roza haghgoo
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Background
The acidic component of liquid medicinal syrups used by pediatric patients may cause erosion and partial demineralization. This study aimed to evaluate the effect of cheese and casein phosphopeptide‑amorphous calcium phosphate (CPP‑ACP) on erosive lesions of primary teeth enamel following exposure to amoxicillin and ibuprofen syrups.
Materials and MethodsIn this in vitro study, 60 noncarious deciduous molars were used. After measuring the surface microhardness of the samples, they were randomly separated into two groups and immersed in either amoxicillin or ibuprofen for 1 min three times per day. CPP‑ACP, cheese, and artificial saliva were then applied to each of the three subgroups (n = 10). After each immersion time, 10 min of therapy was given. Between treatment intervals, the samples were kept in artificial saliva. The microhardness was remeasured after 1 week. Data were analyzed using SPSS software through repeated‑measures ANOVA (α = 0.05).
ResultsAll samples’ microhardness reduced considerably after immersion in liquid pharmaceuticals(amoxicillin [84.9 kgf/mm2 ] and ibuprofen [75.1 kgf/mm2 ]), but increased significantly following exposure to therapeutic solutions. There was no difference between the amoxicillin‑cheese and amoxicillin‑CPP‑ACP subgroups (P = 0.975). A statistically insignificant difference was found between the ibuprofen group and the ibuprofen‑CPP‑ACP subgroup (P = 0.499).
ConclusionAs a result, cheese and CPP‑ACP can be utilized to remineralize erosive lesions caused by amoxicillin or ibuprofen exposure.
Keywords: Amoxycillin, Casein Phosphopeptide‑Amorphous Calcium Phosphate, Cheese, Demineralization, Ibuprofen, Remineralization -
Introduction
The purpose of this in vitro study is to ascertain how NovaMin and Er,Cr:YSGG laser radiation affect the remineralization of primary tooth enamel lesions.
Methods40 main teeth served as the study’s sample size. These teeth were allocated into five groups at random. The first group served as a negative control (artificial saliva); the second group served as a positive control (APF gel 1.23%); the third group NovaMin, the fourth group Er,Cr:YSGGlaser, the fifth group Er,Cr:YSGG laser and finally, the application of NovaMin. For the purpose of measuring microhardness, all samples were submitted to the dental materials laboratory three times.
ResultsThe collected data were compared using the SPSS 28 program between the baseline measurement, after demineralization, and after remineralization. The data were analyzed using ANCOVA and Bonferroni tests. All groups demonstrated a considerable increase in microhardness as compared to the negative control group (P < 0.05). With the exception of the third and fourth groups, there was no discernible difference in the rise in microhardness between the other groups. The third and fourth groups were compared, and the results revealed that NovaMin had a greater impact than laser therapy alone (P = 0.023). Scanning electron microscopy (SEM) analysis backed up the findings.
ConclusionIn comparison to using the Er,Cr:YSGG laser alone, using NovaMin alone can speed up the remineralization of erosion lesions on the surface of primary teeth.
Keywords: Primary teeth, Enamel erosion, Remineralization, Er, Cr: YSGG Laser -
Background
Mineral trioxide aggregate (MTA) is known as a common biomaterial for pulpotomy of primary molars, with limitation including high cost, difficult handling, and long setting time. This study was conducted to compare the clinical and radiographic success rate of Allium sativum oil and MTA in pulpotomy of primary molar teeth.
Materials and MethodsThis randomized, controlled, clinical trial was performed on a group of children with at least two symptom‑free primary molars requiring pulpotomy. A total of 90 teeth were randomly assigned into two groups: After pulp amputation and hemostasis, Group I received MTA as medication in the pulp chamber and Group II received Allium sativum oil over the pulp stumps. Pulp chamber was then filled with reinforced ZOE paste (zinc oxide eugenol) and teeth were restored using stainless steel crowns. The follow‑up scheme of 6, 12, and 18 months was set, and teeth evaluation was conducted by a calibrated pediatric dentist based on the modified criteria proposed by Zurn and Seale. The results were analyzed using the generalized estimating equation analysis with the P = 0.05 as the level of significance.
ResultsThe clinical success rate was 100% in both groups after all follow‑ups. The radiographic success rate was, however, 91.1% after 6.75. 6% after 12 and 18 months in Group II while it was 95.6% after 6, 91.1% after 12 and 18 months in Group I in those follow‑up points. The difference between the two groups was not statistically significant.
ConclusionAccording to the results, Allium sativum oil has a high clinical and radiographic success rate comparable to those of MTA.
Keywords: Allium sativum, mineral trioxide aggregate, molar, primary teeth, pulpotomy -
زمینه و هدف
ارتقای سلامت دهان و دندان کودکان زمینه ساز افزایش سطح سلامت جامعه و هدف دندانپزشکی کودکان است. با شناخت همه عوامل تاثیر گذار بر بهداشت و شکل گیری عادات بهداشتی کودک، می توان گام اساسی در جهت ارتقاء بهداشت دهان برداشت. این مطالعه با هدف بررسی اثر شیوه های فرزند پروری و اطلاعات دموگرافیک والدین با شاخص OHI-S (شاخص بهداشت دهانی ساده شده) در سال 1397 انجام شد.
روش بررسیدر این مطالعه مقطعی، 244 کودک 12-6 ساله شهرستان بهبهان به همراه والدینشان مورد بررسی قرار گرفتند. در این مطالعه از فرم جمع آوری اطلاعات دموگرافیک (متغییرهایی نظیر سن والدین، وضعیت اقتصادی، جنس، شغل و میزان تحصیلات والدین ثبت شدند) و پرسشنامه فرزند پروری بامریند (Baumrind) استفاده شد. وضعیت بهداشت دهان کودکان جهت تعیین شاخص بهداشت دهانی ساده شده (simplified oral hygiene index) بررسی شد. سپس اطلاعات حاصله با استفاده از نرم افزار SPSS25 و آزمون رگرسیون و همبستگی پیرسون تجزیه و تحلیل شد.
یافته ها:
افزایش شاخص های، بهداشت دهانی ساده شده (001/0<p) و جرم دندانی ساده شده (Simplified Calculus Index) (001/0<p) در فرزندان والدین آزاد گذارنده و کاهش شاخص های بهداشت دهانی ساده شده (001/0<p) و دبری دندانی ساده شده (Simplified Debris Index) (001/0<p) در فرزندان والدین مقتدر منطقی مشاهده شد. ولی شیوه فرزند پروری اقتدارگرا رابطه معنی داری با شاخص های بهداشت دهانی ساده شده (890/0=P)، جرم دندانی ساده شده (404/0=P) و شاخص دبری دندانی ساده شده (721/0=P) نداشت.
نتیجه گیری:
شیوه های فرزند پروری مقتدر منطقی و اقتدار گرا تاثیر آشکاری بر وضعیت بهداشت دهان کودکان دارد، به همین علت شیوه های فرزند پروری والدین را می توان در زمره عوامل تاثیر گذار بر بهداشت دهان کودک قرار داد.
Background and AimsPromoting childrenchr('39')s oral health is the basis for increasing the level of community health and the goal of pediatric dentistry. By recognizing all the factors affecting the health and formation of the childchr('39')s health habits, a fundamental step can be taken to promote oral health. The aim of this study was to evaluate the effect of parenting styles and demographic characteristic on OHI-S (Simplified Oral Health Index) in 2018.
Materials and MethodsIn this cross-sectional study, 244 children aged 6-12 years in Behbahan-Iran with their parents were studied. The demographic questionnaire (variables such as parents chr('39')age, economic status, gender, occupation and parentschr('39') education were recorded) and Bumrind questionnaire were used. The oral health status of children was assessed to determine the simplified oral hygiene index. Then, the obtained data were analyzed using SPSS 25 software and regression and Pearson correlation test.
