Individuals with moderate to severe periodontitis have worse masticatory performance and oral health-related quality of life compared to those with healthier periodontal conditions. The study found a 32% difference in chewing ability between those with reduced alveolar bone height versus the control group. Loss of periodontal structures, even mildly, can impair masticatory performance and negatively impact quality of life by affecting chewing ability and comfort. Assessing masticatory and oral health-related quality of life can help clinicians determine the best treatment approach for each individual.
ANTIMICROBIAL EFFICIENCY OF INTRACANAL MEDICAMENT AGAINST E. FAECALIS BACTERIA IN INFECTED PRIMARY MOLARS BY USING REAL-TIME PCR: A RANDOMOMIZED CLINICAL TRIAL
This presentation explains the various controversies in different topics in periodontics. Discusses the controversies in Classification of periodontal diseases,
Diagnosis of periodontal diseases,
Prognosis,
Tooth mobility & splinting,
Gingival curettage one stage full-mouth disinfection versus quadrant SRP,
Systemic antimicrobials in periodontal therapy, Non-surgical versus surgical periodontal therapy,
Postsurgical antimicrobial medication,
Periodontal pack,
Periodontal-endodontic relationship,
Periodontal and systemic diseases,
Implant therapy in periodontally compromised patients.
ANTIMICROBIAL EFFICIENCY OF INTRACANAL MEDICAMENT AGAINST E. FAECALIS BACTERIA IN INFECTED PRIMARY MOLARS BY USING REAL-TIME PCR: A RANDOMOMIZED CLINICAL TRIAL
This presentation explains the various controversies in different topics in periodontics. Discusses the controversies in Classification of periodontal diseases,
Diagnosis of periodontal diseases,
Prognosis,
Tooth mobility & splinting,
Gingival curettage one stage full-mouth disinfection versus quadrant SRP,
Systemic antimicrobials in periodontal therapy, Non-surgical versus surgical periodontal therapy,
Postsurgical antimicrobial medication,
Periodontal pack,
Periodontal-endodontic relationship,
Periodontal and systemic diseases,
Implant therapy in periodontally compromised patients.
Long term clinical and bacterial effetcx of xylitol on paitnets with fixed or...EdwardHAngle
Background: The objective of this study was to evaluate long-term clinical and bacterial effects of using 6 g of
xylitol per day for 3 months on patients with full fixed orthodontic appliances.
Methods: The study was a pilot clinical trial that included 41 subjects who were undergoing orthodontic
treatment. The subjects were randomly divided into three groups. Group A received xylitol chewing gum, group B
received xylitol dissolvable chewable tablets, and Group C served as the control group and did not receive xylitol
gums or tablets. Clinical examination and the collection of plaque and saliva samples were carried out at baseline
and 3, 6, and 12 months. All three groups were given oral hygiene instruction and were put on a 6-month cleaning
and topical fluoride schedule. Plaque scores and bacterial counts were used to evaluate the effectiveness of the
different approaches at reducing the caries risk.
Results: Xylitol groups did not experience any more reduction in plaque score, plaque MS counts, or salivary MS
counts than the control group nor did they have lower values at any of the time points. Chewing gum did not
significantly increase the incidence of debonded brackets over the other groups.
Conclusions: Xylitol does not have a clinical or bacterial benefit in patients with fixed orthodontic appliances. Oral
hygiene instructions and 6-month topical fluoride application were effective at reducing plaque scores and bacterial
counts in patients with full fixed appliances regardless of whether or not xylitol was used.
i-prf &MN in gingival augmentation in thin phenotypeDr. B.V.Parvathy
To evaluate the effect of gingival thickness (GT) and keratinized tissue width (KTW) using injectable platelet rich fibrin (i-PRF) alone and with microneedling (MN) in individuals with thin periodontal phenotypes.
This seminar explains various periodontal risk assessment tools at subject, tooth and site level risk assessment. Also, SPT with adjunct use of antimicrobials by professional and to be used by personals. Maintenance care for the implant patients has also been described with different conditions. The role played by dentist and by patient is being explained in flowcharts. And at last complications during SPT is described with references.
