RESUMEN
AIM: The aim of the present study was to evaluate clinically, radiographically, and functionally the outcomes of immediately loaded basal implants when placed in patients with compromised bone/alveolar ridges. MATERIALS AND METHODS: A total of 18 systemically healthy (9 male and 9 female) subjects with compromised bone with poor quantity or quality were included in the study. A total number of 57 implants was placed, out of which 26 implants were placed in maxilla and 31 implants in mandible. There were 6 patients in which single implants were placed and in rest of the 12 patients, multiple implants were placed, out of which full mouth rehabilitation was done in one patient. In 10 patients, implants were placed immediately in fresh extraction socket and in 7 patients, implants were placed in healed edentulous site. In all the patients, loading was done immediately within 72 h of implant placement. All patients were evaluated for primary and secondary stability, pain, periimplant bone levels using IOPA with grid and CBCT, bleeding, suppuration, sulcular bleeding index, prosthetic complications, and patient satisfaction at specified time intervals. RESULT: All the values obtained during the study were expressed in the form of mean, standard deviation, and standard error of the mean. The parameters were compared between groups using Paired t-test for intragroup comparison at a similar time, i.e., baseline, 1 month, and 3 months. The data collected was comprehensively analyzed using SPSS software. All implants were successful, with no incidence of infection, nil mobility at the end of the study period of 6 months. CONCLUSION: Thus, it can be concluded from the present study, that Basal implants can play a vital role in the rehabilitation of patients, where compromised quality and/or quantity of bone is present and additional augmentation procedures would be required for the placement of conventional root form implants.
RESUMEN
BACKGROUND: Surgical removal of mandibular third molars results in some degree of post-operative pain, swelling and trismus. These can be controlled by proper administration of local anesthesia, careful bone removal, minimal trauma to adjacent soft tissues and administration of methylprednisolone and serratiopeptidase drugs. The aim of the present study was to compare the efficacy of methylprednisolone and serratiopeptidase in controlling post-operative pain, swelling and trismus after surgical removal of impacted mandibular third molars. MATERIAL AND METHODS: The subjects were divided into two groups of 50 patients each undergoing surgical removal of mandibular third molars. Group A was given methylprednisolone 4mg orally every 8th hourly and Group B was given serratiopeptidase 10 mg every 12th hourly orally. Post-operatively pain, swelling and trismus were evaluated at the end of 1st, 3rd and 5thday. RESULTS: The results of this study showed that methylprednisolone is an effective analgesic, while serratiopeptidase has moderate analgesic activity. Serratiopeptidase is more effective than methylprednisolone in controlling post surgical swelling and trismus. Hence combination of these two drugs would be very effective than individual drug when widespread post-operative sequelae are expected after surgical removal of impacted lower third molars. CONCLUSIONS: We conclude that methylprednisolone affords better pain relief while serratiopeptidase exerts better anti-inflammatory and anti-swelling effects in the post-operative period. Synergistic combinations of these two drugs would however prove to be more effective when extensive post-operative sequelae are expected. Key words:Methylprednisolone, serratiopeptidase, pain, swelling, trismus, third molar.
RESUMEN
BACKGROUND: The fracture of acrylic resin denture is rather common occurrence and causes inconvenience to the patients. This study was carried out to evaluate and compare the impact strength and fracture morphology of four different heat cure acrylic materials. MATERIALS AND METHODS: Acrylic resin specimens were prepared using preformed metal die of dimension 65 × 10 × 3 mm. The specimens were finished, polished and subjected to impact strength evaluation using impact testing machine. The loads at which the specimens fracture are recorded and subjected to statistical analysis. Fracture surface analysis was done. Macroscopic analysis was performed by visual inspection of the fractured surfaces using a stereoscopic microscope. About 5 mm sections of all the fragments were subjected to scanning electron microscopy for microscopic analysis to verify fracture morphology. RESULTS: Mean values of the impact strength were compared by statistical methods. The impact strength data were subjected to variance homogeneity tests. Fracture surface analysis data was analyzed by statistical methods. The mean impact strength of Lucitone 199 was higher than Acrylyn-H, DPI Heat cure & Trevalon. CONCLUSION: Within the limitations of this study, it was concluded that the impact strength of the acrylic resins is affected by the reinforcement of fibers. Increased intermediate fractures increased impact strength. Brittle fractures morphology showed fewer undercuts and clearer surface. Intermediate fractures morphology showed more undercuts than clear surfaces.
