Dental implants have been used for missing teeth replacement with a high success rate. Melatonin is an antioxidant and acts as a free radical scavenger. It retards the resorption of bone by regulating RANKL and OPG synthesis, and increases the BIC (Bone to implant contact) and also bone perimeter and bone mineralization. Objective: The aim of the study was to assess if topical melatonin application at the osteotomy site has any influence on the stability and marginal bone level around the implant Methods: In this split mouth double blind randomized control trial 30 implants were placed on either side of the mandible in which test sites were irrigated with melatonin solution prior to the implant placement and the control site on the other side was irrigated with normal saline. Crestal bone level and implant stability assessment was done at baseline and 3 months. Results: A significant difference was observed between the groups with respect to crestal bone loss scores at 3 months. Regarding implant stability a significant difference(p<0.05) was observed within the groups at baseline and 3 months and also between the groups at 3 months only. Conclusion: Melatonin showed a statistically significant reduction in crestal bone loss and an increase in implant stability.
{"title":"The Effect of Melatonin on Implant Stability and Marginal Bone Level around The Implant","authors":"Hemanth Ravella, Mulpuri Venkata Ramoji Rao, Sathish Manthena, Suneetha Koneru, Penubolu Lakshmi Preethi","doi":"10.14693/jdi.v29i2.1319","DOIUrl":"https://doi.org/10.14693/jdi.v29i2.1319","url":null,"abstract":"Dental implants have been used for missing teeth replacement with a high success rate. Melatonin is an antioxidant and acts as a free radical scavenger. It retards the resorption of bone by regulating RANKL and OPG synthesis, and increases the BIC (Bone to implant contact) and also bone perimeter and bone mineralization. Objective: The aim of the study was to assess if topical melatonin application at the osteotomy site has any influence on the stability and marginal bone level around the implant Methods: In this split mouth double blind randomized control trial 30 implants were placed on either side of the mandible in which test sites were irrigated with melatonin solution prior to the implant placement and the control site on the other side was irrigated with normal saline. Crestal bone level and implant stability assessment was done at baseline and 3 months. Results: A significant difference was observed between the groups with respect to crestal bone loss scores at 3 months. Regarding implant stability a significant difference(p<0.05) was observed within the groups at baseline and 3 months and also between the groups at 3 months only. Conclusion: Melatonin showed a statistically significant reduction in crestal bone loss and an increase in implant stability.","PeriodicalId":53873,"journal":{"name":"Journal of Dentistry Indonesia","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41711984","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}
Objective: To examine the morphological properties of temporomandibular joint structures by magnetic resonance imaging (MRI) on patients with and without disc displacement (DD). Methods: Thirty-eight patients with disc displacement and 13 patients without disc displacement were included. Age, gender, and clinical findings such as pain, joint sounds of patients were recorded. The patients were classified as anterior disc displacement with reduction (ADDWR) group, anterior disc displacement without reduction (ADDWoR) group, and control group on MRI. Disc morphology was categorized as biconcave, hemiconvex, biconvex, biplanar, or folded. Condyle morphology was characterized as convex, angled, flat, or rounded. Articular eminence morphology was classified as sigmoid, flattened, box, or deformed. A one-way analysis of variance was used to establish the differences between the values. Results: Biconcave disc and sigmoid articular eminence were the greatest incidence both in ADDWR and control group, folded disc and deformed articular eminence were the most in ADDWoR group. The most frequent types of condyle in DD and control group were flattened and convex, respectively. Statistical difference was found between pain and articular eminence morphology (p=0.02). The statistical difference regarding articular disc (p=0.001) and articular eminence morphology (p=0.02) was determined among the groups. A significant difference between condyle morphology and the presence of self-reported bruxism was detected (p= 0.03). Conclusion: The morphological characteristics of the articular disc and articular eminence are related to DD. It can be said that the morphological changes of temporomandibular joint structures point to DD.
