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  Most popular articles (Since November 15, 2016)

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The key to the management of pier abutment: An alternative approach
Ansu Kuruvila, Suja Joseph, Namratha L Jayalekshmi, Sujith K Menon
May-June 2017, 9(3):136-139
Pier abutment poses a challenge to prosthodontist. Rigid connectors are less than ideal treatment in case of these abutments. Nonrigid connectors have been recommended to reduce the forces as they provide a stress-breaking effect. This case report presents an alternative approach to the management of pier abutment. A 46-year-old female patient with missing teeth involving a pier abutment was rehabilitated with a fixed dental prosthesis with key-keyway connectors. An alternative method of orientation of the connector was used to benefit the patient.
  5,250 464 -
Early orthodontic interception of anterior crossbite in mixed dentition
MM Sunil, MA Zareena, MS Ratheesh, G Anjana
March-April 2017, 9(2):88-90
Single tooth anterior crossbite is commonly seen in the early mixed dentition period. Once identified, the treatment should ideally involve any method which is simple, noninvasive, involves little chair side time, requires minimal patient cooperation, and gives rapid correction of the crossbite without affecting the surrounding structures. In young children, compliance with a removable appliance can often be an issue. Here, we present a fixed appliance for the correction of single tooth anterior crossbite in mixed dentition using a simple appliance.
  3,943 512 1
Review of microleakage evaluation tools
AlHanouf Abdullah AlHabdan
July-August 2017, 9(4):141-145
The advancement of restorative materials and techniques continues to enhance the clinical success of numerous restorative procedures. Despite these new innovations, microleakage persists as one of the main causes of restoration failure. Microleakage tests provide useful information on the performance of restorative materials, and different techniques for assessing microleakage have been developed and used. These tests include the use of dyes, radioactive isotopes, air pressure, bacteria, neutron activation analysis, and artificial caries. However, little has been done to determine the cause, mechanism, and nature of microleakage. Therefore, this review outlines and discusses the currently available microleakage assessment tools.
  3,314 569 -
Prophylactic antibiotics after extraction: Needed or not needed?
M Deepa, Deepthi Mony, Tusha Ratra
November-December 2017, 9(6):265-268
Aim: Our study aimed to evaluate the need to prescribe antibiotics before every extraction even in healthy individuals. Materials and Methods: A prospective, randomized clinical trial was done on 483 patients who were indicated for undergoing extraction under local anesthesia. The patients were evaluated for signs of infection that included pain, edema, fever, pus discharge, erythema, and decreased interincisal opening. They were evaluated on the 1st, 3rd, and 7th postoperative day for the same. The patient was considered to have an active infection if they showed pain and any other two signs of infections. Statistical Analysis: Descriptive and inferential statistical analysis has been carried out in the present study. Results: Out of the 483 patients evaluated two patients had pain and showed slight edema and erythema. These patients were considered as having an active infection and were prescribed therapeutic antibiotics. Conclusion: In our study, 0.4% showed signs of active infection after undergoing extraction without prophylactic antibiotics. Further studies have to be undertaken to create definitive guidelines for prescribing antibiotics after extraction.
  3,563 134 -
GERT index: A modified tooth mobility and treatment index
Lakshmi Puzhankara
January-February 2018, 10(1):4-9
Aim: Tooth mobility has always been a monumental factor in determining the prognosis of a tooth. There are no indices that link the etiology, grade of mobility, and radiographic appearance with treatment options for mobile teeth. This particular article aims to overcome the oversight and bring in a scoring system that incorporates all the above mentioned components. Materials and Methods: Previously existing index for tooth mobility has been modified (G Score) to make it more defined numerically and clinically, and it has been combined with indices for etiology (E Score) of tooth mobility and radiographic appearance (R Score) of mobile teeth. The Grading Etiology Radiographic appearance (GER) scores have then been allied with a combination of treatment methods (T Score) to get the Grading Etiology Radiographic appearance Treatment (GERT) index. Results: The index that results from this combination is one that encompasses the factors that determine the prognosis and treatment aspects of a mobile tooth. The index given in this article takes into consideration the components that contribute to the diagnosis of the etiology of tooth mobility such the clinical presentation and the radiographic appearance. The grade of mobility has been modified to allow for precise numerical assessment of mobility. Thus, the treatment plan proposed considers the basic cause for the mobility and the comprehensive treatment modality for the same. Conclusion: Although the index appears elaborate, once mastered, it would pave the way for a thorough treatment planning for mobile teeth and efficient execution of the treatment plan.
