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PIEZOGRAPHIE IN THE SERVICE OF EDENTULOUS: CLINICAL CASE REPORT 压电成像技术在无牙患者中的应用:临床报告
Pub Date : 2021-07-01 DOI: 10.46466/IDJ.V43I1.262
Alaeddine Mahfoudhi, O. Tayari, Amani Mizouri, J. Jaouadi
Abstract With senescence, edentulous patients present unfavorable clinical situations following the continued resorption of alveolar bone and the inevitable narrowing of the prosthetic corridor. That’s why rehabilitation with removable complete prosthesis presents a difficult challenge for the dentist. In this connection, the use of the piezographic technique, a promising therapeutic approach, makes it possible to better respect the physiology of the elderly patient while ensuring a compromise of retention, prosthesis stability and comfort. The aim of this manuscript is to present the different stages of realizing a removable complete denture resulting from an impression of the bearing surfaces and a piezographic recording of the prosthetic corridor through a clinical case.
随着年龄的增长,无牙患者牙槽骨的持续吸收和义齿通道的不可避免的变窄,使得无牙患者的临床情况非常不利。这就是为什么使用可移动的完整假体进行康复对牙医来说是一项艰巨的挑战。在这方面,使用压电成像技术,一种很有前途的治疗方法,可以更好地尊重老年患者的生理,同时确保保留,假体稳定性和舒适性的折衷。本手稿的目的是通过临床病例介绍实现可移动全口义齿的不同阶段,这些义齿是由承载表面的印象和义齿走廊的压电记录产生的。
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引用次数: 0
ASSESSMENT OF MENTAL FORAMEN POSITION IN DENTATE SUBJECTS 有齿受试者心理孔位置的评估
Pub Date : 2021-07-01 DOI: 10.46466/IDJ.V43I1.261
J. J. Attar, Siba Ahmed Mohmmed
Mental foramen shares its significance in various fields of dentistry. Being a strategically eminent landmark, an understanding of the variation of its position is important. Aim: To evaluate frequently occurring position of mental foramen and its distance with reference to the lower premolars using panoramic image. Method: Total 215 panoramic image of patients taken for different diagnostic purpose, using Planmeca X-ray unit ProMax, The position of the mental foramen was recorded according to the categories which were put forward by Jasser and Nwoku. Result: The most common position was found to be between the two premolars approximately  60.5% for both gender, followed by below the second premolar approximately 34.9% . conclusion: The most common location was reported to be between the two premolars, with a definite bilateral symmetry on both left and right sides. No gender preferences were observed
心理孔在牙科的各个领域都有其重要意义。作为一个具有战略意义的地标,了解其位置的变化是很重要的。目的:利用全景式图像评价下颌前磨牙颏孔的常见位置及其距离。方法:采用Planmeca x线机ProMax拍摄215张不同诊断目的的患者全景图像,根据Jasser和Nwoku提出的分类记录颏孔位置。结果:两前磨牙之间为最常见的位置(60.5%),第二前磨牙以下为次之(34.9%)。结论:最常见的位置是在两颗前磨牙之间,左右两侧明显对称。没有观察到性别偏好
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引用次数: 0
THE EFFECT OF AGING ON SURFACE ROUGHNESS OF PROVISIONAL CROWN AND BRIDGE MATERIAL 时效对临时冠和桥材料表面粗糙度的影响
Pub Date : 2021-07-01 DOI: 10.46466/IDJ.V43I1.265
Z. Abdullah, S. Dulaimi
Abstract Background: Provisional dental restoration fabricated to enhance esthetic, stabilization of abutment teeth and maintain function for limited period of time after which it is to be replaced by definitive fixed restoration. The surface roughness of temporary crowns are considered crucial in achieving successful definite restorations. Most bacteria in the oral cavity can only survive on hard and rough surfaces. The objective of the present study is to evaluate and compare the surface roughness of two types of commercially available composite material (Harvard- temp and Charm- temp). The specimens were tested in dry conditions and after two weeks of storage in artificial saliva at 25⁰C. Material and Methods: A total of 32 specimens of dimensions 64mm×10mm×2.5mm were divided in two groups according to the type of material (Harvard-temp or Charm-temp). Each group of material has 16 specimens. These 16 specimens were divided in two groups: a control group (eight specimens) in dry conditions and an aging group (eight specimens) and stored in artificial saliva for two weeks. The TR 200 device was used to measure the surface roughness of specimens in micrometers (µm) before and after aging in artificial saliva. Results: After comparing the results, a significant difference was found in the surface roughness in dry and aging conditions of Harvard – temp (P 0.05). Conclusion: that in-vitro aging research might be an informative predictor of provisional materials’ properties before clinical application. Clinical significance: Both materials can perform adequately in the oral cavity for two weeks. However, the Charm temp mayperform more adequately and maintain good surface roughness.
