{"title":"Dental implants and maxillofacial prostheses: Study of patients' preference and opinion – A cross-sectional survey","authors":"Isha Rastogi, P. Parekh, Neha Chauhan","doi":"10.4103/sidj.sidj_2_23","DOIUrl":"https://doi.org/10.4103/sidj.sidj_2_23","url":null,"abstract":"Introduction: Teeth/maxillofacial deformity is an integral part of oral and physical development with an incredible spectrum of functionality, and their replacement by advanced prosthodontic rehabilitation (dental implants or maxillofacial prostheses) is vital. Aside from chewing, esthetic and physical survival, oral structures also shape the dynamics of phonation, breathing, keeping a patent airway, and serving as a foundation for the vertical dimensions of the face. They can be fixed/removal prostheses, flexible dentures, fenestrated dentures, and by computer-aided design/computer-aided manufacturing fabricated dentures, depending on the conditions. An attempt was made to increase awareness among people and evaluate their opinion regarding dental implants and maxillofacial prostheses. Objective: The purpose of this survey was to determine patients' preferences and knowledge of dental implants and maxillofacial prostheses. Materials and Methods: A descriptive cross-sectional study among dental patients who attended the dental outpatient department for maxillofacial defects or missing teeth in the past 5–6 months were included in this survey. The level of knowledge, source of information and suitability for the use of dental implants were assessed using standardized and unambiguous questionnaires provided to the patient wishing to correct the defect with an maxillofacial prosthesis or a dental implant. Five hundred patients were selected randomly to be included in this survey. Results: In the present study, among 500 respondents as 260 males and 240 females, 75 participants had knowledge about dental implants and maxillofacial prostheses being costly or not, so 23 answered true these are not costly, 390 answered false that they are costly, whereas 398 said they did not know about the cost. Conclusion: Proper education and motivation among patients should be done regarding dental implants and maxillofacial prostheses. It is high time patients start replacing their missing teeth and missing body parts, if any. Technology is advancing, and many options are available both in removable and fixed prostheses.","PeriodicalId":220601,"journal":{"name":"The Saint′s International Dental Journal","volume":"141 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121471344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. Mishra, Isha Narang, M. Iqbal, Priyankar Singh, Nimmi Singh, A. Pranab
{"title":"Apexification of the mineral trioxide aggregate in nonvital immature anterior teeth with and without platelet-rich plasma: A preliminary clinical study","authors":"N. Mishra, Isha Narang, M. Iqbal, Priyankar Singh, Nimmi Singh, A. Pranab","doi":"10.4103/sidj.sidj_7_23","DOIUrl":"https://doi.org/10.4103/sidj.sidj_7_23","url":null,"abstract":"Introduction: Treatment of permanent teeth with weak root dentin, exposed apex, necrotic pulp, periapical disease, and stunted root growth present a significant challenge to the practicing conservative dentistry. Necrotic immature permanent teeth with open apices are arduous to seal by thermo-plasticized or lateral condensation methods. Apexification methods have traditionally used a variety of materials including calcium hydroxide, biodentine, and mineral trioxide aggregate (MTA). Calcium hydroxide apexification takes a long time to develop an apical barrier and contains large pores, resulting in inadequate sealing ability and a bad outcome. MTA is a biomimetic and bio-inductive substance that has been employed to construct a single-step apical barrier in immature open apices with and without periapical pathology. Endodontic in this 21st century uses regenerative procedures in a nonvital, immature tooth with wide-open apices but it is also a very lengthy procedure and poor patient compliance due to slow biologic healing and long-term follow-up of the patients. Platelet-rich plasma (PRP) contains various growth factors such as platelet-derived growth factors and transforming growth factors and has been proposed as a potentially ideal scaffold for accelerated wound healing. Aims and Objectives: To evaluate and compare the clinical and radiographic outcome of MTA apexification with and without PRP in periapical healing kinetics in nonvital, immature teeth. Materials and Methods: An analysis was performed on patient with immature teeth, open-apex, maxillary front nonvital that were randomly divided into two groups of eighteen patients (eighteen roots permanent upper anterior) each: Group I in which MTA apexification was performed without PRP and Group II consisting of 18 roots where MTA apexification were carried out on a collagen sponge supplemented with PRP. Results: The cases were followed