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Burning mouth syndrome: a literary review and an uptade 灼口综合征:文学评论和更新
Pub Date : 2023-01-01 DOI: 10.59987/ads/2021.1-4.2-5
M Mazzuka
Burning mouth syndrome is a debilitating condition of chronic oral pain and/or burning, which mainly affects pre and postmenopausal women. It can be characterized by the presence of other symptoms, such as a sensation of dry mouth (xerostomia), a bitter or metallic taste (dysgeusia) and tingling. BMS can be classified into two clinical forms: primary and secondary BMS. The primary BMS is essential or idiopathic, in which the organic local/systemic causes cannot be identified. The secondary BMS is caused by local, systemic, and/ or psychological factors; thus, its diagnosis depends on identification of the exact causative factor. Its etiology is complex and not well defined, suggesting neuropathic mechanisms. Its diagnosis continues to be a challenge for the clinician since there are no sufficiently objective and universally accepted criteria. This disease is usually characterized by presenting many symptoms, but without clinical signs, which makes its diagnosis difficult as it excludes lesions in the oral mucosa by its own definition. Therapy has been found to be effective for reducing the oral burning or pain symptom in some BMS patients previous clinical trials found that drug therapy with capsaicin, alpha-lipoic acid, clonazepam, and antidepressants may provide relief of oral burning or pain symptom but given the complexity of this syndrome, there are currently no widely accepted guidelines for its treatment. Aim :Update knowledge on burning mouth syndrome treatment, pathophysiology, analyzing current and innovative therapeutic procedures and assessing their effective efficacy.
灼口综合征是一种慢性口腔疼痛和/或灼烧的衰弱状况,主要影响绝经前和绝经后妇女。它的特征可能是出现其他症状,如口干(口干症)、苦味或金属味(味觉障碍)和刺痛。BMS可分为原发性和继发性两种临床形式。原发性BMS是原发性或特发性的,其中不能确定有机的局部/全身性原因。继发性脑转移综合征是由局部、全身和/或心理因素引起的;因此,其诊断取决于确定确切的致病因素。其病因复杂,不明确,提示神经病变机制。它的诊断仍然是临床医生的一个挑战,因为没有足够客观和普遍接受的标准。这种疾病通常表现为有许多症状,但没有临床体征,这使得其诊断困难,因为它本身的定义不包括口腔黏膜的病变。先前的临床试验发现,辣椒素、α -硫辛酸、氯硝西泮和抗抑郁药等药物治疗可以缓解口腔灼烧或疼痛症状,但鉴于该综合征的复杂性,目前尚无广泛接受的治疗指南。目的:更新口腔灼烧综合征的治疗、病理生理学知识,分析当前和创新的治疗方法,评估其疗效。
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引用次数: 0
Digital orthodontics: 25 years after the advent of Align Technology�s transparent aligners, a revolution that continues. 数字正畸:在Align Technology的透明矫正器问世25年后,一场革命仍在继续。
Pub Date : 2023-01-01 DOI: 10.59987/ads/2023.2.1-1
S Caruso
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引用次数: 0
Ultrashort implant in the upper jaw, an alternative therapeutic procedure after the failure of the sinus lift: a case report 上颌超短种植体,鼻窦提升失败后的一种替代治疗方法:一例报告
Pub Date : 2023-01-01 DOI: 10.59987/ads/2020.1-4.28-32
G Botticelli
The rehabilitation of the posterior sites of the maxilla with dental implants is a therapeutic procedure often influenced by the atrophy of the maxillary bone, caused by either the loss of dental elements or by the maxillary sinus pneumatization. Bone loss in the upper maxillae which prevents the placement of implant fixture, may be fixed with surgical bone regenerations techniques, such as the sinus lift, or with the placement of zygomatic and/or pterygoid implants. Although the proved effectiveness of these invasive therapeutic approaches, the biological and economic costs may be high. Also, the failure of these procedure, may further prevent the possibility of a second implant rehabilitation. In this scenario, the use of the short and ultra-short implants may be considered a valid minimally invasive alternative for the rehabilitation of the atrophic edentulous crests. Here, we describe a case of a female patient presenting with atrophic posterior maxilla which was rehabilitated with an implant of 3 millimeters in length after the failure of a previous surgical maxillary sinus lift through lateral window approach and with a total follow-up of 36 months.
