How to cite this article:
Torresyap V, Hoover J, Karunanayake C, Rae J, Tomchuck K. Prosthodontic, Periodontal, and Other Common Needs of Older Adults Seeking Treatment at a Canadian Dental School: A 30-year Comparison. Int J Experiment Dent Sci 2019; 8 (1):1-5.
Aims and objectives: To assess the needs of older adults over the age of 65 currently attending a university-based dental clinic and to compare the findings with a similar study done at the same locale, approximately 30 years ago.
Materials and methods: Electronic records of patients aged 65 years and over, accepted for treatment at the clinic during the period 2015 and 2016 were reviewed and the following information obtained: gender, marital status, habits such as smoking, health history, current medication, chief complaint, missing teeth, and the treatment needs. Hard tissue abnormalities were recorded if the chart contained a recent panoramic radiograph. The findings were compared to those obtained from patients over 65 years of age, at this institution almost three decades ago.
Results: Older patients seeking care at this university dental clinic required less need for removable complete, and partial dentures and periodontal surgical procedures but more fixed prosthesis than a similarly aged cohort of patients visiting this same institution nearly 30 years ago.
Conclusion: Practicing dentists must be cognizant of the changing trends in needs in this increasing population group. Further, dental school curriculums must reflect the current realities in oral needs among older adults, integrating innovative changes in education utilizing an interdisciplinary approach.
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Garg A, Singh B, Sharma A. Split Mouth De-epithelization Techniques for Gingival Hyperpigmentation for Esthetic Purposes: A Case Series and Review of Literature. Int J Experiment Dent Sci 2019; 8 (1):6-10.
A good pink smile is desirable by all age groups, and it can be of concern especially when the gingiva is seen, as in cases with a gummy smile. Thus, melanin hyperpigmentation on gingiva becomes an esthetic problem in individuals when it is present on the facial aspect of the gingiva and is visible during smile and speech. Various depigmentation techniques are available for treatment of gingival hyperpigmentation for this esthetic purpose. Here, the present study clinically assesses the outcome of four different surgical techniques (using scalpel surgery, gingival abrasion, electrosurgery, and lasers) in the same patients and evaluates the reappearance of the pigmentation in the 6-month follow-up period and compares the results.
Periodontitis is a microbially driven inflammatory disorder that affects the periodontium and continues to be a major dental health problem worldwide. The aggressive form, formerly known as juvenile periodontitis, is a pathological condition in which rapid destruction of the periodontal tissues and bone occurs at youth, resulting in loss of teeth. Factors such as lifestyle, host response genetic defects, and subgingival microbial consortium are responsible for the progression of the disease. This devastating loss of face esthetics and oral function affects younger patients emotionally, mostly adolescents, and requires costly and invasive treatments such as implants. Fortunately, recent discoveries regarding early diagnostic tools and biomarkers were proven to be effective in controlling aggressive periodontitis (AgP) progression and limiting it at its early stages. Other modified therapies such as bone augmentation and flap surgery has also ameliorated dental clinical parameters and minimized the necessity for dental implants. Each periodontal treatment is assigned depending on the stage and the severity of the disease, and for this reason, early management is crucial. This was achievable, thanks to novel diagnostic methods such as advanced cone-beam computed tomography (CBCT) imaging and high throughput analysis of gingival crevicular fluid (GCF) biomarkers. The review discusses and compares the latest case studies on the use of different periodontal therapies to treat AgP. Recent research about its pathogenesis and etiological factors such as microbial and genetic association is also highlighted.
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Goyal S, Goyal G, Garg A. Acellular Dermal Matrix Allograft for the Treatment of Gingival Recession: Case Reports with 10 Years of Follow-up. Int J Experiment Dent Sci 2019; 8 (1):23-25.
Root coverage procedures using various autogenous pedicle and free gingival grafts have been commonly used in periodontics. Recently, a substitute for palatal donor tissue in gingival augmentation procedures has been introduced which is acellular dermal matrix allograft (ADMA). This study was undertaken to examine the potential of ADMA to be used as a substitute for autogenous connective tissue graft material in root coverage procedures in cases with Miller\'s class I recession defects. Within the limitations of the clinical observations, it is suggested that ADMA can be used as a substitute to free autogenous grafts but, further clinical and histological studies would be necessary to understand the healing process of the surgical wound.
The eye is a vital organ and an important part of facial expression. Loss of one or both eyes causes social, psychological and physical distress to the patient. The aim of an ocular prosthesis is to restore the facial appearance, improve self-confidence and social acceptance. There are various materials and techniques used for the fabrication of the ocular prosthesis. Advantage of custom ocular prosthesis over stock eye prosthesis includes better movements of the eyelid, even distribution of pressure, thereby reducing the chances of trauma to the tissue bed, better fit, comfort and esthetics. With the custom ocular prosthesis size, shape, color of the iris, pupil and sclera can be properly customized making it look more natural. This article illustrates rehabilitation of the eviscerated right eye of a 28-year-old male with a custom-made ocular prosthesis with manual painting of iris and sclera with oil colors.