The Prevalence of Occlusal Disharmony and Its Associated Causes in Complete Dentures

2009 ◽  
Vol 10 (5) ◽  
pp. 42-49 ◽  
Author(s):  
Parsa Atashrazm ◽  
Mohammad Hosein Dashti

Abstract Aim Occlusal disharmony is frequently observed among edentulous patients. With the side effects of occlusal disharmony in mind, the goal of this research was to investigate the prevalence of occlusal disharmony in inserted complete dentures and its associated causes. Methods and Materials This cross-sectional study was conducted on 107 selected patients. Factors such as age, gender, ridge relationship on the articulator, occlusal scheme, and the performance of a clinical remount from patients’ treatment records were investigated. The presence and/or status of any occlusal disharmony was determined by a calibrated prosthodontist extraorally and qualitatively. Occlusal disharmony is defined as the absence of simultaneous bilateral contacts between the opposing posterior teeth in centric relation. The prevalence of occlusal disharmony was determined and the roles of the aforementioned factors were studied and analyzed using a Chisquare analysis. The results were considered significant at p<0.05. Results Out of 107 patients, 31 patients (28.8%) showed occlusal disharmony. No statistically significant relationship was found between occlusal disharmony and age, gender, ridge relationships, or occlusal scheme (p<0.5). Twenty-five (81%) out of 31 complete dentures with occlusal disharmony were not clinically remounted. There was a highly significant relationship between the absence of clinical remounting and occlusal disharmony (p<0.001). Conclusion Within the limits of this study, the prevalence of occlusal disharmony was noticeable. A randomized clinical trial is strongly recommended to investigate factors related to the incidence of occlusal disharmony. Clinical Significance It is important to refine the occlusion of a complete denture after laboratory processing of the denture before it is delivered to the patient. Citation Atashrazm P, Dashti MH. The Prevalence of Occlusal Disharmony and Its Associated Causes in Complete Dentures. J Contemp Dent Pract [Internet]. 2009 Sept; 10(5). Available from: http://www.thejcdp.com/journal/ view/the-prevalence-of-occlusaldisharmony-andits- associated-causes-in-complete.

Author(s):  
Davood Soroosh ◽  
Mahdi Foroughian ◽  
Bahram Zarmehri

Background: According to statistics, tramadol intoxication is one of the most common drug poisoning cases in Iran. Because seizure is one of the severe and dangerous side effects of tramadol, the present study aimed to investigate the characteristics of tramadol-induced seizures. Methods: In this cross-sectional descriptive study, all patients who referred to the emergency departments due to the tramadol-induced seizures were examined by the census method. The patients’ data were collected with a checklist. Then, the data were analyzed with descriptive and inferential statistical tests in SPSS v. 23 and at a significant level of P<0.05. Results: In this study, 350 patients (52.9% male, and 47.1% female) were examined. The Mean±SD dose consumed was 1171.4±802.77 mg. The minimum dose that caused the seizure was 200 mg, and the average dose consumed of tramadol was different in patients who had one, two, or three seizures outside the hospital (P=0.002). The consumed average dose of tramadol was 1144.5 mg, 2017.7 mg, and 511.1 mg for patients who had one, two, or three seizure(s), respectively. There was a significant relationship between dose consumed and the number of seizures (P=0.001). The study showed that patients who had a one-time seizure, have experienced this condition outside the hospital. There was a significant relationship between the number of seizures and the location of the seizure (outside or inside the hospital) (P=0.001). Conclusion: The results showed no significant relationship between consumed dose and location of the seizure. The number of seizures is not dependent on the consumed dose. It means that increasing the consumed dose, the number of seizures does not increase, and there is no significant relationship between the amount of dose consumed and the number of seizures.


Author(s):  
Mohamed N. Al Arifi ◽  
Abdulrahman Alwhaibi

Objective: Fever alone can lead to rare serious complications in children, such as febrile seizures. The aim of this study is to assess the knowledge, beliefs, and behavior of parents toward fever and its management. Methods: A cross-sectional study using an online questionnaire was applied over a period of 3 months, from January to March 2018, to parents who were living in Saudi Arabia. The inclusion criteria were a parent who is a resident of Saudi Arabia, with at least one child aged 6 years or less, while incomplete questionnaires, having a child aged more than 6 years, or parents who were not living in Saudi Arabia were excluded. Results: A total of 656 parents completed the questionnaire. More than two-thirds of the subjects were female, the majority of whom were aged between 25–33 years old. The best-reported place to measure the temperature of children was the armpit (46%), followed by the ear (28%) and the mouth (10.7%). More than half of the parents considered their children feverish at a temperature of 38 °C. The majority of parents (79.7%) reported that the most serious side effects of fever were seizure, brain damage (39.3%), coma (29.9%), dehydration (29.7%), and death (25%). The most common method used to measure a child’s temperature was an electronic thermometer (62.3%). The most common antipyretic was paracetamol (84.5%). Conclusions: Our study demonstrates the good knowledge of parents in identifying a feverish temperature using the recommended route and tools for measuring body temperature.


