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Retraction: Evidence-based dentistry: Effectual tool in decision-making 撤回:循证牙科:决策的有效工具
Pub Date : 2021-07-01 DOI: 10.4103/0976-4003.321181
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引用次数: 0
Tramadol HCL as an effective alternative to lignocaine HCL for extraction of tooth under supraperiosteal infiltration 曲马多HCL作为利多卡因HCL的有效替代品用于牙膜上浸润下的拔牙
Pub Date : 2021-07-01 DOI: 10.4103/IJDS.IJDS_146_20
Subhransu Basu, Oishee Mukherjee, Sudipto Sahu, R. Banerjee, Sandeep Pachisia, A. Biswas
Purpose: To evaluate the efficacy of tramadol as a local anesthetic effect. Materials and Methods: Fifty patients were evaluated. Group A given tramadol and Group B given lignocaine. Parameters such as pain on injection, onset of action, duration of effect, and side effects if any were recorded. Results: None of the patients showed any allergic response to the respective drug administered. The onset of anesthesia (objective) for tramadol and lignocaine was, respectively, 165.0 ± 39.80 s and 159.60 ± 35.09 s, not statistically significant (P = 0.613). Mean duration of anesthesia for them was 47.50 ± 7.51 min for tramadol and 45.70 ± 7.10 min for lignocaine, also statistically nonsignificant (P = 0.388). Regarding intraoperative pain, mean was 0.41 ± 1.013 of tramadol and of lignocaine was 0.31 ± 0.451, P = 0.654 also being statistically nonsignificant. Two patients receiving tramadol had nausea and 1 had pain. Those receiving lignocaine, only 1 patient had pain (P = 0.214). Conclusion: Tramadol has an almost similar local anesthetic efficacy with that of lignocaine.
目的:评价曲马多的局部麻醉效果。材料与方法:对50例患者进行评价。A组给予曲马多,B组给予利多卡因。记录注射时的疼痛、作用开始、作用持续时间和副作用(如有)等参数。结果:没有一名患者对各自服用的药物表现出任何过敏反应。曲马多和利多卡因的麻醉开始时间(目标)分别为165.0±39.80 s和159.60±35.09 s,无统计学意义(P=0.613)。曲马多的平均麻醉持续时间为47.50±7.51 min,利多卡因的平均麻醉时间为45.70±7.10 min,也无统计学意义。关于术中疼痛,曲马多和利多卡因的平均值分别为0.41±1.013和0.31±0.451,P=0.0654也无统计学意义。两名接受曲马多治疗的患者出现恶心,一名患者出现疼痛。结论:曲马多具有与利多卡因相近的局部麻醉效果。
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引用次数: 0
Temporary implants and particulate dentin graft protecting traditional implants in severe periodontal patient: A case report 重度牙周患者临时种植体与颗粒牙本质种植体保护传统种植体1例报告
Pub Date : 2021-07-01 DOI: 10.4103/ijds.ijds_21_21
J. Calvo-Guirado
Provisional implants (PIs) can offer a total contribution to a patient's esthetic comfort and chew during the integration of standard implants. Although temporary implants are not intended for osseointegration and have to withdraw at there or 4 months, most of them begin to move during this process, and most of them had extracted before standard implants integration. Resin fixed prosthesis attached to temporary implant abutments gives the patient stability, gives esthetics, and gives protection to traditional implants, compared to removable prostheses, which more quickly leads to the loosening and loss of these temporary implants. Temporary implants could be used with cemented or screwed resin prosthesis or with titanium framework, depending on the patient's bite, bruxism, or clenching. All PIs are made in one piece, titanium grade 5, with V threads and a Bioetched surface (rough surface) to increase the insertion torque and bone to implant contact in soft and hard bone. Temporary upper fixed denture, relined with resin, is the easiest solution for protecting and reducing the risk of failure of some of the standard implants. The possible solution in such cases is the use of temporary implants as support for the fixed structure, acting as protection of traditional implants and bone grafts. Our clinical case was made with six temporary implants TR® 2.7 mm diameter by 13 mm length, grinding extracted teeth using smart dentin grinder, and fixed temporary denture for 3 months. At 4 months, a complete zirconium denture was screwed in standard implants.
