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Surgical approach of impacted maxillary second premolar – A case to report 上颌第二前磨牙阻生手术入路1例
Pub Date : 2023-06-15 DOI: 10.18231/j.ijohd.2023.025
S. Wadewale, Nitin Bhola
Impacted molars are frequently seen in clinical circumstances. When compared to other teeth, wisdom teeth and the cuspid are discovered to be significantly more impacted. Aside, impacted teeth have a likelihood of more extreme and significant issues, which include fostering the growth of cysts and other consequences because of their close association to the nasal and oral cavity, in addition to their debilitating nature and a likely functioning disruption they can cause. For the patient, managing it is crucial from a cosmetic and practical standpoint. Impaction on premolars is thought to occur at a rate of about 0.5%. We focus on the case of a 19- year-old girl who had an uncommonly affected maxillary second premolar tooth that was treated with surgical exposure and orthodontic traction.
阻生磨牙在临床上很常见。与其他牙齿相比,智齿和尖牙受到的影响明显更大。此外,阻生牙可能会产生更极端和更严重的问题,包括促进囊肿的生长和其他后果,因为它们与鼻腔和口腔密切相关,除了它们的衰弱性质和可能导致的功能破坏之外。对于患者来说,从美容和实用的角度来看,管理它是至关重要的。前磨牙嵌塞的发生率约为0.5%。我们的重点是一个19岁的女孩谁有一个罕见的影响上颌第二前磨牙是治疗手术暴露和正畸牵引。
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引用次数: 0
Evaluation of remineralizing efficiency of two calcium-based non-fluoridated remineralizing agents for the prevention of white spot lesions (WSL): A comparative FESEM & EDS in-vitro study 两种钙基非氟化再矿剂预防白斑病变(WSL)的再矿化效果评价:FESEM和EDS体外比较研究
Pub Date : 2023-06-15 DOI: 10.18231/j.ijohd.2023.020
M. A. Wani, S. Khattri, Nadeem Hassan, Shiraz Siddiqui, Mohd. Amir, Saeed Zaffar
This research work was designed to appraise and equate the remineralizing efficiency of two calcium-based phosphate delivery agents, Casein Phosphopeptide-Amorphous Calcium Phosphate (CPP-ACP) and Calcium Sucrose Phosphate (CaSP) for preventing the development of White Spot Lesions (WSL) around the orthodontic brackets. Forty orthodontically removed premolar teeth were randomly allocated to Group 1(n=20) - (CPP-ACP) and Group 2(n=20) - (CaSP). All the specimens were subjected to FESEM and EDS analysis before the initial demineralization phase and after 14 days of the pH cycling phase, to observe and record changes in surface topography and mineral content (Ca/P ratio % wt.). Statistical data for the Intragroup comparison were analyzed by using Paired sample t-test, whereas for the Intergroup comparison, an Unpaired t-test was performed. Furthermore, the One-way ANOVA test was applied for comparing Intragroup data and the Post-hoc Tukey test was applied to compare Intergroup data. Group 1 samples showed an 11.3%increase in remineralization and Group 2 samples showed a 21.3%increase in remineralization, indicating a statistically significant (p < 0.05) 11% of greater remineralizing efficiency of CaSP. The use of Calcium Sucrose Phosphate (CaSP) tooth cream around the orthodontic brackets seems to produce significantly better remineralization effects.
本研究旨在评价和评价两种钙基磷酸盐递送剂酪蛋白磷酸肽-无定形磷酸钙(CPP-ACP)和磷酸蔗糖钙(CaSP)预防正畸托槽周围白斑病变(WSL)发展的再矿化效率。将40颗正畸拔除的前磨牙随机分为第1组(n=20) - (CPP-ACP)和第2组(n=20) - (CaSP)。所有样品在初始脱矿阶段前和pH循环阶段14 d后进行FESEM和EDS分析,观察并记录表面形貌和矿物含量(Ca/P比值% wt.)的变化。组内比较采用配对样本t检验,组间比较采用非配对t检验。此外,组内资料比较采用单因素方差分析检验,组间资料比较采用事后Tukey检验。1组和2组的再矿化效率分别提高了11.3%和21.3%,表明CaSP再矿化效率提高了11%,差异有统计学意义(p < 0.05)。在正畸托架周围使用蔗糖磷酸钙(CaSP)牙霜似乎可以产生明显更好的再矿化效果。
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引用次数: 0
Unusual presentation of an ossifying fibroma in a young adult in mandibular region 罕见的骨化纤维瘤的表现在一个年轻的成年人在下颌骨区域
Pub Date : 2023-06-15 DOI: 10.18231/j.ijohd.2023.026
Arpan Manna, Tanha Khan, T. Bashir, Mohammed Ahmed Al-bahi, Alyaa Essam Senan, Lakshya Vishnoi
A benign bone neoplasm known as an osseous fibroma is frequently referred as fibro-osseous lesion. It has a stronger preference for females and is thought to have originated from periodontal membrane. Maxilla is less often afflicted than the mandible. This bone neoplasm is made up of highly cellular, fibrous tissue with varied levels of calcified tissue, which may resemble cementum, bone, or both. Depending on the degree of calcification, the lesions are either entirely radiolucent, mixed, or fully radiopaque with a radiolucent margin. Due to its propensity for recurrence and potential for malignant change, ossifying fibromas necessitate extensive surgery. In this case, a 20-year-old female had a large ossifying fibroma of mandible.
