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The Effect of Denture Base Repair with Special Type of Acrylic O-Cry1 and Different Surface Treatments on Impact Bond Strength of Acrylic Resin (Comparative Study) 特殊型丙烯酸O-Cry1修复义齿基托与不同表面处理对丙烯酸树脂冲击粘结强度的影响(比较研究)
Pub Date : 2017-12-15 DOI: 10.26477/IDJ.V39I3.131
Alaa Ezat Abdulalmajeed
Background: the common problem in prosthodontics is a fracture of the denture base and it represents an annoyance for the dentists. Therefore, the option of increasing repair strength using new reinforcement materials is of great interest to prosthodon- tists. The purpose of this study was to assess the effects of using a special type of acrylic o-cry1 in repair instead of heat cure acrylic resins and different surface treatments on impact bond strength using Ivomet and conventional curing methods. Materials and Methods: One hundred thirty specimens of heat acrylic resins were constructed. There are 2 main groups accord- ing to curing methods (Ivomet and conventional method curing). For each group, there were 6 groups according to the surface treatments used (untreated, monomer, thiner, zirconium oxide, glass fiber and butt joint with monomer) as well as control group. Results: The study showed that the control group had a higher value of impact strength than other groups which were cured by conventional method. For Ivomet curing, the butt joint with monomer and glass fiber groups improved the impact bond strength in comparison to other groups. Conclusion: the butt joint with monomer treatment and glass fiber groups have improved the impact strength of the repaired acrylic resins when using Ivomet compared with other groups. On the other hand, the use of thiner and zirconium oxide reduced the impact bond strength when using the conventional curing method. The use of Ivomet device in curing samples improved the impact strength of acrylic repaired with O-cry1.
背景:义齿基托骨折是义齿修复学中常见的问题,也是困扰牙医的一大难题。因此,选择使用新的增强材料来增加修复强度是义齿学家非常感兴趣的。本研究的目的是评估在修复中使用一种特殊类型的丙烯酸树脂o-cry1代替热固化丙烯酸树脂和不同的表面处理对使用Ivomet和常规固化方法的冲击粘结强度的影响。材料与方法:制备热丙烯酸树脂130个样品。按固化方法分为两大类(Ivomet和常规方法固化)。每组按表面处理方式(未处理、单体、稀释剂、氧化锆、玻璃纤维、单体对接)和对照组分为6组。结果:研究表明,对照组的冲击强度值高于其他常规方法固化组。对于Ivomet固化,与其他组相比,单体和玻璃纤维组的对接接头提高了冲击粘结强度。结论:使用Ivomet时,单体处理和玻璃纤维组的对接接头与其他组相比,修复后的丙烯酸树脂的冲击强度有所提高。另一方面,使用稀释剂和氧化锆降低了使用常规固化方法时的冲击粘结强度。在固化样品中使用Ivomet装置提高了O-cry1修复的丙烯酸酯的冲击强度。
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引用次数: 1
Effect of Oil Paint Addition on Porosity of Scleral Part of Acrylic Ocular Prosthesis 添加油彩对丙烯酸眼假体巩膜部分孔隙度的影响
Pub Date : 2017-12-15 DOI: 10.26477/IDJ.V39I3.128
Wael Abdul Alrazzaq
Background: white acrylic resins are widely used for fabrication of scleral part of ocular prostheses to restore acquired or congeni- tal ocular defects. However, such materials are not available in the local markets. Several additive materials, hence, must be applied to the prosthesis to match the colour of natural eye. The aim of this study was to assess the effect of adding titanium dioxide oil paints to scleral part of ocular prosthesis on its porosity. Methods: there were 20 samples in total. The first group was fabricated without addition of oil paint and considered as control. The second group was constructed from heat cured acrylic resin with addition of oil paint in a concentration of 1 ml. A surface area of 1cm 2 was limited in the center of each specimen &observed under optical microscopy and numbers of pores per area was manually determined. All values were analyzed using SPSS version 20 and comparison between 2 groups was obtained using inde- pendent t test. Results: there was an increase in the mean values of porosity following addition of oil paint. The control group presented a lower mean value of porosity compared to experimental group. however, no significant differences between control and TiO 2 group where P >0.05. Conclusion: the incorporation of titanium dioxide into clear acrylic resin increases its ' porosity .