临时植入物(PI)可以在标准植入物的集成过程中为患者的审美舒适和咀嚼做出全面贡献。尽管临时植入物不用于骨整合,必须在那时或4个月时退出,但大多数植入物在这个过程中开始移动,并且大多数植入物都在标准植入物整合之前退出。与可移除假体相比,附着在临时植入物基牙上的树脂固定假体为患者提供了稳定性、美观性,并为传统植入物提供了保护,而可移除假体会更快地导致这些临时植入物的松动和丢失。根据患者的咬合、磨牙症或紧咬情况,临时植入物可以与胶合或螺纹树脂假体或钛框架一起使用。所有PI都是一体式的,5级钛,具有V形螺纹和生物蚀刻表面(粗糙表面),以增加软骨和硬骨中的插入扭矩和骨与植入物的接触。用树脂换衬的临时上部固定义齿是保护和降低一些标准植入物失败风险的最简单解决方案。在这种情况下,可能的解决方案是使用临时植入物作为固定结构的支撑,作为传统植入物和骨移植物的保护。我们的临床病例使用了六个直径2.7 mm、长度13 mm的临时植入物TR®,使用智能牙本质研磨机研磨提取的牙齿,并固定临时义齿3个月。在4个月时,将一个完整的锆义齿拧入标准植入物中。
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引用次数: 4
Oral hygiene awareness among pregnant women in Chennai: A cross-sectional study 金奈孕妇口腔卫生意识的横断面研究
Pub Date : 2021-07-01 DOI: 10.4103/IJDS.IJDS_56_20
Gayathri Somasheker, S. Lakshmi, N. Vishwanath, Sumathi Rao, Geetha Thirugnanasambandam
Background: The association between preganancy and poor oral health and its effects on preterm low birth infants are well documented in scientific literature. A pilot study was conducted with 160 pregnant women in the year 2016 showed that oral hygiene awareness among pregnant women was least among those who did not complete basic school education. This was the motive to conduct the present survey. Aims and Objectives: The Aim of this survey is to determine the knowledge and awareness on oral hygiene practices and to evaluate the role of education status on awareness of poor oral health and pregnancy outcomes among 500 pregnant women in Chennai city, Tamil Nadu, using self-tested questionnaire. Materials and Methods: A Descriptive cross sectional study was conducted among 500 pregnant women attending maternity clinics in Chennai using Self administered questionnaire. Results: Among 500 participants majority of them 72% of school educated never visited dentist. Only 6.2% of Undergraduate women was referred by gynecologist for dental check up during pregnancy. 31.3% of school educated felt that first trimester was safe to undergo dental treatment with p=0.000. Conclusion: This survey showed that level of education played a significant role in awareness about oral hygiene among pregnant women.
