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A comparative, randomized, controlled study on clinical efficacy and dental staining reduction of a mouthwash containing Chlorhexidine 0.20% and Anti Discoloration System (ADS). 含0.20%氯己定漱口水和抗变色系统(ADS)的临床疗效和牙齿染色减少的对照、随机、对照研究。
Pub Date : 2015-07-28 eCollection Date: 2015-04-01
Massimo Marrelli, Massimiliano Amantea, Marco Tatullo

Introduction: A good control of bacterial plaque is an essential factor for the success of periodontal therapy, therefore it is the main objective that the clinician together with the patient must get to have a healthy periodontium. The plaque control with mouthwashes is the most important home therapy as it helps to reduce the formation of plaque between the mechanical removal with a toothbrush.

Aim: Authors analyzed the clinical data from a trial carried out with 3 different mouthwashes containing 0.2% Chlorhexidine (CHX). In addition, the ADS (Anti Discoloration System - Curaden Healthcare) was tested in comparison with the other mouthwashes without this system.

Materials and methods: We tested antiplaque activity showed by 3 of the most commercialized mouthwashes, moreover, we tested the ability in reducing the dental staining related to the oral assumption of Chlorhexidine.

Discussion and conclusion: Our results demonstrated the clinical efficacy of the 3 mouthwashes with CHX. Particularly performing was the anti discoloration system (Curaden Healthcare), with a clinical detection of dental stainings significantly less than the others tested. This study demonstrated the clinical efficacy of ADS system in the reduction of tooth staining, without a loss of antiplaque activity with respect to the competing mouthwashes containing CHX.

导言:良好的菌斑控制是牙周治疗成功的关键因素,因此,临床医生和患者必须达到一个健康的牙周组织的主要目标。用漱口水控制牙菌斑是最重要的家庭治疗方法,因为它有助于减少牙菌斑的形成,同时用牙刷进行机械清除。目的:对3种含0.2%氯己定(CHX)漱口水的临床资料进行分析。此外,还测试了ADS(防变色系统- Curaden Healthcare)与其他没有该系统的漱口水的比较。材料和方法:我们测试了3种最商业化的漱口水的抗牙菌斑活性,此外,我们还测试了氯己定对减少口腔染色的能力。讨论与结论:我们的结果证明了3种漱口水与CHX的临床疗效。特别表现的是防变色系统(Curaden Healthcare),临床检测到的牙齿染色明显少于其他测试。本研究证明了ADS系统在减少牙齿染色方面的临床疗效,而与含有CHX的竞争漱口水相比,ADS系统的抗菌斑活性没有下降。
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引用次数: 0
Reproducibility and speed of landmarking process in cephalometric analysis using two input devices: mouse-driven cursor versus pen. 使用两种输入设备:鼠标驱动的光标和笔在头测量分析中标记过程的再现性和速度。
Pub Date : 2015-07-28 eCollection Date: 2015-04-01
Alice Cutrera, Ersilia Barbato, Francesco Maiorana, Daniela Giordano, Rosalia Leonardi

Aims: To define if the new portable appliances, like smartphone, iPad, small laptop and tablet can be used in cephalometric tracing without dropping out the validity of any measurement.

Methods: We investigated and compared the reproducibility and the speed of landmarks identification process on lateral X-rays in two input devices: a mouse-driven cursor and a pen used as input means in mobile devices. One expert located 22 landmarks on 15 lateral X-rays in a repeated measure design two times, at time T1 and T2, after at least one month. The Intraclass Correlation coefficient was used to evaluate the reproducibility for each landmark tracing and the agreement between the value derived from both input devices. Also, the mean errors in measurements, the standard deviation and the Friedman Test significans (P < 0.05) between both input were statistically evaluated.

Results: All landmarks had a high agreement and the Friedman Test indicated statistically significant differences (P<0.05) for the identification of Na, Po, Pt, PNS, Ba, Pg, Gn, UIE, UIA, APOcc and PPOcc landmarks.

