Dentistry Commons^™

Wear Resistance And Surface Roughness Of Injectable Resin Composites After Chewing Simulation, Napat Lapaschaone

Chulalongkorn University Theses and Dissertations (Chula ETD)

The purpose of this study was to evaluate wear resistance and surface roughness of injectable resin composites after undergoing chewing simulation and compared with those of conventional flowable resin composites and conventional paste resin composites. Ten specimens of each product from three different types: 1) two injectable resin composites (GU, BI), 2) two conventional flowable resin composites (SF, BF) and 3) two conventional paste resin composite (GP,BT), were fabricated in a sample holder and top surface was polished using silicon carbide papers. The surface topography of the specimens was profiled using three-dimensional contact profilometer before subjected to chewing simulation at …

Fracture Strength Of Restored Tunnel Preparation With Various Heights Of Marginal Ridge, Phirinat Aurpanchasin

Chulalongkorn University Theses and Dissertations (Chula ETD)

This study aimed to investigate fracture strength of restored tunnel preparation with different marginal ridge heights, using various adhesives and restorative materials. 130 intact premolars were randomly allocated into 13 groups based on 3 remaining marginal ridge heights (1.0, 2.0, and 3.0 mm) and 4 adhesive restorative techniques (Optibond™ FL, ER; selective enamel etching mode Single Bond Universal Adhesive, UA; Equia Forte Fil, HGI and positive control, PC) and negative control (NC). Tunnel preparation and restoration were performed. After 10,000 thermocycled, each specimen underwent fracture strength test until fractured, and evaluated for mode of failure. The data were evaluated using …

The Expression Of Incretin Hormones And Their Receptors In The Submandibular Glands Of Offspring From High Fat Diet-Fed Mother Rats, Pornchanok Sangsuriyothai

Chulalongkorn University Theses and Dissertations (Chula ETD)

Incretins, i.e., glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP) promote insulin secretion to reduce postprandial blood sugar. Previous studies found incretins in the salivary glands in rat. However, the role of GLP-1 and GIP in the submandibular gland (SMG) is unclear. This study investigates the effects of a high-fat diet (HFD) on the expression of GLP-1 and GIP throughout the development of rat SMG. Pregnant 11-week-old rats were divided into standard diet and HFD groups (n = 5 each). The newborns were divided into four subgroups (n = 6): standard diet males, HFD males, standard diet females, and HFD …

Effects Of The Cutting Flute Characteristic Of The Orthodontic Miniscrew On Bone Microdamage And Primary Stability, Sansanee Wijarn

Chulalongkorn University Theses and Dissertations (Chula ETD)

Orthodontic miniscrews was developed as an anchorage. Cutting flute geometry of the screw is important for the stability; however, it has not been fully investigated. This study aim to evaluate the effect of cutting flute geometry on cortical bone microdamage and stability. Human bone analogs, 1.0 mm thick, were prepared alongside custom-made Ti6Al4V screws. These screws, with no flutes or modified flute geometries, came in lengths of 1.2, 2.4, and 5.0 mm, each with rake angles of 0° and 20°. Each screw was inserted into a bone sample and removed while measuring the maximum insertion torque and the maximum removal …

Evaluation Of Tensile Bond Strength Of Various Denture Relining Materials To Conventional And Cad/Cam Manufactured Denture Base Polymers, Pilipda Janyaprasert

Chulalongkorn University Theses and Dissertations (Chula ETD)

This study was to investigate the tensile bond strength (TBS) of autopolymerized, heat-polymerized, milled, and 3D printed denture base materials bonded to 2 acrylic-based and 2 silicone-based denture liners, both before and after thermocycling. Four different denture base materials (Palapress (PL), Vertex Rapid Simplified (VR), Smile CAM total prosthesis (SC), and NextDent denture 3D+ (ND)) bonded to 2 acrylic-based (GC Soft-Liner (GC) and Tokuyama Rebase II (RB)) and 2 silicone-based (Ufi Gel P (UP) and Sofreliner Tough M (ST)) denture liners were tested. Specimens (n=8) were divided into non-thermocycling and thermocycling groups. Data were analyzed using 2-way ANOVA and Tukey …

The Comparison Of Learning Outcome Of Dental Implant Placement Training In Esthetic Zone Using Dynamic Navigation System Between Novice Dentists And Experience Dentists, Hatsapon Teparrukkul

