Marginal and Internal Fit of Different Fixed Dental Prostheses: A Comparative...DrHeena tiwari
This study compared five methods for assessing the marginal and internal fit of fixed dental prostheses: the cross-sectional method, silicone replica technique, triple scan method, micro-computed tomography, and optical coherence tomography. Measurements of the marginal gap, axial gap, angle gap, and occlusal gap found statistically significant differences between the methods. The cross-sectional method and silicone replica technique showed the lowest mean values and were the most similar, while the triple scan method and optical coherence tomography also showed similarities. The study concluded that while fit values may fall within clinically acceptable ranges, differences between assessment methods should be considered.
EFFICACY OF FIXED VERSUS REMOVAL RETAINER POST ORTHODONTIC TREATMENT: A COMP...DrHeena tiwari
This study compared the efficacy of fixed versus removable retainers for maintaining orthodontic treatment outcomes over 4 years. 48 participants from an original randomized controlled trial were evaluated. Those with fixed retainers had lower irregularity scores on average (0.85mm increase) compared to removable retainers (1.47mm increase). After adjusting for confounding factors, the difference in irregularity between groups was statistically significant, with removable retainers having 1.64mm more irregularity on average. No other significant differences were found between groups for other metrics like inter-canine width. Compliance with removable retainers decreased over time. Fixed retainers maintained their position better, though some required repair. In conclusion, fixed retainers appeared to
Comparative Effects of Chewing Gums in Oral Health: An Original ResearchDrHeena tiwari
This study assessed the effects of sugar-free chewing gum on oral health by comparing plaque index and DMFT scores between patients who chewed gum daily versus a control group. Forty patients were divided into two groups - one using sugar-free gum for 20 minutes daily and a control group. Plaque index and DMFT scores were assessed monthly for both groups. The gum group showed significantly lower plaque accumulation and fewer caries incidents compared to the control group after two months. However, the benefits decreased after longer use, possibly due to decreased compliance. The study concluded that sugar-free gum can improve oral health when used regularly as an adjunct to brushing and flossing by stimulating saliva and reducing plaque and caries risk.
Modification of Distal Shoe- A Systematic Review & Meta AnalysisDrHeena tiwari
The document summarizes a systematic review of modifications to the distal shoe space maintainer. It analyzes 6 studies on modified distal shoe designs. The studies showed that the modifications provided stability, adjustability, and were well-accepted by patients. However, the quality of the studies was low and conclusions about the efficacy of the modifications were inconclusive due to a lack of clear reporting on outcomes. Further high-quality research is needed to establish the effectiveness of modified distal shoe space maintainers.
Radiographic Evaluation of the MB2 Canal in Permanent Maxillary Molars- An Or...DrHeena tiwari
This study evaluated the presence and location of the MB2 canal in maxillary first molars using CBCT scans. The scans of 296 patients were analyzed, showing MB2 canals in 43.8% of teeth. No significant gender difference was found. The angle between the mesiobuccal, distobuccal and palatal canals (ƒMDP) was greater in teeth with MB2 canals. A moderate positive correlation was found between ƒMDP and the angle between mesiobuccal, distobuccal and MB2 canals (ƒMDMB2). If ƒMDP was over 90.95 degrees, there was a 78% probability of finding an
Marginal and Internal Fit of Different Fixed Dental Prostheses: A Comparative...DrHeena tiwari
This study compared five methods for assessing the marginal and internal fit of fixed dental prostheses: the cross-sectional method, silicone replica technique, triple scan method, micro-computed tomography, and optical coherence tomography. Measurements of the marginal gap, axial gap, angle gap, and occlusal gap found statistically significant differences between the methods. The cross-sectional method and silicone replica technique showed the lowest mean values and were the most similar, while the triple scan method and optical coherence tomography also showed similarities. The study concluded that while fit values may fall within clinically acceptable ranges, differences between assessment methods should be considered.
EFFICACY OF FIXED VERSUS REMOVAL RETAINER POST ORTHODONTIC TREATMENT: A COMP...DrHeena tiwari
This study compared the efficacy of fixed versus removable retainers for maintaining orthodontic treatment outcomes over 4 years. 48 participants from an original randomized controlled trial were evaluated. Those with fixed retainers had lower irregularity scores on average (0.85mm increase) compared to removable retainers (1.47mm increase). After adjusting for confounding factors, the difference in irregularity between groups was statistically significant, with removable retainers having 1.64mm more irregularity on average. No other significant differences were found between groups for other metrics like inter-canine width. Compliance with removable retainers decreased over time. Fixed retainers maintained their position better, though some required repair. In conclusion, fixed retainers appeared to
Comparative Effects of Chewing Gums in Oral Health: An Original ResearchDrHeena tiwari
This study assessed the effects of sugar-free chewing gum on oral health by comparing plaque index and DMFT scores between patients who chewed gum daily versus a control group. Forty patients were divided into two groups - one using sugar-free gum for 20 minutes daily and a control group. Plaque index and DMFT scores were assessed monthly for both groups. The gum group showed significantly lower plaque accumulation and fewer caries incidents compared to the control group after two months. However, the benefits decreased after longer use, possibly due to decreased compliance. The study concluded that sugar-free gum can improve oral health when used regularly as an adjunct to brushing and flossing by stimulating saliva and reducing plaque and caries risk.
Modification of Distal Shoe- A Systematic Review & Meta AnalysisDrHeena tiwari
The document summarizes a systematic review of modifications to the distal shoe space maintainer. It analyzes 6 studies on modified distal shoe designs. The studies showed that the modifications provided stability, adjustability, and were well-accepted by patients. However, the quality of the studies was low and conclusions about the efficacy of the modifications were inconclusive due to a lack of clear reporting on outcomes. Further high-quality research is needed to establish the effectiveness of modified distal shoe space maintainers.
