Quality of Life with the Rehabilitation After Partial Mandibulectomy: a Systematic Review.

To evaluate the QoL before and after prosthetic rehabilitation of partial mandibulectomy patients based on the type of surgery, effects of radiation, the type of prosthesis, and to enlist their outcome on the rehabilitation. Literature search as per PICO format was carried out within a time range from January 2000 to June 2021. The review followed PRISMA guidelines and registered with the PROSPERO(CRD42021258472). The focus question was established as per the PICO format (Population, Intervention, Comparison, Outcome). The population involved partial mandibulectomy individuals with prosthetic rehabilitation as an intervention. The outcome, quality of life (QoL), was compared with the pre and post partial mandibulectomy patients rehabilitated with a prosthesis. The search yielded 367 articles and based on the search criteria only 7 articles were suitable for qualitative analysis. Marginal resection of the mandible is less aggressive than segmental resection which provided function, phonation, and esthetics at acceptable levels but the food mixing ability was reduced when resection is accompanied by glossectomy. However, the perceived chewing ability and OHRQoL were not accountable to the extent of surgical excision. An overall increase in the QoL on rehabilitation with acrylic prosthesis depicting satisfactory functionality with a considerable improvement in mastication, speech, and social life. QoL and Denture Satisfaction Index did not differ based on the number of implants in an implant overdenture prosthesis, but the chewing ability was improved. An increase in the number of remaining occlusal units improved the overall QoL. Restoration of the function, psychological comfort, and improvement in esthetics was significant in patients who underwent prosthetic rehabilitation. The QoL between conventional and implant prostheses was observed to be more similar, and the effect of remaining hard and soft tissue structures has a major influence on patient comfort signifying the influence of the extent of surgical excision. Supplementary Information: The online version contains supplementary material available at 10.1007/s13193-022-01664-x.

Microbiome and the inflammatory pathway in peri-implant health and disease with an updated review on treatment strategies.

Crestal bone preservation around the dental implant for aesthetic and functional success is widely researched and documented over a decade. Several etiological factors were put forth for crestal bone loss; of which biofilm plays a major role. Biofilm is formed by the colonization of wide spectra of bacteria inhabited around dental implants. Bacterial adherence affects the regulators of bone growth and an early intervention preserves the peri-implant bone. Primary modes of therapy stated in early literature were either prevention or treatment of infection caused by biofilm. This narrative review overviews the microbiome during different stages of peri-implant health, the mechanism of bone destruction, and the expression of the biomarkers at each stage. Microbial contamination and the associated biomarkers varied depending on the stage of peri-implant infection. The comprehensive review helps in formulating a research plan, both in diagnostics and treatment aspects in improving peri-implant health.

Influence of the Fly Ash Material Inoculants on the Tensile and Impact Characteristics of the Aluminum AA 5083/7.5SiC Composites.

The choice of suitable inoculants in the grain refinement process and subsequent enhancement of the characteristics of the composites developed is an important materials research topic, having wide scope. In this regard, the present work is aimed at finding the appropriate composition and size of fly ash as inoculants for grain refinement of the aluminum AA 5083 composites. Fly ash particles, which are by products of the combustion process in thermal power plants, contributing to the large-scale pollution and landfills can be effectively utilized as inoculants and interatomic lubricants in the composite matrix-reinforcement subspaces synthesized in the inert atmosphere using ultrasonic assisted stir casting setup. Thus, the work involves the study of the influence of percentage and size of the fly ash dispersions on the tensile and impact strength characteristics of the aluminum AA 5083/7.5SiC composites. The C type of fly ash with the particle size in the series of 40-75 µm, 76-100 µm, and 101-125 µm and weight % in the series of 0.5, 1, 1.5, 2, and 2.5 are selected for the work. The influence of fly ash as distinct material inoculants for the grain refinement has worked out well with the increase in the ultimate tensile strength, yield strength, and impact strength of the composites, with the fly ash as material inoculants up to 2 wt. % beyond which the tensile and impact characteristics decrease due to the micro coring and segregation. This is evident from the microstructural observations for the composite specimens. Moreover, the role of fly ash as material inoculants is distinctly identified with the X-Ray Diffraction (XRD) for the phase and grain growth epitaxy and the Energy Dispersive Spectroscopy (EDS) for analyzing the characteristic X-Rays of the fly ash particles as inoculant agents in the energy spectrum.

Cheek bumper prosthesis for a patient with a neurofibromatous lesion in the left cheek.

Neurofibromatous lesions of the oral cavity affect the chewing cycle by interposition of cheek mucosa during contact of opposing teeth. In this report, an intraoral prosthesis was fabricated to restore and improve oral function and reduce the incidence of cheek biting on the neurofibromatous lesion. The prosthesis successfully reduced the incidence of cheek biting and improved the patient's oral competency. This report describes the procedure for making an intraoral cheek bumper prosthesis to improve patient oral function.

Prosthetic rehabilitation of a maxillectomy with a two-piece hollow bulb obturator. A clinical report.

Extensive bilateral midfacial defects involving the upper jaw, palate, and sinus present a formidable reconstructive challenge. A combination of total and subtotal maxillectomy is, in general, a rare surgical procedure that affects the cosmetic, functional, and psychological aspects of a patient's life. Prosthetic restoration has become the preferred method for the rehabilitation of such conditions. The use of magnets is an efficient means of providing combined prostheses with retention, quality, and stability. This clinical report describes the rehabilitation of a total and subtotal maxillectomy patient with a two-piece hollow bulb obturator retained with the help of magnets and a retention clasp.