IIUM Journal of Orofacial and Health Sciences (IJOHS)
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The effect of implantoplasty on dental implant fracture resistance: a systematic review
Get PDFAn increase in dental implant placements in recent years has seen a growth in the reported cases of post-operative complications such as peri-implantitis. One of the available treatment modalities to overcome such complications is implantoplasty. Although this procedure is not new, the long-term effect of implantoplasty has not been addressed extensively. The aim of this systematic review was to investigate the change in fracture resistance of dental implants after implantoplasty. Three electronic databases and reference lists of included studies were searched to assess the potential effect of implantoplasty on implant fracture resistance. Titles and abstracts were screened by two reviewers in parallel. The extracted information regarding implant fracture resistance was reported based on the guidelines set by the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement. A total of 56 studies were identified, of which, nine studies were included. Narrow platform implants (<3.75 mm) were more susceptible to fracture following implantoplasty compared to wider platforms (?5 mm). Implants with internal hexagon connection may have a higher risk of fracture after implantoplasty compared to other connection designs such as external hexagon and conical connections. Other potential factors which may affect implant fracture resistance after implantoplasty include crown to implant ratio, implant material, and the amount of peri-implant bone loss. Within the limitation of in vitro studies, there is no clear evidence to demonstrate the effect of implantoplasty on implant fracture resistance. Methodological differences between the available studies did not allow for clear comparison between them. Furthermore, the limited amount of clinical reports of this resective procedure, in combination with patient and operator variability, affect the clinical assessment of this treatment modality
Osteonecrosis of the jaw in patients taking Atorvastatin: Case series
Get PDFOsteonecrosis of the jawbones commonly seen in patients taking bisphosphonates, denosumab, and several antiangiogenic medications with several oral factors such as tooth extraction or dental infection. Currently, patients taking Simvastatin, a medication commonly used to treat hypercholesteremia, were reported of developing osteonecrosis of the jaw. Thus, it is important that clinicians know about the risk of osteonecrosis for patients taking this hypercholesteremia medication. It is not known if the undesirable effect only occurs with Simvastatin or other types of statin medication. We report in detail three cases of osteonecrosis of patients taking Atorvastatin calcium, a second-generation statin medication
Retention of periodontally hopeless tooth and the clinical effect on the adjacent tooth at maintenance phase: A retrospective study
Get PDFPrevious research has shown that periodontal maintenance therapy can keep teeth healthy for a long time. However, only a few studies have been conducted on the periodontal hopeless tooth that is retained during the maintenance phase. The purpose of this study was to evaluate if retaining a periodontal hopeless tooth had an effect on the periodontal conditions in the adjacent tooth at maintenance. A retrospective analysis was conducted on the periodontal status of periodontitis patients who presented with retained hopeless tooth. Hopeless prognosis is based on the mean percentage of the mesial and distal radiographic bone loss ? 65%. The periodontal status consists of periodontal pocket depth (PPD), clinical attachment loss (CAL), and bleeding on probing (BoP), which were evaluated at baseline (T0), after active therapy (T1) and at the last examination (T2) for both the hopeless tooth and the tooth/teeth adjacent to it. Compliance toward maintenance and reason for hopeless tooth extraction were also evaluated at maintenance (T1-T2). A total of 65 patients with 121 hopeless teeth and 187 adjacent teeth were included. Significant improvement of all periodontal parameters for both hopeless and adjacent teeth at T1 and T2 from T0 were observed within 5.05±2.58 years of observation, except for the CAL during maintenance. In conclusion, a low risk of disease progression on the tooth adjacent to the retained periodontal hopeless tooth can be achieved following active treatment with strict maintenance care
Prevalence and reasons for missed dental appointments among patients treated by undergraduate dental students of Universiti Sains Islam Malaysia
Get PDFMissed dental appointments drastically affect treatment proficiency and productivity of dental care facility. This study aimed to determine the prevalence and reasons for missed dental appointments among patients treated by clinical dental students of Universiti Sains Islam Malaysia (USIM). A total of 202 folders from year 2018 to 2020 treated by year 3 to year 5 dental students were retrieved from a pool of patient’s record files using simple random sampling methods. Information on missed appointments was recorded. Other patients’ information was kept confidential. The percentage of missed dental appointments among patients under clinical dental students’ care was 37.1% (95% CI=30.7, 44.0). The majority of patients who missed dental appointments were male (37.6%), adults (38.7%) and employee (40.2%) patients. The most reported reason for the missed dental appointment was due to personal matters (36%) and the least was forgetfulness (0.6%) and miscommunication (0.6%). In conclusion, missed dental appointment commonly occurs among patients and frequently it was due to personal matters. A proper explanation by the students before scheduling an appointment is crucial to avoid any future missed dental appointments
Assessment of satisfaction in patients with existing complete dentures issued from International Islamic University Malaysia (IIUM) Kuantan Dental Polyclinic
Get PDFRemovable acrylic complete dentures are a popular choice of treatment for the edentulous patient in Malaysia because of their cost and affordability. However, dissatisfaction among denture wearers with their complete denture is still very common. The goal of this study is to determine the level of satisfaction among patients who receive complete dentures from the IIUM Kuantan Dental Polyclinic, as well as the factors that impact their satisfaction. 42 edentulous patients wearing complete dentures made in International Islamic University Malaysia (IIUM) Kuantan dental Polyclinic for at least 3 months were included. These patients were interviewed over the phone in Malay or English language regarding their satisfaction towards the complete denture that they received on different parameters like retention, aesthetics, mastication, and phonetic using Visual Analogue Scale (VAS) which uses a Likert scale of 0-4 (0= not satisfied at all; 1= not satisfied; 2=acceptable; 3=satisfied; 4=very satisfied) to express their satisfaction. The overall satisfaction comprises of 90.5% of the subjects are satisfied with their complete denture. The fitting of lower denture and mastication contributed to the highest percentage of dissatisfaction. The retention of lower denture contributed to most dissatisfaction of the patients and female patient are more concerned with aesthetic compared to male. As compared to patients who already have worn dentures previously, first-time denture wearers are more satisfied with the upper denture fitting. Three months of wearing duration influenced the successful or treatment. Majority of patients are satisfied with the dentures provided by student of Kulliyyah of Dentistry. However, the dissatisfaction of wearing the complete dentures is mainly because of lower denture is not fit and poor mastication.