背景:怀孕与口腔健康不良之间的关系及其对早产低出生婴儿的影响在科学文献中有很好的记载。2016年对160名孕妇进行的一项试点研究表明,未完成基础学校教育的孕妇的口腔卫生意识最低。这就是进行这次调查的动机。目的和目的:本调查的目的是确定在钦奈市,泰米尔纳德邦500名孕妇口腔卫生习惯的知识和意识,并评估教育状况对口腔健康不良意识和妊娠结局的作用。材料与方法:采用自填问卷对在金奈妇产诊所就诊的500名孕妇进行描述性横断面研究。结果:在500名参与者中,72%的受过学校教育的人从未看过牙医。只有6.2%的本科女生在怀孕期间由妇科医生转介进行牙科检查。31.3%的受过学校教育的人认为妊娠早期接受牙科治疗是安全的,p=0.000。结论:调查显示,教育水平对孕妇口腔卫生意识有重要影响。
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引用次数: 1
Periodontal manifestations as related to the cytokines in the gingival crevicular fluid 与龈沟液中细胞因子相关的牙周表现
Pub Date : 2021-07-01 DOI: 10.4103/IJDS.IJDS_182_20
Nymphea Pandit, N. Bhavsar
Backround: Periodontal diseases are classified into different categories based on the clinical symptoms and related to these there can be changes in the cytokine levels in the connective tissue and elaboration of these in the gingival crevicular fluid. (GCF). Aims and objectives: The aim of this study was to evaluate the levels of IL-11 and IL-17 in the gingival crevicular fluid of patients with Aggressive Periodontitis and Chronic Periodontitis and co-relate them with the clinical parameters. Materials and Methods: GCF was collected from the deepest sites of the periodontitis patients and ELIS A was used to determine the levels of IL-11 and IL-17 levels. Results: GCF of patients in each category was assayed and the levels of IL-11 and IL-17 were co-related with clinical symptoms. Conclusion: Study showed strong co-relation of Aggressive and Chronic Periodontitis with IL-11 and IL-17.
背景:牙周病根据临床症状分为不同的类别,与之相关的是,结缔组织中的细胞因子水平可能会发生变化,而龈沟液中的细胞激素水平也会发生变化。(GCF)。目的:本研究旨在评估侵袭性牙周炎和慢性牙周炎患者龈沟液中IL-11和IL-17的水平,并将其与临床参数联系起来。材料和方法:从牙周炎患者的最深部位采集GCF,用ELISA法测定IL-11和IL-17水平。结果:检测各组患者的GCF,IL-11和IL-17水平与临床症状密切相关。结论:研究显示侵袭性和慢性牙周炎与IL-11和IL-17有很强的相关性。
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引用次数: 0
C-reactive protein levels: A prognostic marker for patients with head-and-neck cancer c反应蛋白水平:头颈癌患者的预后指标
Pub Date : 2021-07-01 DOI: 10.4103/IJDS.IJDS_137_20
C. Mouneshkumar, Deepa, Saakshi Gulati, A. Jha, Monica Khangembam, Shivangi Gupta, Parkhi Gupta
Background: C-reactive protein (CRP) is a nonglycosylated pentameric polypeptide comprising 206 amino acid residues. CRP causes activation of the classical complement pathway by binding to various autologous and extrinsic ligands exposed on membranes of injured, necrotic, or cells undergoing apoptosis. There is evolving evidence which strongly suggests that CRP is an inflammatory marker and is significantly elevated in patients diagnosed with tumors such as hepatocellular, pulmonary, and breast carcinomas. In addition, serum CRP level has been shown to be associated with size of tumor (T), clinic-pathological characteristics, and metastasis to lymph nodes. Aim: The aim of this study was to compare serum CRP levels in potentially malignant disorders and oral malignancies. Materials and Methods: This cross-sectional prospective study was designed to study serum CRP levels in patients with oral potentially malignant disorders (leukoplakia and oral submucous fibrosis), patients with oral squamous cell carcinoma, and normal controls. Study participants were divided into four groups: (1) Group I comprising 40 patients with leukoplakia, (2) Group II comprising 40 patients with oral submucous fibrosis, (3) Group III comprising 40 patients with oral squamous cell carcinoma, and (4) Group IV comprising 40 controls. Five milliliters of venous blood was collected after venipuncture from the antecubital vein followed by centrifugation, and serum was separated. This separated serum was analyzed for CRP levels using SPINREACT kit and semi-automated biochemical analyzer (Kyoto, Japan). All obtained data were entered into Microsoft Excel Worksheet 2007, and tabulations were performed using SPSS 16 (Statistical Package for the Social Sciences) software (IBM Corporation, Chicago, IL, USA). P < 0.05 was considered statistically significant. Results: Mean ± standard deviation values derived were 5.5 ± 4.8 mg/dl (Group I), 6.1 ± 4.9 mg/dl (Group II), 10.5 ± 2.4 mg/dl (Group III), and 2.1 ± 1.6 mg/dl (Group IV), respectively. On applying one-way analysis of variance for comparison of three groups, P < 0.003 was obtained. The results implied that an extremely significant statistical correlation existed between all studied groups when serum CRP levels were compared. Conclusion: Serum CRP levels are prognostic markers in oral potentially malignant disorders and oral malignancies.
