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Prevalence and factors associated with dental anxiety among pregnant women seeking care at a tertiary care dental institution in Sri Lanka 在斯里兰卡三级保健牙科机构寻求护理的孕妇中牙科焦虑的患病率和相关因素
Pub Date : 2023-04-15 DOI: 10.18231/j.ijohd.2023.006
N. Wellappuli, Hegodage Thilini Randima Hegoda, L. Ekanayake, M. Jayakody
To determine the prevalence and factors associated with dental anxiety among pregnant women seeking care at the Preventive Oral Health Unit, Institute of Oral Health, Maharagama, Sri Lanka. The participants of this descriptive cross-sectional study were 402 pregnant women seeking care at the Institute of Oral Health, Maharagama for the first time. A validated Sri Lankan version of the Modified Dental Anxiety Scale (MDAS) was used to measure dental anxiety and an interviewer-administered questionnaire collected information about demographics, dental service utilization, knowledge, and the importance of oral health during pregnancy. The prevalence of dental anxiety was 61.7% and the mean MDAS score in the dentally anxious and not anxious were 13.4±3.8 and 9.20 ± 1.7 respectively. According to the binary multiple logistic regression model current employment status, household income, dental care seeking pattern, having had a negative experience during a previous visit to a dentist,poor awareness about the importance of oral health in pregnancy, not receiving oral health instructions from health care providers during pregnancy, the perception that oral care should be avoided during pregnancy were independently associated with dental anxiety. The prevalence of dental anxiety was high among this sample of pregnant women.
目的:确定在斯里兰卡马哈拉加马口腔卫生研究所预防性口腔卫生部门求诊的孕妇中牙齿焦虑的患病率及其相关因素。这项描述性横断面研究的参与者是402名首次在Maharagama口腔健康研究所寻求护理的孕妇。采用斯里兰卡版的修订牙科焦虑量表(MDAS)来测量牙科焦虑,并采用访谈者管理的问卷收集有关人口统计、牙科服务利用、知识和怀孕期间口腔健康重要性的信息。牙科焦虑的患病率为61.7%,牙科焦虑组和非牙科焦虑组的平均MDAS评分分别为13.4±3.8分和9.20±1.7分。根据二元多元logistic回归模型,当前就业状况、家庭收入、就诊模式、既往就诊不良经历、孕期口腔健康意识不强、孕期未接受医护人员口腔健康指导、孕期应避免口腔护理的认知与口腔焦虑独立相关。在这些孕妇样本中,牙科焦虑症的患病率很高。
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引用次数: 0
Association of stress, depression and anxiety with periodontal health indicators: A clinical study in adult population of Rishikesh 压力、抑郁和焦虑与牙周健康指标的关系:一项在里希凯什成年人群中的临床研究
Pub Date : 2023-04-15 DOI: 10.18231/j.ijohd.2023.007
H. Aeran, A. Tuli, Yashika Puri
: Chronic periodontitis is a condition that causes inflammation in the tissues that support teeth, gradual attachment loss, and bone loss. Stress is the body's feedback towards detrimental forces, diseases, and additional atypical circumstances that are determined to distress its routine physiological equilibrium. On the other hand, the most prevalent psychological problems connected to periodontitis are anxiety and sadness.: This study intends to assess the relationship between stress, depression, and anxiety with indices of periodontal health.: A total of 171 patients were assessed & divided into 2 groups. Gingival index, modified sulcus bleeding index, community periodontal index for treatment needs, probing pocket depth, and clinical attachment level were evaluated. The Depression Anxiety Stress Scale–21 questionnaire used as the basis for the psychometric evaluation.: The statistical analysis made use of the student 't' test and Pearson's correlation coefficient. When compared between the two groups, Group A had significantly higher values for each metric. The psychometric parameters and the periodontal parameters had a weakly positive connection (p<0.0001).: According to the current study, people who are stressed, depressed, or anxious are more likely to develop periodontal disease. Therefore, stress, depression & anxiety could be viewed as a significant periodontal disease risk factor.