Conclusions: Even if the mouse input give higher agreement for landmark tracing the differences are really minimal and they can be ignored in private practice. We suggest the adequacy of pen input in clinical setting.

目的:确定智能手机、iPad、小型笔记本电脑和平板电脑等新型便携式设备是否可以在不影响任何测量值有效性的情况下用于头测追踪。方法:研究并比较了两种输入设备(鼠标驱动的光标和移动设备中作为输入手段的笔)在侧位x射线上标志识别过程的再现性和速度。一位专家在至少一个月后进行了两次重复测量设计,分别在T1和T2时间,在15个侧位x射线上定位了22个地标。类内相关系数用于评估每个地标追踪的可重复性以及两个输入设备得出的值之间的一致性。同时,对两个输入之间的测量平均误差、标准差和Friedman检验显著性(P < 0.05)进行统计评估。结果:所有的地标都有很高的一致性,弗里德曼检验显示了统计学上显著的差异(p结论:即使鼠标输入对地标追踪给出了更高的一致性,差异也很小,在私人实践中可以忽略它们。我们建议在临床环境中笔输入的充分性。
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引用次数: 0
Disseminated necrotic mediastinitis spread from odontogenic abscess: our experience. 弥散性坏死性纵隔炎由牙源性脓肿扩散:我们的经验。
Pub Date : 2015-07-28 DOI: 10.11138/ads/2015.6.2.064
F. Filiaci, E. Riccardi, V. Mitro, P. Piombino, C. Rinna, A. Agrillo, C. Ungari
AIMSDeep neck infections are rare but potentially fatal complication of pulpal abscess of the teeth. If an infection can progress rapidly from a toothache to a life threatening infection, then it is critical that dentists be able to recognize the danger signs and identify the patients who are at risk. Mediastinitis is a severe inflammatory process involving the connective tissues that fills the intracellular spaces and surrounds the organs in the middle of the chest. This pathology has both an acute and a chronic form and, in most cases, it has an infectious etiology. This study want to expose the experience acquired in the Oral and Maxillo-facial Sciences Department, Policlinico Umberto I, "Sapienza" University of Rome, regarding two clinical cases of disseminated necrotizing mediastinitis starting from an odontogenic abscess.METHODSWe report two clinical cases of disseminated necrotic mediastinitis with two different medical and surgical approaches. The radiographic and photographic documentation of the patients was collected in the pre-and post-operatively. All patients underwent a CT scan and MRI.RESULTSMediastinitis can result from a serious odontogenic abscess, and the extent of its inflammation process must be never underestimated. Dental surgeons play a key role as a correct diagnosis can prevent further increasing of the inflammation process.CONCLUSIONSA late diagnosis and an inadequate draining represent the major causes of the elevated mortality rate of disseminated necrotizing mediastinitis.
目的深颈部感染是牙髓脓肿的罕见并发症,但可能致命。如果感染可以从牙痛迅速发展为危及生命的感染,那么牙医能够识别危险迹象并识别处于危险中的患者是至关重要的。纵隔炎是一种严重的炎症过程,涉及填充细胞内间隙的结缔组织,并包围胸腔中部的器官。这种病理有急性和慢性两种形式,在大多数情况下,它具有感染性病因。本研究旨在揭示罗马“Sapienza”大学polilinico Umberto I口腔颌面科学系关于两例从牙源性脓肿开始的弥散性坏死性纵隔炎的临床经验。方法报告2例弥散性坏死性纵隔炎临床病例,采用两种不同的内科和外科入路。术前和术后收集患者的影像学和摄影资料。所有患者均行CT扫描和MRI检查。结果纵隔炎可由严重的牙源性脓肿引起,其炎症程度不可低估。牙科医生扮演着关键的角色,因为正确的诊断可以防止炎症的进一步加剧。结论弥散性坏死性纵隔炎的早期诊断和引流不当是死亡率增高的主要原因。
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引用次数: 10
