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Awareness and knowledge of orthodontics: its implications among medical and dental undergraduates at the University of Port- Harcourt, Rivers State, Nigeria 正畸的认识和知识:其对尼日利亚河流州哈科特港大学医学和牙科本科生的影响
Pub Date : 2020-09-22 DOI: 10.61172/ndj.v23i1.31
OO Victor-Osho, Ea Aikins
Objective: To assess the level of awareness and knowledge of orthodontics, as well as its implications, among medical and dental undergraduates at the University of Port Harcourt, Port Harcourt, Nigeria.Method: A self-administered questionnaire was distributed to 160 medical and dental students in their lecture rooms. The students were in  different levels of study; ranging from first year to final year, i.e. both pre-clinical and clinical. The questionnaire examined their awareness and knowledge of orthodontics, as well as their past dental experiences, if any. It also included questions such as whether a medical doctor should refer patients with malocclusion to an orthodontist, and whether respondents would refer patients with malocclusions to an orthodontist. Statistical analyses were carried out with Epi-info version 7.0 on a personal laptop computer.Result: Only 147 (92%) questionnaires were properly completed and analyzed. Dental students were significantly more aware of orthodontics than their medical counterparts (p = 0.029). Over half of the students (53.7%) had never heard of the term 'malocclusion'. Majority (91.2%) of those who had heard of the term 'malocclusion' answered correctly that it refers to 'badly arranged teeth', while a quarter of them (25.5%) believed that malocclusion affects appearance alone.Conclusion: Generally, the knowledge of orthodontics as a specialty in dentistry, malocclusion and its impacts, as well as benefits from treatment is very poor among these undergraduates in the College of Health Sciences, University of Port Harcourt. There is a need to include an introductory course in orthodontics in the undergraduate medical curricula.  
目的:评估尼日利亚哈科特港哈科特港大学医学和牙科本科生对正畸的认识和知识水平及其影响。学生们处于不同的学习水平;从第一年到最后一年,即临床前和临床。问卷调查了他们对正畸的认识和知识,以及他们过去的牙科经历(如果有的话)。它还包括一些问题,如医生是否应该将错牙合患者转介给正畸医生,以及受访者是否会将错牙合缝患者转介到正畸医生。在个人笔记本电脑上使用Epi-info 7.0版进行统计分析。结果:只有147份(92%)问卷得到了正确的填写和分析。牙科专业的学生比医学专业的学生更了解正畸(p=0.029)。超过一半的学生(53.7%)从未听说过“错牙合”一词。大多数(91.2%)听过“错牙合”一词的人正确回答说,它指的是“排列不整齐的牙齿”,而其中四分之一(25.5%)的人认为错牙合只影响外观。结论:总体而言,哈科特港大学健康科学学院的本科生对正畸学作为牙科专业、错牙合及其影响以及治疗效果的了解非常差。有必要在本科医学课程中纳入正畸学入门课程。
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引用次数: 1
Aesthetic outcome following prosthetic rehabilitation after ablative maxillary surgery. A Preliminary Study 上颌消融手术后假体康复的美学效果。初步研究
Pub Date : 2020-09-22 DOI: 10.61172/ndj.v23i1.30
B. Akinbami, A. Arigbede
Objective: Psychological impact of poor dento-facial aesthetics constitutes a major part of the low quality of life in maxillectomy patients. The  purpose of this study was to present the aesthetic outcome following prosthetic rehabilitation after ablative maxillary surgery.Method: All consecutive patients that had surgery for tumours affecting the upper jaw and gave their consent were included in the study.  Classification of maxillectomy was based on the Brown's classification. Facial attractiveness after final prosthetic rehabilitation was graded by two independent observers with a modified Liekert scale into four grades. For the purpose of comparison of facial attractiveness, the patients were divided into 2 groups: those below 2A and those above 2A.Result: Seventeen patients with tumours affecting the upper jaw were operated. Ten (58.8%) were females and 7 (41.2%) were males. The age range was 6-65 years, mean (SD), 37.6 (18.5) years. Two (11.8%) cases were children. There were 3 (17.6%) cases in the level 1, one case was 1A, two cases were 1B; 11 (64.7%) cases in level 2, 8 (47.1%) cases were 2A, 3 (17.6%) cases were 2B and 3 (17.6%) cases in level 3. Two (11.8%) patients, both in the level 2B had moderately attractive appearances and also, 2(11.8%) patients in the levels 2B and 3B respectively had least attractive appearances.Conclusion: Majority of our patients had resections at levels 2A and below and there was no obvious difference between the two groups, immediate prosthetic obturation may have minimized collapse of midface in those above 2A.  
