Background: This review aimed to comprehensively investigate the impact of Hormone Replacement Therapy (HRT) on implant osseointegration and bone loss. The study considered factors such as HRT type, osteoporosis, smoking, and diabetes mellitus, and analysed the available literature to provide insights into the association between HRT and implant outcomes. Methods: Multiple databases were utilized, and studies with diverse designs and methodologies were included that examined the relationship between HRT and implant osseointegration. The selected studies were analyzed and relevant data on implant success rates, bone loss, and other correlations was extracted. Results: The review findings indicate that HRT has a detrimental impact on implant osseointegration, as evidenced by lower implant success rates and increased bone loss in HRT-treated individuals. The odds ratio analysis further strengthens this association, with significant values of 0.59 (95% CI: 0.50-0.70) and 0.64 (95% CI: 0.54-0.76), indicating a higher likelihood of implant failure in HRT-treated patients., highlighting the need for caution when considering HRT as a treatment option in patients undergoing implant procedures. Smoking and diabetes mellitus were also found to significantly affect implant outcomes, emphasizing the importance of addressing these factors in patient management. Conclusion: The assessments demonstrate that HRT adversely affects implant osseointegration and increases bone loss. The results suggest the importance of considering the potential negative impact of HRT on implant outcomes and the need for thorough patient evaluation and management. Further research is warranted to explore the underlying mechanisms, assess the impact of specific HRT types and dosages, and evaluate preventive strategies to mitigate the detrimental effects of HRT on implant success.
11 July 2023 in Journal of Pharmacy and Bioallied Sciences
Introduction: Salivary substitutes are gaining popularity these days because of the increase in patients with dry mouth. These substitutes must satisfy certain criteria to fulfill the patient’s needs. One of these is wettability. Materials and Methods: One hundred fifty rectangular specimens of heat-cured denture base acrylic resin were prepared. A drop of test liquids (human saliva, distilled water, aqwet, saleva, and wet mouth) was placed over the test specimen and right and left contact angles were measured using optical contact angle machine. Results: All test liquids performed better than distilled water. Human saliva has the least contact angle followed by aqwet. Conclusion: Carboxymethyl cellulose base aqwet saliva substitute was found to be best having similar contact angle values to human saliva.
The goal of modern dentistry is to restore optimum oral health, function, and comfort for a patient. For an implant-supported fixed prosthesis, these goals cannot be met if the biomechanical factors governing the success of the prosthesis are overlooked. Mandibular flexure is one such factor that needs to be considered, especially when implants are being placed posterior to the interforaminal region. If not, it can lead to problems like increased stress, bone resorption, poor fit of the prosthesis, screw loosening, and patient discomfort. The use of a split-framework prosthesis is one of the measures that could be taken to decrease the stress, ensure a passive fit of the framework, and long-term maintenance of patient comfort and function. This case report describes the oral rehabilitation of a patient using a maxillary cast partial denture and mandibular split framework fixed prosthesis to compensate for mandibular flexure.
Dental health and overall well-being are greatly impacted by temporomandibular disorders (TMDs), which encompass a spectrum of illnesses that impact the temporomandibular joint and its surrounding structures. The use of dental prostheses, including complete and partial dentures, is common among individuals with missing teeth. However, the association between denture types and the prevalence of TMD remains a subject of interest and concern in the field of oral health. Relevant databases were comprehensively searched to identify eligible studies. The search strategy included terms related to Temporomandibular joint disorders and dentures. Studies reporting on the prevalence of TMD in denture wearers, categorized as complete or partial, were included. Quality assessment and data extraction were performed following established guidelines. Two reviewers independently screened articles, conducted data extraction and risk assessment. Meta-analysis was carried out using random-effects models, and subgroup analyses were conducted to explore potential sources of heterogeneity. A total of three studies were included in the analysis. Two studies reported TMD to be prevalent in partial denture (PD) in higher proportions as compared to Complete Denture (CD) while another showed CD patients exhibiting greater TMD cases. The results remain inconclusive owing to the limited number of studies and evidence. The quality of the included studies ranged from moderate to low risk. The current evidence regarding the association between denture type and TMD is inconclusive and limited. The heterogeneity of study designs and the lack of standardized assessment tools for TMD diagnosis and denture classification contribute to the variability in findings. This information can help prosthodontists and other dental practitioners improve the general health and oral hygiene of their patients who wear dental prosthesis.
Digitalization in dentistry, encompassing use of digital technology, is indeed the dominant force, impacting every aspect of the profession. Therefore, it is of interest to evaluate and comprehend dental technicians’ knowledge, attitude and practice related to digital laboratory procedures in India. A questionnaire-based cross-sectional research was performed among registered dental technicians across India and descriptive statistics were utilized to calculate frequency distributions and chi-square for relationships among variables. The mean knowledge score (4.63±2.18), attitude score (4.52±2.19) and the practice score (4.55±2.14) was substantially exceeded in the dental technicians working in the south zone compared to other zones. The dental technicians employed at private dental laboratory had greater knowledge score (4.04±1.75), attitude score (3.96±1.74) and practice score (3.98±1.72) compared to those working in dental college. The dental technicians of south zone exhibited greater attitude, knowledge and practice of digital dental laboratory procedures than other zones across India.
Splints are commonly used in dentistry while measuring the bite force for the protection of teeth. Therefore, it is of interest to evaluate the influence of using an acrylic resin splint during bite force measurement on maximum voluntary bite force (MVBF). MVBF was recorded at the right 1st molar region on 20 participants showing a significant reduction with the splint (mean difference: 21.9 N, p=0.01). Without a splint, the mean bite force was 243.25 N (SD=59.96), whereas with a splint, it dropped to 221.3 N (SD=45.76). Discomfort was the primary reason for the decrease in MVBF, with 80% of participants preferring without splint method, highlighting challenges in their application.