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International Dental & Medical Journal of Advanced Research (2017), Vol 3
1.ORIGINAL ARTICLE
Prevalence of buccal cervical dentine hypersensitivity and related risk factors - A cross-sectional study
Gaurav Mahajan, Harjit Kaur, Aditi Gautam
[Year:2017] [Month:January-December] [Volume:3 ] [Number:1] [Pages No:1–5] [No. of Hits: 1919]
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  • Abstract
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  • DOI : 10.15713/ins.idmjar.64

ABSTRACT

Background: This study was done to assess dentinal hypersensitivity in a population and related risk factors that enhance its prevalence.

Aim: This cross-sectional study aimed to demonstrate the prevalence of buccal cervical dentine hypersensitivity (DH) and related risk factors.

Materials and Methods: The total number of 135 subjects, aged 20-65 years was diagnosed with DH included in the study. All the subjects completed a self-administered questionnaire and were further examined using a three-way syringe used to put a rush of cold air which further helps in establishing DH diagnosis. Furthermore, in our study, we used one more criteria of recording buccal gingival recession which was associated with sensitive teeth only, using UNC-15 probe.

Results: The prevalence of DH was 64.2%. First premolar was the most commonly affected tooth. The risk factor which exaggerates DH response related to periodontal diseases includes poor oral hygiene and clinical attachment loss (gingival recession). The predominant risk factors appear to be horizontal tooth brushing and acidic beverage intakes such as juices and soft drinks.

Conclusion: The study assessed the prevalence of DH and enlightens predominant risk factors which further enhance its occurrence. DH is important to recognize to manage it clinically and to take preventive measures for patient benefits.

Clinical Significance: In this study, the prevalence of DH was found to be 64.2%, high compared to many published data, further provides strong-related risk factors that help in the clinical management of dentinal hypersensitivity pain and to take preventive measures that will be beneficial to the patients.

Keywords: Dentine hypersensitivity, gingival recession, prevalence, risk factors, tooth brushing

How to cite this article: Mahajan G, Kaur H, Gautam A. Prevalence of buccal cervical dentine hypersensitivity and related risk factors - A cross-sectional study. Int Dent Med J Adv Res 2017;3:1-5.

Received: 04 March 2017;

Accepted: 08 April 2017

2.CORRESPONDENCE
Extraoral cutaneous sinus tracts of dental origin: A report of two pedodontic cases
Anika Uppal, Seema Thakur, Deepak Chauhan, Parul Singhal, Divya Doneria
[Year:2017] [Month:January-December] [Volume:3 ] [Number:1] [Pages No:1–4] [No. of Hits: 1582]
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  • DOI : 10.15713/ins.idmjar.71

ABSTRACT

Odontogenic extraoral, cutaneous sinus is described as a path leading from an enclosed area of inflammation to an epithelial surface. The patients visit a physician first for evaluation, diagnosis, and treatment and both do not give consideration most of the times to the dental etiology. The misdiagnosis and mismanagement leading to persistence of infection can cause frustration to the patient. Successful management of the odontogenic cutaneous sinus tracts of pulpal pathology depends on proper diagnosis. However, these lesions continue to be a diagnostic quandary. Two cases of 11-year-old and 13-year-old female patients with cutaneous extraoral sinus tract have been discussed in this article. These patients were not taken seriously by the physicians, and due to their negligence, these pediatric patients had to undergo a lot of trauma. The case report describes how after proper history, diagnosis, and correct treatment by a pedodontist, the infection healed in these two different patients. Proper diagnosis is the basic requirement for the successful management of the odontogenic cutaneous sinus tracts of pulpal origin. Several case reports reveal that the appropriate diagnosis could not be made leading the incorrect treatment offered to the patients. It causes the cutaneous sinus tract to reoccur as the dental etiology is not addressed. The cutaneous sinus tracts are a rare entity in the pedodontic patients. Proper management can lead to treatment at a much earlier stage thus curbing the progression of the disease and also saving of time and expenses of the patient.

Keywords: Cutaneous sinus tracts, extraoral sinus, odontogenic sinus, shoelace technique, sinus tract treatment

How to cite this article: Uppal A, Thaku S, Chauhan D, Singhal P, Doneria D. Extraoral cutaneous sinus tracts of dental origin: A report of two pedodontic cases. Int Dent Med J Adv Res 2017;3:1-4.

Received: 17 May 2017

Accepted: 04 August 2017

3.ORIGINAL ARTICLE
Traumatized anterior teeth in Southwest coastal population of India
Nidhi Hegde, Mithra Nidarsh Hegde, Mahalaxmi Yelapure, Gowrish S. Bhat
[Year:2017] [Month:January-December] [Volume:3 ] [Number:1] [Pages No:1–4] [No. of Hits: 1450]
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  • DOI : 10.15713/ins.idmjar.73

ABSTRACT

Background: The objectives of this study were to measure the prevalence of anterior teeth fracture in the Southwest coastal population and to study association with predisposing factors such as molar relationship, overjet, and variables such as age, gender, location, occupation, and etiology.

Aim: The aim of the study was to evaluate the prevalence of anterior tooth fracture due to trauma in 1000 patients from the Southwest coastal population.

Materials and Methods: The study was conducted on 1000 patients reporting for treatment to A B Shetty Memorial Institute of Dental Sciences and rural satellite centers from June to December 2016. Patients who had anterior tooth fracture were questioned with a standard questionnaire from Oral Health Survey WHO format 2013. Results were evaluated using Pearson’s Chi-square test.

Results: Out of the 1000 patients examined, traumatized anterior teeth were seen in 89 (8.9%) cases. The prevalence of trauma to the anterior teeth was more in the male population (51.7%). Traumatized anterior teeth were frequent in the age group of 20.30 years (33.5%). Fall and automobile accidents were the most common causes of trauma to the anterior teeth (3.6%). The maxillary right (4.4%) and the maxillary left (4.2%) central incisors were most susceptible to trauma. 3.8% of teeth showed enamel fracture only, and 2.1% showed enamel and dentine fracture and 1.6% cases showed total loss of tooth due to trauma. Maximum number of patients with anterior tooth trauma was seen to have Class I malocclusion (88.8%), and an overjet in the range of 2-4 mm (66.3%).

Conclusion: Anterior tooth trauma in the Southwest coastal population was seen to be highly prevalent in the age group of 20-30 years and predominantly in males with automobile accidents being the most common cause. The maxillary anterior teeth were seen to be frequently affected. Enamel fractures were common, but the turn up for treatment posttrauma was negligible.

Clinical Significance: This study correlates the presence of anterior teeth trauma to various behavioral, physical, and dental attributes. Majority of the cases were reported in rural areas, and the masses were ignorant about the consequences of trauma to anterior teeth and the treatment options available.

