MB2 In Maxillary Second Molar – Two Case ReportsQUESTJOURNAL
ABSTRACT: The Presence Of A Second Canal In The Mesiobuccal Root (MB2) Of Maxillary Molars Is Well Documented In The Literature. Various Studies Have Shown That The Occurrence Of MB2 Root Canal Is Found To Be More In Maxillary First Molars Than Maxillary Second Molars. Failure To Locate These Extra Canals May Result In Endodontic Failure. This Article Presents Two Case Reports Of Maxillary Second Molar, In Which An Extra Canal In The Mesiobuccal Root Was Located Using Visual, Tactile And Magnifying Devices Followed By Endodontic Treatment
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%).
MB2 In Maxillary Second Molar – Two Case ReportsQUESTJOURNAL
ABSTRACT: The Presence Of A Second Canal In The Mesiobuccal Root (MB2) Of Maxillary Molars Is Well Documented In The Literature. Various Studies Have Shown That The Occurrence Of MB2 Root Canal Is Found To Be More In Maxillary First Molars Than Maxillary Second Molars. Failure To Locate These Extra Canals May Result In Endodontic Failure. This Article Presents Two Case Reports Of Maxillary Second Molar, In Which An Extra Canal In The Mesiobuccal Root Was Located Using Visual, Tactile And Magnifying Devices Followed By Endodontic Treatment
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%).
Satisfaction of patient’s in the dental clinics of Riyadh Dental College, Riy...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.
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.
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.
Comprehensive assessment of dentists knowledge and awareness about surgical ...Ajay Pacharne
Aim: Accurate treatment planning for implant which considers anatomical factors and prosthetic needs is essential to guarantee a predictable therapy. The aim of this study was to assess the current knowledge and awareness about surgical template among general dental practitioner in kanpur, India. Materials & Methods: This study was entirely attempted on a cross sectional idea. It also used the rational usage of questionnaire. However, after considering some essential aspects, this number was lastly reduced to 100. Authors completed the study by close ended questionnaire containing questions about the present knowledge and awareness about surgical template. Response was recorded and data was processed statistically to evaluate the real-time knowledge and awareness level. Results: Statistical analysis was done using statistical software ‘Statistical Package for the Social Sciences (SPSS)’. The recorded data was subjected to suitable statistical tests to obtain p values, mean, standard deviation, standard error an 95% CI. P ≤ 0.05 was considered as statistically significant. 27 practitioners were unaware of the usage of surgical template. 94 practitioners think that UG dental curriculum is inadequate regarding surgical template. 60 practitioners think that surgical template must be made mandatory for all dental institutions.
Assesment of Self Evaluation Of Dental Appearance Among Non-Dental Undergradu...Dr. Prathamesh Fulsundar
Orthodontist routinely evaluate patients and prescribe treatment plans in order to satisfy the often stated goals of good dental function, stability of teeth & jaw position & dental aesthetics. however aesthetics has variability in individual judgments, it can differ for patients and dentists making it difficult to make generalized statements hence the aim of this study was to assess the self evaluation and satisfaction of dental appearance among non dental undergraduate students and their attitude towards orthodontic treatment.
A Qualitative Research Factors Affecting Patient Satisfaction and Loyalty A C...YogeshIJTSRD
This study aims to identify factors affecting patient satisfaction and loyalty in private dental practice using Smile Family Dental Clinic as a case study Convenience Sampling . The researcher identified the factors dental practice related factors which affect patient satisfaction and loyalty regarding their efforts to increase dental practice quality to respond to patients demands and needs, influencing patient satisfaction and loyalty. The literature review indicated that previous studies in the healthcare sector confirmed the relationship mainly are from the quantitative design. Still, few support the dental care services private dental practice sector in the qualitative approach. The researcher developed the theoretical framework from high valid sources of previous research and the consumer behavior model of Kotler and Keller 2016 . The elements of dental practice related factors include Prices, Facilities, Dentist Services, and Staff Services, whic based on Kim et al. 2012 , patient satisfaction and patient loyalty were based on previous research. Purposive Sampling in a total of 10 respondents from 3,689 cases of the clinics population was in a data collection process through online Semi structured interviews and content analysis adopting NVivo software. The results showed that patients perceptions of dentist services are essentially the most, followed by staff services, prices, and facilities. Satisfaction on factors effect on patient loyalty Revisit and Recommendation Intention . Recommendation from peers or relatives influencing them to choose a clinic. A dentists reputation is the most recommendation. Patients are satisfied with dentist and staff services responding to their needs and expectations. The reasonable price and the costs are not high, influencing their satisfaction. Facilities are the least important factor. Further research may help the decision manager develop a marketing plan and strategies in the private dental healthcare sector. The results could be applied to improve quality management and increasing customer satisfaction and loyalty in any company services sector. Supaprawat Siripipatthanakul | Dr. Mamata Bhandar "A Qualitative Research Factors Affecting Patient Satisfaction and Loyalty: A Case Study of Smile Family Dental Clinic" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-5 , August 2021, URL: https://www.ijtsrd.com/papers/ijtsrd44975.pdf Paper URL: https://www.ijtsrd.com/management/marketing/44975/a-qualitative-research-factors-affecting-patient-satisfaction-and-loyalty-a-case-study-of-smile-family-dental-clinic/supaprawat-siripipatthanakul
American Journal of Multidisciplinary Research and Development is indexed, refereed and peer-reviewed journal, which is designed to publish research articles.
