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The Effect of Laser Diode 940 nm on Decreasing Oropharyngeal Pain After Bimaxillary Orthognathic Surgery: A Double-Blind Randomized Trial Study 激光二极管940 nm对减轻双颌正颌手术后口咽疼痛的影响:一项双盲随机试验研究
Pub Date : 2023-02-09 DOI: 10.34172/ajdr.2023.1613
M. Jamalpour, Gholam Reza Rouhani
Background: Due to its invasiveness and length, bimaxillary orthognathic surgery causes highly excruciating pain in the oropharyngeal area for the patient. There are several ways to reduce this pain, including prescribing painkillers and anti-inflammatory drugs. The aim of this study was to evaluate the effect of photobiomodulation by a 940-nm laser on reducing pain in the oropharyngeal area after bimaxillary orthognathic surgery. Methods: This randomized clinical trial study was performed on 40 patients aged 17-40 years who were candidates for bimaxillary orthognathic surgery referred to the Department of Oral and Maxillofacial Surgery of Besat hospital in 2021. All patients in the intervention group underwent the photobiomodulation of the oropharyngeal area with a 940-nm diode laser immediately after the end of bimaxillary orthognathic surgery. Sore throat, jaw pain, pain when swallowing, and stridor were recorded in the first to fifth days after surgery. Finally, changes in the mean score of indices were compared within and between the two groups using repeated measure analysis of variance. Results: The mean age of patients in the intervention and control groups was 22.4±4.38 and 25.15±5.48 years, respectively (P=0.09). The pain score in the four areas studied in both intervention and control groups had a decreasing trend over time, which was statistically significant (P<0.001). In addition, the difference in the trend between the two groups was statistically significant so that in the intervention group, the decreasing trend was more severe (P<0.05). Eventually, a significant interaction was observed between the type of intervention and time in all four areas (P<0.05). Conclusions: The results showed that the use of a 940-nm diode laser led to a significant reduction in all four areas of sore throat, pain when swallowing, and stridor after bimaxillary orthognathic surgery.
背景:由于双颌正颌手术的侵入性和长度,患者在口咽区会产生高度剧烈的疼痛。有几种方法可以减轻这种疼痛,包括处方止痛药和消炎药。本研究的目的是评估940纳米激光光生物调节对减轻双颌正颌手术后口咽区疼痛的影响。方法:本随机临床试验研究对40例17-40岁的患者进行研究,这些患者是2021年转介到Besat医院口腔颌面外科进行双颌正颌手术的候选人。干预组所有患者在双颌正颌手术结束后立即接受940 nm二极管激光对口咽区进行光生物调节。术后第1 ~ 5天记录咽喉痛、颌痛、吞咽痛和喘鸣。最后,采用重复测量方差分析比较两组内及两组间各指标平均得分的变化。结果:干预组和对照组患者的平均年龄分别为22.4±4.38岁和25.15±5.48岁(P=0.09)。干预组和对照组的4个区域疼痛评分随时间的推移均呈下降趋势,差异有统计学意义(P<0.001)。两组间差异有统计学意义,干预组下降趋势更为严重(P<0.05)。最终,在所有四个方面,干预类型和时间之间存在显著的相互作用(P<0.05)。结论:940 nm二极管激光的使用显著减少了双颌正颌手术后咽喉痛、吞咽痛和哮鸣的四个区域。
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引用次数: 0
Effect of Diamond-like Carbon Coating Applied by the Physical Vapor Deposition Technique on Wear of Diamond and Tungsten Carbide Dental Burs 物理气相沉积技术应用类金刚石碳涂层对金刚石和碳化钨齿刺磨损的影响
Pub Date : 2023-02-09 DOI: 10.34172/ajdr.2023.1624
B. Asgartooran, Z. Khamverdi, Faezeh Soury, Shiva Kavousinejad
