Orthodontics
Maryam Omidkhoda; Farid Shiezadeh; Seyedeh zahra Siadatifar; Erfan Bardideh; Milad Zarei
Abstract
Aim: Orthodontic treatment often leads to gingival hyperplasia, which may complicate oral hygiene and necessitate surgical interventions such as gingivectomy. This study compared the efficacy of ceramic burs versus scalpels in gingivectomy procedures for orthodontic patients, focusing on periodontal ...
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Aim: Orthodontic treatment often leads to gingival hyperplasia, which may complicate oral hygiene and necessitate surgical interventions such as gingivectomy. This study compared the efficacy of ceramic burs versus scalpels in gingivectomy procedures for orthodontic patients, focusing on periodontal outcomes and pain.
Methods: This case series describes six orthodontic patients with gingival hyperplasia. The patients were between 15-25 years and were non-smokers. They underwent gingivectomy using two methods: ceramic burs (NTI® Soft Tissue Trimmers) and traditional scalpels. Preoperative oral hygiene instructions were given, and intraoral photographs were obtained. Clinical measurements included the plaque index (PI), gingival index (GI), and bleeding index (BI). Bleeding, pain (using a visual analog scale), and periodontal indices were assessed at several time points postoperatively.
Results: Both groups showed significant improvements in gingival hyperplasia, PI, and mean GI. However, the ceramic bur group experienced lower postoperative pain compared to the scalpel group. One patient in the scalpel group required analgesics for pain management. The results highlighted the effective management of gingival hyperplasia with both methods but with a potential advantage in pain management for the ceramic bur group.
Conclusion: This study indicated that both ceramic burs and scalpels are effective for gingivectomy in orthodontic patients. Ceramic burs might offer a less painful alternative, although both methods effectively manage gingival hyperplasia. Further studies with a larger sample size and longer follow-ups are required to confirm the present findings and potentially recommend ceramic burs as a preferred method for gingivectomy.
Education
Saeedeh Mokhtari; Alireza Heidari; Milad Zarei
Abstract
Aim: Dentistry is a stressful profession, and dental students are susceptible to different forms of stress and psychological pressures. Investigating the amount of this stress and knowing the sources that cause it, can help in creating a supportive and stress-reducing educational environment.
Methods: ...
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Aim: Dentistry is a stressful profession, and dental students are susceptible to different forms of stress and psychological pressures. Investigating the amount of this stress and knowing the sources that cause it, can help in creating a supportive and stress-reducing educational environment.
Methods: Fifty-nine senior dental students of Tehran Faculty of Dentistry participated in this cross-sectional descriptive study. The data was collected by DASS-21 questionnaire using a 4-scale measure. The total stress scores of the students were calculated at the clinical departments of the Dental School. The severity of depression, anxiety, and stress was calculated for the students. The comparison of the total stress scores at different departments was made by ANOVA, and the effect of demographic factors on predicting the stress scores was determined by linear regression analysis. P-values <0.05 were considered as significant.
Results: Among the total participants, 72.9% (n=43) showed different levels of depression; 57.7% (n=34) had different levels of anxiety and 64.3% (n=38) exhibited different levels of stress. The total stress scores of the students were mostly reported in the endodontics (12.59, P<0.05) and oral medicine (9.2, P<0.05) departments, while the least total scores were found in the orthodontics (3.89, P<0.05) and oral and maxillofacial surgery (4.25, P<0.05) departments.
Conclusion: The senior dental students in Tehran University of Medical Sciences have high levels of depression, anxiety, and stress. The highest levels of stress were related to the departments of endodontics and oral medicine among the educational departments. It appears that dental students living away from their families and the students whose mothers have high educational levels require further support in this respect.
Orthodontics
Fahimeh Farzanegan; Farnaz Zia; Lohrasb Dehghani; Milad Zarei
Abstract
Aim: This study aimed to investigate the effect of growth modification treatments on oral health-related quality of life in adolescents aged 11 to 14 years with Class II malocclusion.
Methods: Eighty people participated in this case-control study. The case group (n=43) included adolescents with a history ...