背景:白色丙烯酸树脂被广泛应用于眼球假体巩膜部分的制作,以修复获得性或先天性的眼部缺损。然而,这些材料在当地市场上是买不到的。因此,必须将几种附加材料应用于假体以匹配天然眼睛的颜色。本研究的目的是评估眼假体巩膜部分添加二氧化钛油彩对其孔隙度的影响。方法:共20份样本。第一组制备时不添加油彩,作为对照。第二组由热固化的丙烯酸树脂组成,加入浓度为1ml的油画颜料。每个样品的中心限制1cm 2的表面积,在光学显微镜下观察,并手动确定每个区域的孔数。所有数值均采用SPSS version 20进行分析,两组间比较采用独立t检验。结果:加入油漆后孔隙度平均值有所增加。与实验组相比,对照组的孔隙率平均值较低。对照组与tio2组间差异无统计学意义(P < 0.05)。结论:二氧化钛掺入透明丙烯酸树脂中增加了其孔隙率。
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引用次数: 0
Exerted Stresses from Loading Distal -Extension Removable Partial Denture with Different Occlusal Rest Position A Finite Element Stress Analysis Study 不同牙合托架位置可摘局部义齿加载应力的有限元分析研究
Pub Date : 2017-12-15 DOI: 10.26477/idj.v39i3.132
S. A. Aziz, Imad Aljoubouri, Wasmaa S. Mahmood
The treatment of distal extension base removable partial denture has long been the dilemma of many Prosthodontists, since the support for this type of restoration is based on two functionally different systems, the teeth and associated periodontal membrane and the edentulous ridges. So one of their most elusive goals were to finish the prosthesis by utilizing both systems of support without exposing the tissues to undue stresses which might lead otherwise to bone resorption. Material and method: A two-dimensional finite element analysis method was used to assess the stress distribution on supporting structure where different rest position, including mesial-occlusal rest, distal-occlusal rest, and mesio-distal occlusal rest. The X, and Y coordinate for each node of the model was transferred to the ANSYS program, a load of 10MP was used in this study, where each of the models was subjected to load distributed on the saddle area. Results: Von Mises stress values revealed that, mesial rest produces less stress concentration
远端延伸基托可摘局部义齿的治疗长期以来一直是许多义齿医生的难题,因为这种类型的修复的支持是基于两个功能不同的系统:牙齿及其相关的牙周膜和无牙嵴。所以他们最难以捉摸的目标之一是完成假体,同时利用两种支持系统,而不使组织暴露在过度的压力下,否则可能导致骨吸收。材料与方法:采用二维有限元分析方法,对不同放置位置(近端-咬合托、远端-咬合托、近端-远端咬合托)下支撑结构的应力分布进行评估。将模型各节点的X、Y坐标传递到ANSYS程序中,本研究采用10MP的载荷,每个模型都受到分布在鞍区上的载荷。结果:Von Mises应力值显示,中间休息产生的应力集中较小
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引用次数: 0
Pattern of Pain and Swelling after Periapical and Wisdom Tooth Surgery: Are age and Gender Predictive Factors? 尖周和智齿手术后疼痛和肿胀的模式:年龄和性别是预测因素吗?