Background: The methods of increasing the longevity of dental burs by improving the mechanical properties of these surfaces, can increase their longevity. This study assessed the effect of diamond-like carbon (DLC) coating applied by the physical vapor deposition (PVD) technique on wear of diamond and tungsten carbide (TC) burs. Methods: In this in vitro study, 30 diamond and 30 TC burs were evaluated in four groups, including TC burs without coating (control), TC burs with a 3.5-µm DLC coating applied by the PVD technique, diamond burs without coating (control), and diamond burs with a 3.5-µm DLC coating applied by the PVD technique. The burs were weighed by a digital scale, underwent the pin-on-disc wear test, and were weighed again. The weight loss indicated the degree of wear in each group. For qualitative assessments, the surface of the burs was inspected under a stereomicroscope at×4 and×10 magnifications before wear, halfway through the test, and after the test. Finally, the data were analyzed by two-way ANOVA (α=0.05). Results: The effect of DLC coating was significant on the wear of burs (P=0.032), but the effect of the type of bur and their interaction effect on wear were not significant (P=0.151). A significant difference existed in wear among the four groups (P < 0.001), and the wear of coated burs was significantly lower than that of non-coated burs (P=0.012). Stereomicroscopic assessments revealed some residual diamond particles, the impression of dislodged particles and the path of wear on the surface of diamond burs, and the path of wear on the surface of TC burs. Conclusions: Overall, the DLC coating of diamond and TC dental burs by the PVD technique could increase their wear resistance irrespective of the bur type.
背景:通过改善牙刺表面的力学性能来延长牙刺的使用寿命,可以延长牙刺的使用寿命。研究了物理气相沉积(PVD)技术对类金刚石(DLC)涂层对金刚石和碳化钨(TC)毛刺磨损的影响。方法:在体外研究中,对30个金刚石和30个TC毛刺进行了评估,分为四组,包括无涂层的TC毛刺(对照组)、PVD技术3.5µm DLC涂层的TC毛刺、无涂层的金刚石毛刺(对照组)和PVD技术3.5µm DLC涂层的金刚石毛刺。通过数字秤对毛刺进行称重,进行销盘磨损测试,然后再次称重。体重的减少表明各组的磨损程度。为了进行定性评估,在磨损前、测试中途和测试后,在立体显微镜at×4 and×10放大镜下检查毛刺的表面。最后,对数据进行双因素方差分析(α=0.05)。结果:DLC涂层对毛刺磨损的影响显著(P=0.032),而毛刺类型及其相互作用对磨损的影响不显著(P=0.151)。四组毛刺的磨损量差异有统计学意义(P < 0.001),涂覆毛刺的磨损量显著低于未涂覆毛刺(P=0.012)。体视显微镜下观察到金刚石毛刺表面残留的金刚石颗粒、脱落颗粒的压痕和磨损路径,以及TC毛刺表面的磨损路径。结论:总的来说,PVD技术对金刚石和TC牙齿毛刺进行DLC涂层,无论其类型如何,都可以提高其耐磨性。
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引用次数: 0
Adenoid Cystic Carcinoma of Parotid Gland with Infratemporal Extension: A Rare Case Report 腮腺腺样囊性癌伴颞下延伸1例报告
Pub Date : 2023-02-09 DOI: 10.34172/ajdr.2023.1652
M. Jamalpour, Tannaz Rasipour
Adenoid cystic carcinoma (ACC) is a slowly developing malignant tumor of the salivary glands, occurring more commonly in minor salivary glands and rarely in parotid glands. It has the potential of retrograde perineural spread to the adjacent structures and spaces. Here we report a rare case of ACC of the parotid gland extended to the infratemporal fossa with perineural and vascular invasion, reflecting the advanced stage of the disease. After consulting with ENT specialists and radiation oncologists, palliative surgery was performed followed by adjuvant radio/chemo therapy.
