Pub Date : 2023-11-01DOI: 10.5005/jp-journals-10024-3588
Rahma El Hussany Mohammed, Osama Mohammed Askar, Fatma Ahmad El-Waseef, Mohammed Mohammed Fouad
Aim: To evaluate the residual alveolar ridge bone height changes regarding the impact of the block-out spacer used during the pick-up procedures of implant-assisted mandibular complete overdentures.
Materials and methods: This study was a randomized clinical trial conducted on 18 patients. All patients received three mandibular dental implants with definitive locator attachments which were directly picked up with two different techniques. Patients were classified randomly without any bias into two equal groups (Group I block-out spacer) and (Group II without block-out spacer). Over a year, the digital radiographic technique with new technique of reference points was employed to evaluate the changes in the residual alveolar ridge bone heights. The data were statistically analyzed to test the significance difference between groups.
Results: Concerning the residual alveolar ridge resorption RRR, group I exhibited a significantly higher RRR than group II.
Conclusion: In terms of residual alveolar ridge preservation, not using the block-out spacer was more beneficial than using it.
Clinical significance: Alveolar bone heights can be affected by the use of block-out spacer during pick-up procedure within accepted physiologic values. The removal of the block-out spacer could be more beneficial with respect to the preservation of the residual alveolar ridge. How to cite this article: Mohammed REL, Askar OM, El-Waseef FAE, et al. Radiographic Assessment of Three-implant-retained Mandibular Overdentures: A Clinical Study of Alveolar Bone Height Changes (Randomized Clinical Trial). J Contemp Dent Pract 2023;24(11):847-852.
目的:评估种植体辅助下颌全口覆盖义齿取戴过程中使用的阻断间隔器对残留牙槽嵴骨高度变化的影响:本研究是一项随机临床试验,对 18 名患者进行了研究。所有患者均接受了三颗下颌种植体,并使用两种不同的技术直接取下种植体。患者被无偏差地随机分为两个相同的组别(第一组无阻断垫片)和(第二组无阻断垫片)。在一年的时间里,采用新参考点技术的数字射线技术来评估残留牙槽嵴骨高度的变化。对数据进行统计分析,以检验组间差异的显著性:结果:在牙槽嵴残余吸收率方面,I 组的 RRR 明显高于 II 组:结论:在牙槽嵴残余保留方面,不使用阻断间隔器比使用阻断间隔器更有利:临床意义:在可接受的生理值范围内,在取牙过程中使用阻断垫片会影响牙槽骨高度。临床意义:在可接受的生理值范围内,取牙过程中使用阻断垫片会影响牙槽骨高度,而去除阻断垫片则更有利于保留残余牙槽嵴。本文引用方式Mohammed REL, Askar OM, El-Waseef FAE, et al:牙槽骨高度变化的临床研究(随机临床试验)》。J Contemp Dent Pract 2023;24(11):847-852.
{"title":"Radiographic Assessment of Three-implant-retained Mandibular Overdentures: A Clinical Study of Alveolar Bone Height Changes (Randomized Clinical Trial).","authors":"Rahma El Hussany Mohammed, Osama Mohammed Askar, Fatma Ahmad El-Waseef, Mohammed Mohammed Fouad","doi":"10.5005/jp-journals-10024-3588","DOIUrl":"10.5005/jp-journals-10024-3588","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the residual alveolar ridge bone height changes regarding the impact of the block-out spacer used during the pick-up procedures of implant-assisted mandibular complete overdentures.</p><p><strong>Materials and methods: </strong>This study was a randomized clinical trial conducted on 18 patients. All patients received three mandibular dental implants with definitive locator attachments which were directly picked up with two different techniques. Patients were classified randomly without any bias into two equal groups (Group I block-out spacer) and (Group II without block-out spacer). Over a year, the digital radiographic technique with new technique of reference points was employed to evaluate the changes in the residual alveolar ridge bone heights. The data were statistically analyzed to test the significance difference between groups.</p><p><strong>Results: </strong>Concerning the residual alveolar ridge resorption RRR, group I exhibited a significantly higher RRR than group II.</p><p><strong>Conclusion: </strong>In terms of residual alveolar ridge preservation, not using the block-out spacer was more beneficial than using it.</p><p><strong>Clinical significance: </strong>Alveolar bone heights can be affected by the use of block-out spacer during pick-up procedure within accepted physiologic values. The removal of the block-out spacer could be more beneficial with respect to the preservation of the residual alveolar ridge. How to cite this article: Mohammed REL, Askar OM, El-Waseef FAE, <i>et al</i>. Radiographic Assessment of Three-implant-retained Mandibular Overdentures: A Clinical Study of Alveolar Bone Height Changes (Randomized Clinical Trial). J Contemp Dent Pract 2023;24(11):847-852.</p>","PeriodicalId":35792,"journal":{"name":"Journal of Contemporary Dental Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139492130","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 : 2023-11-01DOI: 10.5005/jp-journals-10024-3597
Nancy Soliman Farghal, Md Sofiqul Islam, Shahistha Parveen Dasnadi, Shaikha Omar Alteneiji, Ali Mohammed Awheed
Aim: To explore the advantages and drawbacks of social media (SM) use in undergraduate dental students' education.
Materials and methods: This cross-sectional study was conducted among 202 undergraduate students at RAK College of Dental Sciences. A questionnaire of 15 questions explored demographic information, the nature of SM used by the participants, the use of SM for educational purposes, and the negative impacts of SM use. Frequencies, percentages, and significant variables were analyzed using Chi-square test at a 95% confidence level (CI) using statistical software [Statistical Package for the Social Sciences (SPSS), version 26.0].