背景:c反应蛋白(CRP)是一种由206个氨基酸残基组成的非糖基化五聚体多肽。CRP通过与暴露在损伤、坏死或凋亡细胞膜上的各种自体和外源性配体结合,引起经典补体途径的激活。越来越多的证据强烈表明,CRP是一种炎症标志物,在确诊为肿瘤(如肝细胞癌、肺癌和乳腺癌)的患者中显著升高。此外,血清CRP水平已被证明与肿瘤大小(T)、临床病理特征和淋巴结转移有关。目的:本研究的目的是比较潜在恶性疾病和口腔恶性肿瘤的血清CRP水平。材料和方法:本横断面前瞻性研究旨在研究口腔潜在恶性疾病(白斑和口腔黏膜下纤维化)患者、口腔鳞状细胞癌患者和正常对照者的血清CRP水平。研究参与者被分为四组:(1)组包括40名白斑患者,(2)组包括40名口腔黏膜下纤维化患者,(3)组包括40名口腔鳞状细胞癌患者,(4)组包括40名对照组。经肘前静脉穿刺取静脉血5毫升,离心,分离血清。分离后的血清使用SPINREACT试剂盒和半自动生化分析仪(日本京都)分析CRP水平。所有获得的数据都输入到Microsoft Excel Worksheet 2007中,并使用SPSS 16 (Statistical Package for the Social Sciences)软件(IBM Corporation, Chicago, IL, USA)进行制表。P < 0.05为差异有统计学意义。结果:得到的平均±标准差值分别为5.5±4.8 mg/dl(第一组)、6.1±4.9 mg/dl(第二组)、10.5±2.4 mg/dl(第三组)和2.1±1.6 mg/dl(第四组)。三组比较采用单因素方差分析,P < 0.003。结果表明,当比较血清CRP水平时,所有研究组之间存在极显著的统计学相关性。结论:血清CRP水平是口腔潜在恶性疾病和口腔恶性肿瘤的预后指标。
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引用次数: 0
An overview of nanotechnological advances in orthodontics 纳米技术在口腔正畸中的进展综述
Pub Date : 2021-07-01 DOI: 10.4103/IJDS.IJDS_145_20
M. Nanda, D. Bagga, P. Agrawal, Sakshi Tiwari, Aartika Singh, P. Shahi
Nanotechnology is the field of science dealing with the manipulation of the matter at the nanoscale level. The science of nanotechnology has emerged as a promising concept in all fields of medicine including dentistry and its scope is increasing everyday. It has also gained relevance in the field of orthodontics owing to its wide range of applications ranging from nanocoatings in archwires and brackets, orthodontic bonding, antimicrobial properties, atomic force microscopy to some future applications such as shape memory polymers, mandibular growth stimulation with gene therapy, acceleration of orthodontic movement, and use as biomechanical sensors. The enormous range of application of nanotechnology in orthodontics demands an intensive research into its current and future usages. This article aims to review and discuss the various applications and its potential usage in orthodontics.