腺样囊性癌(Adenoid cystic carcinoma, ACC)是一种发展缓慢的唾液腺恶性肿瘤,常见于小唾液腺,很少发生于腮腺。它有可能逆行神经周围扩散到邻近的结构和空间。在此,我们报告一例罕见的腮腺ACC延伸至颞下窝并侵犯神经和血管,反映了疾病的晚期。在咨询了耳鼻喉科专家和放射肿瘤学家后,姑息性手术在辅助放疗/化疗之后进行。
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引用次数: 0
Customized Zirconia Crown in Pediatric Dentistry From Concept to Reality 定制氧化锆冠在儿童牙科从概念到现实
Pub Date : 2023-01-05 DOI: 10.34172/ajdr.2023.1589
G. Gupta, D. Gupta, P. Gupta, Parth Shah, Abhishek Khairwa
Catering a tooth-colored restoration in a single sitting is the fundamental objective of chairside digital dentistry with computer-aided design/computer-assisted manufacturing (CAD/CAM) technology, which became a legitimate reality with the initiation of ceramic reconstruction (CEREC) workflow. CAD/CAM dentistry has evolved through an amalgamation of diverse software and hardware upgrades since its launch to a viable chairside technology that allows pediatric dentists to treat patients in a single visit. Nowadays, CAD/CAM of dental restorations has become an ingrained fabrication process, especially for zirconium restorations. In this report, we have presented three cases to exemplify the clinical use of chairside digital dentistry (i.e., CEREC workflow) for the fabrication of a customized zirconium restoration in a single sitting to restore form, function, and occlusion for grossly decayed and decalcified primary molars, as well as esthetics for primary anterior teeth with utmost comfort of child patients with single-sitting treatment modality.
利用计算机辅助设计/计算机辅助制造(CAD/CAM)技术,一次完成牙齿颜色修复是椅子旁数字牙科的基本目标,随着陶瓷重建(CEREC)工作流程的启动,这一目标成为了合法的现实。CAD/CAM牙科自推出以来,通过各种软件和硬件升级的融合,已经发展成为一种可行的椅边技术,使儿科牙医能够在一次就诊中治疗患者。目前,牙科修复体的CAD/CAM已经成为一种根深蒂固的制造工艺,尤其是锆修复体。在本报告中,我们介绍了三个案例,以举例说明椅子旁数字牙科的临床应用(即CEREC工作流程),用于单次坐位中定制锆修复体的制造,以恢复严重腐烂和脱钙的初级磨牙的形状,功能和咬合,以及在单次坐位治疗模式下儿童患者对初级前牙的最大舒适度。
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引用次数: 0
Effects of Processing Delays in Different Coverages on the Image Quality of Photostimulable Phosphor Plates With Acteon and Digora Scanners 不同覆盖范围的处理延迟对Acteon和Digora扫描仪光刺激磷光片图像质量的影响
Pub Date : 2022-12-18 DOI: 10.34172/ajdr.2022.557
R. Bardal, M. Mobini, N. Hemmati
Background: Delay in the processing of photostimulable phosphor storage plates (PSP) is a common occurrence in crowded clinics. Accordingly, the effects of processing delays in different coverages on the image quality of photostimulable PSPs were investigated with Acteon and Digora scanners. Methods: Three Acteon (group A) and three Digora (group B) PSPs were used in this in vitro study. Each group had three subgroups according to three coverages, including protective box (A1 , B1 ), semitransparent (A2 , B2 ), and original dark case plates (A3 , B3 ). An aluminum step wedge was subjected to constant exposure conditions. The exposed plates were immediately processed with their corresponding scanner device (the golden standard), 5, 10, 20, 30, 40, and 60 minutes after exposure. The average gray level information of the 2nd, 5th, and 8th steps of the Al wedge was considered as the mean gray values (MGVs) of each wedge. The difference between the gray values of the 8th and 2nd steps was measured as image contrast. Results: There was a significant difference between the contrast and MGVs of Acteon and Digora PSPs at all processing delay times (P<0.05). In general, there was no significant difference in the image MGVs and contrast between subgroups in any of the scanners (total P>0.05). In each subgroup, MGVs increased, while contrast decreased by increasing the processing delay time; the difference was significant except for the MGVs in the first 5 minutes of A1 (P=0.12) and A3 (P=0.06). Conclusions: Thus, the type of scanner was effective on image quality; the type of PSP coating in the first few minutes could affect the rate of image quality loss. However, the scan time had a greater effect on the amount of image loss.