一种被称为骨纤维瘤的良性骨肿瘤通常被称为纤维-骨病变。它对雌性有更强的偏好,被认为起源于牙周膜。与下颌骨相比,上颌骨较少受到折磨。这种骨肿瘤由高度细胞化的纤维组织和不同程度的钙化组织组成,这些钙化组织可能类似于骨质、骨或两者。根据钙化程度的不同,病变可表现为完全透光、混合透光或完全不透光并伴有透光边缘。由于它的复发倾向和潜在的恶性变化,骨化纤维瘤需要广泛的手术。在这个病例中,一名20岁的女性患有一个巨大的下颌骨骨化纤维瘤。
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引用次数: 0
Rehabilitation of post mucormycosis surgical defect using definitive obturator with cast metal framework- A case report 铸造金属固定闭孔修复毛霉病术后手术缺损1例
Pub Date : 2023-06-15 DOI: 10.18231/j.ijohd.2023.029
Rajashree Salvi, Manish Chauhan, Jyoti Tembhurne, Arti Gangurde, Niraja Jaiswal, M. Jadhav
The recent outbreak of covid-19 disease has led to development of mucormycosis in immunocompromised individuals. Treatment options include antifungal drugs, surgical removal of infected tissues, and management of underlying metabolic disorders. Surgery typically includes the complete excision of the diseased region. These defects put the patient at risk for nasal twang, fluid leaks into the nasal cavity, and poor masticatory function. In such defects, the obturator prosthesis can create an oro-nasal seal. This case report describes the rehabilitation of post mucormycosis surgical defect using definitive obturator using cast metal framework.
最近暴发的covid-19疾病导致免疫功能低下个体出现毛霉病。治疗方案包括抗真菌药物、手术切除感染组织和管理潜在的代谢紊乱。手术通常包括完全切除病变区域。这些缺陷使患者面临鼻音、液体漏入鼻腔和咀嚼功能低下的风险。在这种缺陷中,闭孔假体可以创造一个口鼻密封。本病例报告描述了使用铸造金属框架的最终闭孔修复毛霉菌病手术缺陷。
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引用次数: 0
Keep it simple: correction of anterior cross bite – an ortho-perio interdisciplinary approach 保持简单:矫正前交叉咬合-一种交叉交叉的方法
Pub Date : 2023-06-15 DOI: 10.18231/j.ijohd.2023.027
Abrar Younus A, Nausheer Ahmed, Shreya Shetty K
This case report explores the treatment of a 13-year-old male patient with severe dental crowding and periodontal issues using non-extraction orthodontic treatment combined with a root coverage procedure. The patient presented with a skeletal class 1 base malocclusion, and multiple anterior crossbites, along with a compromised lower central incisor and gingival recession. Despite the option of extraction, the patient declined this approach, and the final goal was to achieve stable class 1 occlusion and an improved smile.The treatment plan utilized pre-adjusted edgewise appliance (MBT 0.022 inch slot), distalization of the canine, inversion of the maxillary right lateral bracket, and the cautious use of open coil spring in the upper and lower anterior segments. After alignment was completed, a root coverage procedure was performed on the lower right central incisor. The treatment lasted for 20 months, and the results showed successful alignment of both arches, canine protected occlusion, and improved periodontal health.Overall, this case report highlights the complex relationship between orthodontic treatment and periodontal health and the importance of careful treatment planning and patient communication to achieve successful and stable results. The non-extraction approach combined with root coverage procedure proved to be an effective treatment option for this patient, leading to an improved occlusion, smile, and periodontal health.