Discriminant canine index - a novel approach in sex determination. 鉴别犬指数——一种新的性别确定方法。
Pub Date : 2015-07-28 DOI: 10.11138/ads/2015.6.2.043
C. Kiran, P. Ramaswamy, Erva Swathi, B. Smitha, S. Sudhakar
CONTEXTAssessment of sex has significant contribution in construction of a physical profile of the decedent along with other parameters like race, stature and age. Sex determination with aid of skeletal remains is difficult procedure when, only a part of the body is obtainable. To solve this difficulty, tooth size standards based on odontometric data can be used in age and sex determination. The present study was undertaken with the objective to evaluate the reliability of sex determination using discriminant canine index (DCI).METHODSA total of 120 subjects, with healthy periodontium and between the age groups of 15 to 40 years were selected randomly. Subjects with hard tissue abnormalities were excluded from the study. The maximum mesiodistal widths of left mandibular canines were measured intraorally with the help of divider and digital vernier caliper. Data was collected and analyzed statistically.RESULTSA significant increase in the mesiodistal width of canines in males (7.21 ± 0.45 mm) when compared to females (6.77 ± 0.29 mm) was observed. The discriminant canine index (DCI) has identified 68.3% of males and 76.7% of females correctly with an overall accuracy rate of 72.5%.CONCLUSIONThe present study indicated that the DCI can produce reliable results and can be used as an alternative for mandibular canine index (MCI), for sex determination.
性别评估与种族、身高和年龄等其他参数一起,对建立死者的身体特征有重要贡献。当只能获得身体的一部分时,借助骨骼残骸来确定性别是一个困难的过程。为了解决这一困难,基于牙齿测量数据的牙齿尺寸标准可以用于年龄和性别的确定。本研究的目的是评估使用鉴别犬指数(DCI)性别决定的可靠性。方法随机选取年龄在15 ~ 40岁,牙周组织健康的120例受试者。有硬组织异常的受试者被排除在研究之外。用分割器和数字游标卡尺测量左下颌犬齿最大中远端宽度。收集数据并进行统计分析。结果雄性犬的中远端犬齿宽度(7.21±0.45 mm)明显高于雌性犬(6.77±0.29 mm)。鉴别犬指数(DCI)对公犬的识别率为68.3%,对母犬的识别率为76.7%,总体准确率为72.5%。结论下颌犬科指数(DCI)可作为下颌犬科指数(MCI)的替代指标进行性别鉴定。
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引用次数: 6
Craniofacial growth and respiration: a study on an animal model. 颅面生长与呼吸:动物模型的研究。
Pub Date : 2015-07-28 DOI: 10.11138/ads/2015.6.2.053
L. Levrini, A. Mangano, A. Ambrosoli, Paola Merlo, C. Mangano, A. Caprioglio
AIMSThe aim of this study was to analyse the effects of nasal obliteration with regards to the linear dimensions of dissected hemimandibles of a homogeneous sample of young rats.METHODS68 pure breed male Sprague-Dawley rats, aged four weeks, were divided into four groups of 17: two control groups and two test groups. The first control group was sacrificed at the beginning of the observation period and the other one at the end. The test groups, one of which had the right nostril occluded by silicon material while the other had the left occluded, were sacrificed after eight weeks, at twelve weeks. After isolating the hemi-mandibles, four