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Basal Bone use in Implant Dentistry is a Boon for Patients 基底骨在种植牙中的应用是患者的福音
Pub Date : 2021-08-16 DOI: 10.54289/jdoe2100105
Vishwanatham Balaji Gupta
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引用次数: 0
Periodontitis Risk in Patients With and Without Systemic Lupus Erythematosus: A Retrospective Study 系统性红斑狼疮患者和非系统性红斑红斑狼疮患者患牙周炎的风险:一项回顾性研究
Pub Date : 2021-08-13 DOI: 10.54289/jdoe2100104
Chi-Hang Hsiao
Objectives: Systemic lupus erythematosus is a systemic, long-term autoimmune condition that has chronic inflammatory effects in connective tissue throughout the body. There are numerous studies that have examined the association between systemic lupus erythematosus and chronic periodontitis, with varying conclusions. The purpose of this cross-sectional study is to evaluate and compare the risk for periodontitis in patients with SLE to patients without SLE. Materials and Methods: Medical and dental records were retrospectively reviewed for patients that had been admitted to the Temple University School of Dentistry from 2010 to 2018. A roster of 22 SLE positive patients were generated from the Temple University patient database and matched to a control population of 22 patients without SLE. Periodontal probing depths were then documented and used to evaluate periodontal statuses in both test and control groups. Sites with probing depths ≥ 5 mm were considered to be at increased risk for periodontal breakdown. Prevalence was defined as the percentage of individuals having at least one site with a ≥ 5 mm probing depth, and extent was defined as the average percentage of sites with increased periodontitis risk. The number of missing teeth in patients from each group were also recorded as a secondary outcome. Results: The prevalence of ≥ 5 mm probing depths in SLE and control groups was 50 % (10/20) and 40.9 % (9/22), respectively. Calculations of relative risk (1.22) and odds ratio (1.44) were not statistically significant between the two populations (p > 0.05). The extent of ≥ 5 mm probing depths was 1.5 % in SLE patients and 3.7 % in healthy patients, which was also not significant between groups (p > 0.05). SLE patients were missing an average of 9.6 teeth per individual compared to 3.8 in healthy patients (p < 0.05). Conclusions: The results of the present study indicate that patients with SLE do not have an increased risk for periodontitis when compared to patients without SLE. Risk analysis on the prevalence and the extent of deeper probing depths were not statistically different between SLE and control groups. Further studies with a larger sample size and elimination of unseen confounders are needed in order to validate our results. An interesting observation was the finding that SLE patients have a significantly greater number of missing teeth. The exact mechanism through which SLE patients experience periodontal breakdown and increased tooth loss is an avenue that warrants future research. Keywords: systemic lupus erythematosus (SLE); chronic periodontitis Abbreviations: SLE: Systemic Lupus Erythematosus, CP: Chronic Periodontitis, SLEDAI: Systemic Lupus Erythematosus Disease Activity Index, BOP: Bleeding on Probing, CAL: Clinical Attachment Level.
目的:系统性红斑狼疮是一种系统性、长期的自身免疫性疾病,在全身结缔组织中具有慢性炎症作用。有许多研究检查了系统性红斑狼疮和慢性牙周炎之间的关系,得出了不同的结论。本横断面研究的目的是评估和比较SLE患者和非SLE患者患牙周炎的风险。材料和方法:回顾性审查2010年至2018年坦普尔大学牙科学院收治的患者的医疗和牙科记录。从坦普尔大学的患者数据库中生成了22名SLE阳性患者的名册,并与22名无SLE患者的对照人群进行了匹配。然后记录牙周探测深度,并用于评估测试组和对照组的牙周状态。探测深度≥5 mm的部位被认为牙周破裂的风险增加。患病率定义为至少有一个部位探测深度≥5 mm的个体百分比,范围定义为牙周炎风险增加的部位的平均百分比。每组患者的缺牙数量也被记录为次要结果。结果:SLE和对照组探查深度≥5mm的发生率分别为50%(10/20)和40.9%(9/22)。两组患者的相对危险度(1.22)和比值比(1.44)计算结果无统计学意义(p>0.05)。SLE患者≥5mm探测深度的范围为1.5%,健康患者为3.7%,SLE患者平均每人缺失9.6颗牙齿,而健康患者为3.8颗(p<0.05)。结论:本研究结果表明,与非SLE患者相比,SLE患者患牙周炎的风险没有增加。SLE患病率和更深探测深度的风险分析在SLE组和对照组之间没有统计学差异。为了验证我们的结果,需要进一步研究更大的样本量和消除看不见的混杂因素。一个有趣的观察结果是,SLE患者的牙齿缺失数量显著增加。SLE患者经历牙周破坏和牙齿脱落增加的确切机制是值得未来研究的途径。关键词:系统性红斑狼疮;慢性牙周炎缩写:SLE:系统性红斑狼疮,CP:慢性牙周炎,SLEDAI:系统性狼疮疾病活动指数,BOP:探查出血,CAL:临床依恋水平。
