Aesthetic Concern Research Articles

Paradigms in periorbital scar management

Periocular scarring following surgery or trauma is of great aesthetic and functional concern and is difficult to predict. In today’s era, with increasing scientific knowledge and technological advances, both physicians and their patients are highly concerned with minimizing scar appearance as a rising number of patients feel disappointed with their scars and are frequently seeking help for functional and aesthetic improvement. Although various non-surgical and surgical treatment strategies are available it is still difficult to improve excessive scarring. Thus, the importance of thorough knowledge of eyelid anatomy and heal­ing mechanisms along with appreciation of wound closure techniques like placing the sutures at natural cosmetic subunit junctions and along relaxed skin tension lines (RSTLs) in order to achieve scar camouflage and to ensure decreased tension on the wound cannot be more emphasised. Periorbital area should be tackled by the oculoplasty surgeons in view of their distinct anatomy and close proximity to the eye.Scars are commonly treated with a combination of non-surgical techniques, including watchful waiting, scar massage, pressure therapy, silicone gel sheeting, topical or intralesional injections, cryotherapy, laser therapy or radiotherapy. Surgical approaches include pincushioning debulking, direct scar excision, broken line closure techniques, scar lengthening procedures (Z plasty, V-Y/Y-V advancement) and scar excision with lid reconstruction. Mastery of this content is essential for consistent operative success. For good cosmetic and functional outcomes, scar revision techniques should be thoughtfully tailored to the individual and scar subtype.

Validation of a New Questionnaire for Assessing the Psychosocial Impact of Gingival Aesthetics (PIGAQ).

While the importance of gingival aesthetics is increasingly recognized, a questionnaire quantifying its psychosocial impact is still lacking. We have adapted the validated Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) for the gingival context. This study's aim was to develop a new Psychosocial Impact of Gingival Aesthetics Questionnaire (PIGAQ) and test its validity for the general population in Spain, exploring the underlying dimensions of the construct assessed. The PIDAQ was adapted to address gingival aesthetics. PIGAQ (23 items) was completed by 200 patients aged from 18 to 85 years, and socio-demographic variables were recorded. The four-dimensional structure of the PIDAQ was respected, adapting the subscales to focus on the gingiva. Descriptive analysis, assessments of reliability and validity and an exploratory factor analysis were performed. The revised PIGAQ (now containing 20 items) has a Cronbach's alpha coefficient of 0.88 with four underlying factors explaining 61.5% of the total variance. Three items (SI-1, PI-2 and PI-5) were eliminated because of unacceptable fit indices. The Cronbach's alpha coefficients for the subscales are as follows: Gingival Self-Confidence, 0.85; Social Impact, 0.84; Psychological Impact, 0.79; and Aesthetic Concern, 0.76. PIGAQ is a reliable and potentially valid instrument for assessing psychosocial perceptions of gingival aesthetics. The scale was shown to have a satisfactory factor structure and level of internal consistency.

The influence of dental bleaching on patient's quality of life: A multistudy analysis of aesthetic and psychosocial outcomes

ObjectivesTo assess the Quality of Life (QoL) of participants treated with dental bleaching using different techniques by administering two questionnaires Oral Health Impact Profile (OHIP-14) and Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ), as well as the bleaching efficacy and tooth sensitivity (TS). Materials and MethodsSecondary results for nine randomized clinical trials were included, involving 489 participants who underwent bleaching procedures. The questionnaires were applied at baseline and 30-day post-bleaching. Bleaching efficacy (ΔSGU/ΔEab) and TS were also evaluated (VAS/NRS). The effect of bleaching on aesthetic self-perception was evaluated using the Paired t-test. The Kruskal-Wallis test assessed variations by technique. Also, the correlations between questionnaires and outcomes was evaluated (α = 0.05). ResultsAfter the bleaching treatment, both questionnaire revealed significant differences compared to the baseline, regardless of the factor evaluated (p < 0.05), except for Physical pain in OHIP-14 (p = 0.53). No correlation was found between OHIP-14 and bleaching efficacy (p < 0.008). A significant correlation was found between bleaching efficacy and dental self-confidence, indicating that dental self-confidence increased as the number of SGU (ΔSGU) increased, while social impact (ΔEab) and aesthetic concern (ΔSGU) decreased. Additionally, a significant correlation was observed between TS and OHIP-14 (Physical pain). For PIDAC, both dental self-confidence and psychological impact were correlated with TS in the VAS. ConclusionSubjects who underwent dental bleaching treatment improved their self-perception and dental self-confidence. Dental bleaching, besides enhancing the patient's smile, also improves their self-esteem. Clinical RelevanceDental bleaching, besides improving the patient's smile, also enhances their self-esteem.

