Pub Date : 2019-06-06DOI: 10.36811/ojdoh.2019.110004
S. L. Gupta, H. Yadav, Hirkani Attarde, J. Narula
Oral and maxillofacial surgery, a specialty responsible for the diagnosis, treatment of trauma, congenital, developmental and iatrogenic lesions in the maxillofacial complex. Despite all the progress that has occurred in the specialty of this fraternity, many people are still unaware of the specialty. Even today, difficulties are experienced owing to the lack of knowledge of the general public and health professionals concerning the scope of oral and maxillofacial surgery. To investigate recognition of the scope of oral and maxillofacial surgery; 50 questionnaires about mandible angle fracture were sent to the oral & maxillofacial surgeons and plastic surgeons, in 2 equal groups. The questionnaire covered 9 questions regarding peri-operative care of mandible angle fracture. Each interviewee had to answer the clinical situation with their own perspective and knowledge. On the basis of questionnaire responses, a good knowledge of treatment plan in terms of function and aesthetics were evaluated, which were instituted by oral and maxillofacial surgeons and plastic surgeons gave little consideration on functional outcome. Results obtained from this questionnaire signified that less number of plastic surgeons operated on mandibular angle fractures as compared to oral surgeons, with not much a discrepancy in the choice of radiographs. The plastic surgeons usually prefer an extraoral approach over an intraoral, with the main aim to re-establish esthetics whereas oral surgeons preferred functional establishment. Both the surgeons treat these fractures with the help of rigid osteosynthesis and intermaxillary fixation. Not many plastic surgeons opt for Champ’s technique of osteosynthesis. Both the surgeons do not prefer to remove plates postoperatively. Moreover, the plastic surgeons do not wish to extract tooth in line of fracture majorly. Thus, we conclude that oral and maxillofacial surgeons are better proficient than plastic surgeons in handling mandibular angle fracture and the specialty needs to broaden its horizons in order to ensure the correct referral of all patients.
{"title":"Who Can Treat Mandibular Trauma Better?","authors":"S. L. Gupta, H. Yadav, Hirkani Attarde, J. Narula","doi":"10.36811/ojdoh.2019.110004","DOIUrl":"https://doi.org/10.36811/ojdoh.2019.110004","url":null,"abstract":"Oral and maxillofacial surgery, a specialty responsible for the diagnosis, treatment of trauma, congenital, developmental and iatrogenic lesions in the maxillofacial complex. Despite all the progress that has occurred in the specialty of this fraternity, many people are still unaware of the specialty. Even today, difficulties are experienced owing to the lack of knowledge of the general public and health professionals concerning the scope of oral and maxillofacial surgery. To investigate recognition of the scope of oral and maxillofacial surgery; 50 questionnaires about mandible angle fracture were sent to the oral & maxillofacial surgeons and plastic surgeons, in 2 equal groups. The questionnaire covered 9 questions regarding peri-operative care of mandible angle fracture. Each interviewee had to answer the clinical situation with their own perspective and knowledge. On the basis of questionnaire responses, a good knowledge of treatment plan in terms of function and aesthetics were evaluated, which were instituted by oral and maxillofacial surgeons and plastic surgeons gave little consideration on functional outcome. Results obtained from this questionnaire signified that less number of plastic surgeons operated on mandibular angle fractures as compared to oral surgeons, with not much a discrepancy in the choice of radiographs. The plastic surgeons usually prefer an extraoral approach over an intraoral, with the main aim to re-establish esthetics whereas oral surgeons preferred functional establishment. Both the surgeons treat these fractures with the help of rigid osteosynthesis and intermaxillary fixation. Not many plastic surgeons opt for Champ’s technique of osteosynthesis. Both the surgeons do not prefer to remove plates postoperatively. Moreover, the plastic surgeons do not wish to extract tooth in line of fracture majorly. Thus, we conclude that oral and maxillofacial surgeons are better proficient than plastic surgeons in handling mandibular angle fracture and the specialty needs to broaden its horizons in order to ensure the correct referral of all patients.","PeriodicalId":196901,"journal":{"name":"Open Journal of Dentistry and Oral Health","volume":"125 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122861191","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}
