Revista clínica de periodoncia, implantología y rehabilitación oral最新文献_第9页

Comparación de la fuerza adhesiva de 2 sistemas de cementos de resina en diferentes regiones radiculares en la cementación de postes de fibra 两种树脂胶结体系在纤维桩胶结不同根区粘结强度的比较

Revista clínica de periodoncia, implantología y rehabilitación oral Pub Date : 2015-04-01 DOI: 10.1016/j.piro.2015.02.001

Patricio Vildósola Grez , Pablo Angel Aguirre , Andrea Pino Garrido , Patricia Cisternas Pinto , Emilio Diaz Durán , Osmir Batista de Oliveira junior , Jose Roberto Cury Saad , Marcelo Bader Mattar

{"title":"Comparación de la fuerza adhesiva de 2 sistemas de cementos de resina en diferentes regiones radiculares en la cementación de postes de fibra","authors":"Patricio Vildósola Grez , Pablo Angel Aguirre , Andrea Pino Garrido , Patricia Cisternas Pinto , Emilio Diaz Durán , Osmir Batista de Oliveira junior , Jose Roberto Cury Saad , Marcelo Bader Mattar","doi":"10.1016/j.piro.2015.02.001","DOIUrl":"10.1016/j.piro.2015.02.001","url":null,"abstract":"<div><p>Loosening is the most common failure of fiber posts, mainly due to complex adhesion within the root canal. The main objective of this study was to determine if significant differences in adhesive resistance, using the push-out test, in the cementation of fiber posts with RelyX U-200<sup>®</sup> (U200) and Core Paste XP<sup>®</sup> (CPX) in different root regions.</p></div><div><h3>Material and methods</h3><p>A selection of 40 premolars were sectioned 15mm from the apex, treated endodontically and then randomly divided in two groups of 20, using an Exacto translucent fiber post with U200 and CPX, respectively. After 24hours, each sample was sectioned into cervical, middle and apical. The test push-out test was performed using a Tinius Olsen HK5-S machine to quantify the adhesive strength in Mega Pascals. The test Shapiro-Wilk, two-factor Anova and Tukey tests were used with a significance level of 95%</p></div><div><h3>Results</h3><p>There were no significant differences between the cements (<em>P</em>  <.05), while U200 presented a value significantly higher in the apical third (<em>P</em>  <!-->.05).</p></div><div><h3>Conclusions</h3><p>There was no significant difference in the value of the adhesive strength in the comparison between U200 and CXP, however there was a higher value of CXP at cervical and U200 at apical level.</p></div>","PeriodicalId":21203,"journal":{"name":"Revista clínica de periodoncia, implantología y rehabilitación oral","volume":"8 1","pages":"Pages 38-44"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.piro.2015.02.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127007611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Pay-for-performance and efficiency in primary oral health care practices in Chile 智利初级口腔卫生保健实践的按绩效付费和效率

Revista clínica de periodoncia, implantología y rehabilitación oral Pub Date : 2015-04-01 DOI: 10.1016/j.piro.2015.02.011

Marco Cornejo-Ovalle , Romina Brignardello-Petersen , Glòria Pérez

{"title":"Pay-for-performance and efficiency in primary oral health care practices in Chile","authors":"Marco Cornejo-Ovalle , Romina Brignardello-Petersen , Glòria Pérez","doi":"10.1016/j.piro.2015.02.011","DOIUrl":"10.1016/j.piro.2015.02.011","url":null,"abstract":"<div><h3>Background</h3><p>Payment mechanisms for health care providers have been used as a strategy to improve management, health indicators, cost containment, equity and efficiency. Among the mechanisms implemented in the past decade is pay-for-performance (P4P). In Chile, it was incorporated since 2003 in primary care in addition to the salary by seniority and training.</p></div><div><h3>Objectives</h3><p>To assess the impact of P4P on the efficiency of primary oral health care providers in Chile.</p></div><div><h3>Methods</h3><p>We performed a retrospective cohort study to compare the performance of oral healthcare practices belonging to primary health providers measured by the rate of dental discharge in 6 year-old children between years in which P4P was used and years in which P4P was not used, in the 52 municipalities of the Metropolitan Region of Chile. We also explored whether rurality, and the human development index (HDI) had an association with the efficiency of health care teams. We calculated the rate of discharge per 1000 patients, and its adjusted and unadjusted association with the predictors of interest, using a Random-effects Poisson regression.</p></div><div><h3>Results</h3><p>We found statistically significant differences in the rate of dental discharges when comparing P4P versus no P4P (822.59/1000 and 662.59/1000, respectively, <em>p</em>  =0.01). Rurality was not statistically associated with P4P (727.24/1000 in rural and 770.19/1000 in urban municipalities, <em>p</em>  <!-->0.553). Unadjusted and adjusted rate ratios were very similar.</p></div><div><h3>Conclusions</h3><p>P4P financial incentives can improve the performance of primary care dental practices, and seem to be useful interventions to improve the performance of oral health care providers.</p></div>","PeriodicalId":21203,"journal":{"name":"Revista clínica de periodoncia, implantología y rehabilitación oral","volume":"8 1","pages":"Pages 60-66"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.piro.2015.02.011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127739058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Osteología: relevancia de conceptos médicos en el ámbito odontológico 骨学:医学概念在牙科领域的相关性