vertical and four sagittal measurements were taken; comparison was then made between the control groups and the experimental groups. The sagittal measurements are articular surface of the condyle-neck incisor (SARCIN), articular surface of the condyle-mental foramen (SARFORO), articular surface of the condyle-margo incisalis (SARMI), articular surface of the condyle-surface mesial of the first molar (SARSMM). The vertical measurements are superior condyle surface-base (SCOSUB), mesial surface of the first molar-base (SUMESM), maximum inferior arched concavity-base, (XCOARIB), maximum sigmoid notch concavity-base (XCOINSB).RESULTSThe sagittal and vertical measurements showed an increase in the values of the experimental group when compared to the controls.CONCLUSIONAn altered nasal respiration is able to influence the patterns of facial growth and in particular to induce an increase in the growth of the mandible.
目的:本研究的目的是分析鼻塞术对同龄大鼠半下颌骨解剖线性尺寸的影响。方法68只4周龄纯种雄性sd大鼠随机分为4组,每组17只:2个对照组和2个试验组。第一组在观察期开始时处死,另一组在观察期结束时处死。实验组,一组右鼻孔被硅材料堵塞,另一组左鼻孔被硅材料堵塞,8周后,12周时被处死。分离半下颌骨后,进行4次垂直测量和4次矢状测量;然后将对照组与实验组进行比较。矢状面测量为:髁颈切牙关节面(SARCIN)、髁颏孔关节面(SARFORO)、切牙髁弓关节面(SARMI)、第一磨牙髁近内侧关节面(SARSMM)。垂直测量为上髁面基(SCOSUB)、第一磨牙基近中面(SUMESM)、最大下弓凹度基(XCOARIB)、最大s形切口凹度基(XCOINSB)。结果与对照组相比,实验组矢状面和垂直面测量值均有所增加。结论鼻呼吸改变可影响面部生长模式,尤其可引起下颌骨生长的增加。
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引用次数: 3
A comparative, randomized, controlled study on clinical efficacy and dental staining reduction of a mouthwash containing Chlorhexidine 0.20% and Anti Discoloration System (ADS). 含0.20%氯己定漱口水和抗变色系统(ADS)的临床疗效和牙齿染色减少的对照、随机、对照研究。
Pub Date : 2015-07-28 DOI: 10.11138/ads/2015.6.2.035
M. Marrelli, M. Amantea, M. Tatullo
INTRODUCTIONA good control of bacterial plaque is an essential factor for the success of periodontal therapy, therefore it is the main objective that the clinician together with the patient must get to have a healthy periodontium. The plaque control with mouthwashes is the most important home therapy as it helps to reduce the formation of plaque between the mechanical removal with a toothbrush.AIMAuthors analyzed the clinical data from a trial carried out with 3 different mouthwashes containing 0.2% Chlorhexidine (CHX). In addition, the ADS (Anti Discoloration System - Curaden Healthcare) was tested in comparison with the other mouthwashes without this system.MATERIALS AND METHODSWe tested antiplaque activity showed by 3 of the most commercialized mouthwashes, moreover, we tested the ability in reducing the dental staining related to the oral assumption of Chlorhexidine.DISCUSSION AND CONCLUSIONOur results demonstrated the clinical efficacy of the 3 mouthwashes with CHX. Particularly performing was the anti discoloration system (Curaden Healthcare), with a clinical detection of dental stainings significantly less than the others tested. This study demonstrated the clinical efficacy of ADS system in the reduction of tooth staining, without a loss of antiplaque activity with respect to the competing mouthwashes containing CHX.