目的:颌面部美学不良的心理影响是上颌骨切除术患者生活质量低下的主要原因。本研究的目的是介绍上颌切除术后假体康复的美学结果。方法:所有连续接受上颌肿瘤手术并表示同意的患者都被纳入研究。上颌骨切除术的分类是基于布朗分类法。最后一次假肢康复后的面部吸引力由两名独立观察者用改良的Liekert量表分为四个等级。为了比较面部吸引力,将患者分为2组:2A以下组和2A以上组。结果:17例上颌肿瘤患者接受了手术。女性10例(58.8%),男性7例(41.2%)。年龄范围为6-65岁,平均(SD)37.6(18.5)岁。儿童2例(11.8%)。1级有3例(17.6%),1例为1A,2例为1B;2级11例(64.7%),2A型8例(47.1%),2B型3例(17.6%),3级3例(176%)。两名(11.8%)2B级患者具有中等吸引力的外观,另外,两名(118%)2B和3B级患者分别具有最低吸引力的外观。结论:我们的大多数患者在2A级及以下进行了切除,两组之间没有明显差异,对于2A级以上的患者,立即进行假体充填可能会最大限度地减少面中部塌陷。
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引用次数: 0
Dentigerous cyst associated with a supernumerary tooth in the maxillary incisal region – a case report 上颌切迹区伴多生牙的含牙囊肿一例报告
Pub Date : 2020-09-22 DOI: 10.61172/ndj.v23i1.36
OA Erinoso, SO Fadeyibi, M. Gbotolorun, M. Adeyemi
Dentigerous cysts are defined as developmental odontogenic cysts, which surround the crown of an impacted tooth. It is caused by fluid  accumulation between the reduced enamel epithelium and the enamel surface, resulting in a cyst with the tooth crown located within the lumen. This paper reviews the pathogenesis, clinical features and the behaviour of dentigerous cyst. It also presents a case of a slow growing, painless swelling in the maxillary incisal region of 3 years duration. Detailed clinical, radiological and histopathological investigations aided the definitive diagnosis of dentigerous cyst. The cystic mass was enucleated with the impacted tooth in situ under local anesthesia. The operative site healed uneventfully and a removable partial  denture was fabricated to improve aesthetics, speech and masticatory function.  
牙性囊肿被定义为发育性牙源性囊肿,它围绕着阻生牙的牙冠。它是由减少的牙釉质上皮和牙釉质表面之间的液体积聚引起的,导致囊肿,牙冠位于管腔内。本文就牙源性囊肿的发病机制、临床特点及表现作一综述。它也提出了一个缓慢增长,无痛肿胀的上颌切区持续3年的情况。详细的临床、放射学和组织病理学检查有助于牙囊肿的明确诊断。在局部麻醉下,将囊性肿块与阻生牙一起原位去核。手术部位顺利愈合,并制作了可移动局部义齿,以改善美观,言语和咀嚼功能。
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引用次数: 0
Compliance in Review Attendance among Orthodontic Patients attending a Tertiary Level Health Care Centre 在三级保健中心接受正畸治疗的病人依从性调查
Pub Date : 2020-09-22 DOI: 10.61172/ndj.v23i1.33
O. Temisanren, J. Ifesanya, A. Olatunji
Objectives: Estimating patient compliance during orthodontic treatment cannot be overemphasized as timely and successful outcome of orthodontic treatment is dependent on it. This study assessed patients' compliance to orthodontic reviews at a tertiary care orthodontic clinic as well as explored various factors that may influence review attendance.Materials and Methods: Data were collected retrospectively from 133 patients' case notes as well as the clinic daily attendance records. Socio-demographic data and type of appliance used by patients was extracted. The pattern of punctuality (in days) to clinic attendance as prescribed by the managing orthodontist was also ascertained. Data were analysed using the SPSS version 22. Level of significance was set at p<0.05.Results: The mean age was 14.65 ± 5.98 years. Sixty-two (46.6%) patients were males while 71(53.4%) were females. Sixteen patients (12%) had removable appliances, 116(87.2%) had fixed appliances while only one person (0.8%) had both fixed and removable appliances. Eighty (60.2%)  attendees were resident within the state of the clinic's location while 53 (39.8%) resided outside the state. At the first review visit after treatment commenced, 92(69.2%) presented on time for review while 41 (30.8%) defaulted with a mean lag time of 49.0±49.0 days before presenting at the clinic. The total default time varied significantly with the number of visits and length of treatment time (p<0.001).Conclusion: Rate of default to orthodontic reviews was found to increase gradually from the 2nd visit and imparted negatively on treatment time.  
