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Fulltext Ludwig's Angina Infection In A Child: A Cause For Concern

Ngeow, W.C.

Ann Dent, 1999;6(1):-.
MyJurnal

Ludwig's angina is a rare type of facial infection usually reported in adults. This paper presents a case of Ludwig's angina infection occurring in a 3 year-old Malay boy. The dentists must be able to detect such presentation early. Hospitalization for monitoring of airway is essential.

Matched MeSH terms: Dentists
Fulltext Radiographic considerations in endodontics

Yusof, Z.Y.M., Nambiar, P.

Malaysian Dental Journal, 2007;28(1):51-58.
MyJurnal

Quality radiographs of diagnostic value are important in root canal treatment. The dentist who has knowledge and skills in the use of radiographs for diagnostic purposes has a professional responsibility to ensure that the radiographs are obtained with minimum risk of radiation dose to and for the benefit of the patient. This article reviews the effectiveness of radiography techniques required for successful root canal treatment with the patient’s interest in mind. Awareness of effectual radiographic techniques, their constraints and applicable techniques for improvements are discussed. It seeks to reduce potentially harmful ionising radiation dose to patients and optimise the use of X-rays to produce diagnostic radiographs during root canal treatment.

Matched MeSH terms: Dentists
Fulltext Is Profile Alone Sufficient To Remove Gutta-Percha During Endodontic Re-treatment?

Lee, S.W., Tan, S.T., Che Ab Aziz, Z.A.

Ann Dent, 2005;12(1):-.
MyJurnal

Thirty extracted mandibular premolars were randomly divided into 3 groups. Canals were cleaned, obturated and the teeth incubated. Guttapercha removal was performed using: Hedström files with xylene (Group 1); ProFile® alone (Group 2) and combination of both (Group 3). Time required to remove the gutta-percha was recorded. Postoperative radiographs were taken. Specimens were split longitudinally and photographed. Amount of gutta-percha left at coronal, middle and apical thirds was calculated by computer (QWIN software) and the photographs were also evaluated visually by two endodontists. Results showed that the combined technique was fastest in removing gutta-percha. Radiographically, more residual was left in Group 2. Although computer analysis also showed more residual was left in Group 2, they were in a small percentage and there were no significant differences (P>0.05, SPSS paired-samples T test) among groups. Although there were significant differences between the two evaluators in their scoring, both generally agreed (Kappa’s analysis= 0.64) there was more guttapercha residual in Group 2 compared to Group 3 in the apical thirds. Although the differences in efficacy of guttapercha removal among these techniques were not significant, the use of ProFile® increased the speed of the procedure. The combined technique showed the most superior efficacy in gutta-percha removal.

Matched MeSH terms: Dentists
Fulltext Attitudes and practices in smoking cessation counselling among dentists in Kelantan

Ibrahim, H., Norkhafizah, S.

Archives of Orofacial Sciences, 2008;3(1):11-16.
MyJurnal

This is a cross sectional study to determine the attitudes and practices in smoking cessation counselling among dentists in Kelantan and to identify the barriers that prevent them from doing so. Self-administered questionnaires were distributed to 152 dentists practising in Kelantan. A total of 84 (55.2%) questionnaires were completed and returned. Although majority of the dentists (98.8%) agreed that they have a role in smoking cessation counselling, only few of them (17.9%) were actually involved in a considerable extent. The main barriers cited were lack of training and time in their practice. In conclusion, dentists in Kelantan believed that they have a role in smoking cessation counselling but their involvement was rather limited.