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: The increasing importance of CAIS in the practice of implant dentistry calls for adequate education and training of clinicians, however little evidence is available to support educational strategies and best practice. Purpose: The aim of this study was to investigate the effectiveness of distributed training with d-CAIS in the accuracy of freehand implant placement by inexperienced operators. Materials and Methods: Six senior dental students without experience in implant placement and dynamic CAIS systems​ received simulation in free-hand implant surgery (5 implants), followed by distributed training in dynamic CAIS (6 implants). An assessment followed in freehand implant placement (5 implants). …

Autogenous Raw Tooth Particles Versus Xenograft For Alveolar Ridge Preservation: A Prospective Controlled Clinical Trial, Basel Mahardawi

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objective: The use of extracted teeth has been recently introduced as an option for bone grafting. However, the current method requires special machines and solutions, which poses significant time and cost. The aim of this study was to evaluate the clinical performance of autogenous Raw Tooth Particles (RTP), a grafting material made from a ground tooth using basic equipment, for alveolar ridge preservation. Materials and methods: 14 and 13 sites (23 patients) were included for the study and control group, respectively. The control group received Bio-Oss® xenograft. Radiographic measurements (in millimeters) were taken at the baseline and at the 4-month …

Oral And Dental Prostheses Status In Mild And Moderate Dementia Patients, Tunyatorn Ratanawatanasin

Chulalongkorn University Theses and Dissertations (Chula ETD)

This study focused on understanding the oral health and dental prostheses status of patients with mild to moderate dementia at King Chulalongkorn Memorial Hospital. A total of 88 patients participated in this cross-sectional study, which utilized the Oral Health Assessment Tool (OHAT) and modified CDA score to evaluate the oral health of patients with a dementia diagnosis. The study revealed significant oral health issues among participants, particularly in terms of gum and oral tissue problems, and oral cleanliness. Although 45.5% of participants had at least 20 functional teeth, a high prevalence of dental decay was observed. Many of the fixed …

Comparison Of The Accuracy Of Implant Placement Between Using Sleeve-In-Sleeve And Integrated Sleeve-On-Drill Drilling Systems For Static Computer-Assisted Implant Surgery: A Simulation-Based Experimental Study, Papon Pattanasirikun

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objective: To investigate precision of implant placement with sleeve-in-sleeve and sleeve-on-drill static Computer Assisted Implant Surgery (sCAIS) designs. Materials and Methods: 32 models were digitally planned and fabricated simulating a patient with bilateral missing first premolar. 8 models were assigned in each group: Group A, B and C represented sleeve-in-sleeve design with 2, 4 and 6mm sleeve height respectively. Group D represented integrated sleeve-on-drill design with 4 mm sleeve height. All models were scanned with CBCT and desktop optical scanner. 16 implants were planned and placed using sCAIS for each group. 3D deviation of placed and planned position at implant …

การเปลี่ยนแปลงคุณภาพชีวิตในมิติสุขภาพช่องปากและในมิติสุขภาพในผู้ป่วยที่ได้รับการรักษาทางทันตกรรมประดิษฐ์, ปิยอนงค์ วรรณขาว

Chulalongkorn University Theses and Dissertations (Chula ETD)

การศึกษานี้เป็นการศึกษาไปข้างหน้าจากเหตุไปหาผลในผู้ป่วยเข้ารับการรักษารับการรักษาทางทันตกรรรมประดิษฐ์จำนวน 87 คน ผลลัพธ์ของการศึกษาคือคุณภาพชีวิตในมิติสุขภาพช่องปากและคุณภาพชีวิตในมิติสุขภาพ โดยใช้ดัชนีประเมินผลกระทบของสุขภาพช่องปากต่อสมรรถภาพในชีวิตประจำวันและเครื่องมือวัดคุณภาพชีวิตขององค์การอนามัยโลกฉบับย่อ ตามลำดับ ตัวแปรร่วม ได้แก่ ลักษณะทั่วไป สภาวะสุขภาพและสภาวะสุขภาพช่องปาก เก็บข้อมูลโดยการสัมภาษณ์ การตรวจในช่องปากและการศึกษาจากแฟ้มประวัติ หลังการแก้ไขฟันเทียมครั้งสุดท้าย 1 เดือน เก็บข้อมูลคุณภาพชีวิตในมิติสุขภาพช่องปากและคุณภาพชีวิตในมิติสุขภาพโดยการสัมภาษณ์ทางโทรศัพท์ ใช้การทดสอบของการทดสอบวิลคอกซันวิเคราะห์การเปลี่ยนแปลงของคะเเนน OIDP และ WHOQOL-BREF เวลาก่อนและหลังการรักษา ข้อมูลทั้งหมดวิเคราะห์ที่ระดับนัยสำคัญร้อยละ 5 ผลการศึกษาแสดงว่าหลังการรักษาผู้เข้าร่วมการศึกษามีคะแนน OIDP รวมลดลงอย่างมีนัยสำคัญทางสถิติ และคะแนน WHOQOL-BREF รวมเพิ่มขึ้นอย่างมีนัยสำคัญทางสถิติ โดยที่เวลาก่อนการรักษาปัจจัยที่ส่งผลต่อคะแนน OIDP รวมคือจำนวนฟันธรรมชาติและจำนวนคู่สบฟันหลัง ในขณะที่ปัจจัยที่ส่งผลต่อคะแนน WHOQOL-BREF รวมคือสถานภาพสมรสและความเพียงพอของรายได้ จึงสรุปได้ว่าภายหลังการรักษาทางทันตกรรมประดิษฐ์ผู้ป่วยมีคุณภาพชีวิตในมิติสุขภาพช่องปากและคุณภาพชีวิตในมิติสุขภาพดีขึ้น