{"title":"The Effect of Disc Displacement on Temporomandibular Joint Morphology in Patients with Disc Displacement","authors":"Melike Yurttaş, E. Bozdemir, Şehnaz Evrimler","doi":"10.14693/jdi.v29i2.1290","DOIUrl":"https://doi.org/10.14693/jdi.v29i2.1290","url":null,"abstract":"Objective: To examine the morphological properties of temporomandibular joint structures by magnetic resonance imaging (MRI) on patients with and without disc displacement (DD). Methods: Thirty-eight patients with disc displacement and 13 patients without disc displacement were included. Age, gender, and clinical findings such as pain, joint sounds of patients were recorded. The patients were classified as anterior disc displacement with reduction (ADDWR) group, anterior disc displacement without reduction (ADDWoR) group, and control group on MRI. Disc morphology was categorized as biconcave, hemiconvex, biconvex, biplanar, or folded. Condyle morphology was characterized as convex, angled, flat, or rounded. Articular eminence morphology was classified as sigmoid, flattened, box, or deformed. A one-way analysis of variance was used to establish the differences between the values. Results: Biconcave disc and sigmoid articular eminence were the greatest incidence both in ADDWR and control group, folded disc and deformed articular eminence were the most in ADDWoR group. The most frequent types of condyle in DD and control group were flattened and convex, respectively. Statistical difference was found between pain and articular eminence morphology (p=0.02). The statistical difference regarding articular disc (p=0.001) and articular eminence morphology (p=0.02) was determined among the groups. A significant difference between condyle morphology and the presence of self-reported bruxism was detected (p= 0.03). Conclusion: The morphological characteristics of the articular disc and articular eminence are related to DD. It can be said that the morphological changes of temporomandibular joint structures point to DD.","PeriodicalId":53873,"journal":{"name":"Journal of Dentistry Indonesia","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49482098","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}
Background: Periodontal dressings that are currently available can only protect wounds from mechanical trauma, but have no ability to accelerate wound healing. Lime (Citrus aurantifolia Swingle) peel extract added to periodontal dressing contains flavonoids which can stimulate the formation of new blood vessels, thus accelerating the healing process. Objective: To determine the effects of adding lime (Citrus aurantifolia Swingle) peel extract to periodontal dressing on the number of blood vessels in the gingival wound healing process. Methods: 32 rabbits with 2 mm wound made on the gingiva were divided into 8 groups. For the control groups of K1(n=4) and K2(n=4) periodontal dressings were applied without the addition of lime peel extract. Meanwhile, the treatment groups P1(n=4) and P4(n=4), P2 (n=4) and P5(n=4), and P3(n=4) and P6(n=4), 5%, 10%, and 15% lime peel extract, respectively, were added to the periodontal dressing. Groups K1, P1, P2, and P3 were scarified after 3 days, whereas groups K2, P4, P5, and P6 were scarified after 5 days. Histological observations of tissue by Hematoxylin Eosin (HE) staining were carried out to count the number of blood vessels. Result: The results of the statistical tests show that group P5 had the highest number of new blood vessels. Conclusion: The addition of lime peel extract to periodontal dressing can increase the number of blood vessels in the gingival wound healing process.
{"title":"Effects of Lime (Citrus aur ects of Lime (Citrus aurantifolia Swingle) P antifolia Swingle) Peel Extr eel Extract Addition act Addition to Periodontal Dressing on the Number of Blood Vessels in the Gingival Wound Healing Process","authors":"Malianawati Fauzia, Savira Pratista Oktaviana","doi":"10.14693/jdi.v29i2.1333","DOIUrl":"https://doi.org/10.14693/jdi.v29i2.1333","url":null,"abstract":"Background: Periodontal dressings that are currently available can only protect wounds from mechanical trauma, but have no ability to accelerate wound healing. Lime (Citrus aurantifolia Swingle) peel extract added to periodontal dressing contains flavonoids which can stimulate the formation of new blood vessels, thus accelerating the healing process. Objective: To determine the effects of adding lime (Citrus aurantifolia Swingle) peel extract to periodontal dressing on the number of blood vessels in the gingival wound healing process. Methods: 32 rabbits with 2 mm wound made on the gingiva were divided into 8 groups. For the control groups of K1(n=4) and K2(n=4) periodontal dressings were applied without the addition of lime peel extract. Meanwhile, the treatment groups P1(n=4) and P4(n=4), P2 (n=4) and P5(n=4), and P3(n=4) and P6(n=4), 5%, 10%, and 15% lime peel extract, respectively, were added to the periodontal dressing. Groups K1, P1, P2, and P3 were scarified after 3 days, whereas groups K2, P4, P5, and P6 were scarified after 5 days. Histological observations of tissue by Hematoxylin Eosin (HE) staining were carried out to count the number of blood vessels. Result: The results of the statistical tests show that group P5 had the highest number of new blood vessels. Conclusion: The addition of lime peel extract to periodontal dressing can increase the number of blood vessels in the gingival wound healing process.","PeriodicalId":53873,"journal":{"name":"Journal of Dentistry Indonesia","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45183967","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}
