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JAYPEE JOURNALS
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1.  ORIGINAL RESEARCH
Prevalence, Location, and Size of Maxillary Sinus Septa: Computed Tomography Scan Analysis
Ferial Taleghani, Maryam Tehranchi, Shahryar Shahab, Zahra Zohri
[Year:2017] [Month:January] [Volume:18 ] [Number:1] [Pages:79] [Pages No:11-15] [No of Hits : 1228]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10024-1980 | FREE

Abstract

Introduction: The present study was undertaken to evaluate the anatomy of the maxillary sinus in relation to its position and the height of its septa, using cone beam computed tomography (CBCT).

Materials and methods: In this descriptive retrospective study, 300 CBCT images of maxillary sinuses of patients with posterior maxillary edentulism were evaluated. The maxillary sinus septa were evaluated in relation to their prevalence, height, and position; t-test and Mann–Whitney tests were used for the analysis of data.

Results: Sinus septa were detected in 44% of the subjects, with equal frequencies in the anterior, middle, and posterior positions. The mean height of the septa was 3.6 ± 1.56 mm.

Conclusion: In a population of Iranian subjects, in half of the cases, the sinus septa might be present in the anterior, middle, and posterior positions.

Clinical significance: In order to avoid intraoperative problems during sinus lift procedures, it is necessary to accurately evaluate the sinus, preferably with the use of CBCT.

Keywords: Cone beam computed tomography, Dental implant, Maxillary sinus septa.

How to cite this article: Taleghani F, Tehranchi M, Shahab S, Zohri Z. Prevalence, Location, and Size of Maxillary Sinus Septa: Computed Tomography Scan Analysis. J Contemp Dent Pract 2017;18(1):11-15.

Source of support: Nil

Conflict of interest: None

 
2.  CASE REPORT
Nonsurgical Management of Adult Skeletal Class 3 with Deep Bite utilizing Mini-implants
Ali G Alhalabi, Salah Mahaini, Ghalia Shebib, Khaldoun Darwich, Luai Mahaini
[Year:2017] [Month:January] [Volume:18 ] [Number:1] [Pages:79] [Pages No:65-68] [No of Hits : 689]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10024-1991 | FREE

ABSTRACT
Introduction: Malocclusions with anterior crossbite are a major esthetic and functional concern for patients. This case report presents a 27-year-old Syrian female who was diagnosed with a class 3 malocclusion, combined with anterior crossbite, deep bite, concave profile, and inadequate maxillary incisor exposure. There was a centric occlusion (CO)/centric relation (CR) discrepancy and the mandible could be manipulated to near edge-to-edge incisal relation.
Correction was done by class 3 intermaxillary elastics on upper and lower mini-implants for the first 6 months, followed by preadjusted edgewise appliance. The objective of implantsupported elastics was to adapt the patient for the CR condylar position without dental effect. Treatment was completed in 24 months with satisfactory dental and facial relationship.
Keywords: Centric relation, Deep bite, Mini-implants, Nonsurgical treatment, Skeletal class 3.
How to cite this article: Alhalabi AG, Mahaini S, Shebib G, Darwich K, Mahaini L. Nonsurgical Management of Adult Skeletal Class 3 with Deep Bite utilizing Mini-implants. J Contemp Dent Pract 2017;18(1):65-68.
Source of support: Nil
Conflict of interest: None

 
3.  ORIGINAL RESEARCH
Influence of Age on Factors associated with Peri-implant Bone Loss after Prosthetic Rehabilitation over Osseointegrated Implants
Rejane EL Pedro, João P De Carli, Maria SS Linden, Igor FP Lima, Luiz R Paranhos, Max D Costa, Ângelo JG Bós
[Year:2017] [Month:January] [Volume:18 ] [Number:1] [Pages:79] [Pages No:3-10] [No of Hits : 560]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10024-1979 | FREE

Abstract

Introduction: To verify the influence of age on factors associated with peri-implant bone loss after prosthetic rehabilitation over osseointegrated implants.

Materials and methods: This is an analytical, observational, and longitudinal study with initial 23 participants. Patients presenting with osseointegrated implants with their respective prostheses installed were included, and they could be carriers of chronic and degenerative diseases, such as diabetes, osteoporosis, hypothyroidism, cardiovascular disease (CVD), and systemic arterial hypertension. Thus, 18 participants with 57 implants were selected and followed up from 2009 to 2013. For statistical analysis, chi-square or Fisher’s exact test was used for the association of systemic conditions and bone loss. Student’s t-test was used for mean comparisons of age and number of total upper and lower implants.

