中华口腔医学杂志最新文献

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[Analysis and prospects of the "Global strategy and action plan on oral health (2023-2030)"].
中华口腔医学杂志 Pub Date : 2025-03-28 DOI: 10.3760/cma.j.cn112144-20240909-00340
F Liu, S Q Yu, X L Han
{"title":"[Analysis and prospects of the \"Global strategy and action plan on oral health (2023-2030)\"].","authors":"F Liu, S Q Yu, X L Han","doi":"10.3760/cma.j.cn112144-20240909-00340","DOIUrl":"https://doi.org/10.3760/cma.j.cn112144-20240909-00340","url":null,"abstract":"<p><p>Oral diseases have become a major global public health issue. The \"Global strategy and action plan on oral health (2023-2030)\" issued by the World Health Organization in 2023 marks a milestone in advancing global oral health and serves as a pivotal initiative for implementing global oral health resolutions and strategies. Centered on universal health coverage, the action plan outlines multiple strategies and concrete actions, including strengthening prevention, early intervention, and integrated management, for improving the oral health worldwide. This paper provides a comprehensive review of the strategies and measures outlined in the action plan, aiming to offer valuable insights for developing an oral health pathway in China that aligns with national circumstances and the broader trajectory of human societal development.</p>","PeriodicalId":23965,"journal":{"name":"中华口腔医学杂志","volume":"60 4","pages":"320-325"},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[A study of the effect of midface fullness on the overall perception of lip prominence].
中华口腔医学杂志 Pub Date : 2025-03-28 DOI: 10.3760/cma.j.cn112144-20250118-00024
L X Chen, X H Yang, Z H Chen, S H Chen, J W Cai, L Y Xu
{"title":"[A study of the effect of midface fullness on the overall perception of lip prominence].","authors":"L X Chen, X H Yang, Z H Chen, S H Chen, J W Cai, L Y Xu","doi":"10.3760/cma.j.cn112144-20250118-00024","DOIUrl":"https://doi.org/10.3760/cma.j.cn112144-20250118-00024","url":null,"abstract":"&lt;p&gt;&lt;p&gt;&lt;b&gt;Objective:&lt;/b&gt; To evaluate the influence of midface (nasal base and zygomatic bone) morphological changes on the overall perception of lip prominence from different perspectives. &lt;b&gt;Methods:&lt;/b&gt; From February to March 2024, 212 volunteers were recruited in Fujian Province as study subjects and divided into three groups: orthodontists [65 participants, 28 males and 37 females, aged (31.3±6.9) years], orthodontic patients [72 participants, 24 males and 48 females, aged (27.6±5.7) years], and healthy adults [75 participants, 37 males and 38 females, aged (25.6±4.4) years]. Three-dimensional facial modeling software was used to generate facial models, which were sculpted using three-dimensional model sculpting software to simulate different nasal base, zygomatic bone, and upper lip prominence conditions. A total of 15 facial models were generated, divided into five groups (three models per group): Group A (normal nasolabial angle, normal nasal base, normal upper lip); Group B (increased nasolabial angle, normal nasal base, flattened upper lip); Group C (decreased nasolabial angle, normal nasal base, protruded upper lip); Group D (increased nasolabial angle, protruded nasal base, normal upper lip); Group E (decreased nasolabial angle, recessed nasal base, normal upper lip). Models 1, 2, and 3 in each group had normal, protruded, and flattened zygomatic bones, respectively (with Model 1 in Group A as the initial model). Forty-five-degree and ninety-degree profile images of the models were captured (30 images in total) and compiled into a questionnaire. Participants in the three study groups were selected as the most attractive and least attractive facial appearances based on the questionnaire and ratings of the lip prominence of the 45° and 90° profile images (0-10 points, where 0=very flat, 5=normal, and 10=very prominent). A one-sample t-test was used to compare the difference between model ratings and the median score of 5. &lt;b&gt;Results:&lt;/b&gt; Among the 30 images, the proportion of lip prominence ratings deviating