Jayant N Palaskar, Amit Dhansukhlal Hindocha, Aditi Mishra, Ranjeet Gandagule, Sayali Korde
{"title":"Evaluating the antifungal effectiveness, leaching characteristics, flexural strength, and impact strength of polymethyl methacrylate added with small-scale silver nanoparticles - An in vitro study.","authors":"Jayant N Palaskar, Amit Dhansukhlal Hindocha, Aditi Mishra, Ranjeet Gandagule, Sayali Korde","doi":"10.4103/jips.jips_423_23","DOIUrl":"10.4103/jips.jips_423_23","url":null,"abstract":"<p><strong>Aim: </strong>(1) To assess the release of stable silver nanoparticles (AgNPs) of small scale dimension added to heat polymerized polymethyl methacrylate (PMMA) in 6 months. (2) Assessing the influence of incorporating minimal concentrations of stable AgNPs with nanoscale dimensions into heat polymerized PMMA over a 6 month period on its antifungal efficacy (AF), flexural strength (FS), and impact strength (IS).</p><p><strong>Settings and design: </strong>Incorporating nanoparticles with a very small scale may have minimal impact on mechanical properties due to their diminutive size. However, the influence of these small scaled nanoparticles on antimicrobial efficacy and potential escalation in toxicity to host cells through leaching remains unexplored. AgNPs were prepared using an Ultrasonic Probe sonicator and the addition of ammonia to obtain stabilized AgNPs (< 0.01 nm) of small scale dimension. The characterization of these AgNPs involved ultraviolet visible spectroscopy, X ray diffraction, Zetasizer, and transmission electron microscopy with energy dispersive spectroscopy (TEM).</p><p><strong>Materials and methods: </strong>The prepared AgNPs were then added in various percentages by weight (0%-0.5%) to fabricate 252 modified PMMA samples of sizes 10 mm × 3 mm (AF, n = 108), 65 mm × 10 mm × 3 mm (FS, n = 72), and 65 mm × 10 mm × 2.5 mm (IS, n = 72) as per ADA specification no. 12. These samples underwent testing for leaching out of AgNPs and efficacy against Candida albicans for 6 months. The effect on FS and IS was evaluated using the three point bending test and Charpy's Impact Tester, respectively.</p><p><strong>Statistical analysis used: </strong>Intergroup comparison of CFU between various concentrations of AgNP was done using the Kruskal-Wallis ANOVA test succeeded by Mann-Whitney test for pair wise comparisons. Difference in CFU of various concentrations over 6 months was seen using one way ANOVA test. Intergroup comparison of FS and IS was performed using a one way ANOVA test, followed by a post hoc Tukey's test for pair wise comparisons.</p><p><strong>Results: </strong>Repeated tests showed no leaching out of AgNPs from the denture base resin into the storage medium. All concentrations of AgNPs incorporated in resin showed inhibition of Candida growth. Intergroup comparison of FS and IS revealed highly statistically significant differences (F = 15.076, P < 0.01 and F = 28.266, P < 0.01) between the groups showing a reduction in strength.</p><p><strong>Conclusion: </strong>The AgNPs of small scale dimension incorporated into the denture base resin imparted a strong antifungal effectiveness against C. albicans, which did not decline during the study period and did not cause any release of nanoparticles. 0.5% showed the best antifungal efficacy. This may prove to be a viable and highly effective treatment for the prevention of Candida associated denture stomatitis. However, the inclusion of these particles resulted in a dec","PeriodicalId":22669,"journal":{"name":"The Journal of Indian Prosthodontic Society","volume":"24 2","pages":"165-174"},"PeriodicalIF":1.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11129815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140860148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D Shruthi, M Saravanan, Vishal Reddy, Muthukumar Balasubramanium