2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1110.1-1111
Author(s):  
J. Qiao ◽  
S. X. Zhang ◽  
T. T. Zhang ◽  
J. Zhang ◽  
M. T. Qiu ◽  
...  

Background:Systemic sclerosis (scleroderma, SSc) is a rare complex connective tissue disease associated with high mortality and high morbidity1. Active SSc are typically treated with immunosuppressants, which may create a variety of severe side-effects, especially for long-term treatment2. As the pathogenesis of SSc is still a matter of debate, growing evidences have focused on the immune disorders3. However, the quantitative status of lymphocyte subsets in SSc patients are unclear and effects of immunomodulatory combination therapies (avoiding side-effects of conventional therapy) on the lymphocyte subsets are unknown.Objectives:To investigate the quantitative status of peripheral lymphocyte subpopulations and CD4+T subsets in SSc patients for the exploration of SSc pathogenesis and evaluate the effects of new immunomodulatory combination therapies on those cells.Methods:From July 2014 to December 2019, total 166 patients with SSc and 206 healthy controls (HCs) were enrolled in this study, in which, 79 follow-up patients received immunomodulatory drugs (IMiDs) such as low-dose interleukin-2, rapamycin, metformin, retinoic acid and coenzyme Q10. The absolute numbers of T, B, NK, CD4+T, CD8+T, Th1, Th2, Th17 and Tregs in peripheral blood of these subjects were detected by flow cytometry combined with standard absolute counting beads.Results:Patients with SSc had lower absolute counts of total T, NK, Th2, Th17 and Tregs as compared with those of HCs (P<0.05) (Figure 1). After immunomodulatory combination treatments, there were increases in a various of peripheral lymphocyte subsets such as T, B and CD8+T (P< 0.05). Moreover, the increased level of Tregs was much more dramatical than those of other lymphocyte subsets, resulting in the decrease ratios of Teffs/Tregs such as Th1/Tregs and Th2/Tregs and rebuilding immunologic equilibrium (Figure 2).Conclusion:This cross-sectional study clarified the abnormal status of lymphocyte subsets in SSc patients, suggesting lymphocyte subsets, especially Tregs, might be relevant and play a crucial role in the pathogenesis of SSc, thus providing a potential therapeutic target for SSc patients. Immunomodulatory combination therapies effectively increase the level of Tregs as well as other lymphocytes to some degree and maintain the immunologic equilibrium, which may help for SSc patients’ symptom remission.References:[1]Denton CP, Khanna D. Systemic sclerosis. Lancet 2017;390(10103):1685-99. doi: 10.1016/S0140-6736(17)30933-9 [published Online First: 2017/04/18][2]Winthrop KL, Weinblatt ME, Bathon J, et al. Unmet need in rheumatology: reports from the Targeted Therapies meeting 2019. Ann Rheum Dis 2020;79(1):88-93. doi: 10.1136/annrheumdis-2019-216151 [published Online First: 2019/10/31][3]Skaug B, Khanna D, Swindell WR, et al. Global skin gene expression analysis of early diffuse cutaneous systemic sclerosis shows a prominent innate and adaptive inflammatory profile. Ann Rheum Dis 2019 doi: 10.1136/annrheumdis-2019-215894 [published Online First: 2019/11/27]Acknowledgments :None.Disclosure of Interests:None declared


2016 ◽  
Vol 4 (1) ◽  
pp. 19
Author(s):  
Tanzeela Imran ◽  
Naseer Ahmed ◽  
Bushra Nazeer

The purpose of this study was to determine the patterns of occlusal contacts and location in intercuspal position of natural teeth.A cross-sectional study was conducted with a sample size of around seventy patients within a span of seven months, complete mouth impressions were made of each patient with hydrocolloid material and the impressions were poured in dental stone. The contact areas of the teeth in the maximum intercuspation position were determined by wax. Three distinct types of indentations were noted on the wax interocclusal record. Then similarly the centric occlusion contacts of the teeth on the cast were determined by interposing a new piece of wax, approximating the casts in the maximum intercuspation position by hand, and applying pressure. The oral and cast wax recordings were then compared. The occlusal relation for each individual tooth was then classified and recorded in a Performa.Following wax interocclusal record of natural teeth in intercuspation an ideal occlusion was absent, a difference in morphology of anterior and posterior teeth was also evident that inevitably affects the nature of occlusal contacts.The ideal occlusion was not found in any of the patient’s investigation.


Author(s):  
Daniel A. Saji ◽  
Mahesh B. Jajulwar ◽  
Anita G. Shenoy

Background: Obesity is perhaps the most prevalent form of malnutrition. As a chronic disease, prevalent in both developed and developing countries, and affecting both children and adults. In India due urbanization and modernization people are moving into urban centres and along with increasing wealth, concerns about an obesity epidemic in India are growing. The present study was carried out to assess the demographic distribution and prevalence of overweight and obesity in adults in an urban slum. Methods: The cross sectional study includes 350 adult populations from the Shivaji Nagar (Govandi) urban slum of the Mumbai city in India and study was carried out over a period of one year from August 2014 to July 2015. Results: Our study showed that most of subjects are in the age group of 38-57. Sex distribution was relatively equal with 44% males and 56% females. Majority of the population were Muslims. Majority of the subjects (50.6%) belong to class III, (26.9%). 32.3% subjects were obese and 8.6% were overweight according to BMI (basal metabolic index) while merely 6.6% were overweight according to WHR (waist to hip ratio). Thus BMI was found to be a better indicator than WHR for measuring obesity. Conclusions: From the present study it was seen that age group of the subjects, socio economic class, and level of education had a significant relationship with BMI, whereas sex of the subjects had non-significant relationship with BMI. 