本病例报告探讨了一名13岁男性患者的治疗严重牙齿拥挤和牙周问题,采用非拔牙正畸治疗结合牙根覆盖程序。患者表现为骨骼1级基牙错颌,多发前牙交叉咬合,并伴有中下切牙受损和牙龈萎缩。尽管可以选择拔除,但患者拒绝了这种方法,最终目标是实现稳定的1级咬合和改善的微笑。治疗方案采用预调整的边缘矫治器(MBT 0.022英寸槽),犬齿离体,上颌右侧托槽内翻,上下前节谨慎使用开圈弹簧。对准完成后,对右下中切牙进行牙根覆盖手术。治疗持续了20个月,结果显示双牙弓成功对齐,犬保护咬合,牙周健康得到改善。总的来说,这个病例报告强调了正畸治疗和牙周健康之间的复杂关系,以及仔细的治疗计划和患者沟通对于取得成功和稳定的结果的重要性。非拔牙结合牙根覆盖治疗是一种有效的治疗方法,可以改善患者的咬合、微笑和牙周健康。
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引用次数: 0
Student's confidence level in performing root canal treatment and its correlation with encountered errors 学生进行根管治疗的信心水平及其与遇到错误的相关性
Pub Date : 2023-06-15 DOI: 10.18231/j.ijohd.2023.021
Nurul Ain Ramlan, M. Kamarulzaman, Norfadzlina Amirah Binti Norzelan, Nuradilah binti Yusri
This study aims to investigate the confidence level of undergraduate final-year dental students in performing root canal treatment (RCT) and the relationship to the problems encountered during RCT. A validated online questionnaire was distributed to final-year dental students at Universiti Teknologi MARA. The questionnaire utilized both scaled responses and closed-ended questions to gain data regarding students’ confidence levels in performing root canal treatment. : In this study, 93.4% of the students were confident in placing a rubber dam, 90.8% were confident in injecting local anesthesia and root canal irrigation. Procedures that were rated as least confident were access cavities and management of interappointment flare-ups. For the mean rate of self-confidence in performing RCT in the dentition, maxillary anterior teeth (4.24±0.63) ranked highest followed by mandibular premolars (4.11±0.72), whereas the least confidence was in treating maxillary molars (3.38±0.69). Higher scores of self-confidence were in the management of necrotic pulp (4.22±0.65), followed by vital pulp treatments (3.95±0.61). The main mishaps that students encountered were canal blockage (57.9%) and underestimation of length (52.6%). There is no statistically significant correlation between the confidence level and encountered errors. . : The mean overall confidence score of different endodontic procedures was high, which is 80%. Examining the confidence level of students is a crucial part of this study, which can help to enhance the quality of endodontic education in areas that need improvement.
本研究旨在调查牙科学本科毕业班学生进行根管治疗(RCT)的信心水平及其与RCT过程中遇到的问题的关系。一份有效的在线调查问卷被分发给玛拉理工大学牙科专业的最后一年级学生。问卷采用了量表式回答和封闭式问题,以获得有关学生对进行根管治疗的信心水平的数据。在本研究中,93.4%的学生对放置橡胶坝有信心,90.8%的学生对注射局麻和根管冲洗有信心。被评为最不自信的程序是访问蛀牙和处理预约间突发事件。对于在牙列进行RCT的平均自信率,上颌前牙(4.24±0.63)最高,下颌前磨牙(4.11±0.72)次之,上颌磨牙(3.38±0.69)信心最低。在牙髓坏死处理中自信心得分最高(4.22±0.65),其次是重要牙髓处理(3.95±0.61)。学生遇到的主要事故是管道堵塞(57.9%)和长度低估(52.6%)。置信水平与遇到的错误之间没有统计学上的显著相关。:不同牙髓治疗方法的平均总体置信度评分较高,为80%。检查学生的信心水平是本研究的重要组成部分,这有助于提高需要改进的根管教育质量。
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引用次数: 0
Scope of an alkasite restorative material in paediatric dentistry: A review 一种alkasite修复材料在儿科牙科的应用范围:综述
Pub Date : 2023-06-15 DOI: 10.18231/j.ijohd.2023.017
A. Sultan, A. Juneja, M. Siddiqui
Regardless of barriers linked to the patient’s age and behaviour, restoring primary teeth can be technically challenging, and researchers have long searched for an appropriate replacement for glass ionomer cement, composites, and silver amalgam that is cost-effective, fluoride-releasing, convenient to use, and fulfils both strength and acceptable aesthetics. An Alkasite is a resin -based modified composite resin restorative material, comprising alkaline fillers responsible for leaching acid-neutralizing ions like fluoride, calcium, and hydroxide ion. This Alkasite Cention-N is available in A2 tooth shade and has advantages of both Amalgam and GIC and provides better aesthetics and high flexural strength with the additional characteristic of optional light-curing.