up at 6 months and 12 months after treatment, both clinically and radiographically, by two independent assessors. Periapical healing (PAH) was good in 6–18 roots, and in Group I-11 roots showed excellent healing. In Group II-17 roots showed excellent results. Case number 18 and case number 9 were lost to follow-up due to migration to groups I and II, respectively. Apical closure was 100% in Group II and 77% in Group I. Conclusions: Single-step MTA apexification with PRP is a conservative and effective method for inducing PAH and is time-saving in managing nonvital, immature teeth with an open apex.","PeriodicalId":220601,"journal":{"name":"The Saint′s International Dental Journal","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132730875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prevalence of obstructive sleep apnea in a sample of patients with oral diseases - A cross-sectional survey","authors":"Isha Rastogi, Khevna Vyas, Ukti Gandhi, Nirma Yadav, Anandhu S Kumar","doi":"10.4103/sidj.sidj_1_23","DOIUrl":"https://doi.org/10.4103/sidj.sidj_1_23","url":null,"abstract":"Introduction: Obstructive sleep apnea (OSA) syndrome or snoring is a life-threatening disorder affecting patients and its associated dental problems. The disease is associated with dynamic collapse of the upper airway involving several underlying factors such as decrease in oxygen saturation, loud disruptive snoring, abrupt awakening, insomnia, and excessive daytime sleepiness. It is essential to take proper steps in time for the diagnosis of this common-seeming disease. Furthermore, dentists themselves should be aware of this disorder, only then they can provide necessary treatment to the needy patients. Objective: This study aimed to determine the prevalence of OSA and the awareness of OSA-related oral diseases by a self-administered questionnaire among its patients. Materials and Methods: A total of 500 individuals were screened through a cross-sectional single-center analytical study to assess the presence of comorbidities and other dental diseases in each individual attending a dental outpatient department over the age of 20 years with complaints of nocturnal snoring. Results: The present authors observed that the prevalence of OSA increases with increasing age and obesity, and in some senior groups it is as high as 43.80% in men (37%–90% in previous published epidemiological studies) and 41.20% in women (in previous published epidemiological studies 50%–78%) in this epidemiological survey. High blood pressure, stress, poor oral hygiene, smoking and alcohol consumption have also been suggested as risk factors, but results are conflicting. Conclusion: The dentist must have the proper knowledge, management, and ability to treat patients at risk of OSA. Therefore starting with a dedicated section of the sleep questionnaire asking questions for sleep disorders, questionnaires for early diagnosis (such as the STOP-BANG questionnaire), a multidisciplinary approach, and pneumological examination can support this. Furthermore, the medical factors have to be addressed well to obtain successful treatment. These results may be related to a relationship between several dental diseases/factors (periodontitis, gingivitis, and hypertension) associated with mild OSA. Its difficult diagnosis, and the absence of a dedicated section on sleep disorders in the medical/dental record, can make its treatment more difficult.","PeriodicalId":220601,"journal":{"name":"The Saint′s International Dental Journal","volume":"111 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124727600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Suryvanshi, Hemanya Lalwani, Twinkal Patel, B. Dudhia, Vatsal Kansara
{"title":"Sella can tell your age and gender: Determination of age and gender by evaluating the linear dimension of the sella turcica on lateral cephalogram - Retrospective study","authors":"A. Suryvanshi, Hemanya Lalwani, Twinkal Patel, B. Dudhia, Vatsal Kansara","doi":"10.4103/sidj.sidj_19_22","DOIUrl":"https://doi.org/10.4103/sidj.sidj_19_22","url":null,"abstract":"Background: In the lateral cephalogram, the sella turcica, a saddle-shaped concavity in the middle cranial fossa on the intracranial surface of the sphenoid bone, is clearly visible. Since it is utilized for forensic analysis, gender determination, and age determination, it is an excellent source of further diagnostic data regarding the estimation of the average sella turcica dimension and morphological variance in various age groups and genders. Aim: This study aims to determine the average dimension and morphological variations of the sella turcica in different age and gender groups on lateral cephalogram. Materials and Methods: The study sample consisted of 100 lateral cephalometric radiographs from patients 18 years or older. Linear Measurements: The length, depth, and anteroposterior diameter of the Sella Turcica were measured using the Silverman and Kisling