Pub Date : 2017-08-15 DOI: 10.26477/IDJ.V39I2.123
A. Al-Samman
Objectives: The aim of this study is to evaluate the intensity of post-surgical pain and swelling experienced by patients who had undergone lower third molar and periapical surgery {(L3MS),(PAS)}, and also to investigate the impact of age and gender on the same parameters. . Methods: The study involved 86 patients; some of whom underwent L3MS (n=46), while the others had PAS (n=40), all procedures were performed under local anesthesia. The visual analogue scale measured pain and swelling for seven consecutive days, after surgery. Results: After L3MS, it was found that patients experienced the most intense pain the day of surgery, with facial swelling reaching a maximum on the 2nd day. In addition, the influence of age and gender on the intensity of pain and degree of swelling was found to be insignificant... Patients who underwent PAS; also reported maximum pain on the day of surgery while swelling reached maximum on the 2nd day. However, female patients reported significantly more post-operative pain than males (P<0.024). No significant differences between females and males were recorded with respect to post-operative swelling, in addition, age was found to have no effect on both pain and swelling. Conclusion: Pain and swelling after L3MS and PAS peaked on the day of surgery and the day after respectively with mild to moderate intensity, it subsided gradually to minimal levels on day 7. Short-term outcomes of L3MS and PAS with respect to degrees of pain and swelling were found to be similar, and it seems to be independent of both’ age and gender.
目的:本研究的目的是评估接受下第三磨牙和根尖周围手术的患者术后疼痛和肿胀的强度,并探讨年龄和性别对这些参数的影响。方法:86例患者;其中部分患者行L3MS (n=46),其余患者行PAS (n=40),所有手术均在局麻下进行。视觉模拟量表测量术后连续7天的疼痛和肿胀。结果:L3MS后,患者手术当天疼痛最剧烈,面部肿胀在第2天达到最大。此外,年龄和性别对疼痛强度和肿胀程度的影响不显著。接受PAS的患者;还报告手术当天疼痛最大,肿胀在第2天达到最大。然而,女性患者报告的术后疼痛明显多于男性(P<0.024)。女性和男性在术后肿胀方面没有显著差异,此外,年龄对疼痛和肿胀没有影响。结论:L3MS和PAS术后疼痛和肿胀分别在手术当天和术后一天达到高峰,强度为轻至中度,第7天逐渐消退至最低水平。L3MS和PAS在疼痛和肿胀程度方面的短期结果是相似的,并且似乎与年龄和性别无关。
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引用次数: 2
Effect of Autoclave on Bacterial Growth Isolated from Different Types of Denture Adhesives 高压灭菌对不同类型义齿粘接剂细菌生长的影响
Pub Date : 2017-08-15 DOI: 10.26477/IDJ.V39I2.125
Mohammed Adnan Alloaibi
Background: Different types of denture adhesives like powder or paste have been used to enhance the retention and stability in denture wearers, especially in patients with resorbed ridges , these adhesives should be free from microbial contamination in order to use safely inside patient mouth and avoid infection , the purpose of this study is to investigate the bacterial contamination of different adhesives pastes and powders and the effect of autoclaving in reducing the bacterial growth . Materials and Methods: Six types of commonly available denture adhesives (three powders and three pastes) were tested for bacterial contamination by using culture on suitable media that contained either brain-heart infusion (BHI) ,blood agar, nutrient agar,MSA agar and others were inoculated with 0.5 gm samples of each adhesive. plates were incubated at 37C˚ for 24 hours in pre and post sterilization by using the colony forming unit for estimation the bacterial growth. Results : The results revealed that , In pre sterilization test all adhesive types (powders and pastes ) contained Gram positive and Gram negative bacteria ,the results also revealed that Dentofix (paste type 1) has the lowest bacterial growth in which 40% without bacterial growth , also the results reported that 25% of adhesives were contaminated by Staphylococcus species and 23 % of adhesives were contaminated by Neisseria species .Dentofix paste was highly significant difference regarding the mean of bacterial count at both dilutions 1/10 and 1/100 among other adhesives with the lowest contamination in comparison to other types of denture adhesives in presterilization step.while after using sterilization by autoclave generally sterilization induce high significant difference in each type of denture adhesive after exposure to autoclave for 15 min at 121 °C 15 pound/inch it decreases the number of bacterial growth in all types. The results showed that powders adhesives had high contamination rate than pastes and their killing rate after sterilization was lower than pastes. Fittydent (paste type 3) was highly affected by sterilization than other adhesives in first dilution 1/10 when killing rate was 78.9% . all types of tested adhesives showing that in second dilution 1/100 sterilization more effective at this dilution and sterilization induce 100% killing in Dentofix ( paste type 1) , Bonyplus ( paste type 2) and Fittydent (paste type 3) . Conclusions: The result of this study concluded that the powders denture adhesive have high bacterial contamination rate than the pastes and using of sterilization by autoclave must be done to increase killing rate.
