Occlusal schemes for complete dentures

paythelady.61 shared this article with you from Inoreader Message: APR 4 2022Profile photo of Derek Richards Posted by Derek Richards shutterstock_13679275 Occlusal schemes for complete dentures may influence clinical performance and patient satisfaction. Patient characteristics such as alveolar ridge shape and height also influence choice of scheme. There are several schemes to choose from including bilateral balanced, lingualised, canine guidance, group function, and monoplane. A number of studies and reviews have been conducted but a consensus on an ideal occlusal scheme if lacking. The aim of this overview was to assess the methodological quality and summarize the scientific evidence from secondary studies about the influence of occlusal schemes on the clinical performance of and patient satisfaction with complete dentures. Methods A protocol for the review was registered with PROSPERO. Searches were carried out in the Cochrane Library, PubMed, Embase, LILACS, Scopus, the Web of Science, PROSPERO, Google Scholar and Open Science Framework databases. Systematic reviews that included randomized or non-randomized clinical trials evaluating conventional complete dentures with different occlusion schemes on clinical performance and patient satisfaction were considered. Two reviewers independently selected studies and extracted data with disagreements being resolved by a third reviewers. The AMSTAR 2 tool was used to assess the quality of the reviews. The effect of each occlusal scheme in comparison with others was summarized and classified as positive, neutral, negative, or inconclusive based on the conclusions of the systematic review concerning clinical performance and patient satisfaction outcomes. Results 10 systematic reviews were included. All 10 reviews included randomised controlled trials (RCTs) 5 also included prospective studies, 2 included other systematic reviews, 2 included clinical studies involving partial dentures or implants. No meta-analyses were presented in any of the 10 reviews. Confidence in the reviews was rated as critically low for 7 reviews, low for 2 reviews and moderate for one review using the AMSTAR 2 tool. Summary suggested that occlusal schemes may influence objective and subjective clinical performance and patients' satisfaction. Conclusions The authors concluded: – .occlusal schemes might interfere with the clinical performance of and patient satisfaction with complete dentures. Lingualized, bilateral balanced, and canine guidance are preferred compared with monoplane occlusion, but lingualized occlusion tends to show better results in some reviews. However, the results should be carefully considered because of the low quality of the systematic reviews included. Occlusal schemes for complete dentures Via The Dental Elf This overview of reviews of the influence of occlusal schemes on the clinical performance of and patient satisfaction with complete dentures included 10 systematic reviews. While the findings suggest that occlusal schemes might interfere with the clinical performance the results should be carefully considered because of the low quality of the systematic reviews included. The post Occlusal schemes for complete dentures appeared first on National Elf Service. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Improvement of osseointegration of Ti–6Al–4V ELI alloy orthodontic mini-screws through anodization, cyclic pre-calcification, and heat treatments

paythelady.61 shared this article with you from Inoreader Improvement of osseointegration of Ti–6Al–4V ELI alloy orthodontic mini-screws through anodization, cyclic pre-calcification, and heat treatments Via Progress in Orthodontics - Latest Articles Mini-screws are widely used as temporary anchorages in orthodontic treatment, but have the disadvantage of showing a high failure rate of about 10%. Therefore, orthodontic mini-screws should have high biocompa... View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Sociomedical and oral factors affecting masticatory performance in an older population

paythelady.61 shared this article with you from Inoreader Sociomedical and oral factors affecting masticatory performance in an older population Via Latest Results for Clinical Oral Investigations Abstract Objectives To assess the sociomedical and oral factors affecting masticatory performance in a community-dwelling older population. Materials and methods Community-dwelling persons over 60 years were investigated using medical and dental oral interviews, oral and denture examination (natural teeth, tooth mobility, number of occluding tooth pairs, and removable dentures' prevalence and quality), and evaluation of masticatory performance using a mixing ability test. Results A total of 130 participants with a mean age of 73.9±8.5 years were recorded. Fifty-eight (44.6%) used various types of removable prostheses. Twenty were edentulous and used a pair of complete dentures. Univariate analyses revealed statistically significant associations (p≤0.05) between masticatory performance and aging, marital status, subjective chewing ability, use of removable dentures, use of various combinations of complete dentures, pain caused by maxillary denture, number of teeth, tooth mobility, posterior chewing pairs, all chewing contacts natural or prosthetic, retention of mandibular partial dentures, and dentures' occlusion. The multivariable quantile regression analysis revealed that fewer natural teeth (95% CI: −0.02–0.01, p<0.001), being edentulous and using a pair of complete dentures (95% CI: 0.09–0.35, p=0.001), and larger percentage of severely mobile teeth (95% CI: 0.07–0.82, p=0.020) we re associated with lower masticatory performance. Conclusions Poor masticatory performance in older adults was associated with fewer teeth, being edentulous and using a pair of complete dentures, and increased prevalence of severe tooth mobility. Clinical relevance Retaining the natural dentition and preventing and treating periodontal disease are important measures to maintain masticatory performance in older adults. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Metabolic Syndrome and Periodontitis among Adults