ResultsThe results showed that the children of parents who used the permissive method had higher score of simplified oral hygiene index (P<0.001) and simplified calculus index (P<0.001). However, in children of parents who used the authoritative parenting style, a decreased simplified oral hygiene index (P<0.001) and simplified debris Index (P<0.001) were observed. However, the method of authoritarian parenting style did not have a significant relationship with the simplified oral hygiene index (P=0.890), simplified calculus index (P=0.404), and simplified debris Index (P=0.721).
ConclusionPowerful authoritarin and authoritative parenting practices have a clear impact on the oral health status of children. Therefore, parenting paratices can be considered as one of the main factors affecting the oral health of children.
Keywords: Parenting, Oral hygiene, Oral health, Oral hygiene index -
Background and Objectives
Dental caries is one of the most common chronic diseases around the world. Inhibitory effects of Magnolia Grandiflora bark extract has been proved on tooth decay both in vitro and by using free sugar chewing gum. This research aimed to examine the effect of Magnolia Grandiflora bark mouth-wash on the prevalence of Streptococcus mutans in dental plaque.
Materials and MethodsThis crossover, placebo-controlled, clinical trial study, was performed on a total of twenty participants (aged 18 to 35 years) in both control and intervention groups and four phases. The prevalence of S. mutans was measured in a certain volume of volunteer’s dental plaque at the beginning of the project (phase 1), after the first prescription (phase 2), following the washout period (phase 3) and finally after the second prescription (phase 4) by culture on bacteriology medium. Plaque index and saliva sampling were carried out in follow-up visits by a dentist. The data were analyzed using T-Test (paired and independent) quantitatively.
ResultsThere was a significant difference in S. mutans frequency in dental plaque between when the participants used Magnolia mouthwash and when they washed out or used a placebo (p<0.005). Results also showed a significant difference between Magnolia and Placebo groups in the mean count of saliva bacterial colony counts after oral administration in the first and second time (P<0.001 and P<0.004, respectively).
ConclusionThe current trial showed that Magnolia Grandiflora %0.3 mouthwash tends to decrease the number of S. mutans in dental plaque significantly. Therefore, its mass production and release to the oral health community are suggested. However, further studies with larger sample sizes and varying treatment are required to substantiate the findings of this study.
Keywords: Magnolia, Mouthwashes, Streptococcus mutans, Dental plaque, Clinical trial -
زمینه و هدف
اکثر کودکان در هنگام مراجعه به دندانپزشکی دچار ترس و اضطراب زیادی می شوند. مهم ترین عامل ترس کودک در ابتدای درمان مشاهده سرنگ و سرسوزن می باشد. روش های مقابله با این اضطراب می تواند تکنیک های کنترل رفتاری مانند بازسازی ذهنی، پرت کردن حواس و تلقین باشد. هدف از این انجام این مطالعه مقایسه درد و اضطراب در کودکان در زمان استفاده از سرنگ معمولی و سرنگ با پوشش سرسوزن اسباب بازی شکل بود.
روش بررسیاین مطالعه کار آزمایی بالینی بر روی 20 کودک 8-5 ساله انجام گرفت که بیش از نیمی از آن ها بر اساس تست های تشخیصی اضطراب Cfss-Ds (Dental Subscale of the Children's Fear Survey Schedule) و FIS (Facial Image Scale) مضطرب و بقیه غیر مضطرب تشخیص داده شده بودند. بیماران به صورت تصادفی به دو گروه تقسیم شدند. گروه اول بی حسی موضعی با یک سرنگ معمولی و گروه دوم با استفاده از سرنگ با پوشش
سرسوزن اسباب بازی شکل دریافت کردند. در ادامه، گروه اول بی حسی موضعی با استفاده از سرنگ با پوشش سرسوزن اسباب بازی شکل و گروه دوم توسط یک سرنگ معمولی دریافت کردند. اندازه گیری ضربان قلب و تست ارزیابی درد انجام شد. مطالعه حاضر اولین مطالعه ای است که از پوشش سرسوزن اسباب بازی شکل استفاده کرده است. تجزیه و تحلیل داده های ضربان قلب و سنجش اضطراب توسط آزمون غیر پارامتری wilcoxonsianed Ranks T-test انجام شد (P-value در حد -0/001 معنی دار در نظر گرفته شد).یافته هامیانگین میزان درد اندازه گیری شده بعد از استفاده سرنگ با پوشش سرسوزن اسباب بازی شکل و هنگام استفاده از سرنگ بدون پوشش، دارای تفاوت معنی دار 20/5 بین دو گروه بود. درد در کودکانی با استفاده از سرنگ با پوشش سرسوزن اسباب بازی شکل دریافت کرده بودند، کاهش پیدا کرد (P<0/001).
نتیجه گیریظاهر فیزیکی دستگاه تزریق نقش مهمی در اضطراب و درد تزریق در کودکان دارد.
کلید واژگان: پوشش سرسوزن اسباب بازی شکل, سرنگ معمولی, درد, اضطرابBackground and AimsMost children get a lot of anxiety while they visit a dentist. The most important factor in the child's fear at the beginning of treatment is the syringe and needle. Ways to cope with this anxiety include behavioural control techniques such as mental regeneration, distraction, and induction. The purpose of this study was to compare the pain and anxiety in children when using a syringe and toy- shape syringe needle. This study was the first study that used a toy-shape needle cover.
Materials and MethodsThis clinical trial study was conducted on 20 children age from 5 to 8 years. More than half of them were anxious with Cfss-Ds (Dental Subscale of the Children's Fear Survey Schedule) and FIS
(Facial Image Scale) anxiety diagnostic tests, and the rest of them were not anxious. Patients were randomly divided into two groups. The first group received local anesthesia with conventional syringe and the second group, by syringe with toy shape needle cover. Following, the first group received local anesthesia by syringe with toy shape needle cover, and the second group, by a conventional syringe. Heart rate measuring and pain evaluating test was performed. Analysis of heart rate and anxiety data was performed by non-parametric wilcoxonsianed Ranks T-test (P-value was considered significant at 0.001).ResultsThe mean amount of pain measured after using a syringe with a toy shape needle cover and using conventional syringe had a significant difference of 5.20% between the two groups. The pain was reduced in children who received local anesthesia by syringe with toy shape needle cover (P<0.001).
ConclusionThe physical appearance of the injection device plays an important role in reducing the anxiety and pain of injection in the children.