背景:不同类型的义齿粘接剂(粉末状或膏状)已被用于增强义齿佩戴者的固位和稳定性,特别是对于有牙嵴吸收的患者,这些粘接剂应不受微生物污染,以便在患者口腔内安全使用,避免感染,本研究的目的是研究不同粘接剂、膏状和粉末状的细菌污染情况,以及高压灭菌对减少细菌生长的效果。材料与方法:采用脑心输液(BHI)、血琼脂、营养琼脂、MSA琼脂等培养基,各接种0.5 gm样品,对6种常用义齿黏合剂(3种粉末状和3种膏状)进行细菌污染检测。在37℃条件下孵育24小时,灭菌前后使用菌落形成单位进行细菌生长评估。结果:结果表明:在灭菌前测试中,所有胶粘剂类型(粉剂和糊剂)均含有革兰氏阳性和革兰氏阴性细菌,并且结果还显示,Dentofix(糊剂类型1)的细菌生长最低,其中40%无细菌生长;结果表明,25%的粘接剂被葡萄球菌污染,23%的粘接剂被奈瑟氏菌污染。在1/10和1/100稀释度下,dentufix膏体的细菌计数平均值与其他类型的义齿粘接剂相比,在预灭菌步骤中污染最低。在121°C 15磅/英寸高压灭菌15分钟后,各类型义齿粘接剂的灭菌效果差异显著,减少了所有类型细菌的生长数量。结果表明,粉状胶粘剂的污染率高于膏体,灭菌后的杀灭率低于膏体。Fittydent(膏型3)在1/10的稀释倍数下杀菌效果较其他胶粘剂好,杀灭率为78.9%。所有类型的测试粘合剂显示,在第二次稀释1/100灭菌时,这种稀释和灭菌在Dentofix(膏体类型1),Bonyplus(膏体类型2)和Fittydent(膏体类型3)中诱导100%杀灭更有效。结论:粉末状义齿粘接剂的细菌污染率高于膏体,必须采用高压灭菌器灭菌以提高杀菌率。
{"title":"Effect of Autoclave on Bacterial Growth Isolated from Different Types of Denture Adhesives","authors":"Mohammed Adnan Alloaibi","doi":"10.26477/IDJ.V39I2.125","DOIUrl":"https://doi.org/10.26477/IDJ.V39I2.125","url":null,"abstract":"Background: Different types of denture adhesives like powder or paste have been used to enhance the retention and stability in denture wearers, especially in patients with resorbed ridges , these adhesives should be free from microbial contamination in order to use safely inside patient mouth and avoid infection , the purpose of this study is to investigate the bacterial contamination of different adhesives pastes and powders and the effect of autoclaving in reducing the bacterial growth . Materials and Methods: Six types of commonly available denture adhesives (three powders and three pastes) were tested for bacterial contamination by using culture on suitable media that contained either brain-heart infusion (BHI) ,blood agar, nutrient agar,MSA agar and others were inoculated with 0.5 gm samples of each adhesive. plates were incubated at 37C˚ for 24 hours in pre and post sterilization by using the colony forming unit for estimation the bacterial growth. Results : The results revealed that , In pre sterilization test all adhesive types (powders and pastes ) contained Gram positive and Gram negative bacteria ,the results also revealed that Dentofix (paste type 1) has the lowest bacterial growth in which 40% without bacterial growth , also the results reported that 25% of adhesives were contaminated by Staphylococcus species and 23 % of adhesives were contaminated by Neisseria species .Dentofix paste was highly significant difference regarding the mean of bacterial count at both dilutions 1/10 and 1/100 among other adhesives with the lowest contamination in comparison to other types of denture adhesives in presterilization step.while after using sterilization by autoclave generally sterilization induce high significant difference in each type of denture adhesive after exposure to autoclave for 15 min at 121 °C 15 pound/inch it decreases the number of bacterial growth in