Objectives To investigate the presence of soft tissue calcifications in the head and neck region on panoramic radiographs of older adults. Methods We analysed 1176 panoramic radiographs obtained between January 2013 and December 2018 from individuals of both sexes aged 60 years or older, who were referred by dental specialities to the Dental Imaginology Service of the Federal University of Rio Grande do Norte, Brazil. The types of soft tissue calcification evaluated were as follows: carotid artery calcification (CAC), thyroid cartilage calcifications, triticeous cartilage calcifications, sialoliths, tonsilloliths and lymph node calcifications. The presence of soft tissue calcifications was correlated with age and sex. The chi‐square test with continuity correction was used for the calculation of p values and the evaluation of the proposed associations. Prevalence ratios and 95% confidence intervals were also calculated. Results At least one type of soft tissue calcification was found in 43% of the sample. The main calcifications detected were CAC, thyroid and triticeous cartilage calcifications, tonsilloliths, sialoliths, calcified lymph nodes, and phleboliths. Mean patient age was 67.47 years and there was a predominance of females (62.8%) in the sample. Bivariate analysis showed a statistically significant association between female sex and the presence of thyroid and triticeous cartilage calcifications and between male sex and the presence of tonsilloliths. Conclusion Routine panoramic radiography permits the identification of soft tissue calcifications that may be indicators of future cardiovascular disorders, the referral to a medical service and the establishment of therapies for stroke prevention.
Objectives To evaluate the influence of rapid maxillary expansion (RME) on nocturnal enuresis (NE) in children to discuss whether RME can be indicated as an alternative treatment for NE in those patients. Materials and Methods An electronic search was performed in the following databases: PubMed/MEDLINE, Cochrane Library, Scopus, Science Direct, Google Scholar and LILACS. The literature review was blindly performed by two reviewers. References of each selected study were manually searched to identify articles that were not found by the electronic search. Kappa statistics were used to analyze interexaminer agreement after the selection of the articles. After reading the selected full-text articles, the studies that met the inclusion criteria were assessed qualitatively using the Risk Of Bias In Non-randomized Studies of Interventions (ROBINS-I) and the Revised Cochrane risk-of-bias tool for randomized controlled trials-2 (RoB 2). The certainty level of evidence was assessed through the Grading of Recommendations, Assessment, Development and Evaluation tool. Kappa tests were used to analyze the interexaminer concordance level after the quality assessment of the studies. Results A total of 488 articles were found; however, after applying the inclusion and exclusion criteria, only 8 studies were selected for the systematic review. A low certainty level of evidence suggested that RME seems to promote a variable reduction in frequency or a remission of NE in children in both the short (4, 6, and 8 months) and long term (13, 36, 48, and 120 months). Conclusions Based on currently available information, RME seems to promote an improvement in NE in children. However, the low quality of the existing evidence weakens the recommendation.
Objective: The objective this review was to identify the current range of shear bond strength values (SBS) that are clinically acceptable based on a synthesis of the studies published in 20 years that evaluated the SBS of brackets bonded to dental enamel with emitter diode light photo activators and whether damage to the enamel has been reported after the test. Methodology: A search strategy was developed for the selection of articles published from 1999 to 2019 in the PubMed/MedLine electronic database. In addition to reading the titles, keywords and summaries of the studies found, the studies were also obtained for the reading of the methodologies and identification of the inclusion and exclusion criteria. Results: The search for scientific articles resulted in 580 studies, but only 14 were selected based on the pre-established criteria. Ten presented methodological quality to be included in this integrative review, and the mean SBS found was 14,05 MPa with a standard deviation of ± 6,52 MPa (range from 7,53 to 20,57 MPa). Conclusion: In conclusion, it was observed that the range of shear bond strength values (5,9 to 7,8 MPa) and taken as a parameter by most authors until now is outdated, since higher values of SBS are feasible without, however, causing dental enamel damage after the debonding of the bracket.
Endodontics is the specialty that covers the control of inflammation of the root canal, the etiology, diagnosis, prevention and therapeutic intervention of diseases associated with the pulp. The objective of the present study is to highlight the current concepts related to the use of bioceramic materials in dentistry. This is a literature review article, developed through a bibliographic survey in the databases Medline, PubMed, Scielo and Periodicos CAPES. The present study showed a gradual increase in research related to bioceramic cements, which may attribute this interest to the importance of having a constant search for improvement of the techniques and materials used to recover oral health. In addition, a broad clinical applicability of these materials in Endodontics was highlighted, due to the evidence found regarding the advantageous properties, such as their excellent biocompatibility, ability to bond to dentin, good radiopacity, better handling conditions, appropriate setting time, bactericidal activity, bioactivity and still, do not cause stains in dental structures, characteristics sought for a restorative material to be efficient.
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