Keywords: Toy shape needle cover, Conventional syringe, Pain, Anxiety -
IntroductionDirect pulp capping (DPC) is a conservative vital pulp therapy, which has some limitations in primary dentition. The aim of this study was to evaluate pulpal response of primary teeth after DPC with two biocompatible materials naming calcium-enriched mixture (CEM) and bioactive glass (BAG). Methods and Materials: This study was designed as a randomized clinical trial. After obtaining informed consent, 20 sound primary canines scheduled for orthodontic extraction, were selected. Following mechanical pulp exposure, the exposed site was capped with either CEM cement or BAG and then restored with amalgam. Teeth were extracted after two months and examined histopathologically. Parameters of hard tissue bridge (HTB) formation, its type and pulpal inflammation scores, were compared between the two groups. Data were analysed using the Fisher’s exact test.ResultsAll CEM specimens showed inflammation scores of 0 (less than 10%). In the BAG group, inflammation scores of 0, 1 and 2 were observed in 7, 2 and 1 specimens, respectively. Fisher’s exact test showed no significant differences (P>0.05). All CEM specimens (100%) formed HTB, which was irregular in all cases. In 7 of 10 teeth in BAG, HTB formed and was irregular. Fisher’s exact test revealed no significant differences between the two groups in this regard (P<0.001).ConclusionBoth CEM and BAG are suitable DPC agents in terms of HTB formation and pulp inflammation scores.Keywords: Bioactive Glass, Calcium-Enriched Mixture, Direct Pulp Capping, Primary Teeth
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IntroductionIn this study, the results of using MTA and propolis in the pulpotomy of primary molar teeth are evaluated clinically and radiographically. Methods and Methods: A total of 25 healthy 4 to 8 year old children each having two carious primary molar teeth in one arch, based on inclusion criteria were selected. In each child, random assignment of the pulpotomy medicaments was done as follows: Group I, MTA in one side; Group II, Propolis in another side. All the pulpotomized teeth were evaluated at 3, 6, and 9 month clinically and radiographically, based on the scoring criteria system. Finally data was analyzed using GEE analysis.ResultsResults showed that the effects of treatment and time on two scores were tested. Based on the results of this model, the chances of having clinical score 2, versus score 1 are about 2.7 times higher in MTA treatment than in propolis (P=0.001). Similarly, the chance of having a clinical score 2 relative to its one, at 9th month is approximately 6.8 times higher than the 3th month (P=0.000) and at 6th month is approximately 2.8 times higher than the 3th month (P=0.005). The chance of having higher scores of radiographies in treatment of propolis is approximately 6.5 times than that of MTA (P=0.000). Also, the chance of having higher scores of radiographic index at 6th month is approximately 5 times and at 9th month is approximately 27 times more than the 3th month (P=0.00).ConclusionsBased on the results of this experimental study, teeth treated with MTA showed more suitable clinical and radiographic results as compared to propolis at 9 months follow-up.Keywords: Mineral Trioxide Aggregate, Primary Teeth, Propolis, Pulpotomy
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مجله دندانپزشکی دانشگاه علوم پزشکی تهران، سال بیست و نهم شماره 2 (پیاپی 87، تابستان 1395)، صص 144 -150زمینه و هدفیکی از مشکلات و چالش های مطرح در حرفه دندانپزشکی، مساله شکایات دندانپزشکی می باشد که بسیاری از این شکایات منجر به تعقیب جزایی و حقوقی دندانپزشکان می شود. هدف از این مطالعه بررسی پرونده های شکایت از تشخیص و طرح درمان و نحوه درمان و رفتار دندانپزشک و هزینه های درمان و رفتارهای خلاف شئون پزشکی و عدم اجرای قوانین در سازمان نظام پزشکی استان تهران بین سال های 91-1384 بود.روش بررسیدر انجام تحقیق حاضر جهت اخذ مجوز برای بررسی پرونده های شکایات بیماران از دندانپزشکان در شهر تهران به سازمان نظام پزشکی مراجعه و پس از اخذ مجوز، کلیه پرونده های موجود در واحدهای دادسرا، هیئت بدوی و هیئت تجدیدنظر به صورت مطالعه کلیه پرونده های موجود مورد بررسی قرار گرفت. نهایتا داده ها استفاده از نرم افزار SPSS ورژن 16 مورد تجزیه و تحلیل آماری قرار گرفت.یافته هانتایج این مطالعه نشان داد که بیشترین درصد شکایات مربوط به نحوه درمان (7/41%) و کمترین درصد شکایات مربوط به تشخیص و طرح درمان دندانپزشک (9/2%) بوده است.نتیجه گیریبراساس یافته های مطالعه حاضر، با آگاه کردن دندانپزشکان از قوانین موجود و نظارت دقیق بر انجام درست درمان های دندانپزشکی می توان از بروز شکایات از دندانپزشکی پیشگیری نمود.کلید واژگان: جنایی, دندانپزشک, برنامه مراقبت بیمار, انسان, ایرانBackground And AimsOne of the major challenges in dental practice is dental complaints that majority of complaints resulted in criminal prosecution and the legal practitioners. The aim of this study was to investigate the patients complaints on the diagnosis and treatment plan, dentists behavior, treatment charge, and management unlike the behavior of medical affairs, lack of enforcement in Tehran Medical Council between 2005-2011.Materials And MethodsWe referred to the Medical Council in order to obtain permission for evaluating complaints of dentists in Tehran. All files in units of prosecutors, magistrates and judicial committee were evaluated. Data were analyzed using spss version16 software.ResultsThe results showed that the highest percentage of complaints was related to the how treatment was managed (41.7%) and the lowest percentage of complaints were about the dentist's diagnosis and treatment plan (2.9%).ConclusionBased on the results of this study, with dentists awareness of the existing rules and strict supervision, occurrence of complaints on the dental treatment can be prevented.Keywords: Criminal, Dental care, Dentist, Patient care planning, Humans, Iran
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نشریه دانشور پزشکی، پیاپی 120 (دی 1394)، صص 19 -24مقدمه و هدفتزریق، یکی از اضطراب زاترین کارهای دندان پزشکی است. هدف از این مطالعه بررسی اثر عینک تصویری در کاهش درد و اضطراب حین تزریق بی حسی بلاک عصب آلوئولار تحتانی بود.مواد و روش هااین مطالعه کارآزمایی بالینی تصادفی دوسوکور بر روی 40 کودک 8-6 ساله انجام شد. کودکان به طور تصادفی در دو گروه قرار گرفتند. هر گروه در سه جلسه درمان شد. در جلسه اول اضطراب ذاتی کودک ارزیابی و سپس برای تمام کودکان بدون اضطراب پروفیلاکسی و فلورایدتراپی انجام شد. در جلسه دوم در گروه اول تزریق با عینک و در گروه دوم، بدون عینک انجام شد. در جلسه سوم در گروه اول تزریق بدون عینک و در گروه دوم با عینک انجام شد. جهت ارزیابی درد ناشی از تزریق از روش Visual Analog Scale استفاده شد. جهت ارزیابی میزان اضطراب موقعیتی از Modified Children Dental Anxiety Scale استفاده شد. نهایتا داده ها با آزمون من ویتنی و نرم افزار SPSS 15 آنالیز شد.نتایجمیانگین میزان درد در گروه اول با عینک تصویری 65/0±89/1 بود که این میزان در جلسه دوم بدون عینک به 81/0±00/3 افزایش یافت. در گروه دوم میانگین درد در جلسه اول بدون عینک 60/0±05/3 بود که این میزان در جلسه دوم با عینک به 60/0±05/2 کاهش یافت. تفاوت بین دو جلسه در هر دو گروه ازنظر آماری معنی دار بود (001/0(P<.نتیجه گیریبر اساس یافته های این مطالعه استفاده از عینک صوتی تصویری در کاهش درد و اضطراب حین درمان های دندان پزشکی موثر است.
