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Clinical, Electromyographical and Radiological comparison of Dawson's bimanual technique of guiding the mandible with Wax ball orientation technique© 道森(Dawson)双手引导下颌骨蜡球定位技术的临床、肌电图及影像学比较©
Pub Date : 2020-12-01 DOI: 10.4103/0972-4052.306332
R. Sushma
Introduction: There are numerous methods to guide the mandible into Centric Relation (CR). The Dawson’s bimanual technique is a time tested and established method to guide the mandible into CR. On the other hand the author of this study also has copyrighted a technique (wax ball orientation technique©) to guide the mandible into CR. Hence, this methodological study was performed to compare the two CR techniques to guide the mandible in CR position using clinical, myographical and radiological assessment methods. Aim: To compare and assess which amongst the two (Dawson’s bimanual technique and wax ball orientation technique) CR guiding techniques best guides the mandible to CR position using clinical, electromyographical and radiological assessment methods. Materials and Methods: This interventional and clinical study was conducted at School of Dental Sciences, KIMSDU, Karad, Maharashtra, India, from May 2019 to May 2020. The study included healthy dentate individuals having Angle’s class I malocclusion without any occlusal interferences and an intact dentition except for 3rd molars. Two CR technique to guide the mandible were technique 1-Dawson’s bimanual technique and technique 2 - wax ball orientation technique. The study was carried out in three phases: clinical, electromyographical and radiological. Difference between the centric points, workload on elevators, condylar position was statistically analysed. Descriptive statistics was used to analyse the difference between the centric points marked using both the techniques. Independent t-test was applied to compare the gender and the mean centric distribution. Results: Among the 45 study subjects considered for the study, 32 were females and 13 were males with the mean age of 21 years. No statistically significance difference was observed between the two techniques. Paired t-test showed that workload on elevators of both sides, Right Masseter in technique 1 and 2 had p-value= 0.088, left Masseter in technique 1 and 2 had p-value= 0.3, Right temporalis in technique 1 and 2 had p-value= 0.463, left temporalis in technique 1 and 2 had p-value= 0.429. There was difference between the Anteroposterior (AP) and Superoinferior (SI) position of condyle in relation to the fossa. AP measurement in the right side in tech 1 and 2 with p-value= 0.448, AP measurement in the left side in tech 1 and 2 with p-value= 0.178, SI measurement in the right side in tech 1 and 2 had p-value= 0.803, SI measurement in the left side in tech 1 and 2 had p-value= 0.259, which were statistically insignificant. Multivariate test showed statistically significant difference between gender and EMG, results whereas it was insignificant in Magnetic Resonance Imaging (MRI). Conclusion: The wax ball technique has similar accuracy as the Dawson’s Bimanual technique.
有许多方法来引导下颌骨进入中心关系(CR)。道森(Dawson)双手技术是一种经过时间检验和成熟的引导下颌骨进入CR位的方法,另一方面,本研究的作者还拥有一种引导下颌骨进入CR位的技术(蜡球定向技术©)的版权,因此,本方法学研究通过临床、肌学和放射学评估方法对两种引导下颌骨进入CR位的CR技术进行比较。目的:通过临床、肌电图和影像学评价方法,比较和评价两种CR引导技术(道森双手技术和蜡球定位技术)中哪一种能更好地引导下颌骨到达CR位置。材料和方法:本介入和临床研究于2019年5月至2020年5月在印度马哈拉施特拉邦Karad的KIMSDU牙科科学学院进行。研究对象为除第三磨牙外牙列完整且无任何咬合干扰的安格尔I类错牙合患者。指导下颌骨的两种CR技术是技术1-道森双手技术和技术2 -蜡球定位技术。研究分临床、肌电图和放射学三个阶段进行。对中心点、升降梯负荷、髁突位置的差异进行统计学分析。描述性统计用于分析使用两种技术标记的中心点之间的差异。采用独立t检验比较性别与均数中心分布。结果:纳入研究的45名研究对象中,女性32人,男性13人,平均年龄21岁。两种方法间差异无统计学意义。配对t检验显示,两侧电梯负荷,技术1、2右侧咬肌的p值= 0.088,技术1、2左侧咬肌的p值= 0.3,技术1、2右侧颞肌的p值= 0.463,技术1、2左侧颞肌的p值= 0.429。髁突相对于窝的前后位(AP)和上下位(SI)存在差异。技术1和技术2右侧AP测量p值= 0.448,技术1和技术2左侧AP测量p值= 0.178,技术1和技术2右侧SI测量p值= 0.803,技术1和技术2左侧SI测量p值= 0.259,差异均无统计学意义。多变量检验结果显示,性别与肌电图差异有统计学意义,而磁共振成像(MRI)差异不显著。结论:蜡球法与道森双手法准确率相当。
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引用次数: 0
Better late than never! 迟到总比不到好!
