Dental esthetic screening index (DESI) scores among patients attending Qassim University dental clinics.

Aim: This study aimed to evaluate dental esthetic screening index (DESI) Intraoral component scores among patients attending Qassim University dental clinics and the factors affecting these scores. Materials and methods: This was a retrospective study that included 150 participants aged 18 years or older with full upper and lower anterior dentitions. Standardized intraoral frontal photographs of the patients' upper and lower dentitions were acquired from their dental records, and the mean rank DESI intraoral scores were evaluated and compared across the demographic and dental characteristics of the study patients.The mean age of the patients sampled was 33.56; 57 % were female and 43 % were male. The mean DESI Intraoral score was 15.33. DESI scores were significantly higher in patients older than 35 years compared with subjects 35 years old or younger (p = 0.015). DESI scores were increased in patients who had anterior restorations compared with those who did not (p = 0.016). Conclusions: This was the first study of its kind to use the DESI in a large clinical setting. According to the DESI, most patients attending Qassim University dental clinics had good dentofacial aesthetics. Age and the presence of anterior restorations negatively impacted patients' dentofacial aesthetics. Sex, the nature of the chief complaint, a history of orthodontic treatments, and teeth bleaching did not affect the DESI scores.

Secondary caries in fixed dental prostheses: Long-term clinical evaluation.

OBJECTIVES: Even with excellent fixed dental prostheses (FDPs), there will be a substantial risk of biological complications, such as caries, if proper oral hygiene is not maintained. This study aimed to evaluate the risks of developing secondary caries with FDPs in relation to the patient oral hygiene status. MATERIAL AND METHODS: Clinical and radiographic examinations were performed for patients to collect data related to their FDP complications and oral hygiene status. The main clinical parameter analyzed was secondary caries. Complications such as a fracture, debonding, or the need for endodontic therapy were also analyzed. The interval survival rate and the cumulative survival rate of FDPs from the time of treatment to the time of follow-up were analyzed. RESULTS: A total of 423 patients (with a total of 1116 FDPs) were examined in this study, with a mean age of 43.7 years and a mean follow-up time of 7 years. Regarding complications, secondary caries was detected in 94 FDPs (8.4%), fracture (or chipping) in 85 (7.6%) cases, need for endodontic treatment in 42 cases (3.7%), and debonding in four (0.3%) cases. Secondary caries was found in nine out of 219 FDPs (4%) in patients with good oral hygiene, 35 out of 634 FDPs (5.5%) in patients with fair oral hygiene, and 50 out of 272 FDPs (18.4%) in patients with poor oral hygiene (p ≤ .001). CONCLUSIONS: Good oral hygiene has a great influence on reducing the risk of secondary caries in patients with FDPs. The occurrence of secondary caries is a common complication in patients with poor oral hygiene.

Insight of New Generation Dentists towards the Shifting Trends of Three-dimensional Printing for Patient Management in the Kingdom of Saudi Arabia.

Background: There is a lack of information in the few studies reporting on the use of three-dimensional (3D) Printing for Patient Management. However, few studies have been found about recent advances in 3D printing technology, and biomaterials are revolutionizing medicine. The purpose of this study is to evaluate the knowledge and attitude of new generation dentist towards 3D printing and its application in various aspects in the field of Prosthodontics. Materials and Methods: A cross-sectional study on dental practitioners/Prosthodontist throughout Saudi Arabia using a self-administered questionnaire, which had items to assess the knowledge attitude and practices of study participants toward the use of 3D printing in dental management. Results: It was observed 17.5% of our participants had complete information and 10.5% had no information about 3D printers in the field of dental medicine. When assessed, male dentists had complete information about 3D printers (17.5%) than females (0%). 43.9% of our participants "strongly agreed" for 3D printers to be implemented in dentistry, 40.4% had "no idea" regarding the experience of 3D prints. Conclusion: Very few dentists have knowledge of 3D printing application in dentistry. Hence we strongly recommend organizing continuing dental education programmed on 3D printing either with hand on workshops, conferences and regular updates on the use of this technology.

Impacted Third Molars, A Rare Occurrence of Identical Bilateral Impacted Mandibular Third Molars in Linguo-Buccal Location: A Case Report.

Symmetrical horizontal impacted bilateral mandibular third molar in lingo-buccal direction is a rare type of impacted teeth. When a tooth cannot erupt and fails to achieve a normal function and occlusion during its chronological age of eruption, it is called an impacted tooth. In this paper, a case of a male patient aged 20 years old who had bilateral horizontally impacted lower third molar which was noticed in a routine screening panoramic radiograph and confirmed with cone beam computed tomography (CBCT) imaging and referred to the oral maxillofacial surgical center for surgical removal of the impacted teeth in order to avoid late complications is discussed.