5,848 research outputs found
Zapis panelu "Kultura regionalna w życiu młodego pokolenia – balast przeszłości czy kapitał na przyszłość"
Full text linkJest to zapis panelu, który odbył się 10 października 2018 w ramach V edycji Wolnej Szkoły Nauk Filozoficznych i Społecznych im. Jana Szczepańskiego. Udział w nim wzięli: Daniel Kadłubiec, Małgorzata Kiereś, Danuta Koenig, Ewa Błasiak-Kanafek. Moderowali: Stanisław Kubicius i Bogusław Dziadzia. Pierwsza część dyskusji dotyczy tematu panelu, natomiast w drugiej części uczestnicy rozmawiali m.in. na temat związany z rolą gwary oraz języka literackiego. Całość spisała Marta Rosół
The Influence of Dental Occlusion on Spectrophotometric Tooth Color Determinations
No full textOpen and closed spectrophotometric measurements, with tooth area being subdivided into three sections along the median axis
Problemy związane z jamą ustną i zgryzem u dzieci urodzonych przedwcz
No full textWcześniak to dziecko urodzone przedwcześnie - między 23. a 37. tygodniem ciąży. Jest to bardzo różnorodna grupa dzieci, obejmująca zarówno te, które są skrajnie niedojrzałe i trudne do utrzymania przy życiu, jak i te, które rodzą się blisko terminu porodu. Problemy medyczne, pielęgnacyjne i rokowanie co do przyszłego rozwoju różnią się w zależności od tego, jak bardzo przedwcześnie nastąpił poród.
Każdy wcześniak wymaga opieki wielu specjalistów, nadzorowania rozwoju i wyrównywania zaburzeń dotyczących zdrowia fizycznego i psychicznego aż do wieku szkolnego.
Książka Dziecko urodzone przedwcześnie. Pierwsze lata życia ma charakter interdyscyplinarny, obejmujący całościowo problemy zdrowotne związane z wcześniactwem. Rozdziały wstępne przedstawiają zagadnienie wcześniactwa jako problem społeczny, organizacyjny, finansowy, medialny. Kolejne rozdziały omawiają zagadnienia medyczne, związane z poszczególnymi narządami i układami m.in.: kardiologiczne, pulmonologiczne, okulistyczne, laryngologiczne, endokrynologiczne, neurologiczne, psychiatryczne, gastroenterologiczne, nefrologiczne itd. Ważną częścią publikacji są rozdziały dotyczące opieki psychologicznej oraz fizjoterapeutycznej.
Autorami poszczególnych rozdziałów są wybitni specjaliści, którzy na co dzień zajmują się diagnostyką i leczeniem dzieci przedwcześnie urodzonych i mają dużą wiedzę teoretyczną i praktyczną w tej dziedzinie, opartą na najnowszych standardach.
Oddajemy Państwu tę publikację mając nadzieję, że będzie ogromnym ułatwieniem w pracy lekarzy pediatrów, ale także węższych specjalistów w pediatrii, którzy zajmują się leczeniem wcześniaków
Prophylaxie et Orthodontie : zoom sur l’espace interdentaire
No full textL’espace interdentaire constitue une niche écologique unique propice à l’accumulation de biofilm dysbiotique. Chez les adolescents et jeunes adultes, ces espaces abritent des bactéries pathogènes parodontales. L’ anatomie de l’embrasure interdentaire de type I, observée à ces âges, empêche l’accès des dispositifs de nettoyage traditionnels que sont les brosses à dents et les bains de bouche. De même, les bagues et fils orthodontiques peuvent compliquer l’accès aux espaces en impactant l’inflammation et l’hyperplasie des papilles.
Le traitement orthodontique modifie la position des dents et, par conséquent, les espaces interdentaires. Cette dynamique nécessite une adaptation continue des dispositifs de nettoyage. Les brossettes interdentaires calibrées permettent une désorganisation du biofilm sur l’intégralité des surfaces dentaires et gingivales et sont adaptées aux variations anatomiques induites par le traitement.
