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Faustova M, Nazarchuk O, Loban’ G, Avetikov D, Ananieva M, Chumak Y, Havryliev V. Microbiological Aspects Concerning the Etiology of Acute Odontogenic Inflammatory Diseases in the Soft Tissues of the Head and Neck Region. Open Access Maced J Med Sci 2022. [DOI: 10.3889/oamjms.2022.10535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Odontogenic purulent inflammatory diseases (OPID) make up about 20% of cases in the structure of general surgical pathology and are among the frequent diseases of the maxillofacial region (MFR) with a high (10-40%) mortality rate. Insufficient information about the source state of acute odontogenic inflammation of the peri-mandibular soft tissues significantly reduces the effectiveness of diagnostic measures of OPID in MFR, as evidenced by almost 50% of the diagnostic error rate.
Statistically, OPID in soft-tissue of MFR most often occur due to dissemination of pathogens of the necrotized pulp, periodontal pockets in periodontitis or pericoronitis during the difficult eruption of retained teeth. Previously, the quantitative dominance (about 70%) of Staphylococcus spp. among the microorganisms isolated from the odontogenic foci of inflammation was determined. However, in recent years, with the expansion of microbiological diagnostic capabilities, the presence of non-fermenting Gram-negative bacteria and anaerobes with a significant proportional proportion of the total microbiota of OPID in soft tissue of MFR has been increasingly indicated.
Recently, there has been a rapid acquisition of resistance of pathogens of odontogenic purulent inflammatory diseases of the maxillofacial region to various groups of antibiotics, which leads to ineffectiveness of their treatment and prompts the revision of existing protocols and treatment regimens in surgical dentistry
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Lu L, Yakupu A, Wu Y, Li X, Zhang P, Aihaiti G, Xu H. Quality of Life in Patients With Velopharyngeal Insufficiency in West China. Cleft Palate Craniofac J 2021; 59:1024-1029. [PMID: 34460333 DOI: 10.1177/10556656211034107] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVE This study aimed to investigate the quality of life (QOL) of patients with cleft lip and palate and velopharyngeal insufficiency (VPI) in relation to sex, age, age at initial cleft lip surgery, and age at initial cleft palate surgery. DESIGN This is a cross-sectional study. SETTING The study was conducted in a tertiary medical center. PARTICIPANTS The participants were caregivers of 72 patients with cleft lip and palate and VPI aged 4 to 20 years. MAIN OUTCOME MEASURE(S) Participants completed the Chinese version of the caregiver report of the VPI Effects on Life Outcomes (VELO) questionnaire. The Mann-Whitney U test was used to evaluate the patients' sex, age, age at initial cleft lip repair, and age at initial cleft palate repair in relation to VELO total score and domains. Spearman correlation analysis was completed including all study variables. Associations between the study variables and the VELO total score were tested using a generalized linear mixed model. RESULTS In the univariate analysis, patients' age and age at initial cleft palate surgery influenced the QOL of patients with VPI. There were no differences in the VELO total score or domains based on sex or age at first cleft lip surgery. In the generalized linear mixed model, patients older than 8 years had higher VELO total scores. CONCLUSIONS By caregiver report, the QOL of patients under age 8 years with VPI was lower than older patients. In addition, the caregiver impact domain was higher for parents of children who had their initial cleft palate surgery at age 2 years or younger.
