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Role Of Artificial Intelligence in Clinical Diagnosis of Oral Potentially Malignant Disorders: A Scoping Review 人工智能在口腔潜在恶性疾病临床诊断中的作用:范围综述
Pub Date : 2024-01-24 DOI: 10.31487/j.dobcr.2024.01.01
Kriti Agarwal, Krishna Sireesha Sundaragiri, Shikha Saxena, A. Bhargava, B. Sankhla, Jaswant Singh
Oral potentially malignant disorders encompass a spectrum of lesions that present an increased risk of progressing to oral cancer. Timely and accurate diagnosis, as well as effective risk prediction, are crucial for early intervention and improved patient outcomes. In recent years, the integration of artificial intelligence has emerged as a transformative approach in the realm of medical diagnostics, offering innovative tools to enhance the precision and efficiency of disease identification and risk assessment. Notably, artificial intelligence driven image analysis techniques have demonstrated remarkable potential in interpreting oral lesion images, aiding in the accurate identification of morphological characteristics associated with these oral lesions. This review explores the evolving role of AI in the clinical diagnosis and risk prediction of these disorders.
口腔潜在恶性疾病包括一系列病变,这些病变会增加发展为口腔癌的风险。及时准确的诊断和有效的风险预测对于早期干预和改善患者预后至关重要。近年来,人工智能的集成已成为医学诊断领域的一种变革性方法,它提供了创新工具,可提高疾病识别和风险评估的精确度和效率。值得注意的是,人工智能驱动的图像分析技术在解读口腔病变图像、帮助准确识别与这些口腔病变相关的形态特征方面表现出了非凡的潜力。本综述探讨了人工智能在这些疾病的临床诊断和风险预测中不断发展的作用。
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引用次数: 0
Evaluation of Socket Preservation Using Collagen Plug and Injectable Platelet Rich Fibrin in Extracted Sockets of Mandibular Molars: A Split Mouth Study 下颌磨牙拔牙槽内胶原塞和可注射富血小板纤维蛋白保存牙槽的评价:一项裂口研究
Pub Date : 2023-10-19 DOI: 10.31487/j.dobcr.2023.02.01
Ganesh Sai Sandeep Kumar, Ganesh Sai Sandeep Kumar, L. Krishna Prasad, P. Srinivas Chakravarthi, P. Raja Satish, Anand Vijay S, Vidya Sagar B, K. S. Deekshith
Aim and Objectives: Evaluation of socket preservation using collagen plug and injectable platelet rich fibrin in extracted sockets of mandibular molars. To evaluate wound healing and bone density using collagen plug and I-PRF and to compare wound healing and bone density between collagen plug and I-PRF. Methodology: This experimental study involves 13 healthy patients at the Sibar Institute of Dental Sciences and Hospital in Guntur, Andhra Pradesh, India, who underwent mandibular molar extraction under local anesthesia. Patients underwent clinical and radio-graphic examinations and received periodontal treatment. The study involved extraction of right and left mandibular molar teeth, AbGel placement, collagen plug placement, and sockets secured with sutures and pressure packs. Postoperative pain, swelling, and wound healing were assessed using Wong-Baker faces pain rating scale, VAS scale, and LANDRY healing index. CBCT was obtained after 1 month and 3 months after extraction for bone quality assessment. Results: In the study, there were 69.2% men and 30.8% women. According to the study, 14.3% of individuals in the collagen plug group and 85.7% of those who received injectable platelet-rich fibrin experienced very good wound healing. On the first and seventh days, the mean pain intensity was lower in the injectable group, but there was not a noticeable distinction between the groups. The injectable group had the lowest swelling score, but by day seven, it had dramatically decreased. At the third month, the collagen plug group had the highest bone density readings, with no discernible difference between the groups. Conclusion: It can be concluded that I-PRF can be utilized as an alternative to collagen plug.
