前臼齿的变异模式。单根牙最常见,主要为Vertucci I型根管结构,并有明显的侧管和根尖分支。临床意义:良好的根管解剖知识和可能的变异有助于成功的治疗结果。
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引用次数: 0
An esthetic approach for premature missing maxillary primary anterior teeth: A series of two case reports 上颌前牙过早缺失的美学治疗方法(附两例报告)
Pub Date : 2021-07-01 DOI: 10.4103/IJDS.IJDS_184_20
Siddharth Anand, Aparna Singh, Divya Jyoti, Sulekha, Bidyut Seal
The aesthetic rehabilitation of a young toddler who are suffering from multiple tooth loss due to early childhood caries or extensive dental trauma is one of the challenging tasks for the Paediatric dentist in his/her day to day practise. Due to the loss of primary anterior teeth at an early age, loss of esthetic, masticatory efficiency, and mispronunciation of labiodentals sounds and development of abnormal oral habits are developed. Parent's desire plays one of the most major roles for an anterior esthetic appliance for their wards. This case report discusses and elaborates in detail one of the type of fixed anterior esthetic appliance and the considerations to be made while making treatment plan for when and why to place them.
幼儿由于早期龋齿或广泛的牙齿创伤而遭受多颗牙齿脱落的幼儿的美学康复是儿科牙医在其日常实践中具有挑战性的任务之一。由于早期乳牙的脱落,导致审美、咀嚼效率的丧失,导致唇音发音错误,形成异常的口腔习惯。父母的意愿在为他们的病房使用前路美学器具时起着最重要的作用。本病例报告讨论并详细阐述了一种固定前路矫形器,以及在制定治疗计划时应注意的事项。
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引用次数: 0
Evaluation of hemorrhage immediately after extraction and postextraction in patients on oral anticoagulant therapy for last 5 years 近5年来口服抗凝剂治疗患者术后出血的评价
Pub Date : 2021-07-01 DOI: 10.4103/IJDS.IJDS_126_20
Deepak Kumar, T. Ahmad, T. Bhat, Priyadarshani Khadase, Amandeep Kaur
Aim and Objective: The aim of our study was to evaluate hemorrhage immediately after extraction and postextraction in patients on oral anticoagulant therapy for the past 5 years. Materials and Methods: A total of 100 patients, equally divided into study group and control group of 50 patients each, who were on anticoagulant therapy for the past 5 years were included in the study and were assessed for general medical status, drug dosage, indication for anticoagulant therapy, and duration of treatment before being included in the study. Before undertaking any procedure, the international normalized ratio (INR) for each of the patient under study was requested and the study was only performed if INR was within the therapeutic range of 2.0–4.0 for each patient. Any patients with INR outside the therapeutic range, patients with liver disease, patients on other drugs that affect the hemostasis (long-term use of nonsteroidal anti-inflammatory drug, chemotherapeutic and immunosuppressant drugs), and patients who refused to sign the consent for the study were excluded from the study. Results: None of the patients, in study group, had any immediate postoperative bleeding during the 30 min that they were observed after the extractions, and no patient in study group had any bleeding during the first 24 h. One patient from the study group (50-year-old female, INR 3.2) had intermittent oozing on the 3rd day postoperatively, after extractions of lower right 2nd molar. Conclusion: We conclude that hemorrhagic episodes postextraction in patients on anti-coagulant therapy is manageable following atraumatic extraction, hemostatic agents and sutures. Its also concluded that patients on anticoagulant are at high risk of thromboembolic events than postextraction hemorrhage so anticoagulant therapy should be continued without any alteration.
目的和目的:我们研究的目的是评估过去5年来口服抗凝治疗的患者在拔出和拔出后立即出血的情况。材料和方法:共有100名患者,平均分为研究组和对照组,每组50名,在过去5年中接受抗凝治疗,并在纳入研究之前评估其一般医疗状况、药物剂量、抗凝治疗指征和治疗持续时间。在进行任何手术之前,要求研究中每位患者的国际标准化比值(INR),只有当每位患者的INR在2.0-4.0的治疗范围内时,才进行研究。任何INR超出治疗范围的患者、肝病患者、服用其他影响止血的药物(长期使用非甾体抗炎药、化疗和免疫抑制剂)的患者以及拒绝签署研究同意书的患者均被排除在研究之外。结果:研究组中没有一名患者在拔出后30分钟内出现任何术后立即出血,研究组中也没有任何患者在前24小时内出现任何出血。研究组中有一名患者(50岁女性,INR 3.2)在右下第二磨牙拔出后的术后第3天出现间歇性渗出。结论:我们的结论是,在无创伤的提取、止血剂和缝合后,抗凝治疗的患者在提取后出血是可以控制的。它还得出结论,与提取后出血相比,服用抗凝剂的患者发生血栓栓塞事件的风险更高,因此应继续进行抗凝剂治疗,不得有任何改变。
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Indian Journal of Dental Sciences
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