JOURNAL OF THE DENTAL ASSOCIATION OF THAILAND

  • Issue 6 volume 52
  • Issue 4 volume 52
  • Issue 3 volume 52
  • Issue 2 volume 52
  • Issue 1 volume 52
1
Page : 383-391

Title : Effect of mouthrinse containing Streblus asper leaf extract on gingivitis and plaque formation

Author(s) : Suwimol Taweechaisupapong, Sopit Wongkham, Ariya Rattanathongkom, Supaporn Singhara, Thiamhathai Choopan, Samran Suparee

Keyword(s) : gingivitis,mouthrinse,plague,Streblus asper

Manuscript Type : Original Article (บทวิทยาการ)

Page : 383-391

The aim of this single blind and crossover design study was to describe a 4-day no oral hygiene model to assess the pattern of de novo plaque formation and gingivitis in the human. Thirty-five subjects were recruited for the trial. Each participant received a professional tooth cleaning at the preparatory period. Following baseline clinical examination for plaque and gingival index, the saliva and plaque samples were taken at the beginning of experimental period. The participants were subsequently given a professional tooth cleaning, asked to rinse twice daily for 60 s with 10 ml distilled water or Streblus asper leaf extract (80 mg/ml) and told to abstain from mechanical plaque control efforts for the next 4 days. On day 5, the volunteers were exposed to a new clinical examination, the gingival and plaque index were recorded and the salival and plaque samples were taken. Then they were given a profession tooth cleaning and asked to exercise proper self performed plaque control during the next 10 days. A new test period was then initiated. The results of the study revealed that S. asper leaf extract significantly reduced the gingival index compared with distilled water. However, the mean difference from baseline of plaque index was not significantly different between rinsing with S. asper leaf extract and distilled water. In addition, no significant changes in mutans streptococci and total salivary bacterial counts were observed. It is concluded that mouthrinse containing S. asper leaf extract has effect only on gingival healthThe aim of this single blind and crossover design study was to describe a 4-day no oral hygiene model to assess the pattern of de novo plaque formation and gingivitis in the human. Thirty-five subjects were recruited for the trial. Each participant received a professional tooth cleaning at the preparatory period. Following baseline clinical examination for plaque and gingival index, the saliva and plaque samples were taken at the beginning of experimental period. The participants were subsequently given a professional tooth cleaning, asked to rinse twice daily for 60 s with 10 ml distilled water or Streblus asper leaf extract (80 mg/ml) and told to abstain from mechanical plaque control efforts for the next 4 days. On day 5, the volunteers were exposed to a new clinical examination, the gingival and plaque index were recorded and the salival and plaque samples were taken. Then they were given a profession tooth cleaning and asked to exercise proper self performed plaque control during the next 10 days. A new test period was then initiated. The results of the study revealed that S. asper leaf extract significantly reduced the gingival index compared with distilled water. However, the mean difference from baseline of plaque index was not significantly different between rinsing with S. asper leaf extract and distilled water. In addition, no significant changes in mutans streptococci and total salivary bacterial counts were observed. It is concluded that mouthrinse containing S. asper leaf extract has effect only on gingival health
2
Page : 399-407

Title : The study of lesions clinically diagnosed as leukoplakia in a group of Thai patients.

Author(s) : Kittipong Dhanuthai, Songsupa Decha, Nawanat Atornkidjawat

Keyword(s) : clinical data,histopathologic feature,leukoplakia

Manuscript Type : Original Article (บทวิทยาการ)

Page : 399-407

Leukoplakia is the clinical term used to describe a predominantly white patch that cannot be characterized as any other definable lesion. The objectives of this study were to investigate the histopathologic feature, location and demographic data of the lesions with the clinical diagnosis of leukoplakia in Thai patients. Of all the 13,678 accessioned cased from the archives of the Oral Pathology Department, Faculty of Dentistry, Chulalongkorn University, 137 cased had the clinical diagnosis is leukoplakia. These leukoplakia cased were reviewed and classified according to age, gender, location and histopathologic feature. The results showed that leukoplakia was found in patients from 21-90 years of age with the highest occurrence in the seventh decade with no significant difference between genders. Gingival was the most common location (41.4%) and lesions belonging to the group of benign keratosis were the most common histopathologic feature (28.2%) followed by epithelial hyperplasia (18.6%).Leukoplakia is the clinical term used to describe a predominantly white patch that cannot be characterized as any other definable lesion. The objectives of this study were to investigate the histopathologic feature, location and demographic data of the lesions with the clinical diagnosis of leukoplakia in Thai patients. Of all the 13,678 accessioned cased from the archives of the Oral Pathology Department, Faculty of Dentistry, Chulalongkorn University, 137 cased had the clinical diagnosis is leukoplakia. These leukoplakia cased were reviewed and classified according to age, gender, location and histopathologic feature. The results showed that leukoplakia was found in patients from 21-90 years of age with the highest occurrence in the seventh decade with no significant difference between genders. Gingival was the most common location (41.4%) and lesions belonging to the group of benign keratosis were the most common histopathologic feature (28.2%) followed by epithelial hyperplasia (18.6%).
3
Page : 429-438

Title : Molecules Involved with Tooth Eruption

Author(s) : Suttichai Krisanaprakornkit

Keyword(s) : bond resorption,c-Fos,CSF-1,MCP-1,NF-kB,ODF,OPG,osteoclast,PTHrP

Manuscript Type : Review Article (บทความปริทัศน์)

