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Factors in Post-Operative Implant Cervical Burnout: A Retrospective Review 植体术后颈椎倦怠的影响因素:回顾性分析
Pub Date : 2022-03-05 DOI: 10.31487/j.dobcr.2022.01.02
Alex B Faigen, J. James, M. Stevens, S. Looney, A. Jenzer, T. Johnson
Introduction: The purpose of this study was to evaluate the factors which had the greatest impact on implant cervical bone health. A retrospective review was completed, and various factors were examined. The investigators hypothesized that there is no difference in implant success based on location, brand, or length of the implant.Methods: A retrospective electronic chart review of patients from the Dental College of Georgia (DCG) was done, looking at a study population composed of all patients who had an implant placed between January 1, 2009, and January 1, 2010. This included any type of dental implant placed at this academic institution, within any of the multiple departments who place implants. Patients were excluded as study subjects if they had the implant placed by another practitioner outside of the DCG. Information including location, brand, timing, age, sex, and complications was examined.Results: The sample was composed of data extracted from the dental records of 67 eligible study participants. Of these, 63 (94%) had data on bone loss and all results in this paper are based on these 63 patients. The majority of the participants were female (42/63, 67%), and age ranged from 41 to 88 (mean 68.6, SD 12.3, median 70). Significantly more bone loss was found in maxillary implants than in mandibular. This was true for mesial (p = 0.013, Table 1), distal (p = 0.012, Table 2), and average bone loss (p = 0.006, Table 3).Conclusion: The results of this study suggest a relation between implant length and positioning and bone loss. Future studies will focus on the development of more clinical markers and assessment tools for failure.
前言:本研究的目的是评估影响种植体颈椎骨健康的最大因素。我们完成了一项回顾性研究,并检查了各种因素。研究人员假设种植体的位置、品牌或长度对种植成功没有影响。方法:对来自乔治亚牙科学院(DCG)的患者进行回顾性电子图表回顾,研究人群包括2009年1月1日至2010年1月1日期间植入种植体的所有患者。这包括在这个学术机构放置的任何类型的牙科种植体,在放置种植体的多个部门中的任何一个。如果患者是由DCG以外的其他医生植入的,则排除在研究对象之外。检查的信息包括地点、品牌、时间、年龄、性别和并发症。结果:样本由67名符合条件的研究参与者的牙科记录中提取的数据组成。其中63例(94%)有骨质流失的数据,本文的所有结果均基于这63例患者。大多数参与者为女性(42/63,67%),年龄从41岁到88岁(平均68.6,标准差12.3,中位数70)。上颌种植体的骨质流失明显多于下颌骨种植体。这在近端(p = 0.013,表1)、远端(p = 0.012,表2)和平均骨质流失(p = 0.006,表3)中都是正确的。结论:本研究的结果表明种植体长度和定位与骨质流失之间存在关系。未来的研究将集中于开发更多的临床标志物和失败评估工具。
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引用次数: 0
New Approach of Civil Age Estimation Based on the Study of Permanent Teeth Eruption 基于恒牙萌出研究的年龄估算新方法
Pub Date : 2022-02-28 DOI: 10.31487/j.dobcr.2022.01.01
C. Philip-Alliez, M. Le Gall, Adèle Brotons, Oceane Monachini, B. Foti, F. Remy
Civil age estimation is part of the process of individual identification for judicial purpose. It must be applicable for dead bodies as well as for living persons. Age can be estimated through the analysis of the permanent teeth eruption process. In the present study, this process was analysed based on the Bengston’s revisited stages illustrated by AlQhatani et al. in 2010. They were used to build a linear regression model for age estimation of children. This model was built on a sample composed of 191 orthopantomographs of children aged from 9 to 19.9 years old. The created model allowed the elaboration of a formula for civil age estimation based on the most relevant teeth groups associated to their eruption stages. The estimated age showed a good correlation with civil age (R2: 0.74), and a good accuracy rate (57% at +/- 12 months and 75% at +/- 18 months). Despite what was expected, sex was not correlated with age and was discarded from the analysis.
