Dentist In Previous Research Articles

Perawatan saluran akar periodontitis apikalis kronis pada gigi insisivus lateral maksilaris kiri

Background: Root canal treatment is one of the modalities to treat periapical lesions. The success of root canal treatment in periapical lesions can be seen with the patient's chief complaint and the healing of periapical lesions as seen by the radiograph. Objective: This case report aims to demonstrate root canal treatment on a maxillary anterior tooth with periapical lesion. Case report: A 22-year-old female patient came with complaints of a maxillary anterior tooth that had throbbing pain several months ago, after having it filled by a previous dentist, and since then, it has never hurt again. Intra-oral examination of tooth 12 showed composite resin on the mesiopalatal surface. Radiographic findings showed that there was a round radiolucency in the periapical area with a diameter of 4 mm. Root canal treatment was performed based on the diagnosis of chronic apical periodontitis et causa necrotic pulp. Root canal treatment begins with the application of a rubber dam, opens the cavity, explores the root canal, and shapes the root canal. Biomechanical preparation was carried out using Protaper Hand Use with crown down technique, combined with 2.5% NaOCl irrigation. The first visit ends with the disinfection of the root canal using calcium hydroxide. Subsequent treatment was carried out with subjective and objective examination, removal of temporary filling, cleaning of calcium hydroxide, and final irrigation with 2.5% NaOCl, 17% EDTA, and 2% CHX. Obturation was achieved using the vertical condensation technique. The restoration was accomplished at the next visit using composite resin. Conclusion: Root canal treatment on teeth with chronic apical periodontitis was successfully carried out.

Playing it down - effectiveness of clay therapy, origami and building blocks in the management of dental anxiety among children aged 6-10 years

Background: Children experience dental anxiety during their first dental visit, which affects the quality of dental treatment and gives rise to behaviour management problems. Clay, origami and building blocks have been effective in alleviating hospitalization anxiety in pediatric patients. These successful techniques in hospitalized pediatric patients have seldom been used in the dental set up. Therefore, the aim of this study is to assess and compare the efficacy of clay therapy, origami and building blocks in the management of dental anxiety in children aged 6-10 years. Methods: Sixty children aged 6-10 years, with no previous dentist exposure, with Frankl’s behaviour rating 2 or 3 having dental caries with international caries detection and assessment system (ICDAS) score 3 requiring restorations without local anesthesia were selected and divided into four groups. Group 1 – clay therapy; group 2 - building blocks; group 3 – origami; and group 4 – tell show do. Pulse rate, facial image scale (FIS) and face, leg, activity, cry, consolability (FLACC) behaviour scales were used to quantify anxious behaviour. Operator compliance and parent acceptance was rated on the Likert scale. Results: The results showed lower mean pulse rates, lower FIS and FLACC scores, and better operator compliance and parental acceptance in clay therapy, origami and building blocks groups than in the conventional tell-show-do group. The most significant reduction in all the parameters was seen in the clay therapy group. Conclusions: Clay therapy, origami and building blocks can be used as an effective means to reduce dental anxiety in children.

ORAL HEALTH HYGIENE BEHAVIOR RELATE TO PRACTICES OF ORAL HEALTH: A CROSS-SECTIONAL STUDY

BACKGROUND: Oral health conditions i.e. dental caries and periodontal conditions are the leading oral ill-health conditions. To focus only on the curative and/or surgical aspects is not sufficient to reduce the oral health burden globally. The gap in oral health behavior is one of the prime reasons for the intricate oral health burden. OBJECTIVES: This study aims to evaluate self reported practices toward oral health behavior among the adults of North Gujarat. METHODS: The study was cross-sectional observational and conducted in the region of North Gujarat. A total of 150 adults were included in this study. A questionnaire that was predesigned and pretested was used to achieve the objective of the study. Statistical Package for Social Science (SPSS) version 24.2 was used by the researcher to analyze data. RESULTS: in all adults who participated, the highest desirable practice was the usage of toothbrushes and toothpaste among 75.3% of adults, whereas the lowest was the scaling frequency which was 8% among the adults. The practice of Brush changing pattern, bristles of the brush, gargling with plain water, mouth wash usage, the direction of brushing, and the previous dentist visit was limited among the adults. The study found the socio-demographic variables as the predictors of oral health behavior. CONCLUSION: the result highlights limited oral health behavior among adults. Desirable oral health habits and awareness of oral health need to be addressed. Coordination of efforts throughout healthcare along with proper social network reformation can play a significant role to uplift oral health behavior within the community.