{"title":"Comparative evaluation on wear resistance of metal sleeve, sleeve-free resin, and reinforced sleeve-free resin implant guide: An in vitro study.","authors":"D Shruthi, M Saravanan, Vishal Reddy, Muthukumar Balasubramanium","doi":"10.4103/jips.jips_535_23","DOIUrl":"10.4103/jips.jips_535_23","url":null,"abstract":"<p><strong>Background: </strong>In-office three-dimensional (3D) printers and metal sleeveless surgical guides are becoming a major trend recently. However, metal sleeve-free designs are reported to be more prone to distortion which might lead to variation in the inner diameter of the drill hole and cause deviation and inaccuracy in the placement of the implant. Carbon fiber nanoparticles are reported to improve the properties of 3D printing resin material in industrial application.</p><p><strong>Aim: </strong>The purpose of the study is to evaluate and compare the wear resistance of 3D-printed implant guides with metal sleeve, sleeve-free, and reinforced sleeve-free resin to the guide drill.</p><p><strong>Materials and methods: </strong>A total of 66 samples with 22 samples in each group. Three groups including 3D-printed surgical guide with metal sleeve (Group A), without metal sleeve (Group B), an carbon fiber reinforced without metal sleeve (Group C) were included in the study. All samples were evaluated before sequential drilling and after sequential drilling using Vision Measuring Machine. The data were tabulated and statistically evaluated.</p><p><strong>Results: </strong>The data obtained were statistically analyzed with one-way analysis of variance and posthoc test. The data obtained for wear observed in the samples showed that the wear was highest in Group B with a mean of 0.5036 ± 0.1118 and the least was observed in Group A with a mean of 0.0228 ± 0.0154 and Group C was almost similar to Group A with mean of 0.0710 ± 0.0381. The results showed there was a significant difference between Group B with Group A and C, respectively (P < 0.05). The results showed that there was no significant difference regarding the wear observed between Groups A and C (P > 0.05).</p><p><strong>Conclusion: </strong>The wear observed in the guide with a metal sleeve and carbon fiber reinforced without a metal sleeve was almost similar. The carbon fiber-reinforced guide showed better tolerance to guide drill equivalent to metal sleeve. Thus, carbon fiber nanoparticles reinforced in 3D printing resin have shown improved strength and can be used as a good replacement for a metal sleeve for an accurate placement of the implant.</p>","PeriodicalId":22669,"journal":{"name":"The Journal of Indian Prosthodontic Society","volume":"24 2","pages":"196-200"},"PeriodicalIF":1.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11129808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140865315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vipul Diwan, Manish R Chauhan, Jyoti Tembhurne, Arti Gangurde, Hemraj Wani, Saurabh Danane
{"title":"Comparative evaluation of the effect of impregnated retraction cord versus laser on gingival attachment level and pain perception following retraction for subgingival margins - A prospective, split-mouth, controlled, clinical study.","authors":"Vipul Diwan, Manish R Chauhan, Jyoti Tembhurne, Arti Gangurde, Hemraj Wani, Saurabh Danane","doi":"10.4103/jips.jips_437_23","DOIUrl":"10.4103/jips.jips_437_23","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate and compare the effect of impregnated retraction cord vs Laser on gingival attachment level and pain perception following retraction for subgingival margins.</p><p><strong>Settings and design: </strong>Many methods for achieving and measuring the amount of gingival retraction in fixed prosthodontic work have been advocated. Though the gingival attachment level is crucial in Periodontology, the literature available regarding the effect of these retraction methods on the same is scarce. Hence, this clinical study was designed to compare the pain perception and amount of gingival recession when impregnated cord and laser were used for retraction.</p><p><strong>Materials and methods: </strong>In 40 subjects (age range of 20 to 40 years) with single missing maxillary incisor, the abutments were prepared with subgingival margins, to receive a full coverage metal-ceramic fixed dental prosthesis. The gingiva was retracted on one of the abutments with impregnated retraction cord and on the other with diode laser. Gingival attachment levels were compared at six sites per abutment using superimposition of digital scans, preoperative and four weeks after cementation of final prosthesis.</p><p><strong>Statistical analysis used: </strong>Statistical analysis of the data for gingival recession was done using t-test. Pain perception was analysed with Chi-square test. Pain perception by patients following retraction was compared with VAS scale.