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managed by a proper understanding of factors like etiopathogenesis, ultra-structure of enamel, and dentine and their effect on the bonding of restorations of the tooth.Background Dental caries is a dysbiotic polymicrobial disease that can cause damage to an individual's successful, elite sporting performance. Aims This study aimed to realize a meta-analysis to calculate a worldwide, pooled estimated prevalence of dental caries in athletes. Methods and materials This systematic review and meta-analysis was registered in PROSPERO (n° CRD42017068127). A systematic search was conducted in the electronic databases Pubmed, Scopus, Web of Science, Virtual Health Library (Lilacs) and Grey literature from inception up to April 2017. The MeSH terms "Sports," Athletes," and "Dental Caries" were used. The inclusion criteria used in this review were observational cross-sectional studies, longitudinal retrospective, and prospective studies that presented the prevalence of dental caries in athletes without intellectual disabilities. From selected articles, the risk of bias tools were assessed. After considering the qualitative heterogeneity among studies, a meta-analysis was conducted. Results A total of 1,376 abstracts were initially retrieved, with only five meeting the inclusion criteria. Of these, one was considered to have a low risk of bias and four were considered to have a moderate risk of bias. The overall estimated prevalence of dental caries in athletes was 46.25% (95%CI 28.73-64.27). Conclusion The estimated prevalence of dental caries in athletes, and particularly in athletes from developing countries is considered to be high. The pooled prevalence estimates have important implications in regard to preventive measures and research planning around the world.Context In-vitro studies of microleakage are an initial screening method to assess the maximum theoretical loss of sealing ability in-vivo. Aims Our objective was to determine and compare microleakage patterns of conventional glass ionomer cement (GIC) and resin-modified GIC (RMGIC) for band cementation. Methods Forty caries-free second primary molars were randomly divided into two groups of 20 teeth each. Preformed molar bands in the two groups were cemented to enamel with one of two types of cement Conventional GIC (Fuji I, GC Corporation; Tokyo, Japan) and RMGIC (Fuji Plus, GC Corporation; Tokyo, Japan). A dye penetration method was used for microleakage evaluation. Microleakage was determined by a stereomicroscope for the cement-band and cement-enamel interfaces. Statistical analysis used Statistical analysis was performed with Kruskal-Wallis and Mann-Whitney U tests. Results The mean microleakage value for conventional GIC (Fuji I) at cement-band and cement-enamel interfaces was 2.41 mm and 2.15 mm, respectively. The mean microleakage value for RMGIC (Fuji Plus) at cement-band and cement-enamel interfaces was 0.44 mm and 0.46 mm, respectively. Compared to conventional GIC, RMGIC showed less microleakage at both cement-band and cement-enamel interfaces. P less then 0.001 and it was statistically highly significant. Conclusions Bands cemented with RMGIC had significantly less microleakage between the cement-band and cement-enamel interfaces than conventional GIC.Objective This study evaluated the effect of chemical disinfection and microwave irradiation on the surface hardness and roughness of two commercially available hard relining materials (Ufi Gel hard, GC Kooliner) and one denture base resin (Trevalon). Materials and methods A total of 72 specimens (n = 24) were divided into four groups. C Not disinfected, Cl disinfected with 4% chlorhexidine solution, Gl disinfected with 2% glutaraldehyde solution, Mw disinfected with microwave irradiation (650 W; 6 min). Hardness and roughness measurements were made after polymerisation, 1st day, 14th day and 28th day. Results Ufi Gel hard showed an increased roughness after 1st day (P = 0.021) following chemical disinfection and GC Kooliner showed similar results after 14th day (P less then 0.05). Microwave irradiation showed a significant increase in surface roughness value after 1st day (P less then 0.05) for both Ufi Gel hard and GC Kooliner. Hardness of both Ufi Gel (12.131 to 7.333 VHN) and Kooliner (9.133 to 5.276 VHN) was significantly reduced by chemical disinfection, while microwave irradiation resulted in an increased surface hardness of Kooliner (from 9.126 to 12.713 VHN) and Ufi Gel hard (from 11.698 to 14.940VHN). Results for Trevalon were not significant for both the disinfection methods. Conclusions Microwave irradiation increased the surface roughness and hardness of Ufi Gel hard and Kooliner, while chemical disinfection resulted in a decreased hardness and increased roughness of both hard relining materials. There was no effect of either of the disinfection methods on Trevalon.Context The etiopathogenesis of oral lichen planus (OLP) is still debatable. According to literature, many studies have illustrated OLP as a T-cell-mediated chronic autoimmune disease. Currently, there is increased evidence of chronic inflammation in OLP and its association with vascular adhesion molecules (VAMs). Aim The aim of this study was to evaluate the expression of VAM (PECAM-1) in OLP. Setting and design Tissue samples involved 20 archival cases of histopathologically confirmed OLP (n = 15) and normal mucosa (n = 5) as controls. Halofuginone cell line Materials and methods The sections were subjected to immunohistochemical analysis using antibody to PECAM-1. Brown staining of the endothelial cells of blood vessels was considered positive. The expression of PECAM-1 in OLP was statistically analyzed using Wilcoxon sign-rank test. Results The expression of PECAM-1 in OLP was statistically significant when compared with normal mucosa (P less then 0.05). A statistically significant difference was also observed in PECAM-1 