Open Access. Powered by Scholars. Published by Universities.®

Dentistry Commons™

Open Access. Powered by Scholars. Published by Universities.®

Chulalongkorn University

Discipline
Keyword
Publication Year
Publication
Publication Type

Articles 271 - 300 of 1270

Full-Text Articles in Dentistry

Prevalence And Oral Health-Related Factors Associated With Mild Cognitive Impairment In Elderly Dental Patients At Faculty Of Dentistry, Chulalongkorn University, Panatcha Weerapol Jan 2019

Prevalence And Oral Health-Related Factors Associated With Mild Cognitive Impairment In Elderly Dental Patients At Faculty Of Dentistry, Chulalongkorn University, Panatcha Weerapol

Chulalongkorn University Theses and Dissertations (Chula ETD)

This study aims to assess the prevalence of Mild Cognitive Impairment (MCI) and its oral health-related factors in elderly dental patients at Geriatric dentistry clinic and Prosthodontic clinic of Faculty of Dentistry, Total 248 dental patients aged 60 years and above were recruit. Average age of participants was 68.68 years with 73.0 % female. Cognitive functions were assessed by Montreal Cognitive Assessment Thai version (MoCA-T). Individual data were obtained by self-reported interview. Oral examinations were evaluated by a dentist. The prevalence of MCI was found 29.4% in elderly dental patients and was higher than among general elders. Oral health-related factors …


Dental Services Utilization, Oral Status, And Oral Health-Related Quality Of Life Among Thai Elderly: Data From The Eight Thailand National Oral Health Survey, Punkanit Harirugsakul Jan 2019

Dental Services Utilization, Oral Status, And Oral Health-Related Quality Of Life Among Thai Elderly: Data From The Eight Thailand National Oral Health Survey, Punkanit Harirugsakul

Chulalongkorn University Theses and Dissertations (Chula ETD)

The number of older adults in Thailand is currently increasing. To create the appropriate oral health service for them requires understanding the associations between dental service utilization (DSU), oral status and oral health-related quality of life (OHRQoL). The objectives of this study were to examine the associations of DSU and oral status with OHRQoL and to examine the associations between social backgrounds and DSU in Thai older adults. Data on 4,130 Thai older adults from the 8th Thailand National Oral Health Survey were collected through interviews and oral examination. Chi-square test and multiple logistic regression models were applied. Thai older …


A Comparison Of Microrna Profiles Between Rat Incisors And Molars, Sirawit Nipakasem Jan 2019

A Comparison Of Microrna Profiles Between Rat Incisors And Molars, Sirawit Nipakasem

Chulalongkorn University Theses and Dissertations (Chula ETD)

Unlike the molar, rodent incisor is a distinct organ that have continuously growth at distal end of tooth throughout its lifetime to compensate for abrasion. The key of continuous growth is the result of delayed root formation and prolonged crown formation that possibly made by stem cell niche, so-called cervical loop, which involve various genes and signaling pathways. MicroRNAs (miRNAs) are small non-coding single stranded RNAs that involved in biological mechanisms of dental development. To study the role of miRNA, we extracted total RNA from the dental pulp tissue collected from the apical part, coronal part of incisors and molars, …


Oral Health-Related Quality Of Life And Related Factors In The Elderly Patients Who Received Dental Treatment, Teerawut Tatiyapongpaiboon Jan 2019

Oral Health-Related Quality Of Life And Related Factors In The Elderly Patients Who Received Dental Treatment, Teerawut Tatiyapongpaiboon

Chulalongkorn University Theses and Dissertations (Chula ETD)

This thesis is a cross-sectional study which explores underlying determinants of elderly patients. The study examines related factor that impaired Oral Health-related Quality of life (OHRQoL) and analyzes the characteristics of elderly patients at our clinic. 46 participants are patients who completed dental treatment more than 6 months during May 2016 to December 2018. Underlying determinants information were recorded by interview, patient chart review and oral examination. There were collected self-evaluation and Oral Impacts on Daily Performances (OIDP). Descriptive statistics was used to describe the characteristics of patients. Spearman correlation and Kruskal-Wallis test at P-value < 0.05 were performed. From the results, the participant’s OIDP scores showed the majority in no severity and no more than 2 impacts activities. The major activities that were impacted were eating activity and speaking activity due to ill-fitting dentures but less impacts in psychological and social performance. There was poor denture satisfaction that impaired participant’s OHRQoL. However, there were differences between dentist and patient evaluation. The authors suggest that the dental treatment should focus on the recall system, the frequency of dental recall visits, procedures to successful oral hygiene instruction and skills to handle the denture problems.