民事年龄估计是司法个人身份认定过程的组成部分。它必须既适用于死人,也适用于活着的人。通过对恒牙萌牙过程的分析,可以推测年龄。在本研究中,这一过程是基于2010年AlQhatani等人所阐述的本斯顿重新考察的阶段进行分析的。他们被用来建立一个线性回归模型估计儿童的年龄。该模型以191张9 ~ 19.9岁儿童的骨正像片为样本建立。所创建的模型允许根据与其爆发阶段相关的最相关的牙齿群来详细制定公民年龄估计公式。估计年龄与公民年龄具有良好的相关性(R2: 0.74),准确率较高(+/- 12个月时为57%,+/- 18个月时为75%)。与预期不同的是,性别与年龄无关,因此从分析中被丢弃。
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引用次数: 1
Early Dental Caries and Their Associated International Classifications of Disease Morbidity: A 16-Year Population Study 早期龋齿及其相关疾病发病率的国际分类:一项为期16年的人口研究
Pub Date : 2021-12-30 DOI: 10.31487/j.dobcr.2021.03.05
D. Cawthorpe
Objective: The study objective was to examine the relationship between dental caries diagnosed before the age of four and ICD diseases over a 16-year period.Methods: The sample of approximately 33,531 (48% female) individuals having a total of 2,864,790 physician diagnoses over 16 years comprised a the cohort two groups, one with (2.7% of the sample) and one without dental caries (dependent variable) that were under the age of four years in the first two years of the sample data. Categories of dental caries and associated gingivitis and periodontal disease were based on the International Classification of Disease (ICD Version 9) diagnostic codes 521-523. The sample was described. Odds ratios comparing those with and without dental caries and the main ICD classes were calculated. Additionally, the ratio of each ICD diagnosis frequency comparing the cohort groups were calculated and represented the diagnoses assigned over the first 15 physician visits.Results: Males had proportionally more dental caries diagnosed. Diagnoses were made predominantly by general practitioners. Within the dental caries cohort group, associated ICD diagnoses were over-represented in both odds ratios and within individual ICD diagnoses on the first diagnosis and over the first 15 diagnoses in time.Conclusion: Dental caries diagnosed in very young children before the age of four are associated with multi-morbidity over subsequent years. Sex differences and patterns of associated morbidity may contribute to a better understanding of early life vulnerability to dental caries and their sequelae.
目的:本研究旨在探讨16年来4岁前诊断的龋齿与ICD疾病之间的关系。方法:约33531人(48%为女性)的样本在16年内共有2864790例医生诊断,包括两组,一组(2.7%的样本)和一组没有龋齿(因变量),在样本数据的前两年年龄在4岁以下。龋齿、相关牙龈炎和牙周病的分类基于国际疾病分类(ICD版本9)诊断代码521-523。对样品进行了描述。计算了有龋齿和无龋齿患者的比值比以及主要ICD类别。此外,还计算了比较队列组的每个ICD诊断频率的比率,并表示了前15次就诊中分配的诊断。结果:男性患龋齿的比例较高。诊断主要由全科医生做出。在龋齿队列组中,相关的ICD诊断在第一次诊断和前15次诊断时的比值比和个体ICD诊断中都有过多的代表性。结论:在四岁之前诊断出的幼儿龋齿与随后几年的多发病率有关。性别差异和相关发病模式可能有助于更好地了解早期易患龋齿及其后遗症。
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引用次数: 0
Surgical Ciliated Cyst of the Maxilla: A Case-Series of Three Cases 外科治疗上颌骨纤毛囊肿:附3例报告
Pub Date : 2021-12-29 DOI: 10.31487/j.dobcr.2021.04.01
A. Jenzer, Macarius Abdelsayed, J. James, Kyle B Frazier, Brian Sellers, R. Abdelsayed
The surgical ciliated cyst is an iatrogenic lesion occurring after surgeries in which the Schneiderian membrane has been exposed, such as in orthognathic surgery or maxillary sinus procedures. This lesion has been infrequently documented in western countries. In this case series, we present three cases of surgical ciliated cysts of the maxilla.