Assessing The Most Vulnerable Subgroup To Type Ii Diabetes Associated With Statin Usage: Evidence From Electronic Health Record Data, Xinzhou Guo, Waverly Wei, Molei Liu, Tianxi Cai, Chong Wu, Jingshen Wang

Faculty, Staff and Student Publications

There have been increased concerns that the use of statins, one of the most commonly prescribed drugs for treating coronary artery disease, is potentially associated with the increased risk of new-onset Type II diabetes (T2D). Nevertheless, to date, there is no robust evidence supporting as to whether and what kind of populations are indeed vulnerable for developing T2D after taking statins. In this case study, leveraging the biobank and electronic health record data in the Partner Health System, we introduce a new data analysis pipeline and a novel statistical methodology that address existing limitations by (i) designing a rigorous causal …

Correlation Between Intraoral Markers And The Risk Of Obstructive Sleep Apnea In Children, Linda K. Powers

Theses and Dissertations

Specific aims: The purpose of this study was to explore the association between various intraoral markers and the risk of Obstructive Sleep Apnea (OSA) in children. Specifically, nine intraoral clinical characteristics were analyzed: ankyloglossia, palatal vault height, presence and level of dental wear, tonsillar grade, Friedman's classification, skeletal and dental classification, and posterior crossbite. The correlation between these features and the Pediatric Sleep Questionnaire (PSQ) and Pediatric Symptoms Checklist (PSC) scores were assessed.

Methods: Orthodontic patients aged 8-17 were recruited at the VCU Graduate Clinic. Intraoral measurements were collected from patients (n=100) by treating doctors. At this time, the PSQ …

Morphometric Analysis Of Premolars And Its Relevance To Root Canal Anatomy, James Degracie

Theses and Dissertations

Introduction: Premolars are especially challenging to treat endodontically due to their small size and often-intricate anatomy. While the majority of premolars present with one or two root canals, the presence of three root canals has been reported. The aim of this study was to investigate the correlation between the root-to-crown width ratio (RCWR) and number of root canals in maxillary and mandibular premolars.

Methods: Data was retrieved from the electronic health records of patients treated at Virginia Commonwealth University School of Dentistry. A total of 100 premolars which had both periapical radiograph (PA) and cone beam computed tomography scans (CBCT) …

Treatment Access And Outcomes For Craniofacial Care: Patient And Parent Perspectives, Benjamin F. Lowe Iii

Theses and Dissertations

Objective: The purpose was to evaluate whether craniofacial patients and their parents have adequate access to care, perceive this care as high quality, and believe that the incorporation of telehealth visits would benefit their current system of craniofacial care. Methods: An original survey was developed and sent to families in treatment with the Virginia Commonwealth University craniofacial team. The tool was used to gather demographic information and assess opinions toward access to, outcomes of, and telehealth services for craniofacial care. Patients 18 years and older took the survey for themselves, while patients under 18 years old had a parent/guardian take …

Assessing The Agreement Of Light Microscopic Evaluation Of Oral Lichen Planus Lesions With Associated Direct Immunofluorescence Evaluation, Blake T. Hansen, Jeffrey B. Payne, Kaeli Samson, Peter J. Giannini

Journal Articles: College of Dentistry

AIM/OBJECTIVE: Assess agreement between light microscopy and direct immunofluorescence (DIF) for histopathologic evaluation of oral lichen planus (OLP).