The Study Of Oro-Dental Structures And Application Of Dental Adhesives In Patients Affected With Osteogenesis Imperfecta, Oadcharawadee Nutchoey Jan 2019

The Study Of Oro-Dental Structures And Application Of Dental Adhesives In Patients Affected With Osteogenesis Imperfecta, Oadcharawadee Nutchoey

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objectives: To investigate genetic mutations, oro-dental features, tooth ultrastructures, and characteristics of total-etch adhesives (Optibond FL; Kerr) and self-etch adhesives (Clearfill SE Bond; Kuraray) applied on the teeth of the patients who affected with syndromic osteogenesis imperfecta and dentiongenesis imperfecta(DGI), compared with the controls. Methods: Three patients were diagnosed with osteogenesis imperfecta and dentinogenesis imperfecta at Faculty of Medicine, Clinical, radiographic, and laboratory examination were performed. Genetic mutations were analyzed by whole-exome sequencing (WES) and Sanger sequencing. Three teeth were obtained, one tooth from each patient (DGI tooth). Each tooth sample was examined for its color by colorimeter, mineral composition …


Proximal Caries Detection On Smartphone Display, Napas Lappanakokiat Jan 2019

Proximal Caries Detection On Smartphone Display, Napas Lappanakokiat

Chulalongkorn University Theses and Dissertations (Chula ETD)

The aim of this study was to compare diagnostic accuracy in proximal caries detection between bitewing radiographs exported from PACS software and taken with a smartphone viewed in a smartphone display. A total of 200 proximal surfaces from digital bitewing radiographs were included in this study. Images of all radiographs were captured from a medical-grade and a common display by an iPhone 8 Plus and stored as JPEG files. Exported DICOM files were converted into JPEG format and transferred to the smartphone used for image capturing. Each proximal surface was rated by 7 observers with 5-point-scale. Weighted kappa test was …


The Efficacy Of Vitamin C Oral Supplement On Wound Healing After Tooth Extraction, Nanthanut Pisalsitsakul Jan 2019

The Efficacy Of Vitamin C Oral Supplement On Wound Healing After Tooth Extraction, Nanthanut Pisalsitsakul

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objectives: The purpose of this study was to evaluate the effect and proper dosage of oral vitamin C supplement on post-extraction wound healing. Methods: This study was a split mouth, double-blind, randomized-controlled clinical trial of 42 patients who underwent symmetric bilateral non-infected premolars extraction. The patients were randomly divided into 3 groups (14 patients for each group); 1.placebo vs vitamin C 600 mg/d, 2.placebo vs vitamin C 1,500 mg/d and 3.vitamin C 600 mg/d vs vitamin C 1,500 mg/d. Each group was prescribed placebo and/or vitamin C three times a day for 10 days after each tooth extraction. The assessment …


Use Of Digital Panoramic Radiographs As A Screening Tool For Diagnosis Of Osteoporosis In Thai Postmenopausal Women, Net-Nada Chongruangsri Jan 2019

Use Of Digital Panoramic Radiographs As A Screening Tool For Diagnosis Of Osteoporosis In Thai Postmenopausal Women, Net-Nada Chongruangsri

Chulalongkorn University Theses and Dissertations (Chula ETD)

Purpose: To investigate the correlation between panoramic radiographic indices and osteoporosis, and to determine whether digital panoramic radiographs could be used as a screening tool for the diagnosis of osteoporosis in Thai postmenopausal women. Materials and Methods: A cross-sectional study of sixty Thai postmenopausal women with and without osteoporosis. The subjects were divided into three groups based on diagnosis by dual-energy X-ray absorptiometry (DXA): normal, osteopenia, and osteoporosis equally in each group. The panoramic radiographic indices measured were mental index (MI) and mandibular cortical index (MCI). Pearson’s correlation test was performed to analyze any correlation between MI, MCI, and BMD …


Association Between Clinical Signs And Quality Of Life In Thai Patients With Oral Lichen Planus, Sasirin Yiemstan Jan 2019