Traumatic dental injuries can result in pulp necrosis and apical periodontitis, impairing root development. When this condition is left untreated, it causes inflammation in the tissues at the apex, which may lead to significant damage of the periapical alveolar bone. Tooth with open apex may have a risk of iatrogenic error of extrusion material during the stage of root canal obturation. Objective: This case report discussed the bone healing of large periapical lesion of an iatrogenic extrusion of calcium silicate cement in an open apex maxillary left central incisor. Case report: A 35-year-old female patient presented with a main complaint of a discoloured upper front tooth that was affecting with her appearance. Clinical examination showed her left maxillary central incisor was diagnosed with pulp necrosis and symptomatic apical periodontitis. Periapical radiograph revealed the tooth has an open apex and large periapical lesion. After chemomechanical disinfection, an apical plug was placed with bioceramic material. Periapical radiographs taken postoperatively demonstrated the extrusion of bioceramic material into the periapical lesion. After a year, the tooth does not exhibit any symptoms, and periapical radiographs showed that the periapical region has totally healed. Conclusion: Extruded bioceramic material has no detrimental impact on periapical tissue healing, as evidenced by 12-month follow-up observations.
{"title":"Iatrogenic Extrusion of Calcium Silicate Cements on Teeth Associated with Large Periapical Lesion: A Case Report with 12-Month Follow-up","authors":"Afiq Azizi Jawami, Eason Soo","doi":"10.14693/jdi.v29i2.1252","DOIUrl":"https://doi.org/10.14693/jdi.v29i2.1252","url":null,"abstract":"Traumatic dental injuries can result in pulp necrosis and apical periodontitis, impairing root development. When this condition is left untreated, it causes inflammation in the tissues at the apex, which may lead to significant damage of the periapical alveolar bone. Tooth with open apex may have a risk of iatrogenic error of extrusion material during the stage of root canal obturation. Objective: This case report discussed the bone healing of large periapical lesion of an iatrogenic extrusion of calcium silicate cement in an open apex maxillary left central incisor. Case report: A 35-year-old female patient presented with a main complaint of a discoloured upper front tooth that was affecting with her appearance. Clinical examination showed her left maxillary central incisor was diagnosed with pulp necrosis and symptomatic apical periodontitis. Periapical radiograph revealed the tooth has an open apex and large periapical lesion. After chemomechanical disinfection, an apical plug was placed with bioceramic material. Periapical radiographs taken postoperatively demonstrated the extrusion of bioceramic material into the periapical lesion. After a year, the tooth does not exhibit any symptoms, and periapical radiographs showed that the periapical region has totally healed. Conclusion: Extruded bioceramic material has no detrimental impact on periapical tissue healing, as evidenced by 12-month follow-up observations.","PeriodicalId":53873,"journal":{"name":"Journal of Dentistry Indonesia","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48012165","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}
Yunia Dwi Rakhmatia, Y. Ayukawa, A. Furuhashi, K. Koyano
Objective: This study aims to evaluate the commercially available membranes used for treatment in Guided Bone Regeneration (GBR). Methods: Four membranes resorbable and non-resorbable were used and a critical size defect in six-week-old Wistar rats was created for membrane application. Meanwhile, the defect without membrane treatment was used as the control (C). Results: After 4 and 8 weeks, all rats were euthanized and block biopsies of calvaria including membrane were excised and analysed using microcomputed tomography (micro-CT). The sections were dehydrated with graded ethanol, embedded in resin, and cut for histologic evaluation. After 4 weeks, all membrane groups and the control showed different degrees of bone volume (BV) and mineral density (BMD). Titanium mesh (TM) was observed with higher bone volume but lower BMD compared to the control, Cytoplast (CP), Biomend (BM), and GC membranes. The results showed that newly formed bone adjacent to the original filled the defect area. Conclusion: TM was the stiffest among the commercially available membranes used and increased the abundance of bone formation at 4 weeks. The selection of membranes used in GBR needs to consider the treatment requirement and the patient’s point of view.