کلید واژگان: عینک صوتی تصویری, درد, اضطراب, تزریق, درمان های دندان پزشکیBackground And ObjectiveInjection is one of the most stressful dental procedures. The purpose of this study was to investigate the effect of video glasses in reducing anxiety and pain during inferior alveolar nerve block injection.Materials And MethodsThis experimental study was performed on 40 children 6-8 years old. Children were randomly assigned to two groups. Each group was treated in three sessions. Children’s inherent anxiety was assessed in the first session and prophylaxis and fluoride therapy was performed for all children without anxiety. In the second session in the first group, injection was applied with glasses and in the second group, injection was applied without glasses. In the third session, in the first group injection was applied without glasses and in the second group, injection was applied with glasses. Visual analog scale pain assessment methods were used. Assessment of anxiety was done using the Modified Children Dental Anxiety Scale. The data were analyzed with Mann-Whitney and using SPSS 15 software.ResultsAverage pain in the first group of video glasses was 1.89+_0.65 that this amount increased in the second session without glasses to 3.00±0.81. In the second group, the mean pain in the first session without glasses was 3.05±0.60 and this amount in the second session with glasses declined to 2.05±0.60. The difference between the two sessions in the two groups was statistically significant (P <0.001).ConclusionBased on our findings, the use of audio-visual glasses is effective in reducing pain and anxiety during dental treatments.Keywords: Audio, video glasses, Pain, Anxiety, Injection, Dental treatment -
زمینه و هدفپلاک دندانی به عنوان اصلی ترین عامل بیماری پریودنتال مطرح می باشد.در مطالعات مختلف،تاثیر ضد میکروبی پوست تنه گیاه ماگنولیا در قالب آدامس جویدنی بررسی شده است.هدف از این مطالعه بررسی دهانشویه ساخته شده از پوست تنه این گیاه بر کاهش پلاک دندان با استفاده از پارامتر پریودنتالی ایندکس اولری می باشد.مواد و روش هااین مطالعه به صورت تجربی انجام گرفت. ابتدا از پوست تنه گیاه ماگنولیا گل درشت عصاره آبی-اتانولی تهیه گردید و با توجه به حداقل غلظت مهار کنندگی این عصاره بر باکتری های مهم پلاک مانند: استرپتوکوکوس موتانس و استرپتوکوکوس سانگوییس دهانشویه 3/ 0% از این گیاه ساخته شد. بیست نفر از افراد داوطلب بر اساس درصد پلاک ایندکس وارد مطالعه شده و به دو گروه بهداشت ضعیف و متوسط تقسیم شدند.پارامتر ایندکس اولری افراد در چهار مرحله محاسبه گردید.دهانشویه دارونما به عنوان کنترل در این مطالعه استفاده شد. سپس یافته ها با استفاده از آزمون T(ساده و زوجی) و نرم افزار SPSS16از نظر آماری بررسی شدند.یافته هادر طی چهار مرحله از طرح درصد پلاک ایندکس افراد مصرف کننده دهانشویه ماگنولیا نسبت به افراد مصرف کننده دهانشویه دارونما کاهش قابل توجهی را به خود اختصاص داد. در افراد با سطح بهداشت ضعیف پس از مصرف دهانشویه ماگنولیا در صد پلاک ایندکس به افراد با سطح بهداشت متوسط نزدیک شد و مقایسه درصد پلاک ایندکس افراد حاکی از آن است که این دهانشویه بر افراد به بهداشت ضعیف تاثیر بیشتری نسبت به افراد با بهداشت متوسط گذاشته است.
کلید واژگان: ماگنولیا گل درشت, دهانشویه, پلاک دندان, ایندکس پلاک اولریBack ground andObjectiveMicrobial dental plaque is the main factor of periodontal disease. Antimicrobial effects of magnolia bark have been studied in vitro and also by using sugar-free chewing gum. The aim of this study was to evaluation antimicrobial effect of a mouthwash made from magnolia bark on the reduction of dental plaque using a periodontal parameter called Oleary plaque index.Materials And MethodsIn this clinical trial study, initially a hydroalcoholic extract of Magnolia grandiflora bark was obtained. With regards to the MIC of the Magnolia extract for Streptococcus mutans and Stereptoccocus sanguis, a 0.3% mouthwash was obtained from the extract. Twenty volunteers entered the study to use this mouthwash and were classified into category of poor and good health based on their plaque percent index. OLeary index parameter was calculated in four stages. A placebo mouthwash was used as a control in this study. The findings were analyzed statistically using unpaired and paired t-tests. Results andConclusionIn each round of magnolia mouthwash administration, percentage of OLeary index statistically showed a significant difference between the phase of mouthwash consuming and the resting phase. Also, the plaque percent index showed a significant difference between the magnolia mouthwash group and the placebo one (p<0.005) and the mouthwash was more effective.Keywords: Dental plaque, Magnolia grandiflora, Mouthwash, O\'Leary plaque index -
مقدمه و هدف
پوسیدگی دندانی، شایع ترین عفونت مزمن انسانی است که مهم ترین شاخص آن، DMFT است. کنترل پوسیدگی به [ایجاد و اجرای] برنامه های پیشگیری، نیازمند است. برای پیشگیری، دردست داشتن اطلاعات کامل از امکانات لازم است که از طریق مطالعات اپیدمیولوژیک حاصل می شود. هدف از این مطالعه، مقایسه شاخص DMFTدر دانش آموزان عقب مانده ذهنی 8 تا 12ساله مدارس استثنایی شهر زاهدان با افراد سالم و بررسی ارتباط آن با عواملی ازقبیل سن، جنس و میزان تحصیلات بود. مواد و
روش هااین مطالعه مقطعی، توصیفی روی 200 دانش آموز، شامل 100 دانش آموز سالم و 100 دانش آموز عقب مانده ذهنی که 50 درصد آنها پسر و 50 درصد آنها دختر بودند، انجام گرفت. نمونه گیری، تصادفی خوشه ای بود. برای هر دانش آموز، پرسش نامه ای تکمیل و شاخص DMFT با معاینه کلینیکی، طبق معیارهای WHO اندازه گیری شد. اطلاعات به دست آمده با استفاده از نرم افزار 19SPSS و آزمون های آماری من ویتنی و کروسکال والیس در سطح معنی داری 05/0 و ضریب همبستگی اسپیرمن تجزیه و تحلیل شدند.
نتایجمیانگین شاخص DMFT در دانش آموزان عادی،1/67 ±2/29 و در دانش آموزان عقب مانده، 1/92 ± 4/03 بود. شاخص DMFT در کودکان عقب مانده ذهنی، با سن افراد، رابطه ای معنی دار داشت. DMFTدر کودکان عقب مانده ذهنی با سایر متغیرهای مورد مطالعه، رابطه ای معنی دار نداشت.
نتیجه گیریبراساس نتایج این تحقیق، وضعیت شاخص بهداشتی کودکان عقب مانده ذهنی نسبت به استانداردهای WHO در حدی پایین تر قرارگرفته است.
کلید واژگان: DMFT, عقب مانده ذهنی, دانش آموزBackground And ObjectiveDental caries is the most common human infection. The most important indicator of dental caries is DMFT. Control of dental caries requires prevention programs. Prevention needs full knowledge of the possibilities that can be achieved through epidemiological studies. The aim of this study was to compare DMFT index in 8-12 year retarded students in special schools in Zahedan city with healthy subjects and evaluation of its relationship with factors such as age, sex, and educational level.
Materials And MethodsThis descriptive, cross-sectional study was performed on 200 students including 100 healthy students and 100 mental retarded students. 50% of them were female and 50% were male. The sampling was randomized stratified. A questionnaire was completed for each student and DMFT index was measured by clinical examination according to WHO criteria. The data was analyzed using SPSS19 and t- test and ANOVA. Significant level was 0.05 and correlation coefficient Pearson was obtained.
ResultsThe mean DMFT index was 2.92 ± 1.67 in normal students and 4.03 ± 1.92 in retarded students. DMFT in mentally retarded children had a significant relationship with age. In mentally retarded children, DMFT had no significant correlation with other studied variants.
ConclusionBased on this study, the Health index of mentally retarded children is lower than WHO standards.
Keywords: DMFT, Mental retard, Student -
Journal of Dentistry, Shiraz University of Medical Sciences, Volume:16 Issue: 1, Mar 2015, PP 49 -53Statement of the Problem: With the recent focus of researches on the development of non-invasive treatment modalities, the non-invasive treatment of early carious lesions by remineralization would bring a major advance in the clinical management of these dental defects. Casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) is considered to be effective in tooth remineralization.PurposeThe aim of this in-vitro study was to compare the effects of whey and CPP-ACP in increasing the enamel microhardness.Materials And MethodMicrohardness of 30 sound human permanent premolars was measured before and after 8-minute immersion of samples in Coca-Cola. The teeth were then randomly divided into 3 groups and were immersed in artificial saliva, whey, and tooth mousse for 10 minutes. The changes of microhardness within each group and among the groups were recorded and analyzed using paired t-test.ResultsThe microhardness increased in each group and between the groups; this increase was statistically significant (p= 0.009).ConclusionThe effect of whey on increasing the enamel microhardness was more than that of tooth mousse.