外科纤毛囊肿是一种医源性病变,发生在暴露施耐德膜的手术后,如正颌手术或上颌窦手术。这种病变在西方国家很少有文献记载。在这个病例系列中,我们提出了三例手术上颌骨纤毛囊肿。
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引用次数: 0
Comparison of Two Protocols for the Treatment of Class 2 Malocclusion 两种治疗2类咬合不全方案的比较
Pub Date : 2021-12-23 DOI: 10.31487/j.dobcr.2021.03.03
Gurel H.G., Z. Novruzov, M. Behruzoglu
Purpose: The purpose of this study was to compare the outcomes of the treatment with the twin block and modified twin block appliances in growing patients with Class 2 malocclusion.Materials and Methods: A cephalometric analysis was performed in 51 patients. The twin block sample consisted of 23 patients, 10-girls and 13-boys (mean age 10.46±0.71 years at the start of treatment, T1, and 12.84±0.78 years at the end of active treatment, T2). The modified twin block sample consisted of 28 patients, 18 girls and 15 boys (mean age 11.78±0.91 years at T1, and 13.32±0.56 years at T2). The twin block activators were used during the day, except for eating time, and the modified ones were used only at night. Duration of the treatment was 16-20 months. The changes from T2 to T1 and the differences between the groups were compared with the analysis of variance.Results: SNB angle in the twin block group showed 1.25±1.39 degrees change and in the modified twin block group, it exhibited 3.69±1.01 degrees change. Overjet in the group with twin block decreased 4.58±1.59 mm, and in the group with modified twin block it decreased 4.43±1.41 mm. In the modified twin block group, there was more retrusion of upper incisors in comparison with the twin block group. Accordingly, under the effect of modified twin block, retrusion of the upper lip was observed.Conclusion: Through modifying the twin block appliance, it is possible to ensure the comfort of the patients by reducing the daily usage, to reposition the mandibula forward and to correct overjet and sagittal dento-skeletal relationships without increasing facial height and to improve positions of upper incisors and lips.
目的:本研究的目的是比较双牙块矫治器和改良双牙块矫治器治疗生长中的2类错牙合患者的效果。材料与方法:对51例患者进行了头颅测量分析。双块样本包括23例患者,10例女孩和13例男孩(治疗开始时平均年龄10.46±0.71岁,T1,积极治疗结束时平均年龄12.84±0.78岁,T2)。改良的双块样本包括28例患者,18例女孩和15例男孩(T1时平均年龄11.78±0.91岁,T2时平均年龄13.32±0.56岁)。双阻滞活化剂在白天使用,除了吃饭时间,改良后的只在晚上使用。疗程16 ~ 20个月。T2至T1的变化及组间差异进行方差分析比较。结果:双块组SNB角变化1.25±1.39度,改良双块组SNB角变化3.69±1.01度。双侧阻滞组复喷量减少4.58±1.59 mm,双侧阻滞组复喷量减少4.43±1.41 mm。改良双牙块组与双牙块组相比,上切牙后缩较多。因此,在改良双牙块的作用下,观察到上唇的后缩。结论:通过对双块矫治器的改进,可以在不增加面部高度的情况下,减少患者的日常使用,保证患者的舒适度,使下颌骨前移,矫正牙-骨间的过突和矢状关系,改善上切牙和唇部的位置。
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引用次数: 0
The Effect of Three Polishing Systems on the Surface Rugosity of One Composite Resin 三种抛光系统对一种复合树脂表面粗糙度的影响
Pub Date : 2021-08-18 DOI: 10.31487/j.dobcr.2021.03.04
Lara Pepita de Souza Oliveira, Moises Aleli Gomes, Jefter Haad Ruiz da Silva, C. C. Silva, D. G. Pontes, Diego Ferreira Regalado
Direct restorations in composite resin require superficial rugosity appropriate to guarantee a surface free of biofilm buildup, which interferes with the durability of the restoration, its properties and the aesthetic aspect. Thus, it is relevant to know the behaviour of the finishing and polishing systems. The in vitro study aimed to compare the polishing efficiency of three different polishing systems in promoting the surface smoothness of a nanocomposite resin. Sixty specimens of the nanocomposite resin Filtek Z350 XT (3M) were made, randomly divided into three groups (n=20), according to the tested polishing systems: Enhance (Dentsply), DFL Polishers, and Sof-Lex Spiral (3M). The surface rugosity of the samples was measured by means of the rugosimeter equipment. The data were analysed through statistical tests: ANOVA two-way and post-hoc Tukey. The results indicated Sof-Lex (3M) polishing discs as the ones with the lowest average surface rugosity (0.13µm), presenting statistically significant results (p<0.05); followed by the abrasive rubbers of the DFL system (0.17 µm) and the Enhance system (Dentsply), which showed greater average surface rugosity (0.30 µm). The lowest surface rugosity of the composite resin evaluated in this study (Z350 XT- 3M) was obtained after polishing with the multi-step system (Sof-Lex), from the same manufacturer.