用种植体修复上颌后部是一种治疗方法,通常受上颌骨萎缩的影响,上颌骨萎缩是由牙体缺失或上颌窦气化引起的。上颌骨的骨质流失阻碍了植入固定物的放置,可以通过外科骨再生技术进行固定,例如鼻窦提升,或者放置颧和/或翼状骨植入物。尽管这些侵入性治疗方法已被证明有效,但其生物和经济成本可能很高。此外,这些手术的失败可能进一步阻止第二次植入康复的可能性。在这种情况下,使用短的和超短的种植体可以被认为是一种有效的微创治疗萎缩无牙冠的替代方法。在这里,我们描述了一个女性患者的情况下,表现为萎缩的后上颌,并恢复了3毫米长的种植体,在之前的手术上颌窦提升失败后,通过侧窗入路,并与36个月的总随访。
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引用次数: 0
Bone level technique: personal technique for miofacial functional treatment 骨水平技术:面部功能治疗的个人技术
Pub Date : 2023-01-01 DOI: 10.59987/ads/2023.1.9-16
F Calvani
The ageing process of the face involves a level of bone erosion that generates a morphological change in the main features of a person’s face. Consequently, the muscular structures of facial expression also undergo changes in their functionality. Another important factor that can shift bone ageing in one district over the other is altered mimicry due to altered skeletal growth. The study carried out that led to the standardisation of this technique involves the restoration of the bone gap due to physiological bone ageing and bone compensation in those cases where there is an alteration of normal maxillary and mandibular development and growth. The technique involves supraperiosteal bolus infiltrations of 2-phase hyaluronic acid-based gels with very high cohesiveness for maximum volumetric compensation with a small quantity of product. This functional treatment aims to achieve a dynamic and functional modification of each patient’s subjective physiological muscle contraction. The study was substantiated by a team of specialists who highlighted the changes by means of electromyographic and ultrasound examination and photography. Key words: miofacial function, miofacial treatment, Skeletal anterior open bite, Orofacial myofunctional status, Orofacial myofunctional therapy, Filler, Anthropometry; Facial beauty; Facial measurements; Quantitative analysis.
面部的衰老过程涉及到一定程度的骨质侵蚀,从而导致面部主要特征的形态变化。因此,面部表情的肌肉结构在功能上也会发生变化。另一个可以改变骨骼老化的重要因素是由于骨骼生长的改变而改变的拟态。这项研究导致了这项技术的标准化,涉及到由于生理骨老化和骨补偿而导致的骨间隙的修复,这些情况下,正常的上颌和下颌发育和生长发生了变化。该技术涉及到两相透明质酸凝胶的膜上囊性浸润,具有非常高的内聚性,以少量的产品获得最大的体积补偿。这种功能性治疗旨在实现每个患者主观生理肌肉收缩的动态和功能性修改。该研究得到了一组专家的证实,他们通过肌电图、超声检查和摄影强调了这些变化。关键词:面部功能,面部治疗,骨前开咬,口面部肌功能状态,口面部肌功能治疗,填充物,人体测量学;面部美容;面部测量;定量分析。
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引用次数: 0
The Orthodontic-Periodontal Risk Assessment (OPRA) in developing Periodontal Disease 发生牙周病的正畸-牙周风险评估(OPRA)
Pub Date : 2023-01-01 DOI: 10.59987/ads/2020.1-4.16-27
M Musilli
Fifty percent of the adult population suffers from periodontal disease. Patients with Stage IV periodontal disease have altered physiological dental relationships such as masticatory dysfunction, secondary occlusal trauma, increased tooth mobility, bite collapse, tooth migration and flaring. Occlusal forces can alter and adversely affect the outcome of periodontal therapy, thus orthodontic treatment can be considered to re-store occlusal harmony as well as improve smile aesthetics. The objectives of this article were 1) to underline the possible factors involved in the relationship between systemic conditions and periodontal disease during orthodontic treatment in patients with periodontal issues; 2) to propose an Orthodontic-Periodontal Risk Assessment model (OPRA) to account for risk factors associated with orthodontic treatment, estimating their impact on periodontal health in susceptible patients.
百分之五十的成年人患有牙周病。IV期牙周病患者的牙齿生理关系发生改变,如咀嚼功能障碍、继发性咬合创伤、牙齿活动度增加、咬塌陷、牙齿移动和耀斑。咬合力可以改变和影响牙周治疗的结果,因此正畸治疗可以考虑重建咬合和谐,改善微笑美学。本文的目的是:1)强调在牙周问题患者正畸治疗期间,系统状况与牙周病之间的关系可能涉及的因素;2)建立正畸-牙周风险评估模型(OPRA),分析与正畸治疗相关的危险因素,评估其对易感患者牙周健康的影响。
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引用次数: 0
Dentistry and the elderly patients: A challenge for the future! 牙科与老年患者:对未来的挑战!
Pub Date : 2023-01-01 DOI: 10.59987/ads/2022.1-4.1
L Paglia
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引用次数: 0
Antibiotic prophylaxis in dentistry 牙科中的抗生素预防
Pub Date : 2023-01-01 DOI: 10.59987/ads/2020.1-4.10-15
B D�Orto
The aim of the present narrative review was to summarize the main indications of antibiotic prophylaxis in dentistry. A search was performed via the search engines Pubmed, Scopus and Web of Science. All types of articles were included in the study except for those found in the various search engines and publications not related to the topic addressed, which were excluded. With the limitations of this study, antibiotic prophylaxis could play a decisive role in avoiding post-operative infections, especially in more invasive surgeries and in compromised patients. Further clinical studies could be useful to further investigate the role of antibiotic prophylaxis according to individual systemic diseases.
