MyMedR

A multidisciplinary approach in achieving aesthetics and function

Woon KC, Thong YL

J Ir Dent Assoc, 1991;37(1):15-7.

This case report illustrates the successful management of a case of mutilated maxillary incisors in a 13 year old patient through a sequence of therapy designed to closely coordinate the various disciplines, endodontics, restorative dentistry and orthodontics, involved. Endodontics was directed towards the control of the infected pulp, restorative treatment was to reconstruct the broken down teeth in stages which were essential in the sequence of treatment, and orthodontics was involved in the achievement of functional occlusion and alignment. The comprehensive treatment approach combined to achieve satisfactory aesthetics and function.

Matched MeSH terms: Dental Restoration, Permanent*

A retrospective study of oral and maxillofacial injuries in Seremban Hospital, Malaysia

Ramli R, Rahman NA, Rahman RA, Hussaini HM, Hamid AL

Dent Traumatol, 2011 Apr;27(2):122-6.

PMID: 21281443 DOI: 10.1111/j.1600-9657.2010.00968.x

Aetiology of oral and maxillofacial injuries in this country includes motorvehicle accident (MVA), fall, industrial accidents and others. Among these causes, MVA accident is the predominant cause of injury in Malaysia.

Matched MeSH terms: Dental Restoration, Permanent/statistics & numerical data

Apical microleakage evaluation of system B compared with cold lateral technique: In vitro study

Farea M, Masudi S, Wan Bakar WZ

Aust Endod J, 2010 Aug;36(2):48-53.

PMID: 20666748 DOI: 10.1111/j.1747-4477.2009.00187.x

The aim of this study was to evaluate in vitro the apical sealing ability of cold lateral and system B root filling techniques using dye penetration. Eighty-six extracted single-rooted human teeth were prepared and randomly divided into two experimental groups to be obturated by cold lateral condensation (n = 33) and system B (n = 33). The remaining 20 teeth served as positive and negative controls. The roots were embedded for 72 h in methylene blue dye solution and sectioned transversely for dye penetration evaluation using stereomicroscope. The results of this study showed that cold lateral condensation leaked significantly more (P < 0.001) than system B technique.

Matched MeSH terms: Dental Restoration, Permanent

Caries Assessment Spectrum and Treatment: Would It direct Future Epidemiological Surveys?

Bhoopathi PH, Voruganti S, Suma NS, Samudrala T, Kamath BV, Jahagirdar A

J Contemp Dent Pract, 2018 May 01;19(5):546-553.

PMID: 29807965

AIM: To evaluate caries spectrum among 12- and 15-year-old Indian children using the Caries Assessment Spectrum and Treatment (CAST) index.

MATERIALS AND METHODS: An epidemiological survey of the schoolchildren was carried out in a district in India. A stratified cluster random sampling method was used to select the sample. The caries prevalence of the surveyed population was obtained by using this CAST tool. Chi-square test was used to verify the association between dental fluorosis, socioeconomic status, and age and caries experience. Mann-Whitney U-test was used to compare the caries experience between the two age groups.

RESULTS: A total of 2,610 children were examined. The majority of the schoolchildren (12 years: 74.2%, 15 years: 75.5%) were healthy concerning their caries experience and the prevalence of the other codes was minimal. The prevalence of dentin carious lesions and the percent of restorable teeth was greater among the 15-year-olds. The mean decayed, missing, and filled teeth (DMFT) of 12- and 15-year-old subjects was calculated to be 0.22 and 0.29 respectively.

CONCLUSION: The currently surveyed population showed a low caries prevalence and the use of the tool highlighted the caries spectrum in an impressive way.

CLINICAL SIGNIFICANCE: A well-designed tool to assess the carious spectrum of an individual or a community, thus enabling the responsible stakeholders to plan an appropriate care that is necessary.

Matched MeSH terms: Dental Restoration, Permanent/statistics & numerical data

Copper vapour laser ID labelling on metal dentures and restorations

Ling BC, Nambiar P, Low KS, Lee CK

J Forensic Odontostomatol, 2003 Jun;21(1):17-22.