Keywords: Dental trauma, falls, fracture, prevalence, traumatized incisors

How to cite this article: Hegde N, Hegde MN, Yelapure M, Bhat GS. Traumatized anterior teeth in Southwest coastal population of India. Int Dent Med J Adv Res 2017;3:1-4.

Received: 07 August 2017;

Accepted: 10 September 2017;

4.ORIGINAL ARTICLE
Determination of cytotoxicity of dentine bonding agents, hydroxyethyl methacrylate and bisphenol alpha
Upasana Jayaram Reddy
[Year:2017] [Month:January-December] [Volume:3 ] [Number:1] [Pages No:1–6] [No. of Hits: 1912]
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  • DOI : 10.15713/ins.idmjar.57

ABSTRACT

Aim: The purpose of the study was to analyze cytotoxicity caused by dental adhesives on human gingival fibroblast (HGF) cell lines, compare the response of cultured HGFs to substances leached from a conventional total etch and self-etching adhesive system along with their individual components.

Methodology: Healthy gingival tissue biopsies (explants) were used to obtain isolates of HGFs, which were cultivated in flasks till subconfluent monolayers obtained. Serial dilutions for each compound tested were made and elutes at all concentrations tested for were obtained at 48 h for each material which were then added at different concentrations to the HGF cultures, and cytotoxicity was analyzed by 3,(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay.

Results: Within the limitations of the in-vitro study, we conclude: All of the materials tested showed moderately or slightly cytotoxicity at the lower serial dilutions except bisphenol alpha and One Coat-7.0, which proved to be strongly cytotoxic among almost all the dilutions. The lowest cytotoxicity was obtained from Clearfil SE Bond at 0.3125 mg/mL and the highest from One Coat-7.0 at 5.9 mg/mL, among the three dentin bonding systems tested for cytotoxicity.

Conclusions: Indicated that SE B had the lowest mean % of cell viability value and OC had the highest mean % of cell viability.

Keywords: Biocompatibility, bisphenol alpha, cytotoxicity, hydroxyethyl methacrylate, self-etching primers, total etching primers

How to cite this article: Reddy UJ. Determination of cytotoxicity of dentine bonding agents, hydroxyethyl methacrylate and bisphenol alpha. Int Dent Med J Adv Res 2017;3:1-5.

Received: 27 November 2016;

Accepted: 02 January 2017

5.ORIGINAL ARTICLE
Habitual risk factors in gutka chewers
Faisal Rehan, Najam Us Sahar, Rabia Sannam Khan, Mohammed Sohail Memon, Naureen Minhaj, Syed Hasan Shaharyar
[Year:2017] [Month:January-December] [Volume:3 ] [Number:1] [Pages No:1–5] [No. of Hits: 1617]
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  • DOI : 10.15713/ins.idmjar.67

ABSTRACT

Background: Gutka chewing habit is found to be addictive and contains damaging and destructive effects on oral health. What factors lead to its usage, habit development and which sex is more predisposed to its effects is being evaluated in this study.

Aim: The aim of the study is to assess the contributing factors and prevalence associated with gutka chewing habit in comparison to women and men and to determine the effect of this habit on the oral cavity.

Materials and Methods: Participants were divided into four categories of age 6-12 in children, 14-25 years and 25-45 adults. Two groups of men and women were also made for comparison. This cross-sectional study was conducted with the help of using self-administered questionnaire during January 2016 to March 2016. Where the questionnaire was comprised multiple questions through which socioeconomic condition and professional and mental stability, such as psychological stress was assessed.

Results: Overall prevalence of tobacco chewing was males 67% and females 32% among the youth with and Urdu-speaking group was mostly involved as compare to other ethnic groups. Gutka was being used most frequently 3-5 times per day by males and females. Reasons revealed from our study for chewing were most commonly influence of friends, for fun and depression. And changes in oral cavity were also observed in the form of development of stains, caries, plaque, and calculus.

Conclusion: According to the study age, socioeconomic condition, occupation, psychological stress, friends, and family influence were the contributing factors associated with gutka chewing habit. Moreover, habitual chewing affects the oral health by introducing caries, calculus, and stains.

Clinical Significance: Strengths and limitations depend on the cooperation level of the participants. The study has concluded that many contributing factors such as age, socioeconomic status, profession, and psychological stress play an important role in this habit in both women and men.

Keywords: Areca nut, betel quid, caries, gutka, oral mucous fibrosis

How to cite this article: Rehan F, Sahar NU, Khan RS, Memon MS, Minhaj N, Shaharyar SH. Habitual risk factors in gutka chewers. Int Dent Med J Adv Res 2017;3:1-5.

Received: 27 February 2017;

Accepted: 06 April 2017

6.PERSPECTIVE
Association of drug-induced gingival enlargement (calcium channel blockers) and local factors: Who is the culprit?
Ajay Chouksey, Nitin Awasthi, Jayesh Rai, Abhishek Chaudhary
[Year:2017] [Month:January-December] [Volume:3 ] [Number:1] [Pages No:1–4] [No. of Hits: 1920]
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  • DOI : 10.15713/ins.idmjar.68

ABSTRACT

Background: Several drugs are used for the management of hypertension. Among these drugs, calcium channel blockers (CCBs) are the most potent and generally used drug. Gingival enlargement is a recognized outcome of the administration of CCBs. Other drugs which cause gingival enlargement are antiepileptic drugs (phenytoin) and immunosuppressants (cyclosporine). The role of bacterial plaque in the overall pathogenesis of drug-induced gingival enlargement is not clear as some studies indicate that plaque is a prerequisite for gingival enlargement, whereas others suggest that the presence of plaque is a result of its accumulation caused by the enlarged gingiva.

Aim: The aim of this study is to find the association of local factors with CCBs-induced gingival enlargement.

Conclusion: The observations made in this report support that the presence of local factors augments the degree of the gingival enlargement present.

Significance: As the prevalence of CCB use is relatively high in the population, especially among patients with cardiovascular disease, it is important that medical professionals are aware of the association between drug-induced gingival enlargement and local factors so that they can emphasize thorough home care and professional cleaning in the treatment of drug-induced gingival enlargement.

Keywords: Calcium channel blockers, gingival enlargement, home care, local factors, professional cleaning

How to cite this article: Chouksey A, Awasthi N, Rai J, Chaudhary A. Association of drug-induced gingival enlargement (calcium channel blockers) and local factors: Who is the culprit? Int Dent Med J Adv Res 2017;3:1-5.

Received: 04 March 2017

Accepted: 10 April 2017

7.ORIGINAL ARTICLE
A 4 years follow-up study of immediate and delayed loading of small-diameter dental implants
Hamzah Abbas, Khaled Bulad, Mohammad Mazen Kabbani
[Year:2017] [Month:January-December] [Volume:3 ] [Number:1] [Pages No:1–4] [No. of Hits: 2901]
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  • DOI : 10.15713/ins.idmjar.56

ABSTRACT

Background: Mandibular overdenture Supported by tow Dental implants have been approved to have good success rates with implants placed in different procedures. The aim of this study is to evaluate 12 consecutive cases of immediately and delayed loading of Small-diameter implants (SDIs) as support of mandibular overdenture (one implant was immediate loaded, and one was delayed loaded for every case) and report mesial and distal marginal bone resorption rate.