目前的叙述回顾的目的是总结抗生素预防在牙科的主要指征。通过Pubmed, Scopus和Web of Science搜索引擎进行了搜索。所有类型的文章都包括在研究中,但在各种搜索引擎和出版物中发现的与所讨论的主题无关的文章被排除在外。由于本研究的局限性,抗生素预防可以在避免术后感染方面发挥决定性作用,特别是在侵入性手术和受损患者中。进一步的临床研究将有助于根据个体全身性疾病进一步探讨抗生素预防的作用。
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引用次数: 0
Cone beam CT and stereolithographic model in primary dentition 初生牙列的锥形束CT和立体光刻模型
Pub Date : 2023-01-01 DOI: 10.59987/ads/2021.1-4.22-25
G Barraco
There are many recognized dental anomalies, among the least common being the “triple tooth”, with a prevalence of 0.02% in the primary dentition. However, such malformation can more easily lead not only to carious pathology, due to dental dysmorphisms, and pulpal lesions, but also to rhizalysis and agenesis of the permanent elements, causing eruption alterations and malocclusions. Therefore, techniques such as CBCT and 3D anatomical replicas have been proposed to be able to study complex clinical situations such as the triple tooth in its entirety, in order to analyze anatomical structures and identify the best treatment plan. In this paper we propose a clinical case of a triple tooth in a 6-year-old child in the left mandible with fusion of incisor with a supernumerary tooth associated with the lateral incisor fusion.
有许多公认的牙齿异常,其中最不常见的是“三牙”,在初级牙列的患病率为0.02%。然而,这样的畸形不仅更容易导致龋齿病理,由于牙齿畸形和牙髓病变,而且还会导致根茎断裂和永久元素发育不全,造成萌出改变和错咬合。因此,人们提出了CBCT和三维解剖复制品等技术,以研究复杂的临床情况,如三牙的整体情况,以分析解剖结构,确定最佳治疗方案。在本文中,我们提出了一个临床病例的三颗牙齿在6岁的儿童在左下颌骨与门牙融合多牙与侧门牙融合。
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引用次数: 0
Squamos Odontogenic Tumor: A case report 牙源性鳞状肿瘤1例
Pub Date : 2023-01-01 DOI: 10.59987/ads/2023.1.3-8
P De Angelis
A 40-year-old male patient presented with diffuse radiolucent lesions on the upper maxilla at the apex of the incisors, canines, premolars, and molars. Surgical excision of the lesions was performed, and the biopsy specimens were submitted for histological analysis: the lesions of the first quadrant were found to be a squamous odontogenic tumor, a rare benign neoplasm of odontogenic origin. The purpose of this article is to describe the clinical, radiographic and histological aspects of odontogenic squamous tumor.
男性,40岁,上颌门齿、犬齿、前磨牙、磨牙尖部出现弥漫性透光病变。手术切除病变,活检标本提交组织学分析:发现第一象限病变为牙源性鳞状肿瘤,一种罕见的牙源性良性肿瘤。本文的目的是描述临床,影像学和组织学方面的牙源性鳞状肿瘤。
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引用次数: 0
The improvement of predictability in Clear Aligner treatment in conjunction with Digital Monitoring 结合数字监测,提高了清晰矫正器治疗的可预见性
Pub Date : 2023-01-01 DOI: 10.59987/ads/2023.2.3-6
S Caruso
The primary objective of this study is to evaluate the Tpredictability of orthodontic treatment with clear aligners monitored by Dental Monitoring® (DM) and to assess if using the DM system can actually lead to better results and shorter treatment times. A secondary objective is to assess whether the DM system can be more effective in monitoring one type of malocclusion over another, namely: crowding, crossbite and diastema. A total of 55 patients treated consecutively with clear aligners were selected. All patients were asked to use the DM system with scheduled appointments at 7–8-week intervals. Our results show that photos and scans taken in the chair correspond accurately to the photos and scan taken by the patient using the DM system. Results also show that the different malocclusions did not show any difference in predictability when using the DM system. This study concluded that treatment time was indeed reduced in terms of total number of in-office appointments.
本研究的主要目的是评估使用牙科监测®(DM)监测的透明对准器进行正畸治疗的可预测性,并评估使用DM系统是否确实可以获得更好的结果和更短的治疗时间。第二个目的是评估DM系统是否可以更有效地监测一种类型的错牙合,即:拥挤,交叉咬合和间隙。共选择55例连续使用透明矫正器治疗的患者。所有患者被要求每隔7 - 8周预约一次DM系统。我们的研究结果表明,在椅子上拍摄的照片和扫描与患者使用DM系统拍摄的照片和扫描准确对应。结果还表明,使用DM系统时,不同错颌的可预测性没有任何差异。这项研究的结论是,治疗时间确实减少了在办公室预约的总数。
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引用次数: 0
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Annali di stomatologia
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