En conclusion, une hygiène interdentaire adaptée, supervisée et enseignée par des professionnels de santé – orthodontiste et omnipraticien-, est impérative pour prévenir les déséquilibres microbiens, faciliter la cicatrisation et la régénération des tissus gingivaux et osseux, minimiser les complications des traitements orthodontiques pouvant influencer la durée et l’efficacité de la prise en charge. Adaptées aux besoins spécifiques des patients, les brossettes représentent une technique efficace pour réguler la symbiose du microbiote certes, pendant le traitement orthodontique, mais également tout au long de la vie
Kinesiology taping as an innovative measure against post-operative complications after third molar extraction-systematic review
Full text linkThere are many randomized clinical trials suggesting a positive effect of kinesiotaping on postoperative swelling. In dentistry, however, the use of kinesiotaping still seems to be innovative, since not many articles on kinesiotaping within the craniofacial area have been published. This study aimed to systematically review and synthesize available controlled trials examining the use of kinesiotaping to reduce morbidity after third molar extraction. Literature searches for free text and MeSH terms were performed using five search engines, and used to find studies which focused on kinesiotaping as a form of rehabilitation after third molar extraction. The keywords used in the search were: "(("molar, third"[MeSH Terms] OR ("molar"[All Fields] AND "third"[All Fields]) OR "third molar"[All Fields] OR ("third"[All Fields] AND "molar"[All Fields])) AND extraction [All Fields]) AND "kinesiology"[All Fields]". For the assessment of the risk of bias, the Jadad and Maastricht scales were applied. The search strategy identified 317 potential articles. After analysis, 10 papers were included in the final evaluation. Despite the fact that most of the included articles adhered to methodological standards, the fact that there are only a few of them points to a further need for scientific development of physiotherapy in this regard. Kinesiology taping is useful against post-operative morbidity of the third molar extraction site. The present studies show a low level of the risk of bias, but they are limited in number; therefore, it seems that more research is needed
3D scanners in orthodontics—Current knowledge and future perspectives—A systematic review
Full text linkBackground: Nowadays the use of intraoral scanners has become a routine practice in orthodontics. It allows the introduction of many treatment innovations. One should consider to what extent intraoral scanners have influenced the everyday orthodontic practice and in what direction should the further research in this field be conducted. This study is aimed to systematically review and synthesize available controlled trials investigating the accuracy and efficacy of intraoral scanners for orthodontic purpose to provide clinically useful information and to direct further research in this field. Methods: A literature search of free text and MeSH terms was performed by using MedLine (PubMed), Scopus, Web of Science and Embase. The search engines were used to find studies on application of intraoral scanners in orthodontics (from 1950 to 30 September 2020). The following keywords were used: “intraoral scanners AND efficiency AND accuracy AND orthodontics”. Results: The number of potential identified articles was 71, including 61 from PubMed, two from Scopus, three from Web of Science and five from Embase. After removal of duplicates, 67 full-text articles were analyzed for inclusion criteria, 16 of them were selected and finally included in the qualitative synthesis. Conclusions: There are plenty of data available on accuracy and efficacy of different scanners. Scanners of the same generation from different manufacturers have almost identical accuracy. This is the reason why future similar research will not introduce much to the orthodontics. The challenge for the coming years is to find new applications of digital impressions in the orthodontic practice
Influence of Primary Palatal Surgery on Craniofacial Morphology in Patients with Cleft Palate Only (CPO)—Systematic Review with Meta-Analysis
Full text linkBackground: Cleft palate only (CPO) is the second most prevalent cleft type. Both the cleft and palatal scarring may affect craniofacial growth. The aim of this systematic review was to summarize scientific evidence on effect of palatal surgery on craniofacial morphology in CPO. Methods: A search was conducted in PubMed, PMC, WoS, Scopus, Embase, using the keywords: “cleft palate” AND (“craniofacial morphology” OR “cephalometric analysis”) NOT “lip” with inclusion and exclusion criteria ensuring confident, direct comparison between study groups. The quality assessment was performed with Arrive’s scale for radiologic examinations. Results: Of 713 potential articles, 19 were subjected to qualitative analysis and 17 to meta-analysis, which confirmed reduced SNA in unoperated CPO versus non-cleft individuals. No scientific evidence was found directly assessing the effect of surgery on craniofacial morphology. The negative effect of palatal surgery was seen indirectly: in treated CPO versus non-cleft, the size effect of SNA is bigger than in untreated CPO versus non-cleft. A high heterogeneity came from a few non-European publications. Conclusions: CPO is associated with sagittal maxillary deficiency resulting both from the cleft and from primary surgery, disregarding cleft severity in operated CPO patients. Ethnic differences influence craniofacial morphology in CPO. This research received no external funding. Study protocol number in PROSPERO database: CRD42021268957
What causes failure of fixed orthodontic retention? – systematic review and meta-analysis of clinical studies