from the median score of 5 was the highest among orthodontists [83% (25/30)], followed by orthodontic patients [67% (20/30)], and lowest among healthy adults [53% (16/30)]. At the 90° profile view, the scores given by orthodontists, orthodontic patients, and healthy adults for the initial model (5.07±0.79, 5.00±1.03, and 4.95±1.07, respectively) showed no statistically significant difference from 5 (&lt;i&gt;t=&lt;/i&gt;0.65, &lt;i&gt;P=&lt;/i&gt;0.521; &lt;i&gt;t=&lt;/i&gt;0.00, &lt;i&gt;P=&lt;/i&gt;1.000; &lt;i&gt;t=&lt;/i&gt;-0.42, &lt;i&gt;P=&lt;/i&gt;0.673). At the 45° profile view, the scores given by orthodontists, orthodontic patients, and healthy adults for the initial model (5.42±0.98, 5.40±1.15, and 5.35±1.45, respectively) were significantly higher than 5 (&lt;i&gt;t=&lt;/i&gt;3.30, &lt;i&gt;P=&lt;/i&gt;0.002; &lt;i&gt;t=&lt;/i&gt;2.98, &lt;i&gt;P=&lt;/i&gt;0.004; &lt;i&gt;t=&lt;/i&gt;2.11, &lt;i&gt;P=&lt;/i&gt;0.038). At both 90° and 45° profile views, orthodontists, orthodontic patients, and healthy adults all rated the lip prominence of Model 1 in Group E (nasa","PeriodicalId":23965,"journal":{"name":"中华口腔医学杂志","volume":"60 4","pages":"365-374"},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Establishment and characterization of an artificial caries-affected dentin model with demineralization and discoloration].
中华口腔医学杂志 Pub Date : 2025-03-28 DOI: 10.3760/cma.j.cn112144-20241226-00505
S J Liang, X Y Li, C M Yao, C Huang
{"title":"[Establishment and characterization of an artificial caries-affected dentin model with demineralization and discoloration].","authors":"S J Liang, X Y Li, C M Yao, C Huang","doi":"10.3760/cma.j.cn112144-20241226-00505","DOIUrl":"https://doi.org/10.3760/cma.j.cn112144-20241226-00505","url":null,"abstract":"&lt;p&gt;&lt;p&gt;&lt;b&gt;Objective:&lt;/b&gt; To investigate the establishment, structural, and bonding interface characteristics of an artificial caries-affected dentin model with demineralization and discoloration as a basis of research on caries-affected dentin bonding repair. &lt;b&gt;Methods:&lt;/b&gt; One hundred intact molars without caries were collected (acquired from Department of Oral and Maxillofacial Surgery, School & Hospital of Stomatology, Wuhan University from March to May 2023) and prepared as 5 mm thick dentin specimens. Then, they were screened and divided into 3 parts. One part of dentin specimens was subjected to bacterial biofilms to prepare artificial carious dentin (ACD). They were further ground by 600-grit SiC paper for 0, 12, 24, 36, and 48 s, respectively to obtain 5 groups with different layers of ACD: ACD-0, 12, 24, 36, and 48 s. Sound dentin was used as the control group. To determine the preparation parameter for artificial caries-affected dentin (ACAD), the first part of specimens was used for bacterial visualization observation (&lt;i&gt;n&lt;/i&gt;=3) and demineralization analysis experiments (micro-CT, Raman spectroscopy, and surface micro-hardness analyses, &lt;i&gt;n&lt;/i&gt;=3). Another part of dentin specimens was allocated to 3 groups: control group (sound dentin), artificial caries-infected dentin group (ACD-0 s) and ACAD group (prepared according to the parameter determined by the experiments above). They were used for color tests (&lt;i&gt;n&lt;/i&gt;=10), Raman spectroscopy analysis (&lt;i&gt;n&lt;/i&gt;=6) and scanning electron microscope (SEM) observation (&lt;i&gt;n&lt;/i&gt;=1), thus comparing color, chemical composition and structure, and micro-morphology of 3 groups. The rest of dentin specimens were divided into 2 groups: sound dentin and ACAD (&lt;i&gt;n&lt;/i&gt;=6), which were bonded to composite resin with Single Bond Universal in a self-etch mode. Then, the bonding interface was measured using an electron probe micro-analyzer (EPMA). &lt;b&gt;Results:&lt;/b&gt; The depth of bacterial invasion for ACD-0 s was (142.4±25.8) μm. And obvious bacteria were observed in the dentin tubules for the ACD-12 s group. For micro-CT, the demineralization depth was (283.9±25.6) μm for ACD-0 s and (139.2±27.9) μm for ACD-36 s. The grey values in some regions of the