Cellulite Treatment With Electrotherapeutic Combinations: Cryolipolysis, Microcurrents, LED And Ultrasound N

Cellulite is a multifactorial condition present in 80% to 90% of post-pubertal women and is one of the most intolerable aesthetic imperfections. It is a morphological alteration of the integumentary tissue, directly interfering with self-esteem. There are several theories about the pathophysiology of cellulite, and several different therapeutic regimens have been developed, from topical treatments to mechanical or electrotherapybased devices. In this brief review, we summarize the scientific scenario to determine the clinical evidence regarding the safety and efficacy of cellulite treatment options. Clinical protocols and the author's experience using a combination of external procedures are also discussed. Therapies such as ultrasound and shock waves have shown improvements in cellulite and a good safety profile, but the combination therapy red LED, microcurrent, plate cryolipolysis and 40 kHz ultrasound have demonstrated the most beneficial results in cellulite reduction. Although there is a lack of scientific evidence for treatments that improve cellulite, future emerging options and their combination may pave the way to eradicating this aesthetic concern, Objective: The objective of this work was to review the literature on cellulite and the main electrotherapeutic resources used, to demonstrate the effectiveness of the technique that associates red LED before the cryolipolysis technique in a mobile handle and association with microcurrents and finishing with low frequency ultrasound in the licus system in the treatment of cellulite, reducing edema, inflammation and decreasing adipose tissue in addition to toning the dermis with the presentation of clinical cases. Materials and Methods: In this study, we performed a comprehensive review of all scientific articles available and indexed in PubMed and Web of Science in the last 20 years about this technology and its effects on cellulite. We discussed the scientific evidence available in clinical studies and analyzed the effects and possible mechanisms of action of LED, cryolipolysis, microcurrents and the use of 40 kHz ultrasound in cellulite. The treatments were performed with LED at 4 joulles per cm2, cryolipolysis technique with mobile plate and associated microcurrents, with intervals for reperfusion. We used 4 series of 5 minutes of freezing and in the intervals 3 minutes for return of circulation, that is, reperfusion without injury, and finished with 40 kHz ultrasound at 0.3 watts/cm2 for 2 minutes per cm2. We demonstrated the result after 4 sessions. Conclusion: In the author's opinion, a combined approach where combined approaches are used strategically and in a staggered manner to produce synergistic results has the best clinical outcome. For example, the use of red LEDs prior to the combination of microcurrents simultaneously with cryolipolysis and finishing with 40 kHz ultrasound in a weekly LICUS system can result in improvements in severe cellulite in approximately 2 months. More large-scale studies, particularly regarding combined approaches, need to be conducted to evaluate the long-term results of cellulite therapies in terms of safety, efficacy, and patient satisfaction. improve the appearance of cellulite, sometimes to a satisfactory degree, but never eradicate cellulite, as this involves extensive remodeling of the tissue. potential to be effective in lysing subdermal collagen, such as that seen in the dermal septa (the underlying cause of cellulite). References Despite multiple therapeutic approaches attempting to treat cellulite, no procedure has proven to be successful in the long term, requiring weekly or biweekly maintenance of treatment