methods. Statistical analysis was performed using the one-way ANOVA test and unpaired sample t-test. Results: In the present study, age-wise comparison of the linear measurement of sella turcica was not statistically significant in accordance with age with parameter P ≤ 0.05. Among the linear measurement, the parameter depth and diameter had statistically significant differences using parameter P ≤ 0.05 and unpaired t-test with gender. In gender-wise comparison, females tend to have higher sella turcica measurements than males. Conclusion: There was a statistically nonsignificant relation between age, and length, depth, and A-P diameter. There were statistically significant differences between sella turcica depth and diameter with genders.","PeriodicalId":220601,"journal":{"name":"The Saint′s International Dental Journal","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126179877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NamrataV Shehare, Suchita S Daokar, Dhananjay B Ghunawat, HarshaJ Kaurani
{"title":"Clinical evaluation and assessment of laser irradiation on the stability of orthodontic implant - A prospective experimental study","authors":"NamrataV Shehare, Suchita S Daokar, Dhananjay B Ghunawat, HarshaJ Kaurani","doi":"10.4103/sidj.sidj_20_22","DOIUrl":"https://doi.org/10.4103/sidj.sidj_20_22","url":null,"abstract":"Background: Currently, orthodontic implants have reached a peak where they are considered a dependable modality to provide temporary supplemental anchoring in orthodontic therapy. When absolute anchoring is a necessity or in cases of minimally cooperative patients, these devices can help manage skeletal anchorage. However, its failure is a serious multi-factorial issue that happens during orthodontic treatment. The stability of the mini-implant is crucial to the outcome of orthodontic intervention. Approaches to increasing the stability of the mini-implant were researched. Hence, this study was carried out to compare and contrast and clinically assess the integrity of orthodontic implants over time. Subjects and Methods: Split mouth technique of treatment was carried out on 16 patients, i.e., one side of the mandible was considered as the experimental group (implant site irradiated with laser after placement), and the other was considered as the control side (implant site not irradiated with laser). Titanium mini-implants of the dimensions 1.5 mm diameter and 6 mm length were employed in the present study. They were positioned in the inter radicular space between the first molar and second premolar in the mandibular posterior region, 7 mm apical to the alveolar crest. During the whole process, the laser utilized was a multimode GaAs diode laser with a wavelength of 980 nm. It had 0.5–10 W output power which was adjustable with the frequency of 1–20 kHz and its main body input voltage was DC12 to further analyze the stability of the implant which in turn would aid in success assessment, the resonance frequency concept was utilized. The readings were recorded (T0) after insertion, (T1) 24 h after insertion, (T2) 2 weeks after insertion, (T3) 4 weeks after insertion, (T4) 6 weeks after insertion, and (T5) 8 weeks after insertion. The higher the implant stability quotient values the greater the stability and hence the optimal loading time. Results: The test employed for statistical analysis was Mann–Whitney U, Kruskal Wallis, and analysis of variance test. After analysis of all the readings, it was found that low-level laser therapy has a significant role in the stability of orthodontic mini-implant. Conclusion: The findings from this study suggest that low-level laser irradiation at the time of implant placement controls the inflammatory reaction around the implant and improves its stability.","PeriodicalId":220601,"journal":{"name":"The Saint′s International Dental Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122957513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Perspicacity into the role of psychological factors in oral mucosal cancer: A synopsis","authors":"R. Kamal","doi":"10.4103/sidj.sidj_10_23","DOIUrl":"https://doi.org/10.4103/sidj.sidj_10_23","url":null,"abstract":"","PeriodicalId":220601,"journal":{"name":"The Saint′s International Dental Journal","volume":"97 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132701946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Future of periodontology and its consequences – Breakthrough to the next stage","authors":"N. Yadav","doi":"10.4103/sidj.sidj_11_23","DOIUrl":"https://doi.org/10.4103/sidj.sidj_11_23","url":null,"abstract":"","PeriodicalId":220601,"journal":{"name":"The Saint′s International Dental Journal","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126397604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rajeshwar Singh, Mona Agrawal, Sachin Thakur, T. Sharma, A. Sinha, R. Razdan