Radiographic Evaluation of the MB2 Canal in Permanent Maxillary Molars- An Or...DrHeena tiwari
This study evaluated the presence and location of the MB2 canal in maxillary first molars using CBCT scans. The scans of 296 patients were analyzed, showing MB2 canals in 43.8% of teeth. No significant gender difference was found. The angle between the mesiobuccal, distobuccal and palatal canals (ƒMDP) was greater in teeth with MB2 canals. A moderate positive correlation was found between ƒMDP and the angle between mesiobuccal, distobuccal and MB2 canals (ƒMDMB2). If ƒMDP was over 90.95 degrees, there was a 78% probability of finding an
Impact of Drains on the Postoperative Sequel Following Third Molar Surgery: A...DrHeena tiwari
This document summarizes a study that assessed the impact of rubber drains on postoperative outcomes following third molar surgery. The study involved 60 patients who underwent bilateral third molar removal, with a drain placed on one side but not the other. Parameters like pain, swelling, trismus and infections were evaluated and compared between sides. The results found no significant differences between sides in any parameter, suggesting drains do not provide benefits. While some past studies found drains reduced sequelae, this study's findings did not support positive effects of drains on postoperative recovery from third molar surgery.
This randomized clinical trial compared the survival of composite resin restorations and metal-ceramic crowns on endodontically treated teeth over a follow-up period of 1 to 5 years. 57 restorations were placed in 47 patients, with 30 being composite resin and 27 being metal-ceramic crowns. One tooth was extracted in the composite group due to root fracture. There were 8 failures in the composite group and 1 failure in the crown group, mostly due to secondary caries or restoration fracture. Metal-ceramic crowns demonstrated better clinical performance and lower need for re-intervention, but both types of restorations showed good survival rates with no significant difference.
EFFICACY OF TRANSDERMAL PATCHES IN THE MANAGEMENT OF POSTOPERATIVE PAIN: AN O...DrHeena tiwari
This study compared the efficacy of a single 100mg transdermal diclofenac patch to a single 75mg intramuscular diclofenac injection for managing postoperative pain in 30 patients who underwent maxillofacial surgery. Patients were randomly assigned to receive either the patch or injection. Pain levels were assessed at various timepoints using a visual analogue scale. The results found that the patch provided longer lasting analgesia (15 hours on average) compared to the injection (9 hours), and fewer patients in the patch group required rescue pain medication. No local complications occurred with the patch. The study concluded that a single diclofenac patch was more effective than intramuscular diclofenac for managing immediate postoperative pain
This study evaluated the efficacy of two different root canal sealers - AH Plus and MTA Fillapex - in strengthening teeth during endodontic therapy. 75 single-rooted teeth were instrumented and divided into 3 groups: Group A used AH Plus sealer, Group B used MTA Fillapex sealer, and Group C was unfilled. Obturated teeth were embedded in resin and force was applied until fracture. Teeth filled with AH Plus required the most force (235.9N) to fracture, followed by MTA Fillapex (168.5N), with unfilled teeth fracturing at the least force (90.7N). The authors concluded that AH Plus provided greater strength than
This study compared the analgesic efficacy of preemptive oral ketorolac with submucous tramadol (Group A) versus oral ketorolac with submucous placebo (Group B) for impacted mandibular third molar surgery. 40 patients received each treatment in a double-blind, split-mouth study. Group A reported significantly lower pain intensity scores from 1-12 hours post-op and had a longer pain-free interval compared to Group B. Group A also required less postoperative analgesics in the first 24 hours. While Group A reported more headaches, nausea and local reactions, preemptive oral ketorolac with tramadol provided superior pain relief after third molar surgery compared to
Epidemiology of Orofacial Pain in Population of Jammu City in India: An Origi...DrHeena tiwari
This study evaluated the etiology of orofacial pain among 400 patients visiting private clinics in Jammu, India. The results showed that dental caries leading to pulpitis was the most common cause of orofacial pain, affecting 96 patients. Periodontal disease and tooth sensitivity were also significant causes. Orofacial pain was more prevalent in females aged 26-35 years. The pain most commonly worsened during sleep and evenings and lasted less than 1 hour for many subjects. This study concluded that dental caries is the primary etiology of orofacial pain in this population and treatment should be tailored based on the identified cause.
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
This meta-analysis evaluates the reliability of published evidence on regenerative endodontic procedures. It summarizes clinical and radiographic findings from studies on treating non-vital immature permanent teeth using regenerative techniques. The analysis finds good success rates for tooth survival and pathology resolution, but variable results for outcomes like apex closure and root development. Regenerative procedures are improving but factors important for success remain unclear, indicating more research is needed.
Assessment of correlation of periodontitis in teeth adjacent to implant and p...Dr. Anuj S Parihar
Aims: The present study was conducted to determine correlation between peri‑implantitis and periodontitis in adjacent teeth. Materials and Methods: The present study was conducted on 58 patients with 84 dental implants. They were divided into two groups, group I (50) was with peri‑implantitis and group II (34) was without it. In all patients, probing depth (PD), gingival recession (GR), and clinical attachment loss (CAL) was calculated around implant, adjacent to implant and on contralateral side. Obtained data were statistically analyzed using statistical software IBM SPSS Statistics for Windows, Version 21.0. Armonk, NY: IBM Corp with one‑way analysis of variance. Results: Males were 30 with 52 dental implants and females were 28 with 32 dental implants. CAL was 5.82 ± 0.52 in group I and 3.62 ± 0.63 in group II (P = 0.001) around implants. PD was 4.28 ± 1.26 in group I and 2.20 ± 0.52
in group II around adjacent teeth (P = 0.002). PD around contralateral teeth was significant (P = 0.05) in group I (3.18 ± 1.01) and group II (2.71 ± 0.73). Conclusion: Periodontitis has negative effect on implant success. Teeth adjacent to dental implant plays an important role in deciding the success or failure of implant. Maintenance of periodontal health is of paramount importance for successful implant therapy.
Effectiveness of Low-Level Lasers subsequent to Third Molar Surgery: An Origi...DrHeena tiwari
This study assessed the effectiveness of low-level lasers in reducing postoperative pain, swelling, and trismus following third molar surgery. 32 patients who required bilateral lower wisdom tooth removal were treated, with one side receiving laser treatment and the other serving as the control. Pain was significantly lower on the laser treated side on days 6-7, though swelling and trismus did not significantly differ between sides. The results suggest low-level lasers may help reduce pain following third molar surgery when applied immediately after surgery.