目的:评估患者在正畸治疗过程中的依从性再怎么强调也不为过,因为正畸治疗的及时和成功的结果取决于它。本研究评估了三级保健正畸诊所患者对正畸检查的依从性,并探讨了可能影响检查出勤率的各种因素。材料与方法:回顾性收集133例患者的病例记录及门诊日就诊记录。提取患者使用的社会人口统计数据和器械类型。还确定了管理正畸医生规定的准时(以天为单位)到诊所就诊的模式。数据分析使用SPSS版本22。p<0.05为显著性水平。结果:平均年龄14.65±5.98岁。男性62例(46.6%),女性71例(53.4%)。固定式矫治器16例(12%),固定式矫治器116例(87.2%),固定式矫治器和固定式矫治器同时使用1例(0.8%)。80名参加者(60.2%)居住在诊所所在地的州内,53名(39.8%)居住在州外。在治疗开始后的第一次复查中,92例(69.2%)患者按时就诊,41例(30.8%)患者未按时就诊,平均滞后时间为49.0±49.0天。总默认时间随就诊次数和治疗时间长短变化显著(p<0.001)。结论:从第二次就诊开始,正畸复查不履行率逐渐增加,并对治疗时间产生负向影响。
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引用次数: 1
Knowledge and utilization patterns of information technology among healthcare personnel in Lagos University Teaching Hospital, Lagos 拉各斯大学教学医院医护人员信息技术知识与利用模式
Pub Date : 2020-09-22 DOI: 10.61172/ndj.v23i1.34
P. Akeredolu, O. Akinsola, B. Akinboboye, U. Ekwenibe
Objective: The field of healthcare practice requires the use of computers for processing information, decision-making, record keeping and teaching. To ensure success of information and communication technology, adequate application of Information Technology is required by health care professionals. Current information on knowledge and utilization pattern of information technology among healthcare personnel in developing countries is scant. The objective is to assess the knowledge of Information technology among healthcare personnel in the Lagos University Teaching Hospital, Idi-Araba as well as the factors affecting its use. Method: Self-structured pretested questionnaires that probed into the knowledge and utilization of Information Technology were administered to a stratified randomly selected group of 300 male and female dentists, medical doctors, radiographers, nurses and pharmacists. Descriptive statistics on their knowledge and utilization patterns were calculated. Result: A total of 239 participants (79.6%) responded, with a mean age of 25.8±5.4 years. Majority (67.5%) respondents reportedly had received some form of formal computer training, while the remaining 76 (32.5%) had no training. Most of the respondents, 167 (69.9%) respondents demonstrated good knowledge of Information Technology, while 33 (13.8%) showed a fair knowledge. Only 39 (16.3%) respondents demonstrated poor knowledge of Information Technology. Most of the respondents (58.2%) never participated in video conferencing. Conclusion: Despite the fact that the respondents had generally good knowledge and utilization habits of Information Technology, most of the respondents had never participated in video conferencing, which is an important innovation in the modern day management of the patients. The medical personnel would benefit from the provision of adequate infrastructure, utilizing Information Technology.  