Matched MeSH terms: Dentists
Fulltext Acrylic partial dentures fixed to adjacent teeth: a case report on quack dentistry

Nik Madihah Nik Azis, Khamiza Zainol Abidin

Archives of Orofacial Sciences, 2015;10(1):41-45.
MyJurnal

The practice of quack dentistry worldwide is a challenge to the profession of dentistry as it undermines the trust of the general public and places the patients at unnecessary risks through their illegal practices. Although the ratio of patients to dentists is rapidly decreasing in Malaysia due to the increased output of qualified dentists from both local and foreign institutions, quack dentistry is still practiced in many areas. This report intends to highlight a popular treatment prescribed by these quack dentists which is removable partial dentures that is fixed to the adjacent teeth by cold cure acrylic. We also aim to discuss the design of the denture and the means employed to remove this ’fixed partial denture’. It is hoped that this case report will highlight the prevalence of the practice of quack dentistry especially in geographical area of this case report and allow the authorities to devise means to stop this illegal practice.

Matched MeSH terms: Dentists
Evaluation of Attitude and Knowledge of Endodontic, Pedodontic and SBARD Residents in Saudi Arabia toward Regenerative Endodontics-A National Survey

Assiry AA, Karobari MI, Snigdha NT, Mohamed RN, Basheer SN, Zameer M

Medicina (Kaunas), 2022 Apr 14;58(4).
PMID: 35454383 DOI: 10.3390/medicina58040545

Background and Objectives: There are no guidelines on the regenerative endodontic procedures that should be followed in dental treatment. Thus, it is essential to learn the knowledge, attitudes, and opinions about regenerative endodontics among dental practitioners, particularly endodontists, as they are the first providers of this type of dental treatment. Aim: This study aimed to assess the knowledge and attitudes among residents of the Saudi Board of Advanced Restorative Dentistry (SBARD) in Saudi Arabia. Methods & Materials: A questionnaire-based survey was conducted among 128 residents of endodontics, pedodontics, and the SBARD in Saudi Arabia. The questionnaire was distributed to participants using the available electronic measures such as emails and social media. The questionnaire was made by Google Forms, and responses were received directly in the excel sheet in the email. The data were exported as an excel file, coded, and analyzed, and the p-value < 0.05 was set as significant. Results: More than 50% (74 dentists) of the participants reported receiving continuing education in regenerative treatment, with a significant difference found among specialty (p = 0.023). No significant association was found between knowledge, gender, and type of postgraduate study. The vast majority (89.1%) of the participants believed regenerative endodontics should be incorporated into dentistry curricula. About two-thirds (78.2%) of the participants declared their ability to attend future training courses in a regenerative endodontic, whereas 10.9% did not, and 10.9% were unsure. Conclusions: The dental practitioners were enthusiastic and interested in regenerative and stem cell treatment. The results also suggested incorporating regenerative treatment into the dental curriculum and signaled the need for more continued training courses.

Matched MeSH terms: Dentists
Fulltext Passive Fit in Screw Retained Multi-unit Implant Prosthesis Understanding and Achieving: A Review of the Literature

Buzayan MM, Yunus NB

J Indian Prosthodont Soc, 2014 Mar;14(1):16-23.
PMID: 24604993 DOI: 10.1007/s13191-013-0343-x

One of the considerable challenges for screw-retained multi-unit implant prosthesis is achieving a passive fit of the prosthesis' superstructure to the implants. This passive fit is supposed to be one of the most vital requirements for the maintenance of the osseointegration. On the other hand, the misfit of the implant supported superstructure may lead to unfavourable complications, which can be mechanical or biological in nature. The manifestations of these complications may range from fracture of various components in the implant system, pain, marginal bone loss, and even loss of osseointegration. Thus, minimizing the misfit and optimizing the passive fit should be a prerequisite for implant survival and success. The purpose of this article is to present and summarize some aspects of the passive fit achieving and improving methods. The literature review was performed through Science Direct, Pubmed, and Google database. They were searched in English using the following combinations of keywords: passive fit, implant misfit and framework misfit. Articles were selected on the basis of whether they had sufficient information related to framework misfit's related factors, passive fit and its achievement techniques, marginal bone changes relation with the misfit, implant impression techniques and splinting concept. The related references were selected in order to emphasize the importance of the passive fit achievement and the misfit minimizing. Despite the fact that the literature presents considerable information regarding the framework's misfit, there was not consistency in literature on a specified number or even a range to be the acceptable level of misfit. On the other hand, a review of the literature revealed that the complete passive fit still remains a tricky goal to be achieved by the prosthodontist.