</p><p><strong>Results: </strong>The average values of gingival recession on buccal side were 0.61 mm and 0.38 mm and on the palatal side were 0.58 mm and 0.35 mm for impregnated retraction cord and laser respectively. The P values of <0.01 indicated a highly significant difference between the two groups. Intragroup comparison did not show significant differences between various sites. Pain and discomfort produced by cord method was moderate in comparison with mild/no pain with diode laser and the difference was highly significant.Conclusion: Retraction cord produced more gingival recession than the diode laser, which was statistically highly significant on both buccal and palatal aspects of the teeth. Patients experience with diode laser technique was less painful in comparison with retraction cord method.</p>","PeriodicalId":22669,"journal":{"name":"The Journal of Indian Prosthodontic Society","volume":"24 2","pages":"136-143"},"PeriodicalIF":1.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11129809/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nishanth A Sudharson, Nitasha Gandhi, Harit Talwar, Nirmal Kurian, Meril Joseph
{"title":"A comparative analysis of mechanical and optical behavioral patterns of translucent zirconia ceramics.","authors":"Nishanth A Sudharson, Nitasha Gandhi, Harit Talwar, Nirmal Kurian, Meril Joseph","doi":"10.4103/jips.jips_341_23","DOIUrl":"10.4103/jips.jips_341_23","url":null,"abstract":"<p><strong>Aim: </strong>This research aimed to assess and compare the translucency and mechanical properties of partially stabilized zirconia in contrast to lithium disilicate, particularly within the context of translucent zirconia.</p><p><strong>Settings and design: </strong>The experimental design entails examining fifty samples, with ten drawn from each of the five distinct categories of ceramic materials, as part of this in vitro study. Translucency is measured using the Konica Minolta CM-3600D spectrophotometer, assessing Delta E through Lab values against white and black backgrounds. Flexural strength is analyzed via a 3-point bend test on a universal testing machine, with a controlled crosshead speed set at 1 mm/min.</p><p><strong>Materials and methods: </strong>The study included the five categories of ceramic materials, each consisting of ten samples: High-strength zirconia (Katana HT), translucent zirconia (e.max Zircad MT and Cercon ht ML), and lithium disilicate (Press MT and LT). The Konica Minolta CM-3600D spectrophotometer is utilized to measure the translucency parameter. This involves determining the color difference (Delta E) by comparing the L*a*b values against both white and black backgrounds. The flexural strength (FS) of zirconia and lithium disilicate materials was analyzed through a 3-point bend test, aiming to compare their respective strengths. The testing procedure was carried out on a universal testing machine with a controlled crosshead speed set at 1 mm/min. The FS was calculated using the formula σ = FL/πR3 for circular disks, where σ represents the FS, F is the fracture load, L is the span length in millimeters, and R is the radius of the disk.</p><p><strong>Statistical analysis used: </strong>The Student's t-test was employed for statistical analysis.</p><p><strong>Results: </strong>The mean translucency parameter for e.max Press MT (6.33 ± 1.05) was significantly greater than all the specimens investigated. The Cercon ht ML exhibited a slightly higher translucency (2.18 ± 0.52) compared to e.max Zircad MT (1.49 ± 0.69), with a statistically significant difference (P = 0.022). Conversely, the FS of e.max Zircad MT (26.97 ± 2.06) was significantly greater (P < 0.001) than that of Cercon ht ML (23.25 ± 2.36). Notably, the Katana HT material demonstrated the highest load strength (32.92 ± 3.10), a statistically significant difference compared to its counterparts (P < 0.001).</p><p><strong>Conclusions: </strong>Among the materials tested, lithium disilicate ceramics exhibited the highest translucency, with its MT variant demonstrating the lowest strength. Katana HT displayed significantly greater biaxial FS compared to translucent zirconia, surpassing even lithium disilicate. Translucent zirconia proved to be notably more translucent than high-strength zirconia. Within the category of translucent zirconia, e.max Zircad MT exhibited substantially higher FS than Cercon.</p>","PeriodicalId":22669,"journal":{"name":"The Journal of Indian Prosthodontic Society","volume":"24 1","pages":"88-94"},"PeriodicalIF":1.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10896311/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139543053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jemin Elizabeth Mathew, Nirmal Kurian, Nitasha Gandhi, Angleena Y Daniel, Neethu Roy, Kevin George Varghese
