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Key Indicators of success or survival for clinical performance of fixed partial denture

Annals of Dentistry.2019;26(1):53-58. doi:10.22452/adum.vol26no8

When fixed partial dentures (FPDs) are being suggested to patients, the frequent inquiry by patients is the anticipated longevity and length of service. Previous reports have provided limited information on the accurate measurements of good clinical outcome and the length of good years in service. This confuses the clinicians as well as the patients in determining the treatment of choice. In the present article, the indicator of ‘success’ and ‘survival’ will be discussed in determining the longevity of various FPDs such as conventional, resin bonded and implant retained. After reviewing the articles, it is good if the indicator of ‘success’ can be used as an indicator of longevity and good clinical outcome. Besides that, studies with at least 10 years of observation are probably of higher evidence for longevity of restorations.

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Oral Hygiene Practices and Bottle Feeding Pattern Among Children with Early Childhood Caries: A Preliminary Study

Buhari N ; Zainal Abidin FN ; Mani SA ; Khan IM

Annals of Dentistry.2016;23(2):1-9.

The purpose of this study was to assess the association of bottle feeding and oral hygiene practices with the severity of caries among 3 to 5-year-old children with Early Childhood Caries (ECC). This cross-sectional study was carried out on pediatric dental patients with ECC attending a public university hospital. The parents or guardians were interviewed for the bottle-feeding pattern and oral hygiene practices followed by a clinical dental examination of their children with ECC. Data analysis was done using Chi squared test. Out of 32 children, 69% had severe early childhood caries with mean dft of 8.88. In this study, 87.5% of the subjects had a history of bottle feeding, with 53.1% still being bottle fed at the time of study. Current bottle-feeding habit was found to be statistically significant with the severity of caries (p=0.021). Majority (69 %) of the children were introduced to tooth brushing only after 1 year of age. About 40% of the children consumed either pre-chewed rice and/or shared spoons or feeding utensils with their parents or siblings but there was no significant association with the severity of caries (p=1.00). Because of its association with ECC, prolonged bottle feeding is significantly associated with the severity of caries in our study population. Besides, vertical and horizontal transmission of bacteria was also a risk factor for ECC, but it did not show any significant association with severity of ECC.

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Solitary parotid duct sialolith in a patient with Sjörgren’s syndrome: Report of a case

Wan Ahmad Kamil WN ; Hassan S ; Rahman FA ; Burhanuddin NA ; Goh YC ; Kadir K ; Siar CH

Annals of Dentistry.2016;23(2):28-31.

Sjörgren’s syndrome is an uncommon chronic autoimmune disorder that affects exocrine glands. Sialolithiasis is an obstructive salivary gland disease which is also uncommon in the parotid salivary gland. The existing literature has documented the occurrence of multiple calcifications within the parenchyma of the parotid glands in patients with Sjörgren’s syndrome. This report describes the first case of right parotid duct solitary sialolith formation in a 64 year old female patient with Sjörgren’s syndrome. Whether the salivary stone encountered in this case represents an oral manifestation of Sjörgren’s syndrome or is just a co-incidental finding was discussed.

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Non-Syndromic Familial Supernumerary Teeth: Case Report And Review Of Their Phenotypic Characteristic

W.N. Wan HASSAN ; N. Ab. RAHMAN

Annals of Dentistry.2012;19(1):28-35.

Supernumerary teeth have a genetic predispositionwith a predilection for males. This article reports anuncommon radiological finding in a non-syndromicsibling pair who presented with supernumerary teethof different morphologies on opposite and differentregions of the dental arches. A 14-year-old Chinesemale presented with a conical supernumerary palatallyplaced between the upper right central and lateralincisors. His older brother had unerupted bilateralsupplemental supernumerary teeth between the rootsof the lower second premolars and first permanentmolars. Trends of the phenotypic presentation offamilial non-syndromic supernumerary cases arediscussed. Familial supernumerary teeth have beensuggested to be due to autosomal dominance orrecessive traits. Variation in the numeral, spatial andmorphological phenotypic expressions suggests amultifactorial model of multiple genetic, epigeneticand environmental influences. Clinicians need to bemindful of the possible phenotypic variations that maypresent when treating cases with family history ofdental anomalies.