Dentist availability in Egypt: a 20-year study of supply, potential demand and economic factors.

Egypt is one of the most populated countries in the Eastern Mediterranean Region with historically large numbers of trained professionals providing services in and outside the country. Data about dentist availability are needed to plan for workforce production and training. We assessed dentist availability in Egypt including (1) changes over 20 years; (2) spatial distribution; and (3) association with supply, potential demand for care and economic conditions. In an ecological study (1995-2014), we used data from the Central Agency for Public Mobilization and Statistics. The outcome variable was dentist availability (dentists per 1000 population). The explanatory variables were: (1) population size; (2) number of dental graduates; (3) previous dentist availability; (4) increase in wages; and (5) percentage of population migrating internally seeking jobs. We assessed variation in availability using statistical process control and spatial autocorrelation. The impact of explanatory variables was assessed using general linear models with partial η2 to measure effect size. Dentists per 1000 population were randomly distributed over the country and the ratio reached 0.18 in 2014, indicating a shortage despite the increasing number of dental graduates since 1995 (667.1%). Previous dentist availability (η2 = 0.60) and increase in wages (η2 = 0.48) had the greatest impact on dentist availability. Egypt faces a problem of dentist shortage that has not been offset by the increase in dental graduates. Improving the economic conditions and incorporating health care into the national development plan may improve the situation.

Ethical issues when a dentist with an active practice dies

Ethical issues when a dentist with an active practice dies

Justifiable criticism and its ethical considerations

Justifiable criticism and its ethical considerations

Auxiliary UV light devices for removal of fluorescent resin residues after bracket debonding.

The purpose of this clinical report was to describe the detection of fluorescent resin residue after orthodontic bracket debonding with two UV light devices and analyze the surface morphology of enamel after 1 year. A 22-year-old woman had orthodontic brackets removed by a previous dentist; however, resin residue was left on the enamel of the maxillary teeth. After confirming the fluorescent property of the resin, different protocols were used for each half of the maxillary arch. The first method, a black light lens was attached to a light-curing device to detect resin fluorescence, followed by polishing with silicone rubber tips. The second method used a light emitting diode light system attached to and activated by a high-speed handpiece, followed by polishing with discs. Both methods were completed with diamond polishing paste applied with felt discs. Polyvinyl siloxane impressions were made initially, after residue removal, after finishing and after polishing for morphologic analysis. The results were evaluated with photographs and the scanning electron microscope images made of resin casts from the impressions. A follow-up was made after 1 year. Both methods yielded a satisfactory clinical outcome, with a smooth surface, acceptable surface gloss and minimal tooth wear. The use of a UV device that excites fluorescence is recommended for the controlled removal of resin residue on enamel. The controlled removal of resin residue from enamel after orthodontic treatment is challenging but can be improved with auxiliary methods for detecting resin residues. This clinical report describes two types of devices that excite fluorescent resins in a more rapid and precise technique to guide the practitioner in the controlled removal of residual resin on teeth.

Mandibular Magnet Retained Complete Overdenture

Background: Complete denture in the lower jaw often has problems. The entire loss of the mandibular teeth often has a large resorption, so it is difficult to obtain retention and stability. Purpose: To report mandibular magnet retained complete overdenture is can increase retention and stability in the lower jaw. Case: A 60-year-old man came to the Prosthodontics Clinic of RSGM Airlangga University with complaints of the old complete denture that made by previous dentist, is often unstable while talking and chewing, so the patient feel uncomfortable. The denture has been used for approximately four years. Therefore the patient wants to make a new complete denture. Case Management: PFM crown removed and 31,32,33,41,43 are treated with root canal treatment. Magnet keepers are fabricated on teeth 33,43, and metal copings are fabricated on teeth 31,32,41. The complete lower denture is attached to the magnet. Acrylic material denture are chosen. Discussion: Overdenture is a complete or partial denture that is placed above the tooth structure or the root of the original tooth which is the support of the denture. Overdenture treatment can maintain ridge height, reduced load of supporting elements, and avoid mucosal irritation. It’s necessary to add retention in the form of magnets to the teeth 33 and 43 to get good retention and stability. Conclusion: Mandibular magnet retained complete overdenture is can increase retention and stability in the lower jaw so that the patient feels satisfied and comfortable because the dentures are more retentive and stable.