{"title":"Comparative evaluation of masticatory efficiency, clinical performance, and patient satisfaction of single implant-retained mandibular overdenture versus conventional complete denture: A prospective in vivo study.","authors":"Jemin Elizabeth Mathew, Nirmal Kurian, Nitasha Gandhi, Angleena Y Daniel, Neethu Roy, Kevin George Varghese","doi":"10.4103/jips.jips_393_23","DOIUrl":"10.4103/jips.jips_393_23","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this within-subject prospective clinical study was to investigate the scope of single implant mandibular overdenture by assessing its masticatory efficiency, clinical performance, and patient satisfaction compared to conventional complete dentures.</p><p><strong>Settings and design: </strong>Prospective In Vivo Study.</p><p><strong>Material and methods: </strong>This prospective in vivo study was conducted in the Department of Prosthodontics and Crown and Bridge, Christian Dental College, Ludhiana. A total of 12 completely edentulous patients received a single implant in the mandibular anterior midline region. After the healing period, the conventional maxillary and mandibular dentures were fabricated. 15 days post insertion of the conventional dentures, patients were evaluated for masticatory efficiency, clinical performance including retention and stability, and patient satisfaction. To evaluate the masticatory efficiency blue raspberry and original pink \"Hubba Bubba tape gum\" were used as a test food. Colorimetric analysis was done to assess variance of hue. To assess clinical performance, retention, and stability of the mandibular denture was recorded using a digital force gauge and was tabulated as per CU-modified Kapur's criteria. OHIP-14 index was used to assess patient satisfaction. After evaluation of the parameters of conventional dentures, the denture was converted into an implant-retained mandibular denture by chairside conversion with locator attachments. 15 days post-implant loading, parameters of the implant retained mandibular overdenture were assessed again followed by statistical analysis.</p><p><strong>Statistical analysis used: </strong>The masticatory efficiency was assessed using a paired t-test. The patient satisfaction was sequentially assessed with Wilcoxon signed rank test and thereafter paired t-test was used to compare between conventional complete denture and overdenture. Clinical performance was assessed using the Wilcoxon signed rank test.</p><p><strong>Results: </strong>The masticatory efficiency of single implant mandibular overdenture was higher than that of conventional complete dentures. The clinical performance of the overdenture was higher than that of the conventional denture. Stability being a time-dependent parameter might need longer follow-ups for further conclusions. Patient satisfaction with single implant retained overdenture was significantly higher than conventional complete dentures.</p><p><strong>Conclusion: </strong>Single implant mandibular overdenture has improved masticatory efficiency, clinical performance, and patient satisfaction compared to conventional complete dentures.</p>","PeriodicalId":22669,"journal":{"name":"The Journal of Indian Prosthodontic Society","volume":"24 1","pages":"61-68"},"PeriodicalIF":1.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10896310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139543064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparison of the effect of zirconia and titanium abutments on peri-implant hard and soft tissues.","authors":"Sahil Luthra, Pallavi Sirana, Neeta Pasricha, Gaurav Issar, Neha Singla","doi":"10.4103/jips.jips_201_23","DOIUrl":"10.4103/jips.jips_201_23","url":null,"abstract":"<p><strong>Aim: </strong>The primary objective of this research was to assess and compare the impact of customized zirconia (Zr) and titanium (Ti) abutments, placed on early loaded dental implants, on both hard tissue (as measured crestal bone level) and soft tissue (as assessed by sulcular bleeding index [SBI], probing depth [PD], and Pink Esthetic Score [PES]), through clinical and radiographic evaluation.