复合树脂直接修复需要适当的表面粗糙度,以确保表面没有生物膜堆积,这会干扰修复的耐久性、性能和美观性。因此,了解精加工和抛光系统的行为是相关的。体外研究旨在比较三种不同抛光系统在提高纳米复合树脂表面光滑性方面的抛光效率。根据测试的抛光系统,制备了60个纳米复合树脂Filtek Z350 XT(3M)样品,随机分为三组(n=20):Enhance(Dentsply)、DFL Polishers和Sof Lex Spiral(3M)。样品的表面粗糙度是通过粗糙度计设备测量的。数据通过统计学检验进行分析:ANOVA双向和事后Tukey。结果表明,Sof Lex(3M)抛光盘的平均表面粗糙度最低(0.13µm),具有统计学意义(p<0.05);其次是DFL系统(0.17µm)和Enhance系统(Dentsply)的研磨橡胶,它们显示出更大的平均表面粗糙度(0.30µm。本研究中评估的复合树脂(Z350XT-3M)的最低表面粗糙度是在用同一制造商的多步骤系统(Sof-Lex)抛光后获得的。
{"title":"The Effect of Three Polishing Systems on the Surface Rugosity of One Composite Resin","authors":"Lara Pepita de Souza Oliveira, Moises Aleli Gomes, Jefter Haad Ruiz da Silva, C. C. Silva, D. G. Pontes, Diego Ferreira Regalado","doi":"10.31487/j.dobcr.2021.03.04","DOIUrl":"https://doi.org/10.31487/j.dobcr.2021.03.04","url":null,"abstract":"Direct restorations in composite resin require superficial rugosity appropriate to guarantee a surface free of biofilm buildup, which interferes with the durability of the restoration, its properties and the aesthetic aspect. Thus, it is relevant to know the behaviour of the finishing and polishing systems. The in vitro study aimed to compare the polishing efficiency of three different polishing systems in promoting the surface smoothness of a nanocomposite resin. Sixty specimens of the nanocomposite resin Filtek Z350 XT (3M) were made, randomly divided into three groups (n=20), according to the tested polishing systems: Enhance (Dentsply), DFL Polishers, and Sof-Lex Spiral (3M). The surface rugosity of the samples was measured by means of the rugosimeter equipment. The data were analysed through statistical tests: ANOVA two-way and post-hoc Tukey. The results indicated Sof-Lex (3M) polishing discs as the ones with the lowest average surface rugosity (0.13µm), presenting statistically significant results (p<0.05); followed by the abrasive rubbers of the DFL system (0.17 µm) and the Enhance system (Dentsply), which showed greater average surface rugosity (0.30 µm). The lowest surface rugosity of the composite resin evaluated in this study (Z350 XT- 3M) was obtained after polishing with the multi-step system (Sof-Lex), from the same manufacturer.","PeriodicalId":72781,"journal":{"name":"Dental Oral Biology and Craniofacial Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49347427","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
Metastasizing Ameloblastoma: A Systematic Review in Search of Clinicopathological Predictors 转移性成釉细胞瘤:寻找临床病理预测因子的系统综述
Pub Date : 2021-07-16 DOI: 10.31487/J.DOBCR.2021.03.01
Juan Fernando Buestán Zambrano, María de Lourdes Rodríguez Coyago
Introduction: Ameloblastoma is a benign odontogenic tumor that is aggressive and localised in nature, listed as the first or second most prevalent odontogenic tumor and rarely tends to metastasis, but when it does, it receives the definition adopted by the WHO in 2017 of metastasizing ameloblastoma.Materials and Methods: This systematic review of clinical case reports of metastasizing ameloblastoma from the last 10 years, collected from PubMed, ScienceDirect and Cochrane digital databases, aims to search for association between clinical/pathological and/or molecular parameters of ameloblastoma and its metastatic potential.Results: The targeted search yielded 14 publications with a total of 18 clinical cases, which showed a mean age for