Results: The average The average age of the sample studied was 71.05 years (65–80). The average implant per person was 3.2. Smoking had an influence on both mesial and distal bone loss, and the latter was significant (p = 0.0370). The association between bone loss and gender was also si    gnificant (p < 0.05). Moreover, male gender and upper implants were factors significantly associated with bone loss. The systemic conditions, when isolated, did not have significant influence on implant survival.

Conclusion: Age is not a factor that, alone, contraindicates implant-rehabilitating therapy. On the contrary, smoking has a significant influence on dental implant survival. Systemic diseases, such as osteoporosis, hypothyroidism, diabetes, hypertension, and heart diseases, when controlled, are not contraindication factors.

Clinical significance: This study is relevant for assessing peri-implant bone loss in elderly patients, right after implant installation and over time. Therefore, it was possible to verify that age is not a limiting factor for this procedure. Controlled systemic diseases do not contraindicate implant installation, but smoking is a factor that affects implant survival.

Keywords: Aging, Case–control study, Chronic disease, Dental implants, Implants, Prostheses, Risk factors.

How to cite this article: Pedro REL, De Carli JP, Linden MSS, Lima IFP, Paranhos LR, Costa MD, Bós ÂJG. Influence of Age on Factors associated with Peri-implant Bone Loss after Prosthetic Rehabilitation over Osseointegrated Implants. J Contemp Dent Pract 2017;18(1):3-10.

Source of support: Nil

Conflict of interest: None

 
4.  REVIEW ARTICLE
Laser-based Disinfection of the Root Canal System: An Update
Zahed Mohammadi, Hamid Jafarzadeh, Sousan Shalavi, Rasoul Sahebalam, Jun-Ichiro Kinoshita
[Year:2017] [Month:January] [Volume:18 ] [Number:1] [Pages:79] [Pages No:74-77] [No of Hits : 556]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10024-1993 | FREE

ABSTRACT
Introduction: Microorganisms have been considered to have played a critical role in the initiation and development of pulpoperiapical diseases. Some evidences have shown that mechanical instrumentation may leave considerable portions of canal surfaces undebrided. Therefore, some supplemental methods, such as the use of chemical solutions and/or lasers, have been introduced to further disinfect the complicated canal anatomy and destroy as many microorganisms as possible. The purpose of this review was to address a brief review of characteristics of lasers and their effects to disinfect the root canal in endodontics.
Keywords: Disinfection, Laser characteristics, Photoninduced photoacoustic streaming, Root canal system, Sodium hypochlorite.
How to cite this article: Mohammadi Z, Jafarzadeh H, Shalavi S, Sahebalam R, Kinoshita JI. Laser-based Disinfection of the Root Canal System: An Update. J Contemp Dent Pract 2017;18(1):74-77.
Source of support: Nil
Conflict of interest: None

 
5.  ORIGINAL RESEARCH
Prevalence and Severity of Temporomandibular Disorders among Undergraduate Medical Students in Association with Khat Chewing
Mohammed M Al Moaleem, Abdulmajeed S Okshah, Ahid A Al-Shahrani, Abdulkhaliq Ali F Alshadidi, Fawzia I Shaabi, Abdulaziz H Mobark, Khurshid A Mattoo
[Year:2017] [Month:January] [Volume:18 ] [Number:1] [Pages:79] [Pages No:23-28] [No of Hits : 551]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10024-1982 | FREE

Abstract

Introduction: The aim of this study was to assess the prevalence and severity of temporomandibular joint disorders (TMDs) among undergraduate medical students in the presence of khat chewing over a period of time.

Materials and methods: Totally, 186 medical college students (age ≤ 20 years) were randomly selected for the present study. The study subjects were divided into two groups according to age, under 20 and above 20 years. The study was based on Fonseca’s anamnestic index and its questionnaire, which is composed of 10 questions and classifies the severity of TMDs. The obtained data were coded and entered into Statistical Package for the Social Sciences (SPSS) program for analysis using chi-square test at significance level of 5%.