  3,147 282 -
Management of discolored endodontically treated tooth using sodium perborate
Thamer Almohareb
May-June 2017, 9(3):133-135
The aim of this report is to depict the successful management of a discolored central incisor subsequent to endodontic treatment and its follow-up for 1 year. Improper bleaching techniques can lead to cervical resorption and eventual loss of teeth. Management of the discolored endodontically treated tooth can be performed using sodium perborate (SP). A 22-year-old female who had undergone endodontic treatment of the central incisor reported with discolored maxillary central incisor tooth. The case was managed with “walking bleach technique” using SP and water. The case was followed up for 1 year and there was no relapse. Proper selection of bleaching agent and technique had resulted in the conservative and successful management of the case. Appropriate bleaching technique should be selected to manage discolored teeth.
  2,840 253 -
Knowledge and practice of rotary instrumentation in primary teeth among indian dentists: A questionnaire survey
Lavanya Govindaraju, Ganesh Jeevanandan, EMG Subramanian
March-April 2017, 9(2):45-48
Introduction: Use of rotary instrumentation for pulpectomy is a recent emerging concept in the field of pedodontics. The objective of this study was to evaluate the knowledge and practice of NiTi rotary instruments' usage in primary teeth by the Indian dentists. Materials and Methods: A self-administrated questionnaire was prepared and pretested and was given to the private practitioners. A total of 100 completed questionnaires were obtained. The data were entered and analyzed for frequency and percentages using Statistical Package for the Social Sciences (SPSS) software version 17. Results: In the present study, about 50% of the practitioners used rotary instrumentation of root canals in primary teeth, of which majority were postgraduates. ProTaper was the commonly used rotary system in primary teeth. The practitioners felt both taper and length of the existing rotary file to be the limitation for its use in primary teeth. Conclusion: From the present study, it is concluded that there is a need for comprehensive education programs to be conducted to increase the awareness and use of rotary files for pulpectomy in primary teeth. In addition, there is a need for an exclusive pediatric rotary system for convenience in using it in children.
  2,659 392 1
Comparative evaluation of effect of smoking on survival of dental implant
Arpana Arora, Madhan Mohan Reddy, Swapnil Mhatre, Aashima Bajaj, PV Gopinath, Prasad Arvind
January 2017, 9(1):24-27
Aims and Objectives: Osseointegrated implants are used in replacement of missing teeth. Survival rate of implant depends on many factors including oral hygiene, implant material used, bone quality, and personal oral habit such as smoking. The present retrospective research was conducted to assess the effect of smoking on survival of dental implant. Materials and Methods: The study participants were selected from all the patients who underwent for dental implant in implant center from 2005 to 2015. For each patient, various information regarding implant characteristics and smoking habits were recorded. The readings were statistically evaluated by SPSS statistical software by IBM version 21 and using Chi-square test at P ≤ 0.01. Results: In our study, the age range of patients was between 30 and 54 years. There were 2142 (57.2%) male and 1579 (42.4%) female participants, in that 72.2% were nonsmokers and 27.7% were smokers. Implant placed more in mandible (2312, 62%) than in maxillary region (1409, 37.8%). From 3721 patients, 3600 were successful and 121 failures. Success of implant was considerably more in nonsmokers than smokers. Implant failure rate was more in smokers with increased frequency and duration of cigarette smoking habit, but it was statistically not significant. In the present study, we have observed 0.049% mobility in smokers compared to 0.007% in nonsmokers. Conclusion: The present study showed that higher risk of implant failure was associated with long term and increased frequency of smoking due to bone resorption.