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ObjectiveDental caries is an infectious disease that can be prevented in several ways. The aim of this study was to compare the efficacy of sodium fluoride mouthrinse and nano- hydroxyapatite (nano-HA) for the remineralization of incipient caries.Materials And MethodsAfter obtaining different concentrations of nano-HA (0-2-5-10%), 60 sound premolars fixed in acrylic blocks were coated with nail polish except for one surface. Ten teeth (control group) were stored in distilled water and the remaining 50 samples were demineralized by immersion in 13 ml of 0.1 M lactic acid and 0.2% poly acrylic acid for 48 hours. Their microhardness was then measured and compared to that of the control group. Next, the 50 test teeth were randomly divided into 5 groups of group1 (negative), group 2 (2% nano-HA), group 3 (5% nano-HA), group 4(10% nano-HA) and group 5 (0.2 NAF mouthrinse). The microhardness of the teeth was measured after 12 hours of immersion in the above-mentioned solutions. Data were analyzed using repeated measures analysis of variance (ANOVA).ResultsMicrohardness of all samples decreased significantly after immersion in the demineralization solution and increased following immersion in nano-HA and NAF mouthrinses; however, this increase was not statistically significant (P=0.711).ConclusionNano-HA and NAF mouthrinses can greatly enhance remineralization and increase tooth microhardness.Keywords: Nano, hydroxyapatite, Tooth Remineralization, Sodium Fluoride
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ObjectiveThe aim of this study was to investigate the mechanical properties (flexural strength، micro-shear bond strength) and remineralizing potential of fissure sealants by adding various concentrations of β-tricalcium phosphate nanoparticles.Materials And MethodsThis in-vitro study consisted of five experimental groups containing prepared nano-fisssure sealants (1-5 wt. % b-TCP nanoparticles) and two control groups containing a prepared and a commercial fissure sealant. Flexural/micro-shear bond strength values were measured using Zwick test machine. Cavities on sixty healthy premolar teeth were filled with the fissure sealants containing 0-5 wt. % of nano b-TCP. The samples were assessed for remineralization under scanning electron microscopy (SEM) and EDAX. Kolmogorov-Smirnov test، One-way ANOVA and Tukey''s Post Hoc analysis/HSD were used to analyze the data.ResultsThere was no significant difference between the flexural strengths/elastic modulus of the 0-5 wt. % nano β-TCP groups (p>0. 05). The average flexural strength/elastic modulus of the prepared fissure sealant group (0%) was significantly higher than the commercial fissure sealant group (Clinpro) (p<0. 05). There was no significant difference between micro-shear bond strengths of the experimental groups (1-5 wt. %)، and between the commercial and the prepared (0%) fissure sealant groups (p>0. 05). Examining the samples under SEM showed a significant increase in thickness of the intermediate layer with increasing concentrations of β-TCP nanoparticles (p<0. 05).ConclusionAddition of 1-5 wt. % b-TCP nanoparticles to the fissure sealants significantly increased the remineralization potential without affecting the mechanical properties.Keywords: Nanoparticles, Fissure Sealants, Tooth Remineralization
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ObjectiveProviding a safe and efficient dental treatment for a young patient is a challenge for the dentist and the child. The purpose of this study was to investigate the effectiveness, safety and acceptability of buccal midazolam in dental pediatric patients and to compare it with oral Midazolam.MethodsEighteen uncooperative healthy children aged 2.5-6 years were randomized to each of buccal midazolam (0.3mg/kg) or oral midazolam (0.5mg/kg) at the first visit, the alternative has been used at the second visit in a cross-over manner. The study took place at pediatric dentistry clinic of Shahed University, Tehran, from November 2011 to June 2012. The patients` vital signs and behavioral scores were recorded. The patient, the operator and the observer were blinded to the applied medication. Post operatively, patients` and parents` satisfaction were assessed by Visual Analogue Score and a questionnaire respectively. The P-value was set at 0.05 for significance level.FindingsThere were no significant differences in physiologic factors in the medication groups at time 0, 10, 20, 30 minutes and discharge. There was also no significant difference between the two groups in behavioral parameters. The majority of parents rated both sedative agents as “effective” or “very effective” and their children mostly were without anxiety or with minor anxiety.ConclusionBuccal midazolam may be safely and efficiently used in sedation of pediatric dental patients.Keywords: Sedation, Midazolam, Pediatric Dentistry, Clinical Trial, Treatment Efficacy
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IntroductionFile fracture is one of the main procedural mishaps in endodontic treatment. The aim of this in vitro study was to compare the fracture rate of three NiTi rotary systems; Hero 642, Mtwo and FlexMaster in artificial canals. Methods and Materials: In this study, bovine long bone was used. After primary preparation of bones, longitudinal sections with 4-cm diameter were cut and encoded. Subsequently, semicircular sections were prepared. A total number of 500 canals were created in the same way; the upper 3 mm of the canals were initially prepared with orifice shapers and then canals were filed with FlexMaster files sizes 25/0.02 and 25/0.04 to 13 mm of canal length. The prepared canals were assigned into 3 groups of the following systems: Hero 642, Mtwo and FlexMaster. Six selected instruments were used from each system; the files were applied 13 mm along the canals for 10 sec with manufacturer’s suggested speed and torque. The number of the canals prepared by each file before its separation was recorded; finally the data was analyzed with ANOVA test.ResultsMean number of prepared canals in Mtwo, FlexMaster and Hero groups before file separation was 15, 25 and 32, respectively.ConclusionResults of this study showed that the number of prepared canals by Hero 642 was more than FlexMaster and Mtwo systems.Keywords: Dental Instruments, Fatigue Fracture, Nickel, Titanium Alloy, Root Canal Preparation, Torsional Force
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سابقه و هدفدر سال های اخیر نانوسیلور بعلت خاصیت ضد باکتریایی قوی آن کاربردهای فراوانی در تکنولوژی مدرن بویژه در پزشکی یافته است، اما اطلاعات کمی از ایمن بودن این ماده و عدم سمیت آن در غلظت های موثر در دست است. هدف از این مطالعه بررسی سمیت نانو ذرات نقره بر سلول های اپی تلیال لثه ای انسان در محیط آزمایشگاه بود.مواد و روش هادر این مطالعه آزمایشگاهی اثرات سمی محلول نانوسیلور فیلتر شده و فیلتر نشده بر روی رده سلول های اپی تلیال لثه انسان که از بانک سلولی انستیتو پاستور ایران تهیه شده بود با استفاده از دو روش MTT (Methyl Tiasol Tetrazolium bromide) mitochondrial) function (و LDH (Lactose Di Hydrogenase)) membrane leakage of lactate dehydrogenase (پس از زمان های 24، 48 و 72 ساعت مورد بررسی قرار گرفت. غلظت های مورد استفاده از محلول نانو نقره عبارت بودند از: 05/0، 1/0، 2/0، 5/0، 1، 2، 5، 10 و 20 میکروگرم در میلی لیتر.
یافته هانتایج آزمایش MTT نشان داد که محلول نانو سیلور در غلظت های بالا (20 و50 میکروگرم) در تمام زمان ها باعث کاهش شدید فعالیت حیاتی سلول ها می شود وغلظت های کمتر نیز که در زمان های 24 و 48 ساعت موجب مرگ و میر نمی شوند پس از 72 ساعت قادرند موجب مرگ و میر یا کاهش رشد شوند. آزمایش LDH نشان داد که مرگ و میر سلول های اپیتلیال فقط در غلظت های بالای نانوسیلور (20 و50 میکروگرم) دیده می شود ولی در غلظت های کمتر سمیت قابل توجهی روی نمی دهد.
