The objectives of this study were to determine the normal mean value of the root-crown (R/C ratios) in Malay patients and their variations by gender and dental arch from orthopantomogram radiographs (OPGs). Two thousand nine hundred and twenty teeth with fully developed roots were measured from 112 OPGs. Subjects with history of maxillofacial trauma or orthodontic therapy were excluded. The mean age of the subjects was 19.1 (SD 2.08) years old for males while females 18.9 (SD 2.19) years old in the range from 15 to 22 years old. The intra-examiner reproducibility of the assessment method was good (Intraclass correlation coefficient 0.81). Results of this study showed that there was no significant difference between R/C ratios of males and females groups. However, the ratios of the antagonist teeth for both males and females were significantly greater in the mandible than in the maxilla (p
Study site: Dental clinic, Hospital Universiti Sains Malaysia
The purpose of this study was to evaluate the periodontal status distal to the adjacent second molar following the extraction of a partially or fully impacted mandibular third molar at Klinik Pergigian Pakar Hospital Universiti Sains Malaysia (KPPHUSM) from April of 2008 until June of 2008.This was a prospective study which involved the clinical and radiological study of patients. In this study, convenience sampling method had been used. The sample size was 22 patients aged 18-32 years old with inclusion criteria. The outcomes measured in this study were periodontal pocket depth (PPD), clinical attachment level (CAL) and alveolar bone height (ABH). Subjects were examined at distal surface (disto-buccal, mid-distal and disto-lingual) of second molar for PPD and CAL before and 3 months after the impacted adjacent lower third molar extraction. OPG was taken each before and after the third molar removal. These data were analyzed using SPSS version 16 and Wilcoxon-signed-ranks test was used to compare the PPD, CAL and ABH pre and post operatively. All the results were not significant with p >0.05. For PPD, median = 3mm pre and post extraction. CAL median= 2mm pre and post operatively and ABH median of 3.10mm (before) and 2.8mm (after) the third molar removal. From our study, we concluded that there were no significant changes of PPD, CAL and ABH at distal side of second molar after 3 months of the adjacent impacted lower third molar removal.
Study site: Dental clinics, Hospital Universiti Sains Malaysia (HUSM), Kelantan, Malaysia
Resin-bonded fibre-reinforced composite bridges provide many advantages over the conventional
bridges or implant treatment in the management of a traumatically or congenitally missing anterior tooth.
Furthermore, there is an increasing demand towards providing a metal free resin-bonded bridges over the alloybased
restorations in order to meet the aesthetic needs especially in the anterior region. Advances in the
adhesive technology and tooth colored materials offer improved bonding system and better aesthetic outcome.
Nevertheless, careful selection of cases to receive this type of approach is also one of the key factor to ensure
the clinical survival of fibre-reinforced composite bridges. This report aims to present the use of fibre-reinforced
composite to construct indirect cantilever fibre-reinforced composite bridges as part of minimum intervention
dentistry.
Chronic periodontitis (CP) is an inflammatory disease of the supporting tissues of the teeth caused by specific microorganism. Hypertension is one of the major causes of cardiovascular disease whereas periodontitis has recently drawn increasing attention because of its potential relationship with cardiovascular disease. The objectives of this study were to determine the prevalence of the hypertension in CP patients as well as to evaluate the association between hypertension and severity of CP. One hundred and eighty five records of CP patients treated in Dental Clinic, Universiti Sains Malaysia Hospital (USM Hospital), Kelantan from 2010 until 2013 were retrieved and reviewed. The diagnosis of periodontal disease and the presence of hypertension were recorded. The severity of chronic periodontitis was classified into mild, moderate and severe according to the clinical attachment loss. The data was obtained and analyzed using SPSS version 20.0. Majority of the subjects were from Malay ethnic group (94.4%) at the age range between 41 and 61 years (67.8%). In conclusion, the prevalence of hypertension in chronic periodontitis patients was 12.2%. There was no significant association between hypertension and severity of CP (p=0.229).
The collapse of alveolar ridge following tooth extraction is a physiological process which may complicate subsequent implant placement and restoration especially in the aesthetic zone. This case report describes the use of an acellular dermal matrix graft (Alloderm®, Biohorizon, USA) in combination with bovine bone graft (Bio-Oss®, Geistlich, Switzerland) immediately after tooth extraction for soft and hard tissue augmentation prior to implant placement in the anterior maxilla. The eighth year follow-up demonstrated an acceptable aesthetic outcome indicating that this approach may be employed where tooth extraction is indicated and replacement with implant-supported prosthesis is anticipated particularly in the anterior aesthetic zone region.
Previous studies on honey have shown its potential as an alternative approach in optimizing medical resources for periodontal treatment. However, to date, there has been no study published on the effects of honey on human periodontal ligament fibroblasts (HPDLFs). The aimed of this study was to investigate the effect of Tualang honey on HPDLF proliferation and alkaline phosphatase (ALP) level with an intention to establish honey as one of the natural products which may promote healing and regeneration of periodontium. The HPDLFs were cultured and treated with honey at four different concentrations (0.02, 0.3, 1 and 5%) in a 96-well plate and incubated at 37°C with 5% CO2. Proliferation test (MTT test) was assessed up to day 3 whereas ALP level (ALP assay) was assessed up to day 7. The αMEM supplemented with 10% FBS and 1% penicillin streptomycin was used as control. The results for MTT showed that the cell proliferation for 0.02% honey concentration was significantly higher (p<0.05) on day 3 whereas the proliferation were decreased for 1% honey and 5% honey concentration (p<0.05) than control on all the 3 days. There was increased in ALP level in a similar pattern for all concentration groups from day 0 to day 7 without any significant difference compared with control. Therefore, the present data suggests that Tualang honey stimulated HPDLF proliferation at low concentrations and has an inhibitory effect at high concentrations. However, its role in osteoblastic differentiation requires further investigation.