Patients perception of orthodontic treatment - A questionnaire based study

The patient perception of malocclusion is important in determining orthodontic treatment. The purpose of this study was to determine participant’s perception, attitude, dental awareness, motivation, factors influencing the necessity of treatment and considerations before opting for orthodontic treatment. A questionnaire-based survey including 14 questions, was conducted for 160 participants who came to OPD of Department of Orthodontics, BBDCODS or at private clinics for any dental problem or those who had queries for orthodontic treatment.A google form with multiple choice questions was created to assess the patient’s perception of Orthodontic treatment to investigate aesthetic concern, functional problems, psychological concern, Orthodontic awareness, and other reasons for seeking orthodontic treatment. The data of responses of participants was analysed on google form application itself with the help of spread sheet, pie charts and graphs. The study revealed that aesthetics was the main concern for getting treatment whereas functional concern was less frequently reported. Patient believed that the treatment could make them more beautiful. This survey-based questionnaire helped in assessing the patient perception and attitude towards Orthodontic treatment. Aesthetic was the major issue for seeking orthodontic treatment, and also motivating factor for the start of treatment. Cost and duration of the treatment were major barrier for the start of the orthodontic treatment.

Effectiveness of silver diamine fluoride (SDF) in arresting coronal dental caries in children and adolescents: a systematic review.

Dental caries remains a significant public health issue for children globally, leading to adverse effects on health and development. Silver diamine fluoride (SDF) is a potential preventive agent that can prevent caries progression in children. This systematic review examined the effectiveness of silver diamine fluoride in arresting caries compared to other fluorides. An electronic search of MEDLINE, PubMed, EMBASE, Cochrane, Web of Science, Scopus databases was carried out examining articles in English from 2001 to 2023. Studies included in the analysis examined the application of SDF in children and adolescents with coronal caries lesions on primary teeth or permanent first molars. Fifteen studies, involving a total of 7895 children, were incorporated. The application regimen varied across studies. Most studies in this review consistently suggested that SDF is effective in arresting caries. An annual application of SDF effectively reduced Streptococcus mutans count. Adverse effects were primarily tooth staining and less commonly, oral mucosal irritation. A majority of studies showed a high risk of bias due to methodological insufficiencies. Overall, the evidence suggests that SDF is effective in arresting dental caries in children. It offers a viable, cost-effective, and minimally invasive treatment option, particularly suitable for use in low-resource settings. However, the aesthetic concern of tooth staining with SDF use remains a challenge. Further well-designed clinical trials may provide a fuller picture of SDF which can shape public health policy and shift towards a minimally invasive treatment approach.

Management of spinal deviations in physical medicine and functional rehabilitation

Objectives: To analyze cases of spinal deviations in the Physical Medicine and Rehabilitation (PMR) department at Mohammed VI University Hospital Center in Marrakech, with a focus on the role of rehabilitation in their management. Methods and Patients: We conducted a cross-sectional, observational descriptive study over a six-month period involving 52 patients with spinal deviations, treated in the PMR department. Data were meticulously collected using a questionnaire completed during consultations with patients selected according to specific criteria. Results: The study revealed that the average age of the patients was 21.25 years, with a predominance of females (68%). Among the spinal deviations, scoliosis was the most common (68%), followed by scoliotic posture (18%), hyperkyphosis (11%), and compensatory lumbar hyperlordosis (3%). The primary reason for consultation was aesthetic concern (56%), with the most frequent symptoms being gibbus deformity (54%) and shoulder asymmetry (35%). Rehabilitation was prescribed for all patients, sometimes as the sole treatment or in combination with bracing. Orthoses were used to correct foot deformities and leg length discrepancies. Only one patient underwent surgical intervention. The outcome was positive for 63% of patients, with improvement in the Cobb angle and pain reduction. However, a 5° worsening was observed in one patient (2% of the sample), while the others remained stable. Conclusion: In conclusion, the therapeutic approaches employed in our sample demonstrated their effectiveness in managing spinal deviations. Rehabilitation proved to be particularly essential as an adjunct treatment, enhancing the outcomes of other therapies and contributing to the relief of back pain, which had a positive impact on patients' quality of life.