Association Between Clinical Signs And Quality Of Life In Thai Patients With Oral Lichen Planus, Sasirin Yiemstan

Chulalongkorn University Theses and Dissertations (Chula ETD)

Subjective patient’s symptoms and oral health-related quality of life (OHRQoL) were recommended to be involved in oral lichen planus (OLP) studies. Objectives: to evaluate 1) the association between OLP clinical signs and OHRQoL as well as pain perception. 2) the association between OLP pain and OHRQoL. Methods: Sixty-nine OLP or oral lichenoid drug reaction (OLDR) Thai patients were recruited. Data were collected through personal interview with the Numeric Rating Scale (NRS) and Thai version of Oral Impacts on Daily Performance (OIDP) index. OLP signs were examined in aspects of localization, type and clinical severity according to the Thongprasom sign scoring …


Clinical Evaluation Of Two Glass Ionomer Cement Restorations Placed In Primary Molars With Atraumatic Restorative Treatment Technique: A Randomized Controlled Trial., Manarin Boonyawong Jan 2019

Clinical Evaluation Of Two Glass Ionomer Cement Restorations Placed In Primary Molars With Atraumatic Restorative Treatment Technique: A Randomized Controlled Trial., Manarin Boonyawong

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objective: The purpose of this study was to compare clinical success of a novel material (silver diamine fluoride incorporated with high-viscosity glass ionomer cement (SDF-GIC)) in Class II restoration in primary molars using atraumatic restorative treatment (ART) technique at 6- and 12- month follow-up. Materials and Methods: A randomized controlled clinical trial using a parallel group design was carried out on 150 children aged 3-8 years old, from 5 public school in Samut Sakhon province, Thailand, with at least one class II cavities. They were randomly allocated to two treatment groups: ART restoration using either GIC (Fuji IX GP) or …


Protein Expression And Inflammatory Response After Delivery Of Mrna Encoding Platelet-Derived Growth Factor-Bb In Sucrose Citrate Buffer Into Rat Gingiva, Phan Bhongsatiern Jan 2019

Protein Expression And Inflammatory Response After Delivery Of Mrna Encoding Platelet-Derived Growth Factor-Bb In Sucrose Citrate Buffer Into Rat Gingiva, Phan Bhongsatiern

Chulalongkorn University Theses and Dissertations (Chula ETD)

Messenger RNA (mRNA) has emerged as a novel therapeutic modality in medical fields, including regenerative medicine. The concept of mRNA-based therapy is to use synthesized mRNA encoding therapeutic protein delivered to target tissue. Thus, mRNA encoding growth factor could be a promising alternative to recombinant protein. Platelet-derived growth factor (PDGF) is one of most extensively studied growth factors for periodontal regeneration. To date, mRNA therapy has never been explored in the field of periodontal regeneration. The aim of the study is to examine the effect of nucleoside-modified mRNA encoding PDGF-BB on the level of PDGF-BB protein and inflammatory response at …


The Use Of Modified Mrna Encoding Platelet-Derived Growth Factor-Bb As An Innovation In Periodontal Regeneration, Theeraphat Surisaeng Jan 2019

The Use Of Modified Mrna Encoding Platelet-Derived Growth Factor-Bb As An Innovation In Periodontal Regeneration, Theeraphat Surisaeng

Chulalongkorn University Theses and Dissertations (Chula ETD)

Since the mRNA platform has been recently introduced to several fields in medicine and the achievement of periodontal regeneration is currently unpredictable, therefore, the use of mRNA technology is a promising approach to pursue the complete periodontal regeneration. The aims of this study are to learn if mRNA encoding platelet-derived growth factor-BB (PDGF-BB) induces PDGF production in human periodontal ligament cells (PDLCs) and to investigate the effect of secreted PDGF on PDLC proliferation and promoting endothelial cell tube formation. PDLCs were obtained from extracted teeth of healthy periodontal patients. The N1-methylpseudouridine modified mRNA encoding PDGF-BB were transfected into PDLCs. The …


Pharyngeal Airway Space Changes In Thai Mandibular Setback Patients, Chavanya Asavalertpalakorn, Thitapa Lelapityamit, Natawan Piriyakulkit, Phonkit Sinpitaksakul, Kevin A. Tompkins, Kanit Dhanesuan Jul 2018

Pharyngeal Airway Space Changes In Thai Mandibular Setback Patients, Chavanya Asavalertpalakorn, Thitapa Lelapityamit, Natawan Piriyakulkit, Phonkit Sinpitaksakul, Kevin A. Tompkins, Kanit Dhanesuan

Chulalongkorn University Dental Journal

Background/Objective: The aims of this study were to determine the mean pharyngeal airway space (PAS) area before and after mandibular setback surgery with Bilateral Sagittal Split Ramus Osteotomy (BSSRO) in class III skeletal deformity patients and to identify the correlation between the amount of mandibular setback and PAS change. Materials and Methods: Thirty-two patients who had undergone mandibular setback surgery with BSSRO at the Department of Oral Surgery, Faculty of Dentistry, Chulalongkorn University (Bangkok, Thailand) from January 2010-December 2015 were included in this study. The PAS areas were measured from lateral cephalometric radiographs preoperatively (T0), immediately postoperatively (TPO), 6 months …


Update On Surgical Approach In Accelerating Orthodontic Tooth Movement: A Concise Review, Arthessarat Sirisa-Ard Jul 2018

Update On Surgical Approach In Accelerating Orthodontic Tooth Movement: A Concise Review, Arthessarat Sirisa-Ard

Chulalongkorn University Dental Journal

The orthodontic treatment is a time-consuming procedure. Fixed orthodontic treatment usually takes 2-3 years, with several regular follow up appointments, depending on various factors such as severity of the malocclusion, treatment planning, and patient compliance. The prolong treatment could increase more complications such as caries and root resorptions. A patient burnout also could happen because of this long term exhausted procedure. Thus, to be able to shorten the orthodontic treatment duration will be highly desirable for both patients and orthodontists. Up to now, several treatment modalities have been reported to accelerate orthodontic tooth movement including biomechanical, biological, physical/mechanical, and surgical …


Efficacy Of Self-Ligating Vs Conventional Fixed Orthodontic Appliance System: An Update, Arthessarat Sirisa-Ard Jul 2018

Efficacy Of Self-Ligating Vs Conventional Fixed Orthodontic Appliance System: An Update, Arthessarat Sirisa-Ard

Chulalongkorn University Dental Journal

The conventional fixed orthodontic appliances have been used to treat number of patients effectively for a long time. However, the popularity of using self-ligating brackets has increased considerably over the last few years. Many advantages of using self-ligating brackets have proposed. These include minimized applied force from the appliance with reduced friction, favorable physiologic tooth movement, less treatment time, longer treatment intervals with fewer appointments, chair time saving, less patient discomfort, improved oral hygiene, etc. However, self-ligating brackets cost higher than conventional appliances. They also have more bulky profile due to their complicated mechanical design and their clip or slide …


Current Perspectives On Ceramic Post And Core Systems, Top Chitkraisorn, Terawat Tosiriwatanapong Jul 2018

Current Perspectives On Ceramic Post And Core Systems, Top Chitkraisorn, Terawat Tosiriwatanapong

Chulalongkorn University Dental Journal

In spite of a large number of in-vitro and in-vivo reports, it is still unclear regarding the ideal restoration of endodontically treated teeth, which requires comprehensive knowledge of dental science, materials science and principles of mechanical engineering, including biomechanics. With the advantage of digital technology, CAD/CAM technology offers high precision restorations with less time consuming and an ability of processing high-strength ceramic such as zirconia, which provides both high esthetics and strength. The review focuses on current knowledge regarding the post and core system, classification of ceramics, CAD/CAM workflow for manufacturing the post and core system and pre-clinical testing of …


Quality Of Life In Patients Prescribed Vitamin B1-6-12 For Treatment Of Sensory Impairment Related-Mandibular Orthognathic Surgery, Kamolratanakul Paksinee, Ruxwongkana Taya, Kraisittisirikul Gun, Trising Worawee, Subbalekha Keskanya Jul 2018

Quality Of Life In Patients Prescribed Vitamin B1-6-12 For Treatment Of Sensory Impairment Related-Mandibular Orthognathic Surgery, Kamolratanakul Paksinee, Ruxwongkana Taya, Kraisittisirikul Gun, Trising Worawee, Subbalekha Keskanya

