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Early Childhood Caries - Essential Information for Primary Healthcare Providers 儿童早期龋齿-初级保健提供者的基本信息
Pub Date : 2021-03-31 DOI: 10.31532/oralhealthdentstud.2.1.004
Saniya Mariam, Nishath Ahmed Liyakat, Vidya Kanamkote Narayanan, S. Kalyanasundaram, Kandamaran Krishnamurthy
Early Childhood Caries (ECC) is one of the most common chronic infectious diseases of childhood. It represents a significant disease burden with long-term consequences for a child's health and well-being. Primary health care providers (pediatricians, family physicians, pediatric nurses) are the first point of contact for parents for any child health-related issues as they see them repeatedly in the first few years of life for vaccinations and "well-baby" visits. However, their awareness regarding caries in primary dentition and its complications may be limited. This article has summarized important information on ECC, focusing on the health care provider's role in its early diagnosis and prevention.
儿童早期龋齿是儿童最常见的慢性传染病之一。它是一种严重的疾病负担,对儿童的健康和福祉产生长期影响。初级卫生保健提供者(儿科医生、家庭医生、儿科护士)是父母处理任何儿童健康问题的第一联系点,因为他们在生命的最初几年里反复看到他们接种疫苗和“健康婴儿”就诊。然而,他们对乳牙列龋齿及其并发症的认识可能有限。本文总结了ECC的重要信息,重点介绍了卫生保健提供者在其早期诊断和预防中的作用。
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引用次数: 3
Dento-Skeletal Abnormalities in School-aged Children in Iran: A Cross-Sectional Study 伊朗学龄儿童牙齿骨骼异常:一项横断面研究
Pub Date : 2021-01-12 DOI: 10.31532/oralhealthdentstud.2.1.003
M. Shirazi, Y. Jalali, H. Hessari
Aim: The aim of this study was to evaluate skeleto-dental abnormalities in 9-11-year-old school children, in Tehran, Iran. Materials and Methods: In this population-based cross-sectional descriptive study, a random cluster sampling was done among 19 school districts. A total of 1,429 socioeconomically and ethnically diverse Iranian schoolchildren, aged 9-11 years were studied. A brief questionnaire including background information such as gender and age was completed by the parents. Clinical examinations included the evaluation of sagittal and vertical skeletal relationship, Facial form (facial index), and the presence of significant asymmetry. Results: There were 758 males and 671 females with the mean age of 10 years±8 months. According to the sagittal skeletal relationship, the most prevalent type was convex (63%) that presenting the skeletal Cl II jaw relation; followed by straight (32.9%); and then concave (4.1%). In the vertical skeletal relationship, 73.9% of the children had an average facial relationship, 18.4 % had a long face pattern; and 7.8% had a short face pattern. Regarding facial form in the frontal view, the most common was the average form (79.3%); followed by narrow (14%); and broad (6.7%). The prevalence of significant facial asymmetry was 15.2%. Conclusion: The prevalence of dento-skeletal abnormalities were high. The majority of the Iranian schoolchildren, aged 9-11 years, had at least one dento-skeletal abnormality, even though it is commonly preventable.