对细菌菌斑的良好控制是牙周治疗成功的关键因素,因此,临床医生和患者必须拥有一个健康的牙周组织。用漱口水控制牙菌斑是最重要的家庭治疗方法,因为它有助于减少牙菌斑的形成,同时用牙刷进行机械清除。作者分析了3种含0.2%氯己定(CHX)漱口水的临床数据。此外,还测试了ADS(防变色系统- Curaden Healthcare)与其他没有该系统的漱口水的比较。材料与方法我们测试了3种最商业化的漱口水的抗牙菌斑活性,此外,我们还测试了氯己定对口腔染色的影响。讨论与结论本研究结果显示了3种漱口水与CHX的临床疗效。特别表现的是防变色系统(Curaden Healthcare),临床检测到的牙齿染色明显少于其他测试。本研究证明了ADS系统在减少牙齿染色方面的临床疗效,而与含有CHX的竞争漱口水相比,ADS系统的抗菌斑活性没有下降。
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引用次数: 27
Treatment timing and multidisciplinary approach in Apert syndrome. Apert综合征的治疗时机及多学科方法。
Pub Date : 2015-07-28 DOI: 10.11138/ADS/2015.6.2.058
M. Fadda, G. Ierardo, Barbara Ladniak, G. Di Giorgio, A. Caporlingua, I. Raponi, A. Silvestri
Apert syndrome is a rare congenital disorder characterized by craniosynostosis, midface hypoplasia and symmetric syndactyly of hands and feet. Abnormalities associated with Apert syndrome include premature fusion of coronal sutures system (coronal sutures and less frequently lambdoid suture) resulting in brachiturricephalic dismorphism and impaired skull base growth. After this brief explanation it is clear that these anatomical abnormalities may have a negative impact on the ability to perform essential functions. Due to the complexity of the syndrome a multidisciplinary (respiratory, cerebral, maxillo-mandibular, dental, ophthalmic and orthopaedic) approach is necessary in treating the psychological, aesthetic and functional issues. The aim of this paper is to analyse the different functional issues and surgical methods trying to enhance results through a treatment plan which includes different specialities involved in Apert syndrome treatment. Reduced intellectual capacity is associated to the high number of general anaesthesia the small patients are subject to. Therefore the diagnostic and therapeutic treatment plan in these patients has established integrated and tailored surgical procedures based on the patients' age in order to reduce the number of general anaesthesia, thus simplifying therapy for both Apert patients and their family members.
Apert综合征是一种罕见的先天性疾病,其特征是颅缝闭合,面中部发育不全和手脚对称并指。与Apert综合征相关的异常包括冠状缝合线系统(冠状缝合线和较少出现的小绵羊状缝合线)的过早融合,导致肱二头畸形和颅底生长受损。在这简短的解释之后,很明显,这些解剖异常可能对执行基本功能的能力产生负面影响。由于该综合征的复杂性,在治疗心理、美学和功能问题时,需要多学科(呼吸、大脑、上颌-下颌、牙科、眼科和骨科)的方法。本文的目的是分析不同的功能问题和手术方法,试图通过包括不同专业参与Apert综合征治疗的治疗计划来提高结果。智力下降与小病人接受大量全身麻醉有关。因此,这些患者的诊断和治疗计划根据患者的年龄建立了综合和量身定制的手术程序,以减少全身麻醉的次数,从而简化了Apert患者及其家属的治疗。
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引用次数: 12
Discriminant canine index - a novel approach in sex determination. 鉴别犬指数——一种新的性别确定方法。
Pub Date : 2015-07-28 eCollection Date: 2015-04-01
Chennoju Sai Kiran, Pachigolla Ramaswamy, Erva Swathi, Balla Smitha, Shankaran Sudhakar