  2,656 166 1
Effects of green tea on periodontal health: A prospective clinical study
Swati Sharma, Lipsa Bhuyan, Sujatha Ramachandra, Smriti Sharma, Kailash Chandra Dash, Kanika Singh Dhull
March-April 2017, 9(2):39-44
Background: An increasing number of people all around the world are turning to the nature by using the natural herbal products in both prophylaxis and treatment of different diseases. Green tea with active chemical ingredients possesses diverse pharmacological properties that include anti-inflammatory, anticariogenic, antioxidant, and antibacterial effects. The aim of this study is to assess the protective properties of green tea on periodontal health and also to know whether any side effect of green tea prevails in terms of staining of teeth. Materials and Methods: This is a prospective randomized clinical intervention study. Three dependent variables: probing depth (PD), clinical attachment loss (CAL), and bleeding on probing (BOP) were measured to reflect periodontal diseases. Results: The three dependent variables, namely, PD, CAL, and BOP showed statistically significant reductions following introduction of green tea as a conjunct oral hygiene measure in study group as compared to control group. Conclusion: Green tea has shown the antioxidant, antimicrobial, and anticollagenase activities on periodontal health.
  2,447 239 -
Prevalence of temporomandibular dysfunction in edentulous patients of Saudi Arabia
Bader K AlZarea
January 2017, 9(1):1-5
Aim: This study aimed to determine the prevalence of various temporomandibular joint dysfunction (TMD) signs in healthy asymptomatic edentulous individuals and denture wearers. Materials and Methods: Four hundred completely edentulous individuals in the age group of 45–75 years, who did not complain of any TMD and were denture bearers with varied denture-wearing span, were examined for the existence of TMD signs and symptoms. Statistical analyses were carried out with Chi-square test. Statistical significance was set at P < 0.05. Results: The total prevalence of TMD in the group was 60.5% (58.75% in males and 63.12% in females). It has been observed that more number of females (63.21%) reported signs of TMD and majority of them (23.25%) reported with two signs of TMD. The most common finding was limitation on mouth opening and the least common finding was joint sounds (crepitus and clicking). The occurrence of findings was not statistically related to edentulous span. Conclusion: The present study showed a high prevalence of signs of TMD in healthy asymptomatic completely edentulous individuals. However, the gender difference was not statistically significant.
  2,261 228 -
Management of infraorbital rim and orbital floor fractures: A comparison of subciliary and infraorbital approaches
Mohammed Ahtesam Aleem, Fazil Arshad Nasyam, KR Parameshwar Reddy, Tanveer Karpe, Tejpal Singh, Achunala Bhavani Shailaja
March-April 2017, 9(2):65-70
Background: Selection of approach to treat orbital fractures involves multiple factors such as visibility and esthetics. Aims and Objectives: The aim of this study is to compare subciliary and infraorbital incisions for orbital floor and infraorbital rim fractures. Materials and Methods: We carried our study in twenty patients, who reported to the department of oral and maxillofacial surgery with orbital floor and infraorbital rim fractures. The patients were divided into two groups (Group A - subciliary incision and Group B - infraorbital incision), with ten patients in each group. We compared infraorbital and subciliary incisions to approach the infraorbital rim and orbital floor in orbital fractures using criteria such as exposure time, esthetics, and complications. Results: All the analysis was done using SPSS version 14.P < 0.05 was considered statistically significant. We found that infraorbital incision took shortest time for exposing fractured site, caused more edema after 1 month of procedure, and lead to more visible scarring when compared to subciliary incision. Conclusion: We recommend subciliary incision to approach the infraorbital rim and orbital floor fractures.
  2,335 131 1
Knowledge, attitude, perception toward radiation hazards and protection among dental undergraduate students: A study
Rahul Srivastava, Bhuvan Jyoti, Prakash Jha, Ashutosh Shukla
March-April 2017, 9(2):81-87
Aims and Objectives: To evaluate the knowledge, attitude, and perception (KAP) of dental students toward ionizing radiation, biological hazards, and appropriate radiographic protection methods. To assess the need for improving the knowledge/awareness toward radiation hazards and protection methods among the dental students and interns. Materials and Methods: A cross-sectional questionnaire study was conducted. A total of 174 dental students who had completed their 30 days posting in Department of Oral Medicine and Radiology were inducted for the study. All the students were subjected to structured 17 response questionnaire with multiple choices. Data collected were subjected to statistical analysis using the SPSS software package version 17. Pearson Chi-square test was done to evaluate the statistical significance. Results: The present study revealed 54.22% correct response from 3rd year followed by 57.78% from final years and 61.64% from interns. The overall correct response was 57.57%. Conclusion: The results from the present study revealed that the KAP level in regard to the biological hazardous effects of X-ray and protection was low to average among dental students. It is recommended that the syllabus of dental radiology should be expanded to provide clinical knowledge regarding radiation hazards and protection, so that students are well grounded with the principles of dental radiography.