目的和目的:评价胶原塞和可注射富血小板纤维蛋白在下颌磨牙牙槽中保存牙槽的效果。应用胶原塞和I-PRF评价创面愈合和骨密度,比较胶原塞和I-PRF的创面愈合和骨密度。方法:本实验研究涉及印度安得拉邦Guntur市Sibar牙科科学研究所和医院的13名健康患者,他们在局部麻醉下进行了下颌磨牙拔牙手术。患者接受了临床和影像学检查,并接受了牙周治疗。该研究包括左右下颌磨牙的拔除,AbGel放置,胶原蛋白塞放置,缝合和压包固定牙槽。采用Wong-Baker面部疼痛评定量表、VAS评分和LANDRY愈合指数评估术后疼痛、肿胀和伤口愈合情况。拔牙后1个月和3个月分别行CBCT检查,评估骨质量。结果:男性占69.2%,女性占30.8%。根据这项研究,14.3%的胶原蛋白塞组患者和85.7%接受注射富血小板纤维蛋白的患者伤口愈合良好。在第1天和第7天,注射组的平均疼痛强度较低,但组间无明显差异。注射组的肿胀评分最低,但到第7天,肿胀评分显著下降。在第三个月时,胶原蛋白塞组的骨密度读数最高,两组之间没有明显的差异。结论:I-PRF可作为胶原蛋白塞的替代材料。
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引用次数: 0
Sublingual Swelling Masquerades a Ranula: A Case Report and Review of the Literature 蛙舌下肿胀假面:病例报告及文献复习
Pub Date : 2023-09-08 DOI: 10.31487/j.dobcr.2023.01.03
Ridhi Bhola, A. Narwal, M. Kamboj, A. Devi, Virendra Singh
Epidermoid cyst in the floor of mouth is a very rare non-neoplastic cyst lined by squamous epithelium. Here is a case report of a 17-year-old female who presented with a slow growing swelling in the floor of mouth with difficulty in breathing and swallowing from past 4 months. A clinical diagnosis of ranula was made. Biopsy and subsequent histopathological evaluation revealed it as epidermoid cyst. Thus, epidermoid cyst of the floor of mouth can mimic ranula in its clinical presentation. Therefore, histopathologic evaluation is critical in making definitive diagnosis in such scenarios. A detailed account of clinical, radiological and histopathological evaluation has been presented.
口腔底部表皮样囊肿是一种非常罕见的鳞状上皮排列的非肿瘤性囊肿。这是一例17岁女性的病例报告,她在过去4个月里出现了缓慢增长的口腔底部肿胀,呼吸和吞咽困难。临床诊断为ranula。活检和随后的组织病理学评估显示为表皮样囊肿。因此,口腔底部的表皮样囊肿在临床表现上可以模仿ranula。因此,在这种情况下,组织病理学评估对于做出明确诊断至关重要。详细介绍了临床、放射学和组织病理学评估。
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引用次数: 0
Does Submucosal Placentrex® Injection Hasten the Soft Tissue Healing in Mandibular Third Molar Impaction Surgery? A Prospective Randomized Split-Mouth Study 在下颌第三磨牙嵌塞手术中,黏膜下Placentrex®注射是否加速软组织愈合?一项前瞻性随机裂口研究
Pub Date : 2023-08-04 DOI: 10.31487/j.dobcr.2023.01.02
Nakkeeran Komagan Prabhu, Ajinkya Naik, Selvakumar Thulasiraman, Velavan Krishnan, Krishna Kumar Raja V.B
Background: This study focused to evaluate the potency of injection Placentrex® by assessing the rate of soft tissue healing with bilateral symmetrical third molar impaction by using early wound healing score.Materials and Methods: The split mouth study included 23 patients with bilaterally symmetrical third molar impaction. Randomly one side was selected as study group and other side as control group. 2 ml of Placentrex® injection was administered submucosally before surgical removal on the buccal and retromolar region in study group while control group was allowed to heal naturally. Parameters like soft tissue healing, pain, trismus and swelling were assessed on 1st,3rd and 7th post operative days. Early healing score was used to assess the soft tissue healing after surgical removal. Results: The mean re-epithelialization based on CSR on 3rd post operative day showed characteristic significance with mean score of 4.56 (p<0.05) when compared to the control group which showed a mean score of 2.73. The inflammation based on CSI on 3rd postoperative day for the study group revealed a mean value of 1.73 (p<0.05) whereas for the control group a mean of 1.04 was recorded proving significance. It was found that there was no significant statistical difference in the case and control group in relevance to post operative pain, swelling and mouth opening. Conclusion: Placentrex® exhibited characteristic significance in early soft tissue healing with signs of less inflammation and early reepithelialisation.