Full text linkAbstract Background Orthodontic retention aims to maintain optimal teeth positions after active treatment. The stability is affected by numerous factors, including patients’ individual features, thus retention should be adjusted in the most optimal way. Bonding a retainer makes retention less dependent on patient’s compliance. Questions arise What wire or fiber splint type provides the best treatment stability? What materials should be used to bond the wire or fiber splint? Should be the bonding procedure be direct or indirect? The aim of the study is to assess and synthesize available controlled trials investigating failures of fixed retainers. Methods Literature searches of free text and MeSH terms were performed in Scopus, Web of Science, Embase and PubMed Central in order to find studies, referring to failures of fixed retention (12th February 2021). The keywords were: (“orthodontic retainers AND failure AND wire”). The framework of this systematic review according to PICO was: Population: orthodontic patients; Intervention: fixed orthodontic retainer bonding; Comparison: Different protocols of fixed orthodontic retention applied; Outcomes: failure rate, survival rate. Three different specific scales from the Cochrane Collaboration Handbook were used, according to each study type. Additionally, a meta-analysis was conducted to compare the effectiveness of retention using fiber reinforced composite and multistranded steel wire. Results The search identified 177 potential articles: 114 from PubMed, 41 from Scopus, 20 from Web of Science and 2 from Embase. After excluding studies inconsistent with selection criteria, 21 studies were included and subjected to qualitative analysis. The main outcome investigated was failure rate. This systematic review has some potential limitations due to the heterogeneity of design between included studies. Conclusions No retainer is proved to guarantee a perfect stability of dental alignment. The retainer should be bonded to all adherent teeth, preferably with additional use of bonding resin. No wire or fiber splint present superior characteristics concerning failure rate. Fiber reinforced composite retention is more sensitive to operator skills, and with imperfect bonding technique, failure rate is much higher. During the first 6 months after bonding retainer the patient should be under frequent control. The study protocol was registered in PROSPERO database with the number CRD42021233406
Fracture and deflection of orthodontic miniscrews—a systematic review
Full text linkOrthodontic miniscrews (MSs) are used for enhancing orthodontic anchorage either by supporting the teeth of the reactive unit or by obviating the need for the reactive unit altogether. Despite MSs’ popularity, their clinical application is not lacking in complications. The limited space of the insertion site (inter-radicular space), temporary use (limiting osseointegration) and the neces- sity to minimize the biological cost of insertion (bone incision) required the size of this auxiliary to be reduced, making it susceptible to mechanical failure. This review aimed to investigate factors influencing MS plastic deformation and fracture. The search applied five engines: PubMed, PMC, Web of Science, Scopus, Embase, and Ebsco. Quality assessment was performed according to the QUIN tool. After a thorough search process, 22 articles were included in this review. The most im- portant factor influencing miniscrews’ plastic deformation and fracture was the screw diameter. The MS length and metal alloy did not influence its plastic deformation or fracture. The cylindrical de- sign of the screw is preferable. If the cortical bone thickness in the insertion site exceeds 3 mm, pre- drilling upon insertion is recommended. Orthodontic MSs should not be reused. There is a need for high-quality clinical studies on the subject of MS deformation and fracture. The PROSPERO number is CRD42024509895
Orthodontic treatment demand for fixed treatment and aligners among young adults in middle Europe and South America – a questionnaire study
Full text linkAbstract Background Patients experiencing any malocclusion, may desire for treatment. However, there is no scientific information orthodontic treatment demand and the knowledge of young adults about orthodontic treatment. The aim of the study was to assess orthodontic treatment demand in young adults from Poland and Chile, their previous orthodontic experience and their knowledge on fixed and aligner orthodontic treatment. Methods The target group comprised people aged 18–30. The sample size was estimated as above 400 for each country. The survey was carried out in Polish and Spanish within 3 months and consisted of 25 questions delivered via social media. Comparisons were made between countries, age subgroups and gender. Results The response rate was 1,99%, what stands for 1092 responses, 670 from Chile and 422 from Poland, respectively. The percentage of young adults who were already treated was 42,9% in Poland and 25,0% in Chile. The ones planning to have orthodontic treatment within a year counted for 11,8% in Poland and 5,3% in Chile. Most young adults who want to be treated (20,6%) rely on doctor’s recommendation on type of appliance while 14,7% of all respondents are interested solely in aligners. Most respondents have heard about aligners (58%). Direct provider-to-customer service without a doctor is not acceptable, neither in Poland (85,1%) nor in Chile (64,8%). Most young adults provided incorrect answers referring various aspects of aligner treatment. Conclusions In both countries, patients demand to be treated and monitored by the orthodontist. A high percentage of patients want to be treated exclusively with aligners. Direct-to-consumer orthodontics does not seem attractive to patients. Young adults do not have adequate knowledge referring to aligner treatment. Many people want to be treated despite a previous orthodontic treatment
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