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Aim: This study aimed to investigate the effect of growth modification treatments on oral health-related quality of life in adolescents aged 11 to 14 years with Class II malocclusion.
Methods: Eighty people participated in this case-control study. The case group (n=43) included adolescents with a history of Class II malocclusion treated with growth modification. The control group consisted of 37 adolescents with Class II malocclusion who were not treated. Both groups were given a translation of the Child Perception Questionnaire (CPQ), measuring the quality of life in four domains: oral symptoms, functional limitations, psychological health, and social well-being. Data were statistically analyzed by SPSS software and a significance level of 0.05 was considered.
Results: The oral health-related quality of life of the case group was better than the control group in all areas although this difference was not statistically significant (P=0.204).
Conclusion: The oral health-related quality of life between two groups was not different; however, the difference in mental health components between the two groups was clinically negligible.
Mostafa Abtahi; Milad Zarei; Rasool Saheb Alam; Paria Raeesi; Lohrasb Dehghani
Abstract
Aim: The present study was designed to investigate the degree of achievement of the educational goals of Mashhad Dental School's educational program from the perspective of basic sciences students in the academic year 2018-2019. By examining the current situation, it is possible to improve the educational ...
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Aim: The present study was designed to investigate the degree of achievement of the educational goals of Mashhad Dental School's educational program from the perspective of basic sciences students in the academic year 2018-2019. By examining the current situation, it is possible to improve the educational quality of the program.Methods: To measure the achievement of educational goals, a checklist and a questionnaire were prepared based on the educational headings in the dental education regulations approved by the Ministry of Health and Medical Education and approved by the school of Dentistry. After classification, the desired information was evaluated descriptively using SPSS-20 software and the chi-square statistical test.Results: Significant differences did not exist between the two sexes regarding the achieved goals, except for the dental material basics course. The achieved goals were not significantly different between the students with “A “average score and other students in any of the courses. Also, significant differences were not found in any courses in the realized goals between students with different interests in the field of dentistry.Conclusion: Fulfillment of educational goals is lower in the less applicable courses for the field of dentistry in the basic sciences, which indicates the necessity of curriculum revision to achieve higher quality education.
Orthodontics
Farzaneh Lal Alizadeh; Lohrasb Dehghani; Milad Zarei
Abstract
Aim: BDD is a psychiatric diagnosis in the spectrum of obsessive compulsive disorder wherein the patient has a damaging mental preoccupation with a slight deficiency in his physical appearance. Awareness of this disease and its symptoms is essential for proper diagnosis and management of the patient.Methods: ...
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Aim: BDD is a psychiatric diagnosis in the spectrum of obsessive compulsive disorder wherein the patient has a damaging mental preoccupation with a slight deficiency in his physical appearance. Awareness of this disease and its symptoms is essential for proper diagnosis and management of the patient.Methods: This cross-sectional study was performed on 86 patients who underwent orthognathic surgery. A demographic information questionnaire, Yale-Brown Obsessive Compulsive Scale modified for the BDD questionnaire, BDI-II questionnaire (Depression Scale) and Beck Anxiety Scale questionnaire were completed by patients to assess BDD disorder, depression, and anxiety. Data were described using appropriate statistical tables and graphs to express indicators and frequency distribution. Shapiro-Wilk, Mann-Whitney, Kruskal-Wallis, and Fisher tests were used to analyze the data.Results: This study was performed on 86 patients with a mean age of 23.19±4.5 years. The percentage of BDD in women (20%) was higher than in men (14%), but this difference was not statistically significant (p=0.685). The prevalence of depression was significantly higher (p<0.001) in patients with BDD (53%) than in those without this disorder (11%). The prevalence of anxiety was significantly higher (p<0.001) in patients with BDD (67%) than in those without this disorder (23%). With increasing age, the BDD scores decrease slightly, but this difference was not statistically significant (p=0.113).Conclusion: The prevalence of BDD in the study population was 17.4%. The high prevalence of the disorder in orthognathic surgery patients compared to the general population requires the serious attention of dentists to this disorder.