The prevalence of natural tooth colors in the people of North India

Aims and Objectives: Tooth color is a major factor with regard to dental esthetics. Restorative dentistry has evolved from its previous dentist driven to patient driven service and patient opinion plays an important role in selecting the treatment plan. Whitening teeth and smile designing for esthetic purpose is currently fashionable. Selection of appropriate tooth shade for edentulous patients is an important part of teeth replacement. Most patients prefer having lighter shades. However ultimate objective of esthetic dentistry is to create a beautiful smile, with teeth of pleasing inherent proportions to one another and color in harmony with gingiva, lips and face of the patient. Proper shade selection has a positive impact on the patient's acceptance of the treatment. The present study was designed to measure the tooth colors in a particular age group of North Indian population. There is enough data to support the use of objective methods of measuring shade and dentists are shifting to these newer technologies but subjective methods of shade selection are still popular as the digital devices are expensive. Materials and Methods: In the present study, shade of cervical, middle and incisal third of the facial surface of natural maxillary central incisor was measured with digital colorimeter, VITA Easyshade® Advance 4.0. It is an optical reading device that can assess the wavelengths reflected back to its sensors. Lighting in operatory does not affect the shade measurement. It is extremely accurate. The limitation of study was its small sample size. Conclusion: It was concluded that the most prevalent shade in cervical third was 1M2, middle third was 1M1 and incisal third was 2M1.

What is your ethical responsibility if you feel a case may have been misdiagnosed?

Q I recently saw a patient who had pain on a mandibular left molar. During the radiographic examination, I found a multilocular lesion around the tooth, so I referred the patient to an oral surgeon who extracted the tooth and obtained a biopsy sample of the lesion. The lesion was diagnosed as ameloblastoma by the oral pathologist. After looking into the patient’s records from his previous dentist, I found that the patient had had a similar symptom a few years earlier on the same side. The radiographic examination at that time also had revealed a multilocular lesion, and the patient’s previous dentist had referred him for an extraction of the involved tooth and a biopsy. At that time, the diagnosis was odontogenic cyst. No other follow-up was performed with the patient. It was not clear to me whether this was because of the patient’s failure to follow up. However, if the dentist did not follow up with the patient with a clear explanation of the need for follow-up, the findings led me to believe that the patient initially may have had the problem misdiagnosed. What are my ethical responsibilities?

EVALUATION OF THE SATISFACTION OF PATIENTS REFERRED TO PEDIATRIC DEPARTMENT OF BABOL DENTAL SCHOOL

Background: Achieving proper clinical outcomes relies on patient cooperation and patient cooperation relies on their satisfaction; thus patient satisfaction is essential for health care improvement; The aim of this study was to evaluate the satisfaction of patients referred to pediatric department of BABOL dental school in 2011-2012. Methods: In this cross-sectional study, questionnaires containing 16 questions were used. 150 questionnaires were given to the parents of children who were referred to the pediatric department of BABOL dental school. Once completed, the data were analyzed by SPSS software using Paired T-test and Chi-square test. finding: Overall, 138 participants (92%) noted high level of satisfaction and 12 of them(8%) showed moderate level of satisfaction which didn’t show any significant difference according to gender and age(P>0.05). 48(32%) patients preferred the female dentist, 30(20%) patients preferred the male dentist and 72 patients(48%) didn’t note any preference about the dentist gender. Overall, 142(94.5%) patients preferred to go back to previous dentist for subsequent treatments and 8 (5.5%) of them preferred treatment by a new one. Conclusion: Results indicated that pediatric department has been successful in achieving patient’s satisfaction and especially patients were satisfied with student’s communication manner in both undergraduate and postgraduate level. With a little effort it can be successfully upgraded to highest level.

WHAT IS THE ETHICAL COURSE OF ACTION FOR A DENTIST WHOSE PATIENT'S PREVIOUS DENTIST MAY HAVE TREATED THE WRONG TOOTH?

WHAT IS THE ETHICAL COURSE OF ACTION FOR A DENTIST WHOSE PATIENT'S PREVIOUS DENTIST MAY HAVE TREATED THE WRONG TOOTH?