PMID: 12793127

Denture marking is accepted as a means of identifying dentures and persons in geriatric institutions, or post-mortem during war, crimes, civil unrest, natural and mass disasters. Labelling on the acrylic resin component of the denture can easily be damaged or destroyed by fire but on cobalt-chromium components it would be more resistant. A copper vapour laser (CVL) can be used to label the cobalt-chromium components of dentures and metal restorations easily, and legibly, and miniaturised for the incorporation of more personal particulars necessary for the identification of the deceased person. The CVL beam is focussed by its optics and delivered to the material surface by the two-axis scanner mounted with mirrors. A personal computer controls the movement of the scanner and the firing of the CVL. The high peak power of the pulsed CVL is focussed to very high energy density producing plasma ablation of the alloy surface. Very fine markings of a few microns width can be produced enabling the storage of detailed information of the deceased person on a metal surface for the purpose of rapid identification.

Matched MeSH terms: Dental Restoration, Permanent*

Costing dental restorations in public sector dental clinics

Khairiyah AM, Razak IA, Raja-Latifah RJ, Tan BS, Norain AT, Noor-Aliyah I, et al.

Asia Pac J Public Health, 2009 Apr;21(2):184-95.

PMID: 19190002 DOI: 10.1177/1010539509331788

The objective of this study is to share cost analysis methodology and to obtain cost estimates for posterior restorations in public sector dental clinics. Two urban and 2 rural dental clinics in Selangor state were selected. Only cases of 1 posterior restoration per visit by dental officers were included over 6 months. One capsulated amalgam type, 1 capsulated tooth-colored, and 1 non-capsulated tooth-colored material were selected. A clinical pathway form was formulated to collect data per patient. Annual capital and recurrent expenditures were collected per clinic. The mean cost of an amalgam restoration was RM 30.96 (sdRM 7.86); and tooth-colored restorations ranged from RM 33.00 (sdRM 8.43) to RM 41.10 (sdRM 10.61). Wherein 1 USD = RM 2.8. Restoration costs were 35% to 55% higher in clinics in rural areas than in urban areas. The findings demonstrate economy of scale for clinic operation and restoration costs with higher patient load. Costs per restoration were higher in rural than in urban dental clinics. More studies are recommended to address the dearth of dental costs data in Malaysia.

Matched MeSH terms: Dental Restoration, Permanent/economics*

Fulltext Current and future trends in the teaching of direct posterior resin composites in Malaysian dental schools: a cross-sectional study

Sidhu P, Sultan OS, Math SY, Malik NA, Wilson NHF, Lynch CD, et al.

J Dent, 2021 07;110:103683.

PMID: 33957189 DOI: 10.1016/j.jdent.2021.103683

OBJECTIVE: To investigate the current and future teaching of posterior composite restorations in undergraduate curricula in Malaysian dental schools.

METHODS: A 24-item validated questionnaire including closed and open questions on the teaching of posterior composites was emailed to faculty members in all 13 Dental Schools in Malaysia. Responses were compiled on Excel and analysed.

RESULTS: All 13 dental schools responded to the survey yielding a 100 % response. All schools indicated the use of posterior composites for 2- and 3-surface cavities in premolars and molars. The didactic teaching time devoted to composites was greater than for amalgam (38 h vs 29 h). Clinically, most posterior restorations placed by students were composites (average 74.1 %, range 10 %-100 %); the remaining 25.9 % were amalgams (range, 0 %-50 %). Slot-type cavities were the preparation techniques most commonly taught (n = 11,84.6 %). The use of rubber dam for moisture control was mandatory in most schools (n = 11, 84.6 %). History of adverse reaction to composites was found to be the most common contraindication to composite placement. The phase down of teaching and use of amalgam in Malaysia is expected to occur within the next six years.

CONCLUSION: The trend to increase the teaching of posterior composites reported for other countries is confirmed by the findings from Malaysian dental schools. Notwithstanding this trend, the use of amalgam is still taught, and future studies are required to investigate the implications of the phase down of amalgam in favour of posterior composites.

CLINICAL SIGNIFICANCE: Notwithstanding the increase in the teaching of posterior composites there is a pressing need to update and refine clinical guidelines for the teaching of posterior composites globally.

Matched MeSH terms: Dental Restoration, Permanent*

Fulltext Current philosophies and practices of general dental practitioners pertaining to direct restorations, bleaching and endodontics

Lim, T.W., Goh, A.C., Seow, L.L.

Malaysian Dental Journal, 2007;28(2):122-131.

