The antibacterial influence of nanotopographic titanium, zirconium, and aluminum nanoparticles against Staphylococcus aureus and porphyromonas gingivalis: An In vitro study.

BACKGROUND: Nanoparticle coated implants have revolutionized the field of implantology. Peri-implantitis is one of the main for implant failure. Most implant failures are due to Streptococcus mutans, Staphylococcus aureus, Porphyromonas gingivalis, and Actinomyces concomitant. AIM: To evaluate and compare the antibacterial effect of titanium, zirconium, aluminum nanoparticles against S. aureus and P. gingivalis at 24, 72 hrs and 1 week intervals. MATERIALS AND METHODS: According to ISO/TR 11175:1993, the samples were prepared in disc shape with 20-mm diameter and 1-mm thickness in Grade IV titanium. The samples were decontaminated by sonicating in acetone and subsequently in water three times for 15 min. A total of eighty samples were made, then coated with nanoparticles, and divided into Group-A (control), Group-B (Ti nanoparticles coating), Group-C (Zi nanoparticles coating), and Group-D (Al nanoparticles coating). The discs were sterilized under ultraviolet radiation and placed in Mueller-Hinton agar medium for S. aureus and blood agar for P. gingivalis. The colonies were counted at 24, 72 hrs and 1 week intervals. STATISTICAL ANALYSIS USED: The values were statistically analyzed using one-way ANOVA and Tukey honestly significant difference test. RESULTS: The P < 0.001 showed that statistically significant difference in colony forming unit had been found in titanium nanoparticles coated samples at 24, 72 hrs and 1 week intervals. CONCLUSION: TiO2 nanoparticle coated titanium discs showed significant antibacterial effect.

Adjuvant therapy for intra oral surgical oncological defect with ancillary prosthesis: A literature review.

The role of a maxillofacial prosthodontist in the treatment of facial defects cannot be underestimated. A multidisciplinary approach is required during the rehabilitation procedure to bring out effective results. Ancillary maxillofacial prostheses limit the patient's disability and improve function. These prostheses are inevitable in restoring the function, esthetics, general, and psychological health of the patients. This article reviews the various ancillary-maxillofacial prostheses and throws light on their historical development.

Evaluation of Surface Quality of Silicone Impression Materials after Disinfection with Ozone Water: An In vitro Study.

PURPOSE: To compare and evaluate the surface quality of silicone impression materials after ozone water disinfection. MATERIALS AND METHODS: A total of 60 samples were prepared on a stainless steel die (American Dental Association specification no. 19 and International Standard of Organization - 4823). The samples were divided into four groups; each group contains 15 samples. Group A as control, Group B, C, and D disinfected with 2% glutaraldehyde, 5.25% sodium hypochlorite, and ozone water, respectively. The samples were made according to the manufacturer's instructions, and the samples were allowed to set in a thermostatically controlled water bath at 35°C ± 1°C and retrieved after 10 min. The surface qualities of the samples were measured in stereomicroscope with ×20 magnification. RESULTS: The data obtained were analyzed using Chi-square test, and the "P" value was calculated. The results showed that there were no differences in the surface quality among the Groups A, C, and D for addition silicone putty and light body and medium body impression materials than the Group B. CONCLUSION: This study concluded that ozone water disinfection showed least changes when compared to 5.25%sodium hypochloride and 2% glutaraldehyde disinfection for addition silicone putty , light body and medium body impression materials.

Evaluation of effect of laser etching on shear bond strength between maxillofacial silicone and acrylic resin subjected to accelerated aging process.

OBJECTIVE: Maxillofacial prosthesis are supported by implants, require a retentive matrix to retain the suprastructure. The retentive matrix is made up of acrylic resin to which the silicone prostheses are anchored by micro-mechanical bond. The delamination of silicone away from the retentive matrix is a persisting problem in implant-supported maxillofacial prosthesis. AIM: This study aimed to evaluate the effect of laser etching on the shear bond strength (BS) between acrylic resin and maxillofacial silicone, after 24 h of fabrication and after 200 h of accelerated aging. MATERIALS AND METHODS: The samples were prepared according to ISO/TR 11405:1994 in maxillofacial silicone and polymethyl methacrylate resin. The untreated samples were Group A (control), Group B (silicon carbide [SiC] paper abrasion 80 grit size), and Group C (erbium-doped yttrium aluminum garnet laser etching). Then, the samples were coated with primer and bonded to maxillofacial silicone. The samples were subjected to shear BS test in an universal testing machine after 24 h of fabrication and after 200 h of accelerated aging. RESULTS: The results were statistically analyzed using one-way ANOVA and Tukey's HSD post hoc test. The shear BS test after 24 h of fabrication showed better BS in SiC paper abrasion. The shear BS test after 200 h of accelerated aging showed better BS in laser etching compared to SiC abrasion. CONCLUSION: Laser etching produced better shear BS compared to conventional SiC paper abrasion after 200 h of accelerated aging process.

