Children are more susceptible to Early Childhood Caries and trauma. Post endodontic treatment, it is necessary for coverage of the treated teeth, and full crowns are considered to be the best option for the same. Preformed crowns for primary molars are available in many sizes and materials to be placed over decayed or developmentally defective teeth. They can be made completely of stainless steel, stainless steel with a white veneer cover or made wholly of a white ceramic material when aesthetics is concerned. The main aim of this study is to assess the prevalence of usage of stainless steel crowns and zirconia crowns in posterior teeth for pedo patients in different age groups. 89000 case sheets were reviewed between June 2019 - March 2020 for possible inclusion and exclusion criteria. Case sheets of 1496 pediatric patients who underwent stainless steel crown and zirconia crown placement in posterior teeth were obtained from a Private Dental Institute. Collected data were analysed using SPSS statistics software. Results showed that stainless steel crowns were more prevalently used among all age groups (99.54%) and were more prevalent among the age group 0-5 years (69.61%). Stainless steel crowns were also found to be more prevalent among male pediatric patients (57.80%). In Conclusion, stainless steel crowns were most prevalent among all age groups and are more prevalent among male pediatric patients.
Introduction: Dental implant treatment has evolved a lot over the years for replacing missing teeth. There are clinical situations wherein the patient would have to go through a waiting period after a surgical procedure. During such a waiting period, the patient needs to function on a fixed temporary restoration till the final restoration can be placed. This has been made possible by the advent of transitional implants which have been designed and placed along with the conventional implants for the replacement of the patient's missing dentition and enabling the patient to experience the benefits of implantology immediately. Aim:The purpose of this study was to evaluate the awareness about transitional implants among dental students.Materials And Method: The present study was a questionnaire based survey study. A total of 100 dental students from Chennai population took part in the study. Self-structured standard questionnaires were given to the students through an online portal and the survey was administered to the students belonging to first year, second year, third year, final year, interns and PG. The survey was conducted among them to analyse their awareness of management of transitional implants. Survey consisted of a set of 10 questions. Random sampling was done. Data was collected and put into pie charts to display the statistical results.Results: Students belonging to PG were most aware about transitional implants and its indications. 58.4% were aware of the osteotomy, 60% were aware that both edentualous and partially edentulous patients can undergo transitional implant placement and 60% were aware of its role during overdentures. According to the chi Square test, (p<0.05). Thus data was statistically significant.Conclusion: Within the limits of the study, it is observed that the students had awareness about transitional implants. However, furtherawareness can be created among a larger number of participants.
Introduction: Functional and aesthetic rehabilitation of maxilla or posterior maxillary defects is challenging and zygomatic implants have been an effective option in the management of atrophic edentulous maxilla and maxillectomy defects. Zygomatic implants were introduced by Branemark. Bone grafting and augmentation procedures involve two step procedures and lead to economic and financial loss for the patient, thus zygomatic implants have proved to be a good non-grafting option for the rehabilitation procedures for treating posterior maxillary and atrophic maxillary cases. Aim: This study aims to assess the awareness of zygomatic implants among undergraduate students.Materials And Method: A online questionnaire based survey was circulated among the students of Saveetha Dental college and the answers were compiled in excel sheet and tabulated and analysed using the statistical software IBM SPSS version 20.0 and the results of the survey were represented using tabulations and graphical illustrations. Results: Totally 100 participants took part in the the survey and out of which 90% of them were aware of zygomatic implants. 80% of the participants who took part in the survey were aware of the indications of zygomatic implants. 80% of the participants were aware of the most common complication being sinusitis. And the rest of the participants were aware of the other complications that can occur due to zygomatic implants. Conclusion: This survey was done to create an awareness on zygomatic implants. From the study most of them were aware of zygomatic implants, their indication, surgical procedure, contraindication and treatment protocol.
Anxiolytic drugs are a class of drugs that reduce the anxiety levels in the individuals by nonspecifically binding to the GABAα located throughout the central nervous system. The aim of this study was to compare the anxiolytic effects of diazepam and Zolpidem in patients undergoing extraction. This was a cross-sectional study conducted at a university setting, with a sample size of 100 patients, of the age group 25-45 years. 50 patients were administered with Tab. Diazepam and 50 patients with Tab. Zolpidem one hour before the surgical procedure. The Hamilton Anxiety Rating Scale (HAM-A Scale) was used to record the patient's anxiety levels before and during the extraction procedure. These data were then recorded in MS Excel Sheet and imported to SPSS for statistical analysis. From this study, it can be seen that most of the patients were females and mainly between the age group 25-35 years. Diazepam had significantly lesser post sedation anxiety levels in comparison with its post sedation levels than zolpidem with, a statistically significant difference (p<0.001). Therefore, it can be concluded that diazepam had better post sedation effects than zolpidem in patients undergoing extraction as patients presented with lesser severity in their anxiety levels.
Traumatic ulcers represent one of the most common types of ulcers occurring in the oral cavity. The etiology for the causation of the traumatic ulcers might be due to mechanical trauma-which is the commonest, thermal and electrical trauma. The ulcers due to trauma are well circumscribed, most often deep with sloping margins and an erythematous halo around the ulcers. The management of traumatic ulcers usually ranges from the prescription of topical anesthetics, steroids to nutritional supplements.The aim of this study was to assess the prevalence of traumatic ulcers and to analyse the frequency of prescription of topical anesthetics and topical steroids in the management of traumatic ulcers.The study sample consisted of 94 patients with traumatic ulcer.The patients with traumatic ulcers included 56 males with a predominance of cases in the 3rd to 4th decade of life. The number of patients who were treated with topical anesthetics is 68 and topical corticosteroids are only 9. A combination of topical steroids and local anesthetics were used in 17 patients. The results reveal that the single most common drug used in the management of traumatic ulcer is the prescription of topical anesthetics. The second most common agent used is corticosteroids. On analysing the results based on the age group to the type of therapy, there was no significance. (P>0.05)The use of topical anesthetics is the commonest in the management of oral traumatic ulcers.
Background: Low protein diets have been linked to decreased bone strength in humans. Arginine and lysine can help improve the healing process and stimulate growth factors. Aim: To evaluate if dietary arginine and lysine combination aids in reducing the time frame for osseo-integration process and bone formation in animal models. Materials and Methods: Controls (Group I) and Experimental (Group II) consisted of twelve New Zealand rabbits. Animals in the experimental group were fed a conventional pellet food, water, and the amino acids L-Lysine and L-Arginine (Biovea, USA), whereas those in the control group were offered a standard diet. In both groups of animals, titanium implants measuring 2.5mm* 6mm were implanted in each tibial osteotomy. At the end of two weeks, four weeks, and eight weeks, the animals were euthanized. The tibial bone was removed and preserved in 1% formalin. The samples were analysed histologically for presence or absence of Necrosis, presence or absence of clot formation, Vascularization, Fibroblast, Osteoblasts and Osteoid Bone growth. Results: Histological outcomes on vascularization, fibroblasts, osteoblasts, osteoid bone growth inferred no significant variation between the control and experimental groups after 8 weeks (P>.05). Conclusion: Vascularity, clot organisation, osteoblasts, fibroblasts, and osteoid bone production in the protein fed experimental group animals were better in initial stages of healing when compared to control groups.
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