diagnosis of metastasizing ameloblastoma of 46 years, with no gender predilection and a high probability of occurrence in the yellow Asian race, favouring a pattern of distant dissemination. The highest frequency of metastasis was associated with mandibular primary lesions diagnosed in young patients, and the most frequently found variant was the multicystic solid type, follicular subtype; distant metastasis was the predominant form of presentation, with the lungs being the main target.Conclusion: At the moment, there is nothing that can predict metastatic potential in ameloblastoma. More standardised studies exploring the molecular terrain are needed, as this is a key and understudied factor.
成釉细胞瘤是一种具有侵袭性和局限性的良性牙源性肿瘤,被列为第一或第二常见的牙源性肿瘤,很少有转移倾向,但当发生转移时,它接受了WHO在2017年通过的转移性成釉细胞瘤的定义。材料和方法:本系统综述了近10年来转移性成釉细胞瘤的临床病例报告,收集自PubMed、ScienceDirect和Cochrane数字数据库,旨在寻找成釉细胞瘤的临床/病理和/或分子参数与其转移潜力之间的关系。结果:有针对性的检索产生了14篇出版物,共18例临床病例,显示转移性成釉细胞瘤的平均诊断年龄为46岁,无性别偏好,在亚洲黄种人中发生率高,有利于远处传播的模式。年轻患者的下颌原发病变与转移的频率最高,最常见的变异是多囊实体型、滤泡型;远处转移是主要的表现形式,肺是主要的目标。结论:目前尚无预测成釉细胞瘤转移潜力的方法。需要更多的标准化研究来探索分子领域,因为这是一个关键的和未被充分研究的因素。
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引用次数: 2
Periodontitis and Other Risk Factor for Coronary Artery Disease among Adults: A Case Control Study in Delhi, India 成人牙周炎和其他冠状动脉疾病危险因素:印度德里的病例对照研究
Pub Date : 2021-06-30 DOI: 10.31487/j.dobcr.2021.02.06
Nillima Sharma, Mamta Parashar, Mansi Mathur, S. Rasania, S. Dwivedi, Mita Singh, Sneha Gupta
Background: Periodontitis is an extension of inflammation to the supporting tissue of the tooth. Prevalence varies worldwide with a higher prevalence in Asian countries and in India as reported. Literature reports that the sub-gingival microflora and the continuous latent endotoxemia originating from the periodontal pockets is a risk factor for the damage to vascular endothelial integrity, platelet function and blood coagulation leading to periodontal disease playing a role in etiopathogenesis of coronary artery disease and cerebrovascular disease.Aim: To study periodontitis and other risk factor that correlates with CAD among the adult urban population.Settings & Design: Clinic based case control study carried out in medicine and dental outpatient departments (OPD) of Hamdard Institute of Medical Sciences & Research and associated HAH Centenary Hospital, New Delhi. Minimum sample size was calculated to be 140. A 1:3 case to control ratio was taken.Methods & Materials: Periodontal Index (Russell Index) was utilized in our study to grade periodontal health status.Statistical Analysis: The data was analysed using SPSS 21.0 version. Categorical variables were tested for significance using Chi square test and multiple logistic regression was used for predicting the probability of cases with cardiac problems having periodontitis.Results: 30 (21.4%) participants were recruited as cases and 110 (78.6%) as controls. Among the cases the Mean Russell score for case was 3.98 ± 0.70 and control group was 3.11 ± 0.68, respectively. Among the total subjects 76.4% showed a RI score of ≥3 indicative of established destructive and terminal periodontal disease and 23.5% constituted the beginning of destructive periodontal disease.Conclusion: Severity of periodontitis was noted in cases as compared to controls. Findings suggest the relationship between CAD and periodontal disease.
