Impact of Removable Partial Denture Type on Patient Satisfaction and Abutment Survival Rate-RCT

BACKGROUND: Patient’s satisfaction and the preservation of abutments is the most important outcomes that the clinician seeks during fabrication of any dental treatment, especially when it is concerned with removable prosthodontic rehabilitation. AIM: The present study evaluates three different Removable Partial Denture (RPD) types restoring mandibular class II modification I edentulous cases with regards to patient’s satisfaction and abutments survival. METHODS: Forty-two partially edentulous patients were divided into three groups (Group I rehabilitated with Vitallium RPD, Group II rehabilitated with Vitallium RPD where the modification area restored with the surveyed bridge, Group III rehabilitated with Thermopress RPD). The patients were followed up for twenty-four months. Using a questionnaire, prosthodontic maintenance required was documented at the delivery and after 3 months. RESULTS: There was a significant difference regarding patient satisfaction for group III (P-value <0.05) while for groups I and II there was a non-significant difference (P-value >0.05). Regarding the survival rate, there was a non-significant difference between the three groups (P-value >0.05) at the end of twenty-four months of follow up. CONCLUSION: Patient satisfaction and abutment survival were better with Thermopress RPD than conventional Vitallium RPD or Vitallium RPD with a surveyed bridge restoring the modification area. Although a non-statistically significant difference was found in the survival rate of abutments between groups, a clinically important result was revealed as no abutments failures were reported in the Thermopress group.

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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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EFFECT OF HONEY CONSUMPTION AFTER PHYSICAL EXERCISES ON ELECTROLYTES AND BLOOD GLUCOSE LEVELS

Journal of Experimental Biology and Agricultural Sciences ◽

10.18006/2021.9(spl-2-icopmes_2020).s274.s279 ◽

2021 ◽

Vol 9 (Spl-2-ICOPMES_2020) ◽

pp. S274-S279

Author(s):

Aliyah . ◽

◽

Ratna Dwi Pujiarti Rahman ◽

Elly Wahyudin ◽

Rifka Nurul Utami ◽

...

Keyword(s):

Blood Glucose ◽

Physical Exercise ◽

P Value ◽

Group Iii ◽

Glucose Levels ◽

Blood Glucose Levels ◽

Physical Exercises ◽

Group I ◽

Significant Difference ◽

Honey Solution

Honey has been used as food and medicine for thousands of years. The purpose of this study was to determine the effect of honey in restoring the levels of electrolytes and blood glucose after performing physical exercises. The effect of honey consumption on electrolyte and blood glucose levels was examined on12 healthy male subjects, which were divided into 4 groups with three members in each group. Group I was treated as control and provided only 250 ml of mineral water after exercise, while group II was provided 250 ml commercial isotonic beverage, group III provided honey solution 1 (15 ml honey/250 ml water), and group IV provided honey solution 2 (45 ml honey/250 ml water). The physical exercise performed by the subjects is running on a treadmill at a speed of 5.6 km/h for 40 minutes. Measurements of electrolyte and blood glucose levels were performed 24 hrs before as initial baseline, and these were also measured after the physical exercise as well as after the treatment. Results of the study revealed that honey played a significant role in the restore electrolyte and blood glucose levels in people who have performed physical activities such as exercising and the effect of honey is similar to the commercial isotonic beverage. However, no significant difference (p-value > 0.05) was reported between the honey solution 1 and 2 and other treatment groups in elevating sodium and chloride level.

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Transverse Strength of Heat Cured Acrylic Resin After Immersed in 0, 2% Chlorhexidine Gluconate Mouthwash (In Vitro)

UI Proceedings on Health and Medicine ◽

10.7454/uiphm.v1i0.33 ◽

2017 ◽

Vol 1 ◽

Author(s):

Annisa Mayang Rusdi ◽

Lasminda Syafiar ◽

Astrid Yudhit

Keyword(s):