Re-establishing Facial Aesthetics - Patient-specific Orbital Implant for Post-traumatic Deformity

Abstract Rationale: Complex fractures of the maxillofacial region can require staged interventions to achieve optimal outcomes. A significant example of this are complex fractures of the orbital floor, which may be difficult to restore during primary treatment. The secondary correction is often required which can be using stock- or customised implants. Patient Concerns: A previously operated case of panfacial trauma presented with an aesthetic concern regarding the asymmetrical appearance of his eyes. Diagnosis: On clinical and radiological evaluation, the patient was diagnosed with enophthalmos of the left eye secondary to orbital floor fracture. Treatment: A patient-specific implant (PSI) was fabricated and placed for orbital floor reconstruction. Outcomes: Postoperatively, aesthetic and functional outcomes were satisfactory. Take-away Lessons: This case report highlights the use of PSIs in orbital floor reconstruction, made possible due to the advent of virtual surgical planning and three-dimensional printing in the field of oral and maxillofacial surgery.

Dental Aesthetics and Self-Esteem of Patients Seeking Orthodontic Treatment.

(1) Objective: This study aimed to investigate how patients' perceptions of their dental aesthetics and their sense of self-esteem are related. (2) Methods: This cross-sectional survey recruited 141 new patients seeking orthodontic treatment. Patients completed a self-administered questionnaire consisting of three parts: the Malaysian Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ), Rosenberg Self-esteem Scale (RSES-M), and Aesthetics Component of the Index of Orthodontics Treatment Need (IOTN-AC). Clinical assessment comprised the Dental Health Component of the Index of Orthodontics Treatment Need (IOTN-DHC). Multiple linear regression was performed, with self-esteem as the dependent variable, while the independent variables comprised the domains of PIDAQ; IOTN-AC; IOTN-DHC; and patients' demographics, such as age, gender, and their level of education. (3) Results: The response rate was 96.5% (n = 136 respondents). The multiple linear regression found that, when the other predictors in the model are held constant, Social Impact, Aesthetic Concern, and Dental Self-Confidence are the factors that significantly contributed to explaining the variation in self-esteem, accounting for, 3.9%, 2.3%, and 2.0%, respectively. The entire model explained 23% of the variation in self-esteem. (4) Conclusions: Domains of the psychosocial impact of dental aesthetics act as predictors of self-esteem in orthodontic treatment-seeking patients.

A Performance-Based Test for Mitigating the Risk of Geopolymer Concrete Surface Efflorescence Due to Alkali Leaching.

Geopolymer concretes are considered to be a potential sustainable, low-embodied carbon alternative for Ordinary Portland Cement (OPC) concrete. Alkali leaching is considered to be a major esthetic concern for Na-silicate-based geopolymers as it can lead to the formation of efflorescence products on the surfaces of concrete members exposed to humidity. In this context, this research aims to investigate the effect of the alkali content and the FA/GGBS mass ratio on the alkali leaching and formation of the efflorescence products. Paste cylinders were fabricated and cured in ambient conditions. Samples were submerged in deionized water and the concentration of the leached-out ions was measured. Efflorescence potential was also investigated by partial immersion of the samples in deionized water. The results highlight the complexity of the interacting parameters governing the formation of efflorescence products in geopolymer materials. Establishing relationships between the concrete mix variables and the risk of efflorescence seems unfeasible particularly because of the wide range of possible precursors and activators available to design geopolymer concrete mixes. To overcome this barrier, a practical performance-based testing method is developed. For the first time, by testing a wide range of geopolymer materials, performance-based requirements associated with the risk of efflorescence for geopolymer concrete surfaces exposed to humidity are calibrated. Four categories of risk are proposed and typical suitable exposure conditions for geopolymer concrete surfaces are suggested for each risk category.