MB2 In Maxillary Second Molar – Two Case ReportsQUESTJOURNAL
This document presents two case reports of maxillary second molars that each had an extra canal (MB2) identified in the mesiobuccal root. In the first case, careful visualization with magnifying loupes revealed a groove indicating the presence of an MB2 canal, which was located using an ultrasonic tip. In the second case, an incomplete access cavity was modified and exploration uncovered an extra mesiobuccal canal. Both cases were treated with biomechanical preparation and obturation of all canals. Failure to locate and treat extra canals such as MB2 is a common reason for endodontic treatment failure.
Preference of materials for posterior restorations: A cross-sectional study a...Premier Publishers
The aim of the study is to evaluate the preferences of materials for posterior restorations among Palestinian dentists and to assess whether postgraduate training or clinical experience had an influence on their material preferences. A cross-sectional study was carried out among 216 dentists in Palestine using an online survey, which consisted of closed questions asking about socio demographic variables, the level of specialization and time since graduation. It further probed into the preferences for posterior restorations through questions about the first choice of material, type of composite resin (if used), use of rubber dam and preferences for curing. It was observed that 66.2% of the dentists preferred using composite and 72.9% preferred nano-hybrid composite restorations over other types of composite material. However, the majority (88.4%) did not prefer using a rubber dam. There was no significant association between the time of clinical training or post-graduate training and their choices for the materials. The study reports that composite was the preferred material for posterior restoration among the Palestinian dentists, and nano-hybrid their preferred type of composite. However, these dentists seldom used rubber dam and their postgraduate training or time of training did not influence their choice of material
This review paper analyzed 1300 publications in the Journal of Maxillofacial Oral Surgery from 2009 to 2020 to evaluate trends in levels of evidence. The analysis found that case reports and narrative reviews with a level D evidence accounted for 36% of publications. The majority (35%) of articles fell under maxillofacial pathology. The percentage of higher levels of evidence (A and B) increased from 2.09% in 2009/2010 to 12.74% in 2019/2020, indicating improving research quality over time. Categorizing publications by level of evidence and topic can help refine research quality in the journal going forward.
Health state utilities of periodontitis patients UKM
This study assessed the effectiveness of periodontal treatment provided at government clinics in Malaysia using patient-reported outcomes. 165 patients newly diagnosed with periodontitis were recruited. Patients completed oral health questionnaires before and after treatment to assess quality of life impacts. Clinical parameters were also measured. Results showed significant improvements in oral health-related quality of life, health state utilities, and clinical parameters after treatment. The use of health state utilities demonstrated treatment effectiveness and should be considered in economic evaluations of dental treatments. Overall, the study found that periodontal treatment significantly improved patients' oral health-related quality of life and clinical outcomes.
Periodontal regeneration versus extraction and dental implant or [Autosaved]....NishitaJaju1
This study compared the outcomes of periodontal regeneration versus tooth extraction and replacement with dental implants or prosthetics for teeth with attachment loss beyond the root apex. Over a 10-year period, periodontal regeneration resulted in 88% survival of treated teeth, comparable to 100% survival of replacement implants/prosthetics, with no significant difference. While regeneration had higher initial costs, it had lower cumulative costs over 10 years than replacement treatments due to fewer long-term complications. Both approaches significantly improved patient-reported outcomes with no significant differences between groups. The study provides long-term evidence that periodontal regeneration can successfully preserve severely compromised teeth as an alternative to extraction and replacement.
Impact of Drains on the Postoperative Sequel Following Third Molar Surgery: A...DrHeena tiwari
This document summarizes a study that assessed the impact of rubber drains on postoperative outcomes following third molar surgery. The study involved 60 patients who underwent bilateral third molar removal, with a drain placed on one side but not the other. Parameters like pain, swelling, trismus and infections were evaluated and compared between sides. The results found no significant differences between sides in any parameter, suggesting drains do not provide benefits. While some past studies found drains reduced sequelae, this study's findings did not support positive effects of drains on postoperative recovery from third molar surgery.
This randomized clinical trial compared the survival of composite resin restorations and metal-ceramic crowns on endodontically treated teeth over a follow-up period of 1 to 5 years. 57 restorations were placed in 47 patients, with 30 being composite resin and 27 being metal-ceramic crowns. One tooth was extracted in the composite group due to root fracture. There were 8 failures in the composite group and 1 failure in the crown group, mostly due to secondary caries or restoration fracture. Metal-ceramic crowns demonstrated better clinical performance and lower need for re-intervention, but both types of restorations showed good survival rates with no significant difference.
EFFICACY OF TRANSDERMAL PATCHES IN THE MANAGEMENT OF POSTOPERATIVE PAIN: AN O...DrHeena tiwari
This study compared the efficacy of a single 100mg transdermal diclofenac patch to a single 75mg intramuscular diclofenac injection for managing postoperative pain in 30 patients who underwent maxillofacial surgery. Patients were randomly assigned to receive either the patch or injection. Pain levels were assessed at various timepoints using a visual analogue scale. The results found that the patch provided longer lasting analgesia (15 hours on average) compared to the injection (9 hours), and fewer patients in the patch group required rescue pain medication. No local complications occurred with the patch. The study concluded that a single diclofenac patch was more effective than intramuscular diclofenac for managing immediate postoperative pain
This study evaluated the efficacy of two different root canal sealers - AH Plus and MTA Fillapex - in strengthening teeth during endodontic therapy. 75 single-rooted teeth were instrumented and divided into 3 groups: Group A used AH Plus sealer, Group B used MTA Fillapex sealer, and Group C was unfilled. Obturated teeth were embedded in resin and force was applied until fracture. Teeth filled with AH Plus required the most force (235.9N) to fracture, followed by MTA Fillapex (168.5N), with unfilled teeth fracturing at the least force (90.7N). The authors concluded that AH Plus provided greater strength than
This study compared the analgesic efficacy of preemptive oral ketorolac with submucous tramadol (Group A) versus oral ketorolac with submucous placebo (Group B) for impacted mandibular third molar surgery. 40 patients received each treatment in a double-blind, split-mouth study. Group A reported significantly lower pain intensity scores from 1-12 hours post-op and had a longer pain-free interval compared to Group B. Group A also required less postoperative analgesics in the first 24 hours. While Group A reported more headaches, nausea and local reactions, preemptive oral ketorolac with tramadol provided superior pain relief after third molar surgery compared to
Epidemiology of Orofacial Pain in Population of Jammu City in India: An Origi...DrHeena tiwari
This study evaluated the etiology of orofacial pain among 400 patients visiting private clinics in Jammu, India. The results showed that dental caries leading to pulpitis was the most common cause of orofacial pain, affecting 96 patients. Periodontal disease and tooth sensitivity were also significant causes. Orofacial pain was more prevalent in females aged 26-35 years. The pain most commonly worsened during sleep and evenings and lasted less than 1 hour for many subjects. This study concluded that dental caries is the primary etiology of orofacial pain in this population and treatment should be tailored based on the identified cause.