Testing Machine ◽

Acrylic Resin ◽

Chlorhexidine Gluconate ◽

P Value ◽

Group V ◽

Group Iii ◽

Transverse Strength ◽

Group I ◽

Significant Difference

Objective: The purpose of this study was to evaluate transverse strength of heat cured acrylic resin after immersed in 0,2% chlorhexidine gluconate mouthwash for 15, 30, 45, and 60 minutes.Methods: This was an experimental laboratory study with posttest only group design. The samples were heat cured acrylic resin plate with size 65mm x 10mm x 2,5mm. Polymerization of the heat cured acrylic was done by water bath (74 °C for 2hrs followed by 100 °C for 1hr). Totally 30 samples were prepared and divided into 5 groups (n=6) which are group I as control, and others were immersed in 0, 2% chlorhexidine gluconate, group II (15 minutes), group III (30 minutes), group IV (45 minutes) and group V (60 minutes) respectively. The transverse strength was test using Torsee’s Universal Testing machine, Japan with crosshead 1/10 mm/seconds. The data was statistically analyzed using one way ANOVA (p≤0,005).Results: Means and Standard deviation of Transverse strength were 92.382±11.786 N/mm2, 92.186±13.349 N/mm2,92.578±12.492 N/mm2, 92.382±13.939 N/mm2, and 91.989±12.285 N/mm2 for group I, II, III, IV, and V respectively. Statistic analyzed showed no significant difference among groups with p value= 1,000 (p < 0, 05).Conclusion: The immersion in 0, 2% chlorhexidine gluconate mouthwash at different period does not changed transverse strength of heat cured acrylic resin.

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Effect of Visual Experience on Spatial Learning of Rats

10.32592/ajnpp.2021.8.3.103 ◽

2020 ◽

Keyword(s):

Visual Information ◽

Movement Pattern ◽

Visual Deprivation ◽

Male Rats ◽

Control Group ◽

P Value ◽

Adult Rats ◽

Group Iii ◽

Group I ◽

Significant Difference

Background: Visual information acquired through observation plays a pivotal role in learning a movement pattern and motor control. Objectives: This study aimed to analyze the effect of visual deprivation on learning in rats. Methods: The study sample consisted of 12 male rats, divided into three groups. Group I consisted of four rats and was considered the control group. Transection of the two optic nerves was performed on rats of group II on the seventh day after birth and group III on the seventh week after birth to develop the early blind and late blind models, respectively. A T-shaped maze device was utilized to evaluate the learning behavior of rats. Rats of groups II and III were blinded by the optic nerve surgery. In total, 20 trials per day were conducted for nine consecutive days, in which the time and number of correct arm entries were recorded. The ANOVA and Kruskal-Wallis tests were employed to analyze the results in SPSS software (version 16.0). A p-value of less than 0.05 was considered statistically significant. Results: There was a significant difference between the three groups regarding the number of correct arm entries on days one, three, and seven (P<0.05). There was also a significant difference between the three groups regarding how long it took them to enter the target box on days two and three (P<0.05). Group III had a lower number of entries to the target box and it took them a significantly longer time to enter the target box, compared to the other groups. Conclusion: According to the results, visual deprivation may affect the learning of rats during the early days; however, their learning levels increased over the following days. Moreover, the early blinded rats had a higher level of learning than the lately blinded adult rats and the same level of learning as that of the sighted adult rats.

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The Effect of New Patient Orientation to the Patient’s Satisfaction Level

Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) ◽

10.26699/jnk.v1i1.art.p024-029 ◽

2014 ◽

Vol 1 (1) ◽

pp. 024-029

Author(s):

Widya Dwi Pratiwi ◽

Yeni Kartika Sari

Keyword(s):

Patient Satisfaction ◽

Nursing Care ◽

Design Research ◽

Nursing Intervention ◽

P Value ◽

Satisfaction Level ◽

Patient Orientation ◽

Control Groups ◽

Patient’S Satisfaction ◽

Significant Difference

The rights of the patients can be fulfiled by nurses through orientation by nurses to new patients. The new patient orientation is a agreement between nurses and patients or families in providing nursing care. The agreement is needed to make a good relationship between nurses and patient or their family. The purpose of this study was to explain the effectiveness of the new patient orientation towards the satisfaction level of nursing care in Melati Room RSD Mardi Waluyo Blitar. Method: Research design was experimental research with quasy experimental design Research sample was 30 new patients at Melati Room RSD Mardi Waluyo Blitar were devided equally into two group, namely treatment and control groups at May 24th until May 31st, 2012, its choosed with concecutive sampling. Analysis using Mann Whitney test. Results: The result showed that the level of patient satisfaction on nursing care of treatment groups were 67% satisfied and 33% very satisfied. While the level of patient satisfaction of nursing care of control groups was 80 % satisfied and 20% dissatisfied. There was significant difference in the level of satisfaction of new patients who did and did not the orientation with p-value 0.00. Discussion: It is suggested for nurses to pay attention to the patient satisfaction of nursing care by giving orientation to new patients as nursing intervention.

