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Maxillofacial Prosthesis: A Mirage 颌面修复术:海市蜃楼
Pub Date : 2020-12-01 DOI: 10.4103/0972-4052.306381
Neha Hajira
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引用次数: 0
Digital dental tape- magical tape 数字牙科磁带-神奇的磁带
Pub Date : 2020-12-01 DOI: 10.4103/0972-4052.306340
P. Shetty
S16 The Journal of Indian Prosthodontic Society | Volume 20 | Supplement 1 | December 2020 Introduction: Edentulism is the major problem in the elderly population. Loss of retention and stability of the lower denture can be overcome by implants to improve their masticatory efficiency, and quality of life. So, the aim of this study was to evaluate and compare the masticatory efficiency of single and double implant retained overdenture and assess their oral health related quality of life by questionnaire method. Methodology: Twenty edentulous patients with inclusion and exclusion criteria divided into two groups, provided Conventional complete denture (CCD) to all patients. Objective evaluation (surface EMG) was done after 3 months, followed by placement of implantsGroup I (SIOD) with single implant and group II with two implants (DIOD). Delayed loading was followed. Surface EMG evaluation was done again after 3 months usage of dentures. Subjective evaluation was done using OHIP 20 questionnaire before and after implant placement. Result: Statistically analysis of EMG results found that there was statistically significant difference (p<0.05) between CCD and SIOD, CCD and DIOD, DIOD and SIOD respectively. In Subjective evaluation by questionnaire method, though there was significant difference found between CCD ad SIOD, CCD and DIOD respectively, there was no statistical difference (p > 0.05) between SIOD and DIOD. Conclusion: This study revealed that single implant retained overdenture improved masticatory efficiency and the patient satisfaction was similar to both SIOD and DIOD respectively. So this study concluded that single implant may be good alternative to two implant retained overdenture in patients who cannot afford to two implants DOI: 10.4103/0972-4052.306339 Digital dental tapemagical tape Dr. Prajna Prakash Shetty Rajarajeswari Dental College & Hospital, Bangalore Introduction: Vertical dimension of occlusion (VDO) has been defined by glossary of prosthodontic terms as the distance between two selected anatomic or marked points (usually one on the tip of the nose and the other on the chin) when in maximal intercuspal position. Inaccurate vertical dimension recording can result in an array of problems. It can cause a multitude of adverse effects in aesthetics, temporomandibular joints, functional efficiency, and masticatory muscles disorders and affect the facial expression of the individual. The various methods to determine the vertical dimension can be broadly classified as Pre and Post extraction methods. However, none of them have been able to give an accurate real time measurement of vertical dimension without any error. Hence there was a requirement to fabricate an instrument that can provide a real time value of the distance between two points on the face without any error. This presentation describes a simple tool that has been made for recording a patient’s accurate vertical dimension in a digital fashion. Methodology: Field of
因此,本研究考虑了沟通技巧这一经常被忽视的最相关因素,来评估其在全口义齿治疗成功中的作用。
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引用次数: 0
Cantilever Fixed Partial Denture: Concept Revisited 悬臂式固定局部义齿:概念再探讨
Pub Date : 2020-12-01 DOI: 10.4103/0972-4052.306417
Bishnupati Singh
