Oral Hygiene and Gingival Health in Patients with Fixed Prosthodontic Appliances - A Six Month Follow-up

Background Gingival inflammation and periodontal disease are the common complications of fixed dental prosthesis. They can be overcome by good oral hygiene maintenance.Objective The objective of this study was to assess the oral hygiene and gingival condition in patients after placement of fixed dental prosthesis for a period of six months. It was also analyzed how factors like type of fixed dental prosthesis (Single crown, fixed partial denture) and material (Metal, Porcelain fused to metal) are statistically associated with oral hygiene and gingival health.Method The sample consisted of 50 patients visiting the Dental Outpatient Department of Dhulikhel Hospital. The oral examinations were conducted using basic diagnostic tools (Mouth mirror, periodontal probe and explorer). Teeth and gingiva were examined using the Plaque and Gingiva Index by Silness and Löe. The examinations were conducted after 14 days and six months after placement of fixed dental prosthesis along with the oral hygiene instructions. Paired sample t-test were done to find statistical association using SPSS 16.0.Result Our results revealed no significant difference in plaque index among patients with single crown whereas fixed partial denture showed statistical significance. No significant differences were found for type of material. The statistical analysis showed similar results for gingival index.Conclusion Our research showed that single crown had no significant difference on Plaque index and Gingival index of the patient after 14 days and six months, whereas, Fixed partial denture showed significant difference. Both metal and porcelain fused to metal crown revealed no statistically significant difference on Plaque index and Gingival index.

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Metal-Ceramic Screw-Retained Implant Fixed Partial Denture With Intraoral Luted Framework to Improve Passive Fit

Journal of Oral Implantology ◽

10.1563/aaid-joi-d-09-00089 ◽

2012 ◽

Vol 38 (2) ◽

pp. 149-153 ◽

Cited By ~ 2

Author(s):

Mirza Rustum Baig ◽

Rajan Gunaseelan

Keyword(s):

Dental Prosthesis ◽

Partial Denture ◽

Long Span ◽

Fixed Partial Denture ◽

Fixed Dental Prosthesis ◽

Metal Ceramic ◽

Passive Fit ◽

Implant Prosthesis

Passive fit of a long-span screw-retained implant prosthesis is an important criteria for the success of the restoration. This article describes a technique for fabricating a ceramometal implant fixed dental prosthesis (FDP) for a long-span partially edentulous situation by altering the conventional screw-retained design. The possibility of a passive fit is maximized by intraoral luting of the cast frame to milled abutments, and the potential framework distortion during fabrication is compensated to a major extent. Retrievability is ensured by screw retention of the prosthesis to the implants. Compared with conventional porcelain fused to metal screw-retained FDP, this prosthesis is relatively inexpensive to fabricate.

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Oral hygiene habits and status of orthodontic patients attending the University of Pretoria, Oral and Dental Hospital

South African Dental Journal ◽

10.17159/2519-0105/2021/v76no3a2 ◽

2021 ◽

Vol 76 (3) ◽

pp. 130-135

Author(s):

Noluthando L Buthelezi ◽

Thomas K Madiba

Keyword(s):

Oral Hygiene ◽

Plaque Index ◽

Gingival Index ◽

Chi Square ◽

Cross Sectional ◽

Significant Difference ◽

University Of Pretoria ◽

Dental Hospital ◽

Orthodontic Patients ◽

Oral Hygiene Habits

Most orthodontic patients struggle to maintain good oral hygiene during treatment. To determine oral hygiene habits and status of patients undergoing fixed orthodontic treatment at University of Pretoria, Oral and Dental Hospital. A cross-sectional descriptive study. A modified, validated, self-administered questionnaire was used, and clinical examinations were conducted using Orthodontic Plaque Index, Gingival index, and Bleeding index. The questionnaire sought to determine knowledge and practice patterns. Data analysis included frequencies and correlations using chi-square test, with a significance of p<0.05.Fifty patients participated with 34(68%) being female with ages from 10 to 28 and a mean of 18,5. Seventy percent avoided sticky foodstuff, 74% used mouthwash, 56% flossed daily and 84% brushed twice daily. However, 82% consumed sugar containing drinks. Clinical exam revealed an Orthodontic Plaque Index mean of 2.6, Gingival Index mean of 0.1 while the Bleeding Index was 13.3 and 90% had normal gingiva. There was a significant difference in Gingival Index score between patients at age category 10-19 and 18-24 (p< 0.05). This study revealed a satisfactory oral hygiene status among patients at the institution with the majority of patients maintaining good oral hygiene practices. However, 82% consumed sugar sweetened beverages.