摘要背景:临时牙修复是为了提高美观,稳定基牙并在有限的时间内维持功能而制造的,之后它将被确定的固定修复所取代。临时冠的表面粗糙度被认为是获得成功的确定修复的关键。口腔中的大多数细菌只能在坚硬粗糙的表面上存活。本研究的目的是评估和比较两种商用复合材料(Harvard- temp和Charm- temp)的表面粗糙度。标本在干燥条件下进行测试,并在25摄氏度的人工唾液中储存两周后进行测试。材料与方法:将32个尺寸为64mm×10mm×2.5mm的试件根据材料类型分为两组(Harvard-temp或Charm-temp)。每组材料有16个标本。将16份标本分为两组:干燥对照组(8份)和老化组(8份),在人工唾液中保存2周。用tr200仪器测量人工唾液老化前后样品的表面粗糙度,单位为微米(µm)。结果:经比较,在干燥和老化条件下,Harvard - temp的表面粗糙度有显著差异(P < 0.05)。结论:体外老化研究可作为临时材料临床应用前性能的预测指标。临床意义:两种材料均可在口腔内发挥两周的作用。然而,魅力温度可能表现更充分,并保持良好的表面粗糙度。
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引用次数: 1
INFLUENCE OF POST-OPERATIVE INSTRUCTIONS ON WOUND HEALING. A RANDOMIZED, SINGLE-BLINDED CLINICAL TRIAL. 术后指导对伤口愈合的影响。一项随机、单盲临床试验。
Pub Date : 2020-07-01 DOI: 10.26477/IDJ.V42I1.259
E. Ekaniyere, Aggrey-Nwanguma Ifeoma
Postoperative instructions that are properly delivered can play a major role in treatment outcomes, especially excellent wound healing. This study aimed to examine the mode of delivering postoperative instructions in decreasing the side effects of poor wound healing following simple tooth extraction. This single-blinded, randomized clinical trial was conducted on 400 patients presented for simple extraction of unimpacted teeth. The patients were randomly assigned to two groups of verbal and verbal plus written instructed groups.  Collected data were analysed using descriptive and inferential statistics at a significance level of 95%. More men (51.5%) were seen. The participants' mean age was 37.3 ± 14.3 years (range, 18-87 years). The results showed that the mode of delivering instructions had a marked relation with socket healing. The post-extraction healing score was significantly higher in the verbal and written instructed group compared with the verbal instructions alone (P = 0.00). The age (P = 0.04) and type of instruction (P = 0.00) were significantly associated with excellent wound healing. Only the type of instruction that independently predicted the excellent wound healing (OR = 0.12; P = 0.00). The mode of delivering post-operative instruction affected the post extraction socket healing. Patients who received written and verbal instructions reported excellent post extraction socket healing than those who had verbal instructions only. All medical practitioners are recommended to use both verbal and written post-operative instruction
正确的术后指导可以在治疗结果中发挥重要作用,特别是良好的伤口愈合。本研究旨在探讨在减少单纯拔牙后伤口愈合不良的副作用中,提供术后指导的模式。这项单盲、随机临床试验对400例单纯拔除无阻生牙的患者进行了研究。患者被随机分为两组口头和口头加书面指导组。收集的数据采用描述性和推断性统计进行分析,显著性水平为95%。男性较多(51.5%)。参与者平均年龄37.3±14.3岁(范围18-87岁)。结果表明,指令传递方式与窝孔愈合有显著关系。口头和书面指导组拔牙后愈合评分显著高于单纯口头指导组(P = 0.00)。年龄(P = 0.04)和教学方式(P = 0.00)与创面愈合显著相关。只有独立预测伤口愈合良好的指示类型(OR = 0.12;P = 0.00)。术后指导方式对拔牙后窝愈合有影响。接受书面和口头指导的患者比只接受口头指导的患者报告了良好的拔牙后窝愈合。建议所有医生使用口头和书面的术后指导
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引用次数: 0
COMPARATIVE STUDY ON IMMEDIATE AND DELAYED EXTRACTION OF MANDIBULAR MOLARS IN THE MANAGEMENT OF ACUTE DENTOALVEOLAR ABSCESS 即刻与延迟拔除下颌磨牙治疗急性牙槽脓肿的比较研究
Pub Date : 2020-07-01 DOI: 10.46466/IDJ.V42I1.260
C. Anyanechi
