Treatment of an Ill-Fitting Complete Dental Prosthesis with Digital Sensor Device: A Case Report.

Complete edentulism is one of the most common problems encountered by geriatric individuals. With advanced aging, despite attempts made to retain natural dentition, loss of entire teeth is yet observed. For precise denture fabrication, a digital sensor device was used during the making procedure. The use of sensor device aided in better appreciation and more retentiveness of denture.

Finite element stress analysis of Aramany class I maxillectomy defect with single- and two-piece closed bulb obturators.

AIM: To evaluate the stress on the surrounding structures of Aramany class I maxillectomy defect restored with different obturator prostheses. METHODS AND RESULTS: Definitive three-dimensional (3D) finite element (FE) model of Aramany class I defect rehabilitated with single- and two-piece closed bulb obturator prostheses was constructed based on patient computed tomography (CT) using a software. Unilateral defect restored with tripodal design single-piece closed bulb obturator was used as FE model 1- and two-piece magnet retained closed bulb obturators as FE model 2. Finite element analysis (FEA) with three different load (150 N, 200 N and 250 N) applications was used to calculate the equivalent von Mises stress. A least stress value of 62.28 MPa was observed in two-piece closed bulb design with 150 N force, and highest stress value of 104.15 MPa was observed in single-piece obturator with application of 250 N force. CONCLUSION: Minor difference in stress distribution pattern was observed between single-piece obturator and two-piece obturator, and stress value was comparatively lesser in two-piece than single-piece obturator. The stress pattern, distribution and numerical values increased with increase in magnitude of forces. More stress was observed on the lateral slopes of obturator closer to defect than in other areas of the obturator.

Correlation between Visible Length of the Iris and the Length of the Maxillary Central Incisor Using Digital Image Analysis- A Pilot Study.

INTRODUCTION: Complete denture therapy is one such modality where science and art goes hand in hand. Selection of artificial teeth for completely edentulous patients is not easy in the absence of pre extraction records, because till date concrete guidelines do not exist. AIM: The purpose of this study was to determine if a correlation existed between the visible length of the iris and the length of the maxillary central incisor to potentially provide a guide for teeth selection. MATERIALS AND METHODS: A total of 20 Indian dental students consented to participate in the pilot study. Standardized digital images of the face revealing the eyes and component of teeth on smiling was captured using a digital camera. The digital measurements of the visible iris length (medial aperture height, tangential to iris) and the length of the maxillary central incisor from the zenith to the incisal edge were analysed using Adobe Photoshop creative cloud software. The data was statistically evaluated and results were tabulated. Karl Pearson's Coefficient of Correlation was utilized to detect if any association existed between the two variables. RESULTS: The mean value of length of central incisor was 10.39 mm and the mean value of the visible length of iris was found to be 12.9 mm. A Pearson correlation analysis revealed an r-value <0.3 indicating minimal association between the two variables with a p-value >0.01 (.322). CONCLUSION: On inference, the correlation between the visible iris length and that of maxillary central incisor were unable to produce a strong positive statistical association. However, an association factor between the two has been obtained. Deduction of 2.5 mm from the dimension of visible iris length will help in attaining the length of artificial maxillary central incisor tooth.

Palliative Care with Attachment Hybrid Removable Prosthesis.

Abutment injury, unsatisfactory aesthetics and lesser retention exist with the cast partial denture. Though these constraints exist in the Removable Partial Denture (RPD) it is still widely used because of the simplicity in design, fabrication, economics and patient comfort. This clinical report describes a hybrid RPD technique which uses extra coronal attachment that reduces the limitations and provides better comfort for the patient.

Power spectrum density analysis for the influence of complete denture on the brain function of edentulous patients - pilot study.

PURPOSE: This pilot study was to find the influence of complete denture on the brain activity and cognitive function of edentulous patients measured through Electroencephalogram (EEG) signals. MATERIALS AND METHODS: The study recruited 20 patients aged from 50 to 60 years requiring complete dentures with inclusion and exclusion criteria. The brain function and cognitive function were analyzed with a mental state questionnaire and a 15-minute analysis of power spectral density of EEG alpha waves. The analysis included edentulous phase and post denture insertion adaptive phase, each done before and after chewing. The results obtained were statistically evaluated. RESULTS: Power Spectral Density (PSD) values increased from edentulous phase to post denture insertion adaption phase. The data were grouped as edentulous phase before chewing (EEG p1-0.0064), edentulous phase after chewing (EEG p2-0.0073), post denture insertion adaptive phase before chewing (EEG p3-0.0077), and post denture insertion adaptive phase after chewing (EEG p4-0.0096). The acquired values were statistically analyzed using paired t-test, which showed statistically significant results (P<.05). CONCLUSION: This pilot study showed functional improvement in brain function of edentulous patients with complete dentures rehabilitation.

Custom fabrication of reinforced lithium disilicate ceramic ingot.

A method of formulating a reinforcement lithium disilicate ceramic ingot was proposed. The ceramic ingot was broken manually with a mallet to finer particles. The sectioned ingot is ball milled along with 10% of nano zirconia by weight to obtain the desired powder. The reinforced powder is condensed in a 5 ml disposable syringe by powder slurry technique. The compacted ceramic were sintered at 900°C to obtain ceramic ingots. The reinforced ceramic ingots were used in pressable ceramic machines to obtain the desired advantages of zirconia reinforcement and pressable ceramic system.

Evaluation of Proportion between Incisal Edge to Gingival Zenith Distance and Interdental Papilla in Maxillary Anterior Dentition of Indian Population.

INTRODUCTION: Not many investigations have evaluated the relationship between the height of the interdental papillae, gingival zenith and maxillary anterior teeth. The assessment of these parameters can aid in fabricating definitive aesthetic restoration. AIM: The aim of this study was to evaluate the existence of proportional ratio between the incisal edge to gingival zenith (HGZ) and the tip of the interdental papilla (HIP) in maxillary anterior teeth for Indian population. MATERIALS AND METHODS: One hundred healthy volunteers with an average age of 25-30 years comprised the evaluation group. Impression was made using irreversible hydrocolloid impression material and type IV Dental stone cast was made. A calibrated digital caliper measured the distance between HGZ and HIP. The values for all six maxillary teeth were recorded and the proportional ratio was evaluated and statistically analysed. RESULTS: The mean ratio between HGZ and HIP of all maxillary anteriors in 1(st) and 2(nd) quadrant was 1.80, 1.71, and 2.03 in central incisor, lateral incisor and canine respectively with p-value > 0.9. CONCLUSION: The mean proportional measurements for maxillary anterior teeth were determined and no definitive proportion existed between HGZ and HIP of maxillary anterior teeth.

Emerging technology and techniques.

A technique of fabricating feldspathic porcelain pressable ingots was proposed. A 5 ml disposable syringe was used to condense the powder slurry. The condensed porcelain was sintered at 900΀C to produce porcelain ingots. The fabricated porcelain ingots were used in pressable ceramic machines. The technological advantages of pressable system improve the properties, and the fabricated ingot enhances the application of feldspathic porcelain.

Abridged Technique for Precise Implant Angulation.

Enormous scientific knowledge with evidence and clinical dexterity impart definitive ground for success in implant dentistry. Nevertheless, the unfeasibility to access the inner bone tissue makes the situation altogether more demanding. Presently the advent of numerous imaging techniques and associated surgical guide templates are documented for evaluation of implant angulation. However, they are not cost effective and consume more time to plan and design the structure. This article describes a simple concise technique for precise implant angulation.