Results: Among the participants, 95% were SM users, and 80% had been using it for more than 5 years. 95% use SM regularly, and 70% spend 2-6 hours daily using SM. The primary purpose of using SM was entertainment and communication, mostly Instagram (82.38%), followed by Snapchat (58.49%) and YouTube (47.15%). Furthermore, SM is effective in obtaining new information (85%), and 90% consider clinical procedures on YouTube to be a helpful learning tool. Moreover, 75% of the participants recommended using SM as a learning tool, and 85% of the participants considered SM tutorial videos to be evidence-based. However, 70% of users are concerned about their addiction to using SM during lecture, laboratory, clinic, and examination periods, and 37% of them think spending time on SM can negatively affect their academic performance.
Conclusion: Undergraduate dental students frequently use SM for entertainment, communication, and educational purposes. Nevertheless, the addiction to SM negatively affects the students learning progress.
Clinical significance: The use of SM has both a positive and negative impact on undergraduate dental education. Incorporating evidence-based learning components into SM platforms can be useful in dental education. How to cite this article: Farghal NS, Islam MS, Dasnadi SP, et al. The Impact of Social Media on Professional Learning among Undergraduate Dental Students: A Cross-sectional Study. J Contemp Dent Pract 2023;24(11):877-886.
目的:探讨在口腔医学本科生教育中使用社交媒体(SM)的利弊:这项横断面研究在 RAK 牙科学院的 202 名本科生中进行。调查问卷包括 15 个问题,涉及人口统计学信息、参与者使用的社交媒体的性质、社交媒体用于教育目的的情况以及使用社交媒体的负面影响。使用统计软件[社会科学统计软件包(SPSS),26.0 版]以 95% 的置信水平(CI)对频率、百分比和重要变量进行了卡方检验分析:在参与者中,95% 是 SM 用户,80% 使用 SM 超过 5 年。95%的人经常使用 SM,70%的人每天使用 SM 2-6 小时。使用 SM 的主要目的是娱乐和交流,主要是 Instagram(82.38%),其次是 Snapchat(58.49%)和 YouTube(47.15%)。此外,SM 对获取新信息很有效(85%),90% 的人认为 YouTube 上的临床程序是一种有用的学习工具。此外,75% 的参与者推荐使用 SM 作为学习工具,85% 的参与者认为 SM 教程视频以证据为基础。然而,70%的用户担心自己在讲课、实验室、诊所和考试期间沉迷于使用SM,37%的用户认为花时间在SM上会对他们的学习成绩产生负面影响:结论:口腔医学本科生经常使用SM进行娱乐、交流和教育。然而,沉迷于 SM 会对学生的学习进度产生负面影响:临床意义:SM 的使用对本科生的口腔医学教育既有积极影响,也有消极影响。临床意义:SM的使用对本科口腔医学教育既有积极的影响,也有消极的影响。在SM平台中加入循证学习的内容对口腔医学教育很有帮助。如何引用本文:Farghal NS, Islam MS, Dasnadi SP, et al. The Impact of Social Media on Professional Learning among Undergraduate Dental Students:一项横断面研究。J Contemp Dent Pract 2023;24(11):877-886.
{"title":"The Impact of Social Media on Professional Learning among Undergraduate Dental Students: A Cross-sectional Study.","authors":"Nancy Soliman Farghal, Md Sofiqul Islam, Shahistha Parveen Dasnadi, Shaikha Omar Alteneiji, Ali Mohammed Awheed","doi":"10.5005/jp-journals-10024-3597","DOIUrl":"10.5005/jp-journals-10024-3597","url":null,"abstract":"<p><strong>Aim: </strong>To explore the advantages and drawbacks of social media (SM) use in undergraduate dental students' education.</p><p><strong>Materials and methods: </strong>This cross-sectional study was conducted among 202 undergraduate students at RAK College of Dental Sciences. A questionnaire of 15 questions explored demographic information, the nature of SM used by the participants, the use of SM for educational purposes, and the negative impacts of SM use. Frequencies, percentages, and significant variables were analyzed using Chi-square test at a 95% confidence level (CI) using statistical software [Statistical Package for the Social Sciences (SPSS), version 26.0].</p><p><strong>Results: </strong>Among the participants, 95% were SM users, and 80% had been using it for more than 5 years. 95% use SM regularly, and 70% spend 2-6 hours daily using SM. The primary purpose of using SM was entertainment and communication, mostly Instagram (82.38%), followed by Snapchat (58.49%) and YouTube (47.15%). Furthermore, SM is effective in obtaining new information (85%), and 90% consider clinical procedures on YouTube to be a helpful learning tool. Moreover, 75% of the participants recommended using SM as a learning tool, and 85% of the participants considered SM tutorial videos to be evidence-based. However, 70% of users are concerned about their addiction to using SM during lecture, laboratory, clinic, and examination periods, and 37% of them think spending time on SM can negatively affect their academic performance.</p><p><strong>Conclusion: </strong>Undergraduate dental students frequently use SM for entertainment, communication, and educational purposes. Nevertheless, the addiction to SM negatively affects the students learning progress.</p><p><strong>Clinical significance: </strong>The use of SM has both a positive and negative impact on undergraduate dental education. Incorporating evidence-based learning components into SM platforms can be useful in dental education. How to cite this article: Farghal NS, Islam MS, Dasnadi SP, <i>et al</i>. The Impact of Social Media on Professional Learning among Undergraduate Dental Students: A Cross-sectional Study. J Contemp Dent Pract 2023;24(11):877-886.</p>","PeriodicalId":35792,"journal":{"name":"Journal of Contemporary Dental Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139492133","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 : 2023-07-01DOI: 10.5005/jp-journals-10024-3536
Mohamed Ahmed Gomaa, Yousry Mahmoud Elhawary, Amany Elsaid Badr
Aim: This study aimed to evaluate the effects of glycyrrhizin, as a potential therapeutic agent in endodontic surgery, on the proliferation and viability of diabetic human bone marrow-derived mesenchymal stem cells (hBM-MSCs).
