Development and testing of ‘ExoDont’ - an innovative app for postoperative care of patients after tooth extraction; designing of a prototype. (Preprint)

BACKGROUND Post-operative period is crucial for the initiation of healing and prevention of complications after any surgical procedure. Due to the factors such as compliance, comprehension, retention of instructions, and other unaccounted factors, the objectives of post-operative care become unsuccessful at times. Therefore an android-based mHealth app “ExoDont” was developed to ensure a smooth post-operative period for the patients after a dental extraction. “ExoDont” app delivers reminders for post-operative instructions and drug intake at defined intervals thus fostering self-reliance in patients for their prescribed dose of medication. OBJECTIVE To design, develop and validate “ExoDont” – an innovative software application for improved adherence to postoperative instructions after tooth extraction. METHODS Post-operative treatment protocol was developed by a team of oral and maxillofacial surgeons and general dentists, following which the clinical and technological requirements of the app were determined along with the software engineers, graphic designers and applications architect in the team. “ExoDont was developed to provide timely reminders for medication and postoperative care. The app was field-tested and validated using the uMARS scale. RESULTS The “ExoDont” software design was divided into three-level architecture comprising User Interface Application, Logical Layer, and Database layer. The software architecture consists of an android-based “ExoDont” app for patients and a web version of the Admin panel. The testing and validation of the app demonstrated the highest mean score of 4.6(0.5)for Perceived Impact and the lowest mean score of 3.5(0.8)for Engagement of the “ExoDont” app. CONCLUSIONS The testing and validation of the app support the usability, functionality, and impact of the app on the users. “ExoDont” app has been designed, keeping the welfare of patients in view, in a user-friendly manner that will help patients adhere to the prescribed drug regimen and ensure easy and efficient dissemination of post-operative instructions. It can help play an instrumental role in fostering compliance within the patients and significantly decrease the complication rate after a dental extraction.

Download Full-text

Scanning electron microscopy of composite hydroxylapatite/plaster implants for bone reconstruction

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100143250 ◽

1986 ◽

Vol 44 ◽

pp. 326-327

Author(s):

J. S. Hanker ◽

B. L. Giammara

Keyword(s):

Tooth Extraction ◽

Alveolar Ridge ◽

Small Particles ◽

Alveolar Ridge Augmentation ◽

Sintered Ceramic ◽

Ridge Augmentation ◽

Fibrovascular Tissue ◽

Infrabony Defects ◽

Edentulous Patients ◽

Scanning Electron

Nonresorbable sintered ceramic hydroxylapatite (HA) is widely employed for filling defects in jaw bone. The small particles used for alveolar ridge augmentation in edentulous patients or for infrabony defects due to periodontal disease tend to scatter when implanted using water or saline as the vehicle. Larger blocks of this material used for filling sockets after tooth extraction don't fit well. Studies in our laboratory where we compared bovine serum albumin, collagen and plaster of Paris as binders to prevent particle scatter during implantation suggested that plaster was most useful for this purpose. In addition to preventing scatter of the particles, plaster enables the formation of implants of any size and.shape either prior to or during surgery. Studies with the PATS reaction have indicated that plaster acts as a scaffold for the incorporation of HA particles into bone in areas where the implant contacts either host bone or periosteum. The shape and integrity of the implant is maintained by the plaster component until it is replaced over a period of days by fibrovascular tissue.

Download Full-text

Articulatory Behavior Pre and Post Full-Mouth Tooth Extraction and Alveoloplasty

Journal of Speech Language and Hearing Research ◽

10.1044/jshr.2303.630 ◽

1980 ◽

Vol 23 (3) ◽

pp. 630-645 ◽

Cited By ~ 7

Author(s):

Gerald Zimmermann ◽

J.A. Scott Kelso ◽

Larry Lander

Keyword(s):

Control Subject ◽

High Speed ◽

Tooth Extraction ◽

Kinematic Parameters ◽

Experimental Conditions ◽

Mean Values ◽

Articulatory Movements ◽

The Mean ◽

Experimental Subjects ◽

Normal Speech

High speed cinefluorography was used to track articulatory movements preceding and following full-mouth tooth extraction and alveoloplasty in two subjects. Films also were made of a control subject on two separate days. The purpose of the study was to determine the effects of dramatically altering the structural dimensions of the oral cavity on the kinematic parameters of speech. The results showed that the experimental subjects performed differently pre and postoperatively though the changes were in different directions for the two subjects. Differences in both means and variabilities of kinematic parameters were larger between days for the experimental (operated) subjects than for the control subject. The results for the Control subject also showed significant differences in the mean values of kinematic variables between days though these day-to-day differences could not account for the effects found pre- and postoperatively. The results of the kinematic analysis, particularly the finding that transition time was most stable over the experimental conditions for the operated subjects, are used to speculate about the coordination of normal speech.

Download Full-text