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1.
Cureus ; 16(3): e57242, 2024 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-38686278

RESUMEN

Background Dental implants play a crucial role in modern dentistry, offering a durable and aesthetic option for tooth replacement. Understanding the preferences and practices of dentists regarding implant selection and restoration can provide critical insights into current trends and potential areas for improvement. As such, the objective of this study was to discover characteristics determining the selection criteria and preferences for dental implants and restorations among Saudi Arabian dentists. Methodology A cross-sectional, questionnaire-based survey was conducted among Saudi Arabian dentists to assess their practices and preferences for dental implant selection and restoration. The survey explored variables, including age, gender, educational status, regional practice distribution, implant-related experience, loading protocols, and implant system preferences. Results A total of 742 dental professionals responded to our questionnaire. The study revealed that a significant majority of Saudi Arabian dentists had placed (78.7%) and restored (72.9%) implants. Most dentists (78.6%) had participated in implant treatment planning. However, consistent usage of implant planning software was relatively low (29.8%). Loading protocol preferences varied, with early loading favored for anterior teeth and immediate loading for posterior teeth and edentulous patients. The main deterrents to immediate loading were patient type (27.0%), lack of training (19.9%), additional surgeries (19.9%), and administrative restrictions (17.8%). Straumann was the most preferred implant system, with aesthetic outcomes considered the most important factor in system selection. Conclusions The study provides a comprehensive overview of dental implant practices among Saudi Arabian dentists. It highlights a strong emphasis on aesthetic outcomes, a diverse approach to loading protocols, and room for increased usage of implant planning software. The findings suggest potential areas for further training and support, particularly in the use of immediate loading and implant planning software.

2.
Cureus ; 16(1): e53300, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-38435915

RESUMEN

Background The transformation of dental practice from conventional methods to digital technology has been widely discussed. This study aimed to examine the awareness, understanding, and attitudes towards the use of digital technology in dentistry, with a particular focus on computer-aided design/computer-aided manufacturing (CAD/CAM) technology. Methods A cross-sectional study was conducted, involving a questionnaire distributed to a diverse group of participants from the dental field. The questionnaire covered aspects of digital technology in dentistry, including awareness, perceived usefulness, understanding of CAD/CAM technology, perceived benefits and shortcomings, system awareness, and the impact on clinical decision-making. Results Almost all participants (99.3%) reported being aware of digital technology in dentistry. The perceived utility of digital technology varied widely, but it was considered particularly useful for specific dental procedures. Most of the respondents (948 out of 953) were aware of CAD/CAM technology, and many acknowledged its benefits, including fewer appointments, less chairside time, and greater precision. However, high cost, lack of knowledge, and preference for traditional methods were identified as barriers to adoption. Most participants believed that CAD/CAM would influence clinical decision-making and expressed interest in integrating it into their regular workflow. A majority had attended CAD/CAM training programs and believed there was a need to increase education on CAD/CAM during undergraduate and postgraduate courses. While a significant majority agreed that digital technology was the future of dentistry, a substantial number also expressed reservations. Conclusion The study concluded that there is a high level of awareness and readiness to adopt digital technology in dentistry. However, its perceived utility varied among participants, and several barriers to adoption were identified, indicating the need for expanded education and training. Despite some resistance, there is a growing recognition of the potential benefits of CAD/CAM technology and a trend towards integrating it into regular practice.

3.
Cureus ; 15(1): e33383, 2023 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-36751254

RESUMEN

Background  Maintaining one's sense of self requires having healthy teeth. A person's physical well-being is greatly impacted by their dental health. They are intimately related, and the socioeconomic situation of the individual largely determines how teeth are maintained. As a result, tooth loss causes injury to the stomatognathic system as well as the masticatory function. Morale is negatively impacted by psychological discomfort as well as the reduction in general quality of life brought on by tooth loss. Objectives  The purpose of this study was to assess the awareness of patients about various dental prosthetic rehabilitative procedures in Saudi Arabia, their preference(s) regarding the choice of treatment, and the motivating factors that drive them to avail of dental prosthetic rehabilitative treatment. Methods  After randomly selecting 600 individuals for the purpose of our investigation, a nine-variable questionnaire was framed by investigators to record the responses of those who consented to participate in our study. Results  Only 68.3% of the respondents were found to be aware of the several prosthodontic replacement choices. As mentioned by the majority of the respondents, the cost element was the biggest drawback for replacement. The benefits of choosing fixed partial dentures (FPD) or dental implants were judged to be aesthetics (41.1%) and the feel of one's own teeth (40.1%). Conclusion Only 68.3% of respondents reported knowing about the several prosthodontic replacement choices. The cost aspect was cited by 348 respondents as the biggest drawback to replacement. The perceived benefits of choosing FPD or dental implants were deemed to be aesthetics (41.1%) and the feel of one's own teeth (40.1%). We believe that patients' health and quality of life can be improved by raising awareness about and changing patients' attitudes toward the most cutting-edge treatment options that are readily available. This can be done by educating people about the drawbacks of delaying the replacement of missing teeth and other treatment options.