目的:本研究的目的是评估伊朗德黑兰9-11岁学童的骨骼牙齿异常。材料和方法:在这项基于人群的横断面描述性研究中,在19个学区中进行了随机整群抽样。共对1429名9-11岁的社会经济和种族多样化的伊朗学童进行了研究。父母填写了一份简短的问卷,其中包括性别和年龄等背景信息。临床检查包括评估矢状和垂直骨骼关系、面部形态(面部指数)和是否存在显著不对称。结果:男性758例,女性671例,平均年龄10岁±8个月。根据矢状-骨骼关系,最常见的类型是凸型(63%),表现为骨骼Cl-II颌关系;其次是直链(32.9%);在垂直骨骼关系中,73.9%的儿童具有平均面部关系,18.4%的儿童具有长面部模式;7.8%具有短脸图案。关于正面视图中的面部形态,最常见的是平均形态(79.3%);其次是窄型(14%);明显面部不对称的发生率为15.2%。结论:齿骨异常的发生率较高。大多数9-11岁的伊朗学童至少有一种牙齿骨骼异常,尽管这通常是可以预防的。
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引用次数: 0
Barriers to Health Care for Children with Orofacial Clefts: A Systematic Literature Review and Recommendations for Research Priorities 唇腭裂儿童保健障碍:系统文献综述及优先研究建议
Pub Date : 2019-01-01 DOI: 10.31532/oralhealthdentstud.2.1.002
N. Nidey, George L. Wehby
Background: There is a growing interest in health services research of orofacial clefts (OFC) in the United States. The objective of this study is to summarize the empirical knowledge to date about barriers to health care for children with OFC. Methods: We completed a systematic literature review to identify articles on barriers to health care for children with OFC in the United States. Pubmed, Embase, CINAHL, and Medline were searched from their dates of origin through June 2018 using a combination of key terms related to access and barriers to health care. Case reports and studies of populations outside of the United States were excluded. Results: 4079 publications were identified using our search strategy. After a title and abstract review, 18 were included in our review as they met inclusion criteria. These studies examined health care costs, health insurance coverage, access to team care, geographic barriers, adequacy of training of community-based providers in providing services to children with OFC, and socioeconomic and demographic factors. The key findings indicate much higher health care costs for children with OFC than unaffected children early in childhood, racial/ethnic disparities in certain access measures, and inadequate insurance coverage, distance to teams, and inadequate training of community-based providers in OFC-specific services as potential areas of concern. Except for studies on health care costs, the evidence is largely based on relatively small and primarily descriptive studies. Conclusions: The extant literature documents high health care costs for OFC treatments and suggests inadequate insurance coverage, long distance to cleft teams, and racial/ethnic disparities as critical factors related to access. We discuss multiple future research priorities. Among these, understanding the impacts of variation between states in mandates for private insurance benefits and generosity in Medicaid coverage on access to care as well as effects of differences in provider reimbursements are particularly understudied areas that can be meaningful for policymaking aimed at improving access and health outcomes of children with OFC. Examining access throughout childhood and later in life and employing robust designs and population-representative data are also important research and methodological extensions of the current literature.
背景:在美国,人们对口腔面部唇裂(OFC)的卫生服务研究越来越感兴趣。本研究的目的是总结迄今为止关于OFC儿童保健障碍的经验知识。方法:我们完成了一项系统的文献综述,以确定美国OFC儿童医疗保健障碍的文章。Pubmed, Embase, CINAHL和Medline从它们的起源日期到2018年6月进行了搜索,使用了与医疗保健获取和障碍相关的关键术语组合。排除了美国以外人群的病例报告和研究。结果:使用我们的搜索策略确定了4079篇出版物。经过标题和摘要审查,18名符合纳入标准的人被纳入我们的综述。这些研究审查了医疗保健费用、医疗保险覆盖面、获得团队护理的机会、地理障碍、社区提供者在向患有OFC的儿童提供服务方面的培训是否充分,以及社会经济和人口因素。主要调查结果表明,患有OFC的儿童在儿童早期的医疗保健费用远高于未受影响的儿童,在某些获取措施方面存在种族/族裔差异,保险覆盖面不足,与团队的距离较远,社区提供者在OFC特定服务方面的培训不足,这些都是潜在的关注领域。除了关于卫生保健费用的研究外,证据主要是基于相对较小的描述性研究。结论:现有文献记录了OFC治疗的高医疗保健费用,并表明保险覆盖范围不足、距离远、种族/民族差异是与获得相关的关键因素。我们讨论了多个未来的研究重点。其中,了解各州在私人保险福利授权和医疗补助覆盖范围上的差异对获得医疗服务的影响以及提供者报销差异的影响是特别未被充分研究的领域,这对旨在改善OFC儿童的获得和健康结果的政策制定可能有意义。检查整个童年和生命后期的获取情况,采用可靠的设计和具有人口代表性的数据,也是对当前文献的重要研究和方法扩展。
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引用次数: 5
Mechanical and Physical Properties of Experimental Antifungal Denture Base Resins 实验性抗真菌义齿基托树脂的力学和物理性能
Pub Date : 2018-08-29 DOI: 10.31532/oralhealthdentstud.1.1.005
Kyle Maldonado, David S. Xu, Yapin Wang, Jian-feng Zhang, S. Hamdan, Z. Wen, P. Fidel, Mairi C. Noverr, Xiaoming Xu
Many denture wearers suffer from fungal infections, particularly Candida albicans, due to failure to properly clean or remove the prosthesis. These infections can cause denture stomatitis, which often leads to irritated or traumatized tissues. Current denture base materials do not have antifungal properties. We have recently synthesized several new antifungal compounds containing 1,4-diazabicyclo [2.2.2] octane (DABCO) (DC16NF, 1 DC11MAF, C2-DC11MAF) that have shown significant antifungal properties. The purpose of this study is to incorporate these novel antifungal compounds and test mechanical and physical properties of the resulting antifungal materials. The Clotrimazole was also incorporated into denture acrylics and used as a positive control. Samples were then prepared into discs and bars. All groups were tested for flexural strength, flexural modulus, water sorption, and solubility. The results showed that all experimental groups exhibited similar flexural strength as the control, except DC16NF, which had significantly lower strength than the control. DC16NF and DC11MAF both exhibited significantly lower flexural modulus compared to the control while C2DC11MAF exhibited similar flexural modulus as the control. All experimental groups exhibited higher water sorption than the control and a similar or lower solubility as compared to the control. These results suggest that the new antifungal denture base materials possess similar mechanical and physical properties as commercial denture materials, although the formulations can be further optimized. Received: May 14, 2018 Accepted: August 13, 2018 Published: August 29, 2018 Copyright: © 2018 Maldonado K, et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Corresponding author: Kyle Maldonado and Xiaoming Xu, Department of Comprehensive Dentistry and Biomaterials, Louisiana State University Health Sciences Center, USA. E-mail: Kylemaldonado90@gmail.com and xxu@lsuhsc.edu Citation: Maldonado K, Xu D, Wang Y, Zhang JF, Hamdan S, Wen ZT, Fidel PL, Noverr MC, Xu X. Mechanical and Physical Properties of Experimental Antifungal Denture Base Resins. Oral Health and Dental Studies. 2018; 1(1):5. Open Access
由于未能正确清洁或移除假牙,许多义齿佩戴者都会受到真菌感染,尤其是白色念珠菌。这些感染可导致假牙口腔炎,这通常会导致刺激或创伤组织。目前的义齿基托材料不具有抗真菌特性。我们最近合成了几种新的抗真菌化合物,这些化合物含有1,4-二氮杂双环[2.2.2]辛烷(DABCO)(DC16NF,1 DC11MAF,C2-DC11MAF),显示出显著的抗真菌特性。本研究的目的是结合这些新型抗真菌化合物,并测试所得抗真菌材料的机械和物理性能。氯三唑也被掺入义齿丙烯酸中,并用作阳性对照。然后将样品制备成圆盘和条状。所有组均测试了弯曲强度、弯曲模量、吸水性和溶解度。结果表明,除DC16NF强度明显低于对照组外,所有实验组均表现出与对照组相似的弯曲强度。与对照相比,DC16NF和DC11MAF都表现出显著较低的弯曲模量,而C2DC11MAF表现出与对照相似的弯曲模量。所有实验组都表现出比对照组更高的吸水性和与对照组相似或更低的溶解度。这些结果表明,新型抗真菌义齿基托材料具有与商业义齿材料相似的机械和物理性能,尽管配方可以进一步优化。接收时间:2018年5月14日接受时间:2018月13日发表时间:2018 2018年8月29日版权所有:©2018 Maldonado K等人。这是一篇根据知识共享署名许可证条款分发的开放获取文章,该许可证允许在任何媒体上不受限制地使用、分发和复制,前提是原作者和来源均应得到认可。通讯作者:Kyle Maldonado和Xiaoming Xu,美国路易斯安那州立大学健康科学中心综合牙科和生物材料系。电子邮件:Kylemaldonado90@gmail.com和xxu@lsuhsc.edu引文:Maldonado K,Xu D,Wang Y,Zhang JF,Hamdan S,Wen ZT,Fidel PL,Noverr MC,Xu X.实验性抗真菌义齿基树脂的力学和物理性能。口腔健康和牙科研究。2018年;1(1):5.开放访问