慢性牙周炎是一种导致支撑牙齿的组织发炎、逐渐失去附着物和骨质流失的疾病。压力是身体对有害力量、疾病和其他非典型情况的反馈,这些情况注定会破坏其日常生理平衡。另一方面,与牙周炎相关的最普遍的心理问题是焦虑和悲伤。本研究旨在探讨压力、抑郁、焦虑与牙周健康指标的关系。:共171例患者进行评估并分为2组。评估牙龈指数、改良沟出血指数、社区牙周治疗需求指数、探诊袋深度和临床依恋水平。采用抑郁焦虑压力量表- 21作为心理测量评估的基础。统计分析采用学生t检验和Pearson相关系数。当两组比较时,A组的每个指标的值都明显更高。心理测量参数与牙周参数呈弱正相关(p<0.0001)。根据目前的研究,压力大、抑郁或焦虑的人更容易患牙周病。因此,压力、抑郁和焦虑可被视为牙周病的重要危险因素。
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引用次数: 0
Managing leukoplakia with diode laser: A report of two cases 二极管激光治疗白斑2例报告
Pub Date : 2023-04-15 DOI: 10.18231/j.ijohd.2023.012
Smita Ajit Bacholkar, Amita Navalkar
Oral leukoplakia is the most common precancerous lesion of the oral mucosa. WHO defined it as a lesion which has a white patch or plaque on the oral mucosa that cannot be removed by scraping and cannot be classified clinically or microscopically as another disease process. Management of oral leukoplakia should begin with elimination of predisposing habit. There are currently different approaches in the management of Leukoplakia such as scalpel surgery, systemic carotenoids and antioxidants, electro cauterization, cryotherapy and Lasers. Even though on-surgical options are preferred choice of treatment, it takes time to achieve complete regression of lesion and sometimes may not achieve complete resolution. On the other hand, conventional surgical techniques are invasive and cause trauma to the patient. Excision of precancerous oral lesions using LASER offers comparative advantages over traditional scalpel excision. Laser is an acronym for Light Amplification by stimulated emission of radiation. It is surgical technique which excises the targeted tissue using emission of a monochromatic light of specific wavelength. Because of this property, laser excision of the tissue results in complete bloodless field of surgery, reduced chances of post-surgical inflammation and infections and hence better treatment compliance of the patients towards the surgery. This is one of the important goals for management of oral potentially malignant disorders. We present two case reports of homogeneous leukoplakia treated using diode lasers of wavelength 810nm with follow-up. Both cases did not report any post-operative discomfort or inflammation. The aim of this case report is to highlight the importance of laser excision with minimal complications and better treatment outcomes.
口腔白斑是口腔黏膜最常见的癌前病变。世卫组织将其定义为口腔黏膜上有白色斑块或菌斑的病变,不能通过刮除,不能在临床或显微镜下归类为另一种疾病过程。口腔白斑的治疗应从改掉易患的习惯开始。目前治疗白斑的方法不同,如手术刀手术、全身类胡萝卜素和抗氧化剂、电烧灼、冷冻疗法和激光。尽管非手术治疗是首选的治疗方案,但要实现病变的完全消退需要时间,有时可能无法实现完全解决。另一方面,传统的手术技术是侵入性的,会给病人造成创伤。与传统的手术刀切除相比,激光切除口腔癌前病变具有相对优势。激光是受激辐射光放大的首字母缩写。这是一种外科手术技术,通过发射特定波长的单色光来切除目标组织。由于这一特性,激光切除组织导致手术完全无血,减少了术后炎症和感染的机会,因此患者对手术的治疗依从性更好。这是口腔潜在恶性疾病治疗的重要目标之一。我们报告两例均质性白斑用波长810nm的二极管激光治疗并随访。两例患者均未出现术后不适或炎症。本病例报告的目的是强调激光切除的重要性,并发症少,治疗效果好。
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引用次数: 0
Endodontic management of curved canals in mandibular molars- A case series 下颌磨牙弯曲管的根管治疗-一个病例系列
Pub Date : 2023-04-15 DOI: 10.18231/j.ijohd.2023.009
Rishu Mittal
A tooth with a straight root canal and a single foramen is the exception rather than the rule. Most of the canals have multiple curvatures along their length, which poses difficulty in root canal instrumentation. Because of the presence of curved canals in mandibular molars, Endodontic treatment is very challenging. Curved canals have been found to be relatively higher in mandibular molars, ranging from 3.3 to 30.92% when compared to maxillary molars. Constricted canals and curvatures introduce factors that can increase the risk of procedural errors during root canal preparation. A thorough assessment of the preoperative radiographs, careful and a meticulous approach can yield into a safe and a successful endodontic treatment of such teeth. The current case series presents two such interesting cases of endodontic management of curved canals in mandibular molars.