Results: Most of the participants were male (68.8%) students and older than 20 years (63%). Those who reported with khat chewing comprised 31.7%. From the total samples, only 38.0% was classified as having mild TMD and 0.50% were classified as having severe TMD. Poor dental articulation, grinding of teeth, headaches, tense personalities, and temporomandibular joint (TMJ) clicking were the most common clinical findings. The mean scores showed no significant difference among gender (p ≤ 0.29) and the khat chewing (p ≤ 0.531) groups for the 10 questions. However, it showed significant difference among age groups (p ≤ 0.025).

Conclusion: The majority of subjects complained of mild TMD, while only a few cases showed a moderate TMD among different age groups. The most frequently reported dysfunctions were related to poor dental articulation and grinding of the teeth, frequent headaches, the clicking of joint, and tense personalities. No significant difference was found between gender and khat and nonkhat chewing groups.

Clinical significance: Khat chewing is a parafunctional habit and affects dental occlusion (especially cuspal wear) in terms of anterior guidance. Such alterations in occlusion are known to be one of the causative (predisposing) factors of TMD.

Keywords: Catha edulis, Dental occlusion, Fonseca’s anamnestic index, Fonseca’s questionnaire, Medical students, Saudi Arabia.

How to cite this article: Al Moaleem MM, Okshah AS, Al-ShahraniAA,AlshadidiAAF,Shaabi FI, MobarkAH, MattooKA. Prevalence and Severity of Temporomandibular Disorders among Undergraduate Medical Students in Association with Khat Chewing. J Contemp Dent Pract 2017;18(1):23-28.

Source of support: Nil

Conflict of interest: None

 
6.  ORIGINAL RESEARCH
Wear Resistance of Bulk-fill Composite Resin Restorative Materials Polymerized under different Curing Intensities
Fahad Alkhudhairy
[Year:2017] [Month:January] [Volume:18 ] [Number:1] [Pages:79] [Pages No:39-43] [No of Hits : 502]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10024-1985 | FREE

Abstract

Introduction: The aim of this study was to assess the wear resistance of four bulk-fill composite resin restorative materials cured using high- and low-intensity lights.

Materials and methods: Twenty-four samples were prepared from each composite resin material (Tetric N-Ceram, SonicFill, Smart Dentin Replacement, Filtek Bulk-Fill) resulting in a total of 96 samples; they were placed into a mold in a single increment. All of the 96 samples were cured using the Bluephase N light curing unit for 20 seconds. Half of the total specimens (n = 48) were light cured using high-intensity output (1,200 mW/cm2), while the remaining half (n = 48) were light cured using low-intensity output (650 mW/cm2 ). Wear was analyzed by a three-dimensional (3D) noncontact optical profilometer (Contour GT-I, Bruker, Germany). Mean and standard deviation (SD) of surface loss (depth) after 120,000 cycles for each test material was calculated and analyzed using one-way analysis of variance (ANOVA) with a significance level at p<0.05.

Results: The least mean surface loss was observed for SonicFill (186.52 µm) cured using low-intensity light. No significant difference in the mean surface loss was observed when comparing the four tested materials with each other without taking the curing light intensity into consideration (p = 0.352). A significant difference in the mean surface loss was observed between SonicFill cured using high-intensity light compared with that cured using low-intensity light (p <0.001).

Conclusion: A higher curing light intensity (1,200 mW/cm2) had no positive influence on the wear resistance of the four bulk-fill composite resin restorative materials tested compared with lower curing light intensity (650 mW/cm2). Furthermore, SonicFill cured using low-intensity light was the most wear-resistant material tested, whereas Tetric N-Ceram cured using high-intensity light was the least wear resistant.

Clinical significance: The wear resistance was better with the newly introduced bulk-fill composite resins under low-intensity light curing.

Keywords: Bulk-fill, Composites, Light intensity, Wear resistance.

How to cite this article: Alkhudhairy F. Wear Resistance of Bulk-fill Composite Resin Restorative Materials Polymerized under different Curing Intensities. J Contemp Dent Pract 2017;18(1):39-43.

Source of support: Nil

Conflict of interest: None

 
7.  ORIGINAL RESEARCH
Antibiotic Prescription Knowledge of Dentists in Kingdom of Saudi Arabia: An Online, Country-wide Survey
Esam Halboub, Abdulaziz Alzaili, Mir Faeq Ali Quadri, Mohammed Al-Haroni, Mohammad Ibrahim Al-Obaida, Nezar Noor Al-hebshi
[Year:2016] [Month:March] [Volume:17 ] [Number:3] [Pages:89] [Pages No:198-204] [No of Hits : 2438]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10024-1827 | FREE

ABSTRACT

Aim: Dentists are probably contributing to the development of bacterial resistance to certain antibiotics. Campaigns to promote prudent use of antibiotics in dentistry are, thus, needed but require proper identification of dentists’ knowledge gaps. The objective here was to comprehensively evaluate antibiotic prescription knowledge of dentists in Saudi Arabia.