Matched MeSH terms: Dentists
Repair versus replacement of defective direct dental restorations: A multinational cross-sectional study with meta-analysis

Hatipoğlu Ö, Martins JFB, Karobari MI, Taha N, Aldhelai TA, Ayyad DM, et al.

J Dent, 2024 Sep;148:105096.
PMID: 38796090 DOI: 10.1016/j.jdent.2024.105096

OBJECTIVES: When dental practitioners encounter a defective restoration, they are faced with a crucial decision whether to repair or replace it. This study aims to explore international preferences for repair procedures and the clinical steps taken during the repair process.
METHOD: An 11-question survey was distributed to dentists across 21 countries via different platforms. The survey comprised two sections: the first included five questions aimed at gathering demographic information, while the second consisted of six questions focusing on participants' practices related to the repair of composite or amalgam restorations A meta-analysis was employed to ascertain the pooled odds ratio of repairing versus replacement. The statistical analysis was carried out using the RevMan 5.3 program and forest plots were generated using the same program to visualize the results.
RESULTS: The survey was completed by 3680 dental practitioners. The results indicated a strong tendency to repair defective composite restorations (OR: 14.23; 95 % CI: 7.40, 27.35, p < 0.001). In terms of amalgam, there was a significant tendency to replace the restorations (OR: 0.19; 95 % CI: 0.12, 0.30, p < 0.001). When repairing restorations, the most common protocols were etching with orthophosphoric acid and creating an enamel bevel, regardless of the restorative material used.
CONCLUSION: The findings of this study indicate that there exists a knowledge gap among dental practitioners regarding restoration repair. It is imperative that dental practitioners receive proper education and training on restoration repair, to ensure the usage of adequate protocols and restoration survival.
CLINICAL SIGNIFICANCE: A significant portion of dental practitioners lack the necessary knowledge and education required for the repair of restorations. Therefore, it is imperative to establish guidelines aimed at enhancing the management of defective restorations, along with protocols for clinical interventions. This includes the incorporation of proper courses in undergraduate, graduate, and continuing education programs.

Matched MeSH terms: Dentists; Practice Patterns, Dentists'/statistics & numerical data
Fulltext Patient satisfaction analysis on service quality of dental health care based on empathy and responsiveness

Dewi FD, Sudjana G, Oesman YM

Dent Res J (Isfahan), 2011 Oct;8(4):172-7.
PMID: 22135687 DOI: 10.4103/1735-3327.86032

BACKGROUND: Transformation of health care is underway from sellers' market to consumers' market, where the satisfaction of the patients' need is a primary concern while defining the service quality. Hence, commitment to provide a high-quality service and achieving patients' satisfaction becomes an important issue for dental health care provider. The aim of this research is to investigate the quality of dental health care service based on empathy and responsiveness aspects.
METHODS: A total of 90 questionnaires were completed by the dental patients who came to dental polyclinic located in Government Hospital, West Java, Indonesia. The questionnaire was concerned on two dimensions of service quality model, i.e. empathy and responsiveness. The obtained data were analyzed using inferential statistics (t test) and also descriptive statistics with importance-performance analysis.
RESULTS: All the attributes tested by t test showed that perception and expectation differed significantly, except for responsiveness, i.e. ability of dental assistants in assisting the dentist (t test 0.505

Matched MeSH terms: Dentists
Fulltext A comparative assessment of prosthetic outcome on enucleation and evisceration in three different etiological eye defects: A case series

Jamayet NB, Kirangi JK, Husein A, Alam MK

Eur J Dent, 2017 4 25;11(1):130-134.
PMID: 28435380 DOI: 10.4103/1305-7456.202636