Pub Date : 2020-12-01 DOI: 10.4103/0972-4052.306399
Radhika Jain
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引用次数: 0
Influence of different Implant Positions and Angulations on Stress Distribution Pattern in 2-Implant Retained Mandibular Overdentures: 3D Finite Element Analysis 不同种植位置和角度对下颌2种植体固位覆盖义齿应力分布规律的影响:三维有限元分析
Pub Date : 2020-12-01 DOI: 10.4103/0972-4052.306372
P. Patil
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引用次数: 0
Effect of osteoporosis on the electromyographic activity of masticatory muscles (masseter and temporalis) in edentulous patients after rehabilitation with complete dentures 骨质疏松对全口义齿康复后无牙患者咀嚼肌(咬肌和颞肌)肌电图活动的影响
Pub Date : 2020-12-01 DOI: 10.4103/0972-4052.306348
A. Chowdhury
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引用次数: 0
Comparative evaluation for the effects of Stabilization splint with patient education for self care, reassurance and counselling in the management of TMD 稳定夹板与患者自我保健教育、安慰和咨询在TMD管理中的效果比较评价
Pub Date : 2020-12-01 DOI: 10.4103/0972-4052.306357
Hardik K Ram
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引用次数: 0
To 3D print or not? A questionnaire based survey with the stakeholders 要不要3D打印?对涉众进行基于问卷的调查
Pub Date : 2020-12-01 DOI: 10.4103/0972-4052.306355
Aditya Acharya
S6 The Journal of Indian Prosthodontic Society | Volume 20 | Supplement 1 | December 2020 To 3D print or not? A questionnaire based survey with the stakeholders
S6《印度口腔修复学会杂志》|第20卷|增刊1 | 2020年12月对涉众进行基于问卷的调查
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引用次数: 0
Comparative evaluation of flexural strength of 8 heat cured PMMA denture base resin reinforced with different concentrations of silanized TiO2 nanoparticles – An in vitro study 不同硅化TiO2纳米颗粒增强8种热固化PMMA义齿基托树脂抗弯强度的体外比较研究
Pub Date : 2020-12-01 DOI: 10.4103/0972-4052.306374
Rahul Tekale
S22 The Journal of Indian Prosthodontic Society | Volume 20 | Supplement 1 | December 2020 Results: Highest stresses of 4.18 MPa (under unilateral loading) and 4.2 MPa (under bilateral loading) were observed in implants at 20 mm distance. All other implant positions showed stresses less than 2.46 MPa indicating increasing trend in stresses with increase in the distance. Highest stresses of 0.93 (unilateral loading) and 0.92 MPa (bilateral loading) were observed with implants at 15/15-degree angulations. For lesser angulations, the stresses were ranging from 0.05 to 0.87 MPa on implants. Conclusions: Implants placed more posteriorly exhibit higher stresses compared to implants placed more anteriorly. Implants placed with greater angulations displayed higher stresses than implants placed with lesser angulations. DOI: 10.4103/0972-4052.306372 Knowledge, attitude and practice of dentists regarding provisional restorations: A cross sectional study Dr. Saee Deshmukh, Dr. Karan Jaiswal VSPM Dental College and Research Centre, Nagpur Introduction: The importance of provisional restorations in fixed partial denture can not be overemphasized. At the same time it is very important to understand the dentists’ opinions and practices regarding the same. Methodology: A descriptive cross-sectional study was done amongst the dental practitioners of Nagpur region in 2019. A questionnaire with total 11 questions including open and multiple-choice type was designed and validated by experts in the field. It was circulated using Google forms as well as printed version to a total of 100 dentists selected randomly from private dental clinics and dental institutes. Data from the completed questionnaires were analysed using the SPSS Statistical Software Package (version 25). Data was expressed in terms of frequencies. Results: The response rate was 79%. In the given sample, 81% of dentists preferred giving provisional restorations in selected cases. 