IIUM Journal of Orofacial and Health Sciences (IJOHS)
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Dentinogenic ghost cell tumour: A case report
Get PDFA 23-year-old Malay female patient presented with a history of pain and swelling over right maxilla. Imaging showed a well-defined unilocular radiolucency with areas of radiopacity in the right maxilla. The lesion was initially thought to be a unicystic ameloblastoma. However, histopathology of the excised lesion proved otherwise with a final diagnosis given as dentinogenic ghost cell tumour. The clinical presentation of the case, subtypes of DGCT, similarities with ameloblastoma, and treatment modalities are discussed in this paper
Knowledge and attitude on bruxism among International Islamic University Malaysia (IIUM) students
Get PDFBruxism is an oral habit of clenching and grinding teeth. In 2014, the prevalence of bruxism among youth has been increased to 51.2% which is higher than previous studies. Effects of bruxism can affect the quality of life. Hence, this study aimed to examine the level of knowledge and attitude among IIUM Kuantan students by developing a questionnaire as a research tool in this study, identifying the level of knowledge and attitude, determining the sociodemographic characteristics that contribute to the level of knowledge and attitude, and determining the correlation between the knowledge and attitude on bruxism. The domains such as type, symptom, risk factor, effect, prevention, and treatment on bruxism was assessed in the questionnaire. Data from 129 respondents was collected through Google form by using convenience sampling. As the result, the development of questionnaire as the research tool was completed by literature review, and pilot study (?=0.844). Both of knowledge and attitude on bruxism were poor. Significant differences were detected using Kruskal Wallis test in term of knowledge between respondents’ age (p=0.008), faculty (p=0.009), and level of study (p=0.024). Similarly sociodemographic characteristics which were age (p=0.001), kulliyyah (p<0.001), and level of study (p=0.002) detected significant differences in term of attitude on bruxism. A fair positive correlation was determined by Spearman coefficient between knowledge and attitude on bruxism among the respondents (r=0.461, p<0.001). In conclusion, it is recommended for the healthcare authorities conducting an educational program to increase the level of knowledge and attitude on bruxism among the population
Concentrated Growth Factor as an alternative membrane material in periodontal regeneration: A case report
Get PDFThe risk of further periodontal breakdown increases with a deep intrabony defect. Non-surgical periodontal therapy could pose a challenge and surgical intervention is mainly required to manage the defect. Autologous platelet concentrates such as concentrated growth factor (CGF) may improve surgical outcome due to its enrichment with growth factors. Nevertheless, the outcomes of using CGF as a biomaterial in periodontal regenerative therapy is inconclusive. This case report describes the regenerative management of an intrabony defect on all the first molars of a 24-year-old Malay lady diagnosed with Generalised Periodontitis, Stage III, Grade C. A guided tissue regeneration strategy was utilised on all the first molars except on tooth 46, which was treated with xenografts and a biologic adjunct of CGF. Patient was recalled regularly every week up to two months following the procedure, followed by a three-month interval review. The results showed promising outcomes with an average of 4 mm probing pocket depth reduction and 79.1% radiographic bone fill for both regenerative strategies. The utilisation of biologic adjuncts such as CGF, could offer a viable alternative to collagen membrane in periodontal regeneration without compromising clinical results
Demographic of orthognatic cases seen in Kulliyyah of Dentistry IIUM
Get PDFOrthognathic treatment is a combination of orthodontics and surgery, aimed to restore functional occlusion and the facial aesthetics. KOD orthognathic team has been established since 2018. There was no published demographic profile of the orthognathic patients referred. This study aimed to enumerate the demographic data and correlations for the orthognathic cases seen in KOD, IIUM from 2018 until December 2020. A total of 28 patients were referred for consultation. One patient was excluded as no referral letter was attached. Data were obtained from patients’ case notes, photos and study models. Data collected were then categorized into patients’ demographic profiles, clinical features, patients’ psychological status and treatment. The demographic pattern and correlations were analysed using SPSS version 25.0. Out of 27 patients, most patients were females (66.7%), Malay (55.6%) and within the age group of 21 to 30 years old (44.4%) and originated from Pahang (88%). Majority of patients presented with Class III skeletal base discrepancy (66.7%), facial asymmetry (76.0%), increased vertical dimension (51.9%), shifted chin point (83.3%), Class III incisal relationship (70.4%), reversed overjet (70.4%), reduced overbite (56.0%) and crossbite (77.7%). Significant relationships were found between skeletal base discrepancy with incisal relationship, overjet, crossbite, canine relationships and right molar relationship. 57.1% agreed to orthognathic surgery, 32.1% opted for orthodontic treatment alone whilst 10.7% refused any treatment. It is hoped that this baseline demographic data may aid in the management and resource planning for this team in the future.