Enucleation and evisceration are the most common surgical procedures that are performed to manage tumor, trauma, and infection. Given the consequences of surgical intervention, the conditions of the remaining eye socket may affect future prosthetic rehabilitation. A custom-made ocular prosthesis can be used to help restore the esthetics and functional defects and to improve the quality of life of patients with such conditions. An assessment must be performed on the prosthetic outcome before rehabilitation. The etiology of defect, type of surgery, condition of the remaining socket, and patient's age should all be considered. This report discusses three different etiological eye defects that have undergone enucleation and evisceration and describes the factors that have a significant role in the esthetic and functional outcome of the prosthesis. This report should serve as a helpful aid for maxillofacial prosthodontists to understand the primary objective of rehabilitating each eye defect and to meet patient expectations.

Matched MeSH terms: Dentists
Fulltext Semilunar Papilla Preservation Flap Technique in Combination with Chorion Membrane for Pocket Reduction and Gingival Recession Coverage

Rajendran P, Bhat S, Anand M

Contemp Clin Dent, 2020 08 07;11(2):190-194.
PMID: 33110336 DOI: 10.4103/ccd.ccd_354_19

An unavoidable consequence of periodontal flap procedure is gingival recession (GR). Achieving both pocket depth reduction and GR coverage remains a challenge to periodontists. The present case report provides a new innovative technique that will enable all clinicians to achieve pocket depth reduction as well as recession coverage in esthetic zone. The clinical parameters that were assessed at baseline, 1 month, 3 months, and 6 months are probing depth (PD), clinical attachment level (CAL), height of GR (HGR), and gingival biotype. The patient reported with a faulty post and core with crown in relation to maxillary right central incisor with a PD of 8 mm and HGR of 2.5 mm. Following replacement of the crown with respect to the tooth, semilunar incision was made and flap was reflected to visualize the underlying bone. This technique does not involve the interdental papilla at the same time allows the coronal advancement of the flap. A chorion membrane was placed to accelerate the healing as well to provide stable clinical outcome. The patient was evaluated at 10 days, 1 month, 3 months, and 6 months. There was a considerable reduction in PD, GR, and thus gain in CAL. The results remained stable over a period of 6 months.

Matched MeSH terms: Dentists
Fulltext Muscular pain among dentists- a pilot study

Faezah Sabirin, Siti Sarah Abdul Ahmad, W. Zahira Akmal W. Kamarudin

Compendium of Oral Science, 2015;2(1):32-39.
MyJurnal

Background: Muscular pain is the most common symptom associated to muscular skeletal disorders (MSDs). Dentists were exposed to ergonomic hazards while treating the patients. Without proper dental ergonomics, they are predisposed to the MSDs. Objective: This present study was designed to analyse the prevalence of muscular pain among practising dentists in Universiti Teknologi MARA (UiTM) and it relatedness to ergonomic factors. Methodology: A total of 25 dentists were participated in this pilot study. The inclusion criteria include working experience of at least six months and those who were readily diagnosed with musculoskeletal disorders were excluded. A self-administered questionaire was employed to gather demogaphic informations and close ended (“yes” or “no”) questions were asked to assess the muscular pain experienced in the last 12 months. The collected data were then analysed statistically. Result: The result showed a 100% response rate. 92% of the respondents were reported to experience muscular pain, particularly on the upper body parts. Only maintenance of same postures without microbreaks and performing torsions or cervical flexions to improve vision of oral cavity correlate significantly (P

Matched MeSH terms: Dentists
Fulltext Delay In Diagnosis Of Oral Cancer In Malaysia: A Study Of Five Centres

Khoo, Suan Phaik, Shanmuhasuntharam, P., Mahadzir, W.M., Tay, K.K., Latif, A., Nair, S.