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
This meta-analysis evaluates the reliability of published evidence on regenerative endodontic procedures. It summarizes clinical and radiographic findings from studies on treating non-vital immature permanent teeth using regenerative techniques. The analysis finds good success rates for tooth survival and pathology resolution, but variable results for outcomes like apex closure and root development. Regenerative procedures are improving but factors important for success remain unclear, indicating more research is needed.
Assessment of correlation of periodontitis in teeth adjacent to implant and p...Dr. Anuj S Parihar
Aims: The present study was conducted to determine correlation between peri‑implantitis and periodontitis in adjacent teeth. Materials and Methods: The present study was conducted on 58 patients with 84 dental implants. They were divided into two groups, group I (50) was with peri‑implantitis and group II (34) was without it. In all patients, probing depth (PD), gingival recession (GR), and clinical attachment loss (CAL) was calculated around implant, adjacent to implant and on contralateral side. Obtained data were statistically analyzed using statistical software IBM SPSS Statistics for Windows, Version 21.0. Armonk, NY: IBM Corp with one‑way analysis of variance. Results: Males were 30 with 52 dental implants and females were 28 with 32 dental implants. CAL was 5.82 ± 0.52 in group I and 3.62 ± 0.63 in group II (P = 0.001) around implants. PD was 4.28 ± 1.26 in group I and 2.20 ± 0.52
in group II around adjacent teeth (P = 0.002). PD around contralateral teeth was significant (P = 0.05) in group I (3.18 ± 1.01) and group II (2.71 ± 0.73). Conclusion: Periodontitis has negative effect on implant success. Teeth adjacent to dental implant plays an important role in deciding the success or failure of implant. Maintenance of periodontal health is of paramount importance for successful implant therapy.
Effectiveness of Low-Level Lasers subsequent to Third Molar Surgery: An Origi...DrHeena tiwari
This study assessed the effectiveness of low-level lasers in reducing postoperative pain, swelling, and trismus following third molar surgery. 32 patients who required bilateral lower wisdom tooth removal were treated, with one side receiving laser treatment and the other serving as the control. Pain was significantly lower on the laser treated side on days 6-7, though swelling and trismus did not significantly differ between sides. The results suggest low-level lasers may help reduce pain following third molar surgery when applied immediately after surgery.
MB2 In Maxillary Second Molar – Two Case ReportsQUESTJOURNAL
This document presents two case reports of maxillary second molars that each had an extra canal (MB2) identified in the mesiobuccal root. In the first case, careful visualization with magnifying loupes revealed a groove indicating the presence of an MB2 canal, which was located using an ultrasonic tip. In the second case, an incomplete access cavity was modified and exploration uncovered an extra mesiobuccal canal. Both cases were treated with biomechanical preparation and obturation of all canals. Failure to locate and treat extra canals such as MB2 is a common reason for endodontic treatment failure.
Preference of materials for posterior restorations: A cross-sectional study a...Premier Publishers
The aim of the study is to evaluate the preferences of materials for posterior restorations among Palestinian dentists and to assess whether postgraduate training or clinical experience had an influence on their material preferences. A cross-sectional study was carried out among 216 dentists in Palestine using an online survey, which consisted of closed questions asking about socio demographic variables, the level of specialization and time since graduation. It further probed into the preferences for posterior restorations through questions about the first choice of material, type of composite resin (if used), use of rubber dam and preferences for curing. It was observed that 66.2% of the dentists preferred using composite and 72.9% preferred nano-hybrid composite restorations over other types of composite material. However, the majority (88.4%) did not prefer using a rubber dam. There was no significant association between the time of clinical training or post-graduate training and their choices for the materials. The study reports that composite was the preferred material for posterior restoration among the Palestinian dentists, and nano-hybrid their preferred type of composite. However, these dentists seldom used rubber dam and their postgraduate training or time of training did not influence their choice of material
This review paper analyzed 1300 publications in the Journal of Maxillofacial Oral Surgery from 2009 to 2020 to evaluate trends in levels of evidence. The analysis found that case reports and narrative reviews with a level D evidence accounted for 36% of publications. The majority (35%) of articles fell under maxillofacial pathology. The percentage of higher levels of evidence (A and B) increased from 2.09% in 2009/2010 to 12.74% in 2019/2020, indicating improving research quality over time. Categorizing publications by level of evidence and topic can help refine research quality in the journal going forward.
Health state utilities of periodontitis patients UKM
This study assessed the effectiveness of periodontal treatment provided at government clinics in Malaysia using patient-reported outcomes. 165 patients newly diagnosed with periodontitis were recruited. Patients completed oral health questionnaires before and after treatment to assess quality of life impacts. Clinical parameters were also measured. Results showed significant improvements in oral health-related quality of life, health state utilities, and clinical parameters after treatment. The use of health state utilities demonstrated treatment effectiveness and should be considered in economic evaluations of dental treatments. Overall, the study found that periodontal treatment significantly improved patients' oral health-related quality of life and clinical outcomes.
Periodontal regeneration versus extraction and dental implant or [Autosaved]....NishitaJaju1
This study compared the outcomes of periodontal regeneration versus tooth extraction and replacement with dental implants or prosthetics for teeth with attachment loss beyond the root apex. Over a 10-year period, periodontal regeneration resulted in 88% survival of treated teeth, comparable to 100% survival of replacement implants/prosthetics, with no significant difference. While regeneration had higher initial costs, it had lower cumulative costs over 10 years than replacement treatments due to fewer long-term complications. Both approaches significantly improved patient-reported outcomes with no significant differences between groups. The study provides long-term evidence that periodontal regeneration can successfully preserve severely compromised teeth as an alternative to extraction and replacement.
