Monday, October 27, 2008

Dental v/s Mental, Truth ?

An intriguing association between dental and mental pathology in addicted and control subjects: a cross-sectional survey
BDJ 24 Oct. 2008

* This paper demonstrates a statistical association between dental and mental illness in normal clinical patients.
* This finding shows that this relationship is strengthened in patients addicted to illicit drugs who form a high risk group for both dental and mental disease.
* This suggests that such disorders may share common aetiopathological pathways such as common risk factors between the two sets of pathologies. More HERE

Above study and the one below shows again that oral health is crucial for good general health. This point has to be driven home to health planners and general public so that oral health maintenance is given top priority, More HERE

Oral health, general health, and quality of life in older people
special care Nov 2008

The purpose of this report is to review the interrelationship between poor oral health conditions of older people and general health. The impact of poor oral health on quality of life (QOL) is analyzed, and the implications for public health intervention and oral health care are discussed. Findings from the current research may lead to the following conclusions: The available scientific evidence is particularly strong for a direct relationship between diabetes and periodontal disease; the direct relationship between periodontal disease and cardiovascular disease is less convincing. General and associated oral health conditions have a direct influence on elder people's QOL and lifestyle. The growing number of elderly people challenges health authorities in most countries. The evidence on oral health-general health relationships is particularly important to WHO in its effort to strengthen integrated oral health promotion and disease prevention around the globe.


Games Dental Colleges/DCI Play

The students said the college didn’t inform them of the limited seats and they had deposited their fees. “Thursday, October 30, was the last date of seeking admission in any of the dental colleges. We are in a fix as the college took the admission fee and we thought they would take us,” Amit Chowdhary, another student seeking clarification, said. More HERE

Comparison of Success of Implants versus Endodontically Treated Teeth
JOE sept 2008

Implants verses root canal therapy is a current controversy in dentistry. The purpose of this investigation was to compare the success of each treatment, with minimal subjective grading. Outcome was determined by clinical chart notes and radiographs. Failure was defined as removal of the implant or tooth. Uncertain findings for implants were defined as mobility class I or greater, radiographic signs of bone loss, or an additional surgical procedure. Mobility, periapical index score of 3 or greater, or the need for apical surgery was classified as uncertain for endodontically treated teeth.

Success was recorded if the implant or tooth was in place and functional. Implants were placed by periodontists in a group practice, whereas the endodontic treatments were performed by endodontists in group practice. Charts of 129 implants meeting inclusion criteria showed follow-up of an average of 36 months (range, 15–57 months), with a success rate of 98.4%. One hundred forty-three endodontically treated teeth were followed for an average of 22 months (range, 18–59 months), with a success rate of 99.3%. No statistically significant differences were found (P = .56). When uncertain findings were added to the failures, implant success dropped to 87.6%, and endodontic success declined to 90.2%. This difference was not statistically significant (P = .61). We found that 12.4% of implants required interventions, whereas 1.3% of endodontically treated teeth required interventions, which was statistically significant (P = .0003). The success of implant and endodontically treated teeth was essentially identical, but implants required more postoperative treatments to maintain them.

Alignment efficiency of Damon3 self-ligating and conventional orthodontic bracket systems: A randomized clinical trial, AJODO oct 2008

Introduction:
The aim of this study was to compare the efficiency of mandibular tooth alignment and the clinical effectiveness of a self-ligating and a conventional preadjusted edgewise orthodontic bracket system. Methods: A multicenter randomized clinical trial was conducted in 2 orthodontic clinics. Sixty-two subjects (32 male, 30 female; mean age, 16.27 years) with mandibular incisor irregularities of 5 to 12 mm and a prescribed extraction pattern including the mandibular first premolars were randomly allocated to treatment with Damon3 self-ligating (Ormco, Glendora, Calif) or Synthesis (Ormco) conventionally ligated brackets. Fully ligated 0.014-in nickel-titanium archwires were used first in both groups, followed by a sequence of 0.014 × 0.025-in and 0.018 × 0.025-in nickel-titanium, and 0.019 × 0.025-in stainless steel. Study casts were taken at the start of treatment (T1), the first archwire change (T2), and the placement of the final 0.019 × 0.025-in archwire (T3). Cephalometric lateral skull and long-cone periapical radiographs of the mandibular incisors were taken at T1 and T3.

Results: No significant difference was noted (P >0.05) in initial rate of alignment for either bracket system. Initial irregularity influenced subsequent rate of movement, but sex, age, and appliance type were statistically insignificant. Alignment was associated with an increase in intercanine width, a reduction in arch length, and proclination of the mandibular incisors for both appliances, but the differences were not significant. Incisor root resorption was not clinically significant and did not differ between systems.
Conclusions: Damon3 self-ligating brackets are no more efficient than conventional ligated preadjusted brackets during tooth alignment.




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