Regenerative Surgical Treatment of Furcation Journal PresentationDr. B.V.Parvathy
AIM
To evaluate the performance and the added values of surgical regenerative techniques in terms of tooth loss, furcation closure/conversion, horizontal bone level gain and other periodontal parameters of teeth affected by periodontitis-related furcation defects, at least 12 months after surgery.
An Evaluation of Short Term Success and Survival Rate of Implants Placed in F...DrHeena tiwari
An Evaluation of Short Term Success and Survival Rate of Implants Placed in Fresh Extraction Socket Post Prosthetic Rehabilitation- A Prospective Study
The paradigm shift in the way we are treating periodontal disease necessitates the use of modifiable and non-modifiable risk factors. This presentation reviews the most recent evidence regarding periodontal disease diagnosis and maintenance.
This trial aimed to evaluate the efficacy and safety of vitamin D supplementation on the residual moderate and deep pockets following nonsurgical periodontal therapy.
Long term clinical and bacterial effetcx of xylitol on paitnets with fixed or...EdwardHAngle
Background: The objective of this study was to evaluate long-term clinical and bacterial effects of using 6 g of
xylitol per day for 3 months on patients with full fixed orthodontic appliances.
Methods: The study was a pilot clinical trial that included 41 subjects who were undergoing orthodontic
treatment. The subjects were randomly divided into three groups. Group A received xylitol chewing gum, group B
received xylitol dissolvable chewable tablets, and Group C served as the control group and did not receive xylitol
gums or tablets. Clinical examination and the collection of plaque and saliva samples were carried out at baseline
and 3, 6, and 12 months. All three groups were given oral hygiene instruction and were put on a 6-month cleaning
and topical fluoride schedule. Plaque scores and bacterial counts were used to evaluate the effectiveness of the
different approaches at reducing the caries risk.
Results: Xylitol groups did not experience any more reduction in plaque score, plaque MS counts, or salivary MS
counts than the control group nor did they have lower values at any of the time points. Chewing gum did not
significantly increase the incidence of debonded brackets over the other groups.
Conclusions: Xylitol does not have a clinical or bacterial benefit in patients with fixed orthodontic appliances. Oral
hygiene instructions and 6-month topical fluoride application were effective at reducing plaque scores and bacterial
counts in patients with full fixed appliances regardless of whether or not xylitol was used.
i-prf &MN in gingival augmentation in thin phenotypeDr. B.V.Parvathy
To evaluate the effect of gingival thickness (GT) and keratinized tissue width (KTW) using injectable platelet rich fibrin (i-PRF) alone and with microneedling (MN) in individuals with thin periodontal phenotypes.
This seminar explains various periodontal risk assessment tools at subject, tooth and site level risk assessment. Also, SPT with adjunct use of antimicrobials by professional and to be used by personals. Maintenance care for the implant patients has also been described with different conditions. The role played by dentist and by patient is being explained in flowcharts. And at last complications during SPT is described with references.
Regenerative Surgical Treatment of Furcation Journal PresentationDr. B.V.Parvathy
AIM
To evaluate the performance and the added values of surgical regenerative techniques in terms of tooth loss, furcation closure/conversion, horizontal bone level gain and other periodontal parameters of teeth affected by periodontitis-related furcation defects, at least 12 months after surgery.
An Evaluation of Short Term Success and Survival Rate of Implants Placed in F...DrHeena tiwari
An Evaluation of Short Term Success and Survival Rate of Implants Placed in Fresh Extraction Socket Post Prosthetic Rehabilitation- A Prospective Study
The paradigm shift in the way we are treating periodontal disease necessitates the use of modifiable and non-modifiable risk factors. This presentation reviews the most recent evidence regarding periodontal disease diagnosis and maintenance.
This trial aimed to evaluate the efficacy and safety of vitamin D supplementation on the residual moderate and deep pockets following nonsurgical periodontal therapy.