A Custom Made Intrinsic Silicone Shade Guide for Indian Population.

INTRODUCTION: Replication of natural skin colour in maxillofacial prosthesis has been traditionally done using trial and error method, as concrete shade guides are unavailable till date. Hence a novel custom made intrinsic silicone shade guide has been attempted for Indian population. AIM: Reconstruction of maxillofacial defects is challenging, as achieving an aesthetic result is not always easy. A concoction of a novel intrinsic silicone shade guide was contemplated for the study and its reproducibility in clinical practice was analysed. MATERIALS AND METHODS: Medical grade room temperature vulcanising silicone was used for the fabrication of shade tabs. The shade guide consisted of three main groups I, II and III which were divided based upon the hues yellow, red and blue respectively. Five distinct intrinsic pigments were added in definite proportions to subdivide each group of different values from lighter to darker shades. A total number of 15 circular shade tabs comprised the guide. To validate the usage of the guide, visual assessment of colour matching was done by four investigators to investigate the consent of perfect colour correspondence. Data was statistically analysed using kappa coefficients. RESULTS: The kappa values were found to be 0.47 to 0.78 for yellow based group I, 0.13 to 0.65 for red based group II, and 0.07 to 0.36 for blue based group III. This revealed that the shade tabs of yellow and red based hues matched well and showed a statistically good colour matching. CONCLUSION: This intrinsic silicone shade guide can be effectively utilised for fabrication of maxillofacial prosthesis with silicone in Indian population. A transparent colour formula with definite proportioning of intrinsic pigments is provided for obtaining an aesthetic match to skin tone.

Evaluation of the Correlation of Ramus Height, Gonial Angle, and Dental Height with Different Facial Forms in Individuals with Deep Bite Disorders.

BACKGROUND: Restoring the vertical dimension is a critical procedure in prosthetic dentistry. Anterior facial height has a significant impact on the length of the ramus. Patients with deep bite will exhibit a shorter lower facial height; hence, restoring the vertical dimension esthetically without altering the facial form is highly challenging. AIM: To evaluate the relationship of gonial angle, ramus height, and dental height with different facial forms. SUBJECTS AND METHODS: A total of 51 subjects in all facial form aged between 20 and 40 with deep bite were randomly selected. Lateral cephalograms and facial photographs were made for each patient. Ramus height was measured on lateral cephalogram by measuring the distance from articulare to gonion. The gonial angles were calculated and anterior and posterior dental height were measured from cephalogram. Facial forms were evaluated using patient's photographs. RESULTS: The obtained measurements were evaluated, and compared statistically with one way analysis of variance and regression correlation test. Statistical analysis revealed that there was no correlation found between the gonial angle and ramus height. CONCLUSION: Correlation found between the ramus height and anterior and posterior dental height in patients with deep bite disorders. The ramus height can be calculated using the formulas 46.42 + (0.095 × AD height), 46.046+ (0.123 × PD height).

Comparative evaluation of maxillary and mandibular anterior teeth width with the length of index and little finger.

UNLABELLED: The size, color, morphology and arrangement of the anterior tooth are the various factors play an imperative role in achieving excellent esthetics in complete denture. Various modalities have been suggested for selecting the size of the anterior teeth like inter-alar distance, inter-canthal distance, bi-zygomatic width, intercanine width. There is no reliable method for selection of anterior teeth etc. To evaluate and compare the width of the maxillary and mandibular anterior teeth with the length of the index and little fingers. total of 50 people were taken for this study. They are grouped into four, Group I, 15-20 years; Group II, 20-30 years; Group III, 30-40 years; Group IV, 40-50 years. Irreversible hydrocolloid impressions of the maxilla and mandible were made and poured with dental stone. The widths of the maxillary and mandibular anterior teeth were measured with an adaptable ruler. The length of the index and little fingers were measured using a vernier caliper. There is significant correlation between the maxillary and mandibular anterior teeth with the index and little finger length. CONCLUSION: The maxillary anterior teeth width can be calculated with the formula (1.130 × index finger length - 11.972), mandibular anterior teeth width can be calculated with the formula (1.006 × little finger length - 2.231).

Evaluation and comparison of anti-Candida effect of heat cure polymethylmethacrylate resin enforced with silver nanoparticles and conventional heat cure resins: an in vitro study.