Page : 429-438

Tooth eruption is a natural process that depends on bone resorption surrounding a tooth bud to create a pathway for ab erupting tooth. Consequently, osteoclasts, derived from blood monocytes in blood vessels within dental follicle, are essential for this process. Numerous studies have shown the importance of molecules and transcription factors in osteoclast formation, bone resorption, and eventually tooth eruption. The goals of this review article are to gather the results from these studies and to explain the roles of these molecules in the mechanism of tooth eruption as a whole. The results have indicated the role of colony stimulating factor-1, monocyte chemoattractant protein, as well as c-Fos and nuclear factor-kappa B, in osteoclast formation and tooth eruption. Moreover, recent studies have demonstrated the role of other molecules, such as parathyroid hormone-related protein, osteoprotegerin, etc., in tooth eruption. The knowledge gained from these studies may be applied for clinical uses and help us understand bone biology, particularly osteoclast formation and bone resorption, in which we can apply for the treatment of bone-resorbing diseases.Tooth eruption is a natural process that depends on bone resorption surrounding a tooth bud to create a pathway for ab erupting tooth. Consequently, osteoclasts, derived from blood monocytes in blood vessels within dental follicle, are essential for this process. Numerous studies have shown the importance of molecules and transcription factors in osteoclast formation, bone resorption, and eventually tooth eruption. The goals of this review article are to gather the results from these studies and to explain the roles of these molecules in the mechanism of tooth eruption as a whole. The results have indicated the role of colony stimulating factor-1, monocyte chemoattractant protein, as well as c-Fos and nuclear factor-kappa B, in osteoclast formation and tooth eruption. Moreover, recent studies have demonstrated the role of other molecules, such as parathyroid hormone-related protein, osteoprotegerin, etc., in tooth eruption. The knowledge gained from these studies may be applied for clinical uses and help us understand bone biology, particularly osteoclast formation and bone resorption, in which we can apply for the treatment of bone-resorbing diseases.
1
Page : 217-226

Title : Comparison of amount and composition of peritubular and intertubular root dentin in different location along the root axis.

Author(s) : Veera Lertchirakarn, Vichuda Sereepanpanich, Siraprapa Srithongsuk, Utumporn Rangsisiripaiboon

Keyword(s) : intertubular root dentin,peritubular root dentin

Manuscript Type : Original Article (บทวิทยาการ)

Page : 217-226

Vertical root fracture (VRF) is one of significant problems of the endodontic failure. Understanding of mechanism and initiated location of VRF may be crucial for prevention. The initiated location of VRF may involve in mechanical properties of dentin. Peritubular and intertubular root dentin have been reported to affect hardness and strength of dentin. The purpose of this study was to compare the amount and composition, calcium and phosphorous, of peritubular and intertubular root dentin at cervical third, middle third and apical third of root dentin from the same distance from root canal. Ten extracted human upper incisor roots were used in this study. Each root was cut into three parts as cervical, middle and apical third. Each part was cut along long axis again into two small parts in mesio-distal direction. The first part was cut approximately 1 mm from root canal and the second one at the middle location between root canal and cementodentinal junction. The amount of peritubular and intertubular root dentin was examined by using SEM with the same magnification and calculated by mathematic method. The amount of calcium and phosphorous was measured by using EDS machine. The results were analyzed by using One-way ANOVA and found that quantity and composition of peritubular and intertubular root dentin at cervical third, middle third and apical third from the same distance from root canal were not significant (p>0.05) This result suggests that the location along the root axis should not be a predisposing factor of VRF, regarding to amount and composition of peritubular and intertubular root dentin.
2
Page : 227-234

Title : Antimicrobial effect of Streblus asper leaf extract on selected anaerobic bacteria

Author(s) : Suwimol Taweechaisupapong, Supaporn Singhara, Thiamhathai Choopan

Keyword(s) : anaerobic bacteria,disc diffusion,Streblus asper

Manuscript Type : Original Article (บทวิทยาการ)

Page : 227-234

The purpose of this in vitro study was to determine the antibacterial effects of Streblus asper leaf extract against five anaerobic bacteria often found in pulpal pathology which were Porphyromonas gingival, Prevotella intermedia, Actinomyces anaeslundii, Actinobacillus actinomycetemcomitans and Peptostreptococcus micros. Employing the disc diffusion method, the results showed that 15 µl of the S. asper leaf extract at concentrations 250 and 500 mg/ml possessed inhibitory effects towards all bacterial strains tested. The minimum inhibitory concentrations of S. asper leaf extract in P. gingivalis, A. actinomycetemcomitans. P.micros, P.intrmedia, and A.naeslundii were 3.91, 7.81, 15.62, 31.25 and 125 mg/ml respectively. While the minimum bactericidal concentrations of the extract on A. actinomycetemcomitans, P.gingivalis and P.micros were 15.62, 31.25 and 62.5 mg/ml respectively, the extract has no bacterial activity against P.intermedia and A.naeslundii.
3
Page : 235-243

Title : Effectiveness of Haiter® used as a root canal irrigant: Tissue dissolving ability and antimicrobial property

Author(s) : Piyanee Panitvisai, Warisara Kiatpanit

Keyword(s) : Clorox®,endodontic irrigant,Haiter®,sodium hypochlorite,

Manuscript Type : Original Article (บทวิทยาการ)