Revista clínica de periodoncia, implantología y rehabilitación oral Pub Date : 2015-04-01 DOI: 10.1016/j.piro.2015.02.010

Enrique Fernández , Héctor González , Álvaro Castro , David Lisboa

引用次数: 1

Ocurrencia de levaduras del género Candida y estomatitis protésica antes y después del tratamiento rehabilitador basado en prótesis removible 基于可拆卸假体的康复治疗前后念珠菌属酵母和假体口腔炎的发生

Revista clínica de periodoncia, implantología y rehabilitación oral Pub Date : 2015-04-01 DOI: 10.1016/j.piro.2015.02.005

Ximena Lee Muñoz , Nataly Cajas Cajas , Leyla Gómez Carranza , Cristian Vergara Núñez , Mariana Ivankovic Silva , Elizabeth Astorga Bustamante

{"title":"Ocurrencia de levaduras del género Candida y estomatitis protésica antes y después del tratamiento rehabilitador basado en prótesis removible","authors":"Ximena Lee Muñoz , Nataly Cajas Cajas , Leyla Gómez Carranza , Cristian Vergara Núñez , Mariana Ivankovic Silva , Elizabeth Astorga Bustamante","doi":"10.1016/j.piro.2015.02.005","DOIUrl":"10.1016/j.piro.2015.02.005","url":null,"abstract":"<div><p>Almost two-thirds (63.2%) of the Chilean population aged 65 and above use removable prosthesis. When they cease to be functional, injuries may occur in the oral mucosa, with denture stomatitis being the most prevalent. This is an inflammatory process of the supportive mucosa of varying extension and severity, with its main etiologic factor being infection by <em>Candida</em> spp. The aim of this investigation was to determine the quantity and species of yeast of the genus <em>Candida</em> and their association with denture stomatitis in carriers of removable prosthesis, before and after the rehabilitation treatment. A descriptive quantitative study was conducted on 34 patients, with a mean age of 69 years, and carriers of a non-functional removable prosthesis, with and without prosthetic stomatitis. Saliva samples were taken before and after the treatment for the counting and identification of genus <em>Candida yeast</em>. The variables were statistically analyzed. The results showed a diagnosis of prosthetic stomatitis in 55.9% of the subjects, of which 29.4% were Type I and 26.5% were Type II. The <em>Candida spp</em> count was higher in the subjects with prosthetic stomatitis both before and after the treatment. The count decreased significantly after installing a functional prosthesis. However, it remained high in those with prosthetic stomatitis. The most frequently identified species was <em>Candida albicans.</em></p></div>","PeriodicalId":21203,"journal":{"name":"Revista clínica de periodoncia, implantología y rehabilitación oral","volume":"8 1","pages":"Pages 31-37"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.piro.2015.02.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124207542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Capacidad buffer de la saliva en presencia de bebidas energéticas comercializadas en Chile, estudio in vitro 在智利销售的能量饮料存在时唾液缓冲能力，体外研究

Revista clínica de periodoncia, implantología y rehabilitación oral Pub Date : 2015-04-01 DOI: 10.1016/j.piro.2015.02.006

Jenny Carolina Sánchez González , Iván Urzúa Araya , Simone Faleiros Chiocca , Juan Pablo Lira Toro , Gonzalo Rodríguez Martínez , Rodrigo Cabello Ibacache

{"title":"Capacidad buffer de la saliva en presencia de bebidas energéticas comercializadas en Chile, estudio in vitro","authors":"Jenny Carolina Sánchez González , Iván Urzúa Araya , Simone Faleiros Chiocca , Juan Pablo Lira Toro , Gonzalo Rodríguez Martínez , Rodrigo Cabello Ibacache","doi":"10.1016/j.piro.2015.02.006","DOIUrl":"10.1016/j.piro.2015.02.006","url":null,"abstract":"<div><h3>Objective</h3><p>To determine, using <em>in vitro</em> pH measurements, the buffering capacity of saliva when added to different energy drinks sold in Chile.</p></div><div><h3>Method</h3><p>The participation of 3 young and systemically healthy patients, with no diseases of the saliva glands, was obtained. Samples of stimulated saliva where obtained from each patient and then mixed and stored as one sample. The study used 13 energy drinks sold nationwide, with 5mL of each one being distributed into 4 Falcon tubes. The pH of each of the energy drinks, the saliva sample, and drinking water was measured. 1mL of drinking water was added into Falcon tube number 1, and 1mL of saliva into the 3 remaining every 3 min until completing 13mL of solution in each one (38% vol./vol.). The pH measurements where performed upon adding each 1mL (saliva/water) to allow the pH meter to correctly register the data.</p></div><div><h3>Results</h3><p>The pH levels for energy drinks range between pH 2.42±0.008 (Battery Gingered®), to pH 3.44±0.005 (Battery Sugar Free®). The saliva had a mean pH value of 7.99, and 7.05 for drinkable water. The energy drink that achieved a higher increase in pH level was Speed®, reaching a value of pH 4.38, while the energy drink that increased the pH level the least was Quick Energy®, only reaching a pH of 3.37.</p></div><div><h3>Conclusion</h3><p>The buffering capacity of saliva managed to increase the pH level of energy drinks analyzed in this study between 17 and 54%. However, saliva was unable to neutralize further than 4.38 the low levels of pH in these drinks, thus being critical to dental structure.</p></div>","PeriodicalId":21203,"journal":{"name":"Revista clínica de periodoncia, implantología y rehabilitación oral","volume":"8 1","pages":"Pages 24-30"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.piro.2015.02.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115504861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Carillas de composite como alternativa a carillas cerámicas en el tratamiento de anomalías dentarias. Reporte de un caso 复合贴面作为陶瓷贴面的替代治疗牙齿异常。报告个案

Revista clínica de periodoncia, implantología y rehabilitación oral Pub Date : 2015-04-01 DOI: 10.1016/j.piro.2015.02.008

Jennifer Orozco Páez , Jairo Berrocal Rivas , Antonio Diaz Caballero

{"title":"Carillas de composite como alternativa a carillas cerámicas en el tratamiento de anomalías dentarias. Reporte de un caso","authors":"Jennifer Orozco Páez , Jairo Berrocal Rivas , Antonio Diaz Caballero","doi":"10.1016/j.piro.2015.02.008","DOIUrl":"10.1016/j.piro.2015.02.008","url":null,"abstract":"<div><p>The tooth anomalies of size and shape are common anatomical alterations involving the aesthetics of the anterior sector. There are different approaches to address this morphological alteration. The procedure most in demand is restoration with veneers, with the materials of choice in this case being indirect ceramic restorations and direct composite resin restorations. The ceramic preserves physical and aesthetic properties that make it the first choice, but composite resins are becoming a reliable alternative. The case of a patient is presented who consulted with aesthetic anomalies. In the intraoral examination 2 pin-shaped dental organs 12 and 22 are observed, as well as diastemas in the maxilla, in the anterior sector. A proposed treatment plan was cosmetic restoration of anterior-superior sector with composite resin veneers using plastic preforms. The aim of the present case is to describe the aesthetic restorative treatment performed using composite resin copings.</p></div>","PeriodicalId":21203,"journal":{"name":"Revista clínica de periodoncia, implantología y rehabilitación oral","volume":"8 1","pages":"Pages 79-82"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.piro.2015.02.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129864846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Necrosis de injerto de tejido conectivo subepitelial asociado a incompetencia labial. Reporte de un caso clínico 上皮下结缔组织移植坏死与唇功能不全相关。临床病例报告

Revista clínica de periodoncia, implantología y rehabilitación oral Pub Date : 2015-04-01 DOI: 10.1016/j.piro.2014.09.006

Javier Basualdo , Ana Y. Niño

引用次数: 0

Evaluación de un nuevo método de remoción quirúrgica de implantes oseointegrados considerados en fallo 评估一种新的手术切除失败的骨结合种植体的方法

Revista clínica de periodoncia, implantología y rehabilitación oral Pub Date : 2015-04-01 DOI: 10.1016/j.piro.2015.02.007

