Objectives: To assess parents′ perceptions about the factors influencing the oral health of preschool children. Materials and Methods: A cross-sectional questionnaire survey was carried out among the parents of the preschool children in Vadodara City, India. A list of preschools was obtained from the Social Science Department of the MS University, Vadodara, India. The study included 828 parents, out of whom 597 responded, with the response rate of 72.10%. Twenty-seven questionnaires were incompletely filled and were excluded from the analysis. The remaining 570 forms were analyzed for the results. Results: The study included 828 parents, with a response rate of 72.10%. A majority of the parents were aware of the importance of primary teeth (85.33%), need for treating decayed primary teeth (100%), harmful effects of bottle feeding at night (99.64%), appropriate oral hygiene aid (84,56%), appropriate size of a toothbrush for a child (99.12%), and supervision and guidance of a parent, while cleaning the child′s teeth (96.49%) . The parents′ understanding, however, was found to be poor with respect to certain factors. Very few of the parents had adequate knowledge about the appropriate time to start cleaning, correct position of the parent during supervised brushing, proper quantity of toothpaste to be used, and proper time for the first dental visit of the child; 29.12% felt that the child′s teeth should be cleaned when the first tooth erupts. A majority of parents identified the importance of fluoridated toothpaste (62.10%) and preferred to visit the dentist only when there was pain (58.07%). Conclusions: Parents′ knowledge with respect to the first dental visit of a child, correct time to start cleaning the child′s teeth, quantity of toothpaste to be used, position of parent during supervised brushing, the best time to give sugary drinks and snacks to the child, cariogenic effects of foods like cakes and pastries, and so on, needs to be improved.
Aim: To evaluate the survival rate, tissue response, and patient satisfaction of different attachments used in implant overdenture. Settings and Design: Systematic Review and Meta-analysis. Materials and Methods: Electronic search of peer-review articles published between 2001 and 2019 assessing the attachments used for implant-supported overdentures was done according to PRISMA Guidelies. The review evaluated sixteen articles related to survival of the attachments, the reaction of the soft and hard tissues along with repair and maintenance of the attachments, and overall performance of the overdenture attachments. Statistical Analysis Used: There is statistically significant heterogeneity (Q =374.7403, df = 15, and P < 0.0001). The statistics of fixed-effect model reported an MD of − 0.0880 (95% CI = −0.1536; 0.0225). Result: The review evaluated the 16 articles that met with the inclusion and search criteria. The studies were the combination of bar and ball attachments and their subtypes, magnetic and bar attachments, and locator in combination with other attachments. The meta-analysis of combined 16 studies reported acceptable heterogeneity among 16 studies (I 2 = 96%) and reported to be statistically significant ( P < 0.01). Conclusion: The survival rate of attachments was in the range of 95.8%–97.5% for bar, 96.2%–100% for ball, 90%–92% for magnet and locator attachments were in the range of 97% after a mean follow-up period of 3 years. The bar attachments reported moderate tissue reaction in the form of mucosal changes, gingival inflammation, and bone resorption. The locator attachments require higher maintenance and repair. The magnetic attachments produce higher bone resorption and readily displace under functional force. Patient satisfaction and compliance was higher for ball, locator, and bar attachments as well as low for magnetic attachment. Thus, the ball and locator attachments excellently perform in terms of survival rate, tissue response, and patient satisfaction.
Aim: To evaluate the methods of the dental shade selection and provide a summary of different factors affecting the shade selection. Design and Setting: The systematic review and meta-analysis. Materials and Methods: The electronic search of the peer-review articles between 2002 and 2018 was carried out the by using the PRISMA guidelines. A total twenty-one studies related to the visual shade methods, instrumental shade methods, and the factors affecting the shade selections was evaluated. The search strategy was based on the PICOS framework. Statistical Analysis: There was statistically significant heterogeneity (Q = 1038.1518, df = 20, and P < 0.0001). The statistics of fixed-effect model reported an MD of − 0.0970 (95% CI = −0.1391, −0.0549). The random-effect model reported an MD of − 0.0862 (95% CI = −0.5866, 0.4142). Result: The review evaluated the 21 studies of tooth colour science that met with the inclusion criteria and search criteria. The meta-analysis of the 21 combined studies reported acceptable homogeneity (i 2 = 98%) which indicates a statistically significant difference between the treatment and control groups. Conclusion: The VES spectrophotometer reported the highest accuracy, reliability, and repeatability in shade selection followed by photo colorimetric method. The Vita 3D master shows more consistent results in repetitive shade selection. Knowledge and training of the shade selection protocol are necessary for proper shade matching
Objectives A descriptive cross-sectional study was conducted among institutionalized geriatric individuals in Nashik city, Maharashtra, to assess their prosthetic status and needs. Materials and methods The oral examination of the study subjects was carried out using Basic Oral Health Surveys, WHO 1997 criteria. Results A total of 160 individuals were included in the study of which 40 were females and 120 were males. A total of 55 (34.37%) study participants had some prosthesis at the time of examination, whereas 136 (85%) were in need of prosthesis. A total of 49 subjects (30.62%) needed complete dentures in both jaws. Around 26 (16.25%) of the subjects needed combination prosthesis. Conclusions The study concludes that the prosthetic status of the institutionalized geriatric individuals in Nashik city is poor with a higher unfulfilled prosthetic needs. A systematic strategy planning is needed to address these needs. Clinical significance There exists a higher unfulfilled prosthodontic need among institutionalized geriatric individuals in Nashik city. How to cite this article Chaware S, Ghodpage SL, Sinha M, Chauhan V, Thakare V. Prosthetic Status and Prosthetic Needs among Institutionalized Geriatric Individuals in Nashik City, Maharashtra: A Descriptive Study. J Contemp Dent Pract 2011;12(3):192-195.
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