Materials and methods: Diabetic human bone marrow-derived mesenchymal stem cells (hBM-MSCs) were isolated and characterized by flow cytometry. The cells were treated with different concentrations of Glycyrrhizin (Gly) (12.5, 25, 50, and 100 µg/mL) and 0.1% dimethyl sulfoxide (DMSO) as the control group. MTT assay was performed to evaluate the cell proliferation and viability after 24, 48, and 72 hours of the cell treatment with Gly. The optical density (OD) was measured at 570 nm. Each assay was repeated three times. The corrected OD and cell viability were determined. ANOVA followed by the Bonferroni post hoc test evaluated the statistical significance at p < 0.05.
Results: Flow cytometric analysis of the isolated cells showed positive expression of mesenchymal markers (CD105 and CD90) and negative expression of hematopoietic markers (CD34 and CD14). After 24 and 48 hours of cell treatment, Gly in 100 µg/mL concentration significantly decreased the diabetic hBM-MSC proliferation as compared with the control (p < 0.05). Gly in 12.5-50 µg/mL concentrations significantly increased the cell proliferation after 72 hours of treatment as compared with the control (p < 0.05). The diabetic hBM-MSC proliferation and viability at 12.5-50 µg/mL concentrations were significantly greater than that at 100 µg/mL concentration (p < 0.05).
Conclusion: Under the present study conditions, Gly (in 12.5-50 µg/mL concentrations) did not show cytotoxicity to diabetic hBM-MSCs and enhanced their proliferation. Gly may represent a potential therapeutic agent in endodontic surgery in diabetic patients.
Clinical significance: Preclinical assessment of Gly effects on diabetic hBM-MSCs is important for determining its effective concentration range, anticipating its therapeutic potential, and designing future in vivo studies.
{"title":"Glycyrrhizin Enhances the Proliferation of Diabetic Bone Marrow-derived Mesenchymal Stem Cells: A Potential Therapeutic Agent in Endodontic Surgery.","authors":"Mohamed Ahmed Gomaa, Yousry Mahmoud Elhawary, Amany Elsaid Badr","doi":"10.5005/jp-journals-10024-3536","DOIUrl":"https://doi.org/10.5005/jp-journals-10024-3536","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to evaluate the effects of glycyrrhizin, as a potential therapeutic agent in endodontic surgery, on the proliferation and viability of diabetic human bone marrow-derived mesenchymal stem cells (hBM-MSCs).</p><p><strong>Materials and methods: </strong>Diabetic human bone marrow-derived mesenchymal stem cells (hBM-MSCs) were isolated and characterized by flow cytometry. The cells were treated with different concentrations of Glycyrrhizin (Gly) (12.5, 25, 50, and 100 µg/mL) and 0.1% dimethyl sulfoxide (DMSO) as the control group. MTT assay was performed to evaluate the cell proliferation and viability after 24, 48, and 72 hours of the cell treatment with Gly. The optical density (OD) was measured at 570 nm. Each assay was repeated three times. The corrected OD and cell viability were determined. ANOVA followed by the Bonferroni <i>post hoc</i> test evaluated the statistical significance at <i>p</i> < 0.05.</p><p><strong>Results: </strong>Flow cytometric analysis of the isolated cells showed positive expression of mesenchymal markers (CD105 and CD90) and negative expression of hematopoietic markers (CD34 and CD14). After 24 and 48 hours of cell treatment, Gly in 100 µg/mL concentration significantly decreased the diabetic hBM-MSC proliferation as compared with the control (<i>p</i> < 0.05). Gly in 12.5-50 µg/mL concentrations significantly increased the cell proliferation after 72 hours of treatment as compared with the control (<i>p</i> < 0.05). The diabetic hBM-MSC proliferation and viability at 12.5-50 µg/mL concentrations were significantly greater than that at 100 µg/mL concentration (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>Under the present study conditions, Gly (in 12.5-50 µg/mL concentrations) did not show cytotoxicity to diabetic hBM-MSCs and enhanced their proliferation. Gly may represent a potential therapeutic agent in endodontic surgery in diabetic patients.</p><p><strong>Clinical significance: </strong>Preclinical assessment of Gly effects on diabetic hBM-MSCs is important for determining its effective concentration range, anticipating its therapeutic potential, and designing future <i>in vivo</i> studies.</p>","PeriodicalId":35792,"journal":{"name":"Journal of Contemporary Dental Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10071163","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 : 2023-07-01DOI: 10.5005/jp-journals-10024-3528
Chakravarthy Arumugam, Rupa Ashok, Seshan Rakkesh Ramesh, Rajeswari Kalaiselvam, Karthick Soundararajan, Mathan Rajan Rajendran
Aim: The aim of this in vitro study was to determine the effectiveness of 1,1,1,2-tetrafluoroethane (TFE) intracanal cryotherapy for external root surface temperature control during thermoplastic obturation.
Materials and methods: Thirty extracted adult single-rooted mandibular incisors were selected for this study. Endodontic shaping was performed until size X3 Protaper Next Rotary endodontic file. The teeth were divided into three groups: Group I-Control group wherein conventional irrigation was done using physiologic saline stored at room temperature, Group II-Irrigational Cryotherapy group using physiologic saline at 2.5°C, and Group III-Intracanal TFE cryotherapy group with intracanal refrigerant TFE application. Temperatures were recorded in the apical 3 mm before and after completion of each intervention and post thermoplastic obturation using a noncontact digital laser infrared thermometer.
Results: Intracanal cryotherapy with TFE resulted in a mean decrease of 9.27°C compared with conventional irrigation that exhibited in a mean decrease of 2.13°C. Also, in intracanal cryotherapy group with TFE application, compared with the baseline (24.50°C), no significant differences were observed post obturation (24.61°C) with high-temperature-injectable gutta percha technique indicating good control of temperature rise on the external root surface.
Conclusion: Intracanal cryotherapy with refrigerant TFE was highly effective in controlling temperature rise on the external root surface during injectable thermoplastic obturation technique.
Clinical significance: Minimizing deleterious effects due to high temperatures generated during the thermoplastic obturation is critical. Clinically feasible measures to reduce the transmission of heat generated during thermoplastic obturation have been searched since long. In this regard, intracanal cryotherapy with TFE can be effectively used to control the rise of temperature on the external root surface when employing thermoplastic obturation technique.
