Journal of Orofacial Rehabilitation
Year 2024
Vol 4 Issue 2
1. Editorial l J Orofacial Rehabilitation. 2024 Aug;4(1):1-2.
DOI: 10.5281/zenodo.13369299
Is Polyether Ether Ketone (PEEK) the future material of choice in implant dentistry and prosthodontics.
Arka Swarnakar.
2. Original Research l J Orofacial Rehabilitation. 2024 Aug;4(2):3-10.
DOI: 10.5281/zenodo.13346161
Comparison of three different methods of shade selection using visual, digital and smartphone photographic methods.
Jayasurya, S. Sabarinathan, M Sibi Shalma, Geerthana Janakiraman, R. Lambodharan.
Abstract
Background: The determination of an accurate shade for restoring the natural shade of the teeth, conveying it to the dental laboratory technician and satisfying the aesthetic expectations of the patient in this modern technology driven world, has become an uphill battle for the dental practitioners.
Aim: The aim of this study was to compare various methods of shade selection namely- visual method, digital photograph method and smartphone photograph method.
Materials and methods: Twenty-five random subjects of age ranging from 25 to 40 years were selected from the outpatient department. Right maxillary central incisor tooth presence, which had not undergone any prior restorative, endodontic or orthodontic procedures was the primary inclusion criteria. The shade selection procedure was performed using all three methods. The shade selected using the shade guide in the visual method was noted along with its corresponding L*, a* and b* values. The smartphone photograph and digital photograph methods provided these values of the subject using different software which were noted for further comparison. The data thus obtained, then underwent statistical analysis.
Results: The results showed that there is a significant difference in L*, a* and b* values between the three groups. One-way ANOVA was done since there were more than two groups in the study. During intergroup comparison using ANOVA, a significant difference was noted in all parameters (L*, a* and b*) among the three methods of estimation P value was 0.0001 (P<0.01)
Conclusion: It was concluded that with the help of further research and standardization procedures the best method for shade selection for a successful aesthetic restoration can be determined.
Keywords– Digital photograph, shade selection, smartphone photograph, visual shade matching.
3. Review Article l J Orofacial Rehabilitation. 2024 Aug;4(2):11-19.
DOI: 10.5281/zenodo.13356703
High speed handpiece- A Narrative Review.
S Lavanya, Ray Sarthak Arindam, V Vidyashree Nandini.
Abstract
Objective- To provide knowledge and to understand the evolution, contribution and application of airotor handpieces in Prosthodontics.
Background- In the early 1800s, mechanical hand drills were invented, but their performance was limited, only achieving a speed of 15 rotations per minute. Now, in the modern times we have handpieces which provide 2,00,000 rpm and due to this cutting tooth has become really easy and efficient. This review will incorporate the recent advances that have been done with handpieces like electric handpiece and even maintenance of handpieces will be covered in this review.
Methodology- Various published articles were collected and reviewed systematically to gain more insight about various applications of airotor handpiece in Prosthodontics. Search has been done electronically.
Results- Low-speed electric handpieces represent a substantial improvement over their air-driven counterparts and have largely replaced them. While high-speed electric handpieces also provide certain benefits compared to air-rotor handpieces, these benefits are not as pronounced.
Conclusion- Over the past century, no dental equipment has drawn more attention from patients and dentists than the dental handpiece. Dental drill phobia was widespread earlier and hence fear of the drill had to be gradually diminished. The most current innovation is speed-sensing intelligence which utilizes sensors to automatically control the speed.
Application- Airotors have a wide range of applications in prosthodontics. Some of them are tooth preparation for crowns, bridges, veneers and laminates, reduction of high points in prostheses, enameloplasty, implant abutment customization and many more.
Keywords- Airotor, Air turbine, Handpiece, Maintenance, Noise levels.
4. Review Article l J Orofacial Rehabilitation. 2024 Aug;4(2):20-24.
DOI: 10.5281/zenodo.13356774
Integrating with nature via denture characteristisation – A review.
Swetha Ravichandran, Aarti Rajambigai, Nishanth.
Abstract
Objective- To analyse the impact denture characterisation has on the patient’s mindset and how it can be used to mimic the patient’s natural appearance and provide a more realistic and lifelike appearance.
Method- In order to improve the patient’s acceptance of the prosthesis, contemporary procedures enable the characterisation of the denture bases and the associated teeth. Within the bounds of the functional principles of complete denture fabrication, the patient and the dentist can collaborate to develop an aesthetically beautiful smile.
Conclusion- In recent years, denture characterisation has become more common due to the growing need for aesthetics. As prosthodontists, it is our duty to satisfy our patients’ needs while also considering their budget, function, and appearance.
Applications- Producing anatomical characterisations that exist before tooth extraction is our aesthetic goal. Every denture should be made specifically for the patient, as opposed to being assembled in a straight line using a shining, flat sheet of acrylic resin denture base, which quickly reveals it to be false.
Key Words: Denture characterisation, esthetics, natural symmetry, teeth.
5. Review Article l J Orofacial Rehabilitation. 2024 Aug;4(2):25-32.
DOI: 10.5281/zenodo.13356824
Prosthetic components in endosseous and bi-cortical implants: A comprehensive overview.
Maithilie Aggarwal, Siddhi Tripathi, Neeta Pasricha.
Abstract
Background: Understanding the required horizontal and vertical restorative space for various dental implant prosthetic components is crucial in managing both fully and partially edentulous arches. With the growing demand for implants, numerous manufacturers have introduced a wide range of implant brands and components, each varying in design and features.
Objective: This study aims to explore the factors influencing abutment selection and provide insights into the various implant prosthetic components in endosseous and bi-cortical implant systems available the market.
Methods: A thorough review was conducted, focusing on the types of implants, abutment selection criteria, and the evaluation of different abutments available. The importance of considering available restorative space before prosthesis design was also analyzed.
Conclusion: Proper selection of implants and abutments based on clinical criteria is essential for successful prosthesis management. The study underscores the importance of determining the available restorative volume prior to therapy to ensure stable, aesthetically pleasing, and well-contoured prosthetic designs.
Keywords: Abutment material, basal implantology, implant abutments, implant abutment connection, prosthesis retention.
6. Review Article l J Orofacial Rehabilitation. 2024 Aug;4(2):33-39.
DOI: 10.5281/zenodo.13356881
Artificial intelligence in prosthodontics- A review.
Shraddha Singhania
Abstract
Objective: To evaluate how artificial intelligence (AI) enhances various aspects of modern dentistry, including diagnosis, treatment planning, and patient management, and its impact on patient outcomes and practice efficiency.
Background: AI, with its advanced data processing and analysis capabilities, is moving from theoretical discussions to practical use in healthcare, including dentistry. It offers improved speed and accuracy in handling large datasets, thereby transforming dental care practices.
Method: In dentistry, AI algorithms are employed to analyze patient data, optimize workflows, and aid decision-making. These tools are used for diagnosing dental conditions, planning treatments, and managing patient interactions.
Results: The integration of AI in dental practices has led to more precise diagnoses, enhanced treatment accuracy, and better patient outcomes. Practices adopting AI technologies report improved operational efficiency and more effective patient care.
Conclusion: AI represents a significant advancement in dentistry, improving the efficiency and precision of oral healthcare delivery. As AI technology continues to evolve, its potential to further transform dental practices and enhance patient outcomes is considerable.
Application: AI technologies are streamlining workflows, increasing diagnostic accuracy, and enhancing treatment procedures in dentistry. The growing use of AI in dental practices is expected to lead to ongoing improvements in patient care and operational efficiency.[1 – 7]
Key words: Artificial intelligence, CAD/CAM, innovation, robotics, technology.
7. Case Report l J Orofacial Rehabilitation. 2024 Aug;4(2):40-45.
DOI: 10.5281/zenodo.13367879
Fabrication of maxillary hollow denture using various ingenious techniques: A case series.
Geerthana Janakiraman, S Sabarinathan, Jayasurya, M Sibi Shalma.
Abstract
Maxillary hollow denture represents an innovative approach to denture fabrication by revolutionizing the denture design and its fabrication methods. The design aimed at reducing the weight of the denture in various clinical scenarios such as with increased interarch space, and atrophic maxilla by fabrication of hollow space in maxillary denture thereby, creating a lightweight prosthesis. Therefore, this hollowed design reduces the weight of the denture; enhancing the retention, stability, and support of the denture. Moreover, the reduced material volume contributes to more life-like usage of the maxillary complete denture with improved patient satisfaction.
Keywords: Maxillary hollow denture, increased interarch space, lightweight prosthesis.
8. Case Report l J Orofacial Rehabilitation. 2024 Aug;4(2):46-51.
DOI: 10.5281/zenodo.13367929
Implant restorative procedure for a patient with funnel shaped nasopalatine foramen – A case report.
Sibi Shalma M, Geerthana J, Jayasurya G, R Lambodharan.
Abstract
Implant placement is a challenge in the anterior maxilla if the available bone is reduced and esthetics is challenging. The ideal implant position should be considered in all three dimensions: mesiodistal, apicocoronal, and orofacial. This article a case report for the anatomical and clinical perspective of implant placement bypassing the nasopalatine foramen (incisal canal) without any augmentation of the defect caused due to trauma. In this case report, conventional implant placement is followed with the existing anatomy without any augmentation due to the significant defect and the presence of scar tissue and 3.75 W/10.00 L implant (bone volume of 4 mm width and 11 mm length) have been placed. Radiographically, D2 bone quality was diagnosed. Before surgery, an emphasis was given over the proper implant selection to avoid oversized implants due to critical anatomical landmark. Careful and with minimal trauma, the soft tissue was managed and the implant was positioned correctly by utilizing the data from cone beam computerized tomography (CBCT) investigations. Since there was no reported swelling or numbness after 72 hours, the primary outcome was deemed satisfactory. Following a 24-week healing period, the patient has been called back for a permanent restoration.
Keywords: Dental implants, esthetics, nasopalatine foramen.
9. Case Report l J Orofacial Rehabilitation. 2024 Aug;4(2):52-57.
DOI: 10.5281/zenodo.13367956
Digital crown wizardry: Unleashing CAD-CAM sorcery.
Monika Kumari, Sumit Kumar Roy, Neeta Sinha, Aftab Alam.
Abstract
Introduction: Computer-Aided Design / Computer Aided Manufacturing (CAD-CAM) technology in digital dentistry uses high-resolution scanners for precise 3D imaging of teeth. Advanced software designs custom restorations, and milling machines create them from ceramics or resins with micron-level accuracy. This technology reduces treatment times by enabling single-visit restorations, ensures high-quality results, and integrates aesthetics and functionality seamlessly. It signifies a transformative leap in dental care, enhancing efficiency, precision, and patient satisfaction.
Case characteristics: A female patient reported at the department with a concern of restoration. Patients drug, social and medical history were non-significant to existing condition.
Conclusion: With the advancement of technology, the upgradation of existing conventional skills can be possible. My case report utilises proper digitization in order to reduce laboratory steps and time by using CAD/CAM technology.
Keywords : CAD/CAM, digital dentistry, restoration, upgradation.
10. Case Report l J Orofacial Rehabilitation. 2024 Aug;4(2):58-63.
DOI: 10.5281/zenodo.13369184
Maxillary hollow definitive obturator for hemi maxillectomy using biodentplast framework: A case report.
Rajat Chaudhari, Kishor Mahale, Smita Khalikar, Vilas Rajguru.