all types. The results showed that powders adhesives had high contamination rate than pastes and their killing rate after sterilization was lower than pastes. Fittydent (paste type 3) was highly affected by sterilization than other adhesives in first dilution 1/10 when killing rate was 78.9% . all types of tested adhesives showing that in second dilution 1/100 sterilization more effective at this dilution and sterilization induce 100% killing in Dentofix ( paste type 1) , Bonyplus ( paste type 2) and Fittydent (paste type 3) . Conclusions: The result of this study concluded that the powders denture adhesive have high bacterial contamination rate than the pastes and using of sterilization by autoclave must be done to increase killing rate.","PeriodicalId":78326,"journal":{"name":"Iraqi Dental Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76037645","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: 1
The Relationship between Signs and Symptoms of Tempromandibular Joint Disorders (TMDs) and Primary Headache 颞下颌关节疾病(TMDs)的体征和症状与原发性头痛的关系
Pub Date : 2017-08-15 DOI: 10.26477/IDJ.V39I2.121
Zena Kamel Kadhem, M. Fawzi, Sabah Farhan
The aims of this study are to investigate the relationship of the concurrent signs and symptoms of a painful TMD with primary headache (migraine and tension type headache) and whether tenderness and provocation of the masticatory system resulted in the headache. Methods and materials : The sample consists of 120 patients which were diagnosed as having temporomandibular joint disorder (TMD) included Research Diagnostic Criteria (RDC). The sample age range was between (18-50 years) . All patients oriented to com- plete the Research Diagnostic Criteria RDCTMD .The questionnaire for TMD index was also applied to all patients to measure the severity of TMD . Then all patients were subjected to clinical examination (examination of masticatory muscles, joint palpation and deviation, clicking and limitation in mouth opening). Primary Headaches were assessed using a validated structured questionnaire captured information on distinguishing headache features and parallels the International Classification for Headache Disorders-II. Results : females were shown high prevalence of TMDs and headache more than male. The presence of the masticatory muscles pain, joint pain, limitation in mouth opening, clicking and bruxism as well as headache pain intensity and duration, increased to a relevant and statistically significant degree in both migraine and tension type headache patients in compare to other patients had no headache or patients with headache from TMDs. Conclusions: High prevalence of TMD in females and also females represent a majority of headache patients. Clinical pain charac- teristics and masticatory muscle tenderness of TMD are greater in patients with primary headache.