{"title":"External Root Surface Temperature Control with 1,1,1,2-Tetrafluoroethane Intracanal Cryotherapy during Thermoplastic Obturation: An <i>In Vitro</i> Study.","authors":"Chakravarthy Arumugam, Rupa Ashok, Seshan Rakkesh Ramesh, Rajeswari Kalaiselvam, Karthick Soundararajan, Mathan Rajan Rajendran","doi":"10.5005/jp-journals-10024-3528","DOIUrl":"https://doi.org/10.5005/jp-journals-10024-3528","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this <i>in vitro</i> study was to determine the effectiveness of 1,1,1,2-tetrafluoroethane (TFE) intracanal cryotherapy for external root surface temperature control during thermoplastic obturation.</p><p><strong>Materials and methods: </strong>Thirty extracted adult single-rooted mandibular incisors were selected for this study. Endodontic shaping was performed until size X3 Protaper Next Rotary endodontic file. The teeth were divided into three groups: Group I-Control group wherein conventional irrigation was done using physiologic saline stored at room temperature, Group II-Irrigational Cryotherapy group using physiologic saline at 2.5°C, and Group III-Intracanal TFE cryotherapy group with intracanal refrigerant TFE application. Temperatures were recorded in the apical 3 mm before and after completion of each intervention and post thermoplastic obturation using a noncontact digital laser infrared thermometer.</p><p><strong>Results: </strong>Intracanal cryotherapy with TFE resulted in a mean decrease of 9.27°C compared with conventional irrigation that exhibited in a mean decrease of 2.13°C. Also, in intracanal cryotherapy group with TFE application, compared with the baseline (24.50°C), no significant differences were observed post obturation (24.61°C) with high-temperature-injectable gutta percha technique indicating good control of temperature rise on the external root surface.</p><p><strong>Conclusion: </strong>Intracanal cryotherapy with refrigerant TFE was highly effective in controlling temperature rise on the external root surface during injectable thermoplastic obturation technique.</p><p><strong>Clinical significance: </strong>Minimizing deleterious effects due to high temperatures generated during the thermoplastic obturation is critical. Clinically feasible measures to reduce the transmission of heat generated during thermoplastic obturation have been searched since long. In this regard, intracanal cryotherapy with TFE can be effectively used to control the rise of temperature on the external root surface when employing thermoplastic obturation technique.</p>","PeriodicalId":35792,"journal":{"name":"Journal of Contemporary Dental Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10077936","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 : 2023-07-01DOI: 10.5005/jp-journals-10024-3534
Rathod Aishwarya, Jaiswal Priyanka, Bajaj Pavan, Kale Bhairavi, Masurkar Deepika
Aim: To evaluate and compare the effectiveness of nanocrystalline hydroxyapatite (NcHA) with advanced platelet-rich fibrin (A-PRF) and hydroxyapatite-reinforced beta tricalcium phosphate (HA + β-TCP) with A-PRF in the treatment of human infrabony defects clinically and radiographically using cone-beam computed tomography (CBCT).
Materials and methods: There were a total of 28 defects, with 14 defects in the test and control groups, respectively. There were total 28 patients were involved in the study. The test group (group A) was treated with NHA and A-PRF, while the control group (group B) was treated with HA + β-TCP and A-PRF. Bone defect fill was the primary result of the investigation. Periodontal pocket depth (PPD), R-CAL, papillary bleeding index (PBI), and PI were the secondary outcome. Clinical and radiographic measurements were recorded at baseline and 6 months postoperatively.
Results: No significant difference was observed between the two groups in terms of PPD reduction (4.64 ± 0.74 mm vs 4.07 ± 0.99 mm), clinical attachment loss (CAL) gain (4.64 ± 0.74 mm vs 3.92 ± 0.99 mm) and radiographic defect depth reduction (2.41 ± 0.32 mm vs 2.40 ± 0.27 mm) for test and control groups, respectively.
Conclusion: At 6-month post-surgery, both treatment modalities demonstrated statistically significant improvements with regard to CAL gains, PPD reduction, and reduction in radiographic defect depth.
Clinical relevance: The NcHA and HA + β-TCP with A-PRF is a novel material used in the treatment of infrabony defect for periodontal regeneration. The NcHA and HA + β-TCP with A-PRF need to consider biomaterials for bone defect fill.