尽管与患者的年龄和行为相关的障碍,修复乳牙在技术上是具有挑战性的,研究人员长期以来一直在寻找一种合适的替代玻璃离子水门合剂、复合材料和银汞合金的方法,这种方法具有成本效益、释放氟化物、使用方便、强度和可接受的美观性。Alkasite是一种树脂基改性复合树脂修复材料,包括碱性填料,负责浸出酸中和离子,如氟化物、钙和氢氧化物离子。这种Alkasite Cention-N可用于A2齿罩,具有汞合金和GIC的优点,具有更好的美观性和高抗弯强度,并具有可选光固化的附加特性。
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引用次数: 0
Prosthetic rehabilitation of midface defect using two hollow component magnet retained silicone prosthesis: Case report 双空心磁铁硅树脂假体修复中面部缺损1例
Pub Date : 2023-06-15 DOI: 10.18231/j.ijohd.2023.024
Rajat Lanzara, Dinesh Kumar, M. Viswambaran
Body abnormalities that compromise form, function or aesthetics can make an individual incapable of leading a relatively normal life. Facial disfigurement may occur as a result of a congenital anomaly, trauma or tumor surgery. The defects can be rehabilitated surgically or with the help of prosthesis. Many situations due to size or the location of defect or because of patient’s medical condition, surgical reconstruction is not possible. In these cases rehabilitation is done using maxillofacial prosthesis. This case report describes a complete prosthetic rehabilitation of mid face defect secondary to surgery. The intraoral maxillary defect was rehabilitated using velopharyngeal prosthesis and extraoral cheek defect was corrected using custom made two component hollow silicone prosthesis. The rehabilitation restored mastication, speech, swallowing, aesthetics as well as social and psychological status of the patient.
身体畸形损害形式,功能或美学可以使个人无法过相对正常的生活。面部畸形可能是由于先天畸形、外伤或肿瘤手术造成的。这些缺陷可以通过手术或假体修复。在许多情况下,由于缺损的大小或位置或由于患者的医疗条件,手术重建是不可能的。在这些病例中,使用颌面假体进行康复。这个病例报告描述了一个完整的修复面部中部缺损继发手术。口腔内上颌缺损采用腭咽假体修复,口腔外颊缺损采用定制双组份中空硅胶假体修复。康复后患者的咀嚼、言语、吞咽、审美及社会心理状态均得到恢复。
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引用次数: 0
Oral hygiene status among 5 to 15-year-old children stomatology National Hospital in Kabul city 喀布尔市国立口腔医院5至15岁儿童口腔卫生状况
Pub Date : 2023-06-15 DOI: 10.18231/j.ijohd.2023.019
Shamila Azimi
: The practice of oral hygiene needs to be strengthened during adolescence, a time when there is a significant change in habits, leading to an increase in the prevalence of tooth decay associated with less frequent brushing. The propose of the study is to determine the oral hygiene status in 5-15-year-old children, the lack of the previous data in this field is one the reasons for conducting this research so that we can provide accurate statistics data in Afghanistan.: A descriptive cross-sectional study was carried out between 5-15-year-old in 431 children of stomatology national hospital of Kabul city. Sample size was selected randomly from both gender group which were 161 males and 270 females. Oral hygiene status was assessed by using simplified-oral hygiene index. Gingival index (loe and silness, 1963) was used for assessing gingival status. dmf and DMF for decayed, missed and filled teeth in primary and permanent dentition used to assess the prevalence of dental caries. Statistical analysis done by SPSS .20.21.2% of children had good oral hygiene status, 65.2% fair oral hygiene and 13.6% had poor oral hygiene. The mean OHI-S was 2.4±1.19. There is no Statistical significant difference between gender and oral hygiene status (p<0.05). The prevalence of dental caries was 80.9%. Boys mean dmf was 4.15±3.03 and it was in girls 3.05±2.67, that shows higher prevalence of dental caries in boys than girls. Overall mean of dmf scores was 3.48±2.86. 173 (40.9%) had normal gums. 31.6% of children not brush their teeth, 37.4% brush once in a day.: Oral hygiene status was fair in more than half of the sample size. High prevalence of dental caries seen in males. Dental caries is a major public health problem and an active and effective dental care prevention program for children is needed.