背景:本研究的重点是通过使用早期伤口愈合评分评估双侧对称性第三磨牙嵌塞的软组织愈合率来评估注射Placentrex®的效力。材料和方法:对23例双侧对称性第三磨牙嵌塞患者进行了分口研究。随机选择一侧作为研究组,另一侧作为对照组。研究组在口腔和磨牙后区域手术切除前,在粘膜下注射2 ml Placentrex®注射液,而对照组则允许其自然愈合。术后第1、3和7天评估软组织愈合、疼痛、三体和肿胀等参数。早期愈合评分用于评估手术切除后软组织的愈合情况。结果:术后第3天基于CSR的平均再上皮化显示出特征性意义,平均得分为4.56(p<0.05),而对照组的平均得分为2.73。研究组术后第3天基于CSI的炎症显示平均值为1.73(p<0.05),而对照组的平均值为1.04,证明了这一点。研究发现,病例组和对照组在术后疼痛、肿胀和开口方面没有显著的统计学差异。结论:Placentrex®在早期软组织愈合中表现出显著的特征性意义,有炎症减少和早期再上皮化的迹象。
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引用次数: 0
Finding the Way Back Home: Report of 2 Cases of Oral Metastasis 寻找回家的路——附2例口腔转移瘤报告
Pub Date : 2023-07-28 DOI: 10.31487/j.dobcr.2023.01.01
Madhur Sharma, A. Narwal, A. Devi, M. Kamboj
Around 1-1.5 % of all malignant tumors in oral cavity are caused by metastatic dissemination to this region. Lung, kidney, breast, bone and colorectal regions are primary sites which act as source of metastases to oral cavity. Similarly, metastasis from primary oral malignancy to distant sites is not uncommon with metastasis mainly occurring to lung, followed by bone and liver. Here we report 2 cases showing different primary origins but presentation in oral cavity being the first symptom. One case is of an 82 year old male with a complaint of swelling in right mandible and a diagnosis of prostatic adenocarcinoma metastasizing to oral cavity was established. The other case presented here is of a 42 year old male with pain and swelling in right mandible. The diagnosis of adenoid cystic carcinoma was made and a full body scan helped in early identification of metastatic deposits in lung. Despite the infrequent occurrence of metastases in oral region, dental surgeon should be aware of the possibilities for correct diagnostic conduction and subsequently, the initiation of treatment in early stages of disease.
大约1- 1.5%的口腔恶性肿瘤是由转移扩散到口腔引起的。肺、肾、乳腺、骨和结直肠是肿瘤转移到口腔的主要部位。同样,原发性口腔恶性肿瘤向远处转移也并不罕见,转移主要发生在肺,其次是骨和肝。我们在此报告2例不同原发的病例,但以口腔为首发症状。一例82岁男性,主诉右下颌骨肿胀,诊断为前列腺腺癌转移至口腔。另一个病例是42岁男性,右下颌骨疼痛和肿胀。诊断为腺样囊性癌,全身扫描有助于早期识别肺转移沉积。尽管口腔癌转移的发生率不高,但口腔外科医生应该意识到正确诊断传导的可能性,并在疾病的早期阶段开始治疗。
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引用次数: 0
Protocol T.A.C (T.S.C.) 2.2 for Making Surgical Guides — The Sliding-Tube Concept T.A.C(T.S.C.)2.2号手术指南——滑动管概念
Pub Date : 2023-01-12 DOI: 10.31487/j.dobcr.2022.04.02
Ibañez Juan Carlos, Loys Adrián Esteban, Maestri Juan, Ibanez Martin, Dalla Costa Lucas, Ibanez María Constanza
The present article describes the TSC Protocol (tubes, support, connectors) version 2.2 for construction of surgical guides for implant placement and the possibility of insertion of the implants also.