American Journal of Multidisciplinary Research and Development is indexed, refereed and peer-reviewed journal, which is designed to publish research articles.
Psr:
La detección temprana de las enfermedades periodontales
puntuación del sistema y entender cómo funciona, recomendar un tratamiento basado en las interpretaciones del código ,
y discutir el sistema PSR con los pacientes.
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
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
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Evaluation of Efficiency of Composite Veneers Vs Porcelain Veneers in Dental Aesthetics-An Original Study
1. Annals of R.S.C.B., ISSN: 1583-6258, Vol. 24, Issue 2, 2020 Pages. 702 - 708
Received 24 October 2020; Accepted 15 December 2020
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Evaluation of Efficiency of Composite Veneers Vs Porcelain
Veneers in Dental Aesthetics-An Original Study
Dr.Akanksha Kumari1
, Dr. JaydipMarvaniya2
,DrManojkumarYasangi3
, Dr.
AkritiMahajan4
,Dr. HarjotKaur5
, Dr. Moon Ramraika6
, Dr. HeenaDixit Tiwari7
.
1
MDS, Department of Conservative and Endodontics, PHC, Barh, Patna,
Bihar.akanksha.aki06@gmail.com;
2
MDS, Assistant Professor, Department of Conservative Dentistry and Endodontics,
TeerthankerMahaveer Dental College and Research Centre,
Moradabad.jaydipmarvaniya@gmail.com;
3
Reader, Department of Prosthodontics, MNR Dental College and Hospital,
Telangana.drmanoj5672@gmail.com;
4
MDS, Oral medicine and radiology, Private consultant, Jammu and
Kashmir.akritim709@gmail.com;
5
B.D.S, Guru Nanak Dev Dental College &Research Institute, Sunam, Punjab, India.;
6
MDS, Senior Lecturer, Department of Orthodontics and dentofacialorthopedics, Ram
Krishna Dharmarth Foundation University, Bhopal, M.P. drmoonramraika@gmail.com;
7
BDS, PGDHHM, Final year Student, Master of Public Health,ParulUniveristy, Limda,
Waghodia, Vadodara, Gujrat, India.drheenatiwari@gmail.com
Corresponding author:
Dr.AkankshaKumari, MDS, Department of Conservative and Endodontics, PHC, Barh,
Patna, Bihar.akanksha.aki06@gmail.com
ABSTRACT
Introduction: The clinical success of restorations depends on technical aspects, aesthetic
result and performance in time. The aim of this study was to evaluation of efficiency of
composite veneers vs porcelain veneers.
Materials and Methods: One hundred and eighty VRs of three different types (direct
composite, indirect composite and porcelain) were placed on anterior teeth. Patients were
asked to fill in questionnaires at baseline and at one- and two-year recalls.
Results: At baseline the overall satisfaction was 76%, after two years this was 78%. The
variable ‘type of VR’ was the only factor measured that had a significant in8uence on the
satisfaction of the patient. At the two-year evaluation patients with porcelain VRs were more
satisfied than those with direct composite VRs (P<0.05).
Conclusions: From the results of this study it is concluded that differences in clinical
procedures had no effect on satisfaction. Also the number of VRs had not influenced the level
of satisfaction. After two years a significant difference was observed for the variable ‘type of
VR’, with the best results for porcelain.
KEY WORDS: Veneer restoration, Clinical evaluation, Satisfaction.
INTRODUCTION
About one third of the adult population in the USA is dissatisfied with the colour or shape of
one or more of their natural or restored teeth . The same conclusion was found in the
National Dental Survey which was preformed in l9861-3
. The growing importance placed
2. Annals of R.S.C.B., ISSN: 1583-6258, Vol. 24, Issue 2, 2020 Pages. 702 - 708
Received 24 October 2020; Accepted 15 December 2020
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on aesthetics may result in an increased demand for cosmetic dental treatment. Cosmetic
dentistry has the purpose to maintain or improve the aesthetic appearance of the teeth. A
good option to restore unaesthetic anterior teeth is a veneer restoration (VR). Both direct
and indirect bonding techniques can be used for this type of restoration. The technique of
VR is not new, but the materials and preparation design have changed over time.