dentin surface for ACD-48 s resembled those of sound dentin. For Raman spectroscopy, the peak ratio of phosphate to amide Ⅰ was significantly lower for ACD-24 s [4.2 (3.2,6.7)] than ACD-36 s [6.7 (6.0,7.7)] (&lt;i&gt;P&lt;/i&gt;&lt;0.05). Additionally, there was no significant difference in surface micro-hardness between ACD-24 s [8.3 (7.0,10.2) HV] and ACD-36 s [10.2 (9.1,11.4) HV] (&lt;i&gt;P&lt;/i&gt;&gt;0.05). The preparation parameter of ACAD was determined to be grinding for 36 s based on the experimental results above. The brightness (L&lt;sup&gt;*&lt;/sup&gt; value) and the yellow-blue chromaticity (b&lt;sup&gt;*&lt;/sup&gt; value) of ACAD (76.69±2.54, 33.15±1.89) were significantly lower than those of the control group (85.23±1.68, 35.87±1.55) (&lt;i&gt;P&lt;/i&gt;&lt;0.05). The red-green chromaticity (a&lt;sup&gt;*&lt;/sup&gt; val","PeriodicalId":23965,"journal":{"name":"中华口腔医学杂志","volume":"60 4","pages":"355-364"},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Expert consensus: reducing free-sugar for caries prevention].
中华口腔医学杂志 Pub Date : 2025-03-28 DOI: 10.3760/cma.j.cn112144-20241203-00451
X J Zeng, X N Liu, M Liu, Y Si, Y Zhang, J Q Lai, X B Ding, C Su, X Si, Y G Lu, H C Lin, S G Zheng, W S Rong, M Q Du, X Y Ou, R M Qiu, M G Zhou, C X Wang
{"title":"[Expert consensus: reducing free-sugar for caries prevention].","authors":"X J Zeng, X N Liu, M Liu, Y Si, Y Zhang, J Q Lai, X B Ding, C Su, X Si, Y G Lu, H C Lin, S G Zheng, W S Rong, M Q Du, X Y Ou, R M Qiu, M G Zhou, C X Wang","doi":"10.3760/cma.j.cn112144-20241203-00451","DOIUrl":"https://doi.org/10.3760/cma.j.cn112144-20241203-00451","url":null,"abstract":"<p><p>In modern society, sugary foods have become an integral part of many people's lives. However, excessive sugar consumption has adverse effects on both overall health and oral health, serving as a contributing factor to the global increasing incidence in oral diseases, cardiovascular diseases, cancers, obesity, and diabetes. In response to the health risks related to high-sugar diets, the World Health Organization (WHO) and World Dental Federation (FDI) have proposed initiatives and recommendations, with various governments implementing different policies and strategies to reduce sugar intake. Chinese government has also taken proactive measures. The \"Healthy China Action (2019-2030)\" initiative introduced by the State Council in 2019 established a crucial benchmark in limiting the average daily intake of added sugar to 25 g per person forward to 2030. Experts from Chinese Center for Disease Control and Prevention and the field of oral health have meticulously examined the impacts of sugar reduction on oral health, as well as strategies, methods, and practical considerations related to reducing sugar intake through several meeting and wrote the \"Expert consensus: reducing free-sugar for caries prevention\", which was subsequently reviewed and revised based on the feedback from multiple stakeholders. They have conducted thorough analyses of global trends in sugar reduction and best practices to provide valuable insights to China for crafting effective policies and strategies on sugar reduction. This consensus mainly includes the classification of free sugars, the latest scientific evidence on dental caries, recommendations from WHO on sugar-sweetened beverage taxes, nutrition labeling, advertising, food reform, adjusting supply systems, education, and promotion strategies, as well as sugar reduction actions taken by various governments around the world. Combining the actual situation in China, policy recommendations and authoritative popular science knowledge on sugar reduction for caries prevention to public are proposed to advocate for experts in multiple fields to focus on sugar reduction for caries prevention, promote the work process, and provide the scientific basis for oral health educators.</p>","PeriodicalId":23965,"journal":{"name":"中华口腔医学杂志","volume":"60 4","pages":"311-319"},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Analysis on the current status and characteristic of clinical trials for oral diseases in China].