背景:在拥挤的诊所中,光刺激磷光储存板(PSP)处理延迟是常见的现象。因此,使用Acteon和Digora扫描仪研究了不同覆盖范围的处理延迟对光刺激psp图像质量的影响。方法:采用Acteon (A组)和Digora (B组)三种PSPs进行体外实验。每组按三种覆盖分为三个亚组,包括保护盒(A1, B1)、半透明(A2, B2)和原始暗盒板(A3, B3)。铝制阶梯楔体经受恒定的暴露条件。曝光后5分钟、10分钟、20分钟、30分钟、40分钟、60分钟,立即用相应的扫描仪(黄金标准)对曝光后的印版进行处理。将Al楔形的第2、5、8步的平均灰度信息作为每个楔形的平均灰度值(MGVs)。测量第8步和第2步灰度值的差值作为图像对比度。结果:Acteon和Digora两种PSPs在各加工延迟时间的对比度和MGVs差异均有统计学意义(P0.05)。各亚组的MGVs均随加工延迟时间的增加而增加,而对比度则随加工延迟时间的增加而降低;除A1 (P=0.12)和A3 (P=0.06)前5分钟的MGVs外,其他差异均有统计学意义。结论:该类型的扫描仪对图像质量是有效的;PSP涂布的类型在最初几分钟内会影响图像质量损失的速率。然而,扫描时间对图像损失的影响更大。
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引用次数: 0
Reliability of Cone-Beam Computed Tomography in Diagnosis of Root Resorption Due to Impacted Maxillary Canine 锥束计算机断层诊断上颌牙阻生牙根吸收的可靠性
Pub Date : 2022-12-17 DOI: 10.34172/ajdr.2022.1591
D. Goodarzi Pour, Shaghayegh Golshani, Y. Kheirandish, Sara Aliasghari
Background: This study aimed to evaluate the cone-beam computed tomography (CBCT) technique considering its reliability to diagnose resorption due to maxillary impacted canine. Methods: In this cross-sectional study, 68 CBCT images were observed by two oral and maxillofacial radiologists. The position of the impacted maxillary canine was assessed, and the severity of root resorption in adjacent teeth was determined in two rounds by viewing. Finally, statistical analyses were performed according to the percentage of agreement, intra-class correlation coefficient, and kappa. The data sheets were filled out by two radiologists who observed the CBCT images in two separate weeks and recorded their opinions about the position of the crown and root of the impacted maxillary canine. Further, four adjacent teeth were examined for root resorption. Results: In most cases, no root resorption was observed in the lateral, central, and first premolars; however, the reported percentage of root resorption in the lateral premolar was higher than that of the others, and no root resorption was reported in the second premolars. Agreement on crown and root position was reported to be above 90% in all observations. In addition, the percentage of agreement was 98.5%, 95.6%, 98.5%, and 100% for root resorption, central incisor, lateral incisor, the first premolar, and the second premolar, respectively. Maxillary impacted canines were examined considering root resorption in adjacent teeth using CBCT, and its interpretation was reliable. Conclusions: Utilization of CBCT provides a worthy data about the impacted maxillary canine localization and effects on adjacent teeth, for more explanation and treatment of these cases.