Pub Date : 2019-05-04DOI: 10.36811/OJDOH.2019.110003
Ayako Okada, Y. Nomura, Mayu Miyanohara, Masahide Uraguchi, H. Tadokoro, Tetsuya Nagai, Yoshihito Fujii, M. Miura, Ryo Kawachi, Takanori Matsui, Kunio Takayanagi, Masashige Yamamoto, Takatsugu Yamamoto, N. Hanada
Purpose: Patients with diabetes mellitus are prone to be bacteremia. The major side effect of diabetes mellitus is caused by bacteremia. However, conventional periodontal treatment does not focus mainly on the elimination of pathogenic bacteria. Therefore, the aim of this study was to the management of oral bacteria improve some symptoms of diabetes mellitus. Material and Method: We monitored Hemoglobin A1c (HbA1c) of five subjects after removed oral bacteria on the tooth surface by antibiotics using custom made tray. By using the results, simulation model was constructed. Result: By the simulation, HbA1c levels declined over time and decreased to 6.0%. However, it took at least 600 days to come up to 6.0%. The higher the level of HbA1c at baseline, the more time takes to improve HbA1c level. Subjects with 7.3% HbA1c at baseline required 2,400 days to achieve 6.0% HbA1c. Conclusion: The results of this study suggest that HbA1c may be improved by oral bacterial control. Clinical studies suggest that a long observational period is required to obtain high quality evidence.? Keywords: Oral hygiene; Hemoglobin A1c; Mixed effect model
{"title":"Feasibility Controlling Hemoglobin A1c by Oral Hygiene Improvement: A Pilot Study","authors":"Ayako Okada, Y. Nomura, Mayu Miyanohara, Masahide Uraguchi, H. Tadokoro, Tetsuya Nagai, Yoshihito Fujii, M. Miura, Ryo Kawachi, Takanori Matsui, Kunio Takayanagi, Masashige Yamamoto, Takatsugu Yamamoto, N. Hanada","doi":"10.36811/OJDOH.2019.110003","DOIUrl":"https://doi.org/10.36811/OJDOH.2019.110003","url":null,"abstract":"Purpose: Patients with diabetes mellitus are prone to be bacteremia. The major side effect of diabetes mellitus is caused by bacteremia. However, conventional periodontal treatment does not focus mainly on the elimination of pathogenic bacteria. Therefore, the aim of this study was to the management of oral bacteria improve some symptoms of diabetes mellitus.\u0000\u0000Material and Method: We monitored Hemoglobin A1c (HbA1c) of five subjects after removed oral bacteria on the tooth surface by antibiotics using custom made tray. By using the results, simulation model was constructed.\u0000\u0000Result: By the simulation, HbA1c levels declined over time and decreased to 6.0%. However, it took at least 600 days to come up to 6.0%. The higher the level of HbA1c at baseline, the more time takes to improve HbA1c level. Subjects with 7.3% HbA1c at baseline required 2,400 days to achieve 6.0% HbA1c.\u0000\u0000Conclusion: The results of this study suggest that HbA1c may be improved by oral bacterial control. Clinical studies suggest that a long observational period is required to obtain high quality evidence.?\u0000\u0000Keywords: Oral hygiene; Hemoglobin A1c; Mixed effect model","PeriodicalId":196901,"journal":{"name":"Open Journal of Dentistry and Oral Health","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114676455","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}
Pub Date : 2019-04-22DOI: 10.36811/OJDOH.2019.110002
C. Lin, Shu-Ying Chung, Y. Hwu
Iowa Oral Performance Instrument (IOPI) is an instrument used to measure tongue strength. The standard protocol of operating IOPI is three trials separated by 10-15 seconds of rest. The highest pressure of these three trials is recorded as the tongue strength. The purpose of this study was to investigate the difference of three trials. Forty-one healthy adults were taken as research subjects. Repeated-measurements analysis of covariance (RANCOVAs) was used to analyze the anterior and posterior tongue strength under four conditions: maximum isometric pressure, dry swallowing, 5c.c. and 10c.c. of water swallowing. The results showed that there were no statistically significant differences among three trials of anterior and posterior tongue strength. It is suggested that before measuring the tongue strength, the participants should be provided with the opportunity to practice, and one or two trials in formal measurements can be adopted to reduce their fatigue. Keywords: Intraoral pressure; Swallowing; Dysphagia