Context: Assessment of sex has significant contribution in construction of a physical profile of the decedent along with other parameters like race, stature and age. Sex determination with aid of skeletal remains is difficult procedure when, only a part of the body is obtainable. To solve this difficulty, tooth size standards based on odontometric data can be used in age and sex determination. The present study was undertaken with the objective to evaluate the reliability of sex determination using discriminant canine index (DCI).

Methods: A total of 120 subjects, with healthy periodontium and between the age groups of 15 to 40 years were selected randomly. Subjects with hard tissue abnormalities were excluded from the study. The maximum mesiodistal widths of left mandibular canines were measured intraorally with the help of divider and digital vernier caliper. Data was collected and analyzed statistically.

Results: A significant increase in the mesiodistal width of canines in males (7.21 ± 0.45 mm) when compared to females (6.77 ± 0.29 mm) was observed. The discriminant canine index (DCI) has identified 68.3% of males and 76.7% of females correctly with an overall accuracy rate of 72.5%.

Conclusion: The present study indicated that the DCI can produce reliable results and can be used as an alternative for mandibular canine index (MCI), for sex determination.

背景:性别评估与种族、身高和年龄等其他参数一起,对构建死者的身体轮廓有重要贡献。当只能获得身体的一部分时,借助骨骼残骸来确定性别是一个困难的过程。为了解决这一困难,基于牙齿测量数据的牙齿尺寸标准可以用于年龄和性别的确定。本研究的目的是评估使用鉴别犬指数(DCI)性别决定的可靠性。方法:随机选取年龄在15 ~ 40岁之间、牙周组织健康的受试者120例。有硬组织异常的受试者被排除在研究之外。用分割器和数字游标卡尺测量左下颌犬齿最大中远端宽度。收集数据并进行统计分析。结果:雄性犬的中远端犬齿宽度(7.21±0.45 mm)明显高于雌性犬(6.77±0.29 mm)。鉴别犬指数(DCI)对公犬的识别率为68.3%,对母犬的识别率为76.7%,总体准确率为72.5%。结论:本研究表明,DCI可以产生可靠的结果,可以作为下颌犬指数(MCI)的替代方法进行性别鉴定。
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引用次数: 0
A rare case of synovial chondromatosis of the inferior TMJ compartment. Diagnosis and treatment aspect. 颞下颌关节下腔滑膜软骨瘤病1例。诊疗方面。
Pub Date : 2015-07-01 DOI: 10.11138/ads/2015.6.3.091
D. Sozzi, G. Bocchialini, G. Novelli, M. Valente, F. Moltrasio, A. Bozzetti
AIMSynovial Chondromatosis (SC) is a rare, benign non neoplastic arthopathy characterized by the metaplastic development of cartilaginous nodules within the synovial membrane. In only 3% of all cases does it affect the temporomandibular joint (TMJ) and cases that arise from the lower compartment are rarely found in literature. The aim of this paper is to report a new case of SC of the inferior TMJ compartment with the description of the clinical, therapeutic and histopathological findings.CASE REPORTThis article presents a 68-year-old woman with preauricular swelling on the right side, pain, crepitus and limited joint motion. This patient was evaluated by preoperative clinical manifestation, CT scan and MR images. Both showed multiple, calcified loose bodies in the inferior compartment. Based on these images as well as the patient's signs and symptoms, a surgical intervention was performed. A good functional recovery with no signs of recurrence at 36 months of follow up was obtained.CONCLUSIONAmong cases of synovial chondromatosis in literature, only twelve originating in the lower compartment have been reported, this one included. In all the cases treated for SC in the lower compartment, both in literature and in our case report, surgical treatment led to healing.
滑膜软骨瘤病(SC)是一种罕见的良性非肿瘤性关节炎,其特征是滑膜内软骨结节的化生发展。在所有病例中,只有3%的病例会影响颞下颌关节(TMJ),文献中很少发现起源于下腔室的病例。本文报告一例新的颞下颌关节下腔室SC,并对其临床、治疗和组织病理学结果进行了描述。病例报告:这篇文章介绍了一位68岁的女性,右侧耳前肿胀,疼痛,毛骨悚然,关节活动受限。通过术前临床表现、CT扫描及MR影像对患者进行评价。下腔室均可见多发钙化松散体。根据这些图像以及患者的体征和症状,进行手术干预。随访36个月,功能恢复良好,无复发迹象。结论在文献报道的滑膜软骨瘤病病例中,只有12例起源于下腔室,包括这一例。在所有治疗下腔室SC的病例中,无论是在文献中还是在我们的病例报告中,手术治疗都导致了愈合。
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引用次数: 14