Objective: This study compared treatment outcome between two acute dentoalveolar abscesses in the same patients diagnosed simultaneously in both quadrants of the mandible, treated by either immediate or delayed extractions of the affected first and/or second molars. Methods: This is a prospective, cohort, clinical-based study. The timing of infected tooth is the predictor variable, whereas the healing parameters are the outcome variables.  The outcome variables include timing of extraction, patients’ preference of immediate or delayed extraction, healing time of soft tissues surrounding extraction sockets, and development of complication(s). Other variables were grouped into demographic and clinical parameters. Descriptive and bivariate statistics were computed. Results: The sample composed of 77 patients with 154 molars grouped as follows: control (n= 77, 50%) extracted on first visit and experimental (n= 77, 50%) removed subsequently on the 5 th day. There was no significant association between acute dentoalveolar abscess and development of alveolar osteitis (P= 0.831) as complication rates were 5.2% in control group and 6.5% in experimental. Most patients preferred immediate extraction, and healing period of soft tissues was 0.5 weeks shorter in the control than experimental group (P= 0.57). Conclusion: The results of this study suggest that in patients with acute dentoalveolar abscess and accessible oral cavity, immediate extraction should be practiced.
目的:本研究比较了在下颌骨两个象限同时诊断的同一患者的两个急性牙槽脓肿的治疗结果,分别是立即或延迟拔除受影响的第一和/或第二磨牙。方法:这是一项前瞻性、队列、临床研究。感染牙的时间是预测变量,而愈合参数是结果变量。结果变量包括拔牙时机、患者对立即或延迟拔牙的偏好、拔牙窝周围软组织的愈合时间以及并发症的发生。其他变量分为人口学和临床参数。计算描述性和双变量统计量。结果:77例患者共154颗磨牙,分组如下:对照组(n= 77,50%)第一次就诊时拔除,实验组(n= 77,50%)第5天拔除。急性牙槽脓肿与牙槽骨炎的发生无显著相关性(P= 0.831),对照组和实验组的并发症发生率分别为5.2%和6.5%。大多数患者倾向于立即拔牙,对照组软组织愈合时间比实验组短0.5周(P= 0.57)。结论:急性牙槽脓肿及可达口腔患者应立即拔牙。
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引用次数: 0
Incidence of Salivary gland stone as a main cause of sialoadenitis a clinical study was done on a sample of 22 Iraqi patients 唾液腺结石的发病率是涎腺炎的主要原因,对22名伊拉克患者进行了临床研究
Pub Date : 2019-12-20 DOI: 10.46466/idj.v41i2.197
Saher Abdualkader Ismaeel, W. Abaas
Background : sialolithiasis remains an entity carrying a significant morbidity. This study covers the current principles guiding the surgical management of sialolithiasis in Iraqi sample including diagnostic tools, interventional options, surgical techniques and their outcomes. Materials and Methods : A clinical study  of 22 cases with salivary gland stones were collected from two major teaching and referral hospital in Baghdad “Medical city, hospital of surgical specialities” and “Al-Kinidy hospital, maxillofacial department” from 2010-2015 Results : The study population composed of 22 cases. The age range was from 10-70 year with average of 40 years. The females were 7 cases (31.81%) and males were15 (68.18%).  The majority of cases were submandibular gland 16 cases (72.72%) followed by sublingual gland 5 cases (22.72%) and the parotid gland (4.54%). The presence of stone was similar on both sides. The surgical approach was applied by removal of stone in 11 cases and removal of gland in 11 cases. Conclusion : Salivary calculi are common cause of salivary gland disorder. Sialography is an important tool for assessment of salivary gland obstruction in patients presenting with It should be done after the acute symptoms are subsided. Success is measured by treatment that is efficient, clinically effective and glad sparing.