MyJurnal

The aim of the present study was to assess the current approaches and philosophies pertaining to direct restorations, bleaching and root canal treatment amongst general dental practitioners (GDPs) in the Klang Valley, Malaysia. A questionnaire, together with a stamped addressed envelope and an explanatory letter, was sent to 200 GDPs in the Klang Valley in April-July 2005. The GDPs were selected at random. A total of 153 (76.5%) of the GDPs responded to the survey. 46.4% of the respondents stated that the use of amalgam was decreasing whereas 79.7% stated an increase in the use of composite resins. Clinical indication (85.6%) and patients’ demand for aesthetics (73.9%) appeared to be the main factors influencing the choice of restorative materials. Fractured restorations was the main reason for the replacement of amalgam restorations (77.1%) whilst secondary caries was the main reason for the replacement of composite resin restorations (73.9%). Almost two thirds of the GDPs surveyed provided chair side bleaching while 75.8% of the GDPs would supervise home bleaching. Sodium hypochlorite was the most common endodontic irrigant used amongst the GDPs surveyed and cold lateral compaction was the most commonly used obturation technique.

Matched MeSH terms: Dental Restoration, Permanent

Dental composites: a review

Talib R

J Nihon Univ Sch Dent, 1993 Sep;35(3):161-70.

PMID: 8246037

Dental composite resins are widely used in dental practice and are continually being developed in order to obtain better products. To gain full benefit from these materials, it is important for the clinician to understand their properties. The following is a review of the more common characteristics of composites in current use.

Matched MeSH terms: Dental Restoration, Permanent

Dental health status and treatment needs in the infantry regiment of the Malaysian Territorial Army

Jasmin B, Jaafar N

Asia Pac J Public Health, 2011 Apr;23(2):203-8.

PMID: 21159693 DOI: 10.1177/1010539510391234

The aim of this study was to determine the dental health status and treatment needs of personnel in the Infantry Regiment of the Malaysian Territorial Army (TA).This cross-sectional study involved stratified and systematic random sampling with a total sample size of 300. Dental health status and treatment needs were assessed using the standard WHO oral assessment criteria (1997). The prevalence of caries experience was 96% (mean ± SD DMFT [decayed, missing, filled teeth] = 8.0 ± 5.5). Active decay prevalence was high (85%; mean ± SD = 3.6 ± 3.1) indicating high unmet treatment need. Missing teeth prevalence was high (69%; mean ± SD = 2.8 ± 3.7). Filled teeth prevalence was low (56%, mean ± SD = 1.5 ± 2.0). In all, 90% of participants required some form of dental treatment, of whom 85% required restorative treatment, 5% advanced restorative treatment, 36.7% extractions, and 45.3% prosthetic treatment. These findings suggest that there was a high need for dental treatment in the Infantry Battalions of Malaysian TA Regiments and the service must be made available to cater to the needs.

Matched MeSH terms: Dental Restoration, Permanent/statistics & numerical data*

Detection of microleakage around dental restorations: a review

Alani AH, Toh CG

Oper Dent, 1997 Jul-Aug;22(4):173-85.

PMID: 9484158

Matched MeSH terms: Dental Restoration, Permanent*

Fulltext Displacement of a composite restoration fragment into the gingiva: an unusual complication of surgical removal of teeth

George AM, Azad AK, Mayya A, Mayya A

BMJ Case Rep, 2021 Apr 22;14(4).

PMID: 33888476 DOI: 10.1136/bcr-2020-240294

Matched MeSH terms: Dental Restoration, Permanent

Effect of CAD-CAM porcelain veneers thickness on their cemented color

Omar H, Atta O, El-Mowafy O, Khan SA

J Dent, 2010;38 Suppl 2:e95-9.

PMID: 20493232 DOI: 10.1016/j.jdent.2010.05.006

To determine the effect of thickness of porcelain veneers constructed from CAD-CAM on their final color when two resin cements were used.

Matched MeSH terms: Dental Restoration, Permanent

Effect of liners on microleakage in class II composite restoration

Normaliza Ab. Malik, Seow LL, Normastura Abd. Rahman, Marhazlinda Jamaludin

Sains Malaysiana, 2013;42:45-51.

This study was carried out to evaluate the microleakage of Class II cavities restored with various types of lining materials. Four types of composite resins (Esthet-X-Denstply, USA, FiltekTMZ350-3M ESPE, USA, Beautifil- Shofu, Japan and Solare P-GC, Japan) were used and the lining were the Fuji IXGP (GC, Japan), the Beautifil flow (Shofu, Japan), the FiltexTMZ350 flow (3M ESPE, USA) and the Esthet-X flow (Denstply, USA). All the specimens were thermocycled and immersed in 0.5% basic fuschin dye for 24 h. The microleakage was scored using the ISO microleakage scoring system. The data were entered using SPSS version 12.0 and analyzed using STATA software programme. This study showed that none of the materials used in this study was able to eliminate microleakage. However, it was shown that the glass ionomer cement was better in reducing the incident of microleakage at the cervical margin. Among the flowable composite resin, FiltexTMZ350 flow showed less microleakage at the cervical margin.