Chulalongkorn University Dental Journal

Background/objective: One of the most common complication in orthognathic surgery is inferior alveolar nerve injury, resulting in sensory impairment that affects patientûs daily life. Many studies reported the potential of vitamin B on nerve regeneration. No clinical study showed the effect of vitamin B1-6-12 on the quality of life. Therefore, we aim to evaluate the effect of vitamin B on oral health related quality of life in post-orthognathic surgical nerve injury. Materials and methods: A prospective, randomized, double blinded trial study were performed in thirty two patients who had undergone mandibular orthognathic surgery with Bilateral Sagittal Split Osteotomy procedure were …


Anesthetic Efficacy Of Intraosseous And Buccal Infiltration Techniques: A Randomized Controlled Crossover Clinical Trial, Siwaporn Siwawut, Piyanee Panitvisai Jan 2018

Anesthetic Efficacy Of Intraosseous And Buccal Infiltration Techniques: A Randomized Controlled Crossover Clinical Trial, Siwaporn Siwawut, Piyanee Panitvisai

Chulalongkorn University Dental Journal

Background/objectives This randomized controlled crossover clinical trial aimed to compare the anesthetic efficacy between intraosseous and buccal infiltration techniques as a primary anesthesia for mandibular first molars. Materials and methods Twenty adult subjects randomly received intraosseous injection of 1.7 ml 4% articaine with 1:100,000 epinephrine or buccal infiltration of 3.4 ml 4% articaine with 1:100,000 epinephrine at 2 separate appointments. The mandibular first molars were tested for anesthesia with an electric pulp tester at 3-minute cycles for 60 minutes after the injections. Pain ratings for each injection were recorded. The data were analyzed using the McNemar and Wilcoxon signed ranks …


Recent Advances In A Three-Dimensional Fabrication Of Hydroxyapatite-Based Biomaterials For Craniofacial Bone Regeneration, Chanekrid Oupadissakoon, Weerachai Singhatanadgit Jan 2018

Recent Advances In A Three-Dimensional Fabrication Of Hydroxyapatite-Based Biomaterials For Craniofacial Bone Regeneration, Chanekrid Oupadissakoon, Weerachai Singhatanadgit

Chulalongkorn University Dental Journal

Surgical treatment of craniofacial bone abnormalities, caused by head and neck cancers, bone fractures, congenital deformities and periodontal diseases, involves the reconstruction using bone graft implantation. Due to limitations and complications from the use of autogenic and allogenic bone grafts, synthetic bonelike ceramics have therefore become widely used, particularly for hydroxyapatite (HA), which has been used for a multitude of medical applications. Because of an advanced technology in the field of stem cell research and tissue engineering, highly sophisticated and functionalized tissues can be constructed using 3-dimensional (3D) fabricating technology in order to replace the use of human structures or …


Maximum Tensile Resistance Of Non-Adjusted And Adjusted Expansion Screws In The Locking Part Of Unassisted Mandibular Advancement Splint, Uthai Uma, Supranee Vichiennet, Phanomporn Vanichanon Jan 2018

Maximum Tensile Resistance Of Non-Adjusted And Adjusted Expansion Screws In The Locking Part Of Unassisted Mandibular Advancement Splint, Uthai Uma, Supranee Vichiennet, Phanomporn Vanichanon

Chulalongkorn University Dental Journal

Objective: To test the vertical and horizontal tensile forces of the locking part of a novel Unassisted Mandibular Advancement (UMA) Splint. Materials and methods: Twenty samples, each comprising a lower piece and an upper piece with an expansion screw, were prepared. The samples were divided into 4 groups (n=5): 1) non-expanded screw group for vertical force test (NEVT), 2) 5-mm-expanded screw group for vertical force test (5EVT), 3) non-expanded screw group for horizontal force test (NEHT), and 4) 5-mm-expanded screw group for horizontal force test (5EHT). NEVT and 5EVT groups received a vertical tensile force whereas NEHT and 5EHT groups …


Mechanical And Physical Properties Of An Mma-Based Orthodontic Base-Plate Material After Ultrasonic Treatment In Water, Wadjakorn Thummawanich, Chairat Wiwatwarrapan, Chintana Sirichompun Jan 2018

Mechanical And Physical Properties Of An Mma-Based Orthodontic Base-Plate Material After Ultrasonic Treatment In Water, Wadjakorn Thummawanich, Chairat Wiwatwarrapan, Chintana Sirichompun