نتیجه گیرینتایج این مطالعه نشان می دهد که نانو ذرات نقره دارای اثر سمی بر روی سلول های اپی تلیال لثه انسان می باشند که این اثر وابسته به غلظت و زمان است.
کلید واژگان: سمیت سلولی, سلول های اپی تلیالی, نانوسیلورObjectiveNanosilver has numerous applications in medicine due to its potent antibacterial activity. However, data regarding the bio-safety of its effective concentrations is scarce. This study aims to assess the toxicity of silver nanoparticles on human gingival epithelial cells under in-vitro conditions.MethodsThis in-vitro study evaluated the toxic effects of filtered and unfiltered nanosilver solution on human gingival epithelial cells obtained from the Pasteur Institute of Iran using the methylthiazol tetrazolium bromide (MTT) assay(mitochondrial function)and membrane leakage of lactate dehydrogenase (LDH) at 24, 48 and 72h time points. The concentrations of silver nanoparticle solution used were 0.05, 0.1, 0.2, 0.5, 1, 2, 5, 10, 20 and 50µg/ml.ResultsThe MTT assay showed that nanosilver solution at high concentrations (20 and 50µg/ml) significantly decreased the viability of cells at all time points. The lower non-fatal concentrations at 24 and 48h were capable of causing cell death or significantly inhibit cell growth at 72h. The LDH assay demonstrated that death of epithelial cells only occurs at high concentrations of nanosilver (20 and 50µg) and no significant toxicity was seen at lower concentrations.ConclusionBased on the results, silver nanoparticles have toxic effects on human gingival epithelial cells and this effect is time and dose-dependent.Keywords: Cytotoxicity, Epithelial cells, Nanosilver -
مجله دندانپزشکی دانشگاه علوم پزشکی تهران، سال بیست و ششم شماره 3 (پیاپی 76، پاییز 1392)، صص 211 -217زمینه و هدف
ذرات فلزی در اندازه های نانو خصوصیات بیولوژیکی- شیمیایی و فیزیکی ویژه ای را نشان می دهند. هدف از این مطالعه افرودن مقادیر مختلف نانو ذرات نقره (0% (کنترل)، 20، 40، 80، 120 و ppm 200) بر روی خواص مکانیکال (استحکام فشاری و استحکام خمشی) یک نوع گلاس آینومر اصلاح شده با رزین بود.
روش بررسیمطابق استاندارد ISO 4049 و ISO 9917 تعداد 90 نمونه در هر گروه جهت استحکام خمشی و استحکام فشاری تهیه شد. نمونه ها در 6 گروه شامل گروه کنترل (Fuji II LC improved) و گروه های حاوی نانو ذرات نقره (20، 40، 80، 120 و ppm 200) تهیه شد. سپس نمونه در آب با دمای 37 درجه سانتی گراد در زمان های 1روز و 1 ماه نگهداری شدند، سپس تحت آزمون توسط دستگاه سنجش خواص (Zwick) قرار گرفتند. سرعت تیغه دستگاه mm/min 5/0 بود. اطلاعات خام به دست آمده توسط آزمون نرمال ATukey post HOC، two-way ANOVA مورد تجزیه و تحلیل قرار گرفت.
یافته هانتایج نشان داد در استحکام خمشی و ضریب الاستیک خمشی در غلظت های مختلف گلاس آینومر حاوی نانوذرات سیلور اختلاف معنی داری وجود نداشت (05/0 < P). استحکام فشاری در غلظت های ppm 20 در مقایسه با گروه کنترل (01/0= P) و همچنین ppm 40 با گروه کنترل (02/0= P) و ppm 80 (P=0) با گروه کنترل افزایش پیدا کرده بود که ازنظر آماری معنی دار می باشد. همچنین در بررسی زمان های مختلف استحکام فشاری و استحکام خمشی بعد 1 روز و 1 ماه در مقایسه با گروه کنترل (زمان صفر) افزایش پیدا کرده بود که ازنظر آماری معنی دار بود (001/0> P).
نتیجه گیریبنابراین می توان نتیجه گرفت افزودن 20 تا ppm 80 درصد وزنی نانو ذرات سیلور به سمان گلاس آینومر اصلاح شده با زرین نوع Fuji II Lc، نه تنها موجب افت خواص مکانیکی نشده است بلکه آن را افزایش داده است.
کلید واژگان: استحکام فشاری, گلاس آینومر, سمانBackground And AimsMetallic nano-particles show exclusive biological، chemical and physical characteristic. The purpose of this research was to evaluate the effect of various amounts of nanosilver incorporation (0 (as control)، 20، 40، 80، 120، 200 ppm) on the mechanical Properties (compressive and flexural strength) of resin modified Glass ionomer Cement.
Materials And MethodsBased on ISO 4049 and ISO 9971 for polyalkenoid cements، 90 cases in each group were prepared for the flexural and compressive strength. Specimens in 6 groups with different amounts of nanosilver (20، 40، 80، 120 and 200 ppm) and control (Fuji II LC improved)، stored in distilled water at 37 ° C for 1 day and 30 days. Flexural strength، using a three-point bending method، Modulus of elasticity and the compressive strength were measured by universal testing machine (Zwick) with crosshead speed of 0. 5 mm/min. Data were analyzed using two-way ANOVA and Tukey post HOC test.
ResultsThe flexural strength and modulus of various amounts of nanosilver incorporation of resin modified glass-ionomer cement were not significantly different (P>0. 05). The compressive strength of incorporating of20 ppm compared with control (P=0. 01)، 40 ppm (P=0. 02) and 80 ppm compared with control (P<0. 001) were increased. The flexural strength and compressive strength of Fuji II LC، containing nanosilver particles were increased after 1 day and 1 month significantly (P<0. 001).
ConclusionIncorporation of 20 to 80 ppm nanosilver into Fuji II LC had increased mechanical properties compared to the original cement.
Keywords: Nano silver, Flexural strength, Compressive strength, Glass ionomer -
IntroductionIatrogenic furcal perforation is a procedural accident in endodontic treatments of primary/permanent teeth; prognosis may be favorable if a complete seal with biomaterial is immediately established. The purpose of this in vitro study was to evaluate microleakage of calcium enriched mixture (CEM) cement and ProRoot mineral trioxide aggregate (MTA) for sealing primary molar furcal perforations.Materials And MethodsThis study was conducted on 38 extracted human primary molars. Furcation perforations were created in the pulp chamber floor. The teeth were divided randomly in two experimental groups (n=17) and two positive and negative controls (n=2). Perforations were then repaired with biomaterials. After 72 h, the teeth were submerged in 2% fuchsin dye solution for 24h. The samples were sectioned longitudinally and evaluated for dye leakage. Data analyzed statistically using ANOVA test.ResultsThe negative and positive controls behaved as expected. Dye microleakage was observed in all experimental samples; however, there was no statistically significant difference between the microleakage of MTA (4.411±2.042 mm) and CEM (3.647±1.040 mm) groups (P>0.05).ConclusionBased on the findings of this in vitro study, CEM and tooth-colored ProRoot MTA have similar sealing ability for furcal perforation repair of primary molar teeth.Keywords: Calcium Enriched Mixture, CEM Cement, Furcal Perforation, Microleakage, ProRoot MTA, Sealing Ability
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مقدمه و هدفیکی از دغدغه های دندانپزشکی میکرولیکیج ترمیم های دندانی می باشد. معمولا برای کاهش میکرولیکیج از وارنیش ها استفاده می شود. با نانوتکنولوژی مواد دارای زیبایی، چسبندگی و ویژگی های مکانیکی بهتر تهیه می شود. هدف از این مطالعه مقایسه میکرولیکیج ترمیم های دندانی با وارنیش نانوسیلور و وارنیش معمول بود.