本研究的目的是探讨疼痛性TMD与原发性头痛(偏头痛和紧张性头痛)的并发体征和症状的关系,以及咀嚼系统的压痛和刺激是否导致头痛。方法与材料:采用研究诊断标准(RDC)诊断为颞下颌关节紊乱(TMD)的患者120例。样本年龄在18-50岁之间。所有患者均完成研究诊断标准RDCTMD,并应用TMD指数问卷测量TMD的严重程度。然后对所有患者进行临床检查(咀嚼肌检查、关节触诊及偏离、咔嗒声及开口受限)。原发性头痛的评估采用一份经过验证的结构化问卷,收集了区分头痛特征的信息,并与国际头痛疾病分类- ii相似。结果:女性tmd患病率高,头痛患病率高于男性。偏头痛和紧张型头痛患者的咀嚼肌疼痛、关节疼痛、开口受限、咔嗒声和磨牙以及头痛的强度和持续时间,与其他无头痛患者或tmd头痛患者相比,均增加到相关且有统计学意义的程度。结论:TMD在女性中高发,女性也占头痛患者的多数。原发性头痛患者的临床疼痛特征和咀嚼肌压痛更大。
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引用次数: 0
The Effect of Mouthwashes on the Corrosion Resistance of Stainless Steel Wire 漱口水对不锈钢丝耐蚀性的影响
Pub Date : 2017-08-15 DOI: 10.26477/IDJ.V39I2.124
M. A. Saqer, Wael Abd Al-Razzaq Al-Waeli
Background : Stainless steel wires are widely used in fixed orthodontic appliance. In order to have good oral cleaning, an optimum orthodontic force, and desirable biological response and tooth movement, the current study was hence carried out to investigate the impact of Chlorhexidine and Listerine on the surface characteristics of stainless steel wire. Materials and methods : The effect of chemicals was studied through immersing the wires in the solutions for 1.5 hour. The distilled water was considered as control. The samples consisted of 10 wire pieces in the form of U shape with dimensions of (25mm length of bridge,10mm length of arms). Such wires were cut and their straight form were used for corrosion test. Wires were then embedded in base of cold cure acrylic resin ( 3mm thickness,10mm width,65mm length). Next, The wires were connected to conductor rod. A potention state equipment was utilized for testing the samples and a Nikon digital optical microscope was used to identify the surface changes. ANOVA and LSD tests were utilized for statistical analysis. Results : the results indicated that the Listerine group presented the highest mean of corrosion resistance; on the other hand, chlorhexidine group created a greater value of mean in comparison to control group. Furthermore, highly significant differences were observed between two groups (P<0.01). Moreover, there were significant differences among all groups (P<0.01). Conclusion : The Listerine has a significant effect on the surface corrosion of stainless steel wire compared to chlorhexidine. The optical microscope found that there was an increase in presence of pit and scratched areas with Listerine compared with Chlorhexidine.
背景:不锈钢丝在固定正畸矫治器中应用广泛。为了获得良好的口腔清洁效果、最佳的正牙力、理想的生物反应和牙齿运动,本研究研究氯己定和李斯特碱对不锈钢丝表面特性的影响。材料与方法:将金属丝浸泡在溶液中1.5小时,研究化学药剂对金属丝的影响。以蒸馏水为对照。样品由10根U形钢丝组成,尺寸为(桥长25mm,臂长10mm)。将这些金属丝剪断,用其直形进行腐蚀试验。然后将金属丝嵌入冷固化丙烯酸树脂(3mm厚,10mm宽,65mm长)基底中。接着,将导线连接到导体棒上。用电位状态仪检测样品,用尼康数码光学显微镜观察样品表面变化。统计学分析采用方差分析和LSD检验。结果:李斯特林组的耐蚀性平均值最高;另一方面,与对照组相比,氯己定组创造了更大的平均值。两组间差异极显著(P<0.01)。各组间差异有统计学意义(P<0.01)。结论:与氯己定相比,李斯特林对不锈钢丝的表面腐蚀有显著影响。光学显微镜观察发现,与氯己定相比,李斯特林的凹痕和划痕区域增加。
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引用次数: 1
Periodontal Status of Smoker and Nonsmoker between the Workers at El kubaisa Factory of Cement 库拜沙水泥厂吸烟与不吸烟工人牙周状况调查
Pub Date : 2017-08-15 DOI: 10.26477/idj.v39i2.127
Mohammed I. Abdullah, S. Ali, Jassim Ali Jassim
Background: The harmful effect of smoking on oral tissues is well reported.The effects of smoking on periodontal health statues of a group of cement factory workers have been compared with the non smokers. Methodology: A sample of 175 male subjects were involved 78(44.57%) subject were smokers. Each subject was examined in the medical room in the factory. By using Community Periodontal Index (CPI) score. Result: The prevalence of periodontal disease among the study subject was 100%. Bleeding and calculus were most frequent observed in the smoker and non smoker workers with statistical difference (P>0.05).On the other hand the shallow(74.35%) and deep pocket(23.08%)were observed more in smokers. with significant differences (P<0.01). Conclusions: The maintaining of oral health was neglected by factory workers. Smoking was evidently factor of risk for high levels of periodontal disease. These observation emphasize the need of periodontal treatment in the cement factory workers.