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Comparison between Acetal Resin and Cobalt-Chromium Removable Partial Denture Clasp Retention: An in vitro Study

International Journal of Prosthodontics and Restorative Dentistry ◽

10.5005/jp-journals-10019-1076 ◽

2013 ◽

Vol 3 (2) ◽

pp. 50-56

Author(s):

Tarek Mohamed ◽

Osama Abdulmoneam Baraka ◽

Magdy Mostafa Badawy

Keyword(s):

Tensile Load ◽

In Vitro Study ◽

Horizontal Plate ◽

Cobalt Chromium ◽

Removable Partial Denture ◽

Partial Denture ◽

Group Iii ◽

Group I ◽

Molar Teeth

ABSTRACT Statement of problem The retention qualities of acetal resin clasps are questionable. Purpose To asses the initial retention and after cycling for 1,200 cycles of acetal resin clasps as compared to cobalt-chromium clasps. Materials and methods Extracted maxillary first premolars and molars were collected. Each tooth was embedded in acrylic block up to the cementoenamel junction. On each block, partial denture model consisted of Akers clasp, minor connector, cobalt-chromium horizontal plate representing the denture base, and a vertical arm on the horizontal plate was constructed. Models were divided into four groups (five each). Group I had acetal resin clasps on premolars. Group II had cobalt-chromium clasps on premolars. Group III had acetal resin clasps on molars. Group IV had cobalt-chromium clasps on molars. Akers clasps were designed to utilize 0.01 inch undercut. Each model was connected to the universal testing machine through the vertical arm. The model was placed in artificial saliva and a tensile load was applied to measure the initial retention. Then retention was measured after cycling for 200, 400, 600, 800, 1,000 and 1,200 cycles. One-way analysis of variance followed by Duncan's multiple range test was used to test the effect of groups and cycling on tensile load required for clasp dislodgment. Results Groups I and III showed no change in retention on cycling up to 1,200 cycles. Group I showed significantly higher retention than group III. Groups II and IV showed significant reduction in retention upon cycling more than 800 cycles. In spite of this reduction in retention, it is still higher than that in groups I and III. Conclusion Cobalt-chromium clasps showed higher retention than acetal resin clasps despite the deformation encountered in the former. Acetal resin clasps showed more retention qualities on premolar teeth than that on molar teeth. Clinical implications Acetal resin clasps can be used to retain Kennedy's class III partial denture. However, when used on molar teeth, it is recommended to increase the thickness of the retentive clasp arm or to use a deeper undercut. How to cite this article Mohamed T, Baraka OA, Badawy MM. Comparison between Acetal Resin and Cobalt-Chromium Removable Partial Denture Clasp Retention: An in vitro Study. Int J Prosthodont Restor Dent 2013;3(2):50-56.

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Factors Related to Patient Expectation and Satisfaction among New and Existing Denture wearers with Complete Denture therapy

Journal of Nepalese Prosthodontic Society ◽

10.3126/jnprossoc.v3i2.36384 ◽

2020 ◽

Vol 3 (2) ◽

pp. 86-91

Author(s):

A Pandey

Keyword(s):