背景:涎石症仍然是一个具有显著发病率的实体。本研究涵盖了目前指导伊拉克样本涎石症手术管理的原则,包括诊断工具,介入选择,手术技术及其结果。材料与方法:收集2010-2015年巴格达“医学城外科专科医院”和“Al-Kinidy医院颌面科”两家主要教学转诊医院的22例唾液腺结石患者的临床资料。年龄范围10 ~ 70岁,平均40岁。女性7例(31.81%),男性15例(68.18%)。以颌下腺16例(72.72%)居多,其次为舌下腺5例(22.72%),腮腺占4.54%。石头的存在在两边是相似的。手术入路取石11例,取腺11例。结论:唾液腺结石是唾液腺疾病的常见病因。涎腺造影是评估涎腺阻塞的重要工具,应在急性症状消退后进行。成功的衡量标准是治疗是否有效,临床效果如何,是否令人愉快。
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引用次数: 0
Unilateral Maxillary Sinusitis Caused By Dental Bur, A case Report 单侧上颌鼻窦炎1例
Pub Date : 2019-12-01 DOI: 10.46466/IDJ.V41I2.196
Sahar Abdualkader Ismaeel, S. S. Abdulrazaq
the entrance of a foreign body (FB) into the maxillary antrum is common in trauma patients where bullets or any other materials trapped in the maxillary sinus; however, iatrogenic cause by a dentist that results in FB entrapment in the maxillary antrum is rare. All these FBs can cause sinusitis. If not treated properly they will cause serious infection, which may spread to the other paranasal sinuses. A careful clinical examination and treatment plan will prevent further complications. In this review, we present a rare case of dental bur (DB) found in the left maxillary antrum. A review of literature revealed only a few cases published which describe a dental bur dislodged in the maxillary antrum.
异物(FB)进入上颌窦在子弹或任何其他物质困在上颌窦的创伤患者中很常见;然而,由牙科医生引起的FB在上颌上颌窦夹持是罕见的。所有这些FBs都能引起鼻窦炎。如果治疗不当,它们会引起严重的感染,并可能扩散到其他鼻窦。仔细的临床检查和治疗计划将防止进一步的并发症。本文报告一例发生于左上颌上颌窦的罕见牙炎。一篇文献综述显示,只有少数病例发表,其中描述了牙刺在上颌上颌窦移位。
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引用次数: 0
Retrospective analysis of malpositioned mandibular third molars in elderly patients 老年患者下颌第三磨牙错位的回顾性分析
Pub Date : 2019-12-01 DOI: 10.46466/idj.v41i2.193
C. Anyanechi, B. Saheeb
Objective: To determine the frequency of symptomatic malpositioned mandibular third molars in elderly patients. Method: An analytic study of hospital records of elderly patients with symptomatic impacted mandibular third molars over 17 years was undertaken. Information on demographics, types of impaction, reasons for surgical extraction, and complications after treatment were obtained. Those who were asymptomatic would be excluded from analysis. Results: Altogether, 6214 impacted mandibular third molars were isolated in 5, 431 patients. However, 436 (7.0%) symptomatic impacted teeth were recorded in 436 (8.0%) patients and these were extracted, while the rest, 5778 (93.0%) were asymptomatic.  Males were greater than females in the ratio of 1.1:1. The frequency of occurrence of mesio-angular and vertical impactions were significant (P= 0.001) compared with disto-angular and horizontal. Periodontal disease was 211 (48.4%) of the case in addition to dental caries and its clinical sequelae 203 (46.6%) were significant reasons for extractions (P=0.000). The common postoperative complications were alveolar osteitis and hypersensitivity of the adjacent molar 22(68.7%) which related to surgical extraction of disto-angular impactions (P= 0.001). Conclusions: This study showed the older the patient the less likely malpositioned mandibular third molar suggesting that majority of such impactions do not cause pathology after many years of their presence in the oral cavity. Prophylactic extraction of malpositioned mandibular third molars in all patients should be discouraged, but each case should be treated on merit or when symptomatic.