Computerised assessment-a novel approach for calculation of percentage of hypomineralized lesion on incisors and its correlation with aesthetic concern

IntroductionMolar-incisor hypomineralization (MIH) is a localized, qualitative, demarcated enamel defect that affects first permanent molars (FPMs) and/or permanent incisors. The aim of present study was to introduce a novel computerised assessment process to detect and quantify the percentage opacity associated with MIH affected maxillary central incisors. MethodologyChildren (8–16 years) enrolled in the primary study having mild (white/cream or yellow/brown) MIH lesion on fully erupted maxillary permanent central incisor. 50 standardised images of MIH lesions were captured in an artificially lit room with fixed parameters and were anonymized and securely stored. Images were analysed by AI-driven computerised software and generates output classifications via a sophisticated algorithm crafted using a meticulously annotated image dataset as reference through supervised machine learning (SML). For the validation of computerised assessment of MIH lesions, the percentage of demarked opacity was calculated using ADOBE PHOTOSHOP CS7. ResultsThe percentage of MIH lesion was calculated through histogram plotting with the maxima ranging from 7.29 % to 71.21 % with the mean value of 34.51 %. The validation score ranged from 10.29 % to 67.27 % with the mean value of 35.32 %. The difference between the two was statistically not significant. Out of 50 patients; 11 patients had 1–30 % of surface affected with MIH and 2 had aesthetic concern; 24 had 30–60 % of surface affected and 13 had aesthetic concern; 15 had >60 % of surface affected and 12 had aesthetic concerns. ConclusionsThe proposed approach exhibit sufficient quality to be integrated into a dental software addressing practical challenges encountered in daily clinical settings.

Microneedling - A Novel Cosmetic Therapeutic Approach for Management of Gingival Hyperpigmentation and Review of Literature

Abstract A beautiful smile boosts an individual’s self-confidence. The harmony of a smile depends on the shape, colour, and position of teeth, as well as the gingival tissue. Excessive gingival pigmentation is a major aesthetic concern for many people. Gingival hyperpigmentation is usually caused by an abnormal accumulation of melanin in the gingival tissue, which gives the gingiva a dark appearance. A variety of different modalities have been proposed for removing hyperpigmentation like Scalpel technique, LASER, Radiotherapy, Electrocautery, Bur abrasion, Chemical methods etc. Though the initial results of depigmentation procedures are promising, repigmentation is a common problem associated with them which poses a financial burden to the patient. To overcome this hurdle, a promising novel technique which is in vogue in cosmetic dermatology is Microneedling. Microneedling is a minimally invasive, cost effective, simple procedure that creates microholes to facilitate the penetration of topical medications across the connective tissues. The procedure activates the natural healing process, promoting the regeneration of epithelial cells and the breakdown of clusters of melanin pigment. This article gives an insight regarding microneedling technique and also discusses in depth regarding melanin synthesis, classification, indices, etiology, gingival depigmentation procedures, and repigmentation.

Two Coffee Diterpenes, Kahweol and Cafestol, Inhibit Extracellular Melanogenesis: An In Vitro Pilot Study