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引用次数: 1
New Manifestation of Covid-19 in Oral Region, a Potential Faster Diagnosis Approach, a Mini Review 新冠肺炎口腔新表现,一种潜在的快速诊断方法,一项小型综述
Pub Date : 2021-07-13 DOI: 10.54289/jdoe2100103
S. Ghasemi
Introduction: The pandemic of COVID-19 continues to shatter the world by high rate of mortalities. The poorest prognosis of COVID-19 is among patients with comorbidities. Exploring new ways to predict and diagnose the infection at early stages will probably reduce the fatality and prevent further damages. Identifying unexampled or additional clinical symptoms may provide opportunities for earlier diagnosis and prevention of severe cases of COVID-19. Material and method: A methodical search was conducted through PubMed, Google and Google scholar databases to analyze the published or in press literature. The keywords were words “novel Coronavirus”, “SARS-Cov-2 (CoV)” and “COVID-19”, searched by at least two or more independent individuals. A total of 88 related items were picked based on the keywords. While the majority of materials were based on one-case reports (66 cases), a combination of multiple case studies as well as full research papers was investigated. Results: There were several unexampled manifestations including cutaneous symptoms and oral lesions by which early diagnosis, prevention and even more effective treatment may be achieved for COVID-19 patients. Conclusion: The most striking novel clinical presentation was intraoral painful blisters or mouth ulcers mostly seen on the cheek mucosa as per the revelation of the reported cases in the literature review. Leaving out a daily intraoral examination might have been the reason why intraoral lesions have been connived as effective predictive, prognostic and even preventive manifestations of COVID-19. The outcomes of these current studies suggest that intraoral lesions may offer a very new approach, using preventive, predictive and personalized medicine (PPP) concept to provide a rapid diagnosis and more effective therapeutic modality in patients with COVID-19. Keywords: COVID-19; Oral lesions; SARS-CoV-2; PPP; Preventive; coronavirus; Personalized Abbreviations: PPP: preventive predictive and personalized medicine, SARS: Severe Acute Respiratory Syndrome, COVID: corona virus disease.
导言:2019冠状病毒病大流行继续以高死亡率震惊世界。患有合并症的患者预后最差。探索在早期阶段预测和诊断感染的新方法可能会减少死亡率并防止进一步损害。识别未发现的或额外的临床症状可为早期诊断和预防COVID-19重症病例提供机会。材料与方法:通过PubMed、谷歌和谷歌学者数据库进行系统检索,分析已发表或已出版的文献。关键词为“新型冠状病毒”、“SARS-Cov-2 (CoV)”和“COVID-19”,至少有两个或两个以上的独立个人搜索。根据关键词,共选出了88个相关项目。虽然大多数材料是基于一个案例报告(66个案例),但也调查了多个案例研究和完整的研究论文的组合。结果:新型冠状病毒肺炎患者有一些皮肤症状和口腔病变等未见的表现,通过这些表现可以早期诊断、预防甚至更有效地治疗。结论:根据文献回顾所报道病例的启示,最显著的新临床表现是口腔内疼痛性水泡或口腔溃疡,多见于脸颊粘膜。忽略每日的口腔内检查可能是纵容口腔内病变作为COVID-19有效的预测、预后甚至预防表现的原因。目前这些研究的结果表明,口腔内病变可能提供一种非常新的方法,利用预防、预测和个性化医学(PPP)概念,为COVID-19患者提供快速诊断和更有效的治疗方式。关键词:COVID-19;口腔病变;SARS-CoV-2;购买力平价;预防;冠状病毒;个性化缩写:PPP:预防性预测和个性化医疗,SARS:严重急性呼吸系统综合征,COVID:冠状病毒病。
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引用次数: 3
Thermal Changes following Er,Cr:YSGG Laser Irradiation through a Translucent Zirconia Er,Cr:YSGG激光辐照半透明氧化锆后的热变化
Pub Date : 2021-07-13 DOI: 10.54289/jdoe2100102
S. S. Marocho