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Asthma and periodontal health in children

Vojnosanitetski pregled ◽

10.2298/vsp170221063d ◽

2018 ◽

Vol 75 (12) ◽

pp. 1202-1208

Author(s):

Bojana Davidovic ◽

Mirjana Ivanovic ◽

Dejan Bokonjic ◽

Svjetlana Jankovic ◽

Jelena Eric ◽

...

Keyword(s):

Oral Health ◽

Oral Hygiene ◽

Plaque Index ◽

Gingival Index ◽

Periodontal Health ◽

Mean Values ◽

Asthmatic Children ◽

Periodontal Index ◽

Significant Difference ◽

Children With Asthma

Background/Aim. Oral health is an important part of overall health. Good oral health is important for oral diseases prevention and health maintenance of respiratory system. The aim of the study was to evaluate oral hygiene and periodontal health parameters of asthmatic children and to compare them with children without asthma as well as to evaluate those parameters according to type of used medications and time of taking medications in children with asthma. Methods. This epidemiological study included 68 children with asthma and 68 children without asthma or any other chronic disease aged from 6 to 16 years. Parameters used in this study were Greene-Vermillion index, L?e-Silness gingival index and Community Periodontal Index (CPI). Results. Good oral hygiene (31.1%) was more present in children without asthma whereas poor hygiene (20.0%) was more frequent in children with asthma (p < 0.001). Healthy gingiva was more frequent in children without asthma (25%) while mild (58.8%) and moderate gingival inflammation (5.9%) were more frequent in the group of children with asthma (p < 0.01). Mean CPI values were higher in children with asthma (p < 0.001). Mean values of Plaque Index, Gingival Index and CPI did not show statistically significant difference in relation to type of administered medication. However, taking medications in the afternoon was related to higher mean values of Plaque Index and Gingival Index (p < 0.05) within the group of children with asthma. Conclusion. Children with asthma had poorer oral hygiene and were diagnosed with greater values of oral hygiene and periodontal indices compared with the group of children without asthma. For this reason, it is necessary to promote oral health and establish good oral hygiene habits in asthmatic children.

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Oral Home Care and the Reasons for Seeking Dental Care by Individuals on Renal Dialysis

The Journal of Contemporary Dental Practice ◽

10.5005/jcdp-3-2-31 ◽

2002 ◽

Vol 3 (2) ◽

pp. 31-41 ◽

Cited By ~ 12

Author(s):

Farhad Atassi

Keyword(s):

Oral Health ◽

Home Care ◽

Dental Care ◽

Oral Hygiene ◽

Renal Dialysis ◽

Plaque Index ◽

Gingival Index ◽

Oral Health Promotion ◽

Significant Difference ◽

Care Practices

Abstract A cross-sectional study of 90 patients on renal dialysis was conducted to assess oral home care practices and the reasons for seeking dental care among these patients. Participants were divided into three groups based on the time they have been on renal dialysis. The groups were: (1) dialysis for less than one year, (2) dialysis for 1 to 3 years, and (3) dialysis for more than 3 years. Information regarding oral home care such as frequency of brushing, oral hygiene aids, and reasons for seeking dental care was obtained through a personal interview with the patients. Their oral health status was assessed using a plaque index and a gingival index. The means of plaque index were 1.716 (S.D 0.64), 2.161 (S.D 0.36), and 2.255 (S.D 0.42) respectively for the groups. The means of gingival index were 1.4278 (S.D 0.67), 1.9667 (S.D 0.38), and 2.0556 (S.D 0.35) for the three groups respectively. Tukey's post hoc test showed significant difference in both the indices between first and second groups and between the first and third groups, no significant difference was found between the second and third groups. The results indicate that oral home care practices were inadequate due to the presence of an unacceptable level of oral hygiene among the patients. Miswak (a wooden, Salvadora persica, chewing stick that is popular in the middle east to mechanically clean the teeth) has been found to be popular among the subjects. The primary purpose of dental clinic visits was for treatment of a dental problem rather than for the prevention of dental disease. There is a need for oral health promotion and especially prevention programs among the patients on renal dialysis. Citation Atassi F. Oral Home Care and the Reasons for Seeking Dental Care by Individuals on Renal Dialysis. J Contemp Dent Pract 2002 May;(3)2: 031-041.