UNLABELLED: Recent years have been dominated by research in nano science. Dentistry is no exception and there is increased research on nanoparticles in dentistry. Complete dentures increase the carriage of Candida in healthy patients, and the proliferation of C. albicans can be associated with denture-induced stomatitis. PURPOSE: To evaluate the anti-Candida effect of heat cure denture base resins reinforced with Ag° in the ratio of 4:1, 3:1, 2:1 (Groups B, C, and D, respectively) to the weight of denture base resins. MATERIALS AND METHODS: Ag° were synthesized by chemical reduction method, incorporated into the polymer powder according to the ratio for each group, subjected to polymerization and microbial assay was calculated for the reference C. albicans strains by agar diffusion method for the incubation period of 24 h. RESULTS: Group D showed multifold decrease in the colony-forming units. CONCLUSION: The antimicrobial effect of silver could be used vividly in the denture base for immunocompromised and geriatric patients.

Comparative evaluation of effect of laser on shear bond strength of ceramic bonded with two base metal alloys: an in-vitro study.

UNLABELLED: The most common clinical failure in metal ceramic restoration is at the ceramo-metal interface. For the clinical longevity, metal-ceramic prostheses must have satisfactory bond strength between metal and ceramic. AIM AND OBJECTIVE: The aim of this study is to evaluate the effect of Laser etching on shear bond strength between base metal alloys and ceramic. MATERIALS AND METHODS: A total of 60 specimens were made (Base 5 mm diameter and 1 mm thickness, step with 4 mm diameter and 4 mm in length). They were divided into three groups. Group A-control, Group B-sand blasting, and Group C-laser etching. The Surface morphology, surface roughness, and wettability of the specimens were observed under scanning electron microscope (SEM) Ceramic application was carried out layer by layer for an optimal height of 4 mm. The shear bond strength test was performed using a universal testing machine and the nature of the fracture was examined under SEM. RESULTS: The mean shear bond strength values for laser etched (Group C) Nickel-chromium (Ni-Cr) alloy bonded with ceramic was (49.12 ± 7.12 MPa) and ceramic bonded with Cobalt-chromium (Co-Cr) was (50.04 ± 4.27 MPa), sand blasted (Group B) Ni-Cr alloy bonded with ceramic was (26.00 ± 5.22 MPa), and ceramic bonded with Co-Cr was 24.54 ± 4.78 MPa. The SEM image after debonding showed 10% of adhesive failure and 70% cohesive failure and 20% of both adhesive and cohesive failure for Laser etching. However, there was no significant difference in the values of shear bond strength between the two base metal alloys in Group C. CONCLUSION: The s hear bond strength between ceramic bonded with Ni-Cr alloys using the Laser etching as surface treatment was 49.12 ± 7.12 MPa and for Co-Cr alloys 50.04 ± 4.27 MPa. Laser surface treatment produces an excellent surface roughness and achieved good shear bond strength values and aid in achieving a better bond strength between metals and ceramic.

Comparison of obturator design for acquired maxillary defect in completely edentulous patients.

The most challenging and appreciated area in the field of Prosthodontics is the rehabilitation of maxillary defects. Tumors of the head and neck are the common cause for acquired maxillofacial defects. Surgical consequences predispose the patient to hypernasal speech, fluid leakage into nasal cavity, impaired masticatory function, and cosmetic deformity. The Prosthodontists play a significant role in the intervention and improve the quality of life of such patients. The current article describes two clinical case reports of completely edentulous patients with acquired maxillary defects.

The science of anterior teeth selection for a completely edentulous patient: a literature review.

Esthetic replacement and physiological tooth arrangement made the complete denture biologically compatible and desirable. Proper placement of tooth should be functional and esthetically pleasing to enhance the psychology of the patient. This article reviews the evolution of concepts for teeth selection and the recent techniques employed for selecting anterior teeth for complete dentures.

Evaluation of dimensional stability, accuracy and surface hardness of interocclusal recording materials at various time intervals: an in vitro study.

To evaluate and compare the dimensional stability, accuracy and surface hardness of three interocclusal recording materials at various time intervals. Polyvinylsiloxane, Zinc oxide eugenol, Aluwax were taken for this study. A stainless steel die of ADA specification no 19. was prepared. A total of ten samples were made with each group. The samples were measured using a travelling microscope of 10× magnification at 1, 24, 48 and 72 h time intervals. Five readings were taken for each sample, the mean was considered to measure the dimensional change, accuracy and surface hardness. The values obtained were statistically analysed by ANOVA and Tukey HSD-Honestly significant difference. Polyvinylsiloxane was the most dimensionally stable, accurate and had the highest surface hardness among the three inter-occlusal materials.