Holly Raymond, Lauren Rae Corby and Susana Maria Salazar Marocho 3,* School of Dentistry, University of Mississippi Medical Center, Jackson, MS, USA Biomedical Materials Science Department, School of Dentistry, University of Mississippi Medical Center, Jackson, MS, USA; Environmental Science Department, Jackson State University, Jackson, MS, USA Biomedical Materials Science Department, School of Dentistry, University of Mississippi Medical Center, Jackson, MS, USA Corresponding author: Susana M. Salazar Marocho, Department of Biomedical Materials Science, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS, USA, Tel: +1 601 9846170
Holly Raymond, Lauren Rae Corby和Susana Maria Salazar Marocho 3,*美国密西西比大学医学中心牙科学院,杰克逊,MS,美国密西西比大学医学中心牙科学院生物医学材料科学系,杰克逊,MS,美国;通讯作者:Susana M. Salazar Marocho,密西西比大学医学中心生物医学材料科学系,密西西比大学医学中心北州街2500号,美国杰克逊,密西西比州,美国,电话:+1 601 9846170
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引用次数: 0
Formation of Diagonal Gaps as Stress-Relieving Sites: Rethinking the Concept of Increment Splitting in Direct Occlusal Composite Restorations 对角缝隙作为应力释放位点的形成:对直接咬合复合修复中增量分裂概念的再思考
Pub Date : 2021-06-04 DOI: 10.54289/jdoe2100101-1
Khamis A Hassan
The split-increment horizontal placement technique is currently used, along with other restorative techniques, in moderate-to-large occlusal cavities for reducing the shrinkage stress generated during light polymerization. Such stress, if released uncontrolled, may cause damage within the composite, tooth or at the adhesive interface. The term “diagonal cut” was used in our original paper published in 2005 to refer to the action of dividing each composite increment into segments prior to light polymerization and was presented in two-dimensional illustration. Besides, we made no mention in the original paper of the term “diagonal gap” as an outcome of such diagonal cutting. We currently recognize the importance of introducing the “diagonal gap” term and the need for shedding some light on its role to help provide a more comprehensive view of the split-increment technique. The purpose of the current paper is to rethink our increment splitting concept used in direct occlusal composite restorations by introducing the term “diagonal gap” as a stress-relieving vertical site and demonstrating it in a three-dimensional illustration for providing a more comprehensive understanding of the split-increment technique. Conclusion: In the current paper, the term “diagonal gap” is introduced to refer to the vertical gap created by diagonal cutting of the horizontal composite increment, before light curing. This gap enables the segmented composite increment to undergo unrestrained shrinkage, where each segment being free from adhesion at the gap site can deform independently from the other segments. The relief of the polymerization shrinkage stress generated during light curing prevents formation of cracks in enamel and/or composite, and debonding of adhesive interfaces. Keywords: deformation; diagonal gap; incremental; occlusal; polymerization shrinkage; posterior composite; segment; split-increment; stress reduction; stress-relieving site
劈裂-增量水平放置技术目前与其他修复技术一起用于中大型咬合腔,以减少光聚合产生的收缩应力。如果不加控制地释放这种应力,可能会在复合材料、牙齿或粘合剂界面处造成损坏。我们在2005年发表的原始论文中使用了“对角线切割”一词,指的是在光聚合之前将每个复合增量分成段的动作,并以二维插图的形式呈现。此外,我们在原论文中并没有提到“对角间隙”这个词是这种对角切割的结果。我们目前认识到引入“对角间隙”术语的重要性,以及阐明其作用的必要性,以帮助提供对分割增量技术更全面的看法。本文的目的是重新思考我们在直接咬合复合修复中使用的增量分裂概念,通过引入术语“对角间隙”作为应力释放的垂直位置,并在三维插图中进行演示,以提供对分裂-增量技术的更全面的理解。结论:本文引入“对角缝隙”一词,是指水平复合增量对角切割后在光固化前形成的垂直缝隙。这种间隙使得分段复合材料增量能够经历无限制的收缩,其中每个片段在间隙处没有粘附,可以独立于其他片段变形。光固化过程中产生的聚合收缩应力的缓解,防止了牙釉质和/或复合材料的裂缝形成和粘接界面的脱粘。关键词:变形;对角线的差距;增量;咬合的;聚合收缩;后复合;段;split-increment;减压;缓解压力方面的网站
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引用次数: 0
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Journal of dentistry and oral epidemiology
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