Hyperpigmentation skin disorders are marked by an abnormal accumulation or export of melanin pigment synthesized within melanocytes and pose a significant aesthetic concern. The search for novel natural compounds that exhibit pharmacological potential for treating pigmentation disorders is growing. In this study, kahweol (KW) and cafestol (CFS), two structural analogs of coffee diterpenes, were evaluated and compared for their effects on melanogenesis using B16F10 mouse melanoma cells and primary human melanocytes derived from Asian and African American skin. To the best of our knowledge, there are no reports of the effects of KW and CFS on melanogenesis yet. We first screened nontoxic concentrations of both compounds using an MTS assay after 72 h incubations and subsequently tested their effects on melanin synthesis and export. Cellular tyrosinase activity and cell-free mushroom tyrosinase activity were assayed to study the mechanisms of melanogenesis suppression. Human melanocytes from a moderately pigmented donor (HEMn-MP cells) and from a darkly pigmented donor (HEMn-DP cells) were next examined, and effects on cellular viability, melanin content, cellular tyrosinase activity, and melanin export (quantitated via dendricity) were similarly examined for both compounds. Our results show that KW and CFS did not significantly affect intracellular melanin content but suppressed extracellular melanin in B16F10 cells and dendritic parameters in human melanocytes, indicating their unique capacity to target extracellular melanogenesis and melanin export. Although KW showed a greater extracellular melanogenesis inhibitory capacity in B16F10 cells, in both primary melanocyte cells, CFS emerged as a potent inhibitor of melanin export compared to KW. Together, these results reveal novel modes of action of both compounds and indicate a promise to use CFS as a novel candidate for treating hyperpigmentation disorders of the human skin for clinical and cosmetic use. Additional research is necessary to shed light on the molecular pathways and the efficacy of melanogenesis inhibition by CFS in 3D human skin equivalents and in vivo studies.

Comparative evaluation of oxygenating agent “blue m gel” and traditional periodontal dressing “Coe-Pak” on patient preference parameters (Pain and wound healing) after surgical depigmentation – A split mouth study

Individuals with high lip line and gummy smile when accompanied withdark colored gingiva have an esthetic concern while smiling. For the management of gingival hyperpigmentation surgical technique with scalpel is still considered the gold standard, although healing may occur by secondary intension and oxygen is one of the essential nutrients for cellular metabolism and production of energy through ATP. It is also involved in collagen synthesis, oxygenative killing of bacteria and angiogenesis. To clinically evaluate and compare the effectiveness of oxygenating agent (Blue M Gel) and traditional periodontal dressing COE-PAK on patient preference parameters (pain and wound healing) after surgical depigmentation. This split-mouth randomized clinical trial was conducted on 5 non-smoking individuals aged 20–40 years irrespective of gender with maxillary or mandibular physiologic gingival pigmentation class (III) and (IV) according to the Dummett–Gupta Oral Pigmentation Index (10 treated sites) who had requested an esthetic treatment for gingival hyperpigmentation of the maxillary or mandibular gingiva. The maxilla or the mandible was randomly divided into two symmetrical parts i.e. from the right second premolar to the midline and from the midline to the left second premolar—to receive either Blue M gel or Coe-Pak as a periodontal dressing after surgical depigmentation with a scalpel. Patient preference parameters such as pain was assessed after 24 hours and 7 days of intervention and re-epithelisation index with toluidine blue was assessed after 1 week and 1 month of intervention. The result of the study demonstrated that pain score and re-epithelisation score was less in Test group (Blue M Gel) as compared to control group (COE-PAK) and was found to be statistically significant. :It can be concluded that Blue M gel can also be a better alternative as a periodontal dressing compared to COE-PAK due to its properties of better healing and decreasing post-operative pain.

An Analogy between Two Bio-Membranes (CGF-PRGF) Mixed with Xenogeneic Bone Graft to Achieve Frugal Management of Labial Dehiscence amidst Immediate Implantation in Esthetic Zone: A Randomized Clinical Trial

