Study design and methodology
This study is a non inferiority randomized, double blind, stratified (age group 16-60 years),single site controlled clinical trial to be conducted in the primary dental care, Birmingham ,UK with 1:1 randomization .The study will have two –treatment parallel group to randomly assign patient with dentinal sensitivity into two groups using double blind, randomized design. Novamin containing Sesondyne repair and protect dentifrice will be compared to the gluma desensitizer.
Participants are to be evaluated at baseline ,immediately, after 3,6 and 9 months post application using visual analogue scale for tactile stimuli response and Schiff cold air sensitivity scale for standard cold air blast. Individual tooth is the unit of the study in this trial. 120 patients [450 teeth] including between the age group of 16 and 600 years are to be recruited without any gender bias.
Principal investigator will clinically evaluate all participants to confirm that they have DH and will include eligible subjects in the trial based on the following inclusion and exclusion criteria.
Inclusion criteria were as follows:
1) Patients with the age group 16-60 attending general dental practice
2) Presenting with a complaint of sensitivity only due to cervical abrasions
3) Healthy individuals with no other medical problems.
4) Dentinal hypersensitivity due to cervical abrasions on the both anterior and posterior
5) 3 or more teeth should be affected by cervical
I will now be explaining the five roles of research and giving an example for each one of the roles. The five roles of research include: research to inform policy or practice, research to extend knowledge and understanding, research to improve practice, research to aid reflection and allow progress to be monitored and finally research to examine topics of contemporary importance.
Overall the patient had excellent homecare and was a Calculus Level One. There weren’t any risk factors discussed with this patient, but her concern about the throbbing in her upper jaw was addressed. Her general goal of the appointment was to keep her plaque score the same or lower since she was at 14%. She was a Periodontal Case Type Two based on the bleeding from probing, bone loss, and previous radiographs. The patient said she has been flossing more and is really trying to maintain her plaque score.
Treatment of periodontal disease can be broadly divided into two, non-surgical and surgical. Longitudinal comparison between non-surgical and surgical therapy had been studied extensively by groups of researchers, namely the Gothenburg, the Michigan, the Minnesota, the Nebraska, and the Arizona group. There are some heterogeneities between studies from different groups. Some studies focused on single rooted teeth, while others included molars. Majority of the studies are done in a university setting, while the Arizona study was done in private practices.
At the initial visit the patient’s plaque index was 43% and the plaque score was 55%. The most amount of plaque was present in the posterior regions in both the maxillary and mandibular quadrants. The anterior teeth suffered from a fair amount of attrition. Plaque was being retained in the grooves and pits of the damaged teeth. The patient also had slight interproximal plaque. Number 18 was chipped measially and was missing half of the large amalgam restoration. It had the most biofilm build up covering almost every aspect of the tooth, including the inside portion, which was exposed to oral cavity. When asked why she felt this was a problem area for her she responded that food constantly gets trapped inside and it’s painful, it hurts to brush. A large interproximal lesion on number 8 adjacent to porcelain fused to metal crown retained a considerable amount of biofilm also. The large and old amalgam restorations posteriorly were wearing away at the margins creating grooves and fissures on the occlusal surfaces also retaining plaque. I asked her if she felt like her diet or habits may be contributing to any oral pain or problems she is having. She answered honestly by saying she knows she harming not only her teeth but also her body. She wants to eat better and quit smoking, but she still gets pleasure when indulging and just isn’t ready to give up things she loves yet. She did agree to try and change some of her oral hygiene
Some studies have been conducted but the World Workshop on Periodontics stated that controlled clinical trials that evaluated the role that occlusion had on the progression of periodontal disease in humans, was unethical. To avoid unethical situations, patient records from a private practice facility were collected and studied to see if there was a connection between occlusal discrepancies and the progression of periodontal disease. The records that were studied were from patients that had periodontal evaluations as well as occlusal assessments. All of the patients studied had periodontal disease but only some of them had occlusal decencies. After a twelve month period some patients returned and had another periodontal evaluation and occlusal assessment and the data was compared to the data that was collected twelve months prior. The data collected was compared. Patients without occlusal discrepancies and patients with occlusal discrepancies both had worsening periodontal disease after twelve months of no treatment but, the progression of periodontal disease and increased pocket probing depths