مواد و روش هادر این مطالعه که به روش آزمایشگاهی انجام شد، ابتدا وارنیش نانوسیلوربا غلظت های مختلف آماده گردید. 30 دندان پرمولرکشیده شده به طورتصادفی در 2 دوره های زمانی تقسیم شده و در هر دوره زمانی گروه: وارنیش حاوی نانوسیلور، وارنیش معمولی، بدون وارنیش در نظر گرفته شد. بر روی هر کدام از نمونه ها، 2 حفره کلاس 5 تهیه شد. حفرات ترمیمی به جز گروه شاهد، به وارنیش های مناسب آغشته شده و با آمالگام مناسب پر شدند. سپس نمونه ها در آب ریخته شده، به مدت 3 روز، 1 ماه نگهداری شدند و پس از طی زمان مناسب، ترمو سایکل شده و در محلول فوشین 2% قرار گرفتند. سپس دندانها به 2 نیم تقسیم شده و میزان نفوذ رنگ به وسیله استریومیکروسکوپ بررسی شد. داده ها با آزمون Two-Way ANOVA و مقایسه های چندگانه توکی آنالیز گردید.
نتایجمیزان میکرولیکیج در گروه 1 ماه به طور معنی داری کمتر از 3 روز بود(p-value=0.000). همچنین میزان میکرولیکیج در 3 ماده نیز تفاوت معنی داری داشت (p-value=0.009). آنالیز مقایسه های چندگانه توکی نشان داد میزان میکرولیکیج در گروه نانو سیلور تفاوت معنی داری با دو گروه دیگر دارد: با بدون وارنیش(p-value=0.005)، با وارنیش معمولی (p-value=0.019) اما تفاوت گروه بدون وارنیش و وارنیش معمولی معنی داری نبود(p-value=0.78).
نتیجه گیریبراساس نتایج این مطالعه کاربرد نانو ذرات نقره در وارنیش از میکرولیکیج ترمیم های آمالگام می کاهد.
کلید واژگان: نانو سیلور, میکرولیکیج, ترمیم های آمالگامBackground And ObjectiveMicroleakage is one of the most important problems in dentistry. Varnish is commonly used to reduce microleakage. Nanotechnology has recently produced cosmetic dental materials with better mechanical properties. The aim of this study was to compare the microleakage of dental restorations using traditional varnish and varnish containing nano-silver.Materials And MethodsIn this research study، for preparing a nano-silver varnish، nano- silver powders was added to soluble varnish with a certain weight standard. Then، 30 teeth were divided into three groups for each time period (3 days and 1 month): nano silver-containing varnish، varnish، and without varnish (control group). For each sample، two class 5 cavities were prepared (one side of the buccal and lingual) with appropriate dimensions and optimum turbine and in each cavity (except to control) suitable varnish was applied and the cavities was filled with amalgam. Then، the teeth immersed in water for 3 days and 1 month depending on related groups. After the appropriate time has elapsed، the teeth were thermo-cycled. The teeth were placed in 2% Fushin. The teeth were divided into two halves from the middle of class 5 cavity. The sections were evaluated by stereomicroscope and dye penetration was measured. The data were analyzed by Two-Way ANOVA and Tukey multiple comparison test.ResultsTukey multiple comparison analysis showed that there was a significant difference between nano-silver containing varnish group and two other groups.ConclusionBased on the results of this study، applying of nano-silver to varnish reduces microleakage in amalgam restoration.Keywords: Nano, silver, Microleakage, Amalgam restoration -
IntroductionFurcal perforations are one of the most challenging causes of endodontic failures. Several materials including MTA have been used for non surgical repair of these perforations. The aim of this study was to compare treatment outcome of furcal perforation treatment in primary molars using Root MTA and ProRoot MTA.Materials And MethodsThis in vitro study was conducted on 54 primary first molars that were randomly divided into the two experimental groups of 24 teeth each and two control groups (n=6). After preparation of access cavities, perforations were made and the perforation areas were repaired using either Root or ProRoot MTAs. After staining and preparation of mesiodistal longitudinal sections, dye leakage was measured using a stereomicroscope. The data was analyzed by the Mann Whitney statistical test. Significant level was set at 0.05.ResultsThe data indicated that the dye leakage of ProRoot MTA is significantly lesser than Root MTA (P=0.001).ConclusionProRoot MTA showed good sealing ability in repairing furcal perforations of primary molars.Keywords: Dental Leakage, Endodontics, Mineral Trioxide Aggregate, Sealing Material
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سابقه و هدف
یکی از چالشهای آسیب گذار در کیفیت تحقیقات، طولانی بودن فواصل انجام تحقیق، اعلام وصول تا انتشار مقالات در مجلات از جمله مجلات دندانپزشکی است. هدف از انجام این تحقیق بررسی فاصله زمانی انجام تحقیق، تهیه مقاله، اعلام وصول، تاییدیه، انتشار و عوامل مرتبط با آن در مجلات علمی پژوهشی دندانپزشکی کشور در سال های 1390-1389 بود.
روش بررسیدر این مطالعه مقطعی، کلیه مقالات واجد شرایط جمع آوری و برمبنای فواصل زمانی گزارش شده برحسب ماه تعیین تنظیم شد. حد مجاز فواصل فوق(تاخیر) براساس روش "دلفی" از پژوهشگران و سردبیران مجلات علوم پزشکی تعیین شد، به این ترتیب که اگر فاصله بین اعلام وصول تا اصلاح نهایی بیش از شش ماه و اصلاح نهایی تا تاییدیه بیش از سه ماه و فاصله زمانی بین صدور تاییدیه تا انتشار بیش از سه ماه بود، بعنوان تاخیر تلقی شد و نقش نام مجله، تعداد نویسندگان، نوع طراحی، کیفیت منابع و سازمان حمایت کننده طرح، بعنوان عوامل مرتبط با تاخیر در زمان های مورد بررسی با استفاده از آزمون کای دو مورد قضاوت آماری قرار گرفت.
یافتهها7 مجله و 509 مقاله مورد بررسی قرارگرفت. کلیه مقالات واجد شرایط تعیین و فواصل آنها بررسی شد. در مجموع، 6/14 در صد مقالات تاخیر داشتند که تاخیر در فاصله زمانی اعلام وصول تا اصلاح نهایی 2/31 در صد، اصلاح نهایی تا تاییدیه 3/3 در صد و تاییدیه تا انتشار 2/11 درصد بود. همچنین در 3/54 درصد مقالات فواصل زمانی مورد نظر ما نامشخص بود یعنی نویسندگان مقاله یا خود مجله این فواصل را اعلام نکرده بودند. در تمامی فواصل مورد بررسی، نوع مجله در تاخیر نقش معنیداری داشت و فقط در فاصله زمانی تاییدیه تا انتشار علاوه بر نوع مجله، زمان منابع هم موثر بود.
نتیجهگیریعلیرغم پیشرفتی که در کاهش تاخیر در این فاصله ها مشاهده شد، کماکان این مشکل وجود داشته که این مسئله جای نگرانی دارد، لذا اقدامات لازم در این راستا توصیه می شود.
کلید واژگان: فاصله زمانی اعلام وصول تا اصلاح نهایی, فاصله زمانی اصلاح نهایی تا صدور تاییدیه, فاصله زمانی صدور تاییدیه تا انتشارBackgroundLong delays in getting a paper published in a medical journal may affect motivation for research. The aim of this study was to evaluate the duration of the research, and the average interval between the completion of a research project and the publication of the research article in dental research journals.