S38 The Journal of Indian Prosthodontic Society | Volume 20 | Supplement 1 | December 2020 Introduction: Occlusion is considered to be the most important discipline for the maximum possible efficiency of prosthesis replacing missing teeth or restoration. A harmonious occlusal relation allows the prosthesis to function harmoniously without disturbing the stomatognathic system resulting in less number of temporomandibular disorders, bruxism habit, trauma from occlusion and other associated diseases. Summary: Over the years various modalities have been used to evaluate occlusion such as waxes, articulating papers, foil/ film/silk strips and newer materials such as the T-Scan, dental prescale and virtual dental patient. The reliability, sensitivity, marking ability and method of use are different and based on their type and character. Factors like oral environment, plastic deformity and interpretation of clinician is also a contributing factor. Hence a thorough knowledge about the various available occlusal indicator methods/modalities, their method of usage, understanding of interpretation & limitation is essential prior to their usage. This review will give insight to various modalities commonly available discussing evidence and practicality of their application. The clinical challenge is to prevent the consequence of occlusal discrepancies by making appropriate, evidence-based minimum adjustments to deliver a realistic treatment with reliable outcome. Conclusion: this presentation will comprehensively discuss the transition of occlusal evaluation methods from waxes, occlusal films to the latest & most resent digital modalities. DOI: 10.4103/0972-4052.306415 Critical review of materials and techniques used for fabrication of hollow bulb obturator
[38]《印度口腔修复学会杂志》|第20卷|增刊1 | 2020年12月介绍:咬合被认为是最重要的学科,可以最大限度地提高假体替代缺失牙齿或修复的效率。和谐的咬合关系可以使义齿在不干扰口颌系统的情况下和谐地发挥作用,从而减少颞下颌疾病、磨牙习惯、咬合创伤和其他相关疾病的发生。总结:多年来,各种各样的方式被用于评估咬合,如蜡、咬合纸、箔/薄膜/丝带和新的材料,如T-Scan、牙科预分片和虚拟牙科患者。它们的可靠性、灵敏度、标记能力和使用方法是不同的,这取决于它们的类型和特征。口腔环境、整形畸形和临床医生的解释等因素也是影响因素。因此,全面了解各种可用的咬合指示方法/模式,其使用方法,理解解释和限制在使用之前是必不可少的。这篇综述将深入探讨各种常用的模式,讨论其应用的证据和实用性。临床面临的挑战是通过适当的、基于证据的最小调整来预防咬合差异的后果,从而提供具有可靠结果的现实治疗。结论:本报告将全面讨论咬合评估方法从蜡,咬合膜到最新和最新的数字模式的转变。DOI: 10.4103/0972-4052.306415对用于制造空心灯泡闭孔的材料和技术的关键审查
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引用次数: 0
Hard and soft-tissue evaluation of bar-clip, ball-socket, and kerator attachments in mandibular implant overdenture treatment: An in vivo study 条形夹、球窝和角角膜附着体在下颌种植覆盖义齿治疗中的软硬组织评估:一项体内研究
Pub Date : 2019-10-01 DOI: 10.4103/jips.jips_143_19
N. Varshney, Sakshi Gupta, S. Aggarwal, Shalabh Kumar, M. Sadish, Mohsin Khan
Aim: The aim of this in vivo study was to evaluate and compare the soft and hard tissue changes in implant supported mandibular overdenture with three different attachment system. Settings and Design: In vivo – observation study. Materials and Methods: After evaluation of prosthetic space, fifteen edentulous subjects received two implants in the inter-foramina region of the mandible and were divided into 3 groups with 5 subjects each, delayed loading protocol was followed in all the patients. The crestal bone loss, modified sulcular bleeding index, plaque index values were evaluate with the attachments at baseline and after 6 months was measured in a standardised way. Statistical Analysis Used: Oneway ANOVA test and post hoc Bonferroni multiple test. Results: At the end of six months modified sulcular bleeding index and plaque index values was higher in Group 2 (bar and clip attachment) as compared to Group 1 (ball and socket attachment) and Group 3 (Kerator attachment) and crestal bone loss was equal in groups 1, 2 and 3. Analysis of variance with repeated measures showed significant differences in modified sulcular bleeding index and plaque index among the three attachment types. Conclusion: (1) Group 2 (bar-and-clip attachment) exhibited higher Modified Sulcular Bleeding Index and Plaque Index values than Group 1 (ball-and-socket attachment) and Group 3 (kerator attachment). (2) Crestal bone loss was equal in Group 1 (ball-and-socket attachment), Group 2 (bar-and-clip attachment), and Group 3 (kerator attachment).
