The instance segmentation of impacted teeth in the oral panoramic X-ray images is hotly researched.However,due to the complex structure,low contrast,and complex background of teeth in panoramic X-ray images,the task o...The instance segmentation of impacted teeth in the oral panoramic X-ray images is hotly researched.However,due to the complex structure,low contrast,and complex background of teeth in panoramic X-ray images,the task of instance segmentation is technically tricky.In this study,the contrast between impacted Teeth and periodontal tissues such as gingiva,periodontalmembrane,and alveolar bone is low,resulting in fuzzy boundaries of impacted teeth.Amodel based on Teeth YOLACT is proposed to provide amore efficient and accurate solution for the segmentation of impacted teeth in oral panoramic X-ray films.Firstly,a Multi-scale Res-Transformer Module(MRTM)is designed.In the module,depthwise separable convolutions with different receptive fields are used to enhance the sensitivity of the model to lesion size.Additionally,the Vision Transformer is integrated to improve the model’s ability to perceive global features.Secondly,the Context Interaction-awareness Module(CIaM)is designed to fuse deep and shallow features.The deep semantic features guide the shallow spatial features.Then,the shallow spatial features are embedded into the deep semantic features,and the cross-weighted attention mechanism is used to aggregate the deep and shallow features efficiently,and richer context information is obtained.Thirdly,the Edge-preserving perceptionModule(E2PM)is designed to enhance the teeth edge features.The first-order differential operator is used to get the tooth edge weight,and the perception ability of tooth edge features is improved.The shallow spatial feature is fused by linear mapping,weight concatenation,and matrix multiplication operations to preserve the tooth edge information.Finally,comparison experiments and ablation experiments are conducted on the oral panoramic X-ray image datasets.The results show that the APdet,APseg,ARdet,ARseg,mAPdet,and mAPseg indicators of the proposed model are 89.9%,91.9%,77.4%,77.6%,72.8%,and 73.5%,respectively.This study further verifies the application potential of the method combining multi-scale feature extraction,multi-scale feature fusion,and edge perception enhancement in medical image segmentation,which provides a valuable reference for future related research.展开更多
Objective:To explore the clinical effect of improved incision in the extraction of impacted mandibular wisdom teeth.Methods:160 patients who were treated in our hospital from October,2024 to April,2025 and had their m...Objective:To explore the clinical effect of improved incision in the extraction of impacted mandibular wisdom teeth.Methods:160 patients who were treated in our hospital from October,2024 to April,2025 and had their mandibular impacted wisdom teeth removed according to the doctor’s advice were randomly divided into observation group and control group.The observation group used modified incision,while the control group used traditional triangular incision.The operation time,intraoperative visual analogue scale(VAS)pain score,pain VAS score on the 1st,2nd and 3rd day after operation,facial swelling on the 2nd day after operation,mouth opening limitation on the 2nd day after operation and the incidence of dry socket after operation were recorded and compared between the two groups.Results:There was no significant difference in operation time between the two groups(p>0.05).The VAS score of pain in the observation group was significantly lower than that in the control group at each time point during and after operation(p<0.05).On the second day after operation,the facial swelling and mouth opening limitation in the observation group were significantly lighter than those in the control group(p<0.05).The incidence of dry socket in the observation group was 1.25%(1/80),which was significantly lower than that in the control group(8.75%,7/80),and the difference was statistically significant(p<0.05).Conclusion:The application of modified triangular incision in the extraction of impacted mandibular wisdom teeth can effectively relieve the pain during and after operation,reduce postoperative facial swelling and mouth opening limitation,and reduce the incidence of dry socket.展开更多
Objective: to investigate the effect of psychological intervention on postoperative pain after the extraction of impacted wisdom teeth. Methods: a total of 312 patients who were admitted to our department from April 2...Objective: to investigate the effect of psychological intervention on postoperative pain after the extraction of impacted wisdom teeth. Methods: a total of 312 patients who were admitted to our department from April 2019 to May 2020 needing impacted wisdom tooth extraction were included in this study, and randomly divided into study group and control group with 156 patients needing impacted wisdom tooth extraction in each group. The control group was treated with routine nursing, while the research group was treated with psychological intervention. The two groups of patients were compared 12 hours, 24 hours, 36 hours after surgery, three stages of pain, to study the impact of psychological intervention into the impacted wisdom tooth extraction on postoperative pain. Results: through the comparison of the pain of patients at 12, 24 and 36 hours after surgery, it was found that the pain of patients in the study group was significantly better than the control group, the difference was statistically significant (P < 0.05). Discussion: the application of psychological intervention in the removal of impacted wisdom teeth can effectively relieve the postoperative pain of patients, and should be applied and promoted in the future removal of impacted wisdom teeth to help patients relieve pain.展开更多
BACKGROUND: Dental anomalies are variations from the established well-known general anatomy and morphology of the tooth as a result of disturbances during tooth formation. They can be developmental, congenital, or acq...BACKGROUND: Dental anomalies are variations from the established well-known general anatomy and morphology of the tooth as a result of disturbances during tooth formation. They can be developmental, congenital, or acquired and may be localized to a single tooth or involve systemic conditions. AIM: To evaluate the prevalence of dental anomalies in patients who report to the Komfo Anokye Teaching Hospital (KATH) dental clinics. METHOD: A descriptive cross-sectional design was used with a sample size of 92 patients aged 18 or older, obtained through convenience sampling. Data analysis was performed using SPSS version 26.0. RESULTS: The study included 92 patients aged 18 to 72 years, with 47.8% males and 52.2% females. Dental anomalies were observed in 51.1% of participants, with a higher prevalence in females (55.3%). The most common anomalies were diastema (48.3%), impacted teeth (22.0%), dilaceration (11.9%), and peg-shaped lateral teeth (6.8%). CONCLUSION: This study highlights the importance of conducting thorough dental examinations to identify and address dental anomalies, which may have implications for treatment. Early detection and correction of these anomalies are crucial to prevent future complications.展开更多
基金supported in part by the National Natural Science Foundation of China(Grant No.62062003)Natural Science Foundation of Ningxia(Grant No.2023AAC03293).