Author(s):  
Basmah Mohammed Alazmi ◽  
Shaikha Sulayyem Alsharari ◽  
Razan motawkel ◽  
Sara Alzahrani ◽  
Anhar Alfateel ◽  
...  

Background: Nowadays there are a lot of women using contraceptive oral combined pills for birth control and as we know VTE is one of the complications when it used for a long time, and here in this study our aim is to assess the awareness and knowledge of females who live in Saudi Arabia about COCP and its complications like VTE. A cross-sectional observational study based on a questionnaire conducted among females who live in Saudi Arabia. Data collection was done by using online survey which contains questions about the age, education and contraception. Methods: An observational cross-sectional study carried out during December 2020 in Saudi Arabia. We minimize our target population through inclusion criteria: 1- Female 2- Live in Saudi Arabia 3- Agree to participate. Sample size was 454 participants calculated by using survey system website through sample size calculator with Confidence Level 95% and margin of error 5%. Result: A total of 454 patients completed the survey questionnaire. The results showed that the vast majority of the study participants aged 20 years or more. Moreover, more than 90% of the study participants were Saudi females. The average body weight is around 95 kg and height 164.2 cm. The results also indicated that two-third of the study participants attained university education level compared to 16.1% obtained secondary education. Additionally, 36.6% of the study participants worked as a housewife, 18.1% working in health field. Moreover, 40% of the respondents reside in the western regions, 34% live in eastern regions compared to the lowest percentage in South region 3.3%. Conclusion: In summary, this study revealed that the internet was the main source of knowledge. Health care providers should perform their intended role in improving the female’s awareness regarding family planning. The criteria for preferable contraceptive method are that it has few or no side effects, also it depends on how much effective and convenient it is. Educational programs may be warranted to minimize the fear of side effects and to enhance the general knowledge about contraception.


2021 ◽  
Vol 5 (8) ◽  
pp. 811-817
Author(s):  
Nora Fitri ◽  
Syarif Indra ◽  
Hendra Permana

Background: Traumatic brain injury is still a major threat because it can cause global morbidity and mortality. Many factors can affect the outcome of a traumatic brain injury. Some conditions that can exacerbate traumatic brain injury include GCS conditions, blood pressure variability, and pupillary reflexes.Methods: The research was conducted in M. Djamil Padang Hospital from October 2020 to March 2021. The study design was a cross-sectional study in traumatic brain injury patients with ≤ 48 hours of onset and the aged between 18-60 years. The subjects in this study consisted of 66 subjects. At 6 weeks after onset, a GOS assessment was performed to assess patient outcomes. Statistical analysis was performed computerized with SPSS 22.0. P-value <0.05 was considered statistically significant. Results: Most of the patients were male (71.2%) with an average age of 36.41 ± 14,275 years, and the most common injury mechanism was traffic accidents (95.5%). There was a significant relationship between onset of incidence, hypotension, pupillary reflexes, and Rotterdam score with the outcome of traumatic brain injury patients (p<0.05) and there was no significant relationship between age, gender, and mechanism of injury with the outcome patients with traumatic brain injury. Conclution: The onset of events, hypotension, pupillary reflexes, and Rotterdam scores significantly affect the outcome patients of traumatic brain injury.


2021 ◽  
Vol Volume 14 ◽  
pp. 1389-1401
Author(s):  
Nagla A El-Shitany ◽  
Steve Harakeh ◽  
Shaimaa M Badr-Eldin ◽  
Amina M Bagher ◽  
Basma G Eid ◽  
...  

Author(s):  
Nitin Y. Dhupdale ◽  
Jagdish A. Cacodcar ◽  
Purushottam A. Giri ◽  
Vijay S. ◽  
Akshaya Naik

Background: Ministry of Health and Family Welfare, Government of India observed National Deworming Day (NDD) on February 10, 2016 and second round on August 10, 2016 in all 36 States/UTs of the country. The same initiative was implemented in the state of Goa; the present study was aimed at evaluating this initiative. The objectives of the study were to find the compliance of school children to albendazole tablets and also to find any side effects encountered by the students.Methods: A cross-sectional study was conducted in month of Ocober 2016 amongst total of 266 parents completed a self-administered questionnaire. The Data retrieved from completed questionnaires was entered in EpiDATA and analysed by SPSS version 23. Results: Of the total 65.8% of students received albendazole tablets. The overall compliance to the albendazole was 61.3%. Only 4.1% of students developed minor adverse reactions. Overall 78.9% of the parents were willing to participate in the next round of NDD.Conclusions: The compliance to the albendazole was less than expected. There is a greater need to involve parents and teachers to improve the compliance of students towards albendazole to achieve desired outcomes. 


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