Matched MeSH terms: Dental Restoration, Permanent

Fulltext Microleakage Testing

Gonzalez, M.A.G., Kasim, N.H.A., Aziz, R.A.

Ann Dent, 1997;4(1):-.

MyJurnal

Microleakage testing has been used to determine the possible clinical performance of a restorative material. Many microleakage testing materials have been developed and performed through the years. There has been no agreement as to which testing methodology would give the most accurate results. Attempts have been made to simulate the oral conditions and to give a more quantitative representation of micro leakage. The different micro leakage testing methodologies are presented in this paper.

Matched MeSH terms: Dental Restoration, Permanent

Fulltext Modelling the longevity of dental restorations by means of a CBR system

Aliaga IJ, Vera V, De Paz JF, García AE, Mohamad MS

Biomed Res Int, 2015;2015:540306.

PMID: 25866792 DOI: 10.1155/2015/540306

The lifespan of dental restorations is limited. Longevity depends on the material used and the different characteristics of the dental piece. However, it is not always the case that the best and longest lasting material is used since patients may prefer different treatments according to how noticeable the material is. Over the last 100 years, the most commonly used material has been silver amalgam, which, while very durable, is somewhat aesthetically displeasing. Our study is based on the collection of data from the charts, notes, and radiographic information of restorative treatments performed by Dr. Vera in 1993, the analysis of the information by computer artificial intelligence to determine the most appropriate restoration, and the monitoring of the evolution of the dental restoration. The data will be treated confidentially according to the Organic Law 15/1999 on 13 December on the Protection of Personal Data. This paper also presents a clustering technique capable of identifying the most significant cases with which to instantiate the case-base. In order to classify the cases, a mixture of experts is used which incorporates a Bayesian network and a multilayer perceptron; the combination of both classifiers is performed with a neural network.

Matched MeSH terms: Dental Restoration, Permanent*

Multiple external root resorption

Yusof WZ, Ghazali MN

J Am Dent Assoc, 1989 Apr;118(4):453-5.

PMID: 2708724

Presented is an unusual case of multiple external root resorption. Although the cause of this resorption was not determined, several possibilities are presented. Trauma from occlusion, periodontal and pulpal inflammation, and resorption of idiopathic origin are all discussed as possible causes.

Matched MeSH terms: Dental Restoration, Permanent/adverse effects

Patients' preference for exodontia versus preservation in Malaysia

Razak IA, Jaafar N, Jalalludin RL, Esa R

Community Dent Oral Epidemiol, 1990 Jun;18(3):131-2.

PMID: 2350948

A total of 537 dentate adults from nine randomly selected government dental centers in three states in Malaysia were interviewed to assess their preference for either exodontia or preservation of teeth when they experience toothache, or have carious anterior or posterior teeth. The assumptions tested were i) patients prefer exodontia rather than preservation when they have toothache, and ii) patients are more willing to have posterior teeth extracted than anterior teeth for caries. Both these assumptions were rejected. Even though the majority of the subjects preferred preservation (59%) when having toothache, exodontia was the treatment of choice in a large proportion of subjects (41%). Significant differences in preference were found among the various ethnic, educational, income, and age groups. However, when ethnicity was held constant, binary regression indicated that the variations observed were determined by education, income, and age groups and not by ethnicity.

Matched MeSH terms: Dental Restoration, Permanent/psychology*

Pin-retained amalgam restorations--an economical technique

Tay WM

Dent J Malaysia Singapore, 1968 Feb;8(1):24-8.

PMID: 5248555

Matched MeSH terms: Dental Restoration, Permanent

Porcelain laminate veneers--considerations for a successful approach in the conservative treatment of aesthetic problems

Toh CG

Asian J Aesthet Dent, 1994;2(1):11-7.

PMID: 9063109

The development of porcelain laminate veneers has added a new dimension to dentistry in the treatment of unsightly anterior teeth. It is a less invasive procedure than the conventional crown restoration in the treatment of aesthetic problems. This paper highlights some of the considerations in the successful use of porcelain veneers.

Matched MeSH terms: Dental Restoration, Permanent/methods*

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