本文描述了TSC协议(管、支架、连接器)2.2版,用于植入物放置的外科指南的构建以及植入物插入的可能性。
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引用次数: 0
Dental Health, Mental Health, and Electroconvulsive Therapy 牙齿健康、心理健康和电休克治疗
Pub Date : 2022-10-28 DOI: 10.31487/j.dobcr.2022.04.01
R. Sutar
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引用次数: 0
Detection of the Temporomandibular Joint Fibrocartilage by Magnetic Resonance Imaging 颞下颌关节纤维软骨的磁共振成像检测
Pub Date : 2022-10-20 DOI: 10.31487/j.dobcr.2022.03.02
G. Moncada, Daniel Cortes Sylvester, M. S. López, María Ines Navarrete, Camila Venegas, Greisy Yanira Zambrano, R. Millas
Objective: The aims of this study were to detect the fibrocartilage layer (FC) of the porcine mandible condyle in ex vivo preparations using 3D SPGR (Spoiled GRASS sequence) (T1 WATS) sequences, and, to compare 3D SPGR image results with those of conventional magnetic resonance imaging (MRI) sequences for detecting the fibrocartilage layers of the temporomandibular joint (TMJ) in patients with temporomandibular disorders (TMD). Methods: Four porcine TMJ with and without FC were radiographically and histologically assessed. Additionally, fifty-nine patients were studied using T1 WATS MRI and T2 TSE and PD TSE sequences. Four trained and calibrated observers assessed the MRI images. Results: In porcine, the T1 WATS sequence was able to detect the presence or absence of FC in the mandibular condyle, histologically confirmed. In humans, 98% of fibrocartilages were detected with T1 WATS sequence in temporal fossa, and 91% in mandible condyles. Significantly poorer detection with the T2 TSE and PD TSE sequences was observed. Mean fibrocartilage ROI signal intensity was 74.07 IU (±14.7), without statistical differences between fossa and condyle. Conclusion: T1 WATS is the most reliable and efficient sequence for detecting the TMJ fibrocartilage layer (p <0.05).
目的:利用T1 WATS序列检测离体制剂中猪下颌骨髁的纤维软骨层(FC),并将3D SPGR成像结果与传统磁共振成像(MRI)序列检测颞下颌关节(TMJ)纤维软骨层进行比较。方法:对4例有无FC的猪TMJ进行影像学和组织学评价。此外,59例患者使用T1 WATS MRI和T2 TSE和PD TSE序列进行研究。四名经过训练和校准的观察员评估核磁共振成像图像。结果:在猪中,T1 WATS序列能够检测下颌骨髁中FC的存在或不存在,组织学证实。在人类中,T1 WATS序列在颞窝中检测到98%的纤维软骨,在下颌骨髁中检测到91%。T2 TSE和PD TSE序列的检出率明显较差。平均纤维软骨ROI信号强度为74.07 IU(±14.7),窝与髁间差异无统计学意义。结论:T1 WATS序列是检测TMJ纤维软骨层最可靠、最有效的序列(p <0.05)。
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引用次数: 0
Correlation Between Vitamin D and Degenerative Joint Disorders: Review and Meta-Analysis 维生素D与退行性关节疾病的相关性:综述和荟萃分析
Pub Date : 2022-09-16 DOI: 10.31487/j.dobcr.2022.03.01
G. Moncada, Gabriela Díaz Mujica, C. Valdés
Objective: Evaluate the evidence of the clinical correlation between vitamin D and symptomatic degenerative joint disease. Methods: A systematic search and meta-analysis was conducted of randomized controlled studies (RCTs) published in between January 1st, 2010, and March 30th, 2020 on five different databases. The study population consisted of adult patients with symptomatic knee osteoarthritis; the intervention was vitamin D; the comparison was placebo, and the outcomes included the Western Ontario and McMaster Universities Arthritis Index (WOMAC) (pain, function, stiffness), tibial cartilage volume, synovial tissue volume (STV), subchondral bone marrow lesion (BML) volume, effusion-synovitis, serum vitamin D3 levels, serological inflammatory and metabolic biomarkers levels and adverse events.Results: Nine RCTs involving 2,168 patients were included in this study. Pooled estimates suggested that vitamin D supplementation was associated with reduction in WOMAC pain (Std. Mean=1.08(0.90, 1.25); I2=99%; p=0.00001), function (Mean=1.1(0.92, 1.27); I2=99%; p=0.00001), stiffness (Std. mean= 0.72(0.54, 0.90); I2=98%; p=0.00001) and synovial effusion in the suprapatellar pouch numbers. There was no significant difference in tibial cartilage volume incidence (Std. Mean=0.26(0.44, 0.80); I2=99%; p=0.00001), STV, BML volume, inflammatory biomarkers and adverse events between the vitamin D and the placebo groups. Conclusion: Vitamin D supplementation was effective in improving WOMAC pain and function in patients with knee OA and also improved serological vitamin D levels. However, it had no beneficial effect on structural cartilage change or inflammatory biomarker reduction. Therefore, there is currently a lack of evidence on vitamin D regimen dosage and length to obtain benefits in preventing knee disease progression.