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Sobrevida de prótese parcial fixa posterior em zircônia: revisão sistemática de estudos clínicos com até 7 anos de acompanhamento

Cerâmica ◽

10.1590/0366-6913201662361 ◽

2016 ◽

Vol 62 (361) ◽

pp. 71-76

Author(s):

P. L. P. da Silva ◽

G. A. Lemos ◽

R. F. Bonan ◽

J. R. C. Queiroz ◽

A. U. D. Batista

Keyword(s):

Dental Prosthesis ◽

Partial Denture ◽

Dental Porcelain ◽

Fixed Partial Denture

Resumo A cerâmica odontológica tem sofrido modificações na composição visando melhorar sua resistência em resistir às forças mastigatórias fisiológicas na região posterior da boca. O objetivo deste trabalho foi avaliar o comportamento clínico de próteses parciais fixas posteriores (PPFs) em zircônia a partir de estudos clínicos prospectivos de 3 anos ou mais. Realizou-se revisão sistemática da literatura por meio de pesquisa na base de dados PubMed em busca de publicações em inglês entre os anos de 2004 e 2014 com os seguintes descritores e suas combinações: 'fixed partial denture' OR 'dental prosthesis' OR 'dental porcelain' OR 'FPD' AND 'zirconia'. A busca resultou em 282 artigos, 20 foram lidos na íntegra e então oito selecionados. Os sistemas de zircônia utilizados foram Lava (3M ESPE), Cercon (DeguDent) e Denzir (Cad.esthetics) com cimentação variando entre resinosa, com ionômero de vidro e fosfato de zinco. A quantidade total de pacientes examinados foi de 199, com 241 próteses instaladas, avaliados em um período de 3 a 7 anos. Destas, oito apresentaram fratura da infraestrutura em zircônia, 41 sofreram fratura apenas da cerâmica de recobrimento e 17 tiveram perda de retenção sem fratura; 17 dentes pilares sofreram cárie secundária, três fraturaram e nove necessitaram de tratamento endodôntico. A taxa de sobrevida das PPFs variou de 73,9% a 100%. Concluiu-se que a zircônia está apta a ser utilizada na região posterior, porém estudos são necessários para averiguar as causas das lascas do revestimento. Mediante as falhas na cimentação, recomenda-se seguir rigorosamente as instruções do fabricante e atentar para um preparo dental adequado.

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Appropriate Oral Hygiene Motivation Method for Patients with Fixed Appliances

The Angle Orthodontist ◽

10.2319/101806-428.1 ◽

2007 ◽

Vol 77 (6) ◽

pp. 1085-1089 ◽

Cited By ~ 31

Author(s):

Zuhal Yetkin Ay ◽

Mözgür Sayın ◽

Yener Özat ◽

Tuba Goster ◽

A. Onur Atilla ◽

...

Keyword(s):

Oral Hygiene ◽

The Other ◽

Plaque Index ◽

Gingival Index ◽

Verbal Information ◽

Bleeding On Probing ◽

Orthodontic Patients ◽

Fixed Appliances ◽

The Difference

Abstract Objective: To determine the most appropriate oral hygiene motivation method (OHMM) for orthodontic patients with fixed appliances. Materials and Methods: A total of 150 orthodontic patients, scheduled for their regular controls, were included in this study. The patients were divided into five groups (n = 30) according to the verbal OHMM and instructed as follows: only verbal information (V), verbal information with demonstration on model (M), verbal information with demonstration on model and self application by the patient (M+A), verbal information using the illustration catalog (I), and verbal information using the illustration catalog and self application by the patient (I+A). All of the applications of the patients were made under the supervision of the clinicians. The periodontal parameters (plaque index [PI], gingival index [GI], and bleeding on probing [BOP]) were recorded at the baseline (before the instructions of the OHMM), 1 week later, and 4 weeks after the OHMM. Results: All periodontal parameters showed significant decreases after 4 weeks in all OHMM groups (P < .05). I+A group has significantly lower PI scores and BOP percentages than the other groups (P < .05) after 4 weeks. The difference between the V group and M+A, I, and I+A groups in the GI scores were significant (P < .05), and the I+A group has presented the lowest GI score. Conclusions: The OHMM applied by the patients under the supervision of the clinician seemed to be more successful in the elimination of plaque and inflammatory symptoms in patients with fixed appliances.