目的:评估并比较纳米结晶羟基磷灰石(NcHA)与高级富血小板纤维蛋白(A-PRF)以及羟基磷灰石强化β磷酸三钙(HA + β-TCP)与A-PRF在临床和影像学上使用锥束计算机断层扫描(CBCT)治疗人体骨下缺损的效果:试验组和对照组共有 28 个缺损,其中试验组和对照组分别有 14 个缺损。共有 28 名患者参与研究。试验组(A 组)使用 NHA 和 A-PRF 治疗,对照组(B 组)使用 HA + β-TCP 和 A-PRF 治疗。骨缺损填充是调查的主要结果。牙周袋深度(PPD)、R-CAL、乳头出血指数(PBI)和 PI 是次要结果。在基线和术后 6 个月记录临床和放射学测量结果:结果:试验组和对照组在 PPD 减少量(4.64 ± 0.74 mm vs 4.07 ± 0.99 mm)、临床附着丧失(CAL)增加量(4.64 ± 0.74 mm vs 3.92 ± 0.99 mm)和放射学缺损深度减少量(2.41 ± 0.32 mm vs 2.40 ± 0.27 mm)方面无明显差异:结论:术后6个月时,两种治疗方式在CAL增加、PPD减少和放射学缺损深度减少方面都有统计学意义上的显著改善:NcHA和HA+β-TCP与A-PRF是一种新型材料,可用于治疗牙周缺损,促进牙周再生。NcHA和HA+β-TCP与A-PRF需要考虑用于骨缺损填充的生物材料。
{"title":"Evaluating and Comparing the Effectiveness of Nano-HA and HA + β-TCP with A-PRF Clinically and Radiographically in the Treatment of Human Infrabony Defects.","authors":"Rathod Aishwarya, Jaiswal Priyanka, Bajaj Pavan, Kale Bhairavi, Masurkar Deepika","doi":"10.5005/jp-journals-10024-3534","DOIUrl":"10.5005/jp-journals-10024-3534","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate and compare the effectiveness of nanocrystalline hydroxyapatite (NcHA) with advanced platelet-rich fibrin (A-PRF) and hydroxyapatite-reinforced beta tricalcium phosphate (HA + β-TCP) with A-PRF in the treatment of human infrabony defects clinically and radiographically using cone-beam computed tomography (CBCT).</p><p><strong>Materials and methods: </strong>There were a total of 28 defects, with 14 defects in the test and control groups, respectively. There were total 28 patients were involved in the study. The test group (group A) was treated with NHA and A-PRF, while the control group (group B) was treated with HA + β-TCP and A-PRF. Bone defect fill was the primary result of the investigation. Periodontal pocket depth (PPD), R-CAL, papillary bleeding index (PBI), and PI were the secondary outcome. Clinical and radiographic measurements were recorded at baseline and 6 months postoperatively.</p><p><strong>Results: </strong>No significant difference was observed between the two groups in terms of PPD reduction (4.64 ± 0.74 mm vs 4.07 ± 0.99 mm), clinical attachment loss (CAL) gain (4.64 ± 0.74 mm vs 3.92 ± 0.99 mm) and radiographic defect depth reduction (2.41 ± 0.32 mm vs 2.40 ± 0.27 mm) for test and control groups, respectively.</p><p><strong>Conclusion: </strong>At 6-month post-surgery, both treatment modalities demonstrated statistically significant improvements with regard to CAL gains, PPD reduction, and reduction in radiographic defect depth.</p><p><strong>Clinical relevance: </strong>The NcHA and HA + β-TCP with A-PRF is a novel material used in the treatment of infrabony defect for periodontal regeneration. The NcHA and HA + β-TCP with A-PRF need to consider biomaterials for bone defect fill.</p>","PeriodicalId":35792,"journal":{"name":"Journal of Contemporary Dental Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10071159","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 : 2023-07-01DOI: 10.5005/jp-journals-10024-3537
Shubhaani Singh, Pankaj Dhawan, Harsimran Kaur
Aim: The purpose of this study is to correlate the role of serum vitamin D levels associated with crestal bone in dental implant patients using cone-beam computed tomography (CBCT).
Materials and methods: This retrospective study enrolled patients among whom implants were placed after a detailed planning using CBCT and the delayed loading protocol was followed. After 3 months and 6 months of loading, CBCT evaluations were carried out, serum vitamin D levels were also tested at the end of 6 months of loading. A total of 30 patients were recruited with 15 patients in each group based on normal and deficient levels of vitamin D to correlate with crestal bone levels using CBCT.
Results: Clinically acceptable crestal bone loss (CBL) was visible with all the implants at different time intervals. Statistical analysis was done for intergroup and intragroup comparisons which showed significant p-value (< 0.05) for CBL at the time of loading, at 3 months, and at 6 months follow-up for both normal and deficient serum values. In the deficient group, the mean value at baseline was 9.69 mm ± 1.10 and the CBL at 6 months follow-up was 8.80 mm ± 1.10 whereas for the normal group at baseline, the mean was 9.08 mm ± 1.21 and at 6 months follow-up was 8.12 mm ± 1.25 which showed meaningful difference.
Conclusion: There is a positive correlation seen between CBL on CBCT and vitamin D serum levels. The success of the implant is significantly affected by vitamin D as it regulates the bone physiology and has systemic effects on accelerating bone formation around titanium implants.
Clinical significance: Vitamin D is essential in maintaining the balance of bone minerals and assists to preserve the crestal bone level making the implant treatment more predictable and successful.
{"title":"Correlation of Serum Vitamin D with Crestal Bone Level in Dental Implant Patients Using CBCT: A Clinical Retrospective Study.","authors":"Shubhaani Singh, Pankaj Dhawan, Harsimran Kaur","doi":"10.5005/jp-journals-10024-3537","DOIUrl":"https://doi.org/10.5005/jp-journals-10024-3537","url":null,"abstract":"<p><strong>Aim: </strong>The purpose of this study is to correlate the role of serum vitamin D levels associated with crestal bone in dental implant patients using cone-beam computed tomography (CBCT).</p><p><strong>Materials and methods: </strong>This retrospective study enrolled patients among whom implants were placed after a detailed planning using CBCT and the delayed loading protocol was followed. After 3 months and 6 months of loading, CBCT evaluations were carried out, serum vitamin D levels were also tested at the end of 6 months of loading. A total of 30 patients were recruited with 15 patients in each group based on normal and deficient levels of vitamin D to correlate with crestal bone levels using CBCT.</p><p><strong>Results: </strong>Clinically acceptable crestal bone loss (CBL) was visible with all the implants at different time intervals. Statistical analysis was done for intergroup and intragroup comparisons which showed significant <i>p</i>-value (< 0.05) for CBL at the time of loading, at 3 months, and at 6 months follow-up for both normal and deficient serum values. In the deficient group, the mean value at baseline was 9.69 mm ± 1.10 and the CBL at 6 months follow-up was 8.80 mm ± 1.10 whereas for the normal group at baseline, the mean was 9.08 mm ± 1.21 and at 6 months follow-up was 8.12 mm ± 1.25 which showed meaningful difference.</p><p><strong>Conclusion: </strong>There is a positive correlation seen between CBL on CBCT and vitamin D serum levels. The success of the implant is significantly affected by vitamin D as it regulates the bone physiology and has systemic effects on accelerating bone formation around titanium implants.</p><p><strong>Clinical significance: </strong>Vitamin D is essential in maintaining the balance of bone minerals and assists to preserve the crestal bone level making the implant treatment more predictable and successful.</p>","PeriodicalId":35792,"journal":{"name":"Journal of Contemporary Dental Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10077938","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 : 2023-07-01DOI: 10.5005/jp-journals-10024-3493
Rajat Mohanty, Naman Awasthi, Shrinivas Baburao Hosmani, Anju Innaran Sankaranarayanan, Nimish H Oberoi, Praveen Kumar Singh, Nikhil Singh, Dharati Patel
Aim: The present study was designed to investigate the difference in the effectiveness of a 3 day postoperative course and a single perioperative dose of antibiotics on the incidence of postoperative infection in the management of maxillofacial trauma patients.