纳米技术是在纳米尺度上处理物质操纵的科学领域。纳米技术已成为包括牙科在内的所有医学领域的一个有前途的概念,其范围日益扩大。由于其广泛的应用范围,从弓线和托槽的纳米涂层,正畸结合,抗菌性能,原子力显微镜到一些未来的应用,如形状记忆聚合物,下颌生长刺激基因治疗,加速正畸运动,以及用作生物力学传感器,它也在正畸领域获得了相关性。纳米技术在口腔正畸中的广泛应用需要对其当前和未来的用途进行深入的研究。本文旨在综述和讨论其在口腔正畸中的各种应用及其潜在用途。
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引用次数: 1
Effect on quality of life and psychosocial issues of patients with maxillofacial fractures in rural setting 农村地区颌面部骨折患者生活质量和心理社会问题的影响
Pub Date : 2021-07-01 DOI: 10.4103/IJDS.IJDS_165_20
L. Sureshkumar, P. Patil, Yamuna Iyer
Background: Maxillofacial injuries are a serious public health problem and are often associated with severe morbidity, disfigurement, and psychological problems. The life of the patient often takes a turn for the worst and he/she has to face many difficulties moving forward. Analysing and determining the quality of life of such cases will give us a better understanding and insight and will further improve the care and treatment of the patients. Aims: Analyse and evaluate the psychosocial impact of maxillofacial fractures on individuals who were healthy pre-trauma. Material and Methods: The participants are the 30 patients with facial trauma reported to the Department of Oral and maxillofacial surgery of the School of Dental Sciences and Krishna hospital, Karad, who will be required to undergo surgical treatment (i.e., Open reduction and internal fixation for facial fractures) and are willing to participate in this study. All 30 patients were given a questionnaire form modified from the pre-existing Acute Stress Disorder Scale, Oral Health Impact Profile questionnaire and Posttraumatic Diagnostic Scale, which includes questions regarding speech, sense of taste, pain, uncomfortable eating, orientation, tension, unsatisfactory diet, interrupted meals, difficulty to relax, embarrassment, irritability, occupational dysfunction, etc. during their 15 days follow up appointment post-surgery. This obtained data was then analysed and was subjected to appropriate statistical analysis. Result: In a study sample of 30 patients, 8% were found with intense psychosocial issues due to trauma, 14% had a moderate, and 18% had mild issues that affected the quality of their life post-trauma. Conclusion: The study shows a great need for psychological screening and evaluation of patients with maxillofacial injury/fractures due to trauma to improve the patient's physical and psychological recovery.
背景:颌面部损伤是一个严重的公共卫生问题,通常与严重的发病率、毁容和心理问题有关。病人的生活往往会急转直下,他/她不得不面对许多困难。分析和确定这些病例的生活质量将使我们更好地了解和洞察,并将进一步改善患者的护理和治疗。目的:分析和评价创伤前健康个体颌面部骨折的心理社会影响。材料与方法:研究对象为卡拉德牙科学院口腔颌面外科和克里希纳医院报告的30例面部创伤患者,这些患者需要接受手术治疗(即面部骨折切开复位内固定),并愿意参加本研究。30例患者在术后15天随访期间,分别填写由《既存在急性应激障碍量表》、《口腔健康影响问卷》和《创伤后诊断量表》修改的问卷,内容包括言语、味觉、疼痛、进食不舒服、定向、紧张、饮食不满意、进餐中断、难以放松、尴尬、易怒、职业功能障碍等。然后对获得的数据进行分析,并进行适当的统计分析。结果:在30名患者的研究样本中,8%的患者因创伤而出现强烈的社会心理问题,14%的患者有中度心理问题,18%的患者有轻度心理问题,这些问题影响了他们创伤后的生活质量。结论:本研究显示对创伤性颌面部损伤/骨折患者进行心理筛查和评估,以改善患者的身心恢复。
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引用次数: 0
Retrospective analysis on the incidence and pattern of facial bone fractures in a major trauma center of Eastern Uttar Pradesh 北方邦东部一家主要创伤中心面部骨折发生率和类型的回顾性分析
Pub Date : 2021-07-01 DOI: 10.4103/IJDS.IJDS_132_20
N. Mishra, A. Singh, T. Janani, N. Sharma, A. Priya