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Clinical Evaluation of the Effect of Implant-Supported and Implant Retained Distal Extension Removable Partial Dentures on the Supporting Structures

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2021.6757 ◽

2021 ◽

Vol 9 (D) ◽

pp. 170-178

Author(s):

Ragia Saad Mohamed Kotb ◽

Ahmed Gamal Ahmed Hassan ◽

Emad Mohamed Tolba M. Agamy ◽

Gehan Fekry Mohamed

Keyword(s):

Class I ◽

Gingival Index ◽

Removable Partial Denture ◽

Partial Denture ◽

Second Molar ◽

Group I ◽

Probing Depth ◽

Significant Difference ◽

Abutment Teeth ◽

Supporting Structures

Objective: To evaluate and compare the effect of implant supported versus implant retained removable partial denture restoring Kennedy's class I cases on the supporting structures by measuring modified gingival index and probing depth for abutment teeth and implants. Subjects and Methods: Twelve patients; who had Kennedy class I mandibular partially edentulous ridge extending distal to the first or second premolar, were selected from the outpatient clinic, Prosthodontics Department, Faculty of Dentistry, Minia University. The patients were classified into two equal groups; according to the implant superstructures either dome shaped abutment or ball and socket attachment. Each Patient of both groups had two implants in second molar position (one in each side) and received removable partial denture of the same design. Patients were followed up for one year clinically. Group I: Six patients received RPD supported by dome shaped short abutments. Group II six patients received RPD retained by ball and socket attachments. Results: Results revealed that, there was no statistically significant difference between the two groups regarding modified gingival index and probing depth around the abutment teeth and implant abutment. Conclusion: The use of dome shaped abutment or ball and O-ring attachment have the same effect on gingival index and probing depth around natural abutments and implants in Kennedy class I mandibular situations.

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Oral Hygiene in a Sample of Children/Adolescents Living in Family-Homes from the Province of Milan (Italy): A Pilot Study

Dentistry Journal ◽

10.3390/dj8020033 ◽

2020 ◽

Vol 8 (2) ◽

pp. 33 ◽

Cited By ~ 3

Author(s):

Alessandro Nota ◽

Floriana Bosco ◽

Shideh Ehsani ◽

Francesca Giugliano ◽

Giulia Moreo ◽

...

Keyword(s):

Pilot Study ◽

Oral Hygiene ◽

Clinical Results ◽

Plaque Index ◽

Control Group ◽

Controlled Clinical Trial ◽

Study Group ◽

Significant Difference ◽

And Gender ◽

Oral Hygiene Instructions

Objective: This pilot study is a prospective controlled clinical trial, designed to evaluate the short-term clinical results (the plaque index) of an educational/motivational program for home oral hygiene, directed to children and adolescents who live in family-homes. Methods: The setting of the project was the province of Milan (Italy), where two family-homes were selected. The study group included 26 children (16 females and 10 males) aged between 7 and 15 years, of Italian nationality, from the family-home communities. The control group included 26 children (15 females and 11 males, aged between 7 and 15 years) of Italian nationality, matched for age and gender distribution with the study group, that were not in a socially disadvantaged condition. Collection of the plaque index (PI) was performed at t0. Then, all basic oral hygiene instructions were given to all children/adolescents and their educators. Education and motivation were repeated in the same way after 4–7 weeks (T1), and after 10–12 weeks (T2). The PI was taken also at T1 and T2. Results: An improvement in the PI was generally found in both groups, but there was no statistically significant difference between the two groups over time. Multivariate analysis of variance (MANOVA) revealed a statistically significant effect of time [F (1, 52) = 90.73, p < 0.001], regardless of the assignment group, in consequence of which the plaque index presented a moderate and significant improvement. Conclusion: The present data confirm the validity of the educational/motivational program to improve oral hygiene in children/adolescents, regardless of the assignment group.