Background Labial dehiscence is a very prevalent esthetic concern among implantologists during immediate implantation in the esthetic zone since recent implant treatment and patient ambition are not only directed to function reestablishment, but esthetic superbness also holds immense consideration. Objective This study aimed to manage the labial dehiscence at the time of implantation and evaluate and compare the effects of two different autologous biomembranes, Concentrated Growth Factor (CGF) and Plasma Rich Growth Factors (PRGF), in combination with xenogeneic bone around the immediate implants in the esthetic zone. Methods Twenty patients indicated for immediate implant in the esthetic zone were randomly divided into two groups. The first group received CGF with xenograft, and the second group received PRGF mixed with xenograft. Cone Beam Computed Tomography (CBCT) radiographs and clinical periodontal parameters were evaluated, and all the results were tabulated and statistically analyzed. Results The two groups showed a statistically significant increase in bone density and inevitable crestal bone loss after 9 months, even though the CGF group comparably showed a statistically significant reduction in crestal bone loss. Conclusion Platelet concentrate derivatives, such as CGF and PRGF, are beneficial in the management of labial dehiscence around the immediate implants even though CGF offers a considerably and statistically significant decrease in crestal bone loss and more amelioration of bone density alongside its easier and faster preparation than PRGF. Clinical Trial Registration The study is registered at the U.S. National Library of Medicine website of clinical trials (clinicaltrials.gov) under ID: NCT05595772.

An Assessment of the Subjective Psychological and Social Effects of Malocclusion-Related Dental Aesthetics and Its Influence on Body Self-Image and Oral Health-Related Quality of Life in Young Adults.

Malocclusionhas a psychological impactrelated to the patient's age. It also influences the quality of life.This research aims to test the null hypothesis that there is no association between the self-perceived psychosocial impacts of dental aesthetics with the severity of malocclusion, oral health-related quality of life (OHRQoL), and self-image of the body in young adults seeking orthodontic treatment. A convenience sample of young adults between 19 and 30 years old was selected for the study.The severity of malocclusion and orthodontic treatment needs were evaluated using the Dental Aesthetic Index (DAI). The Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ), Oral Health Impact Profile-14 (OHIP-14), and Body Satisfaction Scale (BSS) were used to evaluate the self-perceived effects of malocclusion. The Kruskal-Wallis test is used to analyze the distribution of components with different grades of DAI.Spearman's correlation test evaluated the correlation between independent variables and their domains. The study utilized stepwise multiple linear regression analysis to assess the predictive value of independent factors on the PIDAQ and its domains. A total of 181 subjects with a mean age of24.4 ± 1.5 years, 42% males and 58% females, participated inthis study. There was a significant correlation (p < 0.05) between all variables (OHIP-14, DAI, and BSS) and PIDAQ. There were significant correlations between the independent variables and the total score of PIDAQ (R2 = 0.16), psychological impact (R2 = 0.09), and social impact (R2 = 0.18), as well as dental self-confidence (R2 = 0.21) and aesthetic concern (R2 = 0.16). In young adults, the self-perceived impact of dental aesthetics is moderated by the severity of malocclusion, oral health-related quality of life, and body satisfaction. The null hypothesis is rejected.

Management of mobile teeth

Tooth mobility leads to a reduced quality of life characterized by patient discomfort, masticatory dysfunction and aesthetic concern. It may be caused by different factors that are important to identify in order to aid management, which may be non-surgical (monitoring, periodontal debridement, splinting and/or occlusal adjustment) or surgical (periodontal surgery or extractions). This article addresses the diagnostic process, aetiology and management of tooth mobility. The aim is to deliver and maintain a healthy periodontium and improve quality of life by restoring function and comfort to the patient. CPD/Clinical Relevance: Tooth mobility is a common yet challenging problem within dentistry to identify and manage.