背景:吸烟对口腔组织的有害影响已被广泛报道。本文比较了一组水泥厂工人吸烟对其牙周健康状况的影响。方法:共纳入175例男性受试者,其中78例(44.57%)为吸烟者。每个受试者都在工厂的医务室里接受了检查。采用社区牙周指数(CPI)评分。结果:研究对象牙周病患病率为100%。吸烟工人与不吸烟工人出血、结石发生率最高,差异有统计学意义(P>0.05)。浅口袋型(74.35%)和深口袋型(23.08%)吸烟者多见。差异有统计学意义(P<0.01)。结论:工厂工人忽视了口腔健康的维护。吸烟明显是牙周病高发的危险因素。这些观察结果强调了水泥厂工人牙周治疗的必要性。
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引用次数: 0
A New Approach to a Successful Management of Burning Mouth Syndrome 成功治疗灼口综合征的新方法
Pub Date : 2017-08-15 DOI: 10.26477/idj.v39i2.126
I. Kumail
Background: The accurate treatment of burning mouth syndrome (BMS) can be achieved just when the cause is properly identified. This study had been conducted to find out the relationship between symptoms and the causative factor(s) of the disease, so that to make successful treatment more easily reachable. Method: The study was conducted with informed consent on 124 patients (63 females and 61 males, ages ranging from 39 to 66) complaining of burning mouth syndrome visited the Oral Medicine Clinic in Dentistry College/ Muthanna University and referred by dentists to private clinic for consultation from January 2014 to November 2016. Medical and social history was taken from each patient, haematological investigations and measurement of stimulated salivary flow rate were done for all patients. Intraoral exam was done for each patient to exclude any detectable lesion. Findings were recorded and matched with symptoms for each patient. Each patient received treatment according to diagnosis of causative factor(s) and 6 months follow up was done for each patient after initiation of treatment to evaluate the outcome of treatment and to confirm the accuracy of diagnosis in case of good response to treatment for each patient. Results: Group A: no 41 subjects (33% of all groups): complained of continuous symptomatic day with asymptomatic night, examination and investigations showed that 35 of them (85.4% of group A) were complaining of chronic anxiety and menopause women, while the rest 6 were of similar symptoms but due to different causative factor(s). Group B: Symptoms for one day with asymptomatic following days was the criteria of 27 subjects (21.8% of all groups), 22 of them (81.5% of group B) were with nutritional deficiency and good results were obtained after treatment, the rest 5 were with tongue thrust habit, psychotic and sharpness. Group C: No symptoms on waking which increase throughout the day was associated with 36 subjects (29% of all groups), 30 of them (83.3%) suffer from dry mouth (diabetis, medications or age-related causes), the rest 6 patients complained of sharpness, ill fitted denture and menopause. Group D: Restricted night symptoms with inconstant day symptoms (no 20) (16.1% of all groups), of whom, 18 were associated with sharpness and bad prosthesis (90%) who showed excellent response after treatment, the rest 2 subjects complained of menopause and anxiety. Conclusion: Each causative factor of burning mouth syndrome is characterized by specific criteria of symptoms differ from symptoms caused by another factor(s) which must determine treatment methods.