背景:本研究旨在评估锥束计算机断层扫描(CBCT)技术诊断上颌阻生犬骨吸收的可靠性。方法:在本横断面研究中,由两名口腔颌面放射科医师观察68张CBCT图像。评估阻生上颌尖牙的位置,并分两轮观察邻牙根吸收的严重程度。最后,根据一致性百分比、类内相关系数和kappa进行统计分析。数据表由两名放射科医生填写,他们分别在两周内观察CBCT图像,并记录他们对阻生上颌尖牙冠和根位置的看法。此外,还检查了四颗相邻牙齿的牙根吸收情况。结果:大多数病例中,侧磨牙、中磨牙和第一前磨牙无根吸收;然而,报道的牙根吸收在侧前磨牙的百分比高于其他,而在第二前磨牙没有报道的牙根吸收。据报道,在所有观测中,冠和根位置的一致性在90%以上。牙根吸收、中切牙、侧切牙、第一前磨牙和第二前磨牙的符合率分别为98.5%、95.6%、98.5%和100%。考虑邻牙牙根吸收,采用CBCT对上颌阻生犬进行检测,结果可靠。结论:利用CBCT对上颌阻生犬的定位及其对邻牙的影响提供了有价值的数据,有助于进一步解释和治疗这些病例。
{"title":"Reliability of Cone-Beam Computed Tomography in Diagnosis of Root Resorption Due to Impacted Maxillary Canine","authors":"D. Goodarzi Pour, Shaghayegh Golshani, Y. Kheirandish, Sara Aliasghari","doi":"10.34172/ajdr.2022.1591","DOIUrl":"https://doi.org/10.34172/ajdr.2022.1591","url":null,"abstract":"Background: This study aimed to evaluate the cone-beam computed tomography (CBCT) technique considering its reliability to diagnose resorption due to maxillary impacted canine. Methods: In this cross-sectional study, 68 CBCT images were observed by two oral and maxillofacial radiologists. The position of the impacted maxillary canine was assessed, and the severity of root resorption in adjacent teeth was determined in two rounds by viewing. Finally, statistical analyses were performed according to the percentage of agreement, intra-class correlation coefficient, and kappa. The data sheets were filled out by two radiologists who observed the CBCT images in two separate weeks and recorded their opinions about the position of the crown and root of the impacted maxillary canine. Further, four adjacent teeth were examined for root resorption. Results: In most cases, no root resorption was observed in the lateral, central, and first premolars; however, the reported percentage of root resorption in the lateral premolar was higher than that of the others, and no root resorption was reported in the second premolars. Agreement on crown and root position was reported to be above 90% in all observations. In addition, the percentage of agreement was 98.5%, 95.6%, 98.5%, and 100% for root resorption, central incisor, lateral incisor, the first premolar, and the second premolar, respectively. Maxillary impacted canines were examined considering root resorption in adjacent teeth using CBCT, and its interpretation was reliable. Conclusions: Utilization of CBCT provides a worthy data about the impacted maxillary canine localization and effects on adjacent teeth, for more explanation and treatment of these cases.","PeriodicalId":8679,"journal":{"name":"Avicenna Journal of Dental Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90678975","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
Influence of Inlays/Onlays and Their Material on Stress Distribution in Mandibular Molars: Finite Element Analysis 嵌体/嵌体及其材料对下颌磨牙应力分布的影响:有限元分析
Pub Date : 2022-12-13 DOI: 10.34172/ajdr.2022.578
A. Darwich, Abeer Aljareh, Omar Aladel, S. Szávai, H. Nazha
Background: This study aimed to evaluate the influence of inlays/onlays and their material on stress distribution in mandibular molars with large cavities, using finite element analysis (FEA). Methods: 3D models of the first mandibular molar were created. Then, a mesio-occluso-distal cavity was created, and cusps were reduced (1.5 mm for buccal cusps and 1 mm for lingual cusps). The restorations were: inlay, onlay that covered buccal cusps (B models), and onlay that covered all cusps (LB models). Inlays and onlays were represented by two materials: nanofill composite resin and polymer-infiltrated ceramic network (PICN). Vertical load of 600 N was applied and von Mises stresses were calculated. Results: Inlay models showed higher stress concentration in tooth structures than onlay models. Composite resin inlays and onlays transmitted most of the stress to adjacent structures. On the other hand, PICN inlays/onlays absorbed most of stress and transmitted less stress to dental structures than composite resin restorations. Moreover, stress concentrations in PICN onlay models (B-buccal cusps and LB-all cusps) were similar, while composite resin LB onlay showed higher stress concentration in dental structures than composite resin B onlay. Conclusions: Onlays showed better stress distribution than inlays. PICN might be a suitable choice as a restorative material of inlay/onlay for large cavities in molars, while the composite resin is unfavorable material for such restorations in terms of stress redistribution in dental structures.