Patients’ satisfaction and quality of life after dental implant rehabilitation: A cross-sectional study
Get PDFPerceiving patients’ satisfaction and improving patients’ quality of life is a challenging task. This study aimed to assess the patient’s quality of life and satisfaction after receiving a dental implant rehabilitation. All patients with dental implant placed between 2015 and 2019 were included. A self-administered questionnaire consisted of a demographic, patient satisfaction assessment, and the short version of the Malaysian Oral Health Impact Profile, S-OHIP (M) questionnaire. The patients indicated their rate on a 5-point Likert scale from 0 to 4. Statistical analyses were made using the SPSS version 26, statistical significance was considered for p<0.05. A total of 58 patients with 91 implants completed the questionnaire were included. In general, the majority of participants 56 (96.6%) were satisfied with the dental implant mainly with the speech function and maintenance procedure. The Cronbach’s Alpha coefficient for the nine items of satisfaction was 0.798. The mean OHIP-14 score was 2.1 (SD: 3.11; range from 0 to 12) with the highest score for psychological discomfort (mean: 0.92, SD: 1.35) and the lowest score for psychological disability (mean: 0.00, SD: 0.00). All domains of OHIP-14 had Coefficient of Variance, CV > 1 (ranged from 1.47 to 8.77) which considered being high variance. Overall, all participants had OHIP-14 scores ranging from 0 to 12 which can be considered a low score that indicated higher Oral Health-Related Quality of Life (OHRQoL). The correlation between patient satisfaction and quality of life is significant (P<0.05)
Prosthetic rehabilitation on patient with orbital defect: A customised approach
Get PDFLoss of eye leads to significant psychological trauma which necessitate rehabilitation. Restoring eye defects with prostheses will uplift psychological status of such patients by re-establishing the facial structures and appearance, eventually returning them to their normal life. Even though prefabricated orbital prostheses are available, the lack of proper fitting indirectly affect comfort and aesthetics. Custom-made orbital prosthesis is still preferred due to its conformity which correspond to individual defect and the ability for shade personalization. This article elaborates the technique of fabrication of a custom-made orbital prosthesis in giving a life-like appearance to the patient
Where is the missing chicken bone? A case of foreign body cystic bronchiectasis
Get PDFAspiration of foreign body among adult usually occur in geriatric populations and those with impaired airway reflexes from a neurologic abnormality, altered mental status resulting from sedative or alcohol use, or trauma with decreased levels of consciousness. Symptoms are usually acute requiring prompt intervention. Longstanding neglected foreign body aspiration can cause irreversible damage to the lung parenchyma and respiratory tract with residual respiratory sequalae. Here we present a rare case of a healthy lady who experience chronic productive cough and recurrent chest infections due to neglected foreign body aspiration leading to irreversible cystic bronchiectasis of the lung
Spontaneous sequestration on oral mucosa associated with removable retainer
Get PDFA 45-year-old female with Class III incisor relationship on Class I skeletal pattern came to orthodontic specialist clinic after referral from prosthodontic department. She requested to have lower dentition spaces to be closed before dental implant to be fitted. She had upper and lower dentures previously but not quite happy with the aesthetic. She is fit and healthy with diabetes mellitus type 2. Fixed appliance was done on the lower arch as the upper teeth were nicely aligned. Lower retainer was fitted after fixed appliance was removed (debonded). Several week later, she came with the complain of exposed bone on her lingual oral mucosa. The aetiology of sequestration, oral osteonecrosis and the association to diabetes mellitus is discussed in this case report
Full mouth rehabilitation of young adults with oligodontia: Two case reports emphasizing implantology, prosthodontics, and restorative intervention
Get PDFOligodontia, a severe form of hypodontia characterized by the absence of multiple permanent teeth, presents considerable challenges in dental treatment. Successful management of this condition requires early detection and a comprehensive, multidisciplinary approach. While the complete restoration of missing teeth is typically postponed until all permanent teeth have erupted or after orthodontic therapy, it is crucial to consider additional factors such as the patient's oral hygiene status, socioeconomic circumstances, and long-term maintenance therapy for achieving optimal treatment outcomes. This case reports showcase the effective treatment of oligodontia in two young male patients: a 17-year-old Chinese individual and a 19-year-old Caucasian individual. These cases serve to emphasize the significance of early diagnosis, multidisciplinary collaboration, and personalized treatment planning in addressing the challenges posed by oligodontia. Although orthodontic intervention was not pursued in the presented cases, it is important to recognize its integral role in the overall treatment of oligodontia. The restoration of missing dentition has a profound positive impact on aesthetics, function, and the overall quality of life. The presented cases underscore the importance of early intervention and sustained motivation throughout the treatment process. By emphasizing the value of early detection, comprehensive teamwork, and individualized treatment approaches, clinicians can strive to achieve optimal outcomes for patients with oligodontia