牙齿的根管是直的,只有一个牙根孔,这是例外,而不是普遍现象。大多数根管沿其长度有多个曲率,这给根管预备带来了困难。由于下颌磨牙存在弯曲管,根管治疗非常具有挑战性。与上颌磨牙相比,下颌磨牙的弯曲管比例较高,为3.3%至30.92%。狭窄的根管和弯曲引入了一些因素,可以增加根管准备过程中操作错误的风险。对术前x线片进行彻底的评估,仔细和细致的方法可以产生安全成功的牙髓治疗。目前的病例系列提出了两个这样有趣的病例根管管理弯曲的下颌磨牙管。
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引用次数: 0
Comparison of the efficacy of active oxygen - containing mouthwash (BlueM) with chlorhexidine mouthwash (Hexidine) and its effect on plaque, calculus, and gingival inflammation 含氧漱口水(BlueM)与氯己定漱口水(Hexidine)的疗效比较及其对牙菌斑、牙石和牙龈炎症的影响
Pub Date : 2023-04-15 DOI: 10.18231/j.ijohd.2023.008
Chitrani Rajkhowa, Shiny Supriya L, J. Bhavadharani, Afreen Jannath A, Nivedha K, A. Padmanaban
: To compare the efficacy of active oxygen - containing mouthwash (BlueM) with chlorhexidine mouthwash (Hexidine) and its effect on plaque, calculus, and gingival inflammation.A Double blind parallel study was done on 20 systemically healthy patients with the presence of generalized chronic gingivitis in the age group of 20-45 years. Each subject will rinse their mouth with the mouthrinse assigned to them, or twice daily for one minute in the morning and before going to bed. They will be instructed to swish it properly around the mouth and avoid its ingestion. Descriptive statistics was performed by calculating mean and standard deviation for the continuous variables. Intergroup and intragroup comparisonbetween chlorhexidine and Blue M at baseline (To) and at the end of 3 weeks (T1) showing no statistical differences between the two groups.Blue M can be used as a safe alternative to chlorhexidine in reducing the microbial load. But when compared to each other there wasn't a significant change between them. Chlorhexidine has the edge in being very cheaper compared to Blue M. Further studies are required with conclusive evidence to be able to determine whether oxygen enriched mouthwashes can replace chlorhexidine in the future.
目的:比较含氧漱口水(BlueM)与氯己定漱口水(Hexidine)的疗效及其对牙菌斑、牙石和牙龈炎症的影响。对20例年龄在20-45岁的全身性慢性牙龈炎患者进行了双盲平行研究。每个受试者将用分配给他们的漱口水漱口,或每天两次,每次一分钟,在早上和睡觉前。他们将被指示在口中适当地漱口,避免误食。通过计算连续变量的均值和标准差进行描述性统计。氯己定和蓝M在基线(To)和3周末(T1)的组间和组内比较,两组间无统计学差异。蓝M可作为氯己定的安全替代品,减少微生物负荷。但是当它们相互比较时,它们之间并没有明显的变化。与Blue m相比,氯己定的优势是非常便宜,需要进一步的研究和确凿的证据来确定富氧漱口水是否可以在未来取代氯己定。
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引用次数: 1
Shine the Light, and Find the Path! 照耀光明,找到道路!
Pub Date : 2023-01-01 DOI: 10.16966/2378-7090.404
V. A.
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引用次数: 0
Germectomy (Therapeutic Enucleation) of First Bicuspids and Eruption Guide to Treat Dental Crowding without Using Orthodontic Treatment. Case Report 第一二尖瓣切除(治疗性去核)和牙露治疗牙齿拥挤而不使用正畸治疗的指南。病例报告
Pub Date : 2023-01-01 DOI: 10.16966/2378-7090.406
Anguizola Ja
Germectomy (enucleation) of the first bicuspids has shown to be an effective treatment in the management of dental crowding in mixed dentition because it produces intraosseous decongestion of the dental mass between permanent canines and second bicuspids. This provides early available space for the autonomic eruption without interference from the first bicuspid to the permanent canine which erupts into a highly stable position within the dental arch, facilitating and accelerating orthodontic treatment (if required) which would be terminating before the difficult adolescent age. This procedure differs from the orthodontic treatment of extracting the first bicuspids after they erupt when they are already facing a frank crowding, mature periodontal ligament, and deformity of the alveolar process. In our opinion, Germectomy of first bicuspids will replace serial extractions during which time the treating specialist will concentrate on preventive eruption guidance and the management of habits in general such as tongue, thumb, lips, and mouth breathing, in addition to performing Functional orthopedics of the jaws as in deep bites, deficiency or maxillary protrusion among others.