Materials and methods: About 183 maxillofacial trauma patients requiring open reduction and internal fixation (ORIF) under general anesthesia were divided based on the type of fracture sustained, i.e., mandibular fractures, Le Fort fractures, and zygomaticomaxillary complex fractures. Patients from each fracture type were randomized into two groups, A and B. All patients were administered amoxicillin/clavulanate 1.2 grams intravenously 8 hours from the time of admission till the patient was taken up for surgery. Once the patients were taken up for surgery, a perioperative dose was administered. No antibiotics beyond this point were given to patients in Group A. Patients in Group B were administered the same antibiotic for 3 postoperative days additionally. Outcomes in terms of purulent discharge from the surgical site, an abscess or any other sign of infection, and wound dehiscence requiring reopening of the surgical site were considered. Patients were reviewed at 1 week, 2 weeks, 1 month, 2 months, and 3 months.
Results: No statistically significant difference was found between the two groups across all three fracture types in terms of postoperative outcomes. However, increased numbers of complications were noted in the patients treated with an intra-oral approach in each fracture type irrespective of group. All complications were managed with local measures.
Conclusion: A single perioperative dose of antibiotics is effective in minimizing postoperative complications following ORIF of maxillofacial fractures and there is no significant benefit in prolonging the course of antibiotics postoperatively with the need for further studies to be conducted considering comminuted, complex fractures and old fractures.
Clinical significance: In maxillofacial trauma, fractures frequently communicate with contaminated indigenous flora on the skin surface, oral cavities, or sinus cavities. Surgery is frequently performed using an approach across a contaminated area, even in closed fractures. Postoperative infections can be significantly decreased by using antibiotics in surgical procedures to treat facial fractures.
{"title":"Comparing the Efficacy of Postoperative Antibiotic Regimens in the Treatment of Maxillofacial Fractures: A Prospective Study.","authors":"Rajat Mohanty, Naman Awasthi, Shrinivas Baburao Hosmani, Anju Innaran Sankaranarayanan, Nimish H Oberoi, Praveen Kumar Singh, Nikhil Singh, Dharati Patel","doi":"10.5005/jp-journals-10024-3493","DOIUrl":"https://doi.org/10.5005/jp-journals-10024-3493","url":null,"abstract":"<p><strong>Aim: </strong>The present study was designed to investigate the difference in the effectiveness of a 3 day postoperative course and a single perioperative dose of antibiotics on the incidence of postoperative infection in the management of maxillofacial trauma patients.</p><p><strong>Materials and methods: </strong>About 183 maxillofacial trauma patients requiring open reduction and internal fixation (ORIF) under general anesthesia were divided based on the type of fracture sustained, i.e., mandibular fractures, Le Fort fractures, and zygomaticomaxillary complex fractures. Patients from each fracture type were randomized into two groups, A and B. All patients were administered amoxicillin/clavulanate 1.2 grams intravenously 8 hours from the time of admission till the patient was taken up for surgery. Once the patients were taken up for surgery, a perioperative dose was administered. No antibiotics beyond this point were given to patients in Group A. Patients in Group B were administered the same antibiotic for 3 postoperative days additionally. Outcomes in terms of purulent discharge from the surgical site, an abscess or any other sign of infection, and wound dehiscence requiring reopening of the surgical site were considered. Patients were reviewed at 1 week, 2 weeks, 1 month, 2 months, and 3 months.</p><p><strong>Results: </strong>No statistically significant difference was found between the two groups across all three fracture types in terms of postoperative outcomes. However, increased numbers of complications were noted in the patients treated with an intra-oral approach in each fracture type irrespective of group. All complications were managed with local measures.</p><p><strong>Conclusion: </strong>A single perioperative dose of antibiotics is effective in minimizing postoperative complications following ORIF of maxillofacial fractures and there is no significant benefit in prolonging the course of antibiotics postoperatively with the need for further studies to be conducted considering comminuted, complex fractures and old fractures.</p><p><strong>Clinical significance: </strong>In maxillofacial trauma, fractures frequently communicate with contaminated indigenous flora on the skin surface, oral cavities, or sinus cavities. Surgery is frequently performed using an approach across a contaminated area, even in closed fractures. Postoperative infections can be significantly decreased by using antibiotics in surgical procedures to treat facial fractures.</p>","PeriodicalId":35792,"journal":{"name":"Journal of Contemporary Dental Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10077942","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 : 2023-07-01DOI: 10.5005/jp-journals-10024-3532
Okasha Hassan, Fadia Awadalkreem, Ibrahim A Ismail, Vivek Padmanabhan
Aim of the study: To assess the awareness and practice of Immediate Dentures among the dentists who work in the private clinics in Khartoum state, Sudan Materials and methods: A descriptive cross-sectional questionnaire-based study was conducted among the dental medical officers, registrars, specialists, and consultants who are working in private clinics and centers in Khartoum state and registered the private medical institutions in Sudan. The sample population was 664, using the stratified sampling technique and simple randomization within the stratum, 265 dentists were asked to participate in the study voluntarily A self-administered questionnaire consisted of 32 closed questions and 3 sections, section (1) involved the participant's data, section (2) contained the participant's knowledge, and section (3) the participant's practice was distributed. The participant's knowledge and practice scores were calculated as percentages achieved by dividing the number of accurate answers of the participants by the total number of questions and categorized as Good (66.6-100%), Average (33.3-66.6%), and Poor (less than 33.3%) Data was collected and analyzed using a statistical package of Social Science (SPSS) computer software version 22. Chi-square was used for statistical analysis Results: The response rate was 100%, with nearly equal distribution between males (135, 50.9%) and females (130, 49.1%). The age range is 24-39 years, with a mean of 31.65 ± 7.52 years. The majority of the participants (172, 64.9%) were freshly graduated and young practitioners, with the majority of them having experience ranging from 1 to 6 years. The result of the study revealed that 65.7% of the respondents have average knowledge about immediate denture while 8.7% expressed poor knowledge and only 25.7% had excellent knowledge On the other hand, the majority of the participants (200,75.5%) have never constructed an immediate denture, while only 21.1% have a history of constructing 1-5 immediate dentures, 3% constructed more than 5-10 immediate dentures and only 0.4% constructed more than 10 immediate dentures The lack of knowledge and experience was the main barrier preventing the use of immediate dentures, and the mainstream of the participants (118, 44.5%), evaluated their knowledge about the immediate denture as poor Using the Chi-square test, the correlation between the participants' knowledge and their gender, years of experience, and qualification was found not significant (p -values of 0.46, 027, and 0.66, respectively) while a significant correlation was found between the participants' self-evaluation of their knowledge and their knowledge score with a p-value of 0.000* Conclusion: Within the limitations of this study, the dental practitioners have average knowledge about the immediate denture, but the practice of the immediate denture is still very limited and requires enhancement Clinical significance: Immediate dentures have a sig
{"title":"Knowledge and Practice of Immediate Dentures among the Dentists in Private Clinics in Khartoum State: A Descriptive Cross-sectional Study.","authors":"Okasha Hassan, Fadia Awadalkreem, Ibrahim A Ismail, Vivek Padmanabhan","doi":"10.5005/jp-journals-10024-3532","DOIUrl":"https://doi.org/10.5005/jp-journals-10024-3532","url":null,"abstract":"<p><strong>Aim of the study: </strong>To assess the awareness and practice of Immediate Dentures among the dentists who work in the private clinics in Khartoum state, Sudan Materials and methods: A descriptive cross-sectional questionnaire-based study was conducted among the dental medical officers, registrars, specialists, and consultants who are working in private clinics and centers in Khartoum state and registered the private medical institutions in Sudan. The sample population was 664, using the stratified sampling technique and simple randomization within the stratum, 265 dentists were asked to participate in the study voluntarily A self-administered questionnaire consisted of 32 closed questions and 3 sections, section (1) involved the participant's data, section (2) contained the participant's knowledge, and section (3) the participant's practice was distributed. The participant's knowledge and practice scores were calculated as percentages achieved by dividing the number of accurate answers of the participants by the total number of questions and categorized as Good (66.6-100%), Average (33.3-66.6%), and Poor (less than 33.3%) Data was collected and analyzed using a statistical package of Social Science (SPSS) computer software version 22. Chi-square was used for statistical analysis Results: The response rate was 100%, with nearly equal distribution between males (135, 50.9%) and females (130, 49.1%). The age range is 24-39 years, with a mean of 31.65 ± 7.52 years. The majority of the participants (172, 64.9%) were freshly graduated and young practitioners, with the majority of them having experience ranging from 1 to 6 years. The result of the study revealed that 65.7% of the respondents have average knowledge about immediate denture while 8.7% expressed poor knowledge and only 25.7% had excellent knowledge On the other hand, the majority of the participants (200,75.5%) have never constructed an immediate denture, while only 21.1% have a history of constructing 1-5 immediate dentures, 3% constructed more than 5-10 immediate dentures and only 0.4% constructed more than 10 immediate dentures The lack of knowledge and experience was the main barrier preventing the use of immediate dentures, and the mainstream of the participants (118, 44.5%), evaluated their knowledge about the immediate denture as poor Using the Chi-square test, the correlation between the participants' knowledge and their gender, years of experience, and qualification was found not significant (<i>p</i> -values of 0.46, 027, and 0.66, respectively) while a significant correlation was found between the participants' self-evaluation of their knowledge and their knowledge score with a <i>p</i>-value of 0.000* Conclusion: Within the limitations of this study, the dental practitioners have average knowledge about the immediate denture, but the practice of the immediate denture is still very limited and requires enhancement Clinical significance: Immediate dentures have a sig","PeriodicalId":35792,"journal":{"name":"Journal of Contemporary Dental Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10455596","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 : 2023-07-01DOI: 10.5005/jp-journals-10024-3519
Salma Musa Adam Abduljalil, Nada Tawfig Hashim Ahmed, Muhammed Mustahsen Rahman, Ali Abdelrahman Marouf, Nancy Soliman Farghal, Bakri Gobara Gismalla
Aim: To determine whether photobiomodulation (PBM) therapy could increase the depth of analgesia during endodontic therapy of teeth affected with symptomatic irreversible pulpitis.
Materials and methods: Forty-nine patients with symptomatic irreversible pulpitis were randomized into two groups. In the laser group, before administering anesthesia, the lower molars' crowns were continuously treated with a diode laser (980 nm) for 20 s with a low-level laser tip in the buccal aspect close to the gingival margin. While the teeth of the second group who was blinded to the type of treatment received placebo treatment wherein the laser device was switched off. The visual analogue scale (VAS) was used to assess pain in both groups before the endodontic procedure, during dentin cutting, and at dropping pulp, wherein, the success was defined as no or mild pain. The Chi-square and independent sample t-tests were used to assess the data.
Results: During dentin cutting and pulp dropping, the group receiving the laser therapy presented with less mean pain score than the placebo group which was statistically significant. Additionally, it was observed that the need for supplementary injection was less frequent in the laser-treated group than in the placebo group (p = 0.01).
Conclusion: The irradiation by diode laser (980 nm) prior to administration of local anesthesia appears to be useful in minimizing discomfort and additional injection during root canal therapy (RCT).
