The survival and success rates of implants placed in male patients and in the maxilla were lower than that of implants placed in female patients and in the mandible. Cement-retained restorations showed minimal complications.
Objective: To study basic clinical findings, treatment needs and demands in a three communities' population of a geriatric "Denture Wearers", aged 65 years or over on attendance for follow up at the prosthetic clinic in three different main referral military hospitals in the three main territories in Jordan. Methods: A random sample of 2409 subjects from three different communities who attended the prosthetic clinic at three different military hospitals in Jordan were selected on the basis of their age (≥ 65 years) who has been wearing complete dentures for more than 6 months period. The assessment of oral and general status was based on questionnaire adopted from criteria used in the WHO Manual 1997, detailed history, medical records and intraoral examination. Dentures were evaluated for retention, stability, occlusion, soft and hard deposits and any obvious damage; and oral mucosa was examined for the presence of any pathological change. Results: Among subjects studied, the condition of the complete dentures worn by many of the patients was unsatisfactory and about (36.2%) needed denture replacement. High proportion (39.7%) of the subjects had lesions of the oral mucosa. Denture needs for male and female elderly was significantly different (P <0.05) and it was almost twice in rural geriatrics (69.5%) when compared with urban geriatrics (31.6%). Both location and age group were highly significant correlated with denture needs. (47%) complain from loose denture and this was increased with age. (39.1%) complained of oral pain and (13.6%) claimed to have difficulty in chewing. Also, (25%) of the subjects were mainly embarrassed by being wearing removable prostheses, while (13.5%) were embarrassed by their dentures dropping during social contact. More than (37%) of the dentures showed hard and/or soft deposits. About (25.7%) of the "denture patients" were not satisfied with their denture and wished an adjustment or a new one. Conclusion: The present study demonstrated that among geriatric "Denture Wearers" living in three different Jordanian communities, prevalence of oral lesion, treatment needs and patients' demands is relatively high. It reinforces the notion that continuous provision of preventive and educational strategies essential.
Objective: To investigate the presence and distribution of enamel defects and decayed-missed-filled teeth (DMF-T) in children and adolescents with mixed and permanent dentition who were diagnosed with celiac disease and to compare their oral findings with age and gender matched control group. Methods:A prospective study was conducted at King Hussein Medical Center on a total of 86 patients. Forty-three patients with celiac disease who were regular attendants to the pediatric gastrointestinal clinic were compared to 43 healthy dental patients who attended the general dental practice outpatient clinic at the same hospital and were selected to match the study group by age and gender. Enamel surfaces were explored clinically for the presence and distribution of any symmetrical defects or hypo-plastic changes and scored according to the classification proposed by Aien which consists of four grades. Both study and control groups were examined for the number of decayed, missed and filled teeth (DMF-T) index. Results:In both of the study and control groups, there were 26 females (60.5%) and 17 (39.5%) males. The mean age was 13.22±2.85 years for the study group and 13.35±2.59 years for the control group. Out of a total 86 patients, 37 (86.1%) of the celiac group was found to have enamel defects which was significantly higher than the control group (P value 0.007). The distribution of enamel defects was more in anterior than posterior teeth. The primary teeth in mixed dentition had shown zero enamel defects in both groups. The mean Decayed, Missed, Filled Teeth (DMF-T) was 7.15 for the study group while 6.78 for the control group with the P-value of 0.03 (decayed) 0.055 (missed) and 0.001 (filled). Caries free subjects comprise of 1 (2.32%) versus 11 (25.58%) in the study and control groups respectively. Conclusion:The celiac group showed statistically significant more enamel defect and decayed and less filled teeth compared to the control group.
Objectives: To assess early implant failure using Straumann AG dental implant system for fixed partial prosthesis at KHMC and to determine the effect of several potential risk factors on this early failure Method: All the patients scheduled for partial prosthetic replacement of missing teeth using Straumann AG -SLA dental implants during six months period were included in this study. The following data were recorded for each patient: age, gender, medical history, and smoking habits. Clinical and radiographic examination was performed for each patient prior to the surgical phase of treatment to determine the bone type, site, diameter and length of the implants to be used in addition to the periodontal condition. Patient's related factors that have been investigated as risk for early implant failure include age, gender, smoking, pre-existing periodontitis, and general health, while implant related risk factors include bone type, site, diameter, length of the implants.Results: During the study period, a total of 366 implants were placed in 158 patients, their mean age of 44.5 years, and females comprised of 64.5%. The majority of the patients were healthy except 18 (11.4%) were medically compromised, 27.8% were smokers, and 25.9% have periodontitis. Out of the total 366 implants, three implants failed (0.81). Smoking, medical health, and periodontitis were significant risk factors in early implant failure (p<0.05). Implants placed in the maxillary and mandibular arches account for 176 (48.1%) and 190 (51.9%) respectively, with the majority being placed in the posterior sites of both jaws. The dominant bone type was III (53.55%), while the dominant implant length and diameter were 10mm and 4.1mm respectively. None of the local or implant related variables have a significant effect on early implant failure (P>0.05). Conclusion:This study established that early failure using Straumann AG dental implant system for fixed partial prosthesis was 0.8%, and this early failure was significantly associated with smoking, medical health, and periodontitis.
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