Materials and Methods: First SDI for every patient was placed with flapless surgical technique in the anterior aria of the mandible and was submerged. After 3 months, the second SDI for every patient was placed in the other side of the mouth with the same surgical technique. In the day of second SDI placement, the tow ball attachments were placed on the tow SDIs; the attachment housing was placed to the denture base with self-curing lining resin, and attachments were activated. In this technique, the first SDI was delayed loaded and the second was immediately loaded. The SDIs were then observed, and the marginal bone level was evaluated by periapical radiographs for 4 years.

Results: Overall, marginal bone resorption rate after 6 months of loading was 0.79 mm around immediately loaded SDIs and 0.71 mm around delayed loaded SDIs. After 4 years of loading, marginal bone resorption rate was 1.3 mm around immediately loaded SDIs and 1.2 mm around delayed loaded SDIs.

Conclusion: In the limitations and conditions of this study, complete mandibular dentures supported by two SDIs with immediate and delayed occlusal loading had a high survival rate. Alveolar bone resorption rate after 4 years was 1.3 mm for immediate loaded SDIs and 1.2 mm for delayed loaded SDIs.

Keywords: Immediate loading, overdenture, small-diameter implants

How to cite this article: Abbas H, Bulad K, Kabbani MM. A 4 years follow-up study of immediate and delayed loading of small-diameter dental implants. Int Dent Med J Adv Res 2017;3:1-4.

Received: 29 November 2016;

Accepted: 31 December 2016

8.CLINICAL TECHNIQUE
A developed treatment of early abscessed implant
Hadi Bilal
[Year:2017] [Month:January-December] [Volume:3 ] [Number:1] [Pages No:1–5] [No. of Hits: 1960]
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  • DOI : 10.15713/ins.idmjar.65

ABSTRACT

Early peri-implantitis is one of the major causes of implant surgery failure. Caused by various factors such as pathogenic contamination, this condition needs a specific and professional intervention to re-stabilize the implant and to recreate osseointegration in the defected site. This article describes a treatment protocol that restores the bone-implant contact and renders the implant reliable and functional at the long term. In the aim of treating a peri-implantitis state and saving the implant, we opted for a simple protocol that treats the implant surface and stimulates the bone regeneration and bone-implant osseointegration. 1-year after the application of hydrogen peroxide 15% and citric acid combined with bone graft and resorbable membrane, the ex-defected implant was loaded after a neo-osseointegration formation all around the implant. 2 years later, the implant is still functional, and the peri-implant tissues show a healthy state. In conclusion, the good diagnosis and the fast intervention using implant surface etching and regenerative intervention were the key to success in this case. This case study encourages the use of the combined procedure of bone and membrane to stabilize the graft into the bone crater, which is crucial for the formation of a neo-alveolar bone that surrounds the exposure surface of the defected implant.

Keywords: Abscess, early peri-implantitis, implants, molecular biology, regeneration, surface etching

How to cite this article: Bilal H. A developed treatment of early abscessed implant. Int Dent Med J Adv Res 2017;3:1-5.

Received: 18 March 2017;

Accepted: 21 April 2017

9.ORIGINAL ARTICLE
Prevalence of oral hygiene aids and bleeding gums among the people visiting Private Dental Hospital in Gadap town, Karachi
Mohammad Ali Leghari, Syed Inayat Ali, Faisal Rehan, Humera Ali, Usman Shoukat Ali Arain
[Year:2017] [Month:January-December] [Volume:3 ] [Number:1] [Pages No:1–5] [No. of Hits: 1379]
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  • DOI : 10.15713/ins.idmjar.75

ABSTRACT

Aim: The objective of the study to assess the prevalence of oral hygiene practices, types of tools using for cleaning teeth, and frequency of cleaning teeth associated with the self-reported bleeding gums in the residents of Karachi.

Materials and Methods: A cross-sectional study of 364 sampled among the patients visiting outpatient dental clinic aged 17 years or above, mean age was 35 years. Information were collected by questionnaires related to cleaning of teeth, frequency of cleaning teeth, self-perceived bleeding gums, and betel nut chewing. Frequency and percentage used for descriptive analysis and Chi-square test was used for difference in categorical variable. Stata 11 was used for statistical analysis. Total number of 364 patients was surveyed.

Results: Prevalence of cleaning teeth among the sample was 86.8%. Frequency of cleaning teeth once a day was 58.79%. Toothbrush used as an instrument for oral hygiene among population was 84.2%. 87.36% of the participants clean their teeth at morning. Self-perceived bleeding gums among the sample were 38%. Chewing of betel nut prevalence was 31.8%.

Conclusion: Regular cleaning of oral cavity prevents the initiation of dental caries, gingivitis and periodontitis. Selection of tool for cleaning oral cavity was appropriate on the other hand <60% of the sample was practicing oral hygiene per day which was not satisfactory, further investigation and awareness programs are needed to evaluate the overall practices of oral hygiene among the population on larger sample size.

Clinical Significance: The present study demonstrates the oral hygiene practices of a selected group of population. The results could be used to educate the patients about maintaining proper oral hygiene which could lead to a decrease in the prevalence of oral and dental diseases.

Keywords: Bleeding gums, frequency of brushing, oral hygiene practice

How to cite this article: Leghari MA, Ali SI, Rehan F, Ali H, Arain USA. Prevalence of oral hygiene aids and bleeding gums among the people visiting private dental hospital in Gadap town, Karachi. Int Dent Med J Adv Res 2017;3:1-5.

Received: 01 September 17;

Accepted: 03 October 17

10.ORIGINAL ARTICLE
Female dentists and work–family balance: Challenges and strategies
J. Sandhya
[Year:2017] [Month:January-December] [Volume:3 ] [Number:1] [Pages No:1–4] [No. of Hits: 1469]
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  • DOI : 10.15713/ins.idmjar.76

ABSTRACT

Background: Achieving a work-family balance is of utmost importance to female dentists. The increasing number of women entering dentistry makes the issue of balancing the personal and professional life increasingly relevant. This study identified issues that Indian female dentists face and strategies they adapt to achieve a work-family balance.

Methods: A questionnaire was designed to obtain information from female dentists. The questionnaire was forwarded to 250 female dentists in Bhopal, Indore, and Gwalior region of Madhya Pradesh, of which 26% responded. The questions were designed to obtain information regarding success criteria, decision making, self-care, family issues, and maternal issues.

Results: The results strongly revealed the role conflict between managing the work and family duties. The survey describes the experiences of female dentists and adaptation to achieve a work-family balance.