{"title":"The Discourse on Measuring Frequency of Tongue Strength","authors":"C. Lin, Shu-Ying Chung, Y. Hwu","doi":"10.36811/OJDOH.2019.110002","DOIUrl":"https://doi.org/10.36811/OJDOH.2019.110002","url":null,"abstract":"Iowa Oral Performance Instrument (IOPI) is an instrument used to measure tongue strength. The standard protocol of operating IOPI is three trials separated by 10-15 seconds of rest. The highest pressure of these three trials is recorded as the tongue strength. The purpose of this study was to investigate the difference of three trials. Forty-one healthy adults were taken as research subjects. Repeated-measurements analysis of covariance (RANCOVAs) was used to analyze the anterior and posterior tongue strength under four conditions: maximum isometric pressure, dry swallowing, 5c.c. and 10c.c. of water swallowing. The results showed that there were no statistically significant differences among three trials of anterior and posterior tongue strength. It is suggested that before measuring the tongue strength, the participants should be provided with the opportunity to practice, and one or two trials in formal measurements can be adopted to reduce their fatigue.\u0000\u0000Keywords: Intraoral pressure; Swallowing; Dysphagia","PeriodicalId":196901,"journal":{"name":"Open Journal of Dentistry and Oral Health","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126691634","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}
Pub Date : 2019-03-22DOI: 10.36811/OJDOH.2019.110001
Vanashree Takane Shirsat, Siddharth Shirsat
This is a case report of a 40-year-old female patient with chief complaint of spacing in front teeth. Patient exhibited convex profile, incompetent lips, spacing in anterior maxillary and mandibular teeth. She had maxillary posterior long span fixed partial denture and generalised periodontitis. She was diagnosed as Class I malocclusion with proclined and spaced anterior teeth. Treatment objective include space closure, maintaining class I molar and canine relation, achieving ideal overjet and overbite and functional occlusion. Thorough oral prophylaxis was done prior to start of fixed mechanotherapy. The case was bonded (upper canine to canine and full lower arch) with 022 MBT bracket system. Aligning and levelling was done sequentially with 012,016,17x25 Niti wires. One bracket each side was bonded on the maxillary FPD abutment teeth for anchorage. Space closure was achieved using low forces with elastomeric chain on 19x25 SS wire. Total treatment time was 12 months. Ideal overjet and overbite achieved with functional occlusion. Periodontal condition improved and stable results were achieved. Patient is given fixed retention and removable hawleys retainer with tongue crib in upper arch. In the recent years, there has been an increase in number of adults seeking orthodontic treatment and orthodontists quiite often face patients with periodontal disease. Adult patients should follow regular oral hygiene measure in order to maintain periodontal health during and after active orthodontic therapy.
{"title":"Orthodontic anterior teeth space closure in an adult with posterior long standing fixed partial denture","authors":"Vanashree Takane Shirsat, Siddharth Shirsat","doi":"10.36811/OJDOH.2019.110001","DOIUrl":"https://doi.org/10.36811/OJDOH.2019.110001","url":null,"abstract":"This is a case report of a 40-year-old female patient with chief complaint of spacing in front teeth. Patient exhibited convex profile, incompetent lips, spacing in anterior maxillary and mandibular teeth. She had maxillary posterior long span fixed partial denture and generalised periodontitis. She was diagnosed as Class I malocclusion with proclined and spaced anterior teeth. Treatment objective include space closure, maintaining class I molar and canine relation, achieving ideal overjet and overbite and functional occlusion. Thorough oral prophylaxis was done prior to start of fixed mechanotherapy. The case was bonded (upper canine to canine and full lower arch) with 022 MBT bracket system. Aligning and levelling was done sequentially with 012,016,17x25 Niti wires. One bracket each side was bonded on the maxillary FPD abutment teeth for anchorage. Space closure was achieved using low forces with elastomeric chain on 19x25 SS wire. Total treatment time was 12 months. Ideal overjet and overbite achieved with functional occlusion. Periodontal condition improved and stable results were achieved. Patient is given fixed retention and removable hawleys retainer with tongue crib in upper arch. In the recent years, there has been an increase in number of adults seeking orthodontic treatment and orthodontists quiite often face patients with periodontal disease. Adult patients should follow regular oral hygiene measure in order to maintain periodontal health during and after active orthodontic therapy.","PeriodicalId":196901,"journal":{"name":"Open Journal of Dentistry and Oral Health","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117274627","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}
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