</p><p><strong>Settings and design: </strong>This research involved a sample of 15 patients who had partially dentulous mandibular arch. Within this group, a total of 30 implants were surgically placed. Specifically, each patient received two implants in the posterior region of the mandible, and the bone density in this area was classified as D2 type. In each patient, one implant was loaded with Zr abutment and the other was loaded with Ti abutment. The bone quality in the area of implant placement was Type D2. Two groups were created for this research. Each group consisted of 15 early loaded dental implants with customized Zr abutments and customized Ti abutments respectively.</p><p><strong>Materials and methods: </strong>Hard- and soft-tissue changes were evaluated in both the groups. Evaluation of crestal bone loss (CBL) with cone beam computed tomography and SBI, PD and PESs were evaluated by various indices at 2, 4, and 6 months postloading.</p><p><strong>Statistical analysis used: </strong>After obtaining the readings, data were subjected to statistical analysis and comparison of quantitative data was done, paired t-test was used.</p><p><strong>Results: </strong>The mean CBL in the Ti abutment is higher; the difference between the two groups was not statistically significant. SBI and PD for Zr were higher, but there was no statistically significant difference between the two groups. Zr had a higher PES than Ti abutment and the difference between the two groups was statistically significant. In the literature till date, the PES of Zr abutments were proven better for provisional restorations in implant prosthesis, but very few literatures support the same for the final implant restorations.</p><p><strong>Conclusion: </strong>The study did not reveal a clear advantage of either Ti or Zr abutments over the other. Nevertheless, Zr abutments tended to produce a more favorable color response in the peri-implant mucosa and led to superior esthetic outcomes as measured by the PES.</p>","PeriodicalId":22669,"journal":{"name":"The Journal of Indian Prosthodontic Society","volume":"24 1","pages":"69-75"},"PeriodicalIF":1.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10896305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139543086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dipayan Bhattacharya, A A Ponnanna, Ranganatha Rao K Jingade, Subhabrata Maiti, Nitesh Rai, Muralidhar Gopalkrishna
{"title":"An in vitro assessment of optimizing implant positions in bilateral distal extension implant-assisted removable partial dentures: A microstress analysis.","authors":"Dipayan Bhattacharya, A A Ponnanna, Ranganatha Rao K Jingade, Subhabrata Maiti, Nitesh Rai, Muralidhar Gopalkrishna","doi":"10.4103/jips.jips_388_23","DOIUrl":"10.4103/jips.jips_388_23","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to analyze and compare the stress distribution on dental implants in various positions when used with implant-assisted removable partial dentures.</p><p><strong>Settings and design: </strong>This was an in vitro study.</p><p><strong>Materials and methods: </strong>A model representing a mandibular bilateral partially edentulous condition, with missing premolars and molars, was fabricated using epoxy resin. Two implants of similar diameter measuring 4.0 mm × 10 mm (Dentium, Korea) were inserted in the second molar and the second premolar region on either side of the model for comparing the biomechanical effect of various implant locations. Two types of loads 100N and 125N were applied vertically using universal testing machines in the premolar and molar regions. The loads on the implants beneath the cast partial denture were measured by physical stress analysis using a microstrain gauge.</p><p><strong>Statistical analysis used: </strong>A comparison of maximum stress observed at the premolar versus molar regions due to the application of the 100N and 125N loads was done using the Mann-Whitney U-test.</p><p><strong>Results: </strong>In physical stress analysis, obtained results were statistically analyzed, and the result was statistically not significant (P = 0.435 at 100N and P = 0.718 at 125N) in positional changes of implant.</p><p><strong>Conclusion: </strong>In the current study, the statistical analysis of physical stress revealed no significant differences in stress values between the loadings at the premolar and molar regions. This suggests that the implant can be placed in either the premolar or molar region based on the availability of bone without affecting stress distribution.