{"title":"Selection of Commercially Available Membrane between Resorbable and Nonresorbable Materials for Guided Bone Regeneration","authors":"Yunia Dwi Rakhmatia, Y. Ayukawa, A. Furuhashi, K. Koyano","doi":"10.14693/jdi.v29i2.1320","DOIUrl":"https://doi.org/10.14693/jdi.v29i2.1320","url":null,"abstract":"Objective: This study aims to evaluate the commercially available membranes used for treatment in Guided Bone Regeneration (GBR). Methods: Four membranes resorbable and non-resorbable were used and a critical size defect in six-week-old Wistar rats was created for membrane application. Meanwhile, the defect without membrane treatment was used as the control (C). Results: After 4 and 8 weeks, all rats were euthanized and block biopsies of calvaria including membrane were excised and analysed using microcomputed tomography (micro-CT). The sections were dehydrated with graded ethanol, embedded in resin, and cut for histologic evaluation. After 4 weeks, all membrane groups and the control showed different degrees of bone volume (BV) and mineral density (BMD). Titanium mesh (TM) was observed with higher bone volume but lower BMD compared to the control, Cytoplast (CP), Biomend (BM), and GC membranes. The results showed that newly formed bone adjacent to the original filled the defect area. Conclusion: TM was the stiffest among the commercially available membranes used and increased the abundance of bone formation at 4 weeks. The selection of membranes used in GBR needs to consider the treatment requirement and the patient’s point of view.","PeriodicalId":53873,"journal":{"name":"Journal of Dentistry Indonesia","volume":"1 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41420093","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}
Aloysius Putut Wijanarko, Preeyaporn Srimawong, S. Pornprasertsuk-Damrongsri, A. Janhom
Objectives: This study aimed to analyze subchondral cyst on the mandibular condyle using fractal dimension (FD) measurement on a panoramic radiograph. Methods: This retrospective study examined 15 patients aged 24 to 75 years who had undergone panoramic radiography and cone-beam computed tomography on both sides of the mandibular condyles, between January 2013 and November 2017, in the Oral and Maxillofacial Radiology Clinic, Dental Hospital, Mahidol University. These 15 patients, all of whom had a subchondral cyst on one side of the mandibular condyle, constituted both the study and control groups: the 15 affected sides constituted the study group, and the 15 unaffected sides constituted the control group. The FD of both groups was calculated by two investigators using ImageJ version 2.0x. Results: The average age of the subjects was 47.47 ± 15.99 years. The mean FD value was 1.306 ± 0.133 in the study group and 1.409 ± 0.858 in the control group. The FD values were significantly different between these groups (p-value 0.016). Conclusion: The FD values of mandibular condyle were lower in patients with subchondral cysts than in healthy patients. The fractal analysis provided clinicians with extra information regarding the condition of the subchondral cyst as an early sign of osteoarthritis on panoramic radiographs.