This case series describes the use of multiple dental implants to achieve aesthetic rehabilitation in two patients. For the first patient, two implants were placed to replace missing teeth 11 and 12, and a root canal was performed and crown placed on fractured tooth 21, followed by a fixed bridge. For the second patient, a single implant was placed to replace missing tooth 11 and a full ceramic crown placed. Both treatments achieved patient satisfaction. The case series demonstrates that a multidisciplinary approach using different prosthetic options can successfully achieve aesthetic rehabilitation using dental implants.
2 Stage Crown Lengthening VS 1 Stage Journal PresentationDr. B.V.Parvathy
This randomized controlled trial aimed to assess the efficacy of a two-
stage crown lengthening intervention (SCL) in the aesthetic zone
compared with a one-stage crown lengthening procedure (CCL).
This document contains abstracts from a conference on dental treatment and restorative dentistry. The abstracts describe various studies and case presentations on topics such as:
- Common complications with denture wear, including pain, poor retention, and poor oral hygiene. One study found the most common issues were pain from upper and lower dentures.
- Using a multidisciplinary approach including orthodontics, periodontics, and prosthodontics to restore a fractured tooth, allowing for esthetic restoration.
- Using an astringent gum massage to increase keratinization of denture-bearing mucosa and improve prosthesis fit. One study found the massage significantly increased keratinization over 4
Journal Club on Tooth in the line of fracture its prognosis and its effects o...Dr Bhavik Miyani
This study compared outcomes of mandibular angle fracture cases where the third molar in the fracture line was either preserved or extracted. 54 patients were divided into two groups. Results showed infection was higher when the tooth was preserved, while occlusion discrepancy was higher when the tooth was extracted. Most preserved teeth showed recovery within 6-12 months, with only mild root resorption and no ankylosis. The conclusion was that despite higher complication risks, the tooth in the fracture line should generally be preserved for its benefits.
Effect of Calcium Hydroxide on Deep Caries Dentin: A Clinical Studyasclepiuspdfs
Objective: The aim of this study was to evaluate the clinical efficacy of calcium hydroxide on arresting deep carious lesions in permanent teeth. Methods: A total of 190 patients aged between 15 and 55 years old were selected for this clinical study. Calcium hydroxide was applied to fully matured permanent anterior or posterior teeth clinically and radiographically after 2 weeks, 3–4 weeks, 3 months, 6 months, and 1-year follow-up. Results: The overall survival rate was 89.4%. The findings of this study showed that calcium hydroxide is effective in arresting deep carious lesions and formation tertiary dentine as well as preservation teeth vitality. Conclusion: Calcium hydroxide is effective in reducing the risk of pulp exposure in deep carious lesion.
This document summarizes different philosophies for full mouth rehabilitation, including the Twin Table and Twin Stage philosophies proposed by Sumiya Hobo. It describes the Pankey Mann Schuyler philosophy, which involves examining the patient, harmonizing the anterior guidance, selecting an occlusal plane, and restoring the posterior occlusion in harmony with the anterior guidance and condylar guidance. The Twin Table philosophy uses two customized incisal guide tables - one without and one with disclusion of posterior teeth - to achieve predetermined harmonic disclusion. The Twin Stage philosophy focuses on using the condylar path as a reference for occlusion and changing the anterior guidance to prevent harmful horizontal forces during eccentric mandibular movements. The document also provides case reports
1) The document reviews gingival augmentation procedures and aims to answer 5 common clinical questions through a systematic review of literature.
2) It finds a lack of in-depth comparative studies and randomized clinical trials to draw strong conclusions but makes recommendations based on case reports and series.
3) For question 1, it finds that maintaining adequate gingiva, such as 2mm, is important for restorations with intracrevicular margins based on clinical observations.
The document summarizes a journal club presentation on a 3-year study evaluating the clinical performance of short expandable dental implants in highly atrophic alveolar bone. The study found a 94.7% implant success rate in the mandible and 83.6% in the maxilla over a mean follow-up of 42.6 months, with median 3-year crestal bone changes demonstrating maintenance of peri-implant alveolar bone. The conclusion was that the short expandable implant system provided reliable oral rehabilitation, especially for elderly patients with difficult implantation conditions.
Articulo de revision de otorrinolaringologiaAxel Prez G
This study evaluated the efficacy of using bioresorbable plating systems for treating mandibular fractures in pediatric patients. Sixty patients aged 8-15 years with mandibular fractures were treated using 2.5mm resorbable plates and screws. All fractures healed successfully with adequate stability as measured by increasing bite force over time. Minor complications occurred in 6 patients (10%) including soft tissue infections, nerve injuries, and plate exposure, all of which resolved without long term effects. The study concluded that bioresorbable plating provides effective treatment of mandibular fractures in pediatric patients.
This study investigated the effect of four types of pediatric medications (analgesics, antibiotics, anticonvulsants, multivitamins) on the color stability of two restorative materials (composite resins and glass ionomer cements). Specimens of each material were exposed to solutions of each medication type and color changes were measured. Statistical analysis found significant color changes in both materials exposed to analgesics and anticonvulsants compared to controls. Exposure to antibiotics and multivitamins did not significantly affect color. The study suggests certain pediatric medications can influence the color stability of tooth-colored restorations over time.
Aims: This study evaluated the subjective experience of masticatory performance and masticatory efficiency in partially edentulous patients rehabilitated with three different types of removable partial dentures (RPDs). Materials and methods: This was a crossover randomized study, which was carried out at the prosthodontics clinic of the University of Ghana Dental School clinic. Sixteen patients requiring RPDs but had never worn one before were consecutively recruited for the study. Three different RPDs [i.e., cobalt chromium, acrylic, and thermoplastic resin (iFlex)] were fabricated for each patient. Masticatory efficiency was assessed using a singlesieve method after chewing raw carrots. The subjective experience of masticatory performance was also assessed using a questionnaire after 1 week of using each denture. Results: The cobalt-chromium denture recorded the highest masticatory efficiency (31.4%), and the iFlex denture recorded the lowest (27.9%).
Validity of Clinical Attachment Loss for Diagnosis of Osteoporosis in Postmen...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.