目的:评价和比较三种不同附着体系统种植支撑下颌覆盖义齿的软硬组织变化。设置和设计:体内观察研究。材料与方法:15例无牙患者在评估假体间隙后,在下颌孔间区植入2枚假体,分为3组,每组5例,均采用延迟加载方案。基线时用附着体评估牙冠骨丢失、改良的血管出血指数、斑块指数,6个月后用标准化方法测量。统计分析方法:单因素方差分析和事后Bonferroni多重检验。结果:6个月结束时,第2组(棒夹附着)的改良血管出血指数和斑块指数高于第1组(球窝附着)和第3组(角器附着),第1、2和3组的牙冠骨丢失相同。重复测量方差分析显示,三种附着体类型改良性血管出血指数和斑块指数存在显著差异。结论:(1)与1组(球窝式附着体)和3组(角化器附着体)相比,2组(棒夹式附着体)的Modified sulular Bleeding Index和Plaque Index值更高。(2)第1组(球窝附着)、第2组(棒夹附着)和第3组(角器附着)的冠骨丢失相等。
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引用次数: 3
Augmented reality in prosthodontics 增强现实在口腔修复中的应用
Pub Date : 2019-10-01 DOI: 10.4103/jips.jips_324_19
N. Chander
The availability of clinical education is decreasing over the days.[1] The need and demand for the same is required for better specialized services.[2,3] The development of clinical skills requires extensive knowledge and ability. Recently, the requirement is substituted by simulated training obtained through artificial intelligence (AI) – virtual reality (VR) and augmented reality (AR). The VR is creating a simulated environment, whereas AR is a division of the same, but it augments sensory perception and replicates real environment in virtual world.[4‐6]
如今,临床教育的可用性正在减少。[1]为了更好地提供专门服务,需要和需要同样的东西。[2,3]临床技能的发展需要广泛的知识和能力。最近,这一要求被人工智能(AI)——虚拟现实(VR)和增强现实(AR)获得的模拟训练所取代。VR创造了一个模拟的环境,而AR是相同的一种划分,但它增强了感官知觉,并在虚拟世界中复制了真实的环境。[4‐6]
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引用次数: 3
A multidisciplinary approach for the management of temporomandibular joint disc displacement without reduction 颞下颌关节盘移位无复位的多学科治疗方法
Pub Date : 2019-10-01 DOI: 10.4103/jips.jips_284_19
Rashmi Jaggad, I. Patel, Ronak Choksi, Khyati Gosai
The temporomandibular joint (TMJ) is one of the primary components of the complex masticatory system. Any disturbance in the joint due to congenital or acquired causes such as trauma, pathology, or functional disturbance affects the masticatory system. This case report highlights the management of condylar hypoplasia due to trauma by forceps delivery which led to TMJ dysfunction and chronic disc displacement without reduction. A combination of stabilization appliance and arthrocentesis using platelet-rich plasma along with patient education has been proved effective for the conservative management of patients with chronic disc displacement and TMJ dysfunction.