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A Rare Case Report Of Bilateral Maxillary Canine ' First Premolar-Transposition

L.A. TELANG ; J. NERALI ; A. TELANG ; P.V.K. CHAKRAVARTHY

Annals of Dentistry.2012;19(1):24-27.

Tooth transposition is a rare developmental anomalyaffecting less than 1% of the population. Thepermanent maxillary canine and 1st premolar are themost commonly affected teeth. Bilateral maxillarycanine-1st premolar transpositions are extremely rarewith only a handful of cases being reported in theliterature. We report one such case of bilateralmaxillary canine-1st premolar transposition in a 28year old Malaysian female which was associated withother dental anomalies.

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Modified Vertical Mattress Suturing Technique For Flap Approximation After Ramping ' A Modified Resective Osseous Surgical Procedure

L.P. Gopu CHANDRAN ; S. SUBASHINI

Annals of Dentistry.2012;19(1):19-23.

Purpose of this study is to evaluate the efficacy ofmodified vertical mattress suturing technique for flapapproximation after ramping – a modification ofresective osseous surgical procedure. Eighteen patientsrequiring periodontal surgery for pocket therapy wereincluded in the study. The preoperative gingival andperiodontal conditions were evaluated and intraoralradiographs were taken to identify the osseous defect.Shallow Craters present in the interdental regionstowards the palatal surface were treated by ramping.On completion of the procedure, flaps wereapproximated for the final suturing. Suturing is doneby a modification of vertical mattress suturing methodusing 4-0 silk sutures. The surgical sites wereevaluated at the conclusion of the surgery, duringsuture removal and one month post-operative. Theoutcomes were evaluated in terms of patient’s comfort,surgical flap approximation, complications and post–operativerecessions. Complete closure of wound andgood flap approximation was achieved in all casesimmediately after the surgery. Except for three patientswith delayed wound healing at suture removal, allother patients displayed rapid healing without anydiscomfort. No noticeable defect was seen in thehealing of the interdental papilla on the buccal aspect.Embrasure spaces on the buccal surface werecompletely filled by interdental papilla during the onemonth review period. In patients undergoing resectiveosseous surgery by ramping that result in two differentplanes for flap approximation, the modified verticalmattress suturing technique proves to be a reliable andan effective method of suturing.surgery

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Validity Of The Parallax Method With A Combination Of Imaging Receptors ' A Revisit

P. NAMBIAR ; J. JOHN ; N. SHUKOR ; N.R.A. TARMIDZI

Annals of Dentistry.2012;19(1):11-18.

To determine the amount of displacement of a structurenoticed on an image when the tube of a dental X-raymachine was shifted vertically and horizontally. Inaddition, various intraoral images were combined withdental panoramic images to determine the location ofstructures. Our research is based on the parallaxtechnique which requires manipulation of horizontaland vertical angulations of the X-ray tube. A metalobject is positioned on the buccal and palatal side ofthe maxilla on the canine area of a skull. The X-raytube is shifted incrementally to obtain images onphosphor plates. Subsequently, panaromic and occlusalimages were taken to assist in localization of the metalobject. To obtain a clear image shift of 2-3mm usingthe parallax method, there must be an adequatehorizontal tube shift of approximately 30-35 degrees.When images were used in combination of dentalpanoramic images, it was found that the buccallyplaced structures can be accurately located with theperiapical or occlusal images. However, thedisplacement of images in the palatally placedstructures in panoramic imaging is not fullyappreciated with the principle of parallax method. Tubemovement of 30-35 degrees horizontally is needed fora 2-3 mm image shift. To successfully localize a buccalstructure, a combination of either periapical or occlusalimages with a dental panoramic imaging can beemployed. However, this combination with panoramicimaging is limited when looking at palatally placedstructures.

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Orthodontic Treatment Need And Outcome At University

Y.Y. KONG ; H. GHAZALI ; W.N. Wan HASSAN

Annals of Dentistry.2012;19(1):1-10.

The study aimed to assess patient satisfaction withtheir orthodontic treatment outcome and type of casesaccepted for orthodontic treatment at the Faculty ofDentistry, University of Malaya (UM) and to audit thequality of treatment outcome. The standard set were100% patient should be satisfied with their treatmentoutcome and less than 5% of the proportion of casesshould fall in the “worse/no different’ category with amean reduction of Peer Assessment Rating (PAR) scorebeing greater than 70%. Records of cases that hadcompleted orthodontic treatment were traced. Surveyforms were sent to 150 patients that had met theinclusion and exclusion criteria. Their intact studymodels were assessed for the Index of OrthodonticTreatment Need (IOTN) and PAR. 21.3% responded tothe survey, of which 59.4% had treatment involvingfixed appliances and 37.6% had either removable orfunctional appliances or retainers. 93.8% respondentswere satisfied with their dental alignment and 87.5%with the overall treatment results. For the dental healthcomponent of the IOTN, 63.3% had ‘definite need’ and21.1% had ‘borderline need’ for treatment. For theaesthetic component of the IOTN, 24.2% had ‘definiteneed’ and 32.0% had‘borderline need’ for treatment.For the PAR, 8.0% had an outcome of “worst/nodifferent”. The mean PAR reduction score was 75.3%.In conclusion, although majority were satisfied withtheir treatment results, there is still a need to improveon the standard of care to address the issues of theminority who were not satisfied with the treatmentoutcome.

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Hot Towel Massage Relieved A 7 Years Orofacial Pain ' A Case Report

M.S. MA.

Annals of Dentistry.2012;19(2):66-69.

Introduction: Diagnosis and management of orofacialpain of non-odontogenic origin has always been achallenge to dentists. Inaccurate diagnosis wouldresult in delay of treatment and in cases of orofacialpain, affects patient’s quality of life. Temporomandibularpain dysfunction syndrome is the mostcommon temporomandibular disorder that presents todental clinics. Trigeminal neuralgia, also known as ticdouloureux is a relatively rare condition that causeselectric shock-like pain when the trigger zone isstimulated by triggering factor. Case report: A caseof temporomandibular pain dysfunction syndromein a 52 years old Indian lady that was managed astrigeminal neuralgia for 7 years is presented.Conclusion: The aim of this case report is to makedentists aware of the signs and symptoms of differentorofacial pain, so that early and accurate diagnosis canbe made and appropriate treatment instituted.Key words: orofacial pain; temporomandibular paindysfunction syndrome; trigeminal neuralgia

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Determinants Of Dna Yield And Quality From Different Non-Invasive Sampling Methods

Y.F. CHOON ; L.P. KAREN-NG ; S. HASSAN ; J. MARHAZLINDA ; R.B. ZAIN

Annals of Dentistry.2012;19(2):62-65-65.

Aim: The purpose of this study was to determine theDNA yield and quality from different non-invasivesampling methods and to identify the method whichgave the highest DNA yield. Method: Thirty-eightvolunteers had been recruited in this study whereblood, buccal cells and saliva were collected usingvarious collection techniques. Buccal cells werecollected by 1) cytobrush and 2) saline mouth rinsingor “swish”. Meanwhile saliva was collected by passivedrooling method. Upon processing the white bloodcell (WBC), buccal cells and saliva samples, DNAextraction was performed according to themanufacturer’s protocol. Quantification and quality(DNA ratio at A260/A280) of the extracted DNA weredetermined using NanoDropND-1000®. T-test wasperformed to compare means between DNA obtainedfrom various collection methods. Results: DNA yieldsfrom buccal cells collected with cytobrush, “swish”,saliva and WBC (mean ± SD) were (8.2 ± 5.9)ng/μl,(28.2 ± 14.9)ng/μl, (5.9 ± 9.5)ng/μl and (105.3 ±75.0)ng/μl respectively. Meanwhile the mean DNAratio at A260/A280 for cytobrush, “swish”, saliva andWBC were 2.3, 2.0, 1.7 and 1.8 respectively. Post hoctest with Bonferroni correction suggested that DNAyield from “swish” technique exhibited the least meandifferent as compared to the DNA extracted from WBC(p<0.05). There was no significant difference in themean quality of the DNA extracted from WBC, salivaand buccal cells collected in these non-invasivemethods (p=0.323). Conclusion: The “swish”technique of obtaining buccal cells yielded thehighest amount of DNA and was of the quality of DNAextracted from blood sample.Key words: buccal cells; non-invasive methods;cytobrush; “swish”; saliva; DNA yield; DNA quality

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