Oral health Knowledge, attitudes and behaviour among a sample of Kurdish peop...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Dental Myth, Fallacies and Misconceptions and its Association with Socio-Dent...DrRipika Sharma
Introduction: It is important to know about the myths and misconceptions, especially in India, where general and oral health is
embroiled in various myths and ritualistic practices.
Objectives: The purpose of this study is aimed at assessing the prevalence of dental myth and utilizes socio-dental impact
locus of control scale (SILOC) health model, as the theoretical framework to understand the dental myth and belief and possible
reasons for noncompliance with recommended health action.
Materials and Methods: A cross-sectional study was conducted by the out-patients attending dental institute, in Bengaluru
city. A total of 150 individuals were included, data were collected using a pretested and validated three-part questionnaire
including demographic data, questions regarding dental myth, and seven items SILOC. Data obtained were statistically analyzed
using descriptive statistics, t-test, and spearman’s rank correlation.
Results: Almost all the participant believed in one or more dental myth. About 71.3% of the participant had high (≥11) SILOC
scores. Statistically significant difference (P < 0.001) was found between mean SILOC scores and gender with males having
a lower mean score (14.94) as compared to females (18.62). When SILOC scores and myth scores were compared against
socioeconomic status, it showed statistically significant difference (P < 0.001), between them. The SILOC scores highly correlated
with myth scores.
Conclusion: Various dental myth and false perception still lurk in the minds of the population, to discourage the unhealthy
practices; we the health professionals have to provide intensive health education and promote the adoption of healthy practices.
It would be prudent to familiarize professionals to understand these myths and beliefs as they act as barriers toward seeking
treatment.
Key words: Culture, Gender, Internal-external control, Oral health, Social class
An Epidemiological Data of Oral Health Status and Treatment Needs in Pamulapa...DrHeena tiwari
An Epidemiological Data of Oral Health Status and Treatment Needs in Pamulapadu Village of Guntur District, Andhra Pradesh, India: An Original Research
Comprehensive Assessment of Attitude Towards Denture Hygiene Habits in Compl...Ajay Pacharne
Abstract---Background and Aim: With the advanced innovations in
the rehabilitation techniques, the usages of removable denture have
been reduced significantly. However; complete denture are one of the
most common and trendy avenue for restoring completely edentulous
situations. The ultimate aim of this study was to assess the denture
hygiene attitude in complete denture patients. Materials and Methods:
A total of 100 complete denture wearing patients were selected for this
assessment. The patients were selected in the age range of 45-70
years. The methodologies were explained to the patients prior to the
real execution of the study. All interested complete denture patients
were included in the study. We also performed a small demographic
recording of the patients that includes data on gender, age, length of
prosthesis utilize, cleaning strategies and materials, and so on.
Statistical Analysis and Results: Basic statistical analysis was
completed using SPSS statistical package for the Social Sciences
version 21 for Windows. Only 58% of the patients reported that they
use to clean their dentures every day once. Approximately 68% of the
patients agreed that they do not remember the verbal and written
instructions for denture hygiene at the time of delivery of complete
dentures by the dentists.
Evaluation of Hard and Soft Tissue Dimensions Around Zirconium Oxide Implant–...Dr Ripunjay Tripathi
journal club Evaluation of Hard and Soft Tissue Dimensions Around Zirconium Oxide Implant–Supported Crowns: A 1-Year Retrospective Study
Kniha at el , J Periodontol 2016;87:511-518.
Mandibular Degree II Furcation Defects Treatment With Platelet-Rich Fibrin an...Dr Ripunjay Tripathi
journal club Mandibular Degree II Furcation Defects Treatment With Platelet-Rich Fibrin and 1% Alendronate Gel Combination: A Randomized Controlled Clinical Trial
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
How to Split Bills in the Odoo 17 POS ModuleCeline George
Bills have a main role in point of sale procedure. It will help to track sales, handling payments and giving receipts to customers. Bill splitting also has an important role in POS. For example, If some friends come together for dinner and if they want to divide the bill then it is possible by POS bill splitting. This slide will show how to split bills in odoo 17 POS.