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Affiliation(s)
- Lidan Lu
- Department of Oral and Maxillofacial Surgery, 159426People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, China.,Postgraduate College of Xinjiang Medical University, Urumqi, China
| | - Aipiziguli Yakupu
- Department of Oral and Maxillofacial Surgery, 159426People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, China.,Postgraduate College of Xinjiang Medical University, Urumqi, China
| | - Yanhui Wu
- Department of Oral and Maxillofacial Surgery, 159426People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, China.,Postgraduate College of Xinjiang Medical University, Urumqi, China
| | - Xiangnan Li
- Department of Oral and Maxillofacial Surgery, 159426People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, China.,Postgraduate College of Xinjiang Medical University, Urumqi, China
| | - Pengxin Zhang
- Department of Oral and Maxillofacial Surgery, 159426People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, China.,Postgraduate College of Xinjiang Medical University, Urumqi, China
| | - Guliziba Aihaiti
- Department of Oral and Maxillofacial Surgery, 159426People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, China.,Postgraduate College of Xinjiang Medical University, Urumqi, China
| | - Hui Xu
- Department of Oral and Maxillofacial Surgery, 159426People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, China.,Stomatology School of Xinjiang Medical University, Urumqi, China
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Graf I, Bock NC, Bartzela T, Röper V, Schumann U, Reck K, Christ H, Höfer K, Fritz U, Wiechmann D, Jost-Brinkmann PG, Wolf M, Ruf S, Braumann B. Quality of orthodontic care-A multicenter cohort study in Germany : Part 1: Evaluation of effectiveness of orthodontic treatments and predictive factors. J Orofac Orthop 2021; 83:291-306. [PMID: 34142175 PMCID: PMC9395451 DOI: 10.1007/s00056-021-00304-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2020] [Accepted: 03/28/2021] [Indexed: 12/19/2022]
Abstract
Aims Orthodontic care and its effectiveness have increasingly become the focus of political and public attention in the recent past. Therefore, this multicenter cohort study aimed to report about the effectiveness of orthodontic treatments in Germany and to identify potential influencing factors. Methods A total of 586 patients from seven German study centers were screened for this cohort study, of which 361 patients were recruited at the end of their orthodontic treatment. Of these, 26 patients had missing study models and/or missing treatment information. Thus, 335 participants were included. The severity of malocclusion was rated using the Peer Assessment Rating (PAR) Index at baseline (T0) retrospectively and—prospectively—after the retention period (T1). Practitioner-, treatment- and patient-related information were analyzed in order to detect potential predictive factors for treatment effectiveness. Results Study participants (202 female and 133 male) were on average 14.8 (standard deviation [SD] ± 6.1) years old at start of active treatment. Average PAR score at T0 was 25.96 (SD ± 10.75) and mean posttreatment PAR score was 3.67 (SD ± 2.98) at T1. An average decrease of total PAR score by 22.30 points (SD ± 10.73) or 83.54% (SD ± 14.58; p < 0.001) was detected. Furthermore, 164 treatments (49.1%) were categorized as ‘greatly improved’ but only 3 treatments (0.9%) as ‘worse or no different’; 81.5% of all cases finished with a high-quality treatment outcome (≤5 PAR points at T1). Logistic regression analyses detected staff experience as a significant predictive factor for high-quality results (odds ratio 1.27, p = 0.001, 95% confidence interval 1.11–1.46). Conclusion The improvement rate among this selected German cohort indicated an overall very good standard of orthodontic treatment. Staff experience proved to be a predictive factor for high-quality results.
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Affiliation(s)
- I Graf
- Department of Orthodontics, Faculty of Medicine and University Hospital of Cologne, Kerpener Str. 32, 50931, Cologne, Germany.
| | - N C Bock
- Department of Orthodontics, Faculty of Medicine and University Hospital of Gießen, University of Gießen, Gießen, Germany
| | - T Bartzela
- Institute of Dental and Craniofacial Sciences, Department of Orthodontics, Dentofacial Orthopedics and Pedodontics, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of Health, Berlin, Germany
| | - V Röper
- Department of Orthodontics, Hannover Medical School, Orthodontic Practice, Bad Essen, Germany
| | | | - K Reck
- Orthodontic Practice, Pulheim, Germany
| | - H Christ
- Institute of Medical Statistics and Computational Biology (IMSB), University Hospital of Cologne, Cologne, Germany
| | - K Höfer
- Department of Operative Dentistry and Periodontology, Faculty of Medicine and University Hospital of Cologne, University of Cologne, Cologne, Germany
| | - U Fritz
- Department of Orthodontics, Faculty of Medicine and University Hospital RWTH Aachen, RWTH Aachen, Aachen, Germany
| | - D Wiechmann
- Department of Orthodontics, Hannover Medical School, Orthodontic Practice, Bad Essen, Germany
| | - P-G Jost-Brinkmann
- Institute of Dental and Craniofacial Sciences, Department of Orthodontics, Dentofacial Orthopedics and Pedodontics, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of Health, Berlin, Germany
| | - M Wolf
- Department of Orthodontics, Faculty of Medicine and University Hospital RWTH Aachen, RWTH Aachen, Aachen, Germany
| | - S Ruf
- Department of Orthodontics, Faculty of Medicine and University Hospital of Gießen, University of Gießen, Gießen, Germany
| | - B Braumann
- Department of Orthodontics, Faculty of Medicine and University Hospital of Cologne, Kerpener Str. 32, 50931, Cologne, Germany
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