Material and methods: A link to an online, previously validated questionnaire was emailed to 5199 dentists registered with the Saudi Dental Society. The questionnaire comprised 42 scorable items measuring antibiotics prescription knowledge in five different domains in addition to nonscorable questions regarding first-choice antibiotics and previous attendance of a course/workshop about antibiotic prescription. Each correct answer was given one mark. Mean scores were calculated as percentages and categorized as good (> 80%), intermediate (60-80%), or poor (< 60%).

Results: The response rate was 9.4%; however, only 373 (7.2%) fully completed the questionnaire. Around half of the participants (52%) reported prescribing amoxicillin/clavulanate as the firstchoice antibiotic; 62% reported attending a course/workshop in the last 5 years. The average knowledge score was 69%, being highest for nonclinical indications (79%) and lowest for prophylactic use (56%). The worst per-item scores were noted for rheumatic heart disease (19%), trismus (28%), surgical extraction (30%), apicectomy (31%), and periodontal abscess (33%). Female dentists, dentists in governmental sector, and those with higher qualifications had significantly better knowledge.

Conclusion: The level of knowledge was hardly intermediate and several deficits were identified, indicating an urgent need for educational campaigns and provision of guidelines promoting rational use of antibiotics by dentists.

Clinical Significance: Irrational use of antibiotics by dentists can contribute to the problem of antibacterial resistance.

Keywords: Antibiotic resistance, Antimicrobial agents, Dentistry, Drug prescription, Knowledge.

How to cite this article: Halboub E, Alzaili A, Quadri MFA, Al-Haroni M, Al-Obaida MI, Al-hebshi NN. Antibiotic Prescription Knowledge of Dentists in Kingdom of Saudi Arabia: An Online, Country-wide Survey. J Contemp Dent Pract 2016;17(3): 198-204.

Source of support: The work was funded by the College of Dentistry, Jazan University.

Conflicts of interest: There are no conflicts of interest to declare.

 
8.  ORIGINAL RESEARCH
Effect of Intracanal Cryotherapy and Negative Irrigation Technique on Postendodontic Pain
Talal Al-Nahlawi, Talaat Abo Hatab, Mahmoud Abd Alrazak, Ahmad Al-Abdullah
[Year:2016] [Month:December] [Volume:17 ] [Number:12] [Pages:76] [Pages No:990-996] [No of Hits : 2190]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10024-1969 | FREE

ABSTRACT

Aim: To evaluate the effect of intracanal cryotherapy with negative pressure irrigation (EndoVac) on postendodontic pain after vital single-visit root canal treatment (RCT).

Materials and methods: A total of 75 single-rooted teeth with single root canal were treated endodontically. After root canal preparation with Protaper Universal rotary system and irrigation, teeth were divided randomly into three groups (n = 25) according to additional irrigation protocol as follows: Group I: No additional irrigation was applied (control); group II: A 20 mL of room temperature saline was irrigated during 5 minutes using EndoVac, and group III: A 20 mL of 2 to 4°C cold saline was irrigated during 5 minutes using EndoVac. Pain levels were assessed by visual analog scale (VAS) and verbal evaluation of pain questionnaire after 6, 12, 24, 48 hours, and 7 days of canal obturation. The data were then analyzed using Statistical Package for the Social Sciences (SPSS) 13.0 using Kruskal-Wallis and Mann-Whitney U tests at p-value of 0.05.

Results: The results showed that pain levels were high in groups I and II after 6 hours that decreased with time to almost diminish after 1 week, and on the other hand, group III showed no pain among different monitoring periods. Also pain levels in groups II were lower compared with group I after only 6 hours, with significance p < 0.05.

Conclusion: Postendodontic pain presented with highest values after 6 hours of treatment and reduced to almost nil after 1 week. Intracanal cryotherapy eliminated postendodontic pain clinically. Negative pressure reduced postendodontic pain after 6 hours of treatment.

Clinical significance: The outcome of this study indicates that the use of intracanal cryotherapy technique with negative pressure irrigation eliminates postendodontic pain after single-visit RCTs.

