scholarly journals Restoration in primary molars placed by undergraduate dental students: reasons for failures

2021 ◽  
Vol 2 (2) ◽  
pp. 33-40
Author(s):  
Nor Asilah Harun ◽  
Munirah Yaacob ◽  
Mohamad Shafiq Aizuddin Abdul `Alim ◽  
Saifullah Ghazali ◽  
Nik Khairul Azmi Nik Khairuzaman

Dental caries is one of the most common chronic childhood diseases and highly prevalent in the world. The commonest treatment procedure for dental caries is a dental restoration which aims to retain the tooth. The survival of restoration depends on the factors associated with restorative materials, patients or operators. Thus, this study aimed to determine the reasons for the failure of restoration in posterior primary teeth performed by undergraduate dental students. A total number of 32 patients aged from 5 to 12 years old were included in this study. Overall, 115 primary molar restorations were assessed clinically using the modified United States Public Health Service Ryge criteria. The O’Leary plaque score was used to evaluate the oral hygiene status of all patients. Then, the data was analysed using the Kaplan-Meier survival curves with log-rank test and Cox regression analysis. 43 (37.4 %) restorations failed with 62.1 % for glass ionomer cement and 36.4 % for composite restorations. Marginal adaptation (62.8 %) is the commonest cause of failure. 76.7% of failure restoration was in patients with poor oral hygiene, and it showed a significant difference compared to patients with moderate and good oral hygiene (p = 0.014). Thus, it was concluded that the type of restorative material and oral hygiene status contributed to the failure of restoration placed in primary molar restorations with failure restoration may occur 2.6 times more in poor oral hygiene patients.

2020 ◽  
Vol 10 (14) ◽  
pp. 4687
Author(s):  
Rossella Santoro ◽  
Claudia Santoro ◽  
Francesca Loffredo ◽  
Antonio Romano ◽  
Silverio Perrotta ◽  
...  

Background: Neurofibromatosis 1 (NF1) is an autosomal dominant genetic disorder. The expression of NF1 is extremely variable considering the broad spectrum of mutations affecting the gene(s) responsible for the pathology. Aim: To investigate the prevalence of oral manifestations in a group of children affected by neurofibromatosis type 1. Design: 100 pediatric patients, with genetically confirmed NF1 were enrolled in this study and matched to a total of 100 healthy children. Clinical examination was used to investigate: dental caries, dental abnormalities, periodontal health, neurofibromas, malocclusions, and enamel defects. Results: Mann Whitney’s test concerning prevalence of dental caries resulted in a no significant difference between the two groups (p = 0.90); a significant difference was highlighted as regards the other kinds of manifestations as well: enamel defects (p = 0.01), neurofibromas (p = 0.0043) and poor oral hygiene (p = 0.0002) with a higher prevalence of these features in NF1 patients than healthy controls. Similar results come out, regarding dental abnormalities in which can observe a significant difference between shape anomalies (p < 0.001). Conclusion: According to data obtained from the present study, it can be stated that NF1-related oral manifestations can be detected during childhood and adolescence. In particular for neurofibromas, enamel defects, shape anomalies, and poor oral hygiene.


2018 ◽  
Vol 08 (04) ◽  
pp. 221-225
Author(s):  
Beenish Fatima Alam ◽  
Hira Raza ◽  
Shizma junejo ◽  
Marium Azfar ◽  
Tuba Saleem ◽  
...  

Objective: To determine the differences of self-perception of halitosis and oral hygiene practices among the medical and dental undergraduate students. Methodology: A cross-sectional study conducted over duration of 9 months amongst the medical and dental undergraduate students of Bahria University Medical and Dental College. The questionnaires were distributed to 298 students. Questionnaire employed for this study was adopted and modified from the study conducted by Khalid Almas et al. Descriptive statistics were checked by means of percentages and frequency for all variables. Chi-square test was applied to check significant difference among the responses given by the medical and dental undergraduate students. Results: The response rate for the survey was about 85%. 55% of dental and 17 % of medical students were able to smell their breath. About having examination by dentist about 73% of medical students agreed as compared to 53% of dental students. Both medical and dental students preferred having examination done by the dentist. For management of halitosis, dentist was preferred by 62% of the dental students, while 97% of the medical students did not agree. 62% of the dental students preferred using traditional medications, while 82% of the medical students preferred using self-medications for treatment. Conclusion: The results suggest that there is not a high level of agreement among dental and medical students concerning the detection and management of halitosis. Although large percent of the respondents claimed to be aware of dentistry, our findings revealed low level of knowledge and attitude to Dentistry by the medical undergraduate students. Efforts should be made towards closing this knowledge gap to attain effective oral health.