Page : 235-243

The present study was to assess the effectiveness of Haiter® used as an endodontic irrigant. In vitro study was performed to compare the antimicrobial property and tissue dissolving ability of Haiter® and Clorox®. Prior to the experimental procedure, these bleaching agents were diluted to the concentration of 2.5% solutions. The efficacy of the antimicrobial activity was evaluated by determining the growth of two microorganisms. Absorbed paper points were contaminated with Enterococcus faecalis and Candida albicans in the test solutions at different time intervals of 1, 5, 15 and 30 minutes. The point were then transferred to the Trypticase Soy Broth and incubated. The presence or absence of microbial growth was recorded. The tissue dissolving ability was investigated by determining the mean percentage of desiccated tissue weight change after exposing boving pulp tissue to each test solution for 15 minutes. The results demonstrated that Haiter® was significantly more effective than Clorox® in tissue dissolving ability (p<0.05). In addition, Haiter® could inhibit growth of Candida albicans and Enterococcus faecalis within 1 and 5 minutes, respectively. The growth of both organisms was inhibited after a 1-minute exposure to Clorox®. It is concluded that Haiter® was effective in both tissue dissolving ability and antimicrobial property and could be used as an alternative to Clorox® in root canal irrigation.The present study was to assess the effectiveness of Haiter® used as an endodontic irrigant. In vitro study was performed to compare the antimicrobial property and tissue dissolving ability of Haiter® and Clorox®. Prior to the experimental procedure, these bleaching agents were diluted to the concentration of 2.5% solutions. The efficacy of the antimicrobial activity was evaluated by determining the growth of two microorganisms. Absorbed paper points were contaminated with Enterococcus faecalis and Candida albicans in the test solutions at different time intervals of 1, 5, 15 and 30 minutes. The point were then transferred to the Trypticase Soy Broth and incubated. The presence or absence of microbial growth was recorded. The tissue dissolving ability was investigated by determining the mean percentage of desiccated tissue weight change after exposing boving pulp tissue to each test solution for 15 minutes. The results demonstrated that Haiter® was significantly more effective than Clorox® in tissue dissolving ability (p<0.05). In addition, Haiter® could inhibit growth of Candida albicans and Enterococcus faecalis within 1 and 5 minutes, respectively. The growth of both organisms was inhibited after a 1-minute exposure to Clorox®. It is concluded that Haiter® was effective in both tissue dissolving ability and antimicrobial property and could be used as an alternative to Clorox® in root canal irrigation.
4
Page : 244-253

Title : Relationship between demands and needs for orthodontic treatment in a group of Thai patients

Author(s) : Wandee Palanuparph, Chintana Sirichompun

Keyword(s) : Dental Aesthetic Index (DAI),orthodontic demand,orthodontic need

Manuscript Type : Original Article (บทวิทยาการ)

Page : 244-253

The purpose of this study were to identify factors associated with the demands for orthodontic treatment, to assess the needs for orthodontic treatment and to study the relationship between demands and needs for orthodontic treatment. The samples were 204 Thais, aged between 12-22 years old, who had demanded for orthodontic treatment. They were asked to complete questionnaires for studying factors and demands for the treatment. Impressions for diagnostic models were taken to assess the needs for treatment by using Dental Aesthetic Index (DAI). Results showed that factors associated with the patients demands for orthodontic treatment consisted of satisfaction with tooth alignment, and understanding of normal dental alignment, a perception on maxillary dental protrusion, and experience of being teased by other persons, being teased that affected confidence and self-confidence in tooth alignment. By using DAI, an average of the needs for orthodontic treatment was 33.0. There was a low correlation between demands and needs for orthodontic treatment (r=0.119, p=0.093). The results indicated that an education on normal occlusion and malocclusion should be provided to the patients in order that they will obtain the most effective treatment without any unnecessary payment.The purpose of this study were to identify factors associated with the demands for orthodontic treatment, to assess the needs for orthodontic treatment and to study the relationship between demands and needs for orthodontic treatment. The samples were 204 Thais, aged between 12-22 years old, who had demanded for orthodontic treatment. They were asked to complete questionnaires for studying factors and demands for the treatment. Impressions for diagnostic models were taken to assess the needs for treatment by using Dental Aesthetic Index (DAI). Results showed that factors associated with the patients demands for orthodontic treatment consisted of satisfaction with tooth alignment, and understanding of normal dental alignment, a perception on maxillary dental protrusion, and experience of being teased by other persons, being teased that affected confidence and self-confidence in tooth alignment. By using DAI, an average of the needs for orthodontic treatment was 33.0. There was a low correlation between demands and needs for orthodontic treatment (r=0.119, p=0.093). The results indicated that an education on normal occlusion and malocclusion should be provided to the patients in order that they will obtain the most effective treatment without any unnecessary payment.
5
Page : 254-264

Title : ORAL HEALTH STATUS OF THE SEVENTH GRADE SCHOOLCHILDREN

Author(s) : Supannee Sriviriyakul

Keyword(s) : dental health status,gingival index,plaque index

Manuscript Type : Original Article (บทวิทยาการ)