Conclusion: Women dentists recognized difficulties in achieving a work-family balance that is unique to dental practice and strategies for adapting to their work and family duties. The survey revealed happy and balanced life as the criteria of success for nearly 1/4th of them, while most of the women were dependent on their family for decision making.

Clinical significance: The survey also revealed most of them were stressful and restless for holding both the responsibilities work and family. Their strategies to meet challenges included support from their family to achieve work-family balance.

Keywords: Challenges, female dentists, work-family balance

How to cite this article: Sandhya J. Female dentists and work-family balance: Challenges and strategies. Int Dent Med J Adv Res 2017;3:1-4.

Received 12 February 2017;

Accepted 3 October 2017

11.SYSTEMATIC REVIEW
Mini dental implant overdenture as an alternative treatment (systematic review)
Doaa Amr A. Heshmat Rostom, Adnan Al-Fahd
[Year:2017] [Month:January-December] [Volume:3 ] [Number:1] [Pages No:1–6] [No. of Hits: 1363]
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  • Abstract
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  • DOI : 10.15713/ins.idmjar.78

ABSTRACT

Background: Patients with narrow alveolar ridges requiring dental implants may be managed by residual ridge augmentation or guided bone regeneration procedures followed by the placement of conventional diameter implants. All these procedures need more time, more cost, and more clinician experience. Mini implants are an alternative option in case of the reduced residual alveolar ridge.

Aim: The aim of this study was to evaluate the crestal bone changes, survival rates, and patient satisfaction with mini dental implant.

Methodology: An electronic searching was performed in the following databases, Pubmed (1990 to 25 October 2016) and Cochran (1999 to 2016). In addition, hand searching was performed in implant-related journals and through the references of included studies.

Result: Four articles resulted after the final filtration, from which three studies were randomized controlled trials and one non-randomized controlled trial. The follow-up period was extended at least 1 year in all studies. The results of the included studies reveal that the marginal bone loss, survival rate, and patient satisfaction of the mini implant were comparable to those resulting from the conventional implants.

Conclusion: No significant difference was observed between the mini implant and the conventional implants regarding the marginal bone loss, implant survival rate, and patient satisfaction. However, this review depends on few numbers of studies that accompanied with a high degree of bias, so more evidence to validate this treatment is still necessary.

Clinical Significance: The flapless technique of the small implant diameter offers the advantage of less invasion and less trauma to the tissue. Furthermore, the mini implants approach makes promise solution for those patients with medical and/or financial problems to use conventional implants so that they increase the clinical applications of dental implants.

Keywords: Mandible, marginal bone loss, mini implant, overdenture, survival rate

How to cite this article: Rostom DA, Al-Fahd A. Mini dental implant overdenture as an alternative treatment (systematic review). Int Dent Med J Adv Res 2017;3:1-6.

Received: 17 September 2017;

Accepted: 28 October 2017

12.ORIGINAL ARTICLE
Patient’s satisfaction and muscles activity after management of temporomandibular disorders patients using computer-aided design/computer-aided manufacturing versus conventional occlusal splints (randomized clinical trial)
Radhwan Saleh Algabri, Ahmed Yaseen Alqutaibi, Amr Hosny Elkhadem Elkadem, Eman Ahmed Maher, Amal Fathy Kaddah
[Year:2017] [Month:January-December] [Volume:3 ] [Number:1] [Pages No:1–8] [No. of Hits: 2076]
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  • DOI : 10.15713/ins.idmjar.58

ABSTRACT

Background: With continuous debate, regarding which are more effective in managements of the temporomandibular disorders (TMDs), CAD/CAM or conventionally made occlusal splint, this study aimed to answer the following question “does the CAD/CAM occlusal splints have different effect regard to patient satisfaction, muscle activity, and time of adjustments when compared with conventional splints?”

Materials and Methods: A sample of 30 TMD patients, with a mean age of 30.2 years were randomly allocated into Groups 1 (CAD/CAM splint 15 patients) and 2 (conventional splint 15 patients). The research diagnostic criteria for TMD were used for TMD Axis I (Groups II disc displacement with reduction). Numeric scales (TMD/NS, 10 cm) were used to measure headaches, face pain, jaw joint pain, jaw joint noises, mastication pain, neck pain, face tension, limitation of mouth opening, complaints during mastication, and teeth sensitivity at baseline and then monthly for 3 months. Electromyography was used to measure the muscle activity of masseter and temporalis muscles at baseline, 1 month, and 3 months. The time needed for adjustment of splint from the beginning of splint insertion until became well fitted and occlusally adjusted was calculated using stopwatch (minutes).

Results: TMD/NS showed statistically significant improvement in CAD/CAM splint group when compared to conventional splint after 1 and 3 months P = 0.001 and < 0.0001, respectively. There was highly statistical significant less time required for adjustment for the CAD\CAM occlusal splints when compared to the conventional occlusal splints (P < 0.0001).

Conclusion: The CAD/CAM occlusal splints significantly require less time of adjustment and improve the patient’s satisfaction of TMD patients greater than that of conventional occlusal splint. However, both splints are similar in regard to improvements of the muscle activities.

Keywords: Computer-aided design/computer-aided manufacturing occlusal splint, conventional occlusal splint, muscle activity, patient’s satisfaction

How to cite this article: Algabri RS, Alqutaibi AY, Elkadem AH, Kaddah A. Patient’s satisfaction and muscles activity after management of temporomandibular disorders patients using computer-aided design/computer-aided manufacturing versus conventional occlusal splints (randomized clinical trial). Int Dent Med J Adv Res 2017;3:1-8.

Received: 09 December 2016;

Accepted: 11 January 2017

13.CLINICAL TECHNIQUE
Prosthodontics rehabilitation using palatal expander for a child with ectodermal dysplasia
Ahmad Moutaz Attar, Jamal Dabbas, Hamzah Abbas
[Year:2017] [Month:January-December] [Volume:3 ] [Number:1] [Pages No:1–4] [No. of Hits: 2551]
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  • DOI : 10.15713/ins.idmjar.59

ABSTRACT

Background: This clinical report describes the use of the palatal expander which is incorporated into the mid-palatal region of the complete maxillary denture for a 4-year-old complete edentulous patient. Heat polymerized acrylic resin was used to process both maxillary and mandibular denture. The completed dentures were polished and finished. The palatal expander (max: 6 mm and full turn: 0.8 mm) was added to the mid-palatal region of the maxillary denture during waxing and processing the dentures. The design of this expander was invented by Haas (1965) max: 6 mm and full turn: 0.8 mm. Medical grade adhesive was used for prosthesis retention.

Aim: The aim of this case report is to use the palatal expander to simulating the growth and development of mid-palatal suture and helping to normalize the masticatory function and perioral muscles movement, and as a result, the growth pattern of basal bones.