Evaluation on the perception of final year dental students on their confidence level regarding endodontic treatments: a cross sectional analysis
Get PDFEndodontics procedures are difficult and complicated that most of the practitioners would encounter. Therefore, dental students should gain their confidence and competent during their training. This research aimed to study the perception of final year students on confidence level regarding endodontic treatments from all public universities and their opinions on the quality of endodontic education. A Google Form was used to disseminate an online questionnaire to all dental students from public universities across Malaysia. The survey included both scaled answer and open-ended questions. 184 responses out of 235 students, were obtained (response rate = 78%). Perception of competence and confidence were significantly greater amongst the students from research-based universities group (P < 0.05). 93.5% (n=179) of participants agree that they were confident to do endodontic procedure on anterior tooth, whilst on posterior tooth, only 75.5% (n=139) were confident. Only 6.5 percent of participants (n = 12) did not feel confident doing root canal treatment on single-rooted teeth, but 76.1 percent (n = 140) did not feel competent performing root canal treatment on multirooted teeth. Over 90% of the students rated the quality and the amount of time spent on endodontic education were adequate at their respective university as ?5 on a Likert scale (1 = inadequate to 10 = adequate). In addition, when they were asked to give the suggestion on how to improve the quality of endodontic education, 10.9% of the students suggested to increase the number of practical session and to do regular discussion regarding endodontic cases. It is vital to improve undergraduate endodontic education in order to raise students' perceptions of their confidence and competence when doing root canal therapy
Perceived knowledge and perceptions toward biostatistics among dental and medical undergraduate students in International Islamic University Malaysia
Get PDFResearch into dental and medical student on biostatistics may inform the educational policy changes. Therefore, it was vital to assess the level of knowledge and perception about biostatistics among dental and medical undergraduate students in order to determine their proficiency in this subject. A cross-sectional study was undertaken among dental and medical undergraduate students in International Islamic University Malaysia, Kuantan. The assessment of perceived and perception toward biostatistics was based on a 5-points Likert scale including 50 questions distributed into five domains to assess the knowledge, course value, difficulty, behavioural and expectations. A total of 158 out of 190 students responded to the questionnaire yielding a response rate of 83.2%. It was observed that more than 70% of students acknowledged that knowledge gained from biostatistics courses is useful to their future career, and almost 80% realized the relevance of biostatistics to real health issues. This study concludes that undergraduate dental students have almost similar and moderate level of knowledge in biostatistics as compared to the medical students. However, it is important to have additional practice and training through workshop to improve their level of comprehension in biostatistics
Review: exploring the potential of Nigella sativa for tooth mineralization and periodontitis treatment and its additive effect with doxycycline
Get PDFOral disease has been a worldwide concern as the incidence and cost of treatment continues to rise. Management of the disease is challenging as success is often influenced by an individual’s lifestyle and diet. Nigella sativa (N. sativa) or black seed is a medicinal plant that has received growing interest due to its effectiveness against various conditions including cardiovascular disease, diabetes, cancer, as well as infectious diseases caused by bacterial, viral, and fungal infections. This narrative review studies N. sativa that has also shown great potential in dental health attributed to its role in stimulating the process of remineralization. Apart from that, N. sativa promotes healing of oral tissues as it induces the differentiation potential of heterogeneous cell populations in periodontal ligament cells. The anti-osteoporotic, antioxidant and anti-inflammatory properties of N. sativa also improve periodontal healing, particularly by preventing further destruction of bone components. This article discusses the occurrence of periodontitis and the therapeutic role of N. sativa with emphasis on the regulation of genes, for instance, the alkaline phosphatase (ALP) that is involved in tissue specialization and remineralization. It is speculated that the activity of N. sativa in remineralization can be enhanced by combination with other commonly used periodontitis antibiotics such as doxycycline. N. sativa is purported to induce periodontal tissue regeneration whilst minimizing toxicity. Thus, it may serve as an alternative or enhance the existing treatment for periodontitis when administered as a combined formulation
The future direction of the Dental Public Health in Malaysia
Get PDFThe continued recognition of Dental Public Health as one speciality in dentistry provides an opportunity for the speciality to rediscover and re-evaluate itself. As a discipline, public health dentistry evolved for many years to address the issues faced by our dynamic society, particularly Malaysia. Increased investment is necessary to see a tangible improvement in oral health. In this light, public health dentistry represents the nation’s dental conscience, as changes in DPH mirror both changes in society and the dental practice. Prevention and access to dental care for the underprivileged groups are as pertinent as providing medical and dental care for people with infectious diseases. Changes could be implemented through national oral health objectives and strategies and a myriad of new financing mechanisms. Despite the progressive changes in today’s world, the speciality’s goal to improve the public’s oral health and its commitment to work through ‘organised community efforts’ to achieve this goal remains. This article highlights the need for a long-term solution that could ensure the sustainability of DPH in Malaysia. It empowers DPH specialists to use their expertise for patients’ benefit across the three pillars of public health - health improvement, care, and protection. This could be achieved through the support of the dental community