Page : 254-264

The objective of this study was to obtain oral status and some factors affecting oral health of the seventh grade schoolchildren. The survey included 1,110 students aged range of 11-15 years old. The multi-stage random sampling technique was used. The study revealed that prevalence of dental caries were 81.1% and means DMFT and DMFS were 3.46 (teeth/person) and 5.47 (surfaces/person) respectively. The means DMFT and DMFS of girls were statistically higher than boys. The percentage of children who had plaque index score 2 was 68.2. The prevalence of gingival index score 2 was 61.7%. There was no statistical difference of gingivitis between sexes. The percentage of students who had supra-gingival calculus was 80.5. The mean areas of teeth having supra-gingival calculus were 4.31 areas of teeth/person (from 12 areas of teeth/person), and the calculus was 93.06 with the mean 6.05 areas of teeth/person. The treatment need for dental decay was one surface filling with the average of 2 teeth/person. Other factors about dental health are demographic, diet consumption behavior, tooth brushing and other dental health behaviors and dental health program in schools. The findings are used for planning a dental health program for secondary school students in the national dental health plan under the ninth national economic and social plan.The objective of this study was to obtain oral status and some factors affecting oral health of the seventh grade schoolchildren. The survey included 1,110 students aged range of 11-15 years old. The multi-stage random sampling technique was used. The study revealed that prevalence of dental caries were 81.1% and means DMFT and DMFS were 3.46 (teeth/person) and 5.47 (surfaces/person) respectively. The means DMFT and DMFS of girls were statistically higher than boys. The percentage of children who had plaque index score 2 was 68.2. The prevalence of gingival index score 2 was 61.7%. There was no statistical difference of gingivitis between sexes. The percentage of students who had supra-gingival calculus was 80.5. The mean areas of teeth having supra-gingival calculus were 4.31 areas of teeth/person (from 12 areas of teeth/person), and the calculus was 93.06 with the mean 6.05 areas of teeth/person. The treatment need for dental decay was one surface filling with the average of 2 teeth/person. Other factors about dental health are demographic, diet consumption behavior, tooth brushing and other dental health behaviors and dental health program in schools. The findings are used for planning a dental health program for secondary school students in the national dental health plan under the ninth national economic and social plan.
6
Page : 265-270

Title : Convergence angle of abutment for crown and bridge work prepared by the forth year dental students, Prince of Songkla University

Author(s) : Parintorn Hariraksapitak

Keyword(s) : convergence angle,tooth preparation

Manuscript Type : Original Article (บทวิทยาการ)

Page : 265-270

The purpose of this study was to investigate Convergence angle of abutment for crown and bridge work prepared by the forth year dental students, Faculty of Dentistry, Prince of Songkla University. The results were compared with ideal convergence angle and minimal convergence angles recommended for successful clinical practice. Samples were only the abutments prepared in laboratory practice hours that were passed the final evaluation as good abutments by the supervisors. Ninety-six abutments comprised eleven upper right central incisors, thirty-three upper right canines and forty-eight lower right first molars. Photographs were taken of all abutments at proximal and buccal aspects and then measured the angle formed by intersection of the opposing tooth preparation walls with a protractor. Results revealed that the average convergence angle was 12.65 9.42 degrees, which was larger than ideal convergence angle but was still in the range of recommended minimal convergence angle for clinical success.The purpose of this study was to investigate Convergence angle of abutment for crown and bridge work prepared by the forth year dental students, Faculty of Dentistry, Prince of Songkla University. The results were compared with ideal convergence angle and minimal convergence angles recommended for successful clinical practice. Samples were only the abutments prepared in laboratory practice hours that were passed the final evaluation as good abutments by the supervisors. Ninety-six abutments comprised eleven upper right central incisors, thirty-three upper right canines and forty-eight lower right first molars. Photographs were taken of all abutments at proximal and buccal aspects and then measured the angle formed by intersection of the opposing tooth preparation walls with a protractor. Results revealed that the average convergence angle was 12.65 9.42 degrees, which was larger than ideal convergence angle but was still in the range of recommended minimal convergence angle for clinical success.
7
Page : 271-284

Title : The study of the lesions previously diagnosed as globulomaxillary cyst

Author(s) : Vichittra Vipismakul, Suttinan Danthamrongkul, Sutapa Sri-arrunothai

Keyword(s) : fissural origin,globulomaxillary cyst,odontogenic cyst

Manuscript Type : Original Article (บทวิทยาการ)