paythelady.61 shared this article with you from Inoreader Metabolic Syndrome and Periodontitis among Adults: The 2018 Indonesia National Health Survey Via Journal of Clinical Periodontology Abstract Aim This study aimed to examine the association between metabolic syndrome (MetS), its components, and periodontitis among Indonesian adults. Materials and Methods Cross-sectional data from the 2018 Indonesia National Health Survey (Riskesdas) was analysed. The sample included dentate individuals aged 35 years or older for whom complete information was available on components of MetS and periodontitis, including bleeding on probing (BOP) (N=13,356), pocket depth (PD) (N=13,273), and clinical attachment loss (CAL) (N=13,000). Rate ratios (RRs) and 95% confidence intervals (CIs) were estimated with negative binomial regression models. Results The prevalence of MetS was 41.0%. The prevalences of individuals having at least one tooth with BOP, one tooth with PD ≥4 mm, or one sextant with CAL ≥4 mm were 74.9%, 40.7%, and 40.6%, respectively. No associations were observed between MetS and BOP, PD, or CAL, but hyperglycaemia was constantly positively associated with BOP (RR=1.06; 95% CI 1.01-1.11), PD (RR=1.13; 95% CI 1.03-1.23), and CAL (RR=1.15; 95% CI 1.08-1.23). Conclusions Our findings support the potential influence of hyperglycaemia on periodontitis. Incorporating oral disease prevention strategies into the management of systemic diseases could be beneficial for reducing the burden of these diseases in Indonesia. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Does social support predict increased use of dental services in older men?

paythelady.61 shared this article with you from Inoreader Does social support predict increased use of dental services in older men? Via Australian Dental Journal Abstract Background Past research on social support and dental visits in older people has been limited by cross-sectional design, limited social support dimensions, and non-representative samples. Methods Data came from men with natural teeth completing Waves 3 and 4 of the Concord Health and Ageing in Men Project (CHAMP) in Sydney, Australia. The relationship between social support at Wave 3 (2011-2012) and at least one dental visit per year at Wave 4 (2014-2016) was examined by Poisson regression. Social support was measured by structural (marital status, living arrangements, family support, social interaction) and functional (social support satisfaction) domains. Results There were 673 men analysed. Structural and functional social support were not associated with the pattern of usual dental visits five years later in univariable or multivariable analyses. The only consistent significant factor was income source, with older men who had other sources of income more likely to regularly visit the dentist than older men solely reliant on the pension for income (PR: 1.31, 95% CI: 1.13 – 1.52). Conclusions We found no differences in the pattern of usual dental visits between older men with different levels and types of social support. For older Australian men, income source seems to be the most important determinant of regular dental visits. © 2022 Australian Dental Association View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

The efficacy and safety of intrathecal fluorescein in endoscopic cerebrospinal fluid leak repair –a systematic review

paythelady.61 shared this article with you from Inoreader The efficacy and safety of intrathecal fluorescein in endoscopic cerebrospinal fluid leak repair –a systematic review Via Auris Nasus Larynx Effective management of cerebrospinal fluid (CSF) leaks can reduce significant associated morbidity. Intrathecal fluorescein (IF) may be a valuable intra-operative adjunct to localise leak sites. Recent reports have demonstrated low doses of IF to be safe, however, no internationally accepted dose of IF has been agreed. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Modification of an extended total temporomandibular joint replacement (eTMJR) classification system

paythelady.61 shared this article with you from Inoreader Modification of an extended total temporomandibular joint replacement (eTMJR) classification system Via British Journal of Oral and Maxillofacial Surgery The aims of this paper were to validate a modification of an extended total temporomandibular joint replacement (eTMJR) classification system and develop a classification schematic for ease of reference. High volume TMJ surgeons were asked to score 20 separate eTMJR devices using the updated classification system and inter-rater variability was calculated. Using the modified classification system developed, a Conger's kappa (k) coefficient of 0.53 was returned, suggesting moderate to good levels of agreement. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.