Conclusion: The technique of incorporated palatal expander into the mid-palatal region of the complete removable dental prostheses helped the clinicians and child to get the advantages of this technique by facilitating the clinical and laboratory procedures during follow-up appointments.

Clinical Significance: This technique was used to get benefit from the denture as long as possible before rebasing or remaking a new denture.

Keywords: Ectodermal dysplasia, complete denture, palatal-expander

How to cite this article: Attar AM, Dabbas J, Abbas H. Prosthodontics rehabilitation using palatal expander for a child with ectodermal dysplasia. Int Dent Med J Adv Res 2017;3:1-4.

Received: 03 January 2017;

Accepted: 02 February 2017

14.ORIGINAL ARTICLE
Bone morphogenetic protein effect on implant stability and bone height in immediately loaded implant supported mandibular overdenture (randomized clinical trial)
Nourhan Ahmed Ragheb, Amal Rekaby, Azza Farahat
[Year:2017] [Month:January-December] [Volume:3 ] [Number:1] [Pages No:1–7] [No. of Hits: 1747]
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  • DOI : 10.15713/ins.idmjar.60

ABSTRACT

Background: The applications of molecular and nanoscale-based biological materials such as bone morphogenetic proteins (BMPs), may play a role in improving the osseointegration of dental implants and shortening the time period for implant integration.

Aim: The aim of this clinical study was to evaluate and compare the implant stability and bone height changes of implants with two diff erent surface topographies in immediately loaded implant supported mandibular overdenture.

Materials and Methods: A total of 10 completely edentulous patients were selected from the outpatient clinic, Cairo University. Patients were divided into Group (I): Five patients had received two conventional titanium implant coated with ready-made BMP and Group (II): Five patients had received two conventional titanium implant surface installed in the interforaminal area and immediately loaded with overdentures. Crestal bone height changes were evaluated with Digora system at 0, 6, 9 and 12 months after implants loading. The implant stability was evaluated with the Osstell mentor device; every 2 weeks for the 1st 3 months. Then every 3 months till the end of the follow-up period (12 months).

Results: Regarding bone height changes: conventional titanium implant surface had shown higher mean values of bone loss than BMP coated implant group. However, there was no statistically signifi cant diff erence in mean values of bone height loss between them. Regarding implant stability: Group (I): BMP coated implant group had shown higher mean values of implant stability than Group (II): non - BMP coated implant group. There was no statistically signifi cant diff erence between studied groups.

Conclusion: BMP coating of titanium dental implants may induce less crestal bone resorption and better implant stability in immediately loaded implant supported mandibular overdenture.

Clinical Significance: BMP plays a role in reducing crestal one resorption. Further clinical studies (randomized clinical trials) should be made recommended on a larger number of patients, for longer follow-up periods. Diff erent techniques for BMP application and release should be tried

Keywords: Bone height-bone morphogenetic protein, immediate loading, implant stability, overdenture

How to cite this article: Ragheb NA, Rekaby A, Farahat A. Bone morphogenetic protein effect on implant stability and bone height in immediately loaded implant supported mandibular overdenture (randomized clinical trial). Int Dent Med J Adv Res 2017;3:1-7.

Received: 26 January 17;

Accepted: 28 February 17

15.CLINICAL TECHNIQUE
Full mouth rehabilitation with single-implant-single-tooth abutment-supported overdenture for partially edentulous patient
Ahmad Moutaz Attar
[Year:2017] [Month:January-December] [Volume:3 ] [Number:1] [Pages No:1–5] [No. of Hits: 1787]
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  • Abstract
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  • DOI : 10.15713/ins.idmjar.61

ABSTRACT

Background: Overdenture can be supported by implants or teeth abutments. The literature reports a major limiting factor for widespread acceptance of multiple-implants-supported overdentures continues to be the high costs and the invasive nature of implant surgeries. However, single-implant-single-tooth-supported overdentures have gained popularity in recent years due to their lowered costs and minimal tissue trauma. This article describes a rehabilitation mouth for a partially edentulous patient using a mandibular overdenture supported by a single dental implant and single tooth abutment. The implant-tooth-supported overdenture was connected to the single implant and abutment natural tooth root (mandibular left canine) with ball attachments. The single implant was placed in the edentulous area. In the mandibular right first premolar region to minimize load forces on the natural teeth root abutment (left mandibular canine) and tolerate slight rotation of the overdenture. In the mandibular arch; the natural tooth root (mandibular left canine) was prepared to receive metal post and core to increase retention of the implant-tooth supported overdenture.

Aim: The aim of this report is to rehabilitating partially mouth in a cost-effective manner and minimal tissue trauma.

Conclusion: 6 months without any complication and the abutment natural tooth root (mandibular left canine) remains without mobility when the overdenture is in place.

Clinical significance: The tooth abutment can adapt to normal or avoid hazard occlusal load through the sense and adjustment of the periodontium. On the other hand, the implant abutment cannot avoid hazard occlusal load because there is no sense of the periodontium around the dental implants. Single implant increases retention using ball attachments which include a spring mechanism to absorb the load forces on the natural teeth root abutment.

Keywords: Single dental implant, tooth abutment, precision attachment, ball attachment, overdenture Correspondence

How to cite this article: Attar AM. Full mouth rehabilitation with single-implant-single-tooth abutment-supported overdenture for partially edentulous patient. Int Dent Med J Adv Res 2017;3:1-5.

Received 11 January 2017

Accepted 03 March 2017

16.ORIGINAL ARTICLE
Cytotoxic effect of a nanohybrid restorative resin on lymphocytes
Upasana Jayaram Reddy, Devika Nair, Mitra N. Hegde
[Year:2017] [Month:January-December] [Volume:3 ] [Number:1] [Pages No:1–4] [No. of Hits: 1608]
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  • DOI : 10.15713/ins.idmjar.62

ABSTRACT

Background: Over the last decade, a lot of anti-Bisphenol A (BPA) groups have emerged explaining the ill effects of its derivatives commonly used in dental products. Since these materials are used on a daily basis in our clinical practice, we must ensure their safety to all who are in contact with them. This is the primary motive of our study.

Aim: The purpose of the study was to analyze cell death and cytotoxicity caused by a dental composite on lymphocytes, comparing the response of cultured lymphocytes to substances leached from a nanohybrid restorative resin at different time intervals.

Methodology: The effect of composite on lymphocytes was studied in two groups, one at 24 h and the other at 72 h. Additional control groups were tested also for. On culturing the test materials with the cells, they were subjected to the ethidium bromide and acridine orange dyes to check vitality.

Results: Within the limitations of this in-vitro study, it was concluded that no significant apoptosis was detected in the control group. Early-stage apoptotic cells were detected in the first experimental group of 1 day/24 h. Increasing concentrations and treatment lengths showed a decrease in the number of early-stage apoptotic cells in the 3 day group.

Conclusions: The material tested at all intervals showed very less toxicity confirming low cell death.