Page : 271-284

This retrospective study was aimed to analyze the lesions previously diagnosed as globulomaxillary cyst. The data were collected from the biopsies of the Department of Oral Pathology, Chulalongkorn University from 1969 to 1999. Eighteen cases of globulomaxillary cyst were recruited from 3,890 cysts of the jaw bone and oral cavity and reviewed by light microscope according to the World Health Organization classification. Clinical features, location of the cyst, the vitality of teeth and radiographic features were studied. Results revealed that there were five cases of radicular cyst, two cases of nasolabial cyst, two cases of residual cyst, on case of nasopalatine cyst, one case of dentigerous cyst, one case of lateral periodontal cyst, one case of odontogenic keratocyst, four cases of uncertain origin and one case of ameloblastoma. It could be concluded that most of the cases were odontogenic in origin, however, a few cases remained uncertain. More information and details of the case history including clinical features, vitality of the tooth involved and radiographic feature are required from the dentist who biopsied the specimen. The findings of this study advocate the deletion of this cyst from the new classification and indicate that the fissural origin of this cyst is a misconception.This retrospective study was aimed to analyze the lesions previously diagnosed as globulomaxillary cyst. The data were collected from the biopsies of the Department of Oral Pathology, Chulalongkorn University from 1969 to 1999. Eighteen cases of globulomaxillary cyst were recruited from 3,890 cysts of the jaw bone and oral cavity and reviewed by light microscope according to the World Health Organization classification. Clinical features, location of the cyst, the vitality of teeth and radiographic features were studied. Results revealed that there were five cases of radicular cyst, two cases of nasolabial cyst, two cases of residual cyst, on case of nasopalatine cyst, one case of dentigerous cyst, one case of lateral periodontal cyst, one case of odontogenic keratocyst, four cases of uncertain origin and one case of ameloblastoma. It could be concluded that most of the cases were odontogenic in origin, however, a few cases remained uncertain. More information and details of the case history including clinical features, vitality of the tooth involved and radiographic feature are required from the dentist who biopsied the specimen. The findings of this study advocate the deletion of this cyst from the new classification and indicate that the fissural origin of this cyst is a misconception.
8
Page : 285-294

Title : Is oral HIV transmission possible?

Author(s) : Wipawee Nittayananta

Keyword(s) : HIV,infection,oral,saliva,transmission

Manuscript Type : Review Article (บทความปริทัศน์)

Page : 285-294

Oral transmission of HIV among adults has been a controversial issue. The complexity of human sexual behavior makes the identification of those who engage only in oral-genital contact difficult. Most epidemiologic studies have not had sufficient power to detect transmission or to reject the hypothesis that transmission does occur. An animal model of oral HIV transmission has also been performed, but no concrete conclusion could be made so far. At present the exact mechanism of HIV transmission after exposure to oral mucous membrane surface to HIV-infected secretions is unknown. Several studies revealed that most of the HIV infectivity occurs as infected leukocytes rather than as cell-free HIV. Thus, these infectious leukocytes have been proposed to be a major transmitting mechanism at mucosal surface. Despite detectable virus in saliva and oropharyngeal tissues of infected individuals, oral cavity is rarely a site of HIV transmission. A number of antiviral components in saliva have been documented including secretory leukocytes protease inhibitors (SLPI). The unique hypotonicity of saliva has also been proposed as a major mechanism by which saliva inactivates transmitting leukocytes and prevents their attachment to mucosal epithelial cells. However, these may be overcome by the volume effects of seminal fluid resulting in the oral HIV transmission. Further studies are needed to confirm the proposed mechanism.
9
Page : 392-398

Title : Attitudes and behaviour of HIV-infected individuals concerning their oral health service experiences and related social impacts

Author(s) : Duangporn Kerdpon, Kanokporn Kampoo, Kanokporn Pangsomboon, Siwaporn Ubolcholket

Keyword(s) : AIDS,attitude,behaviour,HIV,social impact

Manuscript Type : Original Article (บทวิทยาการ)

Page : 392-398

The objective of this study was to document the attitudes and behaviour of HIV-infected patients in regard to their oral health service experiences, and the related social impacts. A total of 135 HIV-infected patients attending the HIV clinics in two government hospitals in southern Thailand were interviewed with a structured questionnaire to reveal their attitudes and behaviour in regard to dental treatment. Patient expectations were; to be treated like any other patients 109/135 cases (81%), to receive help with treatment costs 104/135 cased (77%) and to be given homecare instruction for oral hygiene management 94/135 cases (70%). The behavioural and social information of 17 cases diagnosed less than one month was excluded due to concern about the reliability of this information. After their HIV diagnosis, only 30/118 cases (25%) had visited a dentist, although 36/118 cases (53%) had experienced oral mucosal symptoms. Among those who visited a dentist, 22/30 cased (73%) did not disclose their HIV status. Sixty seven of 118 cases (57%) did not know the HIV status of their spouse or other family members. Seventy two of 118 cases (61%) had economic problems but only 36 cases(31%) had ever received help. Providing preventive measures and oral health treatment, together with emotional support and acceptance from oral health personnel (OHP), are needed to improve patients attitude and the management of the HIV-patient group. Financial support including help with the treatment cost is also an important concern for these patients.The objective of this study was to document the attitudes and behaviour of HIV-infected patients in regard to their oral health service experiences, and the related social impacts. A total of 135 HIV-infected patients attending the HIV clinics in two government hospitals in southern Thailand were interviewed with a structured questionnaire to reveal their attitudes and behaviour in regard to dental treatment. Patient expectations were; to be treated like any other patients 109/135 cases (81%), to receive help with treatment costs 104/135 cased (77%) and to be given homecare instruction for oral hygiene management 94/135 cases (70%). The behavioural and social information of 17 cases diagnosed less than one month was excluded due to concern about the reliability of this information. After their HIV diagnosis, only 30/118 cases (25%) had visited a dentist, although 36/118 cases (53%) had experienced oral mucosal symptoms. Among those who visited a dentist, 22/30 cased (73%) did not disclose their HIV status. Sixty seven of 118 cases (57%) did not know the HIV status of their spouse or other family members. Seventy two of 118 cases (61%) had economic problems but only 36 cases(31%) had ever received help. Providing preventive measures and oral health treatment, together with emotional support and acceptance from oral health personnel (OHP), are needed to improve patients attitude and the management of the HIV-patient group. Financial support including help with the treatment cost is also an important concern for these patients
10
Page : 408-415