Effect of Topical 5% 5-Fluorouracil with Microneedling in Vitiligo Patients as an Additional Modality to Standard Treatment at Tertiary Care Hospital

Abstract Background: Vitiligo is an inveterate disease of great aesthetic concern presenting with depigmented macules and patches. It is often incorrigible to medical treatment. Aim: To study the clinical profile of vitiligo patients and evaluate the effect of 5% 5-fluorouracil (5-FU) cream with microneedling. Materials and Methods: This observational analytical study was conducted from November 2019 to July 2021. A total of 33 adult vitiligo patients were treated with oral mini-pulse (dexamethasone) therapy and topical corticosteroid (clobetasol propionate 0.05%). Patient’s total number of vitiligo lesions with &lt;10-cm size were counted and half of the lesions were treated with 5-FU + microneedling (Group A), while a remaining number of lesions were not treated with 5-FU + microneedling (Group B). In the case of the odd number of lesions, the total number of lesions minus one was considered and then divided into equal numbers for treatment. The procedure was performed every 2 weeks for 3 months. Clinical improvement was assessed monthly till 6 months by serial clinical photographs and grading scores. Results: Initiation of repigmentation started in the first month in Group A, whereas in Group B, it was seen in the second, which was statistically significant (P &lt; 0.0001). Excellent improvement (&gt;75% repigmentation) was noted in Group A as compared to Group B at the end of 6 months (P &lt; 0.0001). Conclusions: Needling with 5% 5-FU appears to be a simple, safe, and effective treatment in vitiligo. It can be used in poor responders to conventional therapy.

Comparative Assessment of Gingival Depigmentation Using Scalpel Versus Microneedling With Ascorbic Acid: A Randomized Controlled Trial.

Background Gingival pigmentation (GP), characterized by the presence of melanin in the gingival tissues, is a common aesthetic concern in dental practice. While it poses no inherent health risks, the visible discoloration may cause psychological distress for individuals seeking optimal dental aesthetics. Understanding the efficacy of various methods is essential for refining treatment strategies and enhancing patient satisfaction in the realm of gingival depigmentation (GD). Aim The objective of the study was to compare the effectiveness of scalpel and microneedling (MN) with ascorbic acid in the treatment of GD. Materials and methods Sixteen patients who had a complaint of GP were included in the study, of whom eight were allocated for depigmentation with a scalpel, and the other eight patients were treated with the MN technique with ascorbic acid. Postoperative wound healing scores were evaluated on the first and seventh days, respectively. The intensity of depigmentation was assessed at baseline, in the first month, and at the end of the third month, respectively. Results The mean Dummett-Gupta Oral Pigmentation Index (DOPI) score at baseline was 2.65±0.16 and 2.61±0.17 in the surgical and microneedling groups with ascorbic acid, respectively. The mean DOPI score at the end of the third month was 1.67±0.39 and 0.87±0.17 in the scalpel and MN with ascorbic acid groups, respectively. There was a statistically significant difference between the scalpel and MN with ascorbic acid groups at the end of the first and third months, respectively, where MN with ascorbic acid showed aesthetically pleasing outcomes. Patients treated with the scalpel technique showed incomplete healing and ulceration on the first and seventh days after the procedure when compared to the MN technique with ascorbic acid. The healing index scores were statistically significant in the MN with ascorbic acid group. Conclusion The MN technique with ascorbic acid is a successful technique for treating GD. It showed aesthetically gratifying outcomes when compared to the conventional surgical technique.

Coding Beauty and Decoding Ugliness: The Role of Aesthetic Concerns in Programming Practices

In this article, we analyze the productive role of aesthetics in organizing technoscientific work. Specifically, we investigate how aesthetic judgments form and inform code-writing practices at a large web services company in Russia. We focus on how programmers express aesthetic judgments about code and software design in everyday practice and explore how language with positive and negative valences is deployed. We find that programmers label code as “beautiful” without defining or establishing agreement about the term and are thereby able to maintain different ideals of beauty within the same organization. However, by learning how to avoid what senior developers deem to be “ugly” code, developers become socialized into producing code with a similar style and logic that we describe as “not ugly.” The fieldwork suggests that aesthetic language can function simultaneously as a mechanism that supports professional diversity within an organization and as a tool for producing consistencies in software design. Studying manifestations of both positive and negative aesthetic language in technoscientific work provides insight into professional practices and the various roles aesthetic language can play in organizational life.