Clinical significance: In light of recent awareness related to all materials with BPA and its derivatives, we conducted this study with a commonly used restorative material.

Keywords: Biocompatibility, composite resins, cytotoxicity, lymphocytes, nanohybrid restoratives

How to cite this article: Reddy UJ, Nair D, Hegde MN. Cytotoxic effect of a nanohybrid restorative resin on lymphocytes. Int Dent Med J Adv Res 2017;3:1-4.

Received 08 February 2017

Accepted 12 March 2017

17.ORIGINAL ARTICLE
Partial edentulousness and its correlation to the educational status of the population in the southwest coastal region of India
R. Nirupama, Manoj Shetty, D. Krishna Prasad
[Year:2017] [Month:January-December] [Volume:3 ] [Number:1] [Pages No:1–4] [No. of Hits: 1690]
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  • DOI : 10.15713/ins.idmjar.63

ABSTRACT

Background: The pattern of partial edentulism has been studied in different countries in various selected populations by correlating between several parameters and the influencing factors such as socioeconomic status, educational status, age, and gender. Education is an important factor associated with the awareness of dental disease and its treatment needs.

Aim: The present survey was conducted to assess the prevalence of partial edentulousness and awareness of its prosthodontic treatment needs based on the educational status in rural population of southwest coastal Karnataka and Kerala.

Materials and Methods: A total of 100 patients reporting with request for removable prostheses were randomly selected and included in the study after obtaining the consent from the Institutional Ethics Committee. The patients were categorized into three groups as, below 10th Grade, 10th Grade to II pre-university college (PUC) and graduation and above. Subjects having edentulous space were further grouped according to Kennedy’s Classification. The data were recorded and then analyzed using Chi-square test.

Results: Among the 100 subjects evaluated, 55 subjects were male and 45 were females. 46 subjects were below 10th standard grade, 16 were between 10th and II PUC and 38 were graduation and above group. Prosthodontic treatment need awareness was highest in Class III Kennedy’s Classification of partial edentulous space in both maxillary and mandibular arches. The maximum awareness about the implant placement for the treatment of partial edentulousness was among the graduation group. The awareness regarding the effect of missing teeth was high among the graduation and above group.

Conclusion: Under the limitations of this study, it was found that the percentage of awareness of various prosthodontic treatment need increased as the subjects educational status increased.

Clinical Significance: Educational status of an individual has a huge impact on the overall general awareness of one’s health needs and the treatment options available. Therefore, it justifies there is a greater need to educate not only the younger generation but also the elderly and less privileged, regarding the importance of oral health.

Keywords: Awareness, educational status, Kennedy’s classification, partial edentulousness, treatment needs

How to cite this article: Nirupama R, Shetty M, Prasad DK. Partial edentulousness and its correlation to the educational status of the population in southwest coastal region of India. Int Dent Med J Adv Res 2017;3:1-4.

Received: 22 February 2017;

Accepted: 24 March 2017

18.ORIGINAL ARTICLE
Oral health beyond mouth: Patients’ opinions on extraoral examination
Abbass El-Outa, Antoine Cassia
[Year:2017] [Month:January-December] [Volume:3 ] [Number:1] [Pages No:1–6] [No. of Hits: 1644]
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  • DOI : 10.15713/ins.idmjar.66

ABSTRACT

Background: Extraoral examination (EOE) is an inherent component of the physical examination in dentistry. Nevertheless, a few studies inspect its practice by dental professionals and patient perception of it.

Aim: The aim was to evaluate patients’ opinions on the EOE and their attitude toward it.

Materials and Methods: A questionnaire was distributed to a random sample of 216 dental patients with 81% response rate, during August–September 2016, in four dental clinics in greater Beirut, Lebanon. Patients were asked if they had EOE before and their perception of it as well as about its significance.

Results: Ninety-one percent of the studied sample reported not receiving EOE previously. In general, patients displayed a positive perception of the examination. Moreover, having previous such examination seemed not related with the receptivity to have it in the future.

Conclusion: The EOE is an underutilized service in oral care that patients seem to accept and perceive positively when offered.

Clinical Significance: More emphasis should be placed on the importance of providing

Keywords: Dentist–patient relations, diagnosis, oral manifestations, oral medicine, physical examination EOE to patients systematically.

How to cite this article: El-Outa A, Cassia A. Oral health beyond mouth: Patients’ opinions on extraoral examination. Int Dent Med J Adv Res 2017;3:1-6.

Received: 16 March 2017;

Accepted: 18 April 2017

19.ORIGINAL ARTICLE
Radiographic evaluation of posterior alveolar ridge resorption in implant-retained mandibular overdentures using three different bar modalities
Amr Mohamed Ismail Badr, Ahmed Gamal Ahmed Hassan
[Year:2017] [Month:January-December] [Volume:3 ] [Number:1] [Pages No:1–6] [No. of Hits: 1611]
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  • DOI : 10.15713/ins.idmjar.69

ABSTRACT

Background: There are many types of attachments used for retaining overdentures. The attachments are either solitary or bar attachments. The type and shape of bar and clip attachments are very important regarding the load distribution between implants and posterior residual ridge.

Aim: The aim of this study was to evaluate the posterior residual ridge resorption in overdenture retained by 3 different types of bar and clip connections (resilient, semi-resilient, and rigid).

Materials and Methods: A total of 18 completely edentulous male patients (age between 50 and 60 years) were selected to have two mandibular implants at the canine region connected with bar then immediate loading was done. The patients divided randomly into 3 equal groups to receive 3 different types of bar and clip connections. Orthopantography was used to measure the resorbed posterior mandibular ridge. The collected data were tabulated and statistically analyzed.

Results: There was no significant difference between all the groups at the 1st and 2nd intervals regarding the posterior alveolar ridge reduction. While there was a significant difference within each group between the mean values of the 1st and 2nd intervals as P value was >0.05.

Conclusion: Under the limitation of this study, it was concluded that: (1) Two mandibular implants connected with bar is considered a viable treatment option in mandibular edentulism, (2) the type and shape of the bar and clip connection do not significantly affect the posterior residual ridge resorption within the 1-year follow-up period.

Clinical Significance: The clinical significance of this study was evaluating the best type of bar and clip connection which is recommended in overdenture cases regarding the preservation of posterior alveolar ridge.

Keywords: Bar and clip connection, bone implant interaction, clinical research, immediate loading, overdenture bar, prosthodontics

How to cite this article: Badr AMI, Hassan AGA. Radiographic evaluation of posterior alveolar ridge resorption in implantretained mandibular overdentures using three different bar modalities. Int Dent Med J Adv Res 2017;3:1-6.