68% of them give provisionals in special cases like full mouth rehabilitation and laminates. Out of these, 61% use self polymerized acrylic resin, 34% use bis-acryl composite resin (Protemp IV,3M) and 5% use heat polymerized resin as material of choice. 46% use indirect technique, 20% use direct technique and the rest use combination technique. Gingival inflammation was most commonly encountered problem by 51% of the dentists. 54% of the dentists preferred to give the provisionals for a period of 7-15 days. Only 23% felt the need to perform diagnostic wax up prior to giving provisionals. Conclusion: In the given set of participants the level of knowledge and practices regarding provisionalization in fixed prosthodontics was found to be satisfactory. However, to make them more proficient continuing dental education programmes on recent advances in terms of newer materials and techniques should be conducted. DOI: 10.4103/0972-4052.306373 Comparative evaluation of flexural strength of 8 heat cured PMMA denture base resin reinforc
结果:种植体在20 mm距离处观察到4.18 MPa(单侧加载)和4.2 MPa(双侧加载)的最高应力。其余种植体位置应力均小于2.46 MPa,应力随距离增加呈增加趋势。当种植体成15/15度角时,最高应力为0.93 MPa(单侧加载)和0.92 MPa(双侧加载)。对于较小的角度,种植体上的应力范围为0.05 ~ 0.87 MPa。结论:种植体的后位放置比前位放置表现出更高的应力。角度较大的种植体比角度较小的种植体表现出更高的应力。关于临时修复牙医的知识,态度和做法:横断面研究博士Saee Deshmukh,博士Karan Jaiswal VSPM牙科学院和研究中心,那格普尔介绍:临时修复在固定部分义齿的重要性不能过分强调。同时,了解牙医的意见和做法也很重要。方法:2019年在那格浦尔地区的牙科医生中进行了一项描述性横断面研究。问卷共11个问题,包括开放式和多项选择型,由该领域的专家设计并验证。使用谷歌表格和印刷版分发给从私人牙科诊所和牙科机构随机抽取的总共100名牙医。使用SPSS统计软件包(第25版)对完成问卷的数据进行分析。数据以频率表示。结果:有效率为79%。在给定的样本中,81%的牙医倾向于在选定的情况下进行临时修复。在特殊情况下,68%的人会提供临时治疗,比如全口康复和层压板。其中,61%使用自聚合丙烯酸树脂,34%使用双丙烯酸复合树脂(Protemp IV,3M), 5%使用热聚合树脂作为材料。46%采用间接技术,20%采用直接技术,其余采用组合技术。51%的牙医最常遇到的问题是牙龈炎症。54%的牙医倾向于给予7-15天的临时治疗。只有23%的人认为有必要在给予临时麻醉之前进行诊断性蜡除毛。结论:在给定的一组参与者中,关于固定修复的预备知识和实践水平令人满意。然而,为了使他们更熟练,应该进行有关新材料和新技术的最新进展的牙科继续教育计划。DOI: 10.4103/0972-4052.306373不同浓度硅化TiO2纳米颗粒增强8种热固化PMMA义齿基树脂抗弯强度的比较评价-一项体外研究
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引用次数: 0
Maximum volutary bite force in subjects with normal occlusion 正常咬合受试者的最大自主咬合力
Pub Date : 2020-12-01 DOI: 10.4103/0972-4052.306349
Madhu Ranjan
The Journal of Indian Prosthodontic Society | Volume 20 | Supplement 1 | December 2020 S3 Methodology: A total number of 80 test subjects (44 nonosteoporotic and 36 osteoporotic) were enrolled to evaluate the effect of osteorporosis on the electromyographic activity of masticatory muscles (Masseter and Temporalis) after being rehabilitated with complete dentures in both the maxillary and mandibular arch. Result: A comparative assessment of amplitude (indicating electromyographic activity of the masticatory muscles) between osteoporotic and non-osteoporotic groups revealed lower values in osteoporotic subjects than normal subjects for both Masseter and Temporalis. The results were statistically significant (Masseter p=0.005 and Temporalis p=0.03). Conclusion: Osteoporosis may produce significant adverse effects on the masticatory function of complete denture wearers. As a future prospect, we might allow for proper treatment protocol to be followed to improve the bone mineral density of the osteoporotic patients and evaluate any changes in electromyographic activity in edentulous patients. DOI: 10.4103/0972-4052.306348 Maximum volutary bite force in subjects with normal occlusion
方法:共招募80名受试者(44名非骨质疏松症患者和36名骨质疏松症患者),评估骨质疏松症对上颌弓和下颌弓全口义齿修复后咀嚼肌(咬肌和颞肌)肌电图活动的影响。结果:骨质疏松组和非骨质疏松组的咀嚼肌振幅(表明咀嚼肌电图活动)的比较评估显示,骨质疏松组的咬肌和颞肌的振幅低于正常组。结果具有统计学意义(Masseter p=0.005, Temporalis p=0.03)。结论:骨质疏松对全口义齿佩戴者的咀嚼功能有明显的不良影响。展望未来,我们可能允许遵循适当的治疗方案来改善骨质疏松症患者的骨密度,并评估无牙患者肌电活动的变化。DOI: 10.4103/0972-4052.306348正常咬合受试者的最大自主咬合力