中华口腔医学杂志 Pub Date : 2025-03-28 DOI: 10.3760/cma.j.cn112144-20241118-00433
J Ju, Y H Liu, H X Yang, S B Liu, H Zhang, Z Q Shi, Y M Sun, B Feng
{"title":"[Analysis on the current status and characteristic of clinical trials for oral diseases in China].","authors":"J Ju, Y H Liu, H X Yang, S B Liu, H Zhang, Z Q Shi, Y M Sun, B Feng","doi":"10.3760/cma.j.cn112144-20241118-00433","DOIUrl":"https://doi.org/10.3760/cma.j.cn112144-20241118-00433","url":null,"abstract":"<p><p><b>Objective:</b> To understand the current status and characteristics of clinical trials for oral diseases in China, for the purpose of providing a reference for the research and development of oral diseases in China. <b>Methods:</b> Retrieving the information on clinical trials related to oral diseases registered on the\"Platforms for drug clinical trial registration and information\"of the National Medical Products Administration from the date of the database establishment to December 31, 2024. The number of clinical trials, type of drugs, trial phases, indication, trial scope, design types were statistically analyzed. <b>Results:</b> As of December 31, 2024, a total of 578 drug clinical trials for oral disease were registered, accounting for 2.1% (578/27 905) of the clinical trials disclosed on the platform during the same period. Bioequivalence clinical trials accounted for the highest proportion [73.9% (427/578)], followed by Phase Ⅰ [9.0% (52/578)], Phase Ⅱ [8.0% (46/578)], and Phase Ⅲ [4.5% (26/578)]. The 578 clinical trials involved 149 types of trial drugs, mainly chemical drugs, among which 127 were developed by domestic pharmaceutical enterprises and 27 by international pharmaceutical enterprises (the five investigational drugs have undergone clinical trials by both domestic and international pharmaceutical companies). The project leader units of the 578 drug clinical trials were distributed in 27 provinces, autonomous regions, municipalities, and Hong Kong Special Administrative Region. Excluding 427 bioequivalence clinical trials, the project leader units of 151 new drug clinical trials showed a significant aggregation phenomenon, and only three specialized oral hospitals have served as project leader units for drug clinical trials. <b>Conclusions:</b> The number of drug clinical trials for oral disease in China has generally shown an increasing trend, but there are still problems such as small number of clinical trials, low proportion of investment in new drug development and international multicenter trials, concentrated indications of clinical trials and insufficient clinical trial experience in specialized oral medical institutions. Enhancing the enthusiasm and innovation capabilities of domestic pharmaceutical enterprises in the research and development of oral diseases drugs, exploring the advantages of traditional Chinese medicine/natural medicine resources for oral diseases, and establishing a clinical research system in specialized oral medical institutions are of great significance for the development of oral drugs.</p>","PeriodicalId":23965,"journal":{"name":"中华口腔医学杂志","volume":"60 4","pages":"394-402"},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Diode laser treatment for refractory oral lichen planus: a case report].
中华口腔医学杂志 Pub Date : 2025-03-28 DOI: 10.3760/cma.j.cn112144-20241213-00478
C X Qu, Y X Pan, J K Wang, X Zeng, Q M Chen
{"title":"[Diode laser treatment for refractory oral lichen planus: a case report].","authors":"C X Qu, Y X Pan, J K Wang, X Zeng, Q M Chen","doi":"10.3760/cma.j.cn112144-20241213-00478","DOIUrl":"https://doi.org/10.3760/cma.j.cn112144-20241213-00478","url":null,"abstract":"","PeriodicalId":23965,"journal":{"name":"中华口腔医学杂志","volume":"60 4","pages":"417-420"},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Nursing strategies and challenges in managing postoperative pain in oral surgery].