颞下颌关节(TMJ)是复杂咀嚼系统的主要组成部分之一。由于先天性或后天原因(如创伤、病理或功能障碍)引起的任何关节紊乱都会影响咀嚼系统。本病例报告强调了由于镊子分娩造成的创伤导致TMJ功能障碍和慢性椎间盘移位而导致的髁突发育不全的处理。稳定器械联合富血小板血浆关节穿刺结合患者教育已被证明对慢性椎间盘移位和TMJ功能障碍患者的保守治疗是有效的。
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引用次数: 1
A comparative evaluation of amount of gingival displacement produced by four different gingival displacement agents – An in vivo study 四种不同的牙龈置换剂产生的牙龈置换量的比较评估-一项体内研究
Pub Date : 2019-10-01 DOI: 10.4103/jips.jips_288_19
Zainab Kesari, J. Karani, Saloni Mistry, A. Pai
Aim: The aim of this study was to compare and evaluate the efficacy of ViscoStat clear, Vasozine, and Racegel (with and without cord) with respect to the amount of lateral gingival displacement produced by them. Settings and Design: Comparative - In vivo study. Material and Methods: Thirty consented volunteers were selected in the age group of 18–22 years. Maxillary right first premolar and lateral incisor and maxillary left central incisor and canine were selected for each individual. A composite resin standard reference point was made two millimeters below the gingival margin on the midsection of the labial surface of each tooth. By simple random sampling, the agents (ViscoStat clear, Vasozine, and Racegel with cord and Racegel without cord) were used for gingival displacement on each of the selected teeth. Pre- and postgingival displacement impressions were made with medium-body polyvinyl siloxane impression material. Three-millimeter thick buccolingual slice sections were obtained of the models and measured under a stereo microscope (×20 magnification), and the amount of displacement was calculated. Statistical Analysis used: The Kruskal–Wallis test and the Mann–Whitney U-test were used for comparison between the amounts of gingival displacement produced by them. Results: Mean displacement produced (in mm2) by Racegel with cord, tetrahydrozoline, ViscoStat clear, and Racegel is 0.2256, 0.2158, 0.2069, and 0.1414, respectively. Conclusions: The largest mean gingival displacement was produced by Racegel with cord (0.2256 mm2) and lowest by Racegel without cord (0.1414 mm2). There was no significant statistical difference in the amount of gingival displacement produced between the four agents.
目的:本研究的目的是比较和评估ViscoStat clear, Vasozine和Racegel(带和不带脐带)对其产生的侧龈移位量的疗效。设置和设计:比较-体内研究。材料与方法:选择年龄在18-22岁之间、经本人同意的志愿者30名。上颌右侧第一前磨牙和侧切牙,上颌左侧中切牙和犬齿均为个例。在每颗牙唇面中部龈缘下2毫米处做一个复合树脂标准参考点。通过简单的随机抽样,在选择的每颗牙齿上使用ViscoStat clear, Vasozine, Racegel with cord and Racegel without cord进行牙龈移位。采用中体聚氯乙烯硅氧烷印模材料制作牙龈前后移位印模。在立体显微镜下(×20放大)测量模型的3毫米厚颊舌切片,计算位移量。使用的统计分析:采用Kruskal-Wallis检验和Mann-Whitney u检验比较两者产生的牙龈位移量。结果:Racegel与cord、tetrahydrozoline、ViscoStat clear和Racegel混合产生的平均位移(mm2)分别为0.2256、0.2158、0.2069和0.1414。结论:带脐带的Racegel平均牙龈位移最大(0.2256 mm2),不带脐带的Racegel最小(0.1414 mm2)。四种药物产生的牙龈位移量无显著统计学差异。
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引用次数: 6
Complete denture fracture – A proposed classification system and its incidence in National Capital Region population: A survey 全口义齿骨折-一种建议的分类系统及其在首都地区人口中的发病率:一项调查
Pub Date : 2019-10-01 DOI: 10.4103/jips.jips_312_18
S. Choudhary
Aim: The complete denture fracture of denture may ruin the routine life of an edentulous patient. The aim of the present study was to propose and evaluate a new classification system for denture fractures. Settings and Design: Cross sectional -Survey. Materials and Methods: Ten dental laboratories in Delhi and the National Capital Region participated in the study for 2 years. The accurate assessment of fractured dentures received in the laboratories for repairs was done. A questionnaire with complete information along with photographs was used to classify the denture fracture. Statistical Analysis Used: Percentage (proportion) statistical test. Results: Out of 620 dentures, 164 (94 maxillary and 70 mandibular) were found with previous repair, soft liners, metal frame, or wire reinforcements which were excluded from the study. In the present study, 456 dentures were considered (256 maxillary and 200 mandibular). Class I fracture (midline) was the most common in both maxillary and mandibular dentures (46.87% in maxillary and 61% in mandibular) with high significance (P < 0.001). Class II and Class V were the second most common pattern of fracture in mandibular and maxillary dentures, respectively. There was no single case of Class III fracture for the mandibular dentures, and Class IV was the least common among the maxillary dentures. Conclusions: This study encourages further clinical studies for validation and reliability evaluation of proposed new classification system.