We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
Students, digital devices and success - Andreas Schleicher - 27 May 2024..pptxEduSkills OECD
Andreas Schleicher presents at the OECD webinar ‘Digital devices in schools: detrimental distraction or secret to success?’ on 27 May 2024. The presentation was based on findings from PISA 2022 results and the webinar helped launch the PISA in Focus ‘Managing screen time: How to protect and equip students against distraction’ https://www.oecd-ilibrary.org/education/managing-screen-time_7c225af4-en and the OECD Education Policy Perspective ‘Students, digital devices and success’ can be found here - https://oe.cd/il/5yV
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
2. The loss of periodontal supporting structures
attributable to periodontitis can negatively affect the
sensory function of periodontal tissues and lead to
development of alternative strategies to deal with the
less stable mechanical support of the teeth,
ultimately causing specific chewing dysfunctions.
Individuals with moderate to- severe periodontitis
experience a change in their food chewing ability,
which affects the final product of masticatory
function.
3. A multidimensional approach, measuring not only
masticatory function but also physical, psychologic,
and social limiting factors, can be performed by using
questionnaires intended to analyze the oral health–
related quality of life (OHRQoL).
Considering the potential association between
periodontal disease and reduction of masticatory
performance and OHRQoL, this study aimed to
evaluate the effect of periodontal disease on chewing
ability and OHRQoL.
4. The participants in the present study were 24 dentate volunteers,
comprising 10 females and 14 males, 23 to 76 years old (mean age,
50.1 years).
Selection criteria did not include age, sex, race, or social status. The
participants were divided into the following two groups: control group
and test group. For this categorization, the alveolar bone height–to–
tooth length (AB/T) ratio was calculated.
Participants with an AB/T ratio >50% were included in the control group,
and those with an AB/T ratio <50% were placed in the test group.
Each group consisted of 12 individuals (n = 12), comprising five females
and seven males. Considering the above categorization, all individuals in
the test group were expected to have moderate-to-severe generalized
periodontitis.
5. The inclusion and exclusion criteria were determined by
screening, which provided data regarding the participants’
personal information, medical and dental history, any
existing parafunctional habits, and potential symptoms of
temporomandibular dysfunction.
Individuals were excluded from the study if they presented
with some of the following criteria during screening:
1) splinting of teeth after orthodontic treatment
2) fixed prostheses with >1 element
3)dental implants
6. 4) partial removable dentures
5)endodontic lesions
6) absence of >4 pairs of teeth in occlusion and absence of all
pairs of molars from any hemiarch.
7) use of any medication that could interfere in muscle activity,
such as antihistamines, sedatives, homeopathic medicinal
products, or central nervous system depressors
8) treatments that could directly or indirectly interfere in muscle
activity during the period in which the study was performed,
such as speech therapy and otorhinolaryngologic treatments.
7. Alveolar Bone Height
The alveolar bone height measurement was performed in digital
panoramic radiography through a computer-customized system.
For this study, reference points were used. 1) The root apex (A) is the
most apical part of the root. In upper multiroot teeth, the vestibular root
was used as a reference point for the proximal and the palatine root for
the opposite proximal.
2) The alveolar crest (AC) is the portion located on the surface of the
most coronal root. When >1 crest image of the alveolar bone was
observed, the most apical part was used.
3) The highest part of the crown (C) is the midpoint of the incisal margin
for the incisors and the cusp in the most coronal position for premolars
and molars.
8.
9. Dental Mobility
An electronic mobility testing device was used to measure the degree of
mobility of the abutment teeth. To standardize data collection, a fixing
device was used for the mobility testing device, so that the patient would
not have to change head position.
Participants were instructed to place their chin on the supporting
platform with the rod positioned at a 90 angle in the centre of the
vestibular face of each tooth.
A dental cotton roll was placed between the teeth of the hemiarch
opposite of the register to standardize the disocclusion of the teeth.