expression between the reticular type and erosive type of OLP. Conclusion PECAM-1 was found to be overexpressed in OLP; difference in PECAM-1 expression was noted between the reticular and erosive types. The VAMs could be exploited as a possible therapeutic target in OLP to modulate the disease process thereby reducing the dependency on corticosteroids.Aim (1) To apply the quadrilateral analysis to adult male and female Chennai population with normal occlusion, (2) To compare the results to Chennai adult male and female with anterior openbite, (3) To evaluate the correlation of the quadrilateral variables and (4) To establish additional parameters to determine an openbite tendency. Materials and methods The study was carried out from the values taken from 120 pretreatment lateral cephalograms of the selected Chennai population and divided into two groups. Group A consists of 60 lateral cephalograms of 30 male and 30 female patients with balanced anteroposterior and vertical facial proportion and normal overjet and overbite relationship. Group B consists of 60 lateral cephalograms of 30 male and 30 female patients with anterior openbite and comparision done with 2 groups. Results in normal subjects the lower facial heights are equal. In anterior openbite subjects. The facial heights. The sagittal angle. The maxillary and mandibular sagittal ratios. Lower facial height and sagittal ratio is larger than normal. Results statistical analysis performed with Version 23(SPSS) and Student's t test were done to describe the mean and standard deviation. To assess the relationship pearson correlation was used.The probability value of 0.05 is consdered as significant. Conclusion The malformation of the craniofacial structure in anterior openbite subjects resides in the maxillomandibular complex. The overbite depth indicator, the sagittal angle, the maxillary, and mandibular sagittal ratio can be additional parameters in determining an openbite tendency.Background Oral and maxillofacial surgery (OMFS) is a dental specialty evolving from the anatomical region of head and neck. Differing from the belief, its scope does not start and end with teeth. The aim of the study was to survey the perception of OMFS among dental, medical, and paramedical professionals. Materials and methods A structured questionnaire cross-sectional survey made up of 17 clinical situations pertaining to various complaints of patients was distributed among 50 medical and dental undergraduates, 50 medical and dental practitioners, and 50 general populations with a total number of 250 samples who were selected randomly. The collected data was tabulated using Microsoft excel for any predictable patterns. The results were analyzed taking absolute percentages of the responses into consideration. Results The results were compiled and tabulated and the data analyzed. While wisdom tooth removal, trauma, and facial bone fractures were recognized to be mainly treated by maxillofacial surgeons, the other maxillofacial problems were poorly recognized to be treated by our specialty. In our study, 67.3% of general public and 62.4% of medical professionals approached other medical specialist for the clinical conditions. The Chi-square results of few clinical situations were statistically significant with a P value of less than 0.05, which suggest that there is indeed a statistically significant difference between the responses of medical profession and the public on whom to approach regarding certain clinical cases. Conclusion The study revealed that the majority of the public are lacking in knowledge about the benefits that the specialty can offer. It has been found that even though the Medical professionals are better informed, lacunae existed about information as to where our major activity lies. If patients are to have access to the best treatment available, it is essential that we edify the public about the scope of our specialty.Aims and objectives The aim and objective of the present study was to explore the use of salivary calcium levels as a diagnostic biochemical marker for osteoporosis in menopausal women and also to find the correlation among oestrogen level, bone density and salivary calcium level. Materials and methods The study included 180 individuals and they were divided into three groups with 60 individuals in each group, comprised of healthy women, pregnant women and post-menopausal women. All the women were asked to collect at least 2 ml of unstimulated whole saliva in the sterile plastic sample containers. The samples were immediately subjected to biochemical estimation of calcium. Similarly, estimation was done for oestrogen level and bone density among all the groups. The results were obtained by one-way analysis of variance (ANOVA) using Statistical Software SPSS version 17. For the correlation among the bone density, salivary calcium level and serum oestrogen levels, Pearson's correlation was used. Results The mean salivary calcium level in the healthy women group was found to be 3.0 ± 0.50 μg/ml. Similarly, pregnant women and post-menopausal group, it was found to be 3.20 ± 0.72 and 7.5 ± 0.90 μg/ml, respectively. When the intergroup comparison was done in the three groups, it was found to be highly significant (P = 0.001). Similarly, the difference in mean value for oestrogen level and bone density was highly significant among all the groups (P = 0.001). Conclusion Among all the three groups, the salivary calcium levels do exhibit the correlation with bone mineral density. In the post-menopausal group, there was significant increase in salivary calcium level compared to other groups. Similarly, the study showed a negative correlation between salivary calcium and serum oestrogen. This substantiates the point that salivary calcium levels can definitely indicate the possibility of the presence or absence of osteoporosis in post-menopausal women.

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