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引用次数: 4
Pierre Robin Sequence- Manifestation and Case Report 皮埃尔罗宾序列-表现和病例报告
Pub Date : 2018-06-08 DOI: 10.31532/oralhealthdentstud.1.1.004
E. Mass, S. Segal, Y. Arieli, U. Zilberman
A boy with Pierre Robin sequence, an autosomal recessive inherited craniofacial anomaly, defined as suffering from a chronic condition that puts him in the category of children with special needs, received comprehensive dental and orthodontic treatment.The child was diagnosed immediately after birth and suffered from respiratory and feeding problems that required tracheotomy and gastrostomy, and surgical repair of cleft palate. The course of treatments, the complications, and their solutions is described. A multidisciplinary team including pediatric, ENT, general and oral surgeons, speech therapist, pediatric dentist, and orthodontic specialists should be involved in the treatment of PRS children for a relatively better quality of life outcome. Received: Feb 15, 2018 Accepted: May 28, 2018 Published: June 08, 2018 Copyright: © 2018 Zilberman U et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Corresponding author: Uri Zilberman, Head of the Pediatric Dental Unit, Barzilai Medical University Center, Ashkelon, Israel. E-mail: uri-z@bezeqint.net Citation: Mass, E, Segal S, Ariely Y, Zilberman U.Pierre Robin SequenceManifestation and Case Report. Oral Health and Dental Studies. 2018; 1(1):4. Open Access
一名患有皮埃尔·罗宾序列的男孩接受了全面的牙科和正畸治疗,这是一种常染色体隐性遗传的颅面异常,被定义为患有慢性疾病,使他成为有特殊需要的儿童。孩子出生后立即被诊断出患有呼吸和喂养问题,需要气管切开术和胃造口术,并手术修复腭裂。叙述了治疗过程、并发症及其解决办法。一个包括儿科、耳鼻喉科、普通外科和口腔外科医生、语言治疗师、儿科牙医和正畸专家在内的多学科团队应该参与治疗PRS儿童,以获得相对更好的生活质量。收稿日期:2018年2月15日收稿日期:2018年5月28日发布日期:2018年6月08日版权所有:©2018 Zilberman U et al。这是一篇根据知识共享署名许可协议发布的开放获取文章,该协议允许在任何媒体上不受限制地使用、分发和复制,前提是要注明原作者和来源。通讯作者:Uri Zilberman,以色列阿什基伦Barzilai医科大学中心儿科牙科科主任。E-mail: uri-z@bezeqint.net引文:Mass, E, Segal S, Ariely Y, Zilberman U.Pierre Robin sequencence的表现和案例报告。口腔卫生与牙科研究;2018;1(1): 4。开放获取
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引用次数: 1
Photo-cross-linked Antibacterial Zein Nanofibers Fabricated by Reactive Electrospinning and its Effects against Streptococcus mutans. 活性静电纺丝制备光交联抗菌玉米蛋白纳米纤维及其抗变形链球菌作用
Pub Date : 2017-01-01 Epub Date: 2017-09-13
Jian-Feng Zhang, Yapin Wang, Sumei Liao, Thomas Lallier, Zezhang T Wen, Xiaoming Xu

Native zein electrospun nanofibers have shown poor solvent resistance and low mechanical strength. Compared to other toxic cross-linkers, a safer method of stabilizing zein based fibers while retaining or with improved mechanical strength is needed to convert these materials for biomedical applications where culture media or body fluids may be present. We report here a method of fabricating non-toxic zein nanofibers using reactive electrospinning coupled with in situ photo-cross-linking. The cross-linked zein nanofibers exhibited significantly improved mechanical strength and sustained morphology against water and aqueous ethanol solution. This process doesn't require additional conventional cross-linking agents to form cross-linking network, which is advantageous for biomedical applications. Antimicrobial monomer with photo-reactive moiety was coupled with methacrylate zein nanofibers and showed strong inhibitory activity against cariogenic Streptococcus mutans. Cytotoxicity test with human gingival fibroblasts revealed high biocompatibility.