  2,118 211 -
Carbon monoxide breath analyzers and its role in tobacco cessation: A narrative review of literature
Ramprasad Vasthare, Santhosh Kumar, Lim Yan Ran Arron
March-April 2018, 10(2):71-76
This literature review was done to estimate the uses and effectiveness of carbon monoxide (CO) breath analyzers in identifying smokers and evaluating the role it can play in tobacco cessation programs. A web-based research on PubMed and Scopus from date of inception till 2016 was done for collecting data for the review. Our inquiry was limited to relevant articles with specific keywords. During the web search title and abstracts, 118 articles were screened for content and quality and 66 articles were selected to get an update on the desired information. As on date, there is enough evidence to prove the reasonably high sensitivity and specificity of CO analyzers in distinguishing smokers and nonsmokers. It also correlates well with smoking status. Its primary application is in validating smoking abstinence and as a motivational tool in smoking cessation programs. Due to its advantages over other biochemical assays, it is used in screening large population, in developing countries and in research. It can also detect pregnant women who are smokers and victims of passive tobacco exposure. However, it does possess limitations which have to be taken into account when using it. It can be concluded that CO analyzers are proven to have great potential and can be used as an adjunct in achieving the goal of combating tobacco addiction. It is cheap, noninvasive, gives immediate results, easy to use, and it can be self-administered by individuals. It should henceforth be considered as an invaluable tool for tobacco cessation programs.
  2,081 138 2
Clinical correction of class III facial profile in a 15-year-old girl having anterior open bite and lower incisor twinning using reverse pull headgear and fixed orthodontic treatment
Mathew Tharakan, LK Surej Kumar, G Harikrishnan, Shajil C Enara
March-April 2017, 9(2):91-96
Use of reverse pull headgear (RPHG) is well advocated and is widely used all over for the early correction of developing Class III malocclusions, mainly in early and late mixed dentition period. Seldom are any articles found, on the use of RPHG in postpubertal girls with Class III facial profiles and anterior open bite. Twinning of teeth usually results from abnormalities in the development of the tooth. Clinically, such a tooth hampers esthetics and the available arch length, which necessitates multidisciplinary intervention. This article reports the successful correction of a 15-year-old girl with Class III profile, anterior open bite and lower incisor twinning.
  2,057 92 -
Systematic review and meta-analysis of the prevalence of molar-incisor hypomineralization
Kalyana Chakravarthy Pentapati, Sravan Kumar Yeturu, Hanan Siddiq
November-December 2017, 9(6):243-250
Aims: This systematic review and meta-analysis aimed to evaluate the pooled prevalence of molar-incisor hypomineralization (MIH) among children. Methods: Three databases (PubMed, Scopus, and CINAHL) were searched till January 1, 2017, for the prevalence of MIH among children. The heterogeneity of the publications was evaluated using I2 statistics. Two trained reviewers conducted risk of bias assessment with nine item checklist for prevalence studies. Results: Analysis of the included publications revealed a pooled prevalence of 11.24 (confidence interval = 9.23–13.45) with the use of quality effects model. Heterogeneity among the included publications was high. The risk of bias assessment showed that majority of them were in the low-risk category. Conclusions: MIH is a common problem and one in 10 children could be affected by MIH.
  1,762 270 -
A comparative evaluation of the internal adaptation of various lining materials to dentin under light cure composite restorations: A scanning electron microscope study
Nishin K John, KV Manoj, Bobby Joseph, Aby Kuruvilla, Noushin Faizal, Binila S Babu
January 2017, 9(1):6-11
Aims and Objectives: To examine adaptation of lining materials to dentin and resin under scanning electron microscope in Class V restorations. Materials and Methods: Seventy-five caries-free extracted maxillary and mandibular molars were selected, and Class V restoration cavities prepared. The cavities were filled with Dycal as liner, resin-modified glass ionomer (Vitrebond [VT]) as base and restored with composite in different combinations. The statistical software SPSS version 11.0 and Systat 8.0 were used for the analysis of the data. Results: Microgaps were seen when Dycal and VT were used as liners and bases under composite resin restorations. Conclusion: Hybridization of dentin significantly reduced microgaps, especially after adhesive was applied.