This study was conducted by Abazari, Vanaki, Mohammadi, and Amini, and their primary concern was to have a more profound understanding of why there is such inadequacy of success in managing diabetes patients’ education. With that in mind, they have decided to look into the Iraq population’s process of educating the patients in their diabetes centers. HOW To accomplish this goal, in 2010-2011, in the provinces of Iraq, researchers conducted this qualitative study. Method To conduct the investigation, researchers chose twelve diabetes nurses educators from different counties, and an internal medicine specialist. For the qualitative research, data was collected using a semi-structured face-to-face interview, a focus group, relevant documents,
As a future dental professional, I decided to focus my research on a topic that would be beneficial in my career as a clinician and useful for patient education. Hence, I decided to learn more about oral health. Based on my academic knowledge, so far, there is overwhelming evidence that suggests that a majority number of Americans are unaware of the link between oral health and systemic health. Poor oral health plays a vital role in impacting our overall health. This is mainly due to the lack
When it comes to oral health, General dentists are the main dental care providers. Being highly trained and educated on various and numerous dental procedures, general dentists can diagnose and treat any oral health issues, ensuring a patient’s overall oral health. According to the American Dental Association (ADA), a patient’s general dentist takes responsibility for the “evaluation, diagnosis, prevention and/or treatment (nonsurgical, surgical or related procedures) of diseases, disorders and/or conditions of the oral cavity, maxillofacial area and/or the adjacent and associated structures and their impact on the human body” (2016). In the case in which a specialized
I hope to one day use my background in epidemiology and public health to educate patients on oral health prevention, eliminate health disparities, improve existing community programs, and develop new programs that can sustain continual care. I want to use my research experience to lead studies to discover new and innovative treatments and methods to advance the field of dentistry. As a future dentist, I can positively influence large communities of people in a multitude of ways. Additionally, the field is scientifically rigorous and allows me to exercise my mental capacity. Through my experiences, I have learned that dentistry is exactly what I have looked for; it is the perfect harmony between intellect and human
Globally, poor oral health among older people has particularly been seen in a high level of tooth loss, dental caries experience, and high prevalence rates of periodontal disease, xerostomia, and oral precancer/cancer. The increase of the elderly population
Methods: A randomized, parallel-design, single-center 45-day trial of thirty patients with gingivitis or periodontitis recruited from two clinical
This randomized clinical trialwas conducted at Altamash Dental Institute from Sep 2016 to May 2017.60 patients were selected by convenience sampling. Informed verbal
With a sample size of 20-30 teeth per study group in mind, Neves et al began by extracting specimens and protecting them by capping with ProRoot Mineral Trioxide Aggregate, Kolspon alone or mixed with either 50 nM BIO or Tideglusib 50 nM. Pulp collection was then performed using the 21G needle, 23 scalpel blade, and 0.6 mm straight tip tweezer. After pulp extraction, the upper molars of the mice were dissected and fixed with PFA 4% and then scanned using a Bruker Skyscan1272 micro-CT scanner. From the scanned images, Neves et al were able to evaluate the injury site and perform mineral analysis. However, Neves et al failed to include any indication that inducing dentin growth may cause complications. Without detailing the possibility of unwanted dentin growth, Neves et al are substantially lowering the potential for Tideglusib as a treatment for caries lesions. As with most treatments, Tideglusib is not immune to the possibility of negative side effects and it is this aspect that minimizes the credibility of the study done by Neves et al.
Other discoveries include, among dentate adults aged 18–35 with an oral health problem who did not see a dental specialist in the past 6
Though specific subject selection criteria are not mentioned in the article, subject selection bias is not observed as cases reported in this article include both sexes, age range reported is broad from 31 to 70 years old the location and clinical appearance of each oral lesion were different. Author has reported and discussed each case and analyzed similarities and differences in all case reports. As per my opinion this study has following issues: