International Journal Of Drug Research And Dental Science

Fixed Yet Flexible: Non-Rigid Connector Strategy for Pier Abutments – A Case Report

2025-06-06T07:41:30-04:00

Introduction: Pier abutments, located between two edentulous spaces, pose unique biomechanical challenges in fixed prosthodontics. Conventional fixed partial dentures (FPDs) with rigid connectors are often unsuccessful in such cases due to the fulcrum effect, which can lead to prosthesis failure. Non-rigid connectors are a proven solution that allows limited movement within the prosthesis, reducing stress on abutment teeth.

Case Presentation: This case report presents a 29-year-old male patient with missing right maxillary canine and second premolar. The first premolar served as a pier abutment between the edentulous spaces. Clinical and radiographic evaluations confirmed the abutments were periodontally sound. A new prosthetic plan was executed using a porcelain-fused-to-metal FPD incorporating a non-rigid key-keyway connector. The key (male) was placed on the distal surface of the pier abutment, and the keyway (female) on the mesial surface of the pontic replacing the second premolar.

Conclusion: Non-rigid connectors are essential in managing pier abutment cases to reduce stress and enhance prosthetic longevity. This case reinforces the value of biomechanically sound prosthodontic design in achieving long-term success.

Assessment of Knowledge Attitude and Perception of Information and Communication Technology and Computed Assisted Learning Undergraduate Dental Students

2025-06-06T07:45:28-04:00

Background: The integration of Information and Communication Technology (ICT) and Computer-Assisted Learning (CAL) has transformed modern dental education, offering innovative methods for teaching, learning, and clinical training. Understanding students' knowledge, attitudes, and perceptions toward these tools is vital for effective implementation.

Objective: This study aims to assess the knowledge, attitude, and perception of undergraduate dental students regarding ICT and CAL in their academic and clinical training.

Methods: A cross-sectional survey was conducted among undergraduate dental students using a structured questionnaire. The instrument measured three key domains: knowledge of ICT and CAL tools, attitude towards their use in dental education, and perception of their effectiveness and usability.

Results: The majority of students demonstrated moderate to high knowledge of ICT applications, with a positive attitude toward the use of CAL in enhancing learning outcomes. Most participants perceived ICT and CAL as essential tools for modern dental education but highlighted the need for formal training and better infrastructure.

Conclusion: Undergraduate dental students show favorable knowledge and attitudes toward ICT and CAL. However, gaps in training and access must be addressed to fully leverage these technologies in dental education. Integrating ICT and CAL into the curriculum, supported by institutional resources, can enhance learning efficiency and prepare students for digitalized dental practice.

Short-Term Perception of Recovery after Surgical Removal of Impacted Third Molar

2025-08-23T09:11:12-04:00

Background: The surgical removal of third molars, or wisdom teeth, is a common oral and maxillofacial procedure that often presents postoperative challenges such as pain, swelling, and restricted jaw function. While clinical recovery parameters are well-documented, patient-perceived recovery progress remains variable and influenced by multiple factors.

Objective: This study aims to assess the subjective experiences of patients undergoing third molar extraction, focusing on perceived pain levels, postoperative swelling, functional recovery, and complications during the first postoperative week.

Methods: A three-month observational study was conducted at the Department of Oral and Maxillofacial Surgery, Institute of Dental Sciences, BIU, Bareilly. The study included 45 healthy adult patients (aged 18-35 years) who underwent surgical third molar extraction. Data collection involved patient-reported outcomes assessed at 24 hours, 72 hours, and 7 days postoperatively. Parameters included pain levels (measured using the Visual Analogue Scale), difficulty in mouth opening, swelling, and complications. A structured questionnaire was used to evaluate the impact of surgery on daily activities, social interactions, and overall quality of life.

Results: The majority of patients reported significant postoperative discomfort, with peak pain occurring within the first 24 hours (VAS score of 6). Swelling was most pronounced on the second postoperative day before gradually subsiding. Functional limitations, such as restricted mouth opening and chewing difficulties, were most evident during the first three days but improved over the study period. A small proportion of patients reported delayed healing and temporary difficulty in mouth opening as complications. Despite these challenges, most patients rated their overall recovery experience as positive, with effective pain management contributing to satisfactory outcomes.

Conclusion: Third molar extraction significantly affects patients’ quality of life during the early postoperative phase, with pain, swelling, and functional impairment being primary concerns. However, patient education, effective analgesic use, and proper postoperative care can enhance recovery experiences. The findings highlight the need for individualized patient management strategies to improve overall satisfaction and optimize postoperative recovery.

Assessment of Analgesic Effects of Paracetamol Alone and Diclofenac + Paracetamol in Patients Undergoing Dental Extraction

2025-10-12T08:14:52-04:00

Aim: To assess and compare the analgesic efficacy of paracetamol alone and diclofenac + paracetamol combination in patients undergoing dental extraction.

Materials and Methods: An open-label, randomized trial was conducted on 180 patients (20–50 years) allocated into two groups, with postoperative pain assessed using the Numerical Rating Scale (NRS) at immediate, day 1, and day 3 intervals.

Results: Both regimens reduced pain, but diclofenac + paracetamol showed significantly lower NRS scores on day 1 and day 3 (p < 0.001), with no reported complications in either group.

Conclusion: While paracetamol is effective for mild pain, diclofenac + paracetamol provides superior relief for moderate to severe pain post-extraction, without additional adverse effects.