  1,901 121 -
Epidemiology and incidence of traumatic head injury associated with maxillofacial fractures: A global perspective
Maher M Abosadegh, Shaifulizan A. B. Rahman
March-April 2018, 10(2):63-70
Traumatic head injuries (THIs) associated with maxillofacial fractures (MFFs) are large public health concern worldwide, especially among adult-aged males. The MF injuries accompanied with THI involve serious esthetic and functional problems that lead to various consequential complications; therefore, early detection of associated THI in patients with MFF is the urgent need for initial assessment and treatment planning because it can reduce morbidity and mortality and enhance the outcome of treatment in those patients. The present review provides current updates for THI associated with MFF among different countries considering the prevalence, age, sex, etiology, and types of MFF in patients with THI throughout the world. The young adult males in the age group of 20–39 years were the most sustained THI associated with MFF. Road traffic accident (RTA) was the most common etiology of injury followed by assault, fall, and the other causes represent very low percentages. The types of MFF (orbital, zygoma, maxilla, and mandible) were associated with THI in MFF patients. Within the limits of the reviewed THI associated with MFF literature, it was concluded that civilization, culture, adult age group, male gender, RTA, and assault were the major factors that determine the trends of THI-related MFF. In this study, we recommend improving public awareness by applying road traffic regulations, encouraging the rules for compulsory use of seat belts and helmet, avoiding risky driving, and enhancing road quality.
  1,818 175 1
Assessment of pain, swelling and trismus following impacted third molar surgery using injection dexamethasone submucosally: A prospective, randomized, crossover clinical study
Kamran Bokhari Syed, Falah Hassan Khuzayyim AlQahtani, Abdul Hakeem Ayed Mohammad, Ismail Mohammad Abdullah, Hussain Saad Hussain Qahtani, Mohammad Shahul Hameed
May-June 2017, 9(3):116-121
Background: Corticosteroids are known to reduce inflammation, fluid transudation, and edema. Secreted from the adrenal glands, these compounds have a significant role in maintaining metabolism. One of the essential roles played by steroids is their anti-inflammatory role. Aims and Objectives: This prospective, randomized, crossover, clinical study was conducted with the following aims and objectives: (a) to assess pain, swelling and trismus in patients undergoing surgical removal of impacted third molars, (b) to compare the pain, swelling and mouth opening with injection of submucosal dexamethasone 4 mg administered preoperatively, and (c) to compare the results with similar studies conducted elsewhere. Materials and Methods: The study sample involves 20 patients (40 impacted teeth-split arch) with the following inclusion criteria: Patient's reporting for surgical removal of symptomatic impacted mandibular third molars aged between 18 and 45, impacted mandibular third molar with similar anatomical position, and similar surgical difficulty (Pell-Gregory classification was followed), no allergies to medicines prescribed in the postoperative period, patients who are nonsmokers, nonalcoholics and without any systemic diseases, and not systemically compromised or not under long-term steroid therapy. Syndromic patients, patients with periapical pathologies were excluded from the study. Results: The results of the present study suggest that there is a significant reduction of pain, swelling and improvement in mouth opening following submucosal injection of dexamethasone at the end of the 1st postoperative day and the results are statistically significant. Conclusion: (a) Corticosteroids decrease pain, edema and swelling by exerting their anti-inflammatory role, (b) there is statistically significant difference in reduction of pain, swelling and improvement of mouth opening at the end of 1st postoperative day, (c) submucosal injection of dexamethasone is less traumatic, less painful and is effective in limiting postoperative discomfort to the patient, and (d) a similar prospective study is suggested comparing the efficacy of intravenous dexamethasone versus submucosal administration of dexamethasone.
