BACKGROUND: The Roma population is a genetically isolated population with a shared origin, totaling between 10 to 14 million individuals worldwide, stemming from a limited number of "genetic founders". Roma individuals exhibit specific hereditary diseases, often stemming from recessive genetic variants due to a higher degree of consanguinity, with recent molecular-genetic investigations shedding light on several conditions prevalent within the Czech Roma population. However, an overview of stomatological issues in diagnosing such diseases proves challenging, leading to frequent underdiagnosis or misdiagnosis. METHODS: The contribution monitors the clinical description, typical symptoms and treatment options including dental abnormalities in rare genetic diseases in the Roma population which are treated in ERN CRANIO centre at Motol University Hospital in Prague. RESULTS: Our research provides examples of autosomal recessive diseases, which can be molecularly confirmed, and prevalent within the Roma community. These include congenital cataract syndrome, facial dysmorphism and demyelinating neuropathy, non-syndromic prelingual e.g. deafness with GJB2 gene impairment, and myasthenic syndrome. CONCLUSION: Our report aimed to provide a systematic review of dental phenotypes which can relate to Czech Roma's rare genetic disorders therapy including dental treatment. Understanding is important for preventing unterdiagnosis or treatment for the patients affected review of observed (Fig. 6, Ref. 27).
- MeSH
- abnormality zubů * genetika diagnóza etnologie MeSH
- lidé MeSH
- Romové * genetika MeSH
- syndrom MeSH
- vzácné nemoci genetika MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
- systematický přehled MeSH
- Geografické názvy
- Česká republika MeSH
- Publikační typ
- abstrakt z konference MeSH
Generally, the Roma population has problems with treatment options and often experiences discrimination due to structural barriers when accessing health services and for that reason may mistrust those services. The aim of our study is to evaluate the most efficient systems for the engagement of the Roma community aimed at enhancing trust in health services, mainly in the field of dentistry. Since the overall state of dentition significantly affects the quality of life, it is not possible to neglect dental care in excluded localities. A combined social and healthcare approach that represents the basic pillars of prevention (comprising dental hygiene, diet, application of fluoride preparations, and possibly remineralization of the enamel) should create specialized teams including dentists, general practitioners for children and adults, including parents of patients. As we show in specific examples, clear and simple education could markedly improve this situation. The main outputs of our study are recommendations for practice which form the basis for future dental therapy approaches in excluded localities in Czechia.
Je známo, že romská populace má problémy s přístupem k efektivní léčbě a mnohokrát se setkává s diskriminací kvůli strukturálním bariérám v přístupu ke zdravotnickým službám, a proto mohou těmto službám i nedůvěřovat. Cílem naší studie bylo vyhodnotit systémy, u kterých je největší pravděpodobnost, že zapojení romské komunity bude účinné při posilování důvěry ve zdravotnické služby, a to zejména ve stomatologii. Vzhledem k tomu, že stav chrupu ovlivňuje kvalitu života, není možné péči o chrup zanedbávat. Sociální a zdravotní péče jakožto základní pilíře prevence (tj. dentální hygiena, dieta, aplikace fluoridových přípravků, případně remineralizace skloviny) by měla vytvářet specializované týmy zahrnující zubní lékaře, praktické lékaře pro děti a dorost/dospělé a v neposlední řadě i rodiče pacientů. Na konkrétních příkladech ukazujeme, jak lze jasnou a jednoduchou edukací tuto situaci zlepšit. Hlavními výstupy naší studie jsou doporučení pro praxi, která mohou být základem budoucích strategií dentální terapie.