背景:本研究旨在通过有限元分析(FEA)评估嵌体/嵌体及其材料对下颌大腔磨牙应力分布的影响。方法:建立下颌第一磨牙的三维模型。然后,创建一个中牙合远端腔,并将牙尖缩小(颊尖1.5 mm,舌尖1 mm)。修复体分为嵌体、覆盖颊尖的嵌体(B型)和覆盖所有牙尖的嵌体(LB型)。嵌体和嵌体由两种材料代表:纳米填充复合树脂和聚合物渗透陶瓷网络(PICN)。施加600 N垂直载荷,计算von Mises应力。结果:嵌体模型牙体结构应力集中程度高于纯嵌体模型。复合树脂嵌体和纯体将大部分应力传递给相邻结构。另一方面,与复合树脂修复体相比,PICN嵌体/仅体吸收了大部分应力,传递给牙结构的应力较少。此外,PICN嵌体模型(B-颊尖和LB-全尖)的应力浓度相似,而复合树脂LB嵌体在牙结构中的应力浓度高于复合树脂B嵌体。结论:纯嵌体的应力分布优于嵌体。PICN可能是磨牙大腔体嵌体/嵌体修复材料的合适选择,而复合树脂由于其在牙结构中的应力重新分布而不利于这种修复材料。
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引用次数: 0
Effect of Liquorice-Extract-Containing Antimicrobial Mouthwash on Helicobacter Pylori: An In Vitro Study 甘草提取物抗菌漱口水对幽门螺杆菌抑菌作用的体外研究
Pub Date : 2022-12-13 DOI: 10.34172/ajdr.2022.546
S. Bohlouli, Mahdiyeh Esmaeilzadeh, H. Samadi kafil, R. Negahdari, B. Shokouhi, Z. Aghazadeh
Background: The oral route is one of the main portals for Helicobacter pylori transmission. The elimination of this bacterial species from the oral cavity might be useful in oral health and decreasing infections due to H. pylori. This study aimed to evaluate the effect of a liquorice-extract-containing mouthwash at different concentrations on the proliferation of H. pylori in vitro. Methods: H. pylori bacterial species was cultured, and the isolated strains from the specific culture medium were prepared for the welling procedures. The liquorice (Glycyrrhiza glabra) mouthwash at 12.5% and 25% concentrations was added to the case group wells at 1,1/2,1/4,1/8, and 1/16 dilutions. In the control group, regular daily mouthwash containing cetylpyridinium chloride and sodium fluoride components was used. The growth inhibition zones were analyzed in the study groups. The data were analyzed by SPSS and reported using descriptive statistics (means±standard deviation). Results: In both the mouthwashes containing 25% and 12.5% concentration, the means of growth inhibition zones at 1, 1/2, 1/4, 1/8, and 1/16 dilutions were larger than those in the control group. Further, the largest growth inhibition zone was seen with the undiluted 25% mouthwash. There were no significant differences in the H. pylori growth inhibition zones between 25% and 12.5% mouthwashes (P=0.14). Conclusions: Mouthwashes containing liquorice extracts inhibited the growth of H. pylori more significantly than mouthwash with no liquorice extract. Therefore, it is suggested that liquorice extract-containing mouthwashes be used to prevent H. pylori infections in the oral cavity in clinical studies.