  1,731 232 -
In vitro analysis and comparison on depth of cure in newer bulk fill composite resin with conventional micro- and nano-hybrid composite resin using two different light sources quartz-tungsten-halogen and light emitting diode with three varying intensities
Kamatchi Subramani Savadamoorthi, Swathi Priyadharshini, Anand Sherwood, Kandasamy Paulraj Jesudoss, Vasanthan Vignesh Kumar, Ananthi Christopher
January 2017, 9(1):12-15
Aims: The current in vitro analysis evaluated the depth of cure in newer bulk fill composite resin which compared the traditionally used hybrid and microfill composite resin which used two different light sources quartz-tungsten-halogen (QTH) and light emitting diode (LED) unit with three varying intensities in conventional standard curing mode for 20 s. Materials and Methods: Three composite resins were selected for this study, namely, bulk fill (Smart Dentin Replacement, Dentsply), hybrid (Tetric N – Ceram, Ivoclar), and microfill (Te-Econom Plus, Ivoclar) with four different thickness 2, 4, 6, and 10 cured with varying intensities (625, 850, and 1025 mW/cm2) using two different light sources QTH (QHL 75, Dentsply) and LED (Ledition, Ivoclar and Valo, Ultradent). The depth of cure was determined using a scraping method based on ISO 4049:2000. Statistical Analysis Used: Data were analyzed using Kolmogorov–Smirnov test, Kruskal–Wallis test is applied followed by Bonferroni-corrected Mann–Whitney test. Results: Best depth of cure results were obtained with a bulk fill composite resin cured under 1025 mW/cm2 intensity using LED. Bulk fill showed the highest curing depth results in all varied intensities. Conclusions: Bulk fill composite resin was found to be more successful than hybrid and microfill composite resin with respect to the depth of cure.
  1,727 178 1
Incidence, clinical presentation, and demographic factors associated with oral cancer patients in the southern region of Saudi Arabia: A 10-year retrospective study
Abdulrahman Hesham, Kamran Bokhari Syed, Basem T Jamal, Ali Mosfer Ali Alqahtani, AlHassan Ahmed Ali Alfaqih, Hassan Amer Ali Alshehry, Mohammad Shahul Hameed, Abdel Bagi Mustafa
May-June 2017, 9(3):105-109
Background: This is a retrospective study design to assess the incidence of oral cancer in the southern region of Saudi Arabia. The study involves three tertiary care centers primarily involved in oral cancer care. Incidence, type, distribution of oral cancer among age group, gender, region, and site are assessed. Materials and Methods: A self-designed questionnaire assessed the incidence of oral cancer over 10 years among patients visiting tertiary care centers in Southern Saudi Arabia. A total of 2850 files were screened. Demographic data included gender, age group, and the region from where the patient represented. The clinical presentation of the lesion, site, bilateral involvement, and histopathological variant was included in the study. Data are presented as frequency tables and percentages. Results: A total of 94 patients presented with oral cancer. The incidence of oral cancer in Southern Saudi Arabia is 3.29%; 44 (46.8%) were female and rest 50 were male (53.2%). Patients from 8 regions of Southern Saudi Arabia presented with oral cancer. Of the 8 regions, patients from Abha had the highest incidence of oral cancer (20.2%). Clinical presentation varied from the ulcer (59.3%), swelling (19%), ulcer and swelling (12%), and swelling of the neck along with ulcer in primary site (9.6%) in descending order. 37.2% of the patients presented with a lesion in the tongue making it the highest prone site. 91.5% of the patients were diagnosed as squamous cell carcinoma followed by 5.3% as verrucous carcinoma and 3.5% as sarcoma. The mean follow was 5.3 years. Conclusion: The incidence of oral cancer in Southern Saudi Arabia is 3.29% over 10 years. This is significantly low when compared to similar studies conducted elsewhere. The lower incidence might be attributed to the absence of habits such as betel chewing, pan masala, and gutkha habits normally seen in India and regions around. The presentation of oral cancer is similar to other regions of the world. Surprisingly, females have an almost similar rate of incidence as males though slightly less. This makes it mandatory to assess the habits such as smoking among females more thoroughly. Tongue remains to be the site with the highest incidence which correlates with similar findings in other regions of the world.