Ann Dent, 1996;3(1):-.
MyJurnal

The diagnosis of oral cancer have been variously reported as being due to delay by clinicians, patients or both. The purpose of this study was to evaluate the referral pattern of 65 patients eventually diagnosed as having oral squamous cell carcinoma. The results showed that 50% of the patients delayed seeking professional help for more than 3 months after being aware of the lesion. The majority of the patients consulted medical practitioners as the first source of help. The mean clinicians' and patients' delay were 10.3 weeks and 28.9 weeks respectively. Dental practitioners showed a tendency to refer on more advanced lesions compared to the medical practitioners. The findings raise the concern that lack of patients' awareness, misdiagnosis by clinicians and late detection by dental practitioners prevail thus calling for urgent measures towards early detection of the disease.

Matched MeSH terms: Dentists
Fulltext The Contribution of Forensic Odontology in the Highland Towers Condominium Disaster

Sharifah F. Alhabshi, Nambiar, Pharabhakaran

Ann Dent, 1995;2(1):-.
MyJurnal

An apartment complex collapsed in Malaysia killing 48 people trapped inside.The dental disaster victim identification team comprising of officers from the Kuala Lumpur General Hospital, Armed Forces and the Dental
Faculty, University of Malaya played a very active role in the identification process. Most of the bodies were badly decomposed and some grossly disfigured. Problems were encountered due to inadequate facilities and
equipments at the mortuary.Difficulties were also encountered during the procurement and deciphering of information from dental records. Suggestions have been made to improve facilities, expertise and also to create awareness amongst dentists to ensure proper recording of their patients' dental status.

Matched MeSH terms: Dentists
Fulltext Dentists Perception of their Patients in Malaysia

Razak, I.A.

Ann Dent, 1995;2(1):-.
MyJurnal

A postal questionnaire concerning the Malaysian dentists' attitudes towards their patients yielded a 73.1% response rate. The results of this study indicated that a majority of dentists felt that patients had more negative than positive attributes. Private practitioners attributed more negative traits to their patients than their public sector colleaques. About 88% of dentists indicated that the most negative patient attribute was fear of pain. Fear of pain was perceived to be stronger than fear of the dentist (62.2%). likewise the patients' inability to seek treatment soon enough (78.4%), to come for regular check-up (72.7%) and to follow advice on personal oral hygiene(70.1%) were worrisome.

Matched MeSH terms: Dentists
Fulltext Continuing Education and the Malaysian Dentists

Razak, I.A.

Ann Dent, 1995;2(1):-.
MyJurnal

A 73.1 percent response rate was obtained in a postal questionnaire survey conducted among Malaysian dentists to assess their attitudes and needs for continuing dental education. It appeared that on an average the Malaysian dentist spent very little time on continuing education,reading journals and participation in professional dental meetings.The need for continuing education was strongly evident as almost all dentists indicated that such activities be further developed in Malaysia. Crown and Bridgework, Oral Surgery and Orthodontic appeared to be areas in which more continuing education were required.

Matched MeSH terms: Dentists
Fulltext The expert says....how to diagnose pulpal status?

Safura, A.B.

Malaysian Dental Journal, 2008;29(1):31-33.
MyJurnal

The assessment of pulp vitality is a crucial diagnostic procedure in the practice of endodontics. Dentists should establish their treatment decisions based on good sound information and in the best interests of the patients. Therefore, a definite diagnosis must be established with comprehensive investigation and records before any treatment is carried out1. Since the dental pulp is enclosed in an opaque tooth, the assessment of tooth vitality is undertaken indirectly by: looking for clinical or radiological evidence of pulp necrosis or apical periodontitis; investigating nerve conduction; or examining the blood flow. (Copied from article).

Matched MeSH terms: Dentists
Fulltext Dentist’s role as smoking cessation counsellor

Asmaon, A.F., Ishak, A.R.