2014 ◽  
Vol 26 (1) ◽  
Author(s):  
Fitri Dwi Primadisya ◽  
Milly Armilia Andang

Introduction: Dental caries is a problem that usually happens in the society. One of the treatments for dental caries is restoration. Dental restoration material which one usually used are compsite and amalgam. The aim of this research is to acknowledge the different amount between the usage of composite and amalgam restoration in posterior teeth of patient in RSKGM Bandung. Methods: Type of research was descriptive. Sample were taken from patients data who had dental treatment of composite and amalgam restoration in posterior teeth in RSKGM Bandung on 1st July – 31st December 2011. Differences result of two restoration inthis research analyzed with test-t analysis.Results: Total amount of posterior teeth restorated was 1485 teeth, which 1445 teeth were restored using composite and 40 teeth were restored using amalgam. It showed that the usage of composite restoration was more than amalgam restoration.Conclusion: there is a significant difference between the number of composite restorations and amalgam on the posterior tooth. The average number of composite restorations is greater than amalgam restoration.


2011 ◽  
Vol 05 (04) ◽  
pp. 415-422 ◽  
Author(s):  
Zuhal Kirzioglu ◽  
Ozge Erken Gungor ◽  
Z Zahit Ciftci

ABSTRACTObjectives: The aim of this study was to evaluate the clinical and radiographic success rates of pulpotomized primary molar teeth restored with a compomer material with using United States Public Health Service (USPHS) criteria. Methods: In 173 primary molars of 156 child patients, aged within 4-9 years (mean age: 6.1±1.4 years), conventional pulpotomy treatment were performed. The teeth treated using calcium hydroxide, formocresol or ferric sulphate. After pulpotomy procedure, teeth were restored with compomer material. The teeth were evaluated as clinically and radiographically during a period of 12-24 months. Both of success of pulpotomy treatment and also restorative material (compomer material) were evaluated during follow-up period. The data were assessed with chi-square test. Results: At the end of the first year, 45% of initial treated teeth were checked, but only 18% were checked at the end of the second year. The first year success rates in the groups treated with CH, FC, and FS were 87.5%, 95%, and 79%, respectively, and, as the number of controllable patients was lower, the success rates on available teeth were determined to be 88.3% and 80%, respectively, according to the materials at the end of the second year. Restorations having been made, they were analyzed in accordance with USPHS criteria. Conclusions: At the end of the first year, 67.5% of compomer restorations were detected to be original and healthy and at the end of the second year, 57% were deemed healthy. No statistically significant relationships were found between marginal adaptation, secondary caries and pulpotomy success (chi-square test, P>.05). Among the three groups, there is no significant difference in terms of success. The least successful age group was defined as 4-6 years. (Eur J Dent 2011;5:415-422)


2021 ◽  
Vol 15 (6) ◽  
pp. 1152-1157
Author(s):  
M. A. Abdulsalam ◽  
N A Alsewaiq ◽  
S. A. Hamza ◽  
A.U. Y. Syed ◽  
M. A. Ahmed ◽  
...  

Aim: To assess dental caries knowledge, DMFT status and oral hygiene practices among Science and Non-science University students. Methods: A cross-sectional survey was conducted through a questionnaire that contained sociodemographic information, questions about oral health knowledge (OHK) assessed on Likert scale (strongly agree, agree, disagree, strongly disagree). Questions about dental caries, teeth extracted due to caries, and filled teeth while the fourth section questions were about oral hygiene practices (OHP). Data were processed using SPSS (version 21) with significance level of p≤0.050. Results: Four hundred (400) students participated in current study in which 190 students were from science (medicine and pharmacy) and 210 from non-science (education and arts) colleges. Male and female ratio were 185(46.3%) and 215(53.8%) respectively. Overall, oral health knowledge status was demonstrated as non-significant by both science and non-science students except for question regarding transmission of dental caries. A significant difference was observed between gender (p=0.016) for all questions except question 2 (bacteria is the cause of tooth decay). In addition, a significant difference were observed between urban and rural students (p=0.037) for question 2. No significant difference were observed for decayed, extracted teeth and oral hygiene practices between science and non-science students.. Conclusion: Statistically no significant difference in status of knowledge, decayed and missing teeth and oral hygiene practices was observed between science and non-science students, except for filled teeth. However differences among genders and urban/rural was noted. Keywords: Dental caries, Oral health practice, Science, Non-science, University students