Received: June 01, 2017;

Accepted: June 23, 2017

20.ORIGINAL ARTICLE
Randomized study on effect of conventional versus Schlosser's fabrication techniques for complete over dentures supported by mandibular implants
Noha Aligamaleldin Abdelaal
[Year:2017] [Month:January-December] [Volume:3 ] [Number:1] [Pages No:1–5] [No. of Hits: 1571]
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  • DOI : 10.15713/ins.idmjar.70

ABSTRACT

Background: The conventional method of complete denture fabrication has many problems that include lack of uniform distribution of occlusal forces to the basal seat, causing inflammation, ulcers in the supporting tissues, more rapid residual ridge resorption, increase patient discomfort, increase parafunctional movements, and the need for frequent adjustments.

Aim: The aim of this study is to evaluate and compare the effect of two different fabrication techniques for complete over dentures supported by mandibular implants.

Methodology: A total of 24 edentulous subjects were eligible for inclusion. Using a random sampling system, conventional or Schlosser’s technique was used to fabricate the dentures. Two implants were placed in the canine area of all patients. After 3 months, ball attachments were connected to the implants, and the denture delivered with the retentive components incorporated in the denture base. At the follow-up examinations, implant stability and marginal bone loss were evaluated at 3, 6, and 12 months.

Results: The sample of 24 patients, with a mean age of 55.2 years, was included in this study. All patients attended the 12-month follow-up. The complete denture fabricated by Schlosser’s technique showed significant more implant stability and less bone loss when compared to conventionally fabricated dentures.

Conclusion: The Schlosser’s technique is considered as predictable methods of complete denture construction. Consequently, this technique has a positive effect on the implants that supported mandibular overdenture. The more harmonious occlusion result from this technique results in better implant stability and decreases the rate of bone loss around the implants.

Clinical Significance: The denture fabricated with Schlosser’s technique results in more harmonious occlusion that suggested as one requirement of successful dental implants.

Keywords: Complete denture, dental implant, mandibular overdenture, marginal bone loss, Schlosser’s technique

How to cite this article: Abdelaal NA. Randomized study on effect of conventional versus Schlosser’s fabrication techniques for complete over dentures supported by mandibular implants. Int Dent Med J Adv Res 2017;3:1-5.

Received: 15 May 2017;

Accepted: 25 July 2017

21.SYSTEMATIC REVIEW AND META-ANALYSIS
Effect of computer-aided design/computer-assisted manufacture versus conventional occlusal splints on the management of temporomandibular disorders: A systematic review and meta-analysis
Radhwan Saleh Algabri, Ahmed Yaseen Alqutaibi, Hanan Abo-Alrejal, Omar Al Adashi, Fadag Abdulrahman, Amr Elkhadem, Ahmed Keshk, Eman Maher, Amal Fathy Kaddah
[Year:2017] [Month:January-December] [Volume:3 ] [Number:1] [Pages No:1–9] [No. of Hits: 1791]
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  • DOI : 10.15713/ins.idmjar.72

ABSTRACT

Background: With continuous debate and lack of consensus regarding which are more effective in management of the temporomandibular disorders (TMDs), computer-aided design/computer-assisted manufacture (CAD/CAM) or conventional occlusal splint.

Aim: The aim of this systematic review and meta-analysis was to perform a qualitative and quantitative analysis of the scientific literature regarding the use of CAD/CAM versus conventional occlusal splint in the management of patient with TMDs.

Methodology: Manual and electronic database (PubMed and Cochrane) searches were performed to identify randomized controlled trials (RCTs), without language restriction, comparing CAD/CAM versus conventional occlusal splints. Data were extracted independently by two reviewers. The Cochrane tool was used for assessing the quality of included studies. Meta-analyses were performed for the two included RCTs of similar comparisons reported the same outcome measures.

Results: Eight trials were identified. Out of them two RCTs were included and six trials were excluded. The two included RCTs were considered to be at a low risk of bias. The pooled result revealed that the CAD/CAM occlusal splint has statistically significant less pain in jaw joint, face tension, and time needed for adjustment when compared to conventional occlusal splints.

Conclusion: The meta-analysis revealed that the CAD/CAM occlusal splint has statistically potential in reduction of pain in jaw joint, face tension, and time needed for adjustment when compared to conventional occlusal splints.

Clinical Significance: CAD/CAM occlusal splint may be suggested as an alternative manufacturing modality for TMDs patients who can offer the cost of this treatment modality. This review should be interpreted with caution because of limited number of included studies. Well-designed RCTs should be conducted and the outcome measures evaluation should be standardized between studies to reach potent conclusion.

Keywords: Computer-aided design/computer-assisted manufacture, muscle activity, occlusal splint, patient’s satisfaction, systematic review, temporomandibular disorders

How to cite this article: Algabri RS, Alqutaibi AY, Abo-Alrejal H, Al Adashi O, Abdulrahman F, Elkhadem A, Keshk A, Maher E, Kaddah AF. Effect of computer-aided design/computerassisted manufacture versus conventional occlusal splints on the management of temporomandibular disorders: A systematic review and meta-analysis. Int Dent Med J Adv Res 2017;3:1-9.

Received 17 May 2017;

Accepted 25 Jun 2017

22.ORIGINAL ARTICLE
Effect of single impression technique versus split cast impression technique on speech outcome in maxillary obturators - A randomized clinical trial
Doaa M. Elkady, Cecile G. Michael, Ahmed E. Fayyad, Heba M. Farag, Hisham El Sebai
[Year:2017] [Month:January-December] [Volume:3 ] [Number:1] [Pages No:1–7] [No. of Hits: 1448]
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  • DOI : 10.15713/ins.idmjar.74

ABSTRACT

Background: The main problem in patients who undergone maxillectomy is the impairment of speech particularly those with hard and soft palatal resection. The defect of the soft palate results in velopharyngeal insufficiency.

Aim: This study was conducted to evaluate the effect of using single impression technique versus split cast impression technique for maxillary obturator construction on the speech outcome using spectrogram, nasometer, and patient satisfaction questionnaire.

Materials and Methods: Six patients with unilateral hard and soft palatal defects were selected and randomly distributed into two equal groups: For group I, the patients received first definitive skeleton obturator constructed according to the single impression technique and speech outcome, and patient satisfaction outcomes were recorded. The prosthesis was then taken off from the patient for another 1 week, the obturator bulb was modified with split cast impression technique, and the same records were reported. However, in the second group, the steps were reversed that is to say split cast impression technique started first then changed into single impression technique.

Results: A statistically significant increase in speech outcome and patient satisfaction outcomes was observed with the use of the definitive obturator constructed with the split cast impression technique as compared to the single impression technique.

Conclusion: The use of the split cast impression technique significantly improved the speech and patient satisfaction outcomes.

Clinical Significance: Split cast impression technique for maxillary obturator construction improved an intimate contact between the obturator bulb with the posterior and lateral pharyngeal walls, and hence, improved the speech and patient satisfaction outcomes.