</p>","PeriodicalId":22669,"journal":{"name":"The Journal of Indian Prosthodontic Society","volume":"24 1","pages":"82-87"},"PeriodicalIF":1.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10896312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139543061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of calcium and Vitamin D supplementation on residual ridge resorption in edentulous patients: An open-label randomized study.","authors":"Saumyendra Vikram Singh, Himanshi Aggarwal, Mani Khandpur, Shilpa Trivedi, Anupama Pathak, Deeksha Arya","doi":"10.4103/jips.jips_455_23","DOIUrl":"10.4103/jips.jips_455_23","url":null,"abstract":"<p><strong>Aim: </strong>Complete dentures (CDs) are fabricated to rehabilitate the edentulous. Severe residual ridge resorption (RRR) compromises CD functionality, adversely affecting function, appearance, systemic health, and quality of life.</p><p><strong>Settings and design: </strong>The purpose of this study was to assess the benefit, if any, of calcium and Vitamin D supplementation on the rate of RRR. Retarding RRR would improve treatment prognosis and make CD fabrication less demanding.</p><p><strong>Materials and methods: </strong>This longitudinal, parallel, open-label randomized study was conducted in the Department of Prosthodontics of the institute. One hundred and fifty edentulous subjects underwent bone mineral density (BMD) assessment followed by CD fabrication to measure RR height and width with computerized tomographic (CT) scans. Subjects were randomized to oral supplementation group - S, given combined Vitamin D and calcium daily, and nonsupplementation group - NS. Subjects from both the groups were followed up with repeat BMD test and CT scan after 12 months. Mean BMD, RR height and width, and RRR values were collected, analyzed, and compared for the two groups using STATA 17.</p><p><strong>Statistical analysis used and results: </strong>Baseline mean T-score, RR height, and RR width were - 1.84, 22.30 mm, and 4.25 mm, respectively, for the sample. In both Groups S and NS, a statistically significant decrease in mandibular RR height (P = 0.000 for both) and width (P = 0.027 and 0.003, respectively) was observed at 1-year follow-up. There was a statistically insignificant difference between Groups S and NS for mean BMD, T-score, RR height and width, and RRR at both baseline and 12-month follow-up. One-year RRR rate for Group S (1.30 mm) was insignificantly lesser than for group NS (1.33 mm).</p><p><strong>Conclusion: </strong>Short-term oral calcium and Vitamin D supplementation was ineffective in reducing RRR and improving BMD.</p>","PeriodicalId":22669,"journal":{"name":"The Journal of Indian Prosthodontic Society","volume":"24 1","pages":"52-60"},"PeriodicalIF":1.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10896313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139543090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vidhi Himanshu Sheth, Nikita Gharat, Vishrut Mohan Bhatnagar, Shruti Gill, Naisargi P Shah
{"title":"A comparative evaluation of internal and marginal fits of custom post and core fabricated using conventional and two digital techniques: An in vitro study.","authors":"Vidhi Himanshu Sheth, Nikita Gharat, Vishrut Mohan Bhatnagar, Shruti Gill, Naisargi P Shah","doi":"10.4103/jips.jips_275_23","DOIUrl":"10.4103/jips.jips_275_23","url":null,"abstract":"<p><strong>Aim: </strong>The purpose of this in vitro study was to comparatively evaluate the marginal and internal fits of cobalt-chromium metal custom post and core fabricated using a conventional technique with two digital techniques.</p><p><strong>Settings and design: </strong>The study was designed in an in-vitro study setting.</p><p><strong>Materials and methods: </strong>Five sets of custom post and core restorations were fabricated using the conventional (Group 1) and two semi digital methods (digital scanning of the resin pattern and computer aided additive manufacturing, and digital scanning of the silicone impression and subsequent computer aided designing [CAD] computer aided manufacturing fabrication) (Group 2 and 3). Marginal and internal fits of the posts were evaluated using a micro computed tomography scan at various points.