目的:应用全景x线片分形维数(FD)对下颌髁软骨下囊肿进行分析。方法:本回顾性研究对2013年1月至2017年11月在玛希隆大学牙科医院口腔颌面放射学诊所接受下颌髁两侧全景x线摄影和锥形束计算机断层扫描的15例24至75岁患者进行了调查。这15例患者均为单侧髁突软骨下囊肿，分为研究组和对照组，15例患侧为研究组，15例未患侧为对照组。两组的FD由两位研究者使用ImageJ version 2.0x计算。结果:患者平均年龄47.47±15.99岁。研究组FD平均值为1.306±0.133，对照组FD平均值为1.409±0.858。两组间FD值差异有统计学意义(p值为0.016)。结论:软骨下囊肿患者的髁突FD值低于健康人。分形分析为临床医生提供了关于软骨下囊肿在全景x线片上作为骨关节炎早期征兆的额外信息。
{"title":"Fractal Analysis of Subchondral Cyst at Mandibular Condyle Detected on P Detected on Panoramic Radiogr amic Radiograph in A Gr aph in A Group of Thai P oup of Thai Population opulation","authors":"Aloysius Putut Wijanarko, Preeyaporn Srimawong, S. Pornprasertsuk-Damrongsri, A. Janhom","doi":"10.14693/jdi.v29i2.1359","DOIUrl":"https://doi.org/10.14693/jdi.v29i2.1359","url":null,"abstract":"Objectives: This study aimed to analyze subchondral cyst on the mandibular condyle using fractal dimension (FD) measurement on a panoramic radiograph. Methods: This retrospective study examined 15 patients aged 24 to 75 years who had undergone panoramic radiography and cone-beam computed tomography on both sides of the mandibular condyles, between January 2013 and November 2017, in the Oral and Maxillofacial Radiology Clinic, Dental Hospital, Mahidol University. These 15 patients, all of whom had a subchondral cyst on one side of the mandibular condyle, constituted both the study and control groups: the 15 affected sides constituted the study group, and the 15 unaffected sides constituted the control group. The FD of both groups was calculated by two investigators using ImageJ version 2.0x. Results: The average age of the subjects was 47.47 ± 15.99 years. The mean FD value was 1.306 ± 0.133 in the study group and 1.409 ± 0.858 in the control group. The FD values were significantly different between these groups (p-value 0.016). Conclusion: The FD values of mandibular condyle were lower in patients with subchondral cysts than in healthy patients. The fractal analysis provided clinicians with extra information regarding the condition of the subchondral cyst as an early sign of osteoarthritis on panoramic radiographs.","PeriodicalId":53873,"journal":{"name":"Journal of Dentistry Indonesia","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41578879","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}
S. M, Shivayogi Charantimath, A. Bagewadi, L. Kumar S., Arun Panwar
“Myiasis” is a term used to represent invasion caused by fly larvae that affect organs and tissues of human beings and feeds on the host tissue. It is a rare and non-specific pathology that varies according to the species of fly larvae and the area of the body involved. Various factors like extraction wounds, uncontrolled diabetes, necrotic tissues, alcohol addiction, poor oral hygiene, immunocompromised conditions and people with special care needs like debilitated or mentally challenged individuals predispose to develop myiasis. We hereby report a case of oral myiasis of the maxillary anterior region of the palate and labial mucosa, in a 16-year-old female patient with special care needs who for her daily activities is dependent. The diagnosis was confirmed by the presence of pulsating larvae in the lesion and was managed by conservative suffocation therapy involving the turpentine oil topical application followed by the mechanical removal of larvae along with surgical debridement and post-operative antibiotics.
{"title":"Primary Oral Myiasis of Anterior Maxilla in An Intellectually Disabled Female – A Case Report","authors":"S. M, Shivayogi Charantimath, A. Bagewadi, L. Kumar S., Arun Panwar","doi":"10.14693/jdi.v29i2.1288","DOIUrl":"https://doi.org/10.14693/jdi.v29i2.1288","url":null,"abstract":"“Myiasis” is a term used to represent invasion caused by fly larvae that affect organs and tissues of human beings and feeds on the host tissue. It is a rare and non-specific pathology that varies according to the species of fly larvae and the area of the body involved. Various factors like extraction wounds, uncontrolled diabetes, necrotic tissues, alcohol addiction, poor oral hygiene, immunocompromised conditions and people with special care needs like debilitated or mentally challenged individuals predispose to develop myiasis. We hereby report a case of oral myiasis of the maxillary anterior region of the palate and labial mucosa, in a 16-year-old female patient with special care needs who for her daily activities is dependent. The diagnosis was confirmed by the presence of pulsating larvae in the lesion and was managed by conservative suffocation therapy involving the turpentine oil topical application followed by the mechanical removal of larvae along with surgical debridement and post-operative antibiotics.","PeriodicalId":53873,"journal":{"name":"Journal of Dentistry Indonesia","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48965685","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}
Aiemeeza Rajali, Nor Wati Nur Atikah Mustafa, Muhamad Zafir Ashman Zulkiflee, Ain Najihah Abd Rahman, R. Ahmad
Both maxillary complete denture’s labial flange and anterior artificial teeth play important roles in re-establish major support for the upper lip of elderly patients. However, whether the labial flange can be removed and still perceived as aesthetic remain unclear. Objective: To determine the perception of young adults toward the effect of a labial flange and anterior teeth on lip support of an elderly with maxillary complete dentures. Methods: A total of 64 young adults were recruited to evaluate the lip support for facial aesthetics of 30 full-face photographs in 3 different states: with an original complete denture (CD), with a flangeless duplicated denture and without the complete denture. They were rated using a Visual Numerical Scale (VNS) of 10, with 1 being the least attractive and 10 being the most attractive and repeated twice in random order. Soft-tissue profile analysis was performed to determine which facial anatomical landmarks were most important for lip support and aesthetics. Results: The overall VNS rating with CD (6.33 ± 0.58) was significantly higher (p < 0.001) than images with flangeless (5.58 ± 1.01) or without CD (5.23 ± 1.30). The landmarks that showed the most significant changes were in the subnasale area and NLA with original CD (p=0.060, p=0.072) and in frontal lip thickness with flangeless (p=0.082). There are strong correlations between subnasale and NLA and the mean total aesthetic VNS rating of images with CD, but not statistically significant (r=0.708; p=0.118, r=-0.835; p=0.078). Conclusion: The labial flange of a maxillary complete denture plays an important role in lip support and results in the aesthetic perception of the dentures wearer. The anterior teeth alone provide fullness to the lips, but not enough for labial support.