Title : The effect of bonding agent on microleakage of contaminated enamel-sealant intersurfaces

Author(s) : Kudkao Vongsavan, Praphasri Porntaweewat, Pornpan Leewattana, Apinan Che-arboo

Keyword(s) : dentine bonding agent,microleakage,pit and fissure sealant,salivary contamination

Manuscript Type : Original Article (บทวิทยาการ)

Page : 408-415

This in vitro study investigated the effect of dentine bonding agent, Single bond® (3M ESPE, USA) on microleakage of pit and fissure sealants bonded to salivary contaminated enamels. Newly extracted 40 carious-free human upper premolar teeth were divided into four groups of 10 each. Group 1 pit and fissure sealants were applied directly to etched enamels then light cured. Group 2 etched enamel surfaces were contaminated with saliva before applied with pit and fissure sealants. Group 3 etched enamel surfaces were contaminated with saliva, then applied bonding agent (Single bond®) and light cured before applied with pit and fissure sealant. Group 4 the specimen were recontaminated with saliva after applied bonding agent then applied with pit and fissure sealant. Microleakage was evaluated by measured the distance of dye penetration on the mesial and distal aspects of the sealant-enamel interface under microscope. The results revealed a statistically significant difference between the microleakage of the salivary contaminated and uncontaminated group. Placement of Sing bond® as intermediate layer between the sealant and contaminated enamel surfaces reduced microleakage of pit and fissure sealant. Salivary contaminated enamel microleakage of the sealant-enamel interface. After applied single bond on contaminated enamel reduce microleakage of pit and fissure sealants.This in vitro study investigated the effect of dentine bonding agent, Single bond® (3M ESPE, USA) on microleakage of pit and fissure sealants bonded to salivary contaminated enamels. Newly extracted 40 carious-free human upper premolar teeth were divided into four groups of 10 each. Group 1 pit and fissure sealants were applied directly to etched enamels then light cured. Group 2 etched enamel surfaces were contaminated with saliva before applied with pit and fissure sealants. Group 3 etched enamel surfaces were contaminated with saliva, then applied bonding agent (Single bond®) and light cured before applied with pit and fissure sealant. Group 4 the specimen were recontaminated with saliva after applied bonding agent then applied with pit and fissure sealant. Microleakage was evaluated by measured the distance of dye penetration on the mesial and distal aspects of the sealant-enamel interface under microscope. The results revealed a statistically significant difference between the microleakage of the salivary contaminated and uncontaminated group. Placement of Sing bond® as intermediate layer between the sealant and contaminated enamel surfaces reduced microleakage of pit and fissure sealant. Salivary contaminated enamel microleakage of the sealant-enamel interface. After applied single bond on contaminated enamel reduce microleakage of pit and fissure sealants.
11
Page : 416-428

Title : Oral health status and salivary factor change during pregnancy in pregnant women, Mother and Child hospital, Chiang Mai

Author(s) : Komkham Pattanaporn, Pannipa Laohapensang, Piyanart Chatiketu

Keyword(s) : oral health status,pregnant women,salivary factors.

Manuscript Type : Original Article (บทวิทยาการ)

Page : 416-428

The purpose of this longitudinal descriptive study were to survey oral health status and salivary factors in pregnant women and followed the variable value changes when the gestation periods of the subjects were in progress. Subjects were 1 trimester pregnant women who attended the ante natal care unit at Mother and Child Hospital, Chiang Mai. Subjects were interviewed and orally examined to determine caries experiences, plaque status, gingival status, and calculus status. Saliva samples of subjects were collected to determine flow rate, pH, and the quantities of Streptococcus mutans. Plaque status gingival status, and salivary factor determinations were repeated when the subjects gestation periods were in 2 and 3 trimester. Data were collected by questionnaire and oral health and salivary factor record forms Data were analyzed by using descriptive statistics, and non-parametric Friedman Two-Way Analysis of Variance by Ranks was used to compare the variables. The results revealed that the 104 subjects were in the age range of 16-39 years. Mean DMFT and DMFS of the subjects were 5.7±4.5 and 10.4±11.7. Mean plaque index score, gingival index score, and calculus index score were 1.16±0.30, 1.49±0.52, and 1.64±0.62 respectively. There were no significant differences of plaque index scores, gingival index scores and salivary flow rates among the 3 gestation periods while significant differences of pH of unstimulated and stimulated saliva were found at p-value = 0.000 and 0.035 respectively. The percentage of the subjects who harbored S.mutans in saliva of>8x10³ cfu/ml were 75.96, 73.44, 73.17 for the subjects in trimester 1. 2 and 3 respectively. The results indicated that oral health status and salivary factors except salivary pH of the subjects did not change when the gestation periods were in progress. However, dental prevention measures are still needed in pregnant women.The purpose of this longitudinal descriptive study were to survey oral health status and salivary factors in pregnant women and followed the variable value changes when the gestation periods of the subjects were in progress. Subjects were 1 trimester pregnant women who attended the ante natal care unit at Mother and Child Hospital, Chiang Mai. Subjects were interviewed and orally examined to determine caries experiences, plaque status, gingival status, and calculus status. Saliva samples of subjects were collected to determine flow rate, pH, and the quantities of Streptococcus mutans. Plaque status gingival status, and salivary factor determinations were repeated when the subjects gestation periods were in 2 and 3 trimester. Data were collected by questionnaire and oral health and salivary factor record forms Data were analyzed by using descriptive statistics, and non-parametric Friedman Two-Way Analysis of Variance by Ranks was used to compare the variables. The results revealed that the 104 subjects were in the age range of 16-39 years. Mean DMFT and DMFS of the subjects were 5.7±4.5 and 10.4±11.7. Mean plaque index score, gingival index score, and calculus index score were 1.16±0.30, 1.49±0.52, and 1.64±0.62 respectively. There were no significant differences of plaque index scores, gingival index scores and salivary flow rates among the 3 gestation periods while significant differences of pH of unstimulated and stimulated saliva were found at p-value = 0.000 and 0.035 respectively. The percentage of the subjects who harbored S.mutans in saliva of>8x10³ cfu/ml were 75.96, 73.44, 73.17 for the subjects in trimester 1. 2 and 3 respectively. The results indicated that oral health status and salivary factors except salivary pH of the subjects did not change when the gestation periods were in progress. However, dental prevention measures are still needed in pregnant women.
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Page : 141-150