Keywords: Cryotherapy, EndoVac, Negative irrigation, Postendodontic pain, Randomized clinical trial.

How to cite this article: Al-Nahlawi T, Abo Hatab T, Abd Alrazak M, Al-Abdullah A. Effect of Intracanal Cryotherapy and Negative Irrigation Technique on Postendodontic Pain. J Contemp Dent Pract 2016;17(12):990-996.

Source of support: Nil

Conflict of interest: None

 
9.  Review Article
Glass-ionomer Cements in Restorative Dentistry: A Critical Appraisal
Mohammed Almuhaiza
[Year:2016] [Month:April] [Volume:17 ] [Number:4] [Pages:79] [Pages No:331-336] [No of Hits : 2052]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10024-1850 | FREE

ABSTRACT

Glass-ionomer cements (GICs) are mainstream restorative materials that are bioactive and have a wide range of uses, such as lining, bonding, sealing, luting or restoring a tooth. Although the major characteristics of GICs for the wider applications in dentistry are adhesion to tooth structure, fluoride releasing capacity and tooth-colored restorations, the sensitivity to moisture, inherent opacity, long-term wear and strength are not as adequate as desired. They have undergone remarkable changes in their composition, such as the addition of metallic ions or resin components to their composition, which contributed to improve their physical properties and diversified their use as a restorative material of great clinical applicability. The lightcured polymer reinforced materials appear to have substantial benefits, while retaining the advantages of fluoride release and adhesion. Further research should be directed towards improving the properties, such as strength and esthetics without altering its inherent qualities, such as adhesion and fluoride releasing capabilities.

Keywords: Adhesion, Dentin bonding, Fluoride release, Glassionomers, Resin-modified glass-ionomers, Restoration.

How to cite this article: Almuhaiza M. Glass-ionomer Cements in Restorative Dentistry: A Critical Appraisal. J Contemp Dent Pract 2016;17(4):331-336.

Source of support: Nil

Conflict of interest: None

 
10.  ORIGINAL RESEARCH
Study of Caries Prevalence among Miswak and Non-Miswak Users: A Prospective Study
Mohammed Mustafa, Zaid AlJeaidi, Wafa Hassan AlAajam, Kawthar Ahmed Dafaalla Mohammed
[Year:2016] [Month:November] [Volume:17 ] [Number:11] [Pages:80] [Pages No:926-929] [No of Hits : 1565]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10024-1955 | FREE

ABSTRACT

Introduction: Various types of oral hygiene measures have been practiced by different populations around the world, as there is difference in the oral hygiene products including toothpicks and toothpowders. Miswak or tooth cleaning stick, for mechanical tooth cleaning, can be traced back at least to pre-Islamic times. Currently, many of the world populations still use chewing sticks as the single method for tooth brushing. The present study was done to study the incidence and prevalence of caries among Miswak and non-Miswak users.

Materials and methods: The study was done consisting of 120 cases and 120 control group (60 boys and 60 girls in each group) from the secondary school. The materials used were light, explorer, mirror, gloves, upper and lower teeth models, Miswak, and common toothbrush.
After the recording of the primary data, Miswak was given to case group and the students were trained to use it on the teeth models.
After 2 years, the examination of the teeth was done using the same method as before start of the study and by the same investigators. All the data were recorded, tabulated, and analyzed with the help of Statistical Package for the Social Sciences (SPSS) statistics version 17 using Student’s t-test.

Results: From the 240 participants, only 211 had continued the study for the total period of time. Out of these, 111 were from the study group and 100 from the control group. On comparison of the decayed-missing-filled (DMF) index scores of the study and control groups, before and after completion of the study, had also shown that the caries index was increased and the difference was found to be statistically significant.

Conclusion: From the study, it can be concluded that the study group using Miswak had less number of caries incidence than the control group of non-Miswak.

Clinical significance: Miswak can be used as teeth cleaning aid in day-to-day life as it can reduce the caries incidence.

Keywords: Caries prevalence, Miswak, Non-Miswak, Toothbrushing.

How to cite this article: Mustafa M, AlJeaidi Z, AlAajam WH, Dafaalla Mohammed KA. Study of Caries Prevalence among Miswak and Non-Miswak Users: A Prospective Study. J Contemp Dent Pract 2016;17(11):926-929.

Source of support: Nil

Conflict of interest: None

 
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