- MeSH
- adherence pacienta MeSH
- lidé MeSH
- orální hygiena MeSH
- Romové MeSH
- sociální péče MeSH
- stomatologická péče o děti MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- práce podpořená grantem MeSH
- MeSH
- laserová terapie * MeSH
- lidé MeSH
- zubní lékařství * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- úvodníky MeSH
OBJECTIVE: The goal of this investigation is to analyze the effect of therapeutic low-level laser therapy (LLLT) to have a possibility to check pain and inflammation connected with surgical removal of impacted lower third molars in general anesthesia or even phobia [not accompanied by pain or fear of dental treatment, using immunologic markers-secretory immunoglobulin A (sIgA) and lysozyme]. The healing process was also monitored by infrared thermography. BACKGROUND DATA: LLLT can accelerate the proliferation phase of healing and decrease the inflammatory reaction, but the effect is not really clear. MATERIALS AND METHODS: The treatment group comprised 213 impacted third molars (144 laser group and 74 placebo group). Laser radiation (diode laser 830 nm) was applied. The effectivity of laser therapy was evaluated based on immunological tests, that is, before and after treatment with sIgA and lysozyme in nonstimulated saliva. Thermographic examination was performed by infrared camera. RESULTS: After laser irradiation, the sIgA decreases from 546.91 mg/L (SD 354.58) to 304.91 mg/L (SD 191.96), and in the control group from 602.25 mg/L (SD 343.62) to 425.62 mg/L (SD 220.51); the differences were significant, the lysozyme value being lower. After laser therapy, the laser and placebo sides in the area of the third molars were differed in 0.2°C. CONCLUSIONS: The 830 nm wavelength penetrates to deep-seated tissues. A positive association was found between concentration of salivary sIgA and lysozyme in the saliva after LLLT application. The deep-seated wounds after wisdom teeth extraction had no effect on temperature rise in the face.
- MeSH
- dospělí MeSH
- extrakce zubů * MeSH
- hojení ran účinky záření MeSH
- imunoglobulin A analýza MeSH
- laserová terapie s nízkou intenzitou světla metody MeSH
- lidé MeSH
- měření bolesti MeSH
- mladiství MeSH
- molár třetí chirurgie MeSH
- muramidasa analýza MeSH
- pooperační bolest prevence a kontrola MeSH
- sliny chemie MeSH
- termografie MeSH
- výsledek terapie MeSH
- zaklíněný zub chirurgie MeSH
- zánět prevence a kontrola MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mladiství MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
OBJECTIVE: The aim of the study was to evaluate the influence of Er:YAG laser irradiation on the debonding of metal and ceramic brackets and enamel damage ex vivo. BACKGROUND DATA: The principle of safe bracket debonding is to degrade the adhesive resin strength connecting the tooth and bracket. Removal of adhesive resin from tooth surfaces without iatrogenic damage (enamel loss) is generally the main problem of the otherwise very successful method of aesthetic straightening of teeth. METHODS: Forty ceramic and metal brackets (Clarity™ Advanced and Victory Series™; 3M Unitek, Monrovia, CA) were standardly bonded to buccal polished enamel surfaces of 30 caries-free human third molars. Two types of adhesive resins (Transbond™ XT Light Cure Adhesive; 3M Unitek, and Variolink II Professional Set; Ivoclar Vivadent AG) were used. Before debonding, the brackets in the laser group were irradiated with the Er:YAG laser (FJFI CVUT) 280 mJ, 250 μs long, repetition rate 6 Hz, spot focus 1 mm, and 140 sec. The control group was debonded without the laser irradiation. During the bracket irradiation, temperature changes inside the tooth were monitored using a thermal image infrared camera. The enamel surface was investigated by SEM. RESULTS: It has been observed that bracket removal was easier after the Er:YAG laser irradiation, and temperature rise was limited (from 2.0°C to 3.2°C) also for metal brackets. As against the nonirradiated samples, SEM investigation has confirmed no damage to enamel. CONCLUSIONS: Irradiation with Er:YAG laser radiation before debonding of ceramic brackets significantly decreases the bonding failure and amount of remaining adhesive.
- MeSH
- dospělí MeSH
- lasery pevnolátkové * MeSH
- lidé MeSH
- mikroskopie elektronová rastrovací MeSH
- mladiství MeSH
- molár třetí MeSH
- ortodontické zámky * MeSH
- povrchové vlastnosti MeSH
- techniky in vitro MeSH
- testování materiálů MeSH
- zubní lepené konstrukce - odstranění přístrojové vybavení MeSH
- zubní sklovina zranění účinky záření MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mladiství MeSH
- Publikační typ
- časopisecké články MeSH