背景:口腔途径是幽门螺杆菌传播的主要途径之一。从口腔中清除这种细菌可能有助于口腔健康和减少幽门螺杆菌感染。本研究旨在探讨不同浓度甘草提取物漱口水对幽门螺杆菌体外增殖的影响。方法:对幽门螺杆菌进行菌种培养,从特定培养基中分离出菌株进行培养。将浓度为12.5%和25%的甘草漱口水分别以1、1/2、1/4、1/8和1/16的稀释度加入到病例组孔中。对照组使用含氯化十六烷基吡啶和氟化钠成分的常规日常漱口水。对各研究组的生长抑制区进行分析。数据采用SPSS统计软件分析,采用描述性统计(均数±标准差)报告。结果:在25%和12.5%浓度的漱口水中,1、1/2、1/4、1/8和1/16稀释浓度下的生长抑制带均值均大于对照组。此外,未稀释的25%漱口水的生长抑制区最大。25%漱口水和12.5%漱口水对幽门螺杆菌生长的抑制区差异无统计学意义(P=0.14)。结论:含甘草提取物漱口水比不含甘草提取物漱口水更能抑制幽门螺杆菌的生长。因此,在临床研究中建议使用含甘草提取物的漱口水来预防口腔幽门螺杆菌感染。
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引用次数: 0
Positioning Errors in Panoramic Images Based on the Dentition Type of Patients Referring to the Oral and Maxillofacial Radiology Department of Tabriz Dental School During 2017-2018 2017-2018年大不里士牙科学校口腔颌面放射科患者牙列类型的全景图像定位误差
Pub Date : 2022-12-08 DOI: 10.34172/ajdr.2023.535
Hossein Maghbuli, Tahmineh Razi, Elham Banakar, Parya Emamverdizade, Sedigheh Razi
Background: Panoramic imaging is a technique to create images of facial structures. Various factors affect the preparation of a high quality and proper panoramic image, such as the patient’s proper position. The aim of this study was to investigate positional errors in panoramic images based on the dentition type of patients referring to oral and maxillofacial radiology department of Tabriz Dental School Methods: This cross-sectional study was conducted in Radiology Department of Tabriz Dental School in 2017-18. Dentition of patients (primary, mixed, permanent, complete edentulous) was determined by radiography. 410 radiography per group (1640 samples) were selected from the archives of Radiology Department by simple random sampling method. one radiologist evaluated all the images in the same condition and in a semi-dark room, in a 21-inch DELL monitor, regarding the presence of each of the positioning errors. Radiographs that were repeated due to positioning errors and poor diagnostic quality were classified as unacceptable radiographic images. Results: In primary, mixed, permanent and edentulous dentitions, not attaching the tongue to the palate were the most errors in the radiographies, with 50.4%, 65.6%, 64.3% and 64.8%, respectively. The presence of 2 errors (563 radiographies, 34.3%) had the highest frequency. 123 radiographies (7.5%) were free of errors. Primary dentition with 95 radiographies (23.2%) had the highest unacceptable radiographies, and edentulous dentition with 29 radiographies (7.1%) had the lowest unacceptable radiographies. Chi-square test indicated that this finding was statistically significant (P <0.001). Conclusions: Positioning error has high prevalence in radiographic images, the most common of which is not attaching the tongue to the palate during radiography. In the primary dentition period, the number of acceptable radiographs was lower than the other periods.