Yerko Leighton , Juan Carlos Carvajal

{"title":"Evaluación de un nuevo método de remoción quirúrgica de implantes oseointegrados considerados en fallo","authors":"Yerko Leighton , Juan Carlos Carvajal","doi":"10.1016/j.piro.2015.02.007","DOIUrl":"10.1016/j.piro.2015.02.007","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of this study is the evaluation of a new removal method of osseointegrated implants under a minimally invasive technique.</p></div><div><h3>Material and methods</h3><p>The study was conducted on a group of 66 osseointegrated internal and external connection implants that were considered unsuccesful. The surgical removal was indicated after radiologically confirming peri-implant bone loss, and poor positioning which made the prosthetic rehabilitation impossible, or would damage the prosthetic implant retainer. The surgical procedure was developed in an operating room under local anesthesia. As first surgical removal option, the procedure consisted of the use of a removal instrument that works against torque and which does not need a full thickness flap to reach the surgical site; and as a second surgical removal option a trephine bur was used. For this option, a full thickness flap was performed in order to expose the surgical site.</p></div><div><h3>Results</h3><p>A total of 66 osseointegrated implants were removed under the first mode, with no full thickness flaps or Trephine burs required.</p></div><div><h3>Conclusions</h3><p>Within the limitations of this preliminary study, we propose that the use of this new, against torque, removal instrument of osseointegrated implants in failure is seen as a very good alternative to invasive surgical removal techniques, reducing surgical risks.</p></div>","PeriodicalId":21203,"journal":{"name":"Revista clínica de periodoncia, implantología y rehabilitación oral","volume":"8 1","pages":"Pages 45-53"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.piro.2015.02.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134096661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

La Colaboración Cochrane cumple 20 años 科克伦合作20周年纪念

Revista clínica de periodoncia, implantología y rehabilitación oral Pub Date : 2015-04-01 DOI: 10.1016/j.piro.2015.02.012

Julio Villanueva Maffei, Marco Cornejo-Ovalle

引用次数: 1

Actividad de metaloproteinasa de matriz extracelular-9 en fluido crevicular gingival durante la respuesta reparativa en periodontitis apical asintomática 无症状根尖牙周炎修复反应中牙龈沟液中细胞外基质金属蛋白酶-9的活性

Revista clínica de periodoncia, implantología y rehabilitación oral Pub Date : 2015-04-01 DOI: 10.1016/j.piro.2015.02.002

Fabián A. Obregón Miano , Mauricio Garrido , Andrea Dezerega , Marcela Hernández Ríos

{"title":"Actividad de metaloproteinasa de matriz extracelular-9 en fluido crevicular gingival durante la respuesta reparativa en periodontitis apical asintomática","authors":"Fabián A. Obregón Miano , Mauricio Garrido , Andrea Dezerega , Marcela Hernández Ríos","doi":"10.1016/j.piro.2015.02.002","DOIUrl":"10.1016/j.piro.2015.02.002","url":null,"abstract":"<div><h3>Objective</h3><p>Apical destructive periodontal processes are largely mediated by specific proteases. Evidence supports that the levels of extracellular matrix metalloproteinase-9 (MMP-9) could reflect the presence of asymptomatic apical periodontitis (AAP) in gingival crevicular fluid (GCF). The aim of this study was to evaluate the activity of MMP-9 during reparative response in periapical post endodontic controls between 1 week and 6 months later and in healthy controls.</p></div><div><h3>Materials and methods</h3><p>A prospective study was performed on 28 patients with a diagnosis of AAP. GCF samples were taken from AAP teeth at baseline and post-endodontic controls at 1 week, 1, 3 and 6 months. Additional healthy contralateral controls were obtained, and samples were eluted and analyzed by densitometric scanning and gelatin zymography.</p></div><div><h3>Results</h3><p>In patients with asymptomatic apical periodontitis, both the pro form and the active form of MMP-9 were identified. These showed significant increases in post-endodontic controls at three and six months, with signs of periapical repairing.</p></div><div><h3>Conclusions</h3><p>MMP-9 levels significantly increased in teeth diagnosed with AAP during the reparative phase. These results suggest that MMP-9 might be involved in the healing of apical tissues that might be reflected in GCF.</p></div>","PeriodicalId":21203,"journal":{"name":"Revista clínica de periodoncia, implantología y rehabilitación oral","volume":"8 1","pages":"Pages 54-59"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.piro.2015.02.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126145229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0