Chulalongkorn University Dental Journal

Background/objectives: To evaluate the mechanical and physical properties of a self-cured methyl methacrylate (MMA)-based orthodontic base-plate material after 50°C water immersion in ultrasonic bath and conventional monomer reduction methods. Materials and methods: Twenty-four rectangular and twenty-four disc shaped specimens of an MMAbased orthodontic base-plate material were prepared, and randomly divided into four groups (n=6): Group I, untreated controls; Groups II and III, immersed in room temperature water for 24 and 72 hours respectively; and Groups IV immersed in 50°C water in an ultrasonic bath (100 Watts, 40 kHz) for 10 minutes. Their flexural strength, flexural modulus, microhardness, water sorption, and …


Age Estimation By Assessing Developmental Stages Of The Distal End Of Radius Bone In Thai Population, Phonkit Sinpitaksakul, Sunpatch Benjavongkulchai, Anansit Jinawong, Chawanat Wongpattaraworrakul, Sirapat Pipattanachat, Pisha Pittayapat Jan 2018

Age Estimation By Assessing Developmental Stages Of The Distal End Of Radius Bone In Thai Population, Phonkit Sinpitaksakul, Sunpatch Benjavongkulchai, Anansit Jinawong, Chawanat Wongpattaraworrakul, Sirapat Pipattanachat, Pisha Pittayapat

Chulalongkorn University Dental Journal

Objective: The aim of this study was to evaluate developmental stages of the radius bone and compare it with the chronological age of Thai population. Methods: Three hundred hand and wrist radiographs (150 males, 150 females) of subjects (age 7-20 years) were retrospectively collected. The developmental stages of the distal end of the radius bone were modified from Tanner-Whitehouse 3 and categorized into 4 stages: 1) non-capping, 2) capping, 3) partial fusion and 4) complete fusion. Each radiograph was scored by 3 observers. Sixty subjects were re-evaluated for intra- and inter-observer agreement. Statistical analysis was performed. Results: The mean ages …


Comparison Of The Stem Cell Characteristics Among Periodontium-Derived Human Mesenchymal Stem Cells, Manutsanun Choosiri Jan 2018

Comparison Of The Stem Cell Characteristics Among Periodontium-Derived Human Mesenchymal Stem Cells, Manutsanun Choosiri

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objective: To investigate and compare the characteristics of human mesenchymal stem cells (MSCs) among 3 different stem cell sources in periodontium; periodontal ligament (PDL) tissue, marginal gingival tissue (MG), and supra-crestal gingival connective tissue (SG). Materials and Methods: PDL-MSCs, MG-MSCs, and SG-MSCs were obtained from 4 subjects with healthy periodontal condition. The characteristics of 3 types of MSCs were compared in terms of an expression of MSCs markers, colony-forming ability (CFA), cell proliferation, alkaline phosphatase (ALP) activity, osteogenic and adipogenic potential. Results: Flow cytometry revealed a similar pattern of MSCs marker expression among 3 cells types with positive expression of …


การศึกษาย้อนหลังของการรักษาพัลเพคโตมีในฟันน้ำนม : การวิเคราะห์การอยู่รอด, เมธาพร ทรงเวชเกษม Jan 2018

การศึกษาย้อนหลังของการรักษาพัลเพคโตมีในฟันน้ำนม : การวิเคราะห์การอยู่รอด, เมธาพร ทรงเวชเกษม

Chulalongkorn University Theses and Dissertations (Chula ETD)

การศึกษานี้มีวัตถุประสงค์เพื่อศึกษาอัตราการอยู่รอดของฟันน้ำนมที่ได้รับการรักษาพัลเพคโตมี โดยใช้เครื่องรูทซีเอ็กซ์กำหนดความยาวทำงาน ภายใต้การดมยาสลบและการใช้ยาชาเฉพาะที่ และศึกษาปัจจัยที่มีผลต่อการอยู่รอดของฟันน้ำนมที่ได้รับการรักษาพัลเพคโตมี โดยทำการศึกษาย้อนหลังจากข้อมูลจากเวชระเบียนของผู้ป่วยเด็กอายุต่ำกว่า 5 ปี ที่มารับการรักษาที่คณะทันตแพทยศาสตร์ จุฬาลงกรณ์มหาวิทยาลัย ระหว่างปี พ.ศ. 2550 - 2559 และมีฟันที่ได้รับการรักษาพัลเพคโตมีภายใต้การดมยาสลบหรือการใช้ยาชาเฉพาะที่อย่างน้อย 1 ซี่ในช่องปาก โดยกำหนดให้ความล้มเหลวของการรักษาพัลเพคโตมีคือฟันต้องได้รับการถอนหรือรักษารากฟันซ้ำในภายหลังเนื่องจากการรักษาพัลเพคโตมีล้มเหลว และวันที่ได้รับการวินิจฉัยให้ถูกถอนหรือรักษารากฟันซ้ำเป็นวันที่สิ้นสุดการติดตามการรักษา การศึกษาครั้งนี้ประเมินอัตราการอยู่รอดโดยใช้สถิติแคแพลน-ไมเออร์และวิเคราะห์ปัจจัยที่มีผลต่อการอยู่รอดโดยใช้สถิติล็อค-แรงค์และตัวแบบถดถอยค็อกซ์ ผลการศึกษาพบว่ามีฟันน้ำนมที่ถูกคัดเลือกเข้ามาในการศึกษาทั้งหมด 272 ซี่ และเมื่อติดตามผลการรักษาเป็นเวลา 5 ปีหลังการรักษาพบว่ามีฟันน้ำนมทั้งหมด 25 ซี่ที่ถูกถอนหรือรักษารากฟันซ้ำเนื่องจากการรักษาพัลเพคโตมีล้มเหลว และมีอัตราการอยู่รอดของฟันที่ได้รับการรักษาภายใต้การดมยาสลบและการใช้ยาชาเฉพาะที่เท่ากับร้อยละ 81.4 และ 87.4 ตามลำดับ ซึ่งไม่แตกต่างกันอย่างมีนัยสำคัญทางสถิติ (p≥0.05) ผลการวิเคราะห์ตัวแบบถดถอยค็อกซ์พบว่าการมีเงาดำบริเวณปลายรากหรือง่ามรากฟันในภาพรังสีก่อนการรักษาเป็นปัจจัยที่ส่งผลต่อการอยู่รอดของฟันที่ได้รับการรักษาพัลเพคโตมีที่ระยะเวลา 5 ปีหลังการรักษา (HRadj= 3.95, 95%CI = 1.31-11.86) การศึกษานี้แสดงให้เห็นว่าการรักษาฟันน้ำนมด้วยวิธีพัลเพคโตมีเป็นวิธีที่สามารถเก็บรักษาฟันน้ำนมที่ผุลุกลามถึงเนื้อเยื่อในไว้ในช่องปากได้นานและมีอัตราการอยู่รอดที่สูงทั้งในการรักษาภายใต้การดมยาสลบและการใช้ยาชาเฉพาะที่


Accuracy Comparison Of Static Cais Vs Dynamic Cais In Single Space Loss At Upper Anterior Region In Four Types Of Bone Density, Phloi Chaisuwannarak Jan 2018

Accuracy Comparison Of Static Cais Vs Dynamic Cais In Single Space Loss At Upper Anterior Region In Four Types Of Bone Density, Phloi Chaisuwannarak

Chulalongkorn University Theses and Dissertations (Chula ETD)

Purpose: To compare the precision of implant placement in the single space missing of anterior tooth in different circumstances of bone type using static CAIS system (Co-diagnostic system Straumann ®) and dynamic CAIS system (E-PED, I-RIS100). The author hypothesized that the overall accuracy of implant placement using static and dynamic CAIS system among four types of bone are not different. Methodology: 64 upper models with artificial bone density D1-D4, divided in to 2 main groups of static CAIS group and dynamic CAIS, which each subgroups contain 8 models for individual bone group, were prepared with single space edentulism on tooth …


Color Stability, Water Sorption And Water Solubility Of Various Artificial Acrylic Resin Teeth, Piyaporn Foungfu Jan 2018

Color Stability, Water Sorption And Water Solubility Of Various Artificial Acrylic Resin Teeth, Piyaporn Foungfu

Chulalongkorn University Theses and Dissertations (Chula ETD)

Color stability, water sorption and water solubility of the acrylic resin artificial teeth are the success keys to the appearance and mechanical properties of the denture teeth. The objective of the present study was to compare the color stability, water sorption and water solubility of 3 commercial artificial teeth: linear PMMA (NEW), resin composite (CPX) and cross-linked PMMA (ANT) and 1 color-liked heat-polymerized acrylic resin (MAJ). 80 colume-shaped specimens (9 mm/ 2 mm thickness) were fabricated for color stability test using a spectrophotometer after immersing in water or coffee solution at 1, 7, 28, 56 and 84 days. 40 colume-shape …


Dentin Microshear Bond Strength Of Various Luting Agents To Zirconia-Reinforced Lithium Silicate Ceramics, Natthapong Itthipongsatorn Jan 2018

Dentin Microshear Bond Strength Of Various Luting Agents To Zirconia-Reinforced Lithium Silicate Ceramics, Natthapong Itthipongsatorn

Chulalongkorn University Theses and Dissertations (Chula ETD)

Statement of problem. Performance of adhesive and resin luting cements used to bond zirconia-reinforced lithium silicate ceramics (ZLS) to dentin has not been well established. Purpose. To examine microshear bond strength (µSBS) of etch-and-rinse adhesive system, universal adhesive and self-adhesive resin cement that were used to bond ZLS to dentin. Material and Methods. Vita Suprinity® (VS, Vita Zahnfabrik) and Celtra® Duo (CD, Dentsply Sirona) blocks were sectioned into 36 and 72 microbars (1×1×3 mm3) respectively. All VS were crystallized, while half of CD were additionally fired and defined as fired-Celtra® Duo (FCD). The others were defined as unfired-Celtra® Duo (UCD). …


The Peri-Implant Soft Tissue Reactions And Cytokine Expressions Around Different Abutment Materials : Randomized Controlled Clinical Trial, Prapaphan Jaikla Jan 2018

The Peri-Implant Soft Tissue Reactions And Cytokine Expressions Around Different Abutment Materials : Randomized Controlled Clinical Trial, Prapaphan Jaikla

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objectives : Stable peri-implant soft tissue around transmucosal zone are the crucial factor for long-term success and survival of dental implants. The aim of this study was to evaluate the expression of proinflammatory cytokines and chemokine around 3 types of abutment materials : titanium (Ti), zirconium oxide (Zr) and gold alloy (Au). Methodology : 15 dental implants were enrolled in this study. Clinical parameters and peri-implant crevicular fluid (PICF) were collected at weeks 4, 6, 8 and 10. The soft tissue characteristics were demonstrated using plaque assessment score and mucosal condition score. Cytokine levels were determined by enzyme-linked immunosorbent assay …


Effect Of Different Polishing Systems, Forces, And Durations On Surface Roughness And Phase Transformation Of Monolithic Zirconia, Songsak Munkongsujarit Jan 2018

Effect Of Different Polishing Systems, Forces, And Durations On Surface Roughness And Phase Transformation Of Monolithic Zirconia, Songsak Munkongsujarit

Chulalongkorn University Theses and Dissertations (Chula ETD)

This study aimed to determine the effect of polishing systems, forces and durations on the surface roughness and phase transformation of zirconia. 72 pieces of fully sintered zirconia size 7 x 5 x 4 mm were fabricated with CAD/CAM, then divided into nine groups depending on the polishing systems and forces. All specimens were ground with fine diamond bur as the control, and initial surface roughness (Ra) was measured. The samples were then polished with one of the zirconia polishing systems (Diazircon or Komet ZR) or porcelain polishing system (Ceramaster), with forces at 1, 2 and 3 newtons. The polishing …


Gene Expression Of Bcl2a1 และ Cxcl9 In Soft Tissue Covering Bone Grafting Materials, Borwonluk Taveedach Jan 2018

Gene Expression Of Bcl2a1 และ Cxcl9 In Soft Tissue Covering Bone Grafting Materials, Borwonluk Taveedach

Chulalongkorn University Theses and Dissertations (Chula ETD)

This study was to assess the expression of Bcl2a1 and Cxcl9 genes in soft tissues covering bone grafted with demineralized freeze-dried bone allograft (DFDBA) and deproteinized bovine bone mineral (DBBM) in comparison with ones covering without grafting. The animals were randomly separated into three groups of treatment. Calvarial defect models were created on parietal bones. Bare defect models without bone graft as a control group. After one and three months, animals were sacrificed. Soft tissues covering the defected area were collected by punch technique. RNA was isolated and proceeded to Real-time reverse transcription quantitative polymerase chain reaction (RT-qPCR). Statistical analysis …