2016 ◽  
Vol 8 (10) ◽  
pp. 143 ◽  
Author(s):  
Esam S. Halboub ◽  
Sadeq A. Al-Maweri ◽  
Aisha A. Al-Jamaei ◽  
Mohammed A. Al-wesabi ◽  
Anas Shamala ◽  
...  

<p><strong>Objectives</strong><strong>:</strong> To assess self-reported oral health attitudes and behavior among undergraduate dental and medical students, and to analyze the variations in oral health attitudes based on gender, level of education, study discipline, academic average, and type of university.</p><p><strong>Methods</strong><strong>:</strong> A self-administered questionnaire based on the Hiroshima University-Dental Behavioural Inventory (HU-DBI) was distributed to 1269 undergraduate dental and medical students at two universities (one public and one private) in Sana’a, Yemen.</p><p><strong>Results:</strong> Overall, the mean questionnaire score for the total sample was markedly low (4.91±1.58), with no significant difference between dental and medical students (P&gt;0.05). Females had better oral health attitudes and behavior, especially towards visiting the dentist, tooth-brushing habits and oral hygiene practices (P&lt;0.05). Students attending the public university had better oral health attitudes and behaviors than those attending the private university (P=0.049). On the other hand, no significant associations were observed between students’ oral health attitudes/behavior and level of education and academic performance (P&gt;0.05).</p><p><strong>Conclusion:</strong> Yemeni dental and medical students have shown markedly poor oral health attitude and behavior. Further studies are required to reveal possible shortcoming in these schools’ education process. Dental and medical curricula should emphasize the importance of proper oral hygiene, and further participation of medical and dental students in oral hygiene seminars is highly encouraged.</p>


Medicina ◽  
2012 ◽  
Vol 48 (7) ◽  
pp. 54
Author(s):  
Jaunė Razmienė ◽  
Giedrius Vanagas ◽  
Eglė Bendoraitienė ◽  
Vilija Andriuškevičienė ◽  
Eglė Slabšinskienė

The aim of the study was to evaluate the factors associated with the prevalence and severity of dental caries as well oral hygiene habits among 4- to 6-year-old children in Kaunas (Lithuania) in 2000 and 2010. Material and Methods. A repeated cross-sectional study was carried out to reveal the changes in dental caries prevalence in 2000 and 2010. The study population comprised 4- to 6-year-old children living in Kaunas city and attending kindergartens. The study consisted of two parts: questionnaires on oral health behavior and clinical examination of children’s teeth by the World Health Organization methodology. Results. A total of 941 4–6-year-old children were examined in 2000 and 2010. The prevalence of dental caries increased from 85.4% in 2000 to 88.4% in 2010; however, the difference was not significant (P=0.28). A significant increase in the dmf-t index, describing the severity of dental caries, was observed (from 7.42 in 2000 to 12.03 in 2010, P<0.001). The percentage of 4- to 5-yearold girls and 5-year-old boys brushing their teeth regularly decreased in 2010. During the period of the study, a significant change in the accumulation of plaque on children’s tooth surfaces was documented (P=0.001). Conclusions. Comparing 2000 and 2010, no significant difference in the prevalence of dental caries among 4- to 6-year-old children in Kaunas was observed; however, the severity of dental caries differed significantly. A significant decrease in regular toothbrushing skills was documented for 4- and 5-year-old girls and 5-year-old boys. The Silness-Loe oral hygiene index was assessed as satisfactory.