Patient Satisfaction ◽

Social Life ◽

Economic Status ◽

Treatment Options ◽

Complete Denture ◽

P Value ◽

Functional Rehabilitation ◽

Patient’S Satisfaction ◽

Significant Difference ◽

Denture Status

Introduction: Edentulism is considered a debilitating condition with aging in which several dental and non-dental factors play a vital role in the success of prosthodontic treatment. Patient satisfaction is an important non-dental component. The dentist should aim for functional rehabilitation by satisfying the patient medically, functionally, and psychologically. Patient satisfaction depends on two factors: patient factor and dentist factor. From the patient’s view, satisfaction is guided by improved quality with factors like eating, easy communication, comfort, social life, economic status, and vocational opportunities. From dentist’s view, treatment options, treatment cost etc. affects the patient’s satisfaction. Materials and Methods: Experimental study conducted in Department of Prosthodontics, College of Medical Sciences, Bharatpur in patients receiving complete denture by convenience sampling in six months duration in sixty-five samples. Questionnaires regarding patient’s expectations and satisfaction in terms of retention, mastication, phonetics, esthetics, and comfort were used in both 1st-time denture wearer and existing denture wearer was recorded. Grading was rated with Visual Analog Scale (VAS) from 0 to 10 using the optimum cutoff values. Data were recorded in SPSS 21 and analyzed. Results: Independent t-test was carried out for expectation showing a statistically significant difference between retention, mastication, aesthetics, phonetics, comfort, and denture status with p value 0.036, 0.00, 0.001, 0.003, and 0.013 respectively. Statistically, a significant difference was found for satisfaction between aesthetics and denture status with a p-value of 0.01. Conclusions: Expectation and satisfaction were found to be more in first-time denture wearers than existing denture wearers. Experiences obtained beforehand with complete dentures could influence patient expectations and satisfaction.

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MO965THE EFFECT OF DEGREE OF HUMAN LEUCOCYTE ANTIGEN MISMATCH AMONG LIVE-DONOR KIDNEY TRANSPLANT RECIPIENTS

Nephrology Dialysis Transplantation ◽

10.1093/ndt/gfab110.0044 ◽

2021 ◽

Vol 36 (Supplement_1) ◽

Author(s):

Mostafa Alaskary ◽

Yasser Hendy ◽

Ahmed Donia ◽

Hussein Sheashaa ◽

Amira Emam

Keyword(s):

Kidney Transplant ◽

The Other ◽

P Value ◽

Kidney Transplant Recipients ◽

Group Iii ◽

Live Donor Kidney ◽

Group I ◽

Significant Difference ◽

Group Ii

Abstract Background and Aims There is a strong evidence of importance of HLA matching in kidney transplantation and associations between HLA-DR mismatches and rejection, transplant glomerulopathy, graft failure, and death with functioning graft following kidney transplantation. Our aim is to evaluate the effect of degree of HLA mismatch on transplant outcome among live donor kidney transplant recepients. Method The current study is a retrospective cohort study which was performed in Urology and Nephrology Center, Mansoura University, Egypt. The study included 2200 kidney transplant recipients who underwent renal transplantation between March 1976 and August 2019. The patients were divided into 3 main groups according to the degree of HLA mismatch: Group I: 0, 1, 2 HLA mismatch (568 patients). Group II: 3 , 4 HLA mismatch (1462 patients). Group III: 5 HLA mismatch (170 patients Results Demographic and medical characteristics were comparable among the 3 groups. Transplantation from unrelated donors was more frequent among group III (p value: 0.001). Ischemia time was comparable and over 90% of the patients had immediate diuresis.The degree of HLA mismatch affected the choice of induction therapy as lymphocyte depleting agent (ATG) was used more frequently in group III while basliximab was used more frequently in group I (p value: 0.001). Patients in group I were maintained on dual immunosuppressive protocols more frequently than the other 2 groups where triple immunosuppressive protocols were commonly used (p value: 0.02).Tacrolimus-based protocol was used more among group I while cyclosporine-based regimen was frequently used among group III (p value: 0.002, 0.001 respectively). acute rejection episodes were more frequent with group II and III. (p value: 0.001). Chronic rejection was revealed in graft biopsies of group II and III more than group I (p value: 0.046). Incidence of post-transplant Hypertension and Diabetes mellitus was higher in group III (p value: 0.004, 0.016 respectively). Median serum creatinine after 1 year follow up didn't differ significantly between the studied groups. However, serum creatinine was higher in group III after 2, 3, 4 and 5 years post transplantation (p value: 0.006) with subsequent lower creatinine clearance (p value: 0.036). The majority of patients were alive with functioning graft at last follow-up especially in group I with statistically significant difference among the 3 groups (p value: 0.001). More patients were alive with failed graft at last follow up in group III than in the other 2 groups with statistically significant difference (p value: 0.003). There was comparable percent of patients among the 3 groups were died either with functioning or with failed graft. On the other hand the 5, 10 and 15 years graft and patient survival showed statistical significant difference among the 3 groups with better survival for group I (p value: 0.04, 0.001) Conclusion The degree of mismatch affected the choice of immunosuppressive regimen. Higher HLA mismatch was associated with higher incidence of diabetes and hypertension and lower patient and graft survival.