A Cross Sectional Study of Musculoskeletal Problems Among Dentists in Pondich...QUESTJOURNAL
Purpose: This questionnaire based study was aimed at identifying common occupational hazards affecting dentists in Pondicherry which may help to make dentists aware and to take adequate precautions in their practice to prolong the service imparted to patients as well as improve the overall well being of the dental professionals The prevalence of work related musculoskeletal problems among dentists in Pondicherry was evaluated with this study. Methods: A pretested and validated questionnaire was used to collect details from practising dentists in Pondicherry .272 dentists responded to the questionnaire. Results: The data obtained was statistically analysed with SPSS Version 20 for calculating proportion and mean.84.9% (n=272) of respondents had some kind of musculoskeletal problem affecting different parts of the body.52.2% had low back pain and 50% had neck pain. Conclusion: The dental professionals are regularly exposed to various health hazards in their day to day practice. Chronic musculoskeletal disease is one of the common ailments affecting majority of dentists It is important for the dentists to be aware of the work related factors affecting their health and take adequate precautions or modifications in their working environment
Evidenced Based Dentistry Spring 2006 Group 4 Kevin Hancock Jess ... Eviden...MedicineAndFamily
This document discusses Invisalign orthodontic treatment compared to traditional braces. It provides information on what Invisalign is, its advantages like aesthetics and comfort, and disadvantages like limited control over tooth movement. Two studies on Invisalign outcomes are summarized, finding limited evidence due to small sample sizes and high dropout rates. A third study directly compared Invisalign and braces treatment, finding Invisalign scored lower on post-treatment evaluation and had shorter treatment times but less ideal occlusions. In conclusion, Invisalign may not achieve as satisfactory results as braces for all patients.
Partial or complete edentulism has multiple implications in relation to function, esthetics and future rehabilitative treatment. This case report illustrates the management of a patient with extreme consequences of partial edentulism in the maxillary arch and total edentulism in the mandibular arch. The main clinical findings were unopposed remaining teeth, over eruption of the remaining teeth, loss of vertical dimension of occlusion, and significant disfigurement of the occlusal plane. Following the diagnostic procedure, a well-coordinated prosthodontic treatment involving liaison with other dental disciplines was indicated. The management involved an innovative combination of fixed and removable prostheses in conjunction with intentional root canal therapy of the remaining natural teeth. Series of provisional prostheses were applied to facilitate the transition to the final treatment.
Key-words: Edentulism, Vertical dimension, Provisional Restoration, Fixed and Removable prosthesis
Introduction. The differences in the supporting structure of the implant make them more susceptible to inflammation and bone
loss when plaque accumulates as compared to the teeth. Therefore, a comprehensive maintenance protocol should be followed
to ensure the longevity of the implant. Material and Method. A research to provide scientific evidence supporting the feasibility
of various implant care methods was carried out using various online resources to retrieve relevant studies published since 1985.
Results.The electronic search yielded 708 titles, out of which a total of 42 articles were considered appropriate and finally included
for the preparation of this review article. Discussion. A typicalmaintenance visit for patients with dental implants should last 1 hour
and should be scheduled every 3 months to evaluate any changes in their oral and general history. It is essential to have a proper
instrument selection to prevent damage to the implant surface and trauma to the peri-implant tissues. Conclusion. As the number
of patients opting for dental implants is increasing, it becomes increasingly essential to know the differences between natural teeth
and implant care and accept the challenges of maintaining these restorations.
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EVALUATION OF EFFICIENCY IN CAST PARTIAL DENTURES VERSUS ACRYLIC PARTIAL DENTURES- AN ORIGINAL RESEARCH
1. Turkish Journal of Physiotherapy and Rehabilitation; 32(3)
ISSN 2651-4451 | e-ISSN 2651-446X
www.turkjphysiotherrehabil.org 10488
EVALUATION OF EFFICIENCY IN CAST PARTIAL DENTURES VERSUS
ACRYLIC PARTIAL DENTURES- AN ORIGINAL RESEARCH
Dr. Nag Bhushan Mandal1
, Dr Pallavi P Channe2
, Dr Harisha Dewan3
, Dr. Anil Managutti4
, Dr. Rahul VC
Tiwari5
, Dr. Heena Dixit Tiwari6
, Dr. Sirisha Kommuri7
.
1
Reader, Department of Prosthodontics Crown and Bridge, Buddha Institute of Dental Sciences &
Hospital, Patna, Bihar, India. dr.nagbhushanmandal@gmail.com
2
Associate Professor, Department of Oral Medicine and Radiology, Dr.DY Patil Vidyapeeth, Pune
3
MDS, Assistant Professor, Department of Prosthetic Dental Sciences, College of Dentistry, Jazan
University, Jazan 45142 KSA. harisha.dewan@yahoo.com
4
Prof. & HOD, Dept of OMFS, Narsinhbhai Patel Dental College and Hospital, Sankalchand Patel
University, Visnagar, Gujarat, 384315. dranilman12@rediffmail.com
5
OMFS, FOGS, PhD Scholar, Dept of OMFS, Narsinhbhai Patel Dental College and Hospital,
Sankalchand Patel University, Visnagar, Gujarat, 384315. drrahulvctiwari@gmail.com
6
BDS, PGDHHM, Final year Student, Master of Public Health, Parul Univeristy, Limda, Waghodia,
Vadodara, Gujrat, India. drheenatiwari@gmail.com
7
MDS Consultant Prosthodontist & Implantologist, Clinic Head, CLOVE Dental, Santhipuram,
Visakhapatnam, Andhra Pradesh. K.siris88@gmail.com
ABSTRACT
Introduction: In the present study we evaluated the efficiency in cast partial dentures versus acrylic partial
dentures
Materials and Methods: 50 adult partially edentulous patient seeking for replacement of missing teeth
having Kennedy class I and II arches with or without modification areas were selected for the study. Group-A
was treated with cast partial denture and Group-B with acrylic partial denture. Data collected during follow-
up visit of 3 months, 6 months, and 1 year by evaluating retention, stability, masticatory efficiency, comfort,
periodontal health of abutment.
Results: One year comparison shows that cast partial denture maintained retention and stability better than
acrylic partial denture (p< 0.05). The masticatory efficiency was significantly compromising from 3rd
month
to 1 year in all acrylic partial denture groups (p< 0.05). The comfort of patient with cast partial denture was
maintained better during the observation period (p< 0.05). Periodontal health of abutment was gradually
deteriorated in all acrylic denture group (p<0.05).
