IIUM Journal of Orofacial and Health Sciences (IJOHS)
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Minor oral surgery on impacted lower third molar done by IIUM Undergraduates: a retrospective study
Get PDFMinor oral surgery (MOS) is one of the important requirements for dental undergraduates to perform in Kulliyyah of Dentistry, IIUM. However, no assessment has been done on the suitability of the cases received by the students. Thus, this study was aimed to describe type of cases and level of difficulty in relation to undergraduate year of study. This study consisted of 97 subjects who had undergone MOS by IIUM undergraduate from September 2014 to October 2015. Data was collected from patient’s documentation and orthopantomogram. Pederson index and relationship to inferior dental nerve were used to determine the difficulty index level. Statistical analysis was done using Chi-square test with statistical significance set at p? 0.05. The mean age of the patients was 24 years old, with male to female ratio 1:1.9. 52.6% of the cases were indicated for surgery due to recurrent pericoronitis. The types of cases mostly received by undergraduates were Class IA (30.9%) and Class IIA (48.5%) with mesioangular impaction (39.2%). Year 4 students received more difficult cases compared to Year 5 (p = 0.504) with less complications postoperatively. Dental undergraduates received simple to moderate cases for MOS, and no significant association was found between year of undergraduate study and difficulty level of the cases
Management of radix entomolaris on permanent mandibular first molar complicated with ledge: a case report
Get PDFRadix entomolaris is a supernumerary root located distolingually on permanent mandibular molars. It is considered as an anatomical variant and usually curved buccolingually. The presence of radix entomolaris can be endodontically challenging to treat and susceptible to endodontic mishaps such as ledge. This report describes the management of ledge in a radix entomolaris with type-3 curvature on tooth 46. Ledge was bypassed using pre-curved K-files #10, #15, and #20 sequentially and preparation was continued using step-back technique. Then, the root canal was obturated using gutta percha and root canal sealer. Diagnostic and clinical challenges in managing radix entomolaris, and prevention and management of ledge were also discussed
Remote teaching and learning during COVID-19 “lockdown” period in Malaysia: one institution’s experience
Get PDFThe coronavirus disease (COVID-19) has prompted significant changes for most programs' teaching methods worldwide, especially during the “lockdown” period. Most education institutions in Malaysia were indefinitely closed, with the teaching and learning activities were resumed remotely. This letter highlights Kulliyyah of Dentistry, International Islamic University Malaysia’s approaches in handling our teaching and learning activities (i.e., lectures, tutorials, seminars, practical, and the assessment), as well as the challenges faced by lecturers and students during the previous “lockdown” period
Restoration of posterior tooth with single shade composite: A case series
Get PDFComposite restoration is a popular material to restore tooth structure due to dental caries as there is an increasing demand for aesthetic restoration. With the advancing technologies, it has excellent physical characteristics which increases its longevity. However, the appropriate case selection also influences the outcome as composite is technique sensitive. This material can be offered to patient seeking less time-consuming procedure, better preservation of tooth structure, affordable but acceptable aesthetic outcome. These three cases presented shows the possibility of creating a good aesthetic result in posterior tooth restoration with the use of single shade composite
Aesthetic rehabilitation of upper central incisors using combined direct and indirect technique: A Case report
Get PDFImproving dental appearances generally leads to an increase in confidence, social interactions and ultimately quality of life. This case aimed to perform aesthetic rehabilitation on the upper central incisors. The patient was a 25-year-old female who was concerned with the gap in her front teeth and discolouration of her crown. The treatment started with shade matching and preliminary measurements prior to cementation of temporary crown. Later, an all ceramic e.max Lithium Disilicate crown was cemented on tooth 11 followed by direct composite restoration on tooth 21 for diastema closure. In conclusion, both the indirect and direct restorative technique when applied appropriately proved to be effective and satisfactory to the patient
Fabrication of Computer-Aided Design and Computer-Aided Manufacturing (CAD/CAM) post and core using indirect digitalisation technique
Get PDFThe advancement of digital technology in dentistry signifies an opportunity for the clinician to explore novel techniques in fabricating post and core. Conventional custom-made post and core is constructed in the laboratory with very limited material either gold, nickel-chromium or cobalt-chromium. Apart from higher modulus elasticity compared to dentin, the colour of the conventional custom-made post and core was also unaesthetic making it inferior to be used with all ceramic crown. This article describes post and core fabrication technique using computer-aided design and computer-aided manufacturing (CAD/CAM) technology with acrylic resin pattern build-up and indirect digitalisation method. The same procedure for custom-made metal post and core was adopted in this case to capture the anatomical shape of the root canal before digital technology was incorporated in the fabrication of post and core manufacture using CAD/CAM. With the CAD/CAM approach, an increased in quality, productivity, workflow efficiency and consistency of prosthetic rehabilitation may be obtained. It also enables clinicians to fabricate post and core using tooth colour material with better physical properties and improved mechanical qualities to achieve the best result in restoring endodontically treated teeth
Orthodontic pain – the state of the evidence
Get PDFPain is a common side effect of orthodontic treatment. An understanding of its mechanism, implications and subsequent management is essential for any orthodontist to improve patient compliance and satisfaction with treatment. This paper provides a comprehensive review and state of the evidence on orthodontic pain from the viewpoint of clinicians and patients – clinical features, its pathways, factors influencing pain perception, and finally the pharmacological and non-pharmacological management of orthodontic pain.
Assessing the feasibility of micro-computed tomography in comparing mineral densities and volume values of enamel and dentine in permanent premolars which were extracted teeth for orthodontic and periodontal treatment
Get PDFThe objective of our study was to show that the volumes of enamel-dentin tissues and mineral tissue densities of the teeth of young and adult individuals extracted for orthodontic and periodontal purposes could be measured using micro-computerized tomography. Non-decayed teeth extracted due to orthodontic and periodontal reasons were used. The teeth were scanned using a micro-CT (Skyscan 1172, Bruker, Belgium) device. The image data of the samples scanned with micro-CT were used in computer settings through the CTAn program for the calculation of the volumes of enamel and dentin tissues and their mineral densities. Comparisons between groups showed that there is no statistically significant difference between occlusal, middle, or apical zone mineral density values of the enamel and dentin tissues of the teeth in group 1 and group 2 (p>0,05). In addition, no statistically significant difference was detected between the mineral density values of average enamel and dentin tissues. Comparison between groups themselves showed a statistically significant difference between percentage ratios of enamel, dentin, and pulp volume compared to crown volume (p<0.05). We believe that the micro-CT technique is an imaging method that can perform accurate and sensitive measurements meant of volume changes observed in tooth tissues with time. In addition, we concluded that with micro-CT, the densities in enamel and dentin tissues in study groups could be measured reliably
Medical emergencies response plan: Is your dental clinic ready?
Get PDFDentists should provide a safe environment for all patients and this also includes preparing for the occurrence of medical emergencies in dental setting. Managing medical emergencies must be considered in the initial set up of a dental clinic. Some emergencies are indeed unavoidable hence all dental clinic members must be prepared and well trained to manage medical emergencies. Among the steps that should be taken in preparing dental clinic for medical emergencies are development of emergency plan, evaluation of patients’ risk, monitoring of vital signs, training of staff and availability of emergency drugs and equipment