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Multivariate analysis of the influence of peri-implant clinical parameters and local factors on radiographic bone loss in the posterior maxilla: a retrospective study on 277 dental implants

Clinical Oral Investigations ◽

10.1007/s00784-020-03666-x ◽

2020 ◽

Author(s):

Mariane B. Sordi ◽

Vittoria Perrotti ◽

Flavia Iaculli ◽

Keila C. R. Pereira ◽

Ricardo S. Magini ◽

...

Keyword(s):

Logistic Regression ◽

Multivariate Analysis ◽

Bone Loss ◽

Dental Implants ◽

Clinical Parameters ◽

Partial Denture ◽

Local Factors ◽

Fixed Partial Denture ◽

Single Crown ◽

Posterior Maxilla

Abstract Objectives The aim of the present study was to investigate whether peri-implant clinical parameters (modified plaque index (mPI), bleeding and/or suppuration on probing (B/SOP)) and local factors (type of prostheses, screw emergence, platform diameter, and abutment angulation) might contribute to the development of additional bone loss and peri-implantitis around dental implants. Materials and methods Two hundred seventy-seven external hex connection implants placed in the posterior maxilla of 124 patients were retrospectively evaluated. They were divided into two groups: physiologic bone loss < 2 mm (PBL) or additional bone loss ≥ 2 mm (ABL). GEE logistic regression was applied to evaluate the influence of type of prostheses (implant-supported single crown (ISSC), fixed partial denture (ISFPD), and full denture (ISFD)) and clinical parameters (mPI and S/BOP) on bone loss. Results Among the 277 implants, 159 (57.4%) presented PBL and 118 (42.6%) presented ABL. Within the ABL group, 20.6% implants were diagnosed with peri-implantitis. mPI significantly correlated with the type of prosthesis and the highest value of mPI (index = 3) was observed in ISFD (23.8%). Moreover, peri-implantitis was more frequently associated with ISFD (32.79%) than ISSC and ISFDP (13.79% and 13.48, respectively) Conclusions ISFD in the posterior maxilla presented high rates of ABL and showed a higher prevalence of peri-implantitis. None of the local factors seemed to contribute to the development of these conditions. Further investigations are needed to prospectively support the results of the present study. Clinical relevance Patients rehabilitated with ISFD should be carefully monitored and have more frequent maintenance visits to prevent or control peri-implant bone loss.

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Patients’ satisfaction and maintenance of fixed partial denture

European Journal of Dentistry ◽

10.4103/1305-7456.178313 ◽

2016 ◽

Vol 10 (02) ◽

pp. 250-253 ◽

Cited By ~ 2

Author(s):

Ghada Hassan Geiballa ◽

Neamat Hassan Abubakr ◽

Yahia Eltayib Ibrahim

Keyword(s):

Oral Hygiene ◽

Subjective Perception ◽

Partial Denture ◽

Hygiene Practices ◽

Fixed Partial Denture ◽

Fixed Prosthodontics ◽

Number Of Patients ◽

Hygiene Measures ◽

Chewing Ability ◽

Fixed Prosthesis

ABSTRACT Objectives: The aims of this study were to evaluate patient satisfaction with fixed prosthesis following placement and to assess the oral health and oral hygiene practices awareness by survey questionnaire. Materials and Methods: One hundred and ninety-two questionnaires were filled by patients wearing fixed prosthesis; the questionnaire included the subjective perception of treatment with fixed prosthesis, patients’ perception of clinical outcome, regarding esthetics, masticatory function, speech, and together patient's attitude toward oral hygiene measures. Results: Results showed that 84% of the patients were satisfied with their fixed prosthesis, while only 46.4% of patients were satisfied with the chewing ability. In concern, with esthetic outcome, 80% of patients showed that they were satisfied with the esthetic. The results showed that a high significantly number of patients did not use any form of interdental aids’ to clean their fixed prosthesis (94%). The main reason for not using any dental aids’ (91.1%) was a lack of post fixed prosthodontics instructions and not been informed by the dentist. Conclusion: High percentages of patients were satisfied with their fixed prosthesis. The most important finding of this study was that majority of patients showed a lack of knowledge regarding post fixed prosthodontics instructions and the significance of maintenance of fixed prosthesis using dental aids’. Of particular concern was the majority of dentists did not pay attention to the post treatment instructions concerning the maintenance of fixed prosthesis.

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