Malaysian Dental Journal, 2007;28(2):72-77.
MyJurnal

The aim of the study was to assess the potential role of dentists as smoking cessation counsellors in their practice. The target group comprised of all public and private sector dentists in the Federal Territory of Kuala Lumpur (FTKL) and Selangor. Data were collected via a twenty-six item questionnaire which was mailed to 831 dentists. A response rate of 67.1% was obtained. Results revealed that the majority of the respondents (97.8%) perceived that in addition to providing oral care, dentists should also be interested in their patients’ general health. Generally, about two-thirds of dentists (69.1%) and especially those from the public sector (76.4%) considered that they have an important role to play as smoking cessation counsellors. However, less than half of the respondents (40.3%) perceived that patients do not expect smoking cessation advice from their dentists. Yet, more than half of the respondents (55.1%) provided advice or helpful hints in order to motivate their patients to quit smoking. About 65% of the overall respondents did explain to their patients regarding the health risk due to smoking and its detrimental effects. Perceived obstacles to smoking cessation include lack of information between dentistry and smoking cessation (86.1%) followed by lack of training and lack of time.

Matched MeSH terms: Dentists
Fulltext A study on the clients’ charter in the Teluk Wanjah Dental Clinic, Kedah

Lake, Shuet Toh, Humiyati, R.

Malaysian Journal of Public Health Medicine, 2005;5(2):50-57.
MyJurnal

The objective of this study was to evaluate compliance :0 the cliencs’ charter in a dental clinic and factors that may afect the updating of the charter. Our clients’ charter states that registration time is within IO minutes and waiting-mom time before being seen by the dentist is within 30 minutes. Convenience sampling was carried our over two weeks. Only patients above 12 years treated by dental officers were included. Data recorded included registration and wrziting-room time, treatment time, punctualiry afpaniems and workload of ajcicers. There were a total of 532 patients (407 walk»in/outpatients, 125 appointments). Results show that the mean waiting-mom time for all paticnm was nor compliant to the clients' charter (42.7 x 23.8 min for walking flll 44.9 : 32.7 min for appointments). Only 33% were seen within 30 min whilst about 23% waited for more than 60 minutes. All The mean registration time (17.9 1- 12.8 min) was ncmcomplianr everyday except on Thursdays where there were very few patients. Waiting time for elderly patients was not statistically significant from the younger patients. About 36% of appointment ariems were seen within 30 minutes; althou h hal 0 them were late, Exmzctivns, dentures and examination and diagnosis took the shortest time wrzh about 88%, 91% and 98% completed within 30 minutes respectwely. There was variable individual speed and number of patients managed by different operators, although the majority was flrsnyear dental officers. Factors that may contribute waiting time included number of patients per day, operator and punctualizy of patients.

Matched MeSH terms: Dentists
Reliability and validity of MicroScribe-3DXL system in comparison with radiographic cephalometric system: Angular measurements

Barmou MM, Hussain SF, Abu Hassan MI

Int Orthod, 2018 06;16(2):314-327.
PMID: 29673688 DOI: 10.1016/j.ortho.2018.03.005

AIM: The aim of the study was to assess the reliability and validity of cephalometric variables from MicroScribe-3DXL.
MATERIALS AND METHODS: Seven cephalometric variables (facial angle, ANB, maxillary depth, U1/FH, FMA, IMPA, FMIA) were measured by a dentist in 60 Malay subjects (30 males and 30 females) with class I occlusion and balanced face. Two standard images were taken for each subject with conventional cephalometric radiography and MicroScribe-3DXL. All the images were traced and analysed. SPSS version 2.0 was used for statistical analysis with P-value was set at P<0.05.
RESULTS: The results revealed a significant statistic difference in four measurements (U1/FH, FMA, IMPA, FMIA) with P-value range (0.00 to 0.03). The difference in the measurements was considered clinically acceptable. The overall reliability of MicroScribe-3DXL was 92.7% and its validity was 91.8%.
CONCLUSION: The MicroScribe-3DXL is reliable and valid to most of the cephalometric variables with the advantages of saving time and cost. This is a promising device to assist in diverse areas in dental practice and research.

Matched MeSH terms: Dentists

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