目的:全口义齿骨折严重影响无牙患者的日常生活。本研究的目的是提出并评估一种新的义齿骨折分类系统。设置和设计:横断面调查。材料和方法:在德里和国家首都地区的10个牙科实验室参与了为期2年的研究。对在实验室接受修复的义齿骨折进行了准确的评估。采用资料完整的调查问卷及照片对义齿骨折进行分类。采用百分比(比例)统计检验。结果:620个义齿中有164个(上颌94个,下颌骨70个)有修复史,有软衬、金属框架或金属丝加固,排除在研究之外。在本研究中,456个假牙被考虑(上颌256个,下颌200个)。I类骨折(中线)在上颌和下颌义齿中最常见(上颌46.87%,下颌61%),差异有显著性(P < 0.001)。II类和V类分别是下颌和上颌义齿第二常见的骨折类型。下颌义齿无一例III类骨折,上颌义齿中IV类骨折最少。结论:本研究鼓励进一步的临床研究,以验证和可靠性评估所提出的新分类系统。
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引用次数: 10
Comparing two intraoral porcelain repair systems for shear bond strength in repaired cohesive and adhesive fractures, for porcelain-fused-to-metal restorations: An in vitro study 比较两种口腔内瓷修复系统在修复内聚性骨折和粘接性骨折时的剪切结合强度:一项体外研究
Pub Date : 2019-10-01 DOI: 10.4103/jips.jips_120_19
J. Yadav, Nupur Dabas, A. Bhargava, P. Malhotra, B. Yadav, M. Sehgal
Aim: The objective of research was to evaluate the shear bond strength of two commercially available intraoral porcelain repair systems, Clearfil repair system (Kuraray) and P and R repair system (Shofu) for repairing cohesive and adhesive fracture in metal-ceramic restorations. Settings and Design: In vivo – comparative study. Materials and Methods: Ninety samples of Nickel–Chromium metal discs were fabricated. Each disc was veneered with 2 mm thickness of ceramic material using custom made metal jig. Samples were divided into control (Group I n = 10) and two test groups (Group II n = 40 and Group III n = 40). Adhesive and cohesive fractures were created in test group samples, Group II (Ceramic substrate or cohesive defect) and Group III (metal substrate or adhesive defect). The samples of ceramic substrate (Group II) and metal substrate (Group III) were further subdivided into A and B containing 20 samples each according to the repair material used (A; Clearfil porcelain repair system and B; P and R porcelain repair system). All specimens were subjected to a standard shear load in the UTM until fracture occurred. Data were analyzed using one-way analysis of variance and post hoc Bonferroni test. Statistical Analysis used: One-way analysis of variance (ANOVA) and post hoc Bonferroni test. Results: Clearfil repair system showed significantly higher shear bond strength value (29.16 Mpa) as compared to P and R repair system (27.23 Mpa) for cohesive fractures. Whereas if compared for repairing adhesive fractures P and R repair system had significantly higher shear bond strength values (26.59 Mpa) than Clearfil repair system (25.74 Mpa). Conclusions: From the present study, it was be concluded that for cohesive fracture Clearfil repair system is a better material and for adhesive fractures P and R repair material gives better results.
