Awareness and Attitude toward the Replacement of Missing Teeth among Patients at a Dental Institute: A Cross-sectional Study.

AIM: To evaluate the awareness among the patients visiting a dental college in replacing the missing teeth. MATERIALS AND METHODS: A cross-sectional survey was conducted to know the patient's awareness and preference for the treatment options. A list of the closed-ended questionnaire was used to record the patient's response about being edentulous. The collected data were statistically analyzed. SPSS, Version 2.1, statistical software was used. The descriptive statistics were done using frequency and percentage. Bar graphs and pie graphs were used wherever applicable. RESULTS: Maximum patients reported to dental treatment with less than 1 year period of edentulousness. This directly indicates an increased awareness among the patients (77.5%). The need to replace the missing teeth was a function such as mastication of food for 42.6% of the patients and 36.6% of the patients wanted to replace their missing teeth for improving their appearance. The most preferred method of the replacement is fixed partial denture (FPD) as it was cost-effective and affordable for them. Only 22% of the patients wanted an implant as a treatment option as it did not involve the adjacent teeth. CONCLUSION: The awareness and knowledge about the treatment options among the patients visiting the dental college have increased, but still, the awareness about the consequences of being edentulous for a long time should be improved through social media by the dentists. CLINICAL SIGNIFICANCE: The replacement of missing teeth is important in rehabilitating the form, function, esthetics, and integrity of the stomatognathic system. There are various treatment options available for replacing missing teeth. Very few patients are aware of all the options and the consequences of not replacing the posterior teeth.

Sprue design alterations and its effect on the properties of base metal alloy castings: An in vitro study.

INTRODUCTION: To study the effect of various sprue designs on the properties of base metal alloy castings. The base metal alloys are extensively used for their excellent properties such as an increase in hardness, high melting range, high elastic modulus, its compatibility with ceramic material and low cost. However, to improve the properties of the base metal alloys is an ongoing research leading to various modifications in their fabrication procedure - which include sprue designs and their mode of attachment to the wax pattern. AIMS AND OBJECTIVES: Study compared the effect of three sprue designs viz. conical sprue, cylindrical sprue and bottleneck sprue on the properties of mass and microhardness of base metal alloy castings. MATERIALS AND METHODS: A prefabricated wax mesh pattern was selected for the fabrication of the alloy test samples in the study. The cylindrical sprue design was connected to the mesh pattern with a straight attachment. The bottleneck sprue design was connected to the mesh pattern with a constricted attachment. The conical sprue design was connected to the mesh pattern with a flared attachment. In this manner, ten samples for each of the three different sprue designs were prepared. RESULTS: The obtained value for mass and microhardness were subjected to statistical analysis. ANOVA test was performed to determine the difference between the sprue designs. CONCLUSION: The bottleneck sprue, conical sprue, and cylindrical sprue designs did not exert any apparent influence on the mass and microhardness.

Clinical evaluation of direct composite restoration done for midline diastema closure - long-term study.

PURPOSE OF THE STUDY: The aim of this study was to evaluate clinically the performance of composite resin used to restore midline diastema between the maxillary and mandibular central incisors. METHODOLOGY: Direct composite restorations were done for 45 patients with midline diastema between the maxillary and mandibular central incisors. Standard protocols were followed for the placement of composite resin for the diastema closure, and recall visits were made for every 6 months for a period of 60 months for evaluation of the success of these restorations made. Qualified dental personnel examined the restorations made. RESULTS: Clinical evaluations were done after the restorations had been in place for an average of 6 months. Results indicate that none of the restorations were totally lost, and resulting in a 91% overall retention rate for the period of 60 months. About 62% of the restorations made had no noticeable color difference with that of the adjacent tooth, and gingival health indicated 73% of the sample was without any signs of inflammation. CONCLUSIONS: Composites restored for diastemas exhibit satisfactory survival rates placed with recommended placement protocols and without occlusal loading.

Casting made simple using modified sprue design: an in vitro study.

BACKGROUND: Success in dental casting restorations for fixed partial dentures (FPDs) depends on the castability. Castability is described as the ability of an alloy to faithfully reproduce sharp detail and fine margins of a wax pattern. The goal of a prosthodontist is to provide the patient with restorations that fit precisely. Regardless of the alloy used for casting, the casting technique should yield a casted alloy, which should possess sufficient mass, surface hardness and minimal porosity after casting. MATERIALS AND METHODS: Twenty patterns for casting were made from three-dimensional printed resin pattern simulating a 3 unit FPD and casted using modified sprue technique. Later test samples were cemented sequentially on stainless steel model using pressure indicating paste and evaluated for vertical marginal gap in eight predetermined reference areas. Marginal gap were measured in microns using Video Measuring System (VMS2010F-CIP Corporation, Korea). A portion of the axial wall of the cast abutments depicting premolar and molar were sectioned and embedded in acrylic resin and tested for micro hardness using Reichert Polyvar 2 Met Microhardness tester (Reichert, Austria) and porosity using Quantimet Image Analyzer (Quantimet Corporation London, England). RESULTS: The results obtained for marginal gap, micro hardness, and porosity of all test samples were tabulated, descriptive statistics were calculated and the values were found to be within the clinically acceptable range. CONCLUSION: The new sprue technique can be an alternative and convenient method for casting which would minimize metal wasting and less time consuming. However, further studies with same technique on various parameters are to be conducted for its broad acceptance.