第一双尖的生殖切除(去核)已被证明是一种有效的治疗牙齿拥挤在混合牙列的管理,因为它产生骨内牙团之间的永久犬和第二双尖。这为自主生长提供了早期的可用空间,而不会干扰第一个二尖牙到永久犬齿的生长,永久犬齿在牙弓内的高度稳定的位置,促进和加速正畸治疗(如果需要),这将在困难的青春期之前结束。这个程序不同于正畸治疗,当他们已经面临明显的拥挤,成熟的牙周韧带和牙槽突畸形时,拔除第一个二尖牙。在我们看来,第一双尖齿的生殖切除将取代连续的拔牙,在此期间,治疗专家将专注于预防出牙指导和一般习惯的管理,如舌头、拇指、嘴唇和口腔呼吸,除了在深咬、缺陷或上颌突出等情况下对颌骨进行功能矫形。
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引用次数: 0
Influence of Occlusion on Flight Time in Trampoline Competition 遮挡对蹦床比赛飞行时间的影响
Pub Date : 2023-01-01 DOI: 10.16966/2378-7090.405
Takahashi M, Bando Y, Fukui T, Maruyama A, Sugita M
Purpose: The aim of this study was to clarify the effect of occlusion on flight time in trampoline competition. Materials and methods: Participants were 10 male trampoline gymnasts (18.9 ± 0.8 years). Dental Prescale was used to measure the occlusal contact state, and the lateral difference in the occlusal contact area was calculated. An all-in-one measurement system (HDTS EU-7100) was used to measure the flight time during consisted of 10 consecutive straight jumps. The correlation between the lateral difference in occlusal contact area and flight time was analyzed using Pearson’s product-moment correlation coefficient. A custom mouthguard was fabricated using a 2.0-mm-thick thermoplastic sheet and was adjusted so that all teeth were in even contact with light clenching. Differences in flight times with and without a mouthguard were compared using a paired t-test. Spearman’s rank correlation coefficient was used to analyze the relationship between the lateral difference in occlusal contact area and the rate of flight-time prolongation due to wearing a mouthguard. Results: A negative correlation was observed between the lateral difference in occlusal contact area and flight time (P<0.05, R=−0.697). As a result of comparing the flight time with and without a mouthguard, flight time was significantly longer with a mouthguard (P<0.05). A significant positive correlation was observed between the lateral difference in occlusal contact area and the extension rate of flight time due to wearing a mouthguard (P<0.05, R=0.657). Conclusion: This study revealed a relationship between occlusion and flight time during straight jumps in the trampoline competition and found that the smaller the left-right difference in the occlusal contact area, the longer the flight time. In addition, it was clarified that achieving uniform occlusal contact by wearing a mouthguard contributed to the extension of flight time, and this effect was more pronounced in athletes with uneven occlusal contact.
目的:本研究的目的是阐明遮挡对蹦床比赛飞行时间的影响。材料与方法:研究对象为10名男性蹦床体操运动员(18.9±0.8岁)。采用牙预分法测量牙合接触状态,计算牙合接触面积的侧差。使用一体化测量系统(HDTS EU-7100)测量由10个连续直跳组成的飞行时间。采用Pearson积矩相关系数分析咬合接触面积侧差与飞行时间的相关性。使用2.0毫米厚的热塑性塑料片制作定制护齿器,并进行调整,使所有牙齿在轻微咬合时均匀接触。使用配对t检验比较带和不带牙套飞行时间的差异。采用Spearman等级相关系数分析牙合接触面积侧差与佩戴护齿导致飞行时间延长率的关系。结果:牙合接触面积侧差与飞行时间呈负相关(P<0.05, R= - 0.697)。带牙套和不带牙套飞行时间比较,带牙套飞行时间明显长于带牙套飞行时间(P<0.05)。牙合接触面积侧差与佩戴护齿导致的飞行时间延长率呈显著正相关(P<0.05, R=0.657)。结论:本研究揭示了蹦床直跳比赛中咬合与飞行时间的关系,发现咬合接触面积的左右差异越小,飞行时间越长。此外,通过佩戴护齿实现均匀的咬合接触有助于延长飞行时间,并且这种效果在咬合接触不均匀的运动员中更为明显。
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引用次数: 3
Parental consanguinity a possible risk factor for tooth agenesis: A case series 父母血缘关系是牙齿发育不全的可能危险因素:一个病例系列
Pub Date : 2022-12-15 DOI: 10.18231/j.ijohd.2022.060
M. Siddiqui, A. Juneja, A. Sultan
Dental agenesis is a commonly encountered dental anomaly that affects more than 20% of the human population. It can be categorized as hypodontia, oligodontia, or anodontia. Oligodontia can occur either as an isolated finding or as a part of the syndrome, and the causative factor can be either environmental or genetic.: This report describes three cases of isolated, non-syndromic tooth agenesis with single/ multiple missing permanent teeth. No other associated clinical features or any systemic involvement were present in these cases, suggesting parental consanguinity as a possible etiological factor.: The purpose of this case report is to promulgate premarital counselling and health awareness programs focusing on the potential consequences of consanguineous marriages and their prevention.