Keywords: Hard and soft palatal defects, impression techniques, maxillary obturators, patient satisfaction and speech

How to cite this article: Elkady DM, Michael CG, Fayyad AE, Farag HM, El Sebai H. Effect of single impression technique versus split cast impression technique on speech outcome in maxillary obturators - A randomized clinical trial. Int Dent Med J Adv Res 2017;3:1-7.

Received: 23 August 2017;

Accepted: 28 September 2017

23.REVIEW ARTICLE
A review on saliva implication in caries development and consequences on primary canines and molars
Maria Haydar
[Year:2017] [Month:January-December] [Volume:3 ] [Number:1] [Pages No:1–6] [No. of Hits: 1619]
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  • DOI : 10.15713/ins.idmjar.77

ABSTRACT

Background: Caries are a multifactorial infectious disease in which many factors such as saliva, microbial flora, tooth morphology, general health condition, hormonal status, dietary habits, fluoride supply, and hygiene control are implicated. Salivary flow, acidity, and saliva composition are particularly the contributors in tooth decay both development and prevention. Consequences of dental caries can be dramatic not only on the patient’s well-being in the esthetic and functional aspects but also on the arch dimensions, a potential need for orthodontic intervention.

Aim: In this article, the etiology of caries is overviewed with a focus on the eff ects of saliva and its components in this process as well as salivary defence mechanisms for a bett er understanding of the role of saliva, and potentially the focus on preventive therapies in primary and mixed dentition children.

Conclusion: Saliva was found a major factor in decays formation and subsequently tooth loss, through its chemical components and physical properties.

Clinical Significance: Hygiene control and early caries removal combined with knowledge on saliva characteristics in children would help preventing the leeway space loss, thus decreasing the need for orthodontic treatment related to arch length discrepancy.

Keywords: Dental caries, leeway space, orthodontic treatment, primary dentition, saliva

How to cite this article: Haydar M. A review on saliva implication in caries development and consequences on primary canines and molars. Int Dent Med J Adv Res 2017;3:1-6.

Received: 30 August 17;

Accepted: 10 October 17

24.ORIGINAL ARTICLE
Evaluation of mini-implant-retained overdentures on the electromyographic activity and patients’ satisfaction in completely edentulous patients (randomized clinical trial)
Noha Aligamaleldin Abdelaal, Azza Farahat Metwally
[Year:2017] [Month:January-December] [Volume:3 ] [Number:1] [Pages No:1–4] [No. of Hits: 2130]
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  • DOI : 10.15713/ins.idmjar.79

ABSTRACT

Background: With the advance of the dental implants, the retention and stability of mandibular complete denture have been improved to a large extent. The implants could be placed interforaminally or in anterior and posterior ridge areas. The placements of the implant in the molar area increase denture support that reflects on improvement in patient mastication and muscles activity.

Aim: This study was conducted to evaluate the effect of the distribution of the mini-implants (MIs) on electromyographic (EMG) activity of masticatory muscles and overall patient satisfaction.

Materials and Methods: Ten completely edentulous male patients with severely resorbed mandibular ridge were enrolled in this study. Patients were randomly divided into two equal groups. Group (I and II) according to the MIs and distribution pattern. Group (I): Five patients had received four mini-dental implants in interforaminal area. Group (II): Five patients had received four mini-dental implants (two implants in the interforaminal area and two implants in the molar areas). All patients had received implant overdentures. Overdentures were connected to the MIs with O-ring attachments. For each patient, the EMG activity of masticatory muscles and a survey of therapeutic satisfaction before and after connection to the MIs was evaluated.

Results: The MI-retained overdentures of the Group II in which the implants placed in the interforaminal area and molar areas showed significant lower EMG values than Group I with soft and hard foods as well as clenching.

Conclusions: The distribution of MIs plays a role in the muscle activity, and the placement of implants in the molar area improves the muscle activity and patient satisfaction.

Clinical Significance: The placement of MIs to retain mandibular complete denture improves muscles activity and patient satisfaction, particularly, if placed in both anterior and molars areas.

Keywords: Mini-implant, muscle activity, overdenture, patient satisfaction

How to cite this article: Abdelaal NA, Metwally AF. Evaluation of mini-implant-retained overdentures on the electromyographic activity and patients’ satisfaction in completely edentulous patients (randomized clinical trial). Int Dent Med J Adv Res 2017;3:1-4.

Received: 17 September 2017;

Accepted : 08 November 2017

25.ORIGINAL ARTICLE
Efficiency of mepivacaine 2% versus lignocaine 2% in the extraction of impacted third molars: Randomized, clinical trial
Zameer Pasha, Zuber Ahmed Naqvi, Saleem Shaikh
[Year:2017] [Month:January-December] [Volume:3 ] [Number:1] [Pages No:1–4] [No. of Hits: 2185]
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  • Abstract
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  • DOI : 10.15713/ins.idmjar.80

ABSTRACT

Background: Most commonly performed the minor oral surgical procedure is removal of a lower third molar. And to ease this procedure many local anesthetics are available, and the commonly used local anesthetics are lignocaine with adrenaline, but recently mepivacaine with levonordefrin is used as it is longer acting than lignocaine with the same concentration. However, very less clinical studies have been conducted to compare these two to know the efficacy and depth or anesthesia.

Aim: Purpose of the study is to compare the efficiency of mepivacaine 2% with levonordefrin versus lignocaine 2% with adrenalin in the extraction of bilaterally impacted third molars: A single.blind, clinical trial.

Materials and Methods: In the study, 128 patients were selected with all types of mandibular third molar impactions. Inferior alveolar nerve block is given with mepivacaine 2% with levonordefrin or lignocaine 2% with adrenalin surgical procedure was started 5 min after anesthesia is achieved .

Result: The mean onset of anesthesia in mepivacaine group is 4.38 and in lignocaine group is 4.86. Moreover, mean duration of anesthesia in Group A 170.31 min and 168.72 min in Group B. There is statistically significant difference in the depth of anesthesia in-Group A and Group B intraoperatively, in-Group A 28 (43.7%) patient experienced pain during a procedure on visual analog scale, whereas in-Group B 9 (14.06%).

Conclusion: In our study mepivacaine with levonordefrin has inferior performance in relation to lignocaine with adrenaline in terms of depth of anesthesia.

Clinical Significance: Literature says mepivacaine with levonordefrin is better than lignocaine with adrenaline in duration of action and in depth of anesthesia, but clinically we found there is no statistically difference in duration and in depth of anesthesia, we found lignocaine with adrenaline is better.

Keywords: Anesthesia, impaction, lignocaine, mepivacaine, minor oral surgical procedures, nerve block, visual analog scale

How to cite this article: Pasha Z, Naqvi ZA, Shaikh S. Efficiency of mepivacaine 2% versus lignocaine 2% in the extraction of impacted third molars: Randomized, clinical trial. Int Dent Med J Adv Res 2017;3:1-4.

Received: 17 November 2017;

Accepted: 28 December 2017