4.
Cureus ; 15(6): e40619, 2023 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-37476121

RESUMEN

Background There are numerous uses of golden proportion (GoP) in dentistry, particularly cosmetic dentistry. The research on GoP has been lacking, particularly the knowledge of GoP among dentistry students still enrolled in classes and those undergoing training. Therefore, this study primarily aimed to determine how knowledgeable dental scholars (dentist scholars are final-year undergraduates, interns, Ph.D. scholars, and postgraduate students) in Saudi Arabia were of GoP in tooth forms. Methodology A total of 500 scholars who met the requisite criteria were considered eligible for this study and were provided with a questionnaire that consisted of background questions and 16 close-ended questions related to GoP. The data was analyzed, and descriptive and inferential statistics were used, with a P-value ≤ 0.05 at a 95% confidence interval (CI) deemed statistically significant. Results It was observed that most respondents believed that a smile was important for a patient. The results also indicated that most respondents had heard of GoP for smile designing, indicating that it is a well-known concept among dental scholars in Saudi Arabia. The findings also revealed that most respondents believed that the GoP ratio is 1.618 and that it is important as a guide to anterior restoration. Conclusions Most respondents considered the smile important and the golden ratio to be present in many fields, but their understanding of the concept varied. However, the study had some limitations, including the potential bias in self-reported responses and a lack of clinical application of the GoP. Future studies could investigate the practical implications of GoP in aesthetic dentistry and the effect of demographic factors on awareness and understanding of the concept.

5.
Cureus ; 15(10): e46447, 2023 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-37927738

RESUMEN

Background A dental prosthesis called a removable partial denture (RPD) is used to fill the gaps left by one or more lost teeth. It serves as an option to fixed bridges and restorations supported by implants. This research was on a simple and effective method of investing RPD wax pattern and an in vitro investigation into the creation of a cutting-edge RPD technique. Methodology The method outlines the straightforward steps for waxing an RPD and validating the precision of the cast framework. The use of a laminated paper ring rather than a metallic one for investing the wax patterns is the main distinction between the novel method and the traditional ringless technique. Results A total of 30 samples were considered for investigation, with 15 in the traditional and 15 in the experimental group. The innovative wax pattern investment method exhibited a higher mean geometric orientation (9.23 ± 0.42) compared to traditional investment casting (8.90 ± 0.37 mm). Conversely, the dimensional accuracy mean was lower for the innovative wax pattern investment method (0.28 ± 0.03 mm) compared to traditional investment casting (0.31 ± 0.05 mm). The p-value was less than 0.001 for both parameters, signifying that the differences between the means of the two methods were statistically significant. The statistical power (1-ß) was the probability of rejecting the null hypothesis when it was false. The statistical power was 0.999 for both geometric orientation and dimensional accuracy, indicating that the study had a very high power to detect differences between the two methods. Conclusions This innovative method does away with the requirement for a commercially available plastic ring, reduces the price and time needed for RPD manufacturing, and offers decent marginal accuracy. However, it has some restrictions, such as the challenge of cutting and preparing the paper ring after investing, which could lower the finished product's quality.

6.
Cureus ; 15(11): e48245, 2023 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-38054138

RESUMEN

BACKGROUND: Effective and clear communication between the dentist and dental technician plays a vital role in rendering quality prostheses for patients. When fabricating a removable dental prosthesis, it is uncertain if the information received by the dental laboratory technician is clear and sufficient. This investigation aimed to assess dental technicians' perceptions of the quality of dentists' communication on the fabrication of removable partial dentures (RPDs) in Saudi Arabia. METHODOLOGY: After obtaining the institutional review board (IRB) approval from Riyadh Elm University, Riyadh, Saudi Arabia, a cross-sectional survey on a convenient sample of 115 dental technicians registered with the Saudi Commission for Health Specialties was conducted in January 2022. The voluntary participation of 94 technicians fabricating RPDs was included. A 19-item online questionnaire was developed, including quality of written instruction, selection of impression trays, and impression materials for RPD fabrication, shared through Google Docs. Descriptive statistics were tabulated, and responses were displayed as a percentage of the total. RESULTS: Of the 94 study subjects, 35% had less than five years of experience, 44% stated that they routinely receive work authorizations with clear instructions, 13% always used digital technology to fabricate prostheses, and 58% reported difficulty with communicated work authorization by dentists having less than five years of experience. Thirty-three respondents (35.1%) reported that 75% or more of the fabricated partial dentures were cast framework partials. Thirty-three respondents (35.1%) indicated that the master casts received for partial framework construction were usually accurate. Tooth alterations, however, were reported as usually adequate by only 28 respondents (29.8%). For creating the artificial gingiva portion of cast partials, 56 respondents (59.6%) preferred heat-cured acrylic resin. Furthermore, 40 respondents (42.6%) said that 75% or more of the requested partials were entirely made out of acrylic resin. Regarding case design discussions, 26 respondents (27.7%) always engaged with dentists, while 39 (41.5%) did so occasionally. CONCLUSION: The obtained assessments pointed to the fact that dental technicians expressed a perception of inadequacy regarding the work authorizations provided by dentists for the fabrication of RPDs, where they seemingly felt that the instructions conveyed by the dentists were not sufficiently comprehensive or clear.