Background: Maxillofacial trauma is one of the growing concerns in the field of health sector around the world. Fractures of the maxillofacial region often lead to considerable morbidity of esthetics and function. Aim: This study aims to establish the incidence and pattern of facial bone fractures as well as to present their etiology, frequency, and distribution among the cases reporting in the major trauma center of eastern Uttar Pradesh. Materials and Methods: The total number of patients included in this study was 575. The data were obtained from previous documented records. Proportions and relations of data are compared with the help of the Chi-square test. P < 0.05 suggests results are significant. Results: Of 575 patients, 376 patients had isolated fractures and 199 patients had mixed fractures. The mandible is the most commonly affected bone. The most commonly involved anatomical site was parasymphysis of the mandible (25.6% [202/790]), followed by zygomatic complex 14.9% (118/790). The mean age of patients was 28.92 years with a male predilection. The mean age for males and females was 29.44 years and 24.29 years, respectively. The most common age group involved in maxillofacial injury was 21–30. The correlation of anatomical sites of maxillofacial fractures according to age group was inferred to be statistically insignificant as P > 0.05. The most common mode of injury was inferred to be road traffic accidents (85.7% [493/575]). The correlation between anatomical site and mode of injuries was found to be statistically significant (P < 0.05). Conclusion: This study concludes that road traffic accident is the most common mode of injury and the most common bone involved is the mandible, with parasymphysis being the most affected anatomical site. The current study also demonstrates a significant correlation between the anatomical site of injury and the mode of injury.
背景:颌面部创伤是世界卫生领域日益关注的问题之一。颌面部骨折往往导致相当大的美学和功能的发病率。目的:本研究旨在确定面部骨折的发生率和模式,并介绍其病因、频率和在北方邦东部主要创伤中心报告的病例中的分布。材料和方法:纳入本研究的患者总数为575人。这些数据是从以前的文件记录中获得的。借助卡方检验对数据的比例和关系进行了比较。P<0.05表明结果显著。结果:575例患者中,376例为孤立性骨折,199例为混合性骨折。下颌骨是受影响最常见的骨骼。最常见的解剖部位是下颌骨副联合(25.6%[202/790]),其次是颧骨复合体14.9%(118/790)。患者的平均年龄为28.92岁,有男性偏好。男性和女性的平均年龄分别为29.44岁和24.29岁。颌面部损伤最常见的年龄组是21-30岁。颌面部骨折解剖部位按年龄组的相关性被推断为具有统计学意义,P>0.05。最常见的伤害模式被推断为道路交通事故(85.7%[493/575])。结论:道路交通事故是最常见的损伤方式,最常见的骨骼受累部位是下颌骨,其中副交感神经是受影响最严重的解剖部位。目前的研究还表明,损伤的解剖部位和损伤模式之间存在显著相关性。
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引用次数: 1
Dental aberrations: A short review 牙齿畸变:一个简短的回顾
Pub Date : 2021-07-01 DOI: 10.4103/IJDS.IJDS_178_20
Souparna Madhavan, B. Haifa
Oral health-care services provided by the dentist have to follow certain standards to avoid any kind of negligence during treatment. Patient safety is an important aspect of quality in health care system. In the present time, all dentists need to be cautious about the general perception and the high cost involved in the treatment and to avoid any serious injury to the patient. The best way to prevent being involved in a litigation is to follow a good clinical practice patterns. This article emphasizes on common clinical mishap and dental patient incidents in a clinical practice.
牙医提供的口腔保健服务必须遵守某些标准,以避免在治疗过程中出现任何疏忽。病人安全是医疗保健系统质量的一个重要方面。目前,所有牙医都需要谨慎对待治疗的普遍看法和高昂的费用,避免对患者造成任何严重伤害。防止卷入诉讼的最佳方法是遵循良好的临床实践模式。本文着重介绍临床实践中常见的临床事故和牙科病人事件。
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引用次数: 0
期刊
Indian Journal of Dental Sciences
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