:青少年时期需要加强口腔卫生实践,因为这一时期的习惯发生了重大变化,导致与刷牙频率较低相关的蛀牙患病率增加。本研究的目的是确定5-15岁儿童的口腔卫生状况,由于缺乏这一领域的前期数据,因此进行本研究的原因之一是我们可以为阿富汗提供准确的统计数据。对喀布尔市国立口腔医院的431名5-15岁儿童进行了描述性横断面研究。样本量随机选取男女两组,男性161人,女性270人。采用简化口腔卫生指数评价口腔卫生状况。牙龈指数(love and silness, 1963)用于评估牙龈状况。乳牙和恒牙的龋坏、缺牙和补牙的dmf和dmf用于评估龋齿的患病率。20.21.2%的儿童口腔卫生状况良好,65.2%的儿童口腔卫生状况一般,13.6%的儿童口腔卫生状况较差。平均OHI-S为2.4±1.19。性别与口腔卫生状况差异无统计学意义(p<0.05)。龋患病率为80.9%。男孩平均dmf为4.15±3.03,女孩平均dmf为3.05±2.67,男孩患龋率高于女孩。dmf评分的总平均值为3.48±2.86。173例(40.9%)牙龈正常。31.6%的孩子不刷牙,37.4%的孩子每天只刷一次牙。半数以上的样本的口腔卫生状况尚可。男性患龋率高。龋齿是一个重大的公共卫生问题,需要一个积极有效的儿童牙齿保健预防计划。
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引用次数: 0
Comparison of palatal depth and intermolar width in class I and class II div 1 malocclusion and in class II div 1 with hyperdivergent and hypodivergent pattern I类和II类div 1型错颌及II类div 1型错颌高发散和低发散型错颌腭深和磨牙间宽度的比较
Pub Date : 2023-06-15 DOI: 10.18231/j.ijohd.2023.018
H. Aeran, P. Prasad, Harish S R Koushik, K. Bhalla, A. Rawat, Manika Singhal
: To compare the aligning efficiency, pain experienced by the patient during alignment and the post alignment third order values of anterior teeth in I arch (study) group and conventional NiTi (control) wire group.: A prospective clinical study.: A total of 40 dental arches (maxilla/mandible) were divided into 2 study groups with 20 dental arches (maxilla/mandible) in each group based on the selection criteria. Group I. Twenty dental arches (maxillary/mandibular) having 0.018” preadjusted appliance (MBT) brackets (ORMCO), aligned with I –arch 0.016”x0.014” copper NiTi wires. Group II Twenty dental arches (maxillary/mandibular) having 0.018” preadjusted appliance (MBT) brackets by ORMCO aligned with round super elastic NiTi archwires.: I -arch copper NiTi (study group) was more efficient in alignment compared to the superelastic NiTi (control group) in the lower arch and the values are statistically significant. There was torque expression in the I-arch group as compared to the superelastic NiTi group. The subjects in the I-arch (study group) experienced lesser pain compared to the superelastic NiTi (control group) and the pain values are statistically significant.
:比较I弓(研究)组与常规NiTi丝(对照)组前牙对中效率、对中疼痛及对后三阶值。一项前瞻性临床研究。:根据选择标准将40个牙弓(上/下颌骨)分为2个研究组,每组20个牙弓(上/下颌骨)。第一组:20个牙弓(上颌/下颌),有0.018 "预调整矫治器(MBT)托槽(ORMCO),用0.016 " x0.014 " I -arch镍钛铜线对齐。II组20个牙弓(上颌/下颌),采用ORMCO与圆形超弹性镍钛弓线对齐,安装0.018英寸预调节矫治器(MBT)托槽。与下弓超弹性镍钛(对照组)相比,I弓铜镍钛(研究组)对下弓的对准效率更高,数值具有统计学意义。与超弹性NiTi组相比,I-arch组有扭矩表达。与超弹性NiTi(对照组)相比,i型弓组(研究组)的受试者疼痛程度较轻,疼痛值具有统计学意义。
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引用次数: 0
期刊
International journal of dentistry and oral health
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