背景:只有在病因明确的情况下,才能实现对灼口综合征的准确治疗。进行这项研究是为了找出症状与疾病的致病因素之间的关系,以便更容易获得成功的治疗。方法:选取2014年1月至2016年11月在Muthanna大学牙科学院口腔医学门诊就诊并经牙医转诊至私人诊所就诊的124例以灼口综合征为主诉的患者(女性63例,男性61例,年龄39 ~ 66岁),经知情同意后进行研究。收集每位患者的病史和社会史,对所有患者进行血液学调查和刺激唾液流速测量。对每位患者进行口腔内检查以排除任何可检测到的病变。结果被记录下来,并与每位患者的症状相匹配。根据病因诊断对患者进行治疗,治疗开始后随访6个月,评价治疗效果,在治疗反应良好的情况下确认诊断的准确性。结果:A组:无41例(占所有组的33%):主诉日有持续症状,夜无症状,检查调查显示其中35例(占A组的85.4%)主诉为慢性焦虑和绝经期妇女,其余6例症状相似,但病因不同。B组:27例(占全部组的21.8%)出现症状1天后无症状,其中22例(占B组的81.5%)营养缺乏,经治疗效果较好,其余5例有刺舌习惯、精神病性、尖锐。C组:36例(占所有组的29%)患者在醒来时无症状,且症状在一天中增加,其中30例(83.3%)患者患有口干(糖尿病、药物或年龄相关原因),其余6例患者抱怨口齿尖锐、假牙不合适和更年期。D组:夜间症状受限,日间症状不稳定(共20例)(占各组的16.1%),其中18例伴有锐感和假体不良(90%),治疗后疗效良好,其余2例有更年期和焦虑症状。结论:灼口综合征各病因均有其具体的症状判据,不同于其他因素引起的症状,必须确定治疗方法。
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引用次数: 0
Histological Evaluation of the Effect of Topical Application of Honey on Healing of Chemically Induced Gingival Ulcer (Experimental Study on Rabbits) 局部应用蜂蜜对化学诱导牙龈溃疡愈合作用的组织学评价(家兔实验研究)
Pub Date : 2017-08-15 DOI: 10.26477/IDJ.V39I2.122
Aseel Mohsin Yousif
Background: Wound healing is a complex process, which is influenced by several factors. The use of natural products as an alternative treatment has been on the rise in the last few decades. Honey is a natural product that has been recently introduced in new medical practice. The aim of this study was to evaluate the effect of topical honey dressing on healing of chemically induced oral gingival ulcer by histological analysis. Materials and methods: Twenty-six New Zealand rabbits were used and divided into control and treated groups, wound was created on the rabbit oral mucosa by applying a piece of filter paper ( φ 5 mm) soaked with 50% acetic acid for 2 minutes to the mandibular gingival mucosa and then experimental groups treated by daily application of natural honey on the ulcer site for 4 days then the sites of the ulcer were examined histologically . Results: Honey showed marked active anti-inflammatory effect as a natural agent on a chemically induced oral ulcer in treated animals, histological examination of biopsies from ulcers after four days of treatment showed marked difference in the rate of healing process and epithelialization of ulcers site between the two groups. Conclusions: honey has a clear effect on the healing process of oral gingival ulcer.
背景:伤口愈合是一个复杂的过程,受多种因素的影响。在过去的几十年里,使用天然产品作为替代疗法一直在上升。蜂蜜是一种天然产品,最近在新的医疗实践中被引入。本研究的目的是通过组织学分析来评价局部蜂蜜敷料对化学诱导的口腔牙龈溃疡愈合的影响。材料与方法:选用新西兰兔26只,分为对照组和治疗组,将φ 5mm滤纸用50%醋酸浸泡2分钟后,在兔的下颌牙龈粘膜上创面,试验组在溃疡部位每日涂抹天然蜂蜜,连续4 d,对溃疡部位进行组织学检查。结果:蜂蜜作为一种天然药物对化学诱导的口腔溃疡有明显的抗炎作用,治疗4天后溃疡的组织学检查显示,两组之间溃疡部位的愈合过程和上皮化率有显著差异。结论:蜂蜜对口腔牙龈溃疡的愈合有明显的促进作用。
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Iraqi Dental Journal
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