Materials and methodsIn this cross sectional study, all eligible articles were collected and adjusted based on the reported intervals according to the month of publication. In this study, delay was defined as the interval between receipt of the paper and final modification >6 months, final modification and final approval >3 months and the time between final approval and publication >3 months. Name of the journal, authors, type of design, quality of materials (type and time of source, number of sources in English, Farsi, whether books or articles) and the project sponsor, were assessed to determine if any of these factors were associated with delay.
ResultsIn this study, 7 journals and 509 articles were evaluated. 14.6% of the papers were delayed. Delay between receipt and final modification was noted in 31.2%, between final modification and final approval was observed in 3.3% and between final approval and publication in 11.2%. In 54.3 percent of papers, this data was not available. At all stages, type of journal had a significant role especially in the time between approval and publication.
ConclusionSignificant delays have been observed between receipt of papers and their publication in dental journals.
Keywords: The time between receipt, final correction, The time between correction, approval The time between approval, publication -
سابقه و هدف
علت اصلی شکست در کاربرد فیشورسیلنت از دست رفتن باند آن به دندان و ایجاد پوسیدگی های ثانویه است. نانوذرات هیدروکسی آپاتیت دارای خواص بیولوژیک مطلوبی هستند که با افزودن آنها به مواد ترمیمی می توان از این ویژگی ها بهره جست. تحقیق حاضر با هدف بررسی اثر افزودن مقادیر مختلف نانوذرات هیدروکسی آپاتیت (0 درصد (کنترل)، 1، 3، 5، 10، 15 درصد) بر خواص مکانیکی چون استحکام باند میکروبرشی و خواص فیزیکی مانند درجه تبدیل عمق کیور و بررسی رمینرالیزاسیون مینای دندان صورت پذیرفت.
مواد و روش هادر مطالعه تجربی آزمایشگاهی حاضر درصدهای وزنی مختلف شامل 0 درصد(کنترل)، 1، 3، 5، 10 و 15 درصد از نانوذرات هیدروکسی آپاتیت با ابعاد 50 نانومتر به صورت جداگانه به فیشورسیلنت اضافه شدند. سپس آزمون درجه تبدیل توسط دستگاه Fourier Transform Infrared Spectroscopy (FTIR) و عمق کیور مطابق با استاندارد ISO 4049 بر روی نمونه های آماده شده انجام گرفت. برای انجام آزمون استحکام باند میکروبرشی از 35 دندان پره مولر سالم و فاقد پوسیدگی استفاده شد. از دستگاه سنجش خواص مواد (Zwick) جهت انجام آزمون استفاده گردید. رمینرالیزاسیون مینای دندان های دائمی توسط میکروسکوپ الکترونی Scanning Electron Microscopy (SEM) مورد بررسی قرار گرفت. اطلاعات خام بدست آمده توسط آزمون های توزیع نرمال (کلموگراف اسمیرنوف) و آنالیز واریانس یکطرفه و Post Hoc Tukey مورد تجزیه و تحلیل آماری قرار گرفت.
یافته هایافته ها نشان می دهند در استحکام باند میکروبرشی و درجه تبدیل در غلظت های مختلف فیشورسیلنت حاوی نانوذرات هیدروکسی آپاتیت اختلاف معناداری وجود ندارد (05/0P>). بین میانگین استحکام میکروبرشی و درجه تبدیل گروه فیشورسیلنت تجاری 3M با فیشورسیلنت معمولی تفاوت معنی داری وجود نداشت(05/0P>). عمق کیور در غلظت های10 (0P=) و 15 درصد (0P=) نسبت به گروه های قبلی کاهش یافت که از لحاظ آماری معنادار بود (05/0P<). عمق کیور گروه فیشورسیلنت تجاری 3M نسبت به فیشورسیلنت معمولی کمتر بود (0P=) که این تفاوت از نطر آماری معنی دار بود (05/0P<). ناحیه رمینرالیزه در سطح بین فیشورسیلنت و مینای دندان توسط SEM مشاهده شد. این ناحیه در غلظت های بالاتر واضح تر می گردید.
نتیجه گیریفیشورسیلنت حاوی نانوذرات هیدروکسی آپاتیت می تواند با تاثیر بر ایجاد رمینرالیزاسیون در سطح مینای دندان باعث کاهش میکرولیکیج و جلوگیری از ایجاد پوسیدگی های ثانویه شود در حالیکه خواص مکانیکی کاهش نمی یابد.
کلید واژگان: فیشورسیلنت, نانوذرات هیدروکسی آپاتیت, استحکام باند میکروبرشی, درجه تبدیل, عمق کیور, رمینرالیزاسیونObjectiveThe main reason for failure in application of fissure sealant is its loss of bond to tooth and development of secondary decays. Nanoparticles of hydroxyapatite have convenient biologic properties and we can try to benefit from these characteristics by adding them to repair materials. The present study was performed with the aim to assess the effect of addition of various amount nanoparticles of hydroxyapatite on mechanical properties such as microshear bond strength and physical properties like curing depth and degree of conversion as well as evaluation of teeth enamel remineralization.
MethodsIn the present laboratory experimental studydifferent weight percentages comprising 0% (control)، 1%، 3%، 5%، 10% and 15% of nanoparticles of hydroxyapatite with 50 nm dimensions were separately added to fissure sealant. Then degree ofconversiontest by Fourier Transform Infrared Spectroscopy (FTIR) and curing depth according to ISO 4049 standard were performed on prepared samples. For the microshearbond strength test 35 premolar teeth without caries were used. The substance properties measurement device (Zwick) was used to do the test. Remineralization of permanent teeth enamel was assessed by Scanning Electron Microscopy (SEM). Raw data obtained were statistically analyzed by normal distribution test (Kolmogorov-Smirnov)، one way ANOVA and Tukey Post Hoc.
ResultsResults showed that microshear bond strength and degree of conversion had no significant difference in various concentrations of fissure sealant containing hydroxyapatite nanoparticles (P>0/05). Between microshear bond strength and degree of conversion means of 3M commercial fissure sealant and usual fissure sealant there was no significant difference (P>0/05). Curing depth in concentrations of 10% (P=0) and 15% (P=0) statistically significantly decreased compared to previous groups (P<0/05). Curing depth of 3M commercial fissure sealant group was lower compared to conventional fissure sealant group (P=0) and the difference was statistically significant (P<0/05). A remineralized region on the surface between the fissure sealant and tooth enamel was observed by SEM. This region was more remarkable in higher concentrations.
ConclusionFissure sealant containing hydroxyapatite nanoparticles with effect on remineralization on the surface of tooth enamel can lead to reduction of micro-leakages and prevention of development of secondary caries while mechanical properties do not decline.
Keywords: Fissure sealant, Hydroxyapatite nanoparticle, Microshear bond strength, Degree of Conversion, Curing depth, Remineralization -
IntroductionFormocresol is widely used in primary teeth pulpotomies; however it is known to have several side effects. The purpose of this study was to assess pulpal changes of primary teeth pulps after pulpotomy with sodium hypochlorite and formocresol.Materials And MethodsIn this randomized clinical trial, 22 teeth were selected. These teeth were randomly divided into 2 groups (formocresol; n=11 and sodium hypochlorite n=11). Two months post-operatively teeth were extracted and pulpal responses were evaluated by recording the degree of inflammation and extent of pulpal involvement. Dentinal bridge formation was also evaluated. Finally the data was analyzed with McNemartest.ResultsThe formocresol group demonstrated mild inflammation in 4 cases whereas sodium hypochlorite had mild inflammation in six cases. Severe inflammation was only found in 1 case in the sodium hypochlorite group, but it was present in 4 cases in the formocresol group. In sodium hypochlorite group there were no cases of necrosis, and dentinal bridge was found in 3 cases, unlike, the formocresol group which had necrosis but no dentinal bridge formation.ConclusionBased on the results of this study sodium hypochlorite may be a suitable solution for conducting pulpotomy in primary teeth.
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