目的:研究两种市售的口腔内瓷修复系统,Clearfil修复系统(Kuraray)和P and R修复系统(Shofu)在修复金属陶瓷修复体的内聚性和粘连性骨折中的剪切结合强度。设置和设计:体内比较研究。材料与方法:制备了90个镍铬金属盘样品。每个圆盘贴面2毫米厚度的陶瓷材料使用定制的金属夹具。样本分为对照组(I组n = 10)和试验组(II组n = 40, III组n = 40)。在试验组样品、II组(陶瓷基材或粘合缺陷)和III组(金属基材或粘合缺陷)中创建粘合和粘合断裂。陶瓷基板(II组)和金属基板(III组)的样品根据使用的修复材料进一步细分为A和B,各含20个样品(A;Clearfil瓷修复系统和B;P和R瓷修复系统)。所有试件均在UTM中承受标准剪切载荷,直至发生断裂。数据分析采用单因素方差分析和事后Bonferroni检验。统计分析采用单因素方差分析(ANOVA)和事后Bonferroni检验。结果:Clearfil修复体系对黏结性骨折的剪切强度值(29.16 Mpa)明显高于P和R修复体系(27.23 Mpa)。而对于黏着性骨折的修复,P和R修复体系的剪切强度值(26.59 Mpa)明显高于Clearfil修复体系(25.74 Mpa)。结论:通过本研究得出,Clearfil修复体系对于粘连性骨折是较好的材料,对于粘连性骨折P和R修复材料效果较好。
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引用次数: 7
A low-profile universal attachment system with housing welded to metal reinforcement framework to retain mandibular implant overdenture: A clinical report 下颌种植覆盖义齿的低轮廓通用附着系统与金属加固框架焊接:临床报告
Pub Date : 2019-10-01 DOI: 10.4103/jips.jips_129_19
P. Gandhi, Bhagyashree Kalsekar, Abhijit A. Patil, N. Kandi
Literature has proved that implant-retained overdenture is one of the best prosthetic options in the rehabilitation of complete edentulism. Tissue-supported implant-retained overdentures have been an appropriate treatment modality for atrophic mandibular ridges. In this case report, the patient presented with Class I maxillomandibular relationship and Class II Prosthodontic Diagnostic Index. The patient was concerned about esthetics as well as the retention of the lower denture. Taking into consideration the above concerns, an implant-retained mandibular overdenture was the chosen treatment modality. There are numerous attachment systems that have been used to improve the retention, stability, and support of implant-retained overdenture. Every attachment system has its own set of advantages. The OT Equator is a new line of low-profile attachment which is a radically modified OT-CAP Normo. The rationale for using this attachment is that it is considered the smallest attachment system available with the least overall dimension. It is a resilient and self-aligning attachment system which can be used in limited inter-arch space situation. OT equator derives its name from the OT Dental Laboratory (Bologna, Italy) used as a brand name. Considering these advantages, this was the chosen attachment and proved beneficial in terms of both patient satisfaction and the overall success of the treatment.
文献证明种植固位覆盖义齿是全牙义齿修复的最佳选择之一。组织支持种植保留覆盖义齿是治疗萎缩下颌骨嵴的一种合适的治疗方式。在本病例报告中,患者表现为I类上颌骨关系和II类修复诊断指数。患者担心美观以及下义齿的固位。考虑到以上问题,选择种植保留下颌覆盖义齿作为治疗方式。有许多附着系统已被用于改善种植固位覆盖义齿的固位、稳定性和支持。每一种依恋系统都有自己的优点。OT赤道是一种新的低姿态附件,这是一个彻底修改OT- cap Normo。使用此附件的基本原理是,它被认为是最小的附件系统,具有最小的总体尺寸。它是一种弹性自对准的附着系统,可用于有限的拱间空间。奥特赤道源于奥特牙科实验室(博洛尼亚,意大利)作为一个品牌名称。考虑到这些优点,这是被选择的附件,并且在患者满意度和治疗的整体成功方面证明是有益的。
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引用次数: 3
期刊
The Journal of the Indian Prosthodontic Society
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