The clinical success of restorations depends on technical aspects, aesthetic result and
performance in time. Most of the studies dealing with evaluations of VR have been
performed by dentists4-7
. These studies report the survival rate of VR with or without well
described evaluation criteria. If evaluation criteria were used they often differ from
standardized criteria, for example as in Quality Evaluation for Dental Care of the California
Dental Association or United States Public Health Service Criteria (USPHS)8-10
. The
parameters employed were mostly surface characteristics, marginal integrity, anatomic form
and the colour of the restoration. Except for the criterion ‘colour’ these are all objective
parameters and the levels are relatively easy to quantify. The criterion ‘colour’ is difficult to
describe without the use of colorimetric devices'. Also the criteria ‘aesthetic result’ and
‘satisfaction’ evaluated by dentists or patients are not objective but subjective criteria11-12
.
Nevertheless, the judgement of the patient regarding aesthetic outcome and their satisfaction
is most important to the success of aesthetic restorations. The aesthetic requirements of
dentists are not the same as those of patients2
. They vary not only from person to person but
are also dependent on professional interests. There is only one study performed to investigate
the patients’ satisfaction with bonded restorations l
. This study showed a relative high level of
satisfaction (96% satisfied). Nordba’ reported that the acceptance of porcelain VRs were
judged to be good. The aim of this study was to evaluation of efficiency of composite veneers
vs porcelain veneers.
MATERIALS AND METHODS
This analysis was part of a clinical trial which was originally designed to test the influence of
a number of clinical variables on the survival of VRs. This trial involved 180 VRs of three
different materials using two preparation designs, one with and the other without incisal
reduction. The VRs were placed by seven dentists in the Dental School of Nijmegen on
maxillary central and lateral incisors for aesthetic reasons (62% discoloration, 24% deviation
of position and 14% deviation of shape).
The three types of VR were:
(1) Direct resin composite (DC; Silux Plus, 3M Co., St. Paul, MN, USA)
(2) Indirect resin composite (IC; Dentacolor, HereausKulzer GmbH, Wehrheim, Germany)
(3) Porcelain (P; Flexo-ceram, Elephant Ceramics, Hoorn, The Netherlands).
A factorial design of the different treatment combinations is presented in Table I. Details
about the materials, operators, assigning of the experimental variables, preparation and
clinical procedures for fabrication of the VR have been previously published 4
.
The patients’ satisfaction with their VR was assessed using questionnaires with precoded
categories. Patients were asked to fill in the questionnaires at baseline (one month after the
placement of the VRs) and at recalls one and two years after placement of the VRs.
Table 1. Factorial design and sample sizes of the different treatment combinations
3. Annals of R.S.C.B., ISSN: 1583-6258, Vol. 24, Issue 2, 2020 Pages. 702 - 708
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A number of patient-dependent and experimental variables were tested if they influenced the
patients’ satisfaction. These factors, including levels and distributions, are presented in Table
II.
Subjects for this study were 112 patients taking part in the clinical trial on VRs. These
patients were treated with one or more restorations with a maximum of six. However, to
avoid unwanted dependencies, a maximum of two VRs per patient were evaluated in the
study. In cases where more than two VRs were made, two VRs made on the same tooth type
were included in the trial (first preference) and/or two VRs were randomly selected (second
preference). The other VRs were excluded for analyses.
In nine cases a protoColdeviation occurred. In these cases the teeth were restored with
another type of VR than assigned because during the treatment it appeared impossible to
obtain a good colour match of the VRs. In all these cases the operator decided to make a
direct composite VR instead of an IC- or P-VR. During the treatment phase one tooth
fractured. A non-vital lateral incisor, which was intended to be restored with an indirect
composite VR, fractured during the removal of the temporary restoration and was
subequently excluded for further evaluation.
At the one-year recall, 107 patients were evaluated. Three patients were lost to follow-up and
one VR failed. At the two-year recall only 100 patients were seen. The VRs of five
patients failed and six patients were lost to follow-up. One patient who was absent at the one-
year recall was present at the two-year recall.
In this study the treatment demand was 100%. Since all treatments were carried out, the
treatment need was also 100%. The type of disorder in aesthetic appearance might have on
influence on the level of satisfaction of the patient. However, the dentist judgement (objective
need) and the patient demand (subjective need) might vary and thus influence the results.
Therefore the patient demands were compared with the dentists opinion.
Table IIIshows a comparison of the reason for treatment as judged by the dentists and
patients.