目的:评估维生素D与症状性退行性关节疾病之间临床相关性的证据。方法:对2010年1月1日至2020年3月30日在五个不同数据库中发表的随机对照研究(RCT)进行系统检索和荟萃分析。研究人群包括有症状的膝关节骨性关节炎的成年患者;干预措施为维生素D;比较是安慰剂,结果包括西安大略大学和麦克马斯特大学关节炎指数(WOMAC)(疼痛、功能、僵硬)、胫骨软骨体积、滑膜组织体积(STV)、软骨下骨髓损伤(BML)体积、渗出性滑膜炎、血清维生素D3水平、血清学炎症和代谢生物标志物水平以及不良事件。结果:本研究纳入了9项随机对照试验,涉及2168名患者。汇总估计表明,补充维生素D与减轻WOMAC疼痛有关(标准均值=1.08(0.901.25);I2=99%;p=0.00001),函数(平均值=1.1(0.92,1.27);I2=99%;p=0.00001)、刚度(标准平均值=0.72(0.54,0.90);I2=98%;p=0.00001)和髌上囊滑膜积液的数量。胫骨软骨体积发生率没有显著差异(标准平均值=0.26(0.44,0.80);I2=99%;p=0.00001)、STV、BML体积、炎症生物标志物和维生素D组与安慰剂组之间的不良事件。结论:补充维生素D可有效改善膝关节骨性关节炎患者的WOMAC疼痛和功能,并可提高血清维生素D水平。然而,它对结构软骨的改变或炎症生物标志物的减少没有有益的影响。因此,目前缺乏关于维生素D方案剂量和时间的证据,以获得预防膝关节疾病进展的益处。
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引用次数: 0
Assessment of Knowledge, Attitude and Practice of Digital Orthodontics Among Orthodontists and Orthodontic Residents in Gujarat: A Questionnaire Study 古吉拉特邦正畸医师和正畸居民数字正畸知识、态度和实践的评估:一项问卷研究
Pub Date : 2022-06-24 DOI: 10.31487/j.dobcr.2022.02.01
Shrishtee Goyal, Narayan B. Kulakrni
Introduction: Introduction of digital technology in orthodontics has improved the overall experience for the patient as well as the clinician. This study aimed to assess knowledge, attitude and practice of digital orthodontics among orthodontists and orthodontic residents in Gujarat through a questionnaire.Materials and Methods: The questionnaire comprised of two parts, the first part which consisted of sociodemographic details (5 questions) and the second part consisted of questions to assess the knowledge (2 questions), attitude (9 questions) and practice (3 questions) of digital orthodontics. The final developed questionnaire after content validity was sent to Orthodontists and Orthodontic residents as Google Form link to Gujrat Orthodontic Study Group over WhatsApp and the received responses were recorded.Results: Kolmogorov- Smirnov test was employed to test the normality of data. Chi Square test was performed for the quantitative variables. Results showed that majority of the participants knew about availability of digital orthodontics. Revealed a positive incline in incorporating digital orthodontics in their routine practice. However, a lack was observed in practicing digital orthodontics among Orthodontists and Orthodontic Residents of Gujarat Statistically significant difference was present regarding the awareness about digital orthodontics between males and females (p value = 0.042).Conclusion: Orthodontists and orthodontic residents of Gujarat displayed adequate knowledge, positive attitude and lack of practice about digital orthodontics. Male population is more aware about digital technologies as compared to female population.
导读:数字技术在正畸治疗中的应用,提高了患者和临床医生的整体体验。本研究旨在通过问卷调查来评估古吉拉特邦正畸医师和正畸居民对数字正畸的知识、态度和实践情况。材料与方法:问卷分为两部分,第一部分为社会人口学资料(5题),第二部分为数字正畸知识(2题)、态度(9题)和实践(3题)评估。内容效度后的最终问卷以谷歌形式通过WhatsApp链接到Gujrat Orthodontic Study Group,发送给正畸医师和正畸住院医师,并记录收到的回复。结果:采用Kolmogorov- Smirnov检验检验数据的正态性。对定量变量进行卡方检验。结果显示,大多数参与者知道数字正畸的可用性。显示在日常实践中纳入指指正畸的积极倾向。然而,古吉拉特邦的正畸医生和正畸居民对数字正畸的认知度缺乏,男女对数字正畸的认知度差异有统计学意义(p值= 0.042)。结论:古吉拉特邦正畸医师和正畸居民对数字正畸的认识、态度和实践不足。男性比女性更了解数字技术。
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引用次数: 0
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Dental Oral Biology and Craniofacial Research
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