天然玉米蛋白静电纺纳米纤维耐溶剂性差,机械强度低。与其他有毒交联剂相比,需要一种更安全的方法来稳定玉米蛋白基纤维,同时保持或提高机械强度,以便将这些材料转化为可能存在培养基或体液的生物医学应用。本文报道了一种利用反应性静电纺丝和原位光交联制备无毒玉米蛋白纳米纤维的方法。交联玉米蛋白纳米纤维在水和乙醇水溶液中表现出明显改善的机械强度和持久的形态。该工艺不需要额外的常规交联剂形成交联网络,有利于生物医学应用。具有光反应片段的抗菌单体与甲基丙烯酸酯玉米蛋白纳米纤维偶联,对致龋变形链球菌具有较强的抑制活性。对人牙龈成纤维细胞进行细胞毒性试验,结果显示其具有较高的生物相容性。
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引用次数: 0
Photo-cross-linked Antibacterial Zein Nanofibers Fabricated by Reactive Electrospinning and its Effects against Streptococcus mutans. 活性静电纺丝制备光交联抗菌玉米蛋白纳米纤维及其抗变形链球菌作用
Pub Date : 2017-01-01 DOI: 10.31532/oralhealthdentstud.1.1.001
Jian-feng Zhang, Yapin Wang, S. Liao, T. Lallier, Z. Wen, Xiaoming Xu
Native zein electrospun nanofibers have shown poor solvent resistance and low mechanical strength. Compared to other toxic cross-linkers, a safer method of stabilizing zein based fibers while retaining or with improved mechanical strength is needed to convert these materials for biomedical applications where culture media or body fluids may be present. We report here a method of fabricating non-toxic zein nanofibers using reactive electrospinning coupled with in situ photo-cross-linking. The cross-linked zein nanofibers exhibited significantly improved mechanical strength and sustained morphology against water and aqueous ethanol solution. This process doesn't require additional conventional cross-linking agents to form cross-linking network, which is advantageous for biomedical applications. Antimicrobial monomer with photo-reactive moiety was coupled with methacrylate zein nanofibers and showed strong inhibitory activity against cariogenic Streptococcus mutans. Cytotoxicity test with human gingival fibroblasts revealed high biocompatibility.
天然玉米蛋白静电纺纳米纤维耐溶剂性差,机械强度低。与其他有毒交联剂相比,需要一种更安全的方法来稳定玉米蛋白基纤维,同时保持或提高机械强度,以便将这些材料转化为可能存在培养基或体液的生物医学应用。本文报道了一种利用反应性静电纺丝和原位光交联制备无毒玉米蛋白纳米纤维的方法。交联玉米蛋白纳米纤维在水和乙醇水溶液中表现出明显改善的机械强度和持久的形态。该工艺不需要额外的常规交联剂形成交联网络,有利于生物医学应用。具有光反应片段的抗菌单体与甲基丙烯酸酯玉米蛋白纳米纤维偶联,对致龋变形链球菌具有较强的抑制活性。对人牙龈成纤维细胞进行细胞毒性试验,结果显示其具有较高的生物相容性。
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引用次数: 11
期刊
Oral health and dental studies
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