背景:全景成像是一种创建面部结构图像的技术。各种因素影响高质量和适当的全景图像的准备,如患者的适当位置。本研究的目的是调查大不里士牙科学校口腔颌面放射科患者基于牙列类型的全景图像位置误差。方法:本横断面研究于2017-18年在大不里士牙科学校放射科进行。患者的牙列(原发、混合、永久、全无牙)通过x线摄影确定。采用简单随机抽样的方法,从放射科档案中抽取每组410张x线片(样本1640张)。一位放射科医生在相同的条件下,在一个半黑暗的房间里,在一台21英寸的戴尔显示器上评估了所有的图像,关于每一个定位错误的存在。由于定位错误和诊断质量差而重复的x线片被归类为不可接受的x线片。结果:初生牙列、混合牙列、恒牙列和无牙列中,舌不贴附腭的x线片错误率最高,分别为50.4%、65.6%、64.3%和64.8%。2个错误发生率最高(563张,34.3%)。123张(7.5%)x线片无误差。初生牙列95张(23.2%)x线片不可接受率最高,无牙列29张(7.1%)x线片不可接受率最低。卡方检验表明,这一发现具有统计学意义(P <0.001)。结论:定位错误在x线摄影中普遍存在,最常见的是在x线摄影中舌部未贴附上颚。在初级牙列期,可接受的x线片数量低于其他时期。
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引用次数: 0
Deep Margin Elevation With Resin-modified Glass Ionomer in Posterior Adhesive Indirect Restorations Based on Biomimetic Principles: A Case Report 基于仿生原理的树脂改性玻璃离聚体深缘提升后牙粘连间接修复1例
Pub Date : 2022-12-07 DOI: 10.34172/ajdr.2022.532
E. Farhadi, Ladan Ranjbar Omrani, Taraneh Estedlal, E. Ahmadi
A ceramic onlay restoration is a more conservative treatment than full-coverage crowns for endodontically treated teeth (ETT); thus, it helps preserve the tooth structure. Deep margin elevation (DME) is a method to relocate subgingival margins into a more coronal position with resin-modified glass ionomer (RMGI) or direct composite resin before the cementation of the indirect restoration. A 33-year-old male was referred to restore two ETT (teeth N. 46 and 47) with extensive coronal defects extending subgingivally between two teeth. Tooth N. 47 could not undergo a crown lengthening (CL) procedure due to its short root trunk. DME with RMGI was done for both teeth before preparation for ceramic onlays. In this case, by following the principles of biomimetic dentistry, we aimed to restore the tooth defect with a material that bore all functional stresses, in addition to achieving esthetic. It seems that DME in combination with ceramic onlay restoration can be a conservative method to restore ETT in the posterior region. The goal of considering the principles of biomimetic dentistry is to maintain the function of teeth using a good bond to hard tissue that unifies the tooth and its restoration hence distributing the stresses through the tooth as a unit with near-normal functional, biological, and esthetic features.
对于经根管治疗的牙齿(ETT),陶瓷嵌体修复比全覆盖冠更保守;因此,它有助于保护牙齿结构。深缘提升(Deep margin elevation, DME)是一种在间接修复体固接前用树脂修饰玻璃离聚体(RMGI)或直接复合树脂将龈下缘重新定位到冠状位置的方法。一位33岁的男性被提及修复两颗ETT(牙齿N. 46和47),两颗牙齿之间广泛的冠状缺损延伸到牙龈下。由于N. 47牙的根干较短,不能进行冠延长术。在制备陶瓷嵌体之前,对双牙进行了RMGI DME。在这种情况下,通过遵循仿生牙科的原则,我们的目标是用一种能够承受所有功能应力的材料来修复牙齿缺陷,同时达到美观。看来二甲醚联合瓷体修复是一种保守的修复后牙区ETT的方法。考虑仿生牙科原理的目标是通过与硬组织的良好结合来维持牙齿的功能,从而将牙齿及其修复体统一起来,从而通过牙齿作为一个具有接近正常功能,生物和美学特征的单位来分配应力。
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引用次数: 1
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Avicenna Journal of Dental Research
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