</p><p><strong>Statistical analysis used: </strong>A one way ANOVA test of the scores was made to evaluate the effect of different methods of custom post and core fabrication on marginal and internal fits. Bonferroni adjusted post hoc tests were conducted for intergroup comparison.</p><p><strong>Results: </strong>Least marginal gap was reported in Group 3 (82.5 ± 14.36 μm) followed by Group 1 (110 ± 25.19 μm) and Group 2 (112.5 ± 26.75 μm). Least internal gap at cervical, middle and apical as well as overall values were observed in Group 3 (78 ± 9.25 μm, 72 ± 7.79 μm, 160 ± 15.81 μm, 103.3 ± 4.43 μm) followed by Group 1 (113.5 ± 25.35 μm, 132.5 ± 19.92 μm, 502 ± 74.63 μm, 249.3 ± 25.44 μm) and Group 2 (114.5 ± 21.68 μm, 133.5 ± 19.57 μm, 598 ± 87.86 μm, 282 ± 28.91 μm) respectively. The results of one-way ANOVA and Bonferroni adjusted post hoc tests for marginal gap did not show any statistically significant difference between the three groups (P > 0.05) but revealed statistically significant difference (P = 0.02) in internal gap values at the cervical, middle, and apical regions as well as overall internal gap region between the three groups.</p><p><strong>Conclusions: </strong>Better marginal and internal fits were observed in custom post and core fabricated by digital scanning of the silicone impression and subsequent CAD as compared to those fabricated by the other two groups.</p>","PeriodicalId":22669,"journal":{"name":"The Journal of Indian Prosthodontic Society","volume":"24 1","pages":"95-102"},"PeriodicalIF":1.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10896309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139543055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A novel technique to detect cover screw location at stage two uncovery surgery over conventional technique - A randomized controlled trial.","authors":"Madhura Deshmukh, Suresh Venugopalan, Subhabrata Maiti, Varun Wadhwani","doi":"10.4103/jips.jips_395_23","DOIUrl":"10.4103/jips.jips_395_23","url":null,"abstract":"<p><strong>Aim: </strong>The conventional technique of implant uncovery using a blade and scalpel is associated with various drawbacks, including profuse bleeding, soft-tissue trauma, delayed healing, and patient noncompliance. Therefore, there is a need to explore the alternative approaches that offer improved accuracy and time efficiency during the cover screw location at the second stage of recovery. This study aims to assess the accuracy and time efficiency of a novel technique that utilizes an apex locator in comparison to conventional locating techniques for implant uncovery.</p><p><strong>Settings and design: </strong>The study employed a simple randomized controlled trial with a sample size of 161.</p><p><strong>Materials and methods: </strong>The study employed apex locator (Woodpecker Woodpex III Gold 5th generation) in conjunction with a K-file (Mani k-file #10, 21 mm) for detecting the implant location. The accuracy of the novel technique was determined based on the values measured on the apex locator, with positive values indicating soft-tissue response and negative values indicating the cover screw (metal). The accuracy was cross-verified using radiovisiography (RVG). The clinician-based scoring was also done, considering RVG evaluation, amount of incision given, and ease of the procedure. The time required to locate the cover screw was recorded using a timer for both the novel technique and the conventional method.</p><p><strong>Statistical analysis used: </strong>All the recorded values were statistically analyzed using the independent t-test (P < 0.005) with the SPSS software (version 23).</p><p><strong>Results: </strong>The results revealed a significant difference in terms of incision given, ease of treatment, and time taken for the procedure (P < 0.05), while the accuracy of the novel technique was not disturbed (P > 0.05).</p><p><strong>Conclusion: </strong>Based on the findings of this in vivo study, the use of an apex locator as an alternative to conventional methods for detecting cover screw location at the second stage of recovery is recommended. The novel technique demonstrated faster uncovering of implants without posing any risks to the surrounding tissues or implants.</p>","PeriodicalId":22669,"journal":{"name":"The Journal of Indian Prosthodontic Society","volume":"24 1","pages":"46-51"},"PeriodicalIF":1.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10896303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139543057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}