Endo-restorative treatment of a severly discolored upper incisor: resolution of the "aesthetic" problem through Componeer veneering System. 上切牙严重变色的内修复治疗:通过组份贴面系统解决“美学”问题。
Pub Date : 2015-07-01 DOI: 10.11138/ads/2015.6.3.113
G. Migliau, L. K. Besharat, A. Sofan, E. Sofan, U. Romeo
AIMRe-establishing a patient's lost dental aesthetic appearance is one of the most important topics for contemporary dentistry. New treatment materials and methods have been coming on the scene, day by day, in order to achieve such an aim. Most dentists prefer more conservative and aesthetic approaches, such as direct or indirect veneer restorations, instead of full-ceramic crowns for anteriors where aesthetics is really important. The aim of the study is to evaluate clinically the effectiveness of a direct composite veneering system in resolving aesthetic problem of an upper incisor with a multidisciplinary treatment approach.METHODSPatient with a severe discolored upper incisor came to our attention; at the X-ray exam there was an evidence of a past not good root canal treatment and also old and incongruent composite obturation. After removing all the material inside the root canal was performed a new correct endodontic filling, then Authors tried to bleach the tooth trough "walking-bleach" technique with a hydrogen peroxide (30 volumes) and sodium perborate solution without excellent results. So it was decided to insert a glass-fiber post and than to perform a direct composite veneer with Componeer System (Coltene). Componeer System is a system of prefabricated composite veneers that are abled to be applied directly in the first appointment: after a conservative preparation of the tooth, it must be used an adhesive agent (for example a "three steps") and then with composite stratification it's possible to apply the componeer veneer (choosing the right measure, modified as necessary) as the last covering aesthetic layer.RESULTThe evaluation of result of this multidisciplinary treatment was essentially clinical and radiological; in fact it's possible to observe, from a clinical point of view, the good aesthetic aspect of the direct composite restoration with componeer veneer that offers also some advantages: conservative preparation with minimal lost of tooth tissue, easy standardized technique, low cost and immediate restoration of the tooth (without provisional passage). From a radiological point of view it's possible to check the good quality of endodontic retreatment on the post-operative periapical X-ray. To verify the long-term result Authors consider follow up at six months and one year.CONCLUSIONA multidisciplinary approach is always necessary to program a treatment plan in dentistry; in the case reported Authors decide to perform an endo-conservative treatment with different steps: - root canal therapy to resolve endodontical problem- glass fiber post to reinforce the conservative restoration- direct composite veneer restoration (after bleaching) to obtain the resolution of anterior aesthetic problems.
重建患者失去的牙齿美观外观是当代牙科最重要的课题之一。为了实现这一目标,新的治疗材料和方法日益出现。大多数牙医更喜欢保守和美观的方法,比如直接或间接的贴面修复,而不是全陶瓷冠的前牙,因为美学真的很重要。本研究的目的是评估直接复合贴面系统在多学科治疗方法下解决上切牙美学问题的临床有效性。方法对上切牙严重变色患者进行诊治;在x光检查中,有证据表明过去的根管治疗不佳,也有旧的和不一致的复合封闭。在去除根管内所有物质后,进行了新的正确的根管充填,然后作者尝试用双氧水(30体积)和过硼酸钠溶液通过“行走漂白”技术漂白牙齿,但效果不佳。因此,决定插入玻璃纤维桩,然后使用Componeer System (Coltene)进行直接复合贴面。组件系统是一种预制复合贴面系统,可以在第一次预约时直接应用:在牙齿保守准备后,必须使用粘合剂(例如“三步”),然后通过复合分层,可以应用组件贴面(选择正确的尺寸,根据需要进行修改)作为最后覆盖的美学层。结果对多学科治疗效果的评价主要从临床和放射学两方面进行;事实上,从临床的角度来看,可以观察到,直接复合修复与构件贴面的良好美学方面也提供了一些优势:保守的准备,最小的牙齿组织损失,易于标准化的技术,低成本和立即修复牙齿(无需临时通道)。从放射学角度可以通过术后根尖周x线检查根管再治疗的质量。为了验证长期效果,作者考虑在6个月和1年随访。结论在制定牙科治疗方案时,应多学科结合;在本病例中,作者决定采用不同步骤的内保守治疗:-根管治疗解决根管问题-玻璃纤维桩加强保守修复-直接复合贴面修复(漂白后)以解决前牙美学问题。
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引用次数: 16
期刊
Annali di stomatologia
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