Introduction: High survival rates of dental implants were commonly reported even after 10 years of follow up. Nevertheless, complications and failure may occur and the implant would need to be removed. In recent years, the use of autogenous blood products in dental surgery has increased due to its ability to aid the healing of the soft and hard tissues. Clinical case: The case demonstrated the utilisation of concentrated growth factor (CGF) from the patient’s blood for healing following conservative removal of a failed dental implant. Subsequently, the patient showed satisfactory recovery without any infections and clinical complaints. Conclusion: This explantation procedure, together with the use of CGF, may prevent the normal bone resorption and accelerate soft tissue healing. As it is biological in nature having originated from the patient’s blood, it is more readily accepted by the tissues and the risk of infection is low.
Objective: To evaluate the root debridement skill in periodontology pre-clinical module among dental students and to estimate the effectiveness of conducting periodontology pre-clinical module before entering clinical module. Materials and Method: : A total of 47 pre-clinical dental students (Year 2) were included in this study. Single rooted extracted teeth were collected, mounted on acrylic resin and set into the level of 1/3 of the root length. Each of them were instructed to prepare a mounted teeth and to perform root debridement procedure on the labial surface of the tooth only within 10 minutes using Gracey curette #5/6. The similar samples were distributed back to the same students (which were already in clinical year (year 4) to repeat the same procedure on the lingual surface of the same tooth. Root surface roughness was evaluated by using scanning electron microscope (SEM) and profilometer for both labial and lingual surfaces. Statistical analysis was done using Mann-Whitney U test and T-test. Significance level of p ≤ 0.05 was assumed for all analysis. Results: SEM photomicrographs of root surfaces with magnifications of 100x and 800x revealed that there were incomplete removal of the dental calculus in both surfaces and significant roughness root surfaces noted. Conclusion: : No significant differences noted between the students’ root debridement skill in the pre-clinical and also clinical year. Objectives of the current module were fulfilled but in order to meet the highest standard, current module need to be improved in the future.
Objectives: Periodontitis is a chronic disease which remain undiagnosed and untreated without proper examination and referral to specialist clinic for further management Therefore, this study was conducted to evaluate the pattern of referrals to Universiti Teknologi MARA (UiTM) Periodontal Specialist Clinic. Materials and methods: A total of 176 periodontal cases referred to UiTM Periodontal Specialist Clinic in year 2011 and 2016 were identified and patient’s referral forms were collected. The data obtained were the referred cases from undergraduate student clinics, other specialist clinics, UiTM primary dental care clinic and private dental clinics. Descriptive data analysis was conducted using frequency distribution by SPSS. Chi square analysis was used to evaluate the association of source of referral, diagnosis and reason for referrals to Periodontal Specialist Clinic. Results: There was increased referral cases to Periodontal Specialist Clinic in 2016 (86.9%) compared to 2011 (13.1%). Most referral to Periodontal Specialist Clinic were received from faculty’s undergraduate student clinic in both 2011 and 2016 (46%), followed by other specialists (27.3%), primary care clinic (25.6%) and private practice (1.1%). 96% of cases were referred for intervention by periodontist as more than half of the cases were referred for the non-surgical periodontal treatment. Chi square analysis showed the association between source of referral and reason for referral was statistically significant (p value=0.000). Conclusion: Proper periodontal screening in all patients and necessary referral to specialist clinic is crucial to prevent undiagnosed periodontal disease.