文摘The instance segmentation of impacted teeth in the oral panoramic X-ray images is hotly researched.However,due to the complex structure,low contrast,and complex background of teeth in panoramic X-ray images,the task of instance segmentation is technically tricky.In this study,the contrast between impacted Teeth and periodontal tissues such as gingiva,periodontalmembrane,and alveolar bone is low,resulting in fuzzy boundaries of impacted teeth.Amodel based on Teeth YOLACT is proposed to provide amore efficient and accurate solution for the segmentation of impacted teeth in oral panoramic X-ray films.Firstly,a Multi-scale Res-Transformer Module(MRTM)is designed.In the module,depthwise separable convolutions with different receptive fields are used to enhance the sensitivity of the model to lesion size.Additionally,the Vision Transformer is integrated to improve the model’s ability to perceive global features.Secondly,the Context Interaction-awareness Module(CIaM)is designed to fuse deep and shallow features.The deep semantic features guide the shallow spatial features.Then,the shallow spatial features are embedded into the deep semantic features,and the cross-weighted attention mechanism is used to aggregate the deep and shallow features efficiently,and richer context information is obtained.Thirdly,the Edge-preserving perceptionModule(E2PM)is designed to enhance the teeth edge features.The first-order differential operator is used to get the tooth edge weight,and the perception ability of tooth edge features is improved.The shallow spatial feature is fused by linear mapping,weight concatenation,and matrix multiplication operations to preserve the tooth edge information.Finally,comparison experiments and ablation experiments are conducted on the oral panoramic X-ray image datasets.The results show that the APdet,APseg,ARdet,ARseg,mAPdet,and mAPseg indicators of the proposed model are 89.9%,91.9%,77.4%,77.6%,72.8%,and 73.5%,respectively.This study further verifies the application potential of the method combining multi-scale feature extraction,multi-scale feature fusion,and edge perception enhancement in medical image segmentation,which provides a valuable reference for future related research.
文摘Objective:To explore the clinical effect of improved incision in the extraction of impacted mandibular wisdom teeth.Methods:160 patients who were treated in our hospital from October,2024 to April,2025 and had their mandibular impacted wisdom teeth removed according to the doctor’s advice were randomly divided into observation group and control group.The observation group used modified incision,while the control group used traditional triangular incision.The operation time,intraoperative visual analogue scale(VAS)pain score,pain VAS score on the 1st,2nd and 3rd day after operation,facial swelling on the 2nd day after operation,mouth opening limitation on the 2nd day after operation and the incidence of dry socket after operation were recorded and compared between the two groups.Results:There was no significant difference in operation time between the two groups(p>0.05).The VAS score of pain in the observation group was significantly lower than that in the control group at each time point during and after operation(p<0.05).On the second day after operation,the facial swelling and mouth opening limitation in the observation group were significantly lighter than those in the control group(p<0.05).The incidence of dry socket in the observation group was 1.25%(1/80),which was significantly lower than that in the control group(8.75%,7/80),and the difference was statistically significant(p<0.05).Conclusion:The application of modified triangular incision in the extraction of impacted mandibular wisdom teeth can effectively relieve the pain during and after operation,reduce postoperative facial swelling and mouth opening limitation,and reduce the incidence of dry socket.
文摘Objective: to investigate the effect of psychological intervention on postoperative pain after the extraction of impacted wisdom teeth. Methods: a total of 312 patients who were admitted to our department from April 2019 to May 2020 needing impacted wisdom tooth extraction were included in this study, and randomly divided into study group and control group with 156 patients needing impacted wisdom tooth extraction in each group. The control group was treated with routine nursing, while the research group was treated with psychological intervention. The two groups of patients were compared 12 hours, 24 hours, 36 hours after surgery, three stages of pain, to study the impact of psychological intervention into the impacted wisdom tooth extraction on postoperative pain. Results: through the comparison of the pain of patients at 12, 24 and 36 hours after surgery, it was found that the pain of patients in the study group was significantly better than the control group, the difference was statistically significant (P < 0.05). Discussion: the application of psychological intervention in the removal of impacted wisdom teeth can effectively relieve the postoperative pain of patients, and should be applied and promoted in the future removal of impacted wisdom teeth to help patients relieve pain.
文摘BACKGROUND: Dental anomalies are variations from the established well-known general anatomy and morphology of the tooth as a result of disturbances during tooth formation. They can be developmental, congenital, or acquired and may be localized to a single tooth or involve systemic conditions. AIM: To evaluate the prevalence of dental anomalies in patients who report to the Komfo Anokye Teaching Hospital (KATH) dental clinics. METHOD: A descriptive cross-sectional design was used with a sample size of 92 patients aged 18 or older, obtained through convenience sampling. Data analysis was performed using SPSS version 26.0. RESULTS: The study included 92 patients aged 18 to 72 years, with 47.8% males and 52.2% females. Dental anomalies were observed in 51.1% of participants, with a higher prevalence in females (55.3%). The most common anomalies were diastema (48.3%), impacted teeth (22.0%), dilaceration (11.9%), and peg-shaped lateral teeth (6.8%). CONCLUSION: This study highlights the importance of conducting thorough dental examinations to identify and address dental anomalies, which may have implications for treatment. Early detection and correction of these anomalies are crucial to prevent future complications.