Title : Multiple myeloma: A case Report

Author(s) : Kittipong Dhanuthai, Sakol Wijitrbunnakan

Keyword(s) : immunoglobulin,maxilla,multiple myeloma,plasma cell

Manuscript Type : Original Article (บทวิทยาการ)

Page : 141-150

Multiple myeloma is a malignant tumor of bone resulting from the clonal proliferation of terminally differentiated B cells or plasma cells. A rare case of multiple myeloma involveng the maxilla is presented. A 61-year-old male patient had a chief complaint of pain and swelling of the left anterior maxilla. Biopsy of the lesion revealed a tumor of plasma cells which elaborated only a single type of immunoglobulin. Thorough history taking, physical examination, roentgenographic and laboratory investigations confirmed the diagnosis of multiple myeloma. This case is a fine example of the fact that an oral lesion can lead to the diagnosis of life- threatening, systemic disease.
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Page : 151-159

Title : Intra-oral schwannoma : A report of three cases with different histopathological features with a literature review

Author(s) : Sopee Poomsawat, Supa Rochanawutanon, Surakit Visuttiwattanakorn, Jirapa Punyasingh

Keyword(s) : intra-oral,neurilemoma,S-100 protein,schwannoma

Manuscript Type : Review Article (บทความปริทัศน์)

Page : 151-159

Schwannoma is a benign of Schwann cells. It is a rare tumour for intra-oral location. Three cases were reported here. They were present at the lip, in the mandible and at the palate. The ages of the patients were 19, 50 and 18 years, respectively. Each tumour exhibited different microscopic features including classic, cellular and ancient types. The Masson trichrome staining and S-100 protein immunostaining were used to support the diagnoses. Clinicopathological features of intra-oral schwannomas from the three cases were studied and compared with 223 cases in the English literature. Oral pathologists should be aware of the rarity of intra-oral schwannoma together with the potential to encounter its variants in order to achieve the accurate diagnosis and treatment.Schwannoma is a benign of Schwann cells. It is a rare tumour for intra-oral location. Three cases were reported here. They were present at the lip, in the mandible and at the palate. The ages of the patients were 19, 50 and 18 years, respectively. Each tumour exhibited different microscopic features including classic, cellular and ancient types. The Masson trichrome staining and S-100 protein immunostaining were used to support the diagnoses. Clinicopathological features of intra-oral schwannomas from the three cases were studied and compared with 223 cases in the English literature. Oral pathologists should be aware of the rarity of intra-oral schwannoma together with the potential to encounter its variants in order to achieve the accurate diagnosis and treatment.
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Page : 160-164

Title : Cellular mixed tumor: Report of a case

Author(s) : Sopee Poomsawat, Verasuk Pairuchvej, Jirapa Punyasingh

Keyword(s) : cellular variant,GFAP: mixed tumor, pleomorphic adenoma,S-100 protein

Manuscript Type : Original Article (บทวิทยาการ)

Page : 160-164

Cellular mixed tumor is a variant of benign mixed tumor: A case of cellular mixed tumor from the palate is reported here. Histologically, the tumor mass consisted of 2 patterns, identified by the authors as pattern A and B. In pattern A, the epithelial component occupied more than 80% of the tumor bulk while the stromal component was hardly detected. In pattern B, the epithelial component constituted approximately 40-60% of the tumor and the myxoid stroma was clearly illustrated. Thorough examination of several sections revealed that the majority of the tumor was histologically corresponding to pattern A. Tumor cells did not invade adjacent salivary gland, nerves and blood vessels. Immunohistochemical analysis showed positive staining for both S-100 protein and glial fibrillary acidic protein (GFAP) but the staining pattern was different. There were 2 important aspects of cellular mixed tumors that should be considered. Firstly, this tumor might be misdiagnosed as malignancy. Secondly, the malignant potential is some cellular mixed tumors does exist, in particular in those demonstrating high mitotic activity. Although treatment of cellular mixed tumors is conservative, follow up must be strictly controlled.Cellular mixed tumor is a variant of benign mixed tumor: A case of cellular mixed tumor from the palate is reported here. Histologically, the tumor mass consisted of 2 patterns, identified by the authors as pattern A and B. In pattern A, the epithelial component occupied more than 80% of the tumor bulk while the stromal component was hardly detected. In pattern B, the epithelial component constituted approximately 40-60% of the tumor and the myxoid stroma was clearly illustrated. Thorough examination of several sections revealed that the majority of the tumor was histologically corresponding to pattern A. Tumor cells did not invade adjacent salivary gland, nerves and blood vessels. Immunohistochemical analysis showed positive staining for both S-100 protein and glial fibrillary acidic protein (GFAP) but the staining pattern was different. There were 2 important aspects of cellular mixed tumors that should be considered. Firstly, this tumor might be misdiagnosed as malignancy. Secondly, the malignant potential is some cellular mixed tumors does exist, in particular in those demonstrating high mitotic activity. Although treatment of cellular mixed tumors is conservative, follow up must be strictly controlled.
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Page : 165-176