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引用次数: 1
Unveiling the compression dome concept 揭示压缩穹顶概念
Pub Date : 2020-12-01 DOI: 10.4103/0972-4052.306410
Medha Joshi Bhuskute
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引用次数: 0
Comparison of shear bond strength of three different composite resin repair material with ceramic and cobalt chromium metal surfaces after various surface treatments - an invitro study 三种不同复合树脂修复材料在不同表面处理后与陶瓷和钴铬金属表面的剪切结合强度比较-体外研究
Pub Date : 2020-12-01 DOI: 10.4103/0972-4052.306352
C. Rajesh
S4 The Journal of Indian Prosthodontic Society | Volume 20 | Supplement 1 | December 2020 ASD population. A Pilot randomized controlled trial Dr. Sachin Haribhau Chaware Mahatma Gandhi Vidya Mandir’s Dental College & Hospital, Nashik Introduction: Speech errors and associated oral sensory difficulties in ASD subjects are principally related to lack of synchronization between oral sensory –motor receptors, and incomplete motor planning. However, current speech therapy works on imagination and simulation. Hence, there is a need of the SSD which stimulates an oral sensory-motor receptors for better speech and decrease proportion of associated oral sensory difficulties. Methodology: The study was conducted by randomly selecting 10 ASD children between the age group of 4-15 years. The five children received routine speech therapy and in other five children, SSD device was used followed by speech therapy. Speech therapist was blind for which child used SSD device. SSD device is a programmable microcontroller vibrator device. it comprises of a plurality of vibrators in order to create multiple vibrations of vibration patterns for stimulation of oral sensory region. Each vibrator is connected to pulse width modulation pin of the microcontroller which allows frequency of vibrator to desired range. Pre-speech recording before therapy and post-speech recording after therapy with recording graph in both the subjects have been used for comparison. Result: ASD subjects showed more clarity is speech particularly articulation and phonological error by using the SSD device followed by speech therapy than speech therapy alone. Associated sensory difficulties such as inappropriate feeding behavior, biting on object, attrition, and drooling saliva reported with less proportion in SSD device group . Conclusion: SSD device improves the speech articulating and phonological errors, improve feeding and eating behavior, reduces the severity of attrition and biting on object. DOI: 10.4103/0972-4052.306351 Comparison of shear bond strength of three different composite resin repair material with ceramic and cobalt chromium metal surfaces after various surface treatments an invitro study
[4]《印度口腔修复学会杂志》|第20卷|增刊1 | 2020年12月Sachin Haribhau Chaware Mahatma Gandhi博士,Vidya Mandir牙科学院和医院,纳西克介绍:ASD受试者的言语错误和相关的口腔感觉困难主要与口腔感觉运动受体之间缺乏同步和不完整的运动计划有关。然而,目前的语言治疗主要依靠想象和模拟。因此,需要通过刺激口腔感觉运动受体的SSD来改善言语,减少相关的口腔感觉困难的比例。方法:随机选择10名年龄在4-15岁的ASD儿童进行研究。5例患儿采用常规言语治疗,其余5例患儿采用SSD设备进行言语治疗。语言治疗师是盲人,哪个孩子使用SSD设备。SSD设备是一种可编程微控制器振动器设备。它包括多个振动器,以产生用于刺激口腔感觉区域的振动模式的多个振动。每个振动器连接到微控制器的脉宽调制引脚,使振动器的频率达到所需的范围。采用治疗前的言语前记录和治疗后的言语后记录并作图进行比较。结果:与单纯的言语治疗相比,使用SSD辅助言语治疗能提高ASD患者的言语清晰度,尤其是发音和语音错误。相关的感官困难,如不适当的喂养行为、咬物体、磨损和流口水,在SSD设备组中报告的比例较低。结论:SSD设备改善了幼儿的语音发音和语音错误,改善了喂养和进食行为,减轻了磨损和咬伤物体的严重程度。三种不同的复合树脂修复材料与陶瓷和钴铬金属表面经过各种表面处理后的剪切结合强度的体外研究比较
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引用次数: 0
期刊
The Journal of the Indian Prosthodontic Society
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