Temporomandibular disorder and comorbid pain conditions

A 50-year-old woman who was new to the dental office sought treatment because of a chief complaint of pain in her jaw and teeth “for many years.” During a period of several years, she had seen many dentists who had adjusted her occlusion and restored most of her molars in an attempt to eliminate her pain. However, her facial pain condition did not improve with this treatment approach. Her previous dentist made an oral appliance and told her that there was nothing else he could do for her. She reported that the soreness in her jaw and her headaches had worsened lately. The patient's medical history included constant headaches, irritable bowel syndrome, vulvar vestibulitis syndrome and fibromyalgia (FM). Is there an association between her chronic facial pain and these other widespread pain conditions?

Neurovascular Orofacial Pain

A 45-year-old woman reported having episodic pain in the region of the mandibular left molars and angle of the mandible that lasted for hours at a time and occurred several times per week. She described the pain as throbbing, usually of moderate severity (verbal pain score of 6–7 on a scale of 0–10, with 0 = no pain and 10 = most severe). The pain had started about 18 months previously. Owing to sensitivity to cold in some of the mandibular teeth, the patient's previous dentist had performed endodontic therapy in the mandibular left first and second molars.

Removal of Fractured Implants Using the Apicoectomy Technique and Immediate Replacement With New Implants: Case Report

Removal of Fractured Implants Using the Apicoectomy Technique and Immediate Replacement With New Implants: Case Report

Restoration of the root-filled tooth: pre-operative assessment

This is the first in a series of four papers related to the management of root canal treated teeth. When teeth compromised by extensive restorations become non-vital, suggestions have been given as to how root canal treatment can be carried out with the greatest chance of success. Once root canal treated, either by a previous dentist or by the current dentist, a review of the assessment process that should be carried out prior to placing costly indirect definitive restorations is given. It will be clear that post-retained restorations are mainly reserved for anterior or single-rooted teeth, posterior teeth rarely requiring a post for core retention. The second paper in this series describes the basic tooth preparation that should be carried out prior to placing a post. Depending on the type of post system used, further modifications to tooth preparation may be required and the cementation techniques may also have to be modified. The third paper therefore discusses the various post types, when and how they should be used for optimum results. The final paper addresses reinforcement and restoration of compromised root canals, such as those with immature, open apices, or those that have been over-prepared for previous post-retained restorations.

A 70-year-old woman with dementia and multiple carious lesions: A complicated decision-pathway

Case Presentation A 70-year-old woman with dementia was enrolled in the Dental Education in Care of Persons with Disability (DECOD) program at the University of Washington in October 2000. Her chief complaint, as listed by her husband, was that she had “at least 6 cavities diagnosed by her previous dentist, who was unable to obtain x-rays due to the her restlessness.” There was no indication that the patient was experiencing any acute symptoms of pain or infection of dental origin. Her disability was described by her physicians as a “motor neuron variant of frontotemporal dementia which results in virtual loss of speech, limited comprehension, and restlessness.” The previous dentist recommended that she would need to be well sedated, although she had tolerated dental prophylaxes by the hygienist at the nursing home several months ago. A health history indicated that the patient's vocabulary was reduced to virtually only “yes” or “no” and that these responses were unreliable. She required assistance for all activities of daily living and must be “dressed, fed, bathed, and is incontinent.” The length of her disability was described as “about 1½ years.” J Evid Base Dent Pract 2003;3:39-51

The initial interview with complete-denture patients: Its structure and strategy

The individual interview of the complete denture patient is the investigation which precedes treatment. It is the information-gathering procedure upon which treatment decisions are based. The objectives of this interview are to evaluate the patient emotionally and physically and allow the patient the opportunity to appraise the doctor. Communication is the basic tool of this interview and the dentist should be sensitive to all forms of communication. Communication can be encouraged by establishing a feeling of trust between the doctor and his patient. By careful listening and observing, the dentist should conduct the interview so that he learns as much as possible about the patient's problems or expectations regarding dentures, his emotional and physical conditions, the health and adequacy of his oral tissues and associated structures, and whether the present dentures are fulfilling the needs of this patient. This interview is not always accomplished at one appointment and often involves investigating other sources of information such as the patient's physician, the previous dentist, members of the patient's family, or a consultant. Only after this information is obtained is it possible to plan the best possible treatment for complete-denture patients.