目的:了解老年患者下颌第三磨牙出现症状性错位的频率。方法:对17年来老年有症状的下颌第三磨牙阻生患者的住院记录进行分析。获得了人口统计学、嵌塞类型、手术拔牙原因和治疗后并发症的信息。无症状者将被排除在分析之外。结果:5 431例患者共拔除下颌阻生第三磨牙6214颗。436例(8.0%)患者中有症状性阻生牙436颗(7.0%)被拔除,其余5778颗(93.0%)无症状。男性多于女性,比例为1.1:1。与远角和水平撞击相比,中角和垂直撞击的发生频率显著(P= 0.001)。牙周病211例(48.4%),龋齿及其临床后遗症203例(46.6%)是拔牙的重要原因(P=0.000)。术后常见的并发症是牙槽骨炎和相邻磨牙过敏22例(68.7%),与手术拔除离侧角嵌塞有关(P= 0.001)。结论:该研究表明,年龄越大的患者下颌第三磨牙错位的可能性越小,这表明大多数此类嵌塞在口腔中存在多年后不会引起病理。不鼓励所有患者预防性拔除下颌第三磨牙,但每个病例应根据优点或症状进行治疗。
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引用次数: 0
Publications in Fake and Predatory Journals Harm Academic Reputation of Higher Education Institutions 假冒、掠夺性期刊的发表损害了高校的学术声誉
Pub Date : 2019-06-01 DOI: 10.46466/idj.v41i1.189
M. J. Al duliamy
In our modest point of view "research is not a paper published to increase the biography of an academic, nor a tool for getting fund, promotion and job. Research adds a great value to the society's life and can change the world; besides its reflection on a long-lasting impression of an academic, being his/her surviving wealth". To preserve science and society all over the world, we should ban fake research, fake journals and publishers. Finally, selecting prestigious journals for publishing scientific research is an issue of honesty.
在我们谦虚的观点中,“研究”不是为了增加学者的知名度而发表的论文,也不是获得资金、晋升和工作的工具。研究为社会生活增添了巨大的价值,可以改变世界;此外,它还反映了一个学者的长期印象,是他/她的生存财富”。为了保护全世界的科学和社会,我们应该禁止假研究、假期刊和假出版商。最后,选择有声望的期刊发表科学研究是一个诚实的问题。
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引用次数: 0
Evaluation the Effect of Fibers Addition on Mechanical Properties of Flexible Acrylic Resin 纤维掺量对柔性丙烯酸树脂力学性能影响的评价
Pub Date : 2019-06-01 DOI: 10.26477/IDJ.V41I1.180.G144
Zaid Ezzat Abdul-Majeed, I. Hummudi
Background: In chemistry the development of polymer has produced another material to poly methyl methacrylate such as epoxy resins, polyamides (nylon), acetyl resins -----etc. All these resins are suited for thermoplastic processing. Polyamide materials are more flexible than the commonly used polymethylmethacrylate. The flexibility of polyamide allows partial dentures to be pressed in one piece including clasps. Glass fibers are the most widely used reinforcing materials forming about 90 % of the reinforcement in resins. The addition of fibers to provisional restorative resin increases tensile strength, fracture toughness and surface hardness.Objective of the study: An evaluation of the surface roughness, modulus of elasticity and tensile strength improvement of flexible denture bases after adding of glass fibers and altering in powder – monomer ratio.Material and Methods: Eighty samples of flexible acrylic were made and divided into two main groups according to the type of test to be used. Forty samples for surface roughness and forty samples for tensile strength and (modulus of elasticity). Each group is divided into four subgroups according to fibers addition and to the alteration in powder-liquid ratio as follows: group (A) consists of (10 specimens) without the addition of glass fibers and with (3:1) powder- monomer ratio. Group (B) consists of (10 specimens) with addition of glass fibers and with (3:1) powder- monomer ratio, group (C) consists of (10 specimens) without addition of glass fibers and with (2.5:1) powder- monomer ratio and group (D) consists of (10 specimens) with glass fibers and with (2.5:1) powder- monomer ratio. The tensile strength and modulus of elasticity were determined by Instron testing machine at cross speed of 0.5mm/min. The T.R 200 device was used to indicate the values of surface roughness specimens before and after finishing and polishing.Results: In the present study, ANOVA test showed a significant difference at (P<0.05) between all the groups of tensile strength test.Least significant difference( LSD) test showed a non-significant difference at (P>0.05) between most of the tested groups except the groups of 3:1 powder–monomer ratio with and without fibers addition and groups of 3:1 ratio without fibers addition in comparison with the groups of 2.5:1 ratio with fibers addition which showed highly significant . The modulus of elasticity revealed a non-significant difference between all the tested groups at (P>0.05). While there were highly significant difference at (p<0.01) between groups of surface roughness test before and after polishing, except the group of 2.5:1 ratio with and without fibers addition which showed a non-significant difference at (P>0.05.).Conclusion: Conclusion was derived that fibers addition significantly affects tensile strength. The modulus of elasticity was not significantly affected by fibers addition or by powder-monomer ratio. Regarding surface roughness, it was improved aft
背景:在化学方面,聚合物的发展产生了除聚甲基丙烯酸甲酯以外的另一种材料,如环氧树脂、聚酰胺(尼龙)、乙酰基树脂-----等。所有这些树脂都适合热塑性加工。聚酰胺材料比常用的聚甲基丙烯酸甲酯更有弹性。聚酰胺的柔韧性使得部分假牙包括卡环可以被压在一块。玻璃纤维是应用最广泛的增强材料,约占树脂增强材料的90%。在临时修复树脂中加入纤维可提高拉伸强度、断裂韧性和表面硬度。研究目的:评价玻璃纤维的加入和粉单体比的改变对义齿基托表面粗糙度、弹性模量及抗拉强度的改善。材料和方法:制作了80个柔性亚克力样品,并根据要使用的测试类型分为两组。40个表面粗糙度样品和40个拉伸强度和(弹性模量)样品。每组按纤维添加量和粉液比变化情况分为四组:(A)组为(10个样品),未添加玻璃纤维,粉液比为(3:1)。(B)组为添加玻璃纤维、粉末与单体比例为(3:1)的10个标本;(C)组为不添加玻璃纤维、粉末与单体比例为(2.5:1)的10个标本;(D)组为添加玻璃纤维、粉末与单体比例为(2.5:1)的10个标本。拉伸强度和弹性模量由Instron试验机测定,横移速度为0.5mm/min。t . r200装置用于显示精加工和抛光前后的表面粗糙度值。结果:在本研究中,方差分析显示,除粉单体比为3:1且不添加纤维组和3:1且不添加纤维组外,其余测试组与添加纤维比为2.5:1的组相比,差异均有显著性(P0.05)。各组间弹性模量差异无统计学意义(P>0.05)。差异有显著性意义(p0.05)。结论:纤维添加量对拉伸强度有显著影响。纤维添加量和粉单体比对弹性模量的影响不显著。在表面粗糙度方面,纤维的加入和粉液比的改变改善了表面粗糙度。
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引用次数: 2
期刊
Iraqi Dental Journal
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