{"title":"The Impact of The Labial Flange and Artificial Teeth on Lip Support in Elderly Patients with Maxillary Complete Dentures","authors":"Aiemeeza Rajali, Nor Wati Nur Atikah Mustafa, Muhamad Zafir Ashman Zulkiflee, Ain Najihah Abd Rahman, R. Ahmad","doi":"10.14693/jdi.v29i2.1334","DOIUrl":"https://doi.org/10.14693/jdi.v29i2.1334","url":null,"abstract":"Both maxillary complete denture’s labial flange and anterior artificial teeth play important roles in re-establish major support for the upper lip of elderly patients. However, whether the labial flange can be removed and still perceived as aesthetic remain unclear. Objective: To determine the perception of young adults toward the effect of a labial flange and anterior teeth on lip support of an elderly with maxillary complete dentures. Methods: A total of 64 young adults were recruited to evaluate the lip support for facial aesthetics of 30 full-face photographs in 3 different states: with an original complete denture (CD), with a flangeless duplicated denture and without the complete denture. They were rated using a Visual Numerical Scale (VNS) of 10, with 1 being the least attractive and 10 being the most attractive and repeated twice in random order. Soft-tissue profile analysis was performed to determine which facial anatomical landmarks were most important for lip support and aesthetics. Results: The overall VNS rating with CD (6.33 ± 0.58) was significantly higher (p < 0.001) than images with flangeless (5.58 ± 1.01) or without CD (5.23 ± 1.30). The landmarks that showed the most significant changes were in the subnasale area and NLA with original CD (p=0.060, p=0.072) and in frontal lip thickness with flangeless (p=0.082). There are strong correlations between subnasale and NLA and the mean total aesthetic VNS rating of images with CD, but not statistically significant (r=0.708; p=0.118, r=-0.835; p=0.078). Conclusion: The labial flange of a maxillary complete denture plays an important role in lip support and results in the aesthetic perception of the dentures wearer. The anterior teeth alone provide fullness to the lips, but not enough for labial support.","PeriodicalId":53873,"journal":{"name":"Journal of Dentistry Indonesia","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47590573","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}
The main advantage of using a minimal invasive strategy concept by uncut enamel technique while doing direct composite restoration is to create a color and translucency close to the natural teeth with long-term bonding durability. Objective: This case report presents an uncut enamel technique for multiple diastema closure cases using direct composite restoration. Case Reports: an 18-year-old male and a 50-year-old female patient complained of diastema in their upper front teeth and requested aesthetic correction. Digital mock-up was made prior to the uncut enamel technique for showing the expected results to the patient and as a guidance for the clinician. Uncut enamel preparation was continued by free-hand restoration technique with a two-step self-etch adhesive system and composite resin application to correct the diastema. The teeth in the first and second cases were followed up after three months and four years, respectively. Conclusion: The uncut enamel preparation, free-hand restoration technique with two-step self-etch adhesive, and digital mock-up are viable options in the multiple diastema closure to re-create natural teeth and optimize bonding durability
{"title":"Uncut Enamel for Optimizing Bonded Composite Restoration on Multiple Diastema Closure Cases","authors":"Citra Kusumasari, Meiken Hayashi, Y. Shimada","doi":"10.14693/jdi.v29i2.1343","DOIUrl":"https://doi.org/10.14693/jdi.v29i2.1343","url":null,"abstract":"The main advantage of using a minimal invasive strategy concept by uncut enamel technique while doing direct composite restoration is to create a color and translucency close to the natural teeth with long-term bonding durability. Objective: This case report presents an uncut enamel technique for multiple diastema closure cases using direct composite restoration. Case Reports: an 18-year-old male and a 50-year-old female patient complained of diastema in their upper front teeth and requested aesthetic correction. Digital mock-up was made prior to the uncut enamel technique for showing the expected results to the patient and as a guidance for the clinician. Uncut enamel