中华口腔医学杂志 Pub Date : 2025-03-28 DOI: 10.3760/cma.j.cn112144-20241223-00503
C L Liu, L W Hu, X F Tan
{"title":"[Nursing strategies and challenges in managing postoperative pain in oral surgery].","authors":"C L Liu, L W Hu, X F Tan","doi":"10.3760/cma.j.cn112144-20241223-00503","DOIUrl":"https://doi.org/10.3760/cma.j.cn112144-20241223-00503","url":null,"abstract":"<p><p>Effective management of postoperative pain following oral surgery is crucial for enhancing patient care quality. Given the high sensitivity of the oral region and its complex neural network, managing postoperative pain poses significant clinical challenges. This review assessed the efficacy of pharmacological treatments methods (such as non-steroidal anti-inflammatory drugs, acetaminophen and corticosteroids) and non-pharmacological treatment strategies (such as physical therapy, cognitive behavioral therapy, and psychological support), and discussed how these methods can be synergistically optimized for pain management. Additionally, this paper explored the challenges associated with implementing these strategies, including the standardization of pain assessment, the ongoing education of nursing staff, and the importance of interdisciplinary team collaboration. By integrating these approaches, this review aims to guide improvements in clinical pain management practices to enhance patient recovery outcomes and satisfaction, reduce reliance on pharmacological treatments, and ultimately elevate the overall quality of nursing care.</p>","PeriodicalId":23965,"journal":{"name":"中华口腔医学杂志","volume":"60 4","pages":"431-436"},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Research progress in the clinical significance of peri-implant keratinized mucosa width].
中华口腔医学杂志 Pub Date : 2025-03-28 DOI: 10.3760/cma.j.cn112144-20241119-00437
Z Y Han, Y P Wei, W J Hu
{"title":"[Research progress in the clinical significance of peri-implant keratinized mucosa width].","authors":"Z Y Han, Y P Wei, W J Hu","doi":"10.3760/cma.j.cn112144-20241119-00437","DOIUrl":"https://doi.org/10.3760/cma.j.cn112144-20241119-00437","url":null,"abstract":"<p><p>Keratinized mucosa width (KMW) is one of the main components of peri-implant phenotype. The impact of KMW adequacy on peri-implant soft and hard tissues health has been a focus question among periodontology and implantology in recent years. The present article reviewed the research progress on the clinical significance of peri-implant KMW. Recent evidence has indicated that a narrow band of peri-implant KMW was associated with more significant plaque accumulation, peri-implant soft and hard tissues inflammations and patient discomfort. Clinicians should enhance their understanding on the relationship between peri-implant KMW and peri-implant health. Soft tissue considerations should be integrated in implant treatment designing to develop a more comprehensive, biologically oriented treatment plan, and timely interventions for sites with insufficient KMW is essential to maintain the long-term health and stability of peri-implant tissues.</p>","PeriodicalId":23965,"journal":{"name":"中华口腔医学杂志","volume":"60 4","pages":"425-430"},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Soft tissue management of severe bone defect in the maxillary anterior area: a clinical guideline on the decision-making process].