2008 ◽  
Vol 32 (3) ◽  
pp. 235-238 ◽  
Author(s):  
Amitha Hegde ◽  
Y Rajmohan Shetty ◽  
Sharat Chandra Pani

Objective: The purpose of this study was to assess the prevalence of drooling in individuals with cerebral palsy and assess the effect these factors have on these individuals oral health. Materials: A total of 113 individuals with cerebral palsy between the age of 5 and 18 years were examined. The incidence and severity of drooling were determined using the index given by Blasco et al and the oral heath was recorded using a modified WHO performa. The data was then subjected to statistical analysis. Results: While drooling may not predispose the individual to dental caries individuals with drooling have a poorer oral hygiene score than those without. Conclusions: There is no significant difference in the Dental caries status, Orthodontic findings or the debris component of the Oral Hygiene Index of individuals who drool saliva and those who do not.


Author(s):  
Rekha P. Shenoy ◽  
Abdul Salam T. A. ◽  
Reema Agrawal ◽  
Prashanth Shenoy K.

Background: Oral diseases are major public health problems due to their high prevalence and significant social impact. Oral hygiene practices play a critical role in their prevention and control. This study was carried out to evaluate oral hygiene practices and oral status among adolescents in Mangalore taluk, taking into account differences based on location and type of school.Methods: A descriptive cross-sectional study was carried out among 1340 students enrolled in public and private high schools in urban and rural areas of Mangalore taluk. The study sample was equally distributed among urban and rural areas, and among public and private schools. Proforma was prepared to record demographic data, oral hygiene practices, dental caries and periodontal disease. Data were analyzed using Chi-squared test and t-test, with p<0.05 considered statistically significant.Results: Majority of the students used toothbrush and toothpaste to clean their teeth. Horizontal tooth brushing motion and once/twice daily tooth brushing frequency was reported by the highest number of students. Good oral hygiene was found among 55.2% participants. Female participants, urban children and those attending private schools presented with better oral hygiene. Prevalence of dental caries was 59.2%. Prevalence of gingivitis was 83.2%, with higher prevalence among females and rural participants. Poor oral hygiene was found to be associated with gingivitis (r=0.59).Conclusions: Although majority of the participants reported use of requisite oral hygiene aids and regular tooth brushing habits, the high prevalence of oral disease among them can be attributed to poor oral hygiene.


2021 ◽  
Vol 21 (1) ◽  
pp. 64-74
Author(s):  
Dilyar Ahmed Baban ◽  

Background: Oral and systemic infections are closely linked to poor oral hygiene. Chlorhexidine mouthwash, in addition to tooth brushing has been commonly recommended. About the fact that there is a lot of studies on the effectiveness of chamomile as an herbal mouthwash, there isn't much evidence on its competitive effect with chlorhexidine. Objective: To determine the clinical and inflammatory effects of chamomile as mouthwash (MTC) in the treatment of chronic gingivitis and compare its effect with 0.12% chlorhexidine (CHX). Patients and Methods: A total of 45 subjects aged 18-45 years with chronic gingivitis underwent scaling and polishing with oral hygiene instruction; 15 patients received 1% of (MTC) as mouthwash, 15 patients received 0.12% of chlorhexidine mouthwash, and 15 patients received scaling and polishing only (SRP). Mouthwash was twice daily for 14 days. At the start of the study, clinical periodontal parameters (PI, GI, and BOP) and blood samples were taken and after four weeks of treatment to estimate the levels of C-reactive protein (CRP), alkaline phosphatase (ALP) and total protein (TP). Results: After 4 weeks of periodontal treatment, there was a significant decrease in clinical periodontal parameters (P<0.01) and inflammatory markers (P<0.05) in the MTC and CHX and S&P alone groups. From periodontal treatment, there was no significant difference between the MTC and CHX groups with clinical periodontal parameters and inflammatory markers (P<0.05), although there was a significant difference between the MTC, CHX groups, and the S&P alone group in terms of clinical periodontal parameters and inflammatory markers (P<0.05). Conclusion: Chamomile has been shown to be comparable to CHX in terms of reducing gingivitis by decreasing clinical periodontal parameters and inflammatory chemical markers values such as CRP, ALP, and TP. Keywords: Chamomile; mouthwash; chlorhexidine; gingivitis, CRP, ALP, TP, serum


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