牙齿发育不全是一种常见的牙齿异常,影响了超过20%的人口。它可以被分类为下颌畸形、少齿畸形或无齿畸形。少齿症既可以作为孤立的发现发生,也可以作为综合征的一部分发生,致病因素可以是环境的或遗传的。本报告描述了3例孤立的非综合征性牙齿发育不全伴单/多颗恒牙缺失的病例。在这些病例中没有其他相关的临床特征或任何全身累及,提示亲本血缘关系可能是病因。本案例报告的目的是颁布婚前咨询和健康意识方案,重点关注近亲婚姻的潜在后果及其预防。
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引用次数: 0
Assessment of tobacco cessation activities in the dental settings- A short survey study of 114 responses 牙科戒烟活动的评估- 114份回复的简短调查研究
Pub Date : 2022-12-15 DOI: 10.18231/j.ijohd.2022.056
Yogashree Sonawane, G. Naviwala, Omprakash Yadav, P. Sharda
A questionnaire survey designed for a population study to assess the tobacco cessation activities carried out in a dental setting.1) To assess the approach followed by dental doctors toward tobacco cessation activities in the dental setting. 2) To understand the barriers (if any) faced by the dentists in conducting tobacco cessation activities. To achieve the aforementioned objectives, a cross-sectional research study was designed to gather information on the approach toward tobacco cessation in a dental setting. This questionnaire was further circulated through diverse WhatsApp groups and through posts on social media sites to obtain responses. Although screening for tobacco-related habits in a dental setting is crucial, only around 40% of the survey respondents reported having “always” (5 out of 5 cases) screened for tobacco-related habits. Nearly 49% of the survey respondent, lacked basic tobacco-related IEC material like banners, posters, demonstration videos, or help books required for patient sensitization. About 64% of respondents reported that they had never attended any tobacco cessation workshops while around 85% of respondents were willing to attend tobacco cessation workshops in near future. The article highlights the role of dentists in the screening of tobacco-related habits. It emphasizes the need for improved IEC/BCC activities to curb the tobacco pandemic. Catering to training needs and sensitization of the dental workforce for effective management of tobacco cases is also being pinpointed. The development of exclusive guidelines or templates for screening forms a major crux of the study.
一项为人口研究而设计的问卷调查,目的是评估在牙科机构进行的戒烟活动。1)评估牙科医生在牙科机构进行戒烟活动所采用的方法。2)了解牙医在进行戒烟活动时遇到的障碍(如有)。为了实现上述目标,我们设计了一项横断面研究,以收集有关牙科戒烟方法的信息。该问卷进一步通过不同的WhatsApp群组和社交媒体网站上的帖子进行分发,以获得回应。尽管在牙科环境中筛查与烟草有关的习惯至关重要,但只有约40%的调查答复者报告“总是”(5例中有5例)筛查与烟草有关的习惯。近49%的受访者缺乏与烟草相关的基本信息、教育和宣传材料,如横幅、海报、演示视频或患者致敏所需的帮助书籍。约64%的答复者报告说,他们从未参加过任何戒烟讲习班,而约85%的答复者愿意在不久的将来参加戒烟讲习班。这篇文章强调了牙医在筛查与吸烟有关的习惯方面的作用。它强调有必要改进信息、教育和宣传中心的活动,以遏制烟草大流行。此外,还确定了满足培训需要和提高牙科工作人员对有效管理烟草病例的认识。制定专门的筛选指南或模板是这项研究的主要难点。
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引用次数: 0
期刊
International journal of dentistry and oral health
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