Conclusions: With adequate maintenance of oral and denture hygiene at a regular interval, cast partial
denture compared with acrylic partial denture provides better results in terms of retention, stability, comfort
and periodontal health of abutment.
Keywords: Dental prosthesis retention, Denture base, Masticatory efficiency, periodontal health of abutment,
Removable partial denture.
I. INTRODUCTION
Tooth replacement techniques have evolved considerably over years, however, patient acceptance to traditional
prosthesis has never been foreseeable and is never complete and there has been a constant pursuit of achieving
better ways of restoration. There are limited advantages that can be accomplished by the removable prosthesis for
replacing the natural teeth, such as non-invasive and low-cost partial dentures can be constructed by heat cured
acrylic resin solely known as all acrylic partial dentures, whereas cast partial denture has metallic framework
2. Turkish Journal of Physiotherapy and Rehabilitation; 32(3)
ISSN 2651-4451 | e-ISSN 2651-446X
www.turkjphysiotherrehabil.org 10489
along with metallic denture base or acrylic resin denture base. The metal bases have several advantages like
accuracy, durability, resistance to distortion, inherent cleanliness, reduced weight, and bulk (1-3). The distal
extension denture has a tendency for lateral movement during the function. Loss of support and stability and
ultimately loss of occlusion is accompanied by settling denture base, especially in distal extension cases because
the tissue support in the distal extension denture predictably changes with time. Patient comes with complaints of
denture loosening, movement of the denture during mastication, unnatural feeling and even degradation of the
periodontal condition of the remaining teeth such as gingival recession and mobility. Due to lack of
epidemiological survey, it is often difficult to evaluate the impact of the different prosthetic options on the oral
health, either it might be beneficial or have a higher failure rate. In the present study we evaluated the efficiency
in cast partial dentures versus acrylic partial dentures
II. MATERIALS AND METHODS
Total 50 patients, partially edentulous patient were selected. Partially edentulous patient with Kennedy class I and
II arches with or without modification areas. Samples were divided into two groups. Group A: 25 patients treated
with cast partial denture. Group B: 25 patients treated with acrylic partial denture.
Study parameters: Retention & Stability recorded according to grading (7): 1 = Good (difficult to dislodge), 2 =
Fair (some resistance to dislodge), 3 = Poor (minimal or no resistance to dislodge). The assessment of subjective
masticatory efficiency and aspects of the patient were analysed by means of following questionnaire (8). Q. How
much difficulty do you have in chewing with your removal partial denture? 1 = No difficulty in chewing (Good),
2 = some difficulty in chewing (Fair), 3 = Extreme difficulty in chewing (Poor). The qualitative assessment of
Comfort was evaluated according to the patient’s satisfaction limit (8). 1 = Good (Completely satisfied), 2 = Fair
(Moderately satisfied), 3 = Poor (Less satisfied). Periodontal health of the abutment was assessed on the basis of
the amount of clinical attachment loss (CAL) as follows: Normal= CAL, Slight= 1-2 mm CAL, Moderate= 3-4
mm CAL, Severe ≥ 5 mm CAL (9).
Statistical analysis was done keeping the p<0.05 as significant.
III. RESULTS
Assessment of clinical parameters at the baseline: In group-A and B all the dentures had good scores for retention
and stability (Table-I), masticatory efficiency (Table-II), most dentures were scored ‘good’ on comfort (88% &
92% respectively) (Table- III), normal periodontal health of abutment (96% & 92%, respectively) (Table-IV).
Assessment of clinical parameters after 3 months: One patient from group-B lost to follow. Masticatory
efficiency with the group-B patient had statistically significant lower performance. (Table-II)
Assessment of clinical parameters after 6 months: One patient each from both groups lost to follow. Statistically
significant difference in the retention and stability, masticatory efficiency and periodontal health of abutment
between both groups. (Table I, II, III)
Assessment of clinical parameters after 1 year: One patient from group-A lost to follow. The performance of
denture in group-B patients at the end of 1 year showed deterioration in terms of retention, stability, masticatory
efficiency, comfort, periodontal health of abutment and the results were statistically significant.
Table I: Distribution of the patients by retention & stability
Baseline
Characteristic Group- A (n= 25) Group-B (n= 25) p- Value
Retention &
Stability
% 95% C.I. % 95% C.I.
