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Kathmandu, Nepal

Habib S.R.,King Saud University | Al Shiddi I.,King Saud University | Al-Sufyani M.D.,Dental Surgeon | Althobaiti F.A.,Security Forces Hospital
Journal of the College of Physicians and Surgeons Pakistan | Year: 2015

Objective: To determine the relationship of tooth form with the face form by different observers and further investigate the inter observer agreement on tooth forms, face forms, their relationship among male Saudis. Study Design: A comparative cross-sectional study. Place and Duration of Study: Department of Prosthodontics, College of Dentistry, King Saud University, Riyadh, KSA, from February till August 2013. Methodology: Ninety four male participants aged 18 - 35 years were randomly recruited for the study. Full-face and anterior teeth (intraoral) digital photographs in the frontal plane were recorded. The outline tracings of the face and the tooth were obtained using Autocad (version 2010) software. The outline of the tooth was enlarged proportionately, without altering the length to width ratio to fit the face outline. The outlines were then evaluated visually by 6 prosthodontists and results were tabulated. Results: The most common type of face form (49.65%) and tooth form (56.38%) was square tapering. Using the visual method, a good relationship (31.41%), moderate relationship (35.31%), weak relationship (19.68%) and no relationship (13.65%) between the tooth form and face form was found by the observers. Overall kappa for inter observer agreement on face form, tooth form and their relationship was 0.24, 0.17 and 0.26 respectively. The kappa values showed a fair agreement between the observers. Conclusion: The study results indicated that there was no highly defined relationship between the tooth form and face form in the studied Saudi subpopulation. A fair agreement was found between the observers for classifying the tooth forms, face froms and their relationship.

Evren B.A.,Marmara University | Uludamar A.,Dental Surgeon | Iseri U.,Yeditepe University | Ozkan Y.K.,Marmara University
Archives of Gerontology and Geriatrics | Year: 2011

Oral hygiene practices and denture status of elderly people living in residential homes are different depending on the type of residential homes. In this study the elderly people living in three different residential homes were investigated for this purpose. A total of 269 subjects, 119 males (mean age 73.9 ± 8.8) and 150 females (mean age 78.5 ± 7.2) were involved in this study. All subjects were interviewed and clinically examined. Age, sex, educational status, financial status, general health, dental visiting, overnight denture wearing, brushing habits and frequency were recorded using a structured questionnaire. The prevalence of edentulism, the presence and type of dental prostheses, denture cleanliness and the presence of denture stomatitis were evaluated. Forty-one percent of subjects were non-educated. Fifty-one percent of subjects had low income. The majority of people (66.6%) were edentulous. Among the edentulous subjects 32% had full denture and 16% had no denture. Forty three percent of the subjects reported cleaning their dentures with water and 40% with a toothbrush only. Denture hygiene was good for 14% of the subjects. Denture stomatitis was observed in 44% of the subjects wearing dentures. There was statistically significant difference between residential homes and educational status, level of income, dental visiting, denture status, brushing methods and brushing frequency (p< 0.001). A positive relationship was observed between poor denture hygiene habits and the presence of denture-related stomatitis. The most important need within the residents of the residential home was the enhancement of oral care social insurance. © 2010 Elsevier Ireland Ltd.

Uludamar A.,Dental Surgeon | Gokhan Ozyesil A.,Selcuk University | Ozkan Y.K.,Marmara University
Gerodontology | Year: 2011

Objective: This study evaluated. the effect of mouthrinses and tissue conditioner on the clinical findings and microbial flora of 60 patients with Newton's type II denture stomatitis (N2DS) Background: Denture stomatitis is a common problem in complete denture wearers. Materials and methods: Sixty patients with N2DS were included in this study and divided into three groups. Two groups of patients were instructed to rinse their mouth with the designated mouthrinses DioxiDent and Corsodyl twice daily for 1 min and to soak their dentures overnight in these solutions for 15 days. For the third group, tissue conditioner was placed in each of 20 patients' existing maxillary dentures. Patients were evaluated both clinically and microbiologically at baseline and after 15 days. Palatal swabs and smears were taken from each patient before and after treatment and these samples were examined mycologically. The difference between Candida colonisation before and after treatment and the differences between pre-treatment and post-treatment clinical findings were assessed. Results: DioxiDent and Corsodyl showed an improvement in palatal inflammation and a decrease in Candida colonisation compared to Visco-gel. Conclusions: The effectiveness of topical chlorine dioxide and chlorhexidine gluconate in the management of N2DS was demonstrated. © 2010 The Gerodontology Society and John Wiley & Sons A/S.

Palma V.C.,University of Cuiaba | Rosa A.,Dental Surgeon | Semenoff T.A.D.V.,University of Cuiaba | de Musis C.R.,University of Cuiaba | And 3 more authors.
Oral Surgery | Year: 2013

Objective: To analyse the number of septa in the maxillary sinuses using computed tomography (CT) in correlation with gender, age and the presence of teeth in the region. Materials and methods: The sample consisted of 300 CT scans obtained from a private radiology clinic between 2009 and 2011. The CT scans included in the study should have the appropriate image of the maxillary sinus and contain information regarding age, gender and the date of the examinations. Patients with a history of pathologies in the region, patients who underwent floor of mouth surgery and patients less than 20 years of age were excluded from the sample. The authors considered osseous septa to be septa with a height above 4mm in relation to the base of the sinus floor. The sample was divided into three groups: (i) presence of all teeth, (ii) partially edentulous - a minimum of two teeth present between the second premolar and second molar - and (iii) totally edentulous. The data were divided and stratified by age and gender. Results: The frequency of septa in the maxillary sinus was 37.80% (n=183). No significant difference was observed among the five age groups (P>0.05); additionally, there was no significant difference in septa frequency (P>0.05) - analysis of variance (ANOVA), Tukey's. Univariate and multivariate ANOVA showed a significant interaction between tooth loss and age (P<0.05). Conclusion: Statistical analyses demonstrated no difference in the number of septa in relation to age, gender or the number of teeth in the posterior maxilla. © 2013 John Wiley & Sons A/S.

Silvestre-Rangil J.,Dental Surgeon | Silvestre F.-J.,University of Valencia
Medicina Oral, Patologia Oral y Cirugia Bucal | Year: 2011

In the management of head and neck cancer, radiotherapy is usually a coadjuvant to surgery, or is applied on a palliative basis. The most important complication of such radiotherapy is osteoradionecrosis, which manifests as an area of exposed necrotic bone in the maxillae or mandible that fails to heal during at least three months. In most cases osteoradionecrosis gradually progresses, becoming more extensive and painful, and its late manifestations comprise infection and pathological fracture. The present study provides a literature review and update on the risk factors underlying osteoradionecrosis, its clinical and diagnostic particulars, prevention, and most widely accepted treatment options, as well as new possibilities relating to clinical management of the disorder. Lastly, a new early management protocol is proposed based on the current consensus criteria relating to maxillary osteonecrosis secondary to treatment with bisphosphonates, together with the adoption of new therapies supported by increased levels of evidence. © Medicina Oral S. L.

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