METHODS: Records evaluated included 60 OLP, 16 lichenoid mucositis (LM), and 56 non-OLP/non-LM cases. Cases had both light microscopic and DIF evaluations. Histopathologic parameters of OLP included: (1) hydropic degeneration of the basal cell layer, (2) band-like lymphocytic infiltrate immediately subjacent to the epithelium, and (3) presence of Civatte bodies. Two calibrated examiners independently assessed light microscopic features. Examiners reviewed cases with discordant diagnoses to determine a consensus diagnosis. Intra-rater reliability (IRR), sensitivity, specificity, positive, and negative predictive values (PPV and NPV) …

Repair Of Complex Ovine Segmental Mandibulectomy Utilizing Customized Tissue Engineered Bony Flaps, Emma Watson, Hannah A Pearce, Katie J Hogan, Natasja W M Van Dijk, Mollie M Smoak, Sergio Barrios, Brandon T Smith, Alexander M Tatara, Timothy C Woernley, Jonathan Shum, Craig B Pearl, James C Melville, Tang Ho, Issa A Hanna, Nagi Demian, Jeroen J J P Van Den Beucken, John A Jansen, Mark E Wong, Antonios G Mikos

Faculty, Staff and Student Publications

Craniofacial defects require a treatment approach that provides both robust tissues to withstand the forces of mastication and high geometric fidelity that allows restoration of facial architecture. When the surrounding soft tissue is compromised either through lack of quantity (insufficient soft tissue to enclose a graft) or quality (insufficient vascularity or inducible cells), a vascularized construct is needed for reconstruction. Tissue engineering using customized 3D printed bioreactors enables the generation of mechanically robust, vascularized bony tissues of the desired geometry. While this approach has been shown to be effective when utilized for reconstruction of non-load bearing ovine angular defects and …

The Effects Of E-Cigarette Aerosol On The Force Degradation Of Elastomeric Chain: An In Vitro Pilot Study, Nicholas David Palmer

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background and Objectives

An ideal orthodontic force system should exert continuous light force. An orthodontist has the option to utilize different systems for closing orthodontic extraction space. A commonly used method when closing extraction space is to utilize orthodontic elastomeric chain. Energy Chain® (Rocky Mountain Orthodontics, Franklin, IN) allows for less deformation of shape following the initial stretch, more consistent force, and less force degradation over time. The mouth is a harsh environment that experiences daily changes in pH and temperature. These changes cause elastomeric chain to experience increased force degradation. The creation of the JUUL® (JUUL Labs, San Francisco, …

A Comparison Of Endodontic Root-End Filling Techniques: A Micro-Computed Tomography Analysis, Leslie P. Wolford

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction:

Researchers have compared the differences between hand compaction of root-end filling bioceramics with compaction of these materials by hand followed by ultrasonic activation (hand/ultrasonic compaction). Additionally, most of these researchers did not utilize Micro-Computed Tomography (Micro-CT) analysis. The purpose of this study is to evaluate total porosity volume of three different bioceramics when compacted by hand alone versus hand/ultrasonic compaction using Micro-CT Analysis.

Materials and methods:

Seventy-two human maxillary central incisors were selected for the study. All were subjected to orthograde endodontic treatment followed by root tip resection 3-mm from the apex at a 90° to the long axis …

Shear Bond Strength Comparison Of Bioceramics To Root Dentin., Yasmin Alma Hoffman

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: The purpose of this study is to compare the push-out bond strength of four bioceramic materials to root dentin that are used during regenerative endodontics. The bioceramics being tested are: 1. Biodentine®(Septodont); 2. EndoSequence BC Putty Fast Set® (Brasseler); 3. NeoPutty® (Avalon Biomed); and 4. ProRoot MTA White® (Dentsply). A high bond strength of a bioceramic material to root dentin will provide excellent seal. An improved seal may correlate with less potential for contamination of the pulp space that is undergoing regenerative activity. This in turn will lead to long-term clinical success. The null hypothesis is that there is …

Assessment Of The Effects Of Edentulousness On Temporomandibular Components By Using Cone Beam Computed Tomography, Büşra Arıkan, Numan Dedeoğlu, Şuayip Burak Duman

Journal of Dentistry Indonesia

Objective: The aim of this study is to evaluate the effects of edentulousness on the temporomandibular joint using cone beam computed tomography (CBCT). Methods: In this study, CBCT images were evaluated in a total of 48 patients (24 dentulous, 24 edentulous). Ninety-six temporomandibular joint CBCT images were examined. Eminence inclination, condyle head widths and joint space were measured and statistically compared between the edentulous and dentulous groups. Results: The articular eminence inclination value the mediolateral width of the condyle and the anteroposterior width of the condyle were found significantly higher in the dentulous group than in the edentulous group. …