*Significant
(p<0.05)
Good 100 - 100 - -
3 months
(n= 25) (n= 24, 1 lost to follow)
Good 96 ±7.68 83.33 ±14.91
0.132
Fair 4 ±7.68 16.67 ±14.91
3. Turkish Journal of Physiotherapy and Rehabilitation; 32(3)
ISSN 2651-4451 | e-ISSN 2651-446X
www.turkjphysiotherrehabil.org 10490
6 months
(n= 24, 1 lost to follow) (n= 23, 1 lost to follow)
Good 91.67 ±25.92 43.47 ±20.26
Fair 4.16 ±25.1 34.78 ±19.46 0.001*
Poor 4.16 ±13.49 21.73 ±16.85
1 year
(n= 22, 1 lost to follow) (n= 23)
Good 86.36 ±14.34 13.04 ±13.76
Fair 9.09 ±12.01 34.78 ±19.46 <0.001*
Poor 4.54 ±8.7 52.17 ±20.41
Table II: Distribution of patients by masticatory efficiency
Baseline
Characteris
tic
Group- A (n= 25) Group-B (n= 25) p- Value
Mastication % 95% C.I. % 95% C.I. *Significant
(p<0.05)
Good 100 - 100 - -
3 months
(n= 25) (n= 24, 1 lost to follow)
Good 96 ±7.68 75 ±17.32 0.028*
Fair 4 ±7.68 25 ±17.32
6 months
(n= 24, 1 lost to follow) (n= 23, 1 lost to
follow)
Good 83.34 ±1
4.91
39.13 ±19.95 0.001*
Fair 16.66 ±14.91 60.86 ±19.95
1 year
(n= 22, 1 lost to follow) (n= 23)
Good 77.27 ±17.51 8.69 ±11.51 < 0.001*
Fair 18.18 ±16.12 34.78 ±19.46
Poor 4.54 ±8.7 56.52 ±20.26
Table III: Distribution of the patients by the comfort
Baseline
Characteris
tic
Group- A (n= 25) Group-B (n= 25) p- Value
Comfort % 95% C.I. % 95% C.I. *Significant
(p<0.05)
Good 88 ±12.74 92 ±10.63 0.636
Fair 12 ±12.74 8 ±10.63
3 months
(n= 25) (n= 24, 1 lost to follow)
Good 88 ±12.74 83.34 ±14.91 0.640
Fair 12 ±12.74 16.66 ±16.66
6 months
(n= 24, 1 lost to follow) (n= 23, 1 lost to
follow)
Good 87.5 ±1
3.23
69.56 ±18.81 0.677
Fair 12.5 ±13.23 30.43 ±18.81
1 year
(n= 22, 1 lost to follow) (n= 23)
4. Turkish Journal of Physiotherapy and Rehabilitation; 32(3)
ISSN 2651-4451 | e-ISSN 2651-446X
www.turkjphysiotherrehabil.org 10491
Good 81.8 ±16.12 17.39 ±15.49 < 0.001*
Fair 13.6 ±14.34 47.82 ±20.41
Poor 4.54 ±8.7 34.78 ±19.46
Table IV: Distribution of patients by the periodontal health of the abutment
Baseline
Characteristic
Group- A (n= 25) Group-B (n= 25) p- Value
Periodontitis % 95% C.I. % 95% C.I. *Significant
(p<0.05)
Normal 96 ±7.68 92 ±10.63 0.548
Slight 4 ±7.68 8 ±10.63
3 months
(n= 25) (n= 24, 1 lost to follow)
Normal 96 ±7.68 91.67 ±11.06 0.524
Slight 4 ±7.68 8.33 ±11.06
6 months
(n= 24, 1 lost to follow) (n= 23, 1 lost to
follow)
Normal 95.83 60.86 ±19.95 0.002*
8
Slight 4.16 ±7.99 39.13 ±19.95
1 year
(n= 22, 1 lost to follow) (n= 23)
Normal 90.9 ±12.02 34.78 ±19.46 < 0.001*
Slight 9.09 ±12.01 65.21 ±19.47
IV. DISCUSSION
In assessing the past dental history, it was found that out of 50 patients, 17 patients had the previous denture. Out
of which 2 discontinued to wear their prosthesis, 10 of them felt discomfort after wearing and were not satisfied
with their previous denture, 5 needed denture replacement due to the old prosthesis.
In this study, the retention and stability of the APD showed degradation at 6 months follow-up and at one year
only a few dentures were usable. Primary retention for the removable partial denture is accomplished
mechanically by placing retaining elements on the abutment teeth (tip of the retaining arm, guiding planes, bar
clasps). Secondary retention is provided by the intimate relationship of the denture bases and major connector
with the underlying tissue. Moreover cast circumferential clasps offer greater stability because it has a rigid
shoulder (10). Whereas wrought wire clasps have a flexible shoulder and bar clasps do not have a shoulder hence,
they offer a lower stability (11). Despite the satisfactory acceptance of the APD, during the third month of
evaluation, the masticatory efficiency was started deteriorating. Lack of stability of denture is a common
complaint of denture wearers, and inability to chew is related to the instability of dentures and advanced
reduction of the number of natural teeth. The qualitative assessment of comfort in this study showed no
statistically significant difference between two groups initially. However, during the subsequent follow-up
period, patients wearing acrylic partial denture showed poor comfort (34.78%) compared to patients treated with
cast partial denture our findings are in accordance with Watson CL et al. (12) they indicated that distal extension
prostheses are often not well tolerated and that acrylic dentures give more problems.
RPD should maintain the health of the remaining dentition and surrounding oral tissue. Observation showed that
in subsequent follow-up visit periodontal health of abutment was maintained in group-I patients, which was
statistically significant, and the condition was degraded gradually in group-II patients. The horizontal and lateral
stress on the abutment teeth may cause breakdown of periodontal tissue and increase the tooth mobility. The
consequence may lead to losing more number of teeth, thus the edentulous span of the patient may increase.
5. Turkish Journal of Physiotherapy and Rehabilitation; 32(3)
ISSN 2651-4451 | e-ISSN 2651-446X
www.turkjphysiotherrehabil.org 10492
Studies by Runov et al. (13) Chandler & Brudvic (14) and Nada et al. (15) indicated more severe gingival tissue
reactions when the gingiva was covered by the denture, whereas an open space design of minor connectors was
less conductive to increase in crevicular temperature, plaque accumulation, gingival inflammation and pocket
depth. Lappalainen et al. (16) observed an increase in depth of the pocket in RPD users. Markkanen et al. (17)
observed an increase in the number and in the depth of the pockets.
Studies reported that only increase in tooth mobility could be considered as a major factor or variable affected by
the presence of an RPD (18). So it may be necessary to evaluate the mechanism of retention and support taken
from the abutment teeth and position of clasp assembly in every follow-up visit to ascertain that whether it is
working in the same manner as it was planned during the fabrication of the prosthesis. Clinical observations by
Carr et al. (2) demonstrated that the inherent cleanliness of the cast metal contributes to the health of the oral
tissue when compared with acrylic resin base. Zarb GA et al. (19) stated that the presence of denture deposit and
their rate of accumulation are directly related to the presence of protein-rich saliva and microporous nature of the
polymeric base, which facilitates microbial plaque formation and ensuring calculus deposition. The RPD may
contribute to the formation of biofilm and consequently, an increase in the incidence of caries and periodontal
disease (20). Such a large proportion of denture wearers shows significant burden to the healthcare and demands
improvement in materials and methods to meet patient satisfaction. Thus, improvements in the technique and
materials must be everlasting. The prognosis of the prosthetic rehabilitation, advantages and disadvantages of the
prosthesis, and possibilities for re-treatment in the case of failure must be addressed and discussed with the
patient.
V. CONCLUSION
Overall study findings established that, with adequate maintenance of oral and denture hygiene at a regular
interval, cast partial denture provides better results in terms of retention, stability, masticatory efficiency, comfort
and periodontal health of abutment. So, it can be concluded that use of cast partial denture serves better prosthesis
as functional, stable and suitable biological restoration.
REFERENCES
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