Statistical tests for factors at the same time point were done by means of the Chi-square test.
A paired f-test was done for each level of a factor to test differences between two time points.
All statistical tests were performed at a significance level o=0.05.
4. Annals of R.S.C.B., ISSN: 1583-6258, Vol. 24, Issue 2, 2020 Pages. 702 - 708
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Table 2: Factors tested for influence on the patients’ satisfaction, including different
levels and distributions
Table III. Agreement between dentists' and patients’ diagnoses of treated teeth (colour,
shape or position) in per cent
Patient
Dentist No reason Reason Total
Colour
No reason 55 45 44
Reason 2 98 56
Total 25 75 100
Shape
No reason 88 12 88
Reason 21 79 12
Total 79 21 100
Position
No reason 90 10 69
Reason 49 51 31
Total 77 23 100
5. Annals of R.S.C.B., ISSN: 1583-6258, Vol. 24, Issue 2, 2020 Pages. 702 - 708
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RESULTS
The comparison of the reason for treatment as judged by the dentists and patients is given in
Table III. Although, the indications (discoloration, deviation of shape or deviation of
position) for treatment varied, in 71-84% of the cases there was an agreement be- tween the
dentist and patient. In further analyses the judgement of the dentists has been used.
Table IV. Percentages of satisfied persons according to the vari- ables ‘type of VR' and
‘number of VRs’ at different measurement points
DISCUSSION
Every change in the dentition will require habituation. Especially when there is a change in
position or shape it will take some time before the patient does not feel the restoration any
more and will look at their dentition in total. Once the patients are getting used to the
restoration, they will see that the aesthetics of the tooth is improved.13-15
The result may be a
more satisfied patients’ population at the one-year recall. Then, after a certain adaptation
period, the aesthetic judgement may change again as the patients may become aware of the
aesthetics of the adjacent teeth as well. When the patient is no longer satisfied with the
aesthetics of the dentition as a whole, the aesthetic satisfaction of the restored teeth will
decrease as well. This period will vary from person to person and depends on the adaptation
ability of the patient. At the two-year evaluation the restored tooth will be compared with the
adjacent teeth. Our results support this theory since, with an increasing number of VRs the
difference between the satisfaction at one and two years recall was not so pronounced as in
the case of one tooth being restored.16-19
The significant decrease in the satisfaction with direct veneers between one and two years is
difficult to explain. Several reports mentioned colour changes of light-cured composite resins
influenced by time of light exposure and time after curing, while another study showed no
significant difference between some composite resins after five years 17-20
. It is not very likely
that a change in the colour of the restoration material will be noticeable after two years. Other
problems with composite resin veneering which were described were roughening of the
surfaces, chipping, fracture and staining20-23
. However, in this population the occur- rence
of chipping or fracture had no influence on the satisfaction of the patient. Surface
6. Annals of R.S.C.B., ISSN: 1583-6258, Vol. 24, Issue 2, 2020 Pages. 702 - 708
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roughening and staining was not investigated in this study.
Several studies report a discrepancy between treatment need of the dentist and treatment
demand of the patient1,5,23
. The agreement between dentist and patient in case of cosmetic
dental treatment was 72% in the National Dental Survey. If there was a disagreement, the
objective need of cosmetic treatment as judged by the dentist was higher (44%) than the
treatment demand of the patient (14%)23
. Several other articles have also reported a higher
treatment need than treatment demand4,5
. In this study, the reasons for treatment by the
dentist and the patient were compared. The agreements varied from 84 to 71%. Comparison
of the reasons for treatment revealed that the reason ‘shape’ and ‘position’ were more
important for the dentist than for the patient, while the reason ‘colour’ was more important
for the patient. The overall satisfaction can not be completely explained by the satisfaction of
colour and shape. It seems that other factors play a role in this matter. Goldstein suggested
that the conservative approach and relative low costs of these restorations are appreciated by
the patients and this may influence the satisfaction.
The use of a questionnaire to evaluate the treatment with VR at baseline, one and two years
after the completion of treatment, is a procedure that may introduce some kind of bias. For
example, selection on a population level: the population of the trial with a higher or
university education is 44% and the male and female ratio is also not representive for the
population.
CONCLUSIONS
From the results of this study it is concluded that differences in clinical procedures for VRs
had no effect on satisfaction. Also the number of VRs had not influenced the level of
satisfaction. After two years a significant difference was observed for the variable ‘type of
VR’. The best results were found for porcelain VRs. With longer follow-up it is expected that
the influence of ‘type of VR’ will become more apparent when the property of the materials
will in8uence the process of ageing, discoloration or strength.
REFERENCES
1. Goldstein, R. E., Survey of patient attitudes toward current esthetic procedures.
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