  1,690 143 -
Translation of english version of oral health impact profile-14 into Gujarati
Santosh Kumar Goje, Jay Patel, Pulkit Kalyan, Narayan Kulkarni, Romil Shah, Bhumi Modi
January 2017, 9(1):16-19
Introduction: Any quality of life (QoL) assessment tool needs to be validated in the language of the participants to whom it is administered. Several language versions of oral health impact profile-14 (OHIP-14) already exist, for example, in German, Swedish, Hebrew, Chinese, Hindi, and Scottish. The present study has tried to establish a Gujarati version of OHIP-14. This Gujarati version of OHIP-14 would be useful to assess the impact of oral health on QoL of dental patients, who understand Gujarati. Aim: This study aimed to translate and validate the Gujarati version of OHIP-14. Materials and Methods: The original English version of the OHIP-14 was translated using the World Health Organization method (forward-backward translation technique), and then 109 participants were given English as well as Gujarati versions of OHIP-14 questionnaire. Filled questionnaires were collected from the participants and subjected to statistical analysis. Results: All the 14 questions showed no statistically significant difference between the English version of OHIP-14 and the translated Gujarati version of OHIP-14. Results of unpaired t-test (P = 0.103) were not statistically significant. Pearson's correlation coefficient test was 0.990, suggesting that the translated Gujarati version is highly correlated with the original English version. Conclusions: The translated Gujarati version of OHIP-14 is a precise, valid, and reliable instrument for assessing oral health-related QoL among Gujarati population.
  1,601 119 1
Effect of four mouth rinses on microhardness of esthetic restorative material: An In vitro study
Rosamma George, G Kavyashree
March-April 2017, 9(2):55-59
Aims and Objectives: This in vitro study is designed to evaluate the effect of four mouth rinses on the microhardness of esthetic restorative material. Materials and Methods: Forty specimens of resin composite (Filtek™ P60) material (3M ESPE St. Paul, MN, USA) with 3 mm diameter and 3 mm height were prepared using a plastic mold. The baseline microhardness values of the specimens were recorded using Vickers microhardness tester. The specimens were randomly allocated into four groups, each containing ten specimens as follows - Group I Listerine® (Johnson & Johnson), Group II Colgate Plax®, Group III Freshclor® (Group Pharmaceuticals), and Group IV AloeDent® (Optima, Bradford-Italy). The pH of all mouth rinses was recorded. Then, the specimens were immersed in 20 ml of respective mouth rinses and kept in an incubator at 37°C for 24 h. The change in the microhardness values of the specimens was recorded. The obtained result was subjected to statistical analysis using Wilcoxon signed rank, Kruskal–Wallis, and Mann–Whitney U-tests. SPSS software version 16 and Microsoft Excel version 7 were also used. The level of significance was set at P= 0.05. Results: There was reduction in the microhardness of all the specimens irrespective of the mouthwashes. Group I (Listerine®) showed significant reduction in the microhardness compared to Group II (Colgate Plax®), Group III (Freshclor®), and Group IV (AloeDent®), whereas there was no statistically significant difference between Group III and Group IV. Conclusion: All the mouth rinses showed reduction in surface hardness of the esthetic restorative material. High reduction of surface hardness was shown in Listerine® mouth rinse. There was no statistically significant difference between Freshclor® and AloeDent® mouth rinses.
  1,557 152 -
To evaluate and compare postcementation sensitivity under Class II composite inlays with three different luting cements: An In vivo study
Pankaj Prasad, Ankit Gaur, Vikas Kumar, Mohit Chauhan
July-August 2017, 9(4):165-173
Aim: The purpose of this study is to evaluate and compare postcementation sensitivity under Class II composite inlay with three different luting cements. Materials and Methods: A comparative prospective study was carried out in 45 patients age ranged from 18 to 28 years for 2 years, who fulfilled the criteria. Clinically and radiographically, presence of mild initial dental caries on proximal surface of maxillary and mandibular first molar. Tooth preparation for composite inlay was performed and composite inlay restorations were made by indirect technique. Three different luting cements were used for cementation of composite inlay. Cold water test, compressed air test, and biting pressure test were used to measure the tooth sensitivity in this study. Results: As per the findings of this study, there was no significant difference between all the three groups immediately after cementation. We noted a significant difference between Group I and Group III and Group I and Group II and Group II and Group III after 1 and 6 months. Conclusions: Based on the results of this study, we concluded that restorations cemented with self-adhesive resin cements showed least postoperative sensitivity followed by Resin-modified glass ionomer cement (GIC) and GIC has the highest sensitivity at all intervals of time evaluated using different tests.