中华口腔医学杂志 Pub Date : 2025-03-28 DOI: 10.3760/cma.j.cn112144-20250108-00006
M Z Wang, F Liu, J Chen, W Zhao
{"title":"[Soft tissue management of severe bone defect in the maxillary anterior area: a clinical guideline on the decision-making process].","authors":"M Z Wang, F Liu, J Chen, W Zhao","doi":"10.3760/cma.j.cn112144-20250108-00006","DOIUrl":"https://doi.org/10.3760/cma.j.cn112144-20250108-00006","url":null,"abstract":"<p><p>Vertical bone augmentation (VBA) in the anterior maxilla is a technically and biologically challenging technique with high complication rates and unpredictable outcomes. Selecting appropriate soft tissue management strategies is crucial to avoid short-term and long-term complications. This article aims to assist clinicians in making treatment decisions based on different soft tissue conditions during VBA. It is divided into two parts. Incision and flap design based on the quality and quantity of different soft tissues during VBA. For mucosa of good quality and quantity, a trapezoidal flap incision design is adopted, and the periosteum extension technique is applied for tension reduction. For a shallow vestibular sulcus, a larger trapezoidal flap is used, and the tension reduction method of mucosa-oralis muscle separation is applied, along with papilla transposition suture to ensure primary wound closure. For thin mucosa or with perforating defects, a pedicled periosteal flap is used for repair. Selection of appropriate soft tissue augmentation techniques during the second-stage surgery based on the soft tissue status to improve esthetic outcomes. For horizontal soft tissue defects, free connective tissue graft (CTG) or palatal pedicled flap can be used for treatment; for vertical soft tissue defects, techniques such as the iceberg technique or customized CTG with bowtie-like shape can be used for vertical augmentation; for combined horizontal and vertical defects, the connective tissue platform technique can be used for three-dimensional soft tissue reconstruction.</p>","PeriodicalId":23965,"journal":{"name":"中华口腔医学杂志","volume":"60 4","pages":"340-346"},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Accuracy of segmented rotational motion-based osteotomy module for dental implant robot in anterior immediate implantation: an in vitro study].
中华口腔医学杂志 Pub Date : 2025-03-28 DOI: 10.3760/cma.j.cn112144-20250120-00027
M Z Wang, R Xie, F Liu, J Q Wei, Y Chu
{"title":"[Accuracy of segmented rotational motion-based osteotomy module for dental implant robot in anterior immediate implantation: an <i>in vitro</i> study].","authors":"M Z Wang, R Xie, F Liu, J Q Wei, Y Chu","doi":"10.3760/cma.j.cn112144-20250120-00027","DOIUrl":"https://doi.org/10.3760/cma.j.cn112144-20250120-00027","url":null,"abstract":"<p><p><b>Objective:</b> To preliminarily evaluate the accuracy of a segmented rotational motion-based osteotomy module for autonomous dental implant robots in immediate implant placement in the anterior region through an <i>in vitro</i> model experiment, providing references for clinical practice. <b>Methods:</b> Twenty-three identical commercial maxillary resin models with dentition defects for immediate implant placement were divided into three groups: a fully guided static computer-assisted implant surgery (sCAIS) group (<i>n</i>=5), a robotic computer-assisted implant surgery (rCAIS) group based on conventional coronal-apical linear motion osteotomy (rCAIS-C, <i>n</i>=9) and a rCAIS group based on segmented rotational motion osteotomy (rCAIS-S, <i>n</i>=9). Two implants were placed in each model using the corresponding surgical protocols. Intraoral scan data of pre-and post-operative models were imported into software to evaluate deviations between the actual and planned implant positions. <b>Results:</b> In the rCAIS-S group, the global deviations at the implant platform and apex were 0.50 (0.32) mm and 0.52 (0.22) mm, respectively, with an angular deviation of 1.08° (0.49°). These values were significantly smaller than those in the sCAIS group [platform: 0.88 (0.50) mm, apex: 1.44 (0.50) mm, angular deviation: 2.86° (1.76°), <i>P</i><0.05]. rCAIS-S group also showed significantly smaller platform and apex deviations compared to rCAIS-C group [platform: 0.69 (0.12) mm, apex: 0.94 (0.16) mm, <i>P</i><0.05], though angular deviations of rCAIS-S group did not differ significantly from rCAIS-C group [1.27° (0.56°), <i>P</i>>0.05]. <b>Conclusions:</b> Within the limitation of this study, the segmented rotational motion-based osteotomy module for dental implant robots demonstrates superior accuracy in immediate implant placement in the anterior area compared to sCAIS and rCAIS based on conventional coronal-apical linear motion osteotomy.</p>","PeriodicalId":23965,"journal":{"name":"中华口腔医学杂志","volume":"60 4","pages":"375-380"},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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