Dentists' Preference toward Fixed Versus Removable Implant Prosthesis on Edentulous Jaws to Improve Quality of Life.

Implants that can be used in the prosthetic rehabilitation of full and partial edentulous patients are now frequently used due to advances in dentistry. The aim of the study is to find the prevalence of implant supported fixed vs. removable prosthesis and associated quality of life evaluation. A cross-sectional, descriptive study was conducted in an institution, on randomly selected individuals. The study group consisted of adult patients who attended the outpatient Department of Prosthodontics from June 2019-March 2020. Eighty-six thousand (86,000) case sheets were evaluated and Chi-square test, independent t-test and frequency analysis were used to explore the relationship between two variables. Out of the patients, 76.5% preferred fixed prosthesis while 23.5% chose removable prosthesis. Females preferred fixed prosthesis over removable. The young-old age group had more removable prosthesis compared to the middle- and elderly age group. Patients with implant supported fixed dental prosthesis had a better quality of life compared with patients with implant supported overdentures. Esthetic and functional rehabilitation is a preferred option females generally care more about their teeth and looks so wanted more fixed options. The young-old age group preferred removable prosthesis over fixed prosthesis. Patients with implant supported fixed dental prosthesis have a better quality of life compared with patients with implant supported overdentures.

Quality of life post oral rehabilitation with complete short arch among South Indian patients.

Oral rehabilitation is essential in patients having multiple missing teeth, to restore esthetics and function. However replacement of complete dentition may not be possible in high risk patients or patients of low income group. The concept of SDA can be utilized in such patients to increase affordability and avoid over restoring. The aim of this study was to understand the prevalence of the requirement of oral rehabilitation according to age and gender of the individual as well as to compare the quality of life of patients rehabilitated with complete and short dental arches. Case sheets of around 28,000 patients were reviewed from March 2019 to June 2020 out of which 113 patients were undergoing oral rehabilitation. To eliminate bias all patients affected by the disease were included in the study. Epidemiological data of the patient along with their ongoing treatment was collected and tabulated in MS Excel sheet. Amongst the patients 36 patients were selected using simple stratified sampling and patients were asked to report their quality of life on a VAS scale using a quality of life questionnaire. The data was then analyzed using IBM SPSS software version 23. The prevalence of oral rehabilitation in males was 53.98% while in females it was 48.02%. Age group of 41-60 years was found to be most commonly undergoing oral rehabilitation. The most common extent of rehabilitation was 2nd molar - 2nd molar, around 23% patients underwent rehabilitation from 1st molar-1st molar and around 10% patients underwent rehabilitation from 2nd premolar-2nd premolar. Patient satisfaction was greatest in patients with complete arch restoration when compared to short dental arch restoration. Amongst SDA restoration patients rehabilitated till the first molar had greater satisfaction than patients rehabilitated till second premolar. With increase in lifespan the need for oral rehabilitation has increased, however it is not always possible or advised to restore the complete dentition of an individual. The present study helps us understand the prevalence of oral rehabilitation according to the gender and age of the patients as well as use of newer concepts such as SDA in the management of high risk patients. Within the limitations of the present study patient satisfaction was greater in complete arch restoration compared to SDA. Thus it is important to understand the requirements of the patient and rehabilitate accordingly, so as to provide the patient with the best esthetics and function possible.

Evaluation of compressive strength, color stability, and antimicrobial action of chitosan-modified temporary crowns.

This research was aimed at observing how antibacterial strength, colour stability, and compressive strength of chitosan modified PMMA compare to non modified PMMA [polymethyl methacrylate]. The study consisted of 2 groups - chitosan modified PMMA was the test group while unmodified PMMA was the control group. Twenty-four specimens were prepared for each group. Compressive strength was evaluated using the Universal testing machine. The antimicrobial action against streptococcus mutans and lactobacillus was evaluated using the disc diffusion method. A reflectance spectrophotometer was used to measure the baseline colour following the CIE L*a*b* scheme. Following these experiments, the specimens were submerged in coffee and distilled water solutions [n = 8] for 15 days each. Color stability was measured by comparing the coordinates obtained pre and post the ageing method. Independent t test used to examine data on colour change and compressive strength. [α = 0.05] It was observed that the incorporation of chitosan into polymethylmethacrylate increases its compressive strength. This was statistically significant [P = 0.00]. Improved colour stability was also observed [P = 0.000]. Antimicrobial action against streptococcus mutans and lactobacillus was seen in the chitosan modified group. Chitosan incorporation provides a promising improvement in the properties of the polymethylmethacrylate however further research with invivo studies are required to come to a conclusion.

Professionalism practiced by dental students - Patient's perspective: A questionnaire-based survey.

The aim of this study is to evaluate a patient's perspective regarding professionalism practiced by dental students in a university hospital setup by survey questionnaire. A questionnaire was formulated and was distributed among patients who visited for their treatment to the outpatient department of the hospital in a university setting. The study group consisted of adult individuals who attended the outpatient Department of Prosthodontics from June 2020 to April 2021. Three hundred questionnaire forms were distributed and 152 were received back; Chi-square test and frequency analysis were the statistical tests used to explore the relationship between two variables. Institutional clearance was taken from the institute (certificate No.IHEC/SDC/PROSTHO/21/043). There is more prevalence of males 52.6% compared to females 47.4%. Age group 31-40 years comprises the maximum number of patients. 52.6% of patients had their monthly income between 10,000 and 30,000 rupees. 84.2% of patients answered name badge to be desirable, 57.9% told surgical scrubs to be desirable, and 47.4% of patients answered cologne to be desirable. 68.4% of patients were neutral to clogs, 84.2% of patients were neutral toward shoes. All the patients agreed that the behavior and communication skills showed a good competence level of the students. Overall, there was a difference but there was no significance among different variables. The patient considers the dentist's altruistic behavior and communication skills to be more crucial; these two factors are regarded as the foundation for a strong patient-dentist professional relationship. For effective patient-centered service, both the dentist and the patient must agree on these ideals. Medical/dental educators must make significant efforts to reflect the dynamic nature of professions in dental education.