7.
Cureus ; 14(11): e31687, 2022 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-36561580

RESUMEN

In this systematic review, we compare the quality and accuracy of computer-aided design (CAD)/computer-aided manufacturing (CAM) techniques currently employed in dentistry with those of traditional materials. Published literature on the study topic was searched in the online MEDLINE, PsycINFO, PubMed, and Cochrane library databases and the database of Indian Council of Medical Research. For this systematic review, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework was applied for the assessment of studies fit for investigation. Of the total 103 papers searched, 54 underwent in-depth evaluation. Using criteria for what to include and what to leave out, we chose research that was relevant to our review and narrowed it down to 14 papers that met the review's guidelines. According to our findings and the analysis of the chosen articles, the prospects and current advances of CAD/CAM technology are fascinating and are revolutionizing the field of dentistry. Even though researchers are excited, it is important to make sure that different materials have been tested and looked at well enough before making firm claims and choices to replace materials that have been made in the past. Based on previous research, it has been determined that the CAD/CAM methodology used in the dental field is the most popular method at the moment since it is quick, simple, and efficient. Since there are different kinds of CAD/CAM systems, it is very important to choose the right one and come up with a good plan for treating a patient.

8.
Cureus ; 14(8): e28379, 2022 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-36171830

RESUMEN

Background: This knowledge, attitude, and practices (KAP) survey will provide baseline data and identify gaps that may facilitate understanding and further action to plan, implement, and evaluate practice toward 3D-printing technology among dental practitioners in Saudi Arabia. AIMS AND OBJECTIVES: The present study aims to assess dental practitioners' self-reported knowledge, attitude, and practice of 3D printing in Saudi Arabia. METHODOLOGY: A cross-sectional, closed-ended questionnaire of registered dental practitioners in Saudi Arabia was conducted. A sample size of 156 was considered for analysis. After obtaining approval from the Institutional Review Board, Riyadh Elm University, the research was conducted during the month of April 2022 amongst 154 registered dental practitioners. The research was distributed among dental health specialists either working in dental colleges, dental clinics, or both in government as well as private settings. Dentists who were not actively involved in 3D printing were excluded. SPSS software, version 25.0, (IBM Corp., Armonk, NY) was used to analyze the data. RESULTS AND CONCLUSION: Of all dentists included in the study, 98% were found to be aware that 3D printing in dentistry is used in Saudi Arabia and 2 % were not aware of its usage in Saudi Arabia. In total, 78.60% of the dentists felt that 3D-printed implant guides made the placement of implants the most accurate and least complicated procedure, and 21.40% of the dentists felt it was the least accurate and most complicated procedure.

9.
Cureus ; 14(10): e30505, 2022 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-36415390

RESUMEN

BACKGROUND:  When taking into account several factors, including the kind and intensity of the light source, the season, the angle of incidence, the patient's attire, age, gender, and the time of day and year, color is one of the most crucial variables of aesthetic dentistry. The most challenging part of prosthetic dentistry is choosing a replacement tooth's color so that it blends in with the surrounding teeth and covers gingival tissue. As a result of the fact that having an understanding of the concept of color is extremely important in order to achieve good aesthetics, and the distribution of color is highly important to achieve shade matching. AIM OF THE STUDY: The goal of this study was to evaluate dental professionals' self-reported knowledge, attitudes, and practices regarding anterior tooth shade matching in Saudi Arabia. METHODOLOGY:  This research study was conducted in Saudi Arabia from February to April 2022. Two hundred fifteen registered dental practitioners participated in the cross-sectional, closed-ended questionnaire-based survey. Dental health professionals working in dental colleges, dental clinics, or other dentally significant institutions like hospitals (both government and private) and their respective private practices in various capacities as professors, teachers, or post-graduate students answered the research questionnaire. Dentists who were not involved actively in shade selection or declined to participate in contact through the mail were excluded. Chi-square and Fisher's exact tests were used for the comparison of categorical data, and a p-value of 0.05 at 95% CI was statistically significant. RESULTS:  Among the questions that were asked, the majority of them said age, sex, gender play, and appointment timing, along with patient opinion play a very important role in shade selection. Moreover, among the patients, 34% noted the manual method of shade selection, and 45.6% of them chose a combination of manual and mechanical methods. When they were asked about the commonest reason they came across for doing a shade selection of anterior teeth, around 52.60% said aesthetics, while 20.90% said fracture of anterior teeth. While 19.1% of people used rubber dam isolation, 34.0% of them preferred the use of cotton rolls and absorbing points, and only 16.7% of them often used Teflon tape. The majority of them had difficulty with shade selection due to the light source, as viewing shades in poor quality light influences how color is perceived; thus, the quality of light is the most influential factor in shade-taking practices. Around 44.7% of them preferred to do shade selection under natural daylight. CONCLUSION:  Based on the results obtained from the current study, the authors would like to conclude that more attention should be focused on improving the knowledge of color science and its application in aesthetic dentistry, as the color and appearance of teeth are complex phenomena with many factors. Hence, for a good aesthetic outcome to be achieved, the dentist should consider all possible entities that influence shade selection.

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