After fixing the rod at the given position, the mobility reading was
performed. All measurements were conducted by the same clinician
(TFB) to avoid variability between examiners.
10. Masticatory Performance
In this study, chewing material called a biocapsule was used that
contains beads to analyze the masticatory performance.
The beads were obtained by an ionotropic gelification method of solids
at the following concentrations: a 2% aqueous pectin dispersion, 18.65%
starch, 20.5% lactose, 18.65% saccharose, 40.2% microcrystallized
cellulose, and 0.016% fuchsin. The beads remained in solution for 10
minutes.
They were then dried until their weights remained constant and coated
with 5% cationic methacrylate polymer in a mixed solvent of 10% acetone
in absolute ethanol.
Subsequently, 250-mg beads were placed inside polyvinyl acetate
capsules, with a 0.40-mm wall thickness, a 7-mm internal diameter, and
an 8-mm external diameter. The biocapsules were welded using
radiofrequency and were kept hermetically sealed throughout the clinical
trial. They were characterized as inert and biocompatible.
11. OHRQoL
For analysis of quality of life, the Oral Health Impact Profile (OHIP)
questionnaire was used to measure individuals’ perceptions regarding
the social impact of the oral disorder on their well-being. It consists of
48 questions.
The study applied the OHIP-14 questionnaire, which comprises 14
questions divided into the following seven groups: 1) functional
limitation; 2) physical pain; 3) psychologic discomfort; 4) physical
disability; 5) psychologic disability; 6) social disability; and 7) handicap.
The answers were recorded on a Likert scale with values ranging from 0
to 4. The individual’s quality of life improves with a decrease in the
Likert scale value.
12. The control group presented the best masticatory performance
indicator. The data showed that there was a statistically
significant difference of masticatory performance between the
two groups.
Masticatory performance had a positive correlation with the AB/T
mean of the posterior sextants.
In the study, the impact of periodontitis on quality of life was
higher in the physical pain subscale, and feeling uncomfortable
while eating was a question of great relevance.
The third highest impact on quality of life was the physical
disability subscale, which is the only subscale to display
masticatory efficiency.
13. Masticatory performance, which was evaluated based on
chewing hard artificial foods, was found to be worse for
individuals with reduced alveolar bone height.
A difference of 32% was found between the test and
control groups regarding grinding of food, which was
analyzed by having participants chew the biocapsule for
10 seconds.
However, it is necessary to analyze the results with
caution. Individuals with generalized periodontitis may
have the indication of extracting all the teeth followed by
oral rehabilitation with full denture prostheses.
14. A study with a masticatory performance test observed a
reduction in masticatory performance of individuals rehabilitated
with conventional dentures (69%) and individuals rehabilitated
with fixed mandibular implant-supported prostheses (39%)
compared with individuals with a natural dentition.
Therefore, one should consider the possibility of periodontal
disease control and patient guidance based on the advantages of
not extracting teeth, including maintenance of the periodontal
proprioception that can influence neuromuscular control of
chewing.
In this study, even individuals with mild loss of periodontal
supporting structure have potential changes in their masticatory
performance.
15. Individuals with better periodontal conditions are more likely to
have a better quality of life. This is supported by the study,
which demonstrates a correlation between the quality of life and
both the supporting alveolar bone loss and tooth mobility.
Bernabe´ and Marcenes showed that, despite the influence of
sociodemographic factors as well as other concomitant oral
conditions, periodontal disease was associated with quality of
life in individuals with generalized periodontitis and those with
localized periodontitis.
Despite the reduction in masticatory performance and quality of
life observed in this study, chewing ability is more favourable
than that found following some oral rehabilitations procedures,
such as complete dentures or implant-supported prostheses.
16. It can be stated that loss of periodontal structures can
negatively affect the masticatory performance and OHRQoL.
Even mild reductions in alveolar bone height may impair
masticatory performance.
The assessment of quality of life and masticatory
performance related to periodontal support can assist
clinicians in providing the most appropriate intervention care
tailored to meet individual needs.