背景:牙周炎是炎症对牙齿支撑组织的延伸。世界各地的患病率各不相同,亚洲国家和印度的患病率较高。文献报道,源自牙周袋的龈下菌群和持续潜伏性内毒素血症是血管内皮完整性、血小板功能和凝血功能受损的危险因素,导致牙周病在冠心病和脑血管病的发病机制中发挥作用。目的:研究成年城市人群中牙周炎及其他与CAD相关的危险因素。设置与设计:在新德里Hamdard医学科学与研究所的医学和牙科门诊部以及相关的HAH百年医院进行的基于临床的病例对照研究。最小样本量计算为140。病例与对照组的比例为1:3。方法与材料:本研究采用牙周指数(Russell Index)对牙周健康状况进行分级。统计分析:数据采用SPSS 21.0版本进行分析。使用卡方检验对分类变量的显著性进行检验,并使用多元逻辑回归预测心脏问题病例患牙周炎的概率。结果:招募30名(21.4%)参与者作为病例,110名(78.6%)参与者作为对照。在这些病例中,病例的平均Russell评分分别为3.98±0.70和对照组的3.11±0.68。在总受试者中,76.4%的受试者RI评分≥3,表明已建立的破坏性牙周病和晚期牙周病,23.5%构成破坏性牙牙周病的开始。结论:与对照组相比,病例的牙周炎严重程度较高。研究结果表明CAD与牙周病之间存在关系。
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引用次数: 0
Quantitative Assessment of Microbial Contamination and Patterns of Public Behaviour with Used Toothbrushes: Implications of Storage and Replacement 用过的牙刷对微生物污染和公众行为模式的定量评估:储存和更换的意义
Pub Date : 2021-06-16 DOI: 10.31487/J.DOBCR.2021.02.08
Amreen Bashir, P. A. Lambert
Introduction: Toothbrushes can readily become contaminated with microbes during use and storage. They present a potential hazard of cross-contamination and subsequent infection.Aims: To investigate the nature and level of microbial contamination of used toothbrushes and influence of participant lifestyle.Methods and Results: 103 used toothbrushes were donated, and microbial contents were determined by microbial culture and identification. 97% of toothbrushes revealed contamination. The microbial loads ranged from 0-1010 cfu/brush with median values of around 107, with Candida isolated in the highest levels. 90% of toothbrushes were stored in bathrooms presumably exposed to environmental contamination and 72% revealed the presence of enteric bacteria including Klebsiella, Serratia and Enterobacter. 50% of participants kept toothbrushes for >3 months and 40% retained toothbrushes for 4-6 months; microbial loads were fully established during the first three months of use and did not increase further with prolonged use. Only 57% of participants brushed their teeth twice a day and 41% brushed once a day.Conclusion: Used toothbrushes are heavily contaminated and the presence of potentially pathogenic microorganisms constitutes a potential health risk.Significance and Impact of Study: There is an under-recognised risk of cross-contamination/infection, especially when multiple users store toothbrushes in close contact. Guidance on toothbrush age, brushing frequency and storage is not being followed. Further education is required to improve public awareness.