目的:医疗实践领域要求使用计算机处理信息、决策、记录和教学。为了确保信息和通信技术的成功,卫生保健专业人员需要充分应用信息技术。目前关于发展中国家医护人员信息技术知识和使用模式的信息很少。目的是评估拉各斯大学教学医院Idi Araba的医护人员对信息技术的了解,以及影响其使用的因素。方法:对300名男性和女性牙医、医生、放射技师、护士和药剂师进行分层随机选择,对信息技术的知识和使用情况进行自我结构的预测试问卷调查。对他们的知识和利用模式进行了描述性统计。结果:共有239名参与者(79.6%)做出反应,平均年龄为25.8±5.4岁。据报道,大多数(67.5%)受访者接受过某种形式的正式计算机培训,而其余76人(32.5%)没有接受过培训。在大多数受访者中,167人(69.9%)表现出对信息技术的良好了解,33人(13.8%)表现出相当的了解。只有39名(16.3%)受访者对信息技术知之甚少。大多数受访者(58.2%)从未参加过视频会议。结论:尽管受访者普遍具有良好的信息技术知识和使用习惯,但大多数受访者从未参加过视频会议,这是现代患者管理的一项重要创新。医务人员将受益于利用信息技术提供充足的基础设施。
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引用次数: 1
Smoker's melanosis or early melanoma- misdiagnosis trap? 吸烟者黑色素瘤还是早期黑色素瘤——误诊陷阱?
Pub Date : 2020-09-22 DOI: 10.61172/ndj.v23i1.35
S. Nwhator, Á. Gómez, Alvarez Martínez, J. Gomez, Mosquera R
Objective: First used by Hedin in 1977, “smokers' melanosis” is currently recognized as a clinical diagnosis without recourse to biopsy. Current research findings however suggest the disturbing possibility of mistaking a “silent” oral malignant melanoma for a benign smokers' melanosis. The objective of the current review is to stimulate an evidence-based rethink.Method: This manuscript is based on a Pubmed search phrase “smokers' melanosis".Result: A total of 24 studies resulted of which 16 were analyzed and 8 non-oral melanomas were excluded. Reports ranged from claims of a  “protective” role of melanosis to cases of melanoma from pre-existing melanosis. Alcohol synergistic potentiation of intra-oral melanosis and a categorization of smokers' melanoma as a differential for intra-oral smokers' melanosis were also found.Conclusion: Since many cases of confirmed intra-oral malignant melanomas were preceded with a history of pre-existing “innocent” oral pigmented lesions, adopting a principle of universal biopsy is strongly suggested. This would change this age-long paradigm but would definitely save a few lives.  
目的:Hedin于1977年首次使用“吸烟者黑色素瘤”,目前被认为是一种无需活检的临床诊断。然而,目前的研究结果表明,将“无声”口腔恶性黑色素瘤误认为良性吸烟者黑色素瘤的可能性令人不安。本次审查的目的是激发基于证据的反思。方法:本文基于Pubmed搜索短语“吸烟者黑色素瘤”。结果:共有24项研究结果,其中16项被分析,8项非口腔黑色素瘤被排除在外黑色素瘤在黑色素瘤病例中的作用。还发现了酒精对口腔内黑色素瘤的协同增效作用,并将吸烟者黑色素瘤分类为口腔内吸烟者黑色素病的区别。结论:由于许多确诊的口腔内恶性黑色素瘤之前都有“无辜”口腔色素病变的病史,因此强烈建议采用通用活检原则。这将改变这种由来已久的模式,但肯定会挽救一些人的生命。
{"title":"Smoker's melanosis or early melanoma- misdiagnosis trap?","authors":"S. Nwhator, Á. Gómez, Alvarez Martínez, J. Gomez, Mosquera R","doi":"10.61172/ndj.v23i1.35","DOIUrl":"https://doi.org/10.61172/ndj.v23i1.35","url":null,"abstract":"Objective: First used by Hedin in 1977, “smokers' melanosis” is currently recognized as a clinical diagnosis without recourse to biopsy. Current research findings however suggest the disturbing possibility of mistaking a “silent” oral malignant melanoma for a benign smokers' melanosis. The objective of the current review is to stimulate an evidence-based rethink.Method: This manuscript is based on a Pubmed search phrase “smokers' melanosis\".Result: A total of 24 studies resulted of which 16 were analyzed and 8 non-oral melanomas were excluded. Reports ranged from claims of a  “protective” role of melanosis to cases of melanoma from pre-existing melanosis. Alcohol synergistic potentiation of intra-oral melanosis and a categorization of smokers' melanoma as a differential for intra-oral smokers' melanosis were also found.Conclusion: Since many cases of confirmed intra-oral malignant melanomas were preceded with a history of pre-existing “innocent” oral pigmented lesions, adopting a principle of universal biopsy is strongly suggested. This would change this age-long paradigm but would definitely save a few lives. \u0000 ","PeriodicalId":79241,"journal":{"name":"Nigerian Dental Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42978573","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: 0