{"title":"Recent root canal irrigation protocol followed by endodontists and postgraduate students of endodontics for root canal therapy in Central India: A survey","authors":"Rajeshwar Singh, Mona Agrawal, Sachin Thakur, T. Sharma, A. Sinha, R. Razdan","doi":"10.4103/sidj.sidj_7_22","DOIUrl":"https://doi.org/10.4103/sidj.sidj_7_22","url":null,"abstract":"Background: One of the main purposes of root canal treatment is the complete debridement of root canals. Regardless of the instrumentation technique used 35% or more of the root canal surfaces have been observed to remain uninstrumented. To remove debris and address these uninstrumented surfaces, it is necessary to copiously irrigate the root canal. Many adjuncts have also been developed and being used in an effort to improve the delivery and effectiveness of these irrigants. Although much research have been conducted on different root canal treatment regime and irrigants used in dentistry, only a little data can be found on the widespread practice or acceptance of such methods. Aims and Objectives: The purpose of this survey was therefore to ascertain the current trends in the use of root canal irrigants and irrigation protocol followed by Endodontists and Postgraduate students across Central India (Madhya Pradesh). Material and Methods: A questionnaire-based survey was conducted and participants were asked to fill in responses to some questions regarding their preferences for root canal irrigation like irrigant selection, irrigant concentration, technique used for delivery and activation of irrigants, etc. Results: The majority of the respondents considered both irrigations as well as instrumentation to be of equal importance. Also, the majority of respondents prefer full-strength sodium hypochlorite (5.25%) while only a few have been found to use its lower concentration (3%). Conclusion: It is essential for future prospects to get an awareness of the properties and actions of irrigants and incorporate them into practice for executing a successful endodontic treatment.","PeriodicalId":220601,"journal":{"name":"The Saint′s International Dental Journal","volume":"459 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131856006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Latest trends in dentistry and disparities in oral health","authors":"Ayesha Sadaf","doi":"10.4103/sidj.sidj_16_22","DOIUrl":"https://doi.org/10.4103/sidj.sidj_16_22","url":null,"abstract":"","PeriodicalId":220601,"journal":{"name":"The Saint′s International Dental Journal","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122482388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Karunakaran, K. Sivaprasad, P. Kumar, L. Philipose
{"title":"Comparison of dentofacial findings in sickle cell anemia patients and controls among a tribal population in Kerala – A cross-sectional study","authors":"A. Karunakaran, K. Sivaprasad, P. Kumar, L. Philipose","doi":"10.4103/sidj.sidj_15_22","DOIUrl":"https://doi.org/10.4103/sidj.sidj_15_22","url":null,"abstract":"Aim: (1) To diagnose by clinical inspection the dental and craniofacial skeletal anomalies in sickle cell anemia (SCA) patients of the particular tribal population. (2) To compare the clinical findings with normal controls of the same population. Materials and Methods: A study sample of 52 SCA patients and a control sample of 52 non-SCA patients, both belonging to the tribal communities of the area, were selected by nonrandom purposive sampling from the patients attending the Public Health Centre and Dental Outpatient Department of the Government Tribal Hospital of that region. Permission was duly taken through proper channels from the competent authorities. The study design was a comparative cross-sectional study using nonrandom purposive sampling. The study sample consisted of confirmed SCA patients above 18 years of age of both sexes and belonging to any tribe of the region. Results: Statistical analysis was performed using the Chi-square test for categorical variables and Student's t-test for quantitative variables. Frontal bossing, numb chin syndrome, diastemata, and ischemic pulp involvement were absent in both the study and control groups. Intraoral findings such as the inclination of incisors, overjet, and overbite were tabulated and analyzed statistically. Conclusion: The data obtained were proposed to be used to formulate a plan for 17 prevention and treatment of the anomalies through timely intervention. Furthermore, the patients need 18 to be made aware of the relationship between these pathologies and SCA. Of the ten features that 19 were examined, only retroclination of incisors showed a significant difference from the control 20 groups. This could be attributed to the lip pressure on the maxilla. However, it did not affect 21 esthetics or function, and therefore, no intervention was required.","PeriodicalId":220601,"journal":{"name":"The Saint′s International Dental Journal","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127866557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}