Abstract
Defects inside the mouth can be present from birth or develop later and are most often found in the upper jaw. Typically, these are large gaps found in the roof of the mouth or the surrounding structures near the roof of the mouth. Many patients who have undergone maxillary surgery often experience persistent functional impairments and physical disfigurement. One of the most common jaw abnormalities is a patient with oral cancer. The goal in treating this condition is to provide a prosthesis that is comfortable and aesthetically pleasing, and can help restore normal functions such as swallowing, talking, and chewing. An obturator shows great potential for addressing this particular issue. It mainly functions to close the gaps and meet the essential needs and appearance of the patients in question. This article describes a case report of a hollow bulb obturator for a hemimaxillectomy patient
Keywords: Biodentaplast, hollow obturator, maxillary defect, rehabilitation.
11. Case Report l J Orofacial Rehabilitation. 2024 Aug;4(2):64-69.
DOI: 10.5281/zenodo.13368013
Comprehensive oral rehabilitation of a case of amelogenesis imperfecta using all-ceramic veneers and tabletop restorations: A case report.
Sirisha Sadupati, D. Bheemalingeswara Rao, Suresh Sajjan, Pampana Sravani.
Abstract
Introduction—Managing a severe and widespread amelogenesis imperfecta case presents significant challenge for the dental team, especially the dentist responsible for prosthetic restorations.
Challenges in Treating Amelogenesis Imperfecta—The disease’s enamel defects cause various issues that must be carefully planned and addressed before treatment begins, particularly concerning the materials used for restorations.
Primary Diagnosis– Given that the affected patients are usually young, a conservative approach is necessary. Preserving the occlusal dental surfaces from abrasion and achieving acceptable aesthetic outcomes are the important objectives of the therapy. If not treated then the abrasions can lead to loss of vertical dimension and significant dentinal hypersensitivity.
Conclusion—A multidisciplinary treatment plan is essential to creating optimal conditions for prosthetic restoration. A well-designed treatment plan and advanced adhesive ceramic materials enable good functional and esthetic outcomes with a more conservative approach than traditional methods.
Keyword– Amelogenesis imperfecta, lithium disilicate, tabletops, veneers.
12. Case Report l J Orofacial Rehabilitation. 2024 Aug;4(2):70-73.
DOI: 10.5281/zenodo.13368037
Characterizing a complete denture: A case study.
Swarnali Biswas
Abstract
As prosthodontists, we at all times focus on achieving lifelike aesthetics in veneers, ceramics, and crown and bridge prosthesis. Dentures are frequently overlooked when it comes to achieving a truly natural appearance for the patient. The accomplishment of complete dentures can be assessed by the patient from two distinct perspectives: functionality and appearance. This article aims to emphasize clinically relevant alterations of removable prostheses that should be considered in daily practice.
Keywords: Characterization, Denture, Dentogenic, Dynesthetic, Esthetics.
13. Case Report l J Orofacial Rehabilitation. 2024 Aug;4(2):74-79.
DOI: 10.5281/zenodo.13368066
Optimising aesthetic appeal and functional harmony – loop connectors in anterior rehabilitation.
Akriti Kaul, Neeta Pasricha, Kumar Eesh, Siddhi Tripathi.
Abstract
In the realm of Fixed Prosthodontics, the quest for innovative solutions to address complex clinical scenarios has led to the exploration of novel techniques and materials. Among these advancements, the integration of loop connectors has emerged as a promising strategy for enhancing the stability, durability, and biomechanical integrity of multi-unit restorations, particularly in cases requiring anterior aesthetic rehabilitation. The incorporation of loop connectors in this case report facilitated the fabrication of a multi-unit prosthesis with enhanced stability and durability. The loop connectors served to reinforce the individual crown components, providing additional resistance to fracture and wear, particularly in areas of spacing or compromised tooth structure. This biomechanical support contributed to the long-term success and longevity of the restorations.
Keywords: Aesthetic rehabilitation aesthetics, fixed prosthodontics, loop connectors, porcelain fused to metal, restorations