Title : Effect of Surface Treatments on Shear Bond Strength of High Leucite Content Porcelain and Feldspathic Porcelain

Author(s) : Kanchana Kanchanatawewat, Boonlert Kukiattrakoon

Keyword(s) : feldspathic porcelain,high leucite content porcelain,shear bond strength,resin cement,surface treatment.

Manuscript Type : Original Article (บทวิทยาการ)

Page : 165-176

The purpose of this study was to evaluate the shear bond strength of high leucite content porcelain bonded to feldspathic porcelain using resin cement under different surface treatments. Three hundred high leucite porcelain discs (5.5 mm. in diameter and 1 mm. in thickness) were fabricated and divided into 5 groups having 5 surface treatments (60 discs/type): Type A) no additional surface treatment (a control group); Type B) polished with SiC paper; Type C) group with a coarse diamond bur; Type D) etched with 9.6% HF acid for 5 min. and Type E) etched with 1.23% APF gel for 10 min. Three hundred feldspathic porcelain discs (15 mm. in diameter and 1.5 mm. in thickness) were fabricated and divided into 6 groups (50 discs/group); Group 1) type A; Group 2) type B; Group 3) type C; Group 4) sandblasted with 50 µm aluminium oxide particles for 20 s; Group 5) type D and Group 6) type E. Feldspathic porcelain discs were then bonded to high leucite porcelain discs using resin cement under a load of 200 grams. All samples were subjected to shear bond strength evaluation using a universal testing machine (crosshead speed of 0.2 mm./min.). ANOVA and Tukey statistical analyses were performed on the data. There were b significant differences (p<0.05) in shear bond strengths (ranging from 26.7±6.1 to 30.1±3.7 MPa) among the groups that both bonding surfaces were relatively rough (Group A/3-6, C/3-6, D/3-6 and E/3-6). The bonding between a rough surface and a smooth one (Group A/1-2 B/1-6 C-E/1 and C-E/2) gave the lowest (P≤0.05) shear bond strengths (ranging from 15.9±1.8 to 22.3±3.1 MPa). High leucite content porcelain, therefore, is recommended to repair a porcelain-fractured restoration when both bonding surfaces are relatively rough.The purpose of this study was to evaluate the shear bond strength of high leucite content porcelain bonded to feldspathic porcelain using resin cement under different surface treatments. Three hundred high leucite porcelain discs (5.5 mm. in diameter and 1 mm. in thickness) were fabricated and divided into 5 groups having 5 surface treatments (60 discs/type): Type A) no additional surface treatment (a control group); Type B) polished with SiC paper; Type C) group with a coarse diamond bur; Type D) etched with 9.6% HF acid for 5 min. and Type E) etched with 1.23% APF gel for 10 min. Three hundred feldspathic porcelain discs (15 mm. in diameter and 1.5 mm. in thickness) were fabricated and divided into 6 groups (50 discs/group); Group 1) type A; Group 2) type B; Group 3) type C; Group 4) sandblasted with 50 µm aluminium oxide particles for 20 s; Group 5) type D and Group 6) type E. Feldspathic porcelain discs were then bonded to high leucite porcelain discs using resin cement under a load of 200 grams. All samples were subjected to shear bond strength evaluation using a universal testing machine (crosshead speed of 0.2 mm./min.). ANOVA and Tukey statistical analyses were performed on the data. There were b significant differences (p<0.05) in shear bond strengths (ranging from 26.7±6.1 to 30.1±3.7 MPa) among the groups that both bonding surfaces were relatively rough (Group A/3-6, C/3-6, D/3-6 and E/3-6). The bonding between a rough surface and a smooth one (Group A/1-2 B/1-6 C-E/1 and C-E/2) gave the lowest (P≤0.05) shear bond strengths (ranging from 15.9±1.8 to 22.3±3.1 MPa). High leucite content porcelain, therefore, is recommended to repair a porcelain-fractured restoration when both bonding surfaces are relatively rough.
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Page : 177-181

Title : Effect of Round-Ended and Coarse-Cut Bristle Toothbrushes in Plaque Removal and Gingival Damage

Author(s) : Pakarat Nitisiri, Wikul Visalseth, Supannee Sriviriyakul, Suwipa Anantanasawat

Keyword(s) : abrasion,coarse-cut bristle,gingival ulceration,plaque removal,round-ended bristle.

Manuscript Type : Original Article (บทวิทยาการ)

Page : 177-181

This study aimed to compare the effect of using round-ended and coarse-