简介:牙刷在使用和储存过程中很容易被微生物污染。它们存在交叉污染和随后感染的潜在危险。目的:调查二手牙刷的微生物污染性质和水平,以及参与者生活方式的影响。方法与结果:捐赠103支使用过的牙刷,通过微生物培养鉴定方法测定牙刷中的微生物含量。97%的牙刷被污染。微生物负荷范围为0-1010 cfu/刷,中值约为107,分离的念珠菌水平最高。90%的牙刷存放在可能受到环境污染的浴室中,72%的牙刷显示存在肠道细菌,包括克雷伯菌、沙雷氏菌和肠杆菌。50%的参与者保留牙刷超过3个月,40%的参与者保留4-6个月;微生物负荷在使用的前三个月内完全确定,并且不会随着使用时间的延长而进一步增加。只有57%的参与者每天刷牙两次,41%的参与者每天刷一次。结论:二手牙刷受到严重污染,潜在致病微生物的存在构成了潜在的健康风险。研究的意义和影响:交叉污染/感染的风险被低估,尤其是当多个使用者密切接触存放牙刷时。没有遵循关于牙刷年龄、刷牙频率和储存的指导。需要进一步教育以提高公众意识。
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引用次数: 0
The Influence of Diet, Exercise and Education Level During Pregnancy on Child Cavities and Tooth Eruption 孕期饮食、运动及教育水平对儿童蛀牙及乳牙的影响
Pub Date : 2021-06-07 DOI: 10.31487/J.DOBCR.2021.02.07
L. May, A. Brown, Alexis A. Kordis, C. Cotterill, V. Pardi
Objectives: This study’s objective was to evaluate if exercise during pregnancy, a healthy diet rich in polyunsaturated fatty acids and calcium, and the mother’s educational level influenced the dental health measures of caries risk and tooth eruption of their offspring.Methods: Women with children 6 years and younger completed questionnaires regarding PA and diet (PUFA-rich, calcium-rich (Ca) dairy foods) during pregnancy and education level prior to their child’s dental examination. T-tests were used to compare exercisers and non-exercisers; correlation and regression analyses were conducted to determine relationships and predictors of child dental health, respectively.Results: Eighty-two mother-child pairs were analysed. Exercisers had trends of increased PUFA (p=0.07) and Ca-rich dairy foods (p=0.12) to non-exercisers during pregnancy. Ca-rich dairy foods during pregnancy had positive associations with primary tooth count (p=0.004), mixed surface count (p=0.02), and tooth eruption (p=0.04). Controlling for maternal education and exercise, tooth eruption was predicted by PUFA summary and cheese consumption while dairy summary predicted primary tooth count; caries risk was predicted by maternal education; primary surface caries was associated with exercise duration.Conclusion: During pregnancy, calcium-rich dairy and PUFA-rich foods influenced child tooth eruption and thus tooth count, while exercise duration was associated with primary surface caries. Maternal education was associated with lower caries risk. Our findings support educating women on calcium intake and appropriate exercise levels during pregnancy, plus oral health counseling for their child.
目的:本研究的目的是评估怀孕期间的锻炼、富含多不饱和脂肪酸和钙的健康饮食以及母亲的教育水平是否影响其后代龋齿风险和牙萌的牙齿健康指标。方法:有6岁及以下孩子的妇女在孩子牙科检查前完成了关于妊娠期PA和饮食(富含PUFA、富含钙(Ca)的乳制品)以及教育水平的问卷调查。T检验用于比较锻炼者和非锻炼者;分别进行相关和回归分析,以确定儿童牙齿健康的关系和预测因素。结果:对82对母子进行了分析。在怀孕期间,锻炼者的PUFA(p=0.07)和富含钙的乳制品(p=0.012)比不锻炼者有增加的趋势。孕期富含钙的乳制品与乳牙数(p=0.004)、混合表面数(p=0.02)和牙萌(p=0.04)呈正相关。在控制母亲教育和锻炼的情况下,通过PUFA汇总和奶酪消费量预测牙萌,而乳制品汇总预测乳牙数;通过母亲教育预测龋齿风险;原发性面龋与运动时间有关。结论:在妊娠期,富含钙的乳制品和富含PUFA的食物会影响儿童的萌出,从而影响牙齿数量,而运动时间与原发性面龋有关。母亲教育与龋齿风险降低相关。我们的研究结果支持对女性进行孕期钙摄入量和适当运动水平的教育,以及对孩子的口腔健康咨询。
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引用次数: 0
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Dental Oral Biology and Craniofacial Research
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