preparation was continued by free-hand restoration technique with a two-step self-etch adhesive system and composite resin application to correct the diastema. The teeth in the first and second cases were followed up after three months and four years, respectively. Conclusion: The uncut enamel preparation, free-hand restoration technique with two-step self-etch adhesive, and digital mock-up are viable options in the multiple diastema closure to re-create natural teeth and optimize bonding durability","PeriodicalId":53873,"journal":{"name":"Journal of Dentistry Indonesia","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45345576","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}
Objective: The aim of this cross-sectional study is to investigate Turkish dentists’ opinions and preferences regarding the management of deep carious lesions and compare them with modern dental education concepts as provided by dental schools. Methods: Questionnaire 1 and Questionnaire 2 were sent separately to dental practitioners via the Turkish Dental Association and to university department heads of restorative dentistry. The data obtained were analyzed using chi-square tests and one-way ANOVA tests (p < 0.05). Results: Regarding Questionnaire 1, most of the dentists (89.3%) responded that caries lesions should be removed completely up to the hard cut-off condition of the cavity floor. There was a statistically significant difference between female and male dentists’ preferences on less invasive treatment (p < 0.05). Female dentists prefer less invasive treatment compared with male dentists (p = 0.002). Relatively older dentists (mean age = 41.8) are more inclined towards complete caries removal even if pulp exposure is likely (p = 0.040). The results of Questionnaire 2 reveal that there is no association between the time spans of education at dental schools and their caries removal approach curriculum (p > 0.05). Most department heads of restorative dentistry prefer to apply complete caries removal (78.5%, n = 51). Conclusion: Despite today’s curriculum encouraging less invasive caries removal techniques, most dentists prefer more invasive treatment options. Continuous education of contemporary dentistry could update these clinical treatment attitudes of dentists and improve their clinical practice.
{"title":"The Practices of Treating Deep Carious Lesions Compared with the Dental Curriculum in Turkish Dentistry","authors":"L. Kerimova, E. Karabulut, K. Yamanel, N. Arhun","doi":"10.14693/jdi.v29i2.1324","DOIUrl":"https://doi.org/10.14693/jdi.v29i2.1324","url":null,"abstract":"Objective: The aim of this cross-sectional study is to investigate Turkish dentists’ opinions and preferences regarding the management of deep carious lesions and compare them with modern dental education concepts as provided by dental schools. Methods: Questionnaire 1 and Questionnaire 2 were sent separately to dental practitioners via the Turkish Dental Association and to university department heads of restorative dentistry. The data obtained were analyzed using chi-square tests and one-way ANOVA tests (p < 0.05). Results: Regarding Questionnaire 1, most of the dentists (89.3%) responded that caries lesions should be removed completely up to the hard cut-off condition of the cavity floor. There was a statistically significant difference between female and male dentists’ preferences on less invasive treatment (p < 0.05). Female dentists prefer less invasive treatment compared with male dentists (p = 0.002). Relatively older dentists (mean age = 41.8) are more inclined towards complete caries removal even if pulp exposure is likely (p = 0.040). The results of Questionnaire 2 reveal that there is no association between the time spans of education at dental schools and their caries removal approach curriculum (p > 0.05). Most department heads of restorative dentistry prefer to apply complete caries removal (78.5%, n = 51). Conclusion: Despite today’s curriculum encouraging less invasive caries removal techniques, most dentists prefer more invasive treatment options. Continuous education of contemporary dentistry could update these clinical treatment attitudes of dentists and improve their clinical practice.","PeriodicalId":53873,"journal":{"name":"Journal of Dentistry Indonesia","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46628296","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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