Clinical significance: Pain management is essential for providing the best possible treatment to patients before, during, and after endodontic therapy. Adequate pain control during treatment also aids in reducing postoperative discomfort. This implies the need for additional methods to reduce discomfort during endodontic treatment; hence, adjuncts are crucial to achieving this goal. Photobiomodulation may be used as an adjuvant to reduce discomfort and supplementary injections during RCT.
{"title":"Effect of Photobiomodulation on the Depth of Local Anesthesia during Endodontic Treatment of Teeth with Symptomatic Irreversible Pulpitis.","authors":"Salma Musa Adam Abduljalil, Nada Tawfig Hashim Ahmed, Muhammed Mustahsen Rahman, Ali Abdelrahman Marouf, Nancy Soliman Farghal, Bakri Gobara Gismalla","doi":"10.5005/jp-journals-10024-3519","DOIUrl":"https://doi.org/10.5005/jp-journals-10024-3519","url":null,"abstract":"<p><strong>Aim: </strong>To determine whether photobiomodulation (PBM) therapy could increase the depth of analgesia during endodontic therapy of teeth affected with symptomatic irreversible pulpitis.</p><p><strong>Materials and methods: </strong>Forty-nine patients with symptomatic irreversible pulpitis were randomized into two groups. In the laser group, before administering anesthesia, the lower molars' crowns were continuously treated with a diode laser (980 nm) for 20 s with a low-level laser tip in the buccal aspect close to the gingival margin. While the teeth of the second group who was blinded to the type of treatment received placebo treatment wherein the laser device was switched off. The visual analogue scale (VAS) was used to assess pain in both groups before the endodontic procedure, during dentin cutting, and at dropping pulp, wherein, the success was defined as no or mild pain. The Chi-square and independent sample <i>t</i>-tests were used to assess the data.</p><p><strong>Results: </strong>During dentin cutting and pulp dropping, the group receiving the laser therapy presented with less mean pain score than the placebo group which was statistically significant. Additionally, it was observed that the need for supplementary injection was less frequent in the laser-treated group than in the placebo group (<i>p</i> = 0.01).</p><p><strong>Conclusion: </strong>The irradiation by diode laser (980 nm) prior to administration of local anesthesia appears to be useful in minimizing discomfort and additional injection during root canal therapy (RCT).</p><p><strong>Clinical significance: </strong>Pain management is essential for providing the best possible treatment to patients before, during, and after endodontic therapy. Adequate pain control during treatment also aids in reducing postoperative discomfort. This implies the need for additional methods to reduce discomfort during endodontic treatment; hence, adjuncts are crucial to achieving this goal. Photobiomodulation may be used as an adjuvant to reduce discomfort and supplementary injections during RCT.</p>","PeriodicalId":35792,"journal":{"name":"Journal of Contemporary Dental Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10071161","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 : 2023-07-01DOI: 10.5005/jp-journals-10024-3525
Niti Dharmendra Shah, Santosh Kumar Goje
Aim: To evaluate and compare skeletal, dental, and soft tissue parameters by therapeutic extraction of first premolar and nonextraction distalization of maxillary and mandibular arches in bimaxillary proclination using the skeletal anchorage system.
Materials and methods: About 40 orthodontic patients undergoing extraction or nonextraction treatment are enrolled in a randomized clinical trial. Participants are randomly assigned to either the extraction or nonextraction group and receive treatment augmented with skeletal anchorage. Mini implants were placed in the extraction group for retraction and infra-zygomatic crest (IZC) and buccal shelf screws were placed in the nonextraction group for distalization.
Observations and results: Comparison between the ages of the patients among both Groups showed no significant difference. A significant difference is observed in dental and soft tissue parameters before and after the treatment in group A, whereas skeletal parameters also showed significant changes along with dental and soft tissue parameters in group B.
Conclusion: There is a significant change in the position of incisors by retraction and facial profile improves gradually in group A while for group B, a marked change in lower facial height was even seen. On comparing both the groups, a highly significant difference can be seen with respect to the amount of incisor retraction and change in molar inclination. The time taken for retraction of incisors is less in comparison to distalization.
Clinical significance: With this, we can easily avoid premolar extraction, and in cases of impacted third molars distalization as when indicated can be helpful as a part of the nonextraction treatment plan.
{"title":"Skeletal Anchorage Augmentation in Extraction/Nonextraction Orthodontic Treatment: A Randomized Clinical Study.","authors":"Niti Dharmendra Shah, Santosh Kumar Goje","doi":"10.5005/jp-journals-10024-3525","DOIUrl":"https://doi.org/10.5005/jp-journals-10024-3525","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate and compare skeletal, dental, and soft tissue parameters by therapeutic extraction of first premolar and nonextraction distalization of maxillary and mandibular arches in bimaxillary proclination using the skeletal anchorage system.</p><p><strong>Materials and methods: </strong>About 40 orthodontic patients undergoing extraction or nonextraction treatment are enrolled in a randomized clinical trial. Participants are randomly assigned to either the extraction or nonextraction group and receive treatment augmented with skeletal anchorage. Mini implants were placed in the extraction group for retraction and infra-zygomatic crest (IZC) and buccal shelf screws were placed in the nonextraction group for distalization.</p><p><strong>Observations and results: </strong>Comparison between the ages of the patients among both Groups showed no significant difference. A significant difference is observed in dental and soft tissue parameters before and after the treatment in group A, whereas skeletal parameters also showed significant changes along with dental and soft tissue parameters in group B.</p><p><strong>Conclusion: </strong>There is a significant change in the position of incisors by retraction and facial profile improves gradually in group A while for group B, a marked change in lower facial height was even seen. On comparing both the groups, a highly significant difference can be seen with respect to the amount of incisor retraction and change in molar inclination. The time taken for retraction of incisors is less in comparison to distalization.</p><p><strong>Clinical significance: </strong>With this, we can easily avoid premolar extraction, and in cases of impacted third molars distalization as when indicated can be helpful as a part of the nonextraction treatment plan.</p>","PeriodicalId":35792,"journal":{"name":"Journal of Contemporary Dental Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10071164","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}