  1,554 133 -
An In vivo study to compare the difference in speech sounds observed with conventional and customized palatal contour dentures
Takvani Rimmy, D Krishna Prasad, Aakash Takvani
March-April 2017, 9(2):49-54
Aims: The aim of this study is to compare the difference in speech sounds of different phonemes at different syllable positioning observed with conventional and customized palatal contoured dentures. Materials and Methods: A case–control and single-blinded study was conducted on thirty completely edentulous subjects with no previous denture experience. Digital recordings of all subjects were made without denture which served as control, with conventional denture (denture I) and with customized palatal contour denture (denture II) in a sound treated room. The recordings were then compared for phonemes “ch,” “j,” “sh,” “s,” “t,” “d,” “n,” and “l” at initial and middle positions. The permission for conducting the study was taken from the ethical committee. For comparison of both the types of dentures, Chi-square test and for finding inter-examiner reliability, Cronbach's alpha was used. Results and Conclusions: The results showed that there is a difference between the pronunciation of different phonemes at different positions. Customized palatal contour dentures are better for enunciation of middle “ch,” initial “j,” middle “sh,” initial “s,” middle “t,” initial “d,” middle “n,” and initial “l” phonemes and the results were statistically significant. Conventional dentures are better for enunciation of middle “j,” initial “sh,” middle “s,” and initial “t” phonemes and the results were statistically significant. It can be concluded customized dentures prove to be better when compared to conventional dentures. There lies a difference in pronunciation of the same phoneme when it occupies different syllable positioning. It can also be concluded that during any dental evaluation concerning phonetics, a series of words with the same phoneme at different positions should be used for assessment instead of a single word.
  1,489 150 -
Knowledge of antibiotics among dentists in Saudi Arabia
Noriya Mohammed Al Khuzaei, Mansour K Assery, Tahani Al Rahbeni, Mohammed Al Mansoori
March-April 2017, 9(2):71-80
Aims and Objectives: The aim of this study is to assess the pattern and knowledge of the use of antibiotics by dentists in Saudi Arabia. Furthermore, over the last decades, antibiotic resistance has become a global problem which can affect morbidity and mortality. Materials and Methods: A simple questionnaire was distributed to dental practitioners over Saudi Arabia between August and October 2015. It included questions about sociodemographic characteristics, professional profile, and antibiotic prescription in dental practice. A total of 228 dentists responded to this questionnaire, and the responses (86%) showed medium level of knowledge. The data were analyzed using Statistical Package for Social Science version 22. Results: The majority (92.5%) of respondents used penicillin as the first line in case of local infection. About 65.4% believed that completion of the antibiotics course is necessary for its effectiveness in some cases only. In addition, for patients allergic to penicillin, azithromycin was the most common antibiotic prescribed by respondents (63.2%); furthermore, the antibiotic preferred for acute periapical infections; the results showed the high percentage choose amoxicillin (77.2%), and for acute ulcerative gingivitis, the respondents prescribed metronidazole (44.7%). In addition, 44.7% of respondent's chose amoxicillin as preferred therapy for cellulitis. Furthermore, there was no statistically significant difference in the knowledge level by gender (P = 0.240). Furthermore, the level of knowledge among dentists regarding the antibiotics and place of the study showed no statistically significant relationship between government and private dental schools (P = 0.740). Furthermore, there was no statistically significant difference in the level of knowledge amid respondents who had attending antibiotic courses undergraduate and postgraduate (P = 0.325). Conclusion: Based on our findings, it was concluded that most dentists had medium knowledge in prescribing antibiotic therapy for dental infection. This study confirmed the need to further extend education of dental doctors is an important part for patient and society awareness, which will lead to a reduction in antibiotic resistance, and enhancement of the level of the dental care services by delivering high standard quality, effective and efficient health care.
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