Influence of local anesthesia on the outcomes of non-surgical periodontal treatment / 中华医学杂志(英文版)

BACKGROUND@#There is limited evidence of the effects of local anesthesia (LA) on outcomes of non-surgical periodontal treatment (NSPT), in particular among the Chinese. This retrospective cohort study aimed to evaluate the effects of LA on short-term treatment outcomes of NSPT and to determine under what circumstances LA should be prescribed to improve these outcomes.@*METHODS@#Data from periodontal examinations of 3980 patients were used. The data were from 3-month re-evaluation records of an electronic periodontal charting record system in the Department of Periodontology of Peking University School and Hospital of Stomatology from June 2008 to January 2015. Descriptive analyses included changes in probing depth (PD) and the Mazza bleeding index (BI). Two-level (patient and tooth) logistic regression models and three-level (patient, tooth, and site) linear regression models were constructed to analyze the influence of LA on PD for all teeth/sites and teeth/sites with an initial PD ≥ 5 mm. Decreases in PD and BI at sites under LA using the initial PD were also compared.@*RESULTS@#A significantly higher mean decrease in PD after NSPT was found in the LA group than in the no local anesthesia (NLA) group (0.98 vs. 0.54 mm, t = 24.12, P  1 and BI > 2) for all teeth (16.7% vs. 13.8%, t = 3.75, P < 0.001; 34.7% vs. 28.1%, t = 6.73, P < 0.001) and PD for teeth with PD ≥ 5 mm (32.3% vs. 17.3%, t = 28.48, P < 0.001). The difference in PD between the LA and NLA groups increased as the initial PD increased. The difference between the two groups was 0.12 to 0.22 mm for sites with a baseline PD < 7 mm; however, it increased to 0.41 to 1.37 mm for sites with a baseline PD ≥ 7 mm.@*CONCLUSIONS@#LA improved the decrease in PD after NSPT. Root debridement at sites with initial PD ≥ 7 mm should be performed under routine LA.

Preliminary study on analysis method of spontaneous smile and application / 中华口腔医学杂志

<p><b>OBJECTIVE</b>To investigate the smile esthetic elements of Chinese Han-nationality female based on high definition (HD) digital camera with computer-image measuring technique.</p><p><b>METHODS</b>HD digital camera was used to capture spontaneous smile process combined with computer-image measuring technique to establish the analysis method of smile. Ninety-nine Han-nationality female with normal gingiva, aged from 20 to 30 years were recruited. The lip-incisor edge distance, gingival display were measured. The data was statistically analyzed.</p><p><b>RESULTS</b>A standard and objective method to analyze spontaneous smile was established. Forty-three percent (43/99) of the subjects studied were classified as having a high smile and average smile respectively, 13% (13/99) as having a low smile. Gingival display accounted for (1.34 ± 0.98) mm in high smile type.</p><p><b>CONCLUSIONS</b>Average smile and high smile type were most common in the Chinese Han-nationality female studied.</p>

Cooperative development and application of electronic periodontal examination chart / 中华口腔医学杂志

<p><b>OBJECTIVE</b>To develop an electronic system (software) for collecting and analyzing periodontal examination data, and preliminarily evaluate its clinical application.</p><p><b>METHODS</b>The contents and frame of electronic periodontal examination system were designed based on the aim and requirement of periodontal examination, and the software system was developed under the assistance from computer engineers. The electronic system was implemented for entry, storage, retrieval and output of clinical data and data conversion. A questionnaire survey was performed in 23 periodontists and 20 nurses to evaluate the clinical application of this software.</p><p><b>RESULTS</b>An electronic periodontal examination system was developed, which was used for entry, storage, retrieval and output of clinical data, and converting data into chart. Most nurses could handle this software after 15 minutes of training. Thirteen nurses and 17 periodontists recognized that clinical work efficiency could be improved by application of this software. Nineteen nurses and all periodontists agreed that this software could meet clinical requirements.</p><p><b>CONCLUSIONS</b>The electronic periodontal examination system can fulfill clinical requirements and is helpful for clinical treatment and research work.</p>