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Role of Cord Blood Carboxyhemoglobin in Detecting Significant Hyperbilirubinemia in Term Neonates with ABO Alloimmunization

American Journal of Perinatology ◽

10.1055/s-0040-1722328 ◽

2021 ◽

Author(s):

Mahir Tıraş ◽

Emrah Can ◽

Şahin Hamilçıkan

Keyword(s):

Cord Blood ◽

Total Serum ◽

Healthy Controls ◽

Term Neonates ◽

Group Iii ◽

Group I ◽

Significant Difference ◽

Group Ii ◽

Positive Direct ◽

Severe Hyperbilirubinemia

Objective This study aimed to assess whether cord blood carboxyhemoglobin (COHb) levels in jaundiced term neonates with and without a positive direct Coombs test (DCT) and in healthy controls could be used as a predictor of severe hyperbilirubinemia. The percentage of cord blood COHb should be higher among neonates with Coombs-positive ABO hemolytic disease than among those with Coombs-negative ABO incompatibility and higher than that of ABO-compatible control neonates. Study Design This cross-sectional descriptive study of 198 term neonates comprised three subgroups: group I featured 68 DCT-positive ABO-incompatible neonates (ABO + DCT), group II featured 60 DCT-negative ABO-incompatible neonates with hyperbilirubinemia (ABO–DCT), and group III featured 70 healthy controls. COHb was determined by an OSM3 hemoximeter. Results Group I differed from groups II and III for cord blood bilirubin, cord blood hemoglobin, and cord blood hematocrit. Groups I and II had higher mean total serum bilirubin (TSB) levels than group III, while there was no difference in the mean TSB levels between groups I and II. There was no significant difference between the COHb group means for groups I, II, and III (p = 0.98). The area under the receiver operating characteristic curve calculated for group I/group III and group II/group III were found to be 0.62 and 0.54, respectively. Conclusion COHb levels did not prove to be superior to the DCT for predicting the risk of developing severe hyperbilirubinemia in term neonates. Key Points

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The Concepts of Complete Denture Occlusion amongst Dental Fraternity

Journal of Bahria University Medical and Dental College ◽

10.51985/oyzp7463 ◽

2021 ◽

Vol 11 (02) ◽

pp. 65-69

Author(s):

Maria Shakoor Abbasi ◽

Naseer Ahmed ◽

Azad Ali Azad ◽

Fatima Fouad ◽

Humza Daudpota ◽

...

Keyword(s):

Neuromuscular Disorder ◽

Education Level ◽

Complete Denture ◽

P Value ◽

Removable Partial Denture ◽

Cross Sectional ◽

Skeletal Class ◽

Validated Questionnaire ◽

Dental Practitioners ◽

Significant Difference

Objectives: To assess the concepts of complete denture occlusion among dental fraternity. Study Design And Setting: Cross-sectional study conducted at various dental hospitals and institutes of Karachi, for a period of six months, from 1st June’2019 to 30th November’2019 Methodology: Total 849 dental practitioners who are currently practising were included. A well-structured and validated questionnaire was used for data collection. SPSS version 25 was used. Results: Bilateral balanced occlusion was an ideal occlusion by majority subjects i.e, 530(62.4%) in patients with wellformed ridges, followed by 464(54.7%) candidates with skeletal class 1, total 376(44.3%) chose it with uncontrolled diabetes mellitus, 365(43%) in single complete denture cases, 339(39.9%) with increased inter-arch space, 298(35.1%) with parafunction habits, 296(34.9%) in patients with history of neuromuscular disorder and 271(31.9%) where a complete denture opposes a removable partial denture. Furthermore, Lingualized occlusion was preferred by 341(40.25%) participants for patients with skeletal class 3. Total 316(37.2%) candidates chose it for patients with displaceable supporting tissue followed by 264(31.1%) who chose it for skeletal 2 and 260(30.6%) for cases of highly resorbed ridges. Lastly, 311(36.6%) chose canine guided occlusion with highly resorbed ridges accompanied by high aesthetic demand A significant difference between education level and knowledge of occlusal schemes was also found. Chi-square (73.87), df 6, p-value =0.000. Conclusion: Dental practitioners lack adequate knowledge of occlusal schemes in terms of prescription in complete denture patients. A significant difference between the education level and knowledge of occlusal schemes was found. Therefore, awareness of various occlusal schemes should be increased at undergraduate level.

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