COVID -19: The Role of the Periodontologist COVID -19:牙周病医生的作用
Pub Date : 2020-06-01 DOI: 10.61172/ndj.v28i1.91
O. Opeodu
COVID-19, since its outbreak in Wuhan, China has become a major public health phenomenon with the eventual declaration of a pandemic by the World Health Organization (WHO) in March 2020. The disease is considered to be transmitted through fomite and aerosol, therefore the concern for safety of both the dental teams and their patients. This review article seeks to report how the disease may possibly be transmitted within periodontal clinic and possible means of preventing such transmission. Internet search was done using words such as COVID-19, Dentistry, SARS-CoV-2, periodontal care, dental treatment, infection control and pandemic. Only articles written in English were accessed.  
新冠肺炎自在武汉爆发以来,随着世界卫生组织(世界卫生组织)最终于2020年3月宣布大流行,中国已成为一个主要的公共卫生现象。该疾病被认为是通过fomite和气溶胶传播的,因此,牙科团队及其患者的安全受到关注。这篇综述文章试图报道这种疾病如何可能在牙周诊所传播,以及预防这种传播的可能方法。互联网搜索使用了新冠肺炎、牙科、SARS-CoV-2、牙周护理、牙科治疗、感染控制和大流行等词。只访问了用英语写的文章。
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引用次数: 0
Impact of COVID-19 Pandemic on Dental Education and Management COVID-19大流行对牙科教育和管理的影响
Pub Date : 2020-06-01 DOI: 10.61172/ndj.v28i1.85
A. Arigbede
Objective: The coronavirus disease is a highly infectious disease of global concern. It poses a severe threat to the lives of patients, hospital staff, students, and their trainers. The impact of Covid-19 pandemic on dental education and management is diverse and deep. This study is designed to highlight the effects of COVID-19 pandemic on dental education and management.Materials and Methods: The Medline and google databases were searched for relevant publications by combining the following mesh terms, COVID-19, dental education, impact and residency. Relevant information was extracted from all the selected papers. Personal experience as a trainer, clinician and administrator was included in the report. Results: Because of the pandemic, patients flow nosedived, routine clinical procedures, academic activities, students/residents' rotation were suspended, and some of the students/ residents had their examinations or time of graduation postponed. The use of virtual platform became the norm for learning and meeting. A new and broader PPE protocol was prescribed when carrying out dental procedures. Residents and students must ensure physical distancing, even as it relates to the hanging of clothes in the changing room. Blended and self-directed learning was brought into the fore of medical education.Conclusion: Government and professional bodies should make conscious efforts to cushion the adverse effects of corona  
目的:新型冠状病毒病是全球关注的高传染性疾病。它对患者、医院工作人员、学生及其培训师的生命构成严重威胁。新冠肺炎疫情对牙科教育和管理的影响是多方面和深层次的。本研究旨在强调COVID-19大流行对牙科教育和管理的影响。材料和方法:结合以下网格术语:COVID-19、牙科教育、影响和住院医师,在Medline和谷歌数据库中检索相关出版物。从所有选定的论文中摘录了有关资料。报告中包括了作为培训师、临床医生和行政人员的个人经历。结果:受新冠肺炎疫情影响,医院患者流量骤减,常规临床流程、学术活动、学生/住院医师轮转暂停,部分学生/住院医师考试或毕业时间推迟。使用虚拟平台成为学习和会议的规范。在进行牙科手术时,规定了新的更广泛的个人防护装备规程。居民和学生必须保持身体距离,即使涉及到在更衣室挂衣服。混合学习和自主学习被引入医学教育的前沿。结论:政府和专业机构应有意识地努力缓解冠状病毒的不良影响
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引用次数: 0
Oral and Facial Manifestations of COVID-19 Patients COVID-19患者的口腔和面部表现
Pub Date : 2020-06-01 DOI: 10.61172/ndj.v28i1.87
M. Okoh, D. Okoh
Objective: To review the oral and facial manifestations of COVID-19 which may be useful in the prompt diagnosis of the disease.Materials and Methods: Literatures were searched from renowned electronic databases like PubMed, Medline, Google scholar and Cochrane Library. The following words were used for the search. “Oral and facial manifestations of COVID-19.”Results: The SARS-CoV-2 virus is transmitted from human to human via droplet transmission and direct contact with oral, nasal, and eye mucous membranes. Studies suggest that COVID-19 may become airborne through aerosols generated during clinical procedures. The most common symptoms of coronavirus disease are fever, tiredness, dry cough and difficulty breathing. Other atypical symptoms, such as muscle pain, confusion, headache, anosmia, dysgeusia, sore throat, diarrhea, and vomiting have been reported, and seem to be on the rise.Conclusion: It will be interesting to determine in the near future how frequent those manifestations are in individuals presenting symptoms in contrast to infected asymptomatic patient, and their usefulness in defining the outcome of COVID-19.  
目的:回顾新冠肺炎的口腔和面部表现,为该病的及时诊断提供依据。材料和方法:检索PubMed、Medline、Google scholar和Cochrane Library等知名电子数据库中的文献。搜索使用了以下单词。“新冠肺炎的口腔和面部表现。”结果:SARS-CoV-2病毒通过飞沫传播和直接接触口腔、鼻腔和眼睛粘膜在人与人之间传播。研究表明,新冠肺炎可能通过临床过程中产生的气溶胶通过空气传播。冠状病毒疾病最常见的症状是发烧、疲劳、干咳和呼吸困难。其他非典型症状,如肌肉疼痛、意识模糊、头痛、嗅觉缺失、味觉障碍、喉咙痛、腹泻和呕吐也有报道,而且似乎在增加。结论:在不久的将来,确定这些表现在出现症状的个体中与感染的无症状患者相比的频率,以及它们在确定新冠肺炎结果方面的作用,将是一件有趣的事情。
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引用次数: 0
New and Emerging Infections : Impact on the Practice of Dentistry in Nigeria 新出现的感染:对尼日利亚牙科实践的影响
Pub Date : 2020-06-01 DOI: 10.61172/ndj.v28i1.88
O. Sofola, O. Uti, EU Idah, AA Leo-Olagbaiye, UI Odogu
Objective: To highlight the challenges and impacts of COVID 19 on dental practice in Nigeria.Materials and Methods: A literature search was done using Electronic databases such as Medline, Pub Med and Google Scholar. Words that were searched included “New and Emerging Infections, challenges and Impact on Practice of Dentistry in Nigeria”.Results: New and emerging Infections have far reaching impacts on public health. The dental clinic is a probable environment for the airborne transmission of these infections due to the generation of aerosols and the close contact between the health workers and patients. Conclusion: Strict infection control measures are mandatory in the dental clinic. This translates to prohibitive cost of treatment as most practices have to include additional cost for things as personal protective equipment, disinfectants.  
目的:强调2019冠状病毒病对尼日利亚牙科实践的挑战和影响。材料和方法:使用Medline、Pub Med和Google Scholar等电子数据库进行文献检索。搜索到的单词包括“新出现的感染、挑战和对尼日利亚牙科实践的影响”。由于气溶胶的产生以及卫生工作者和患者之间的密切接触,牙科诊所可能是这些感染的空气传播环境。结论:牙科诊所必须采取严格的感染控制措施。这意味着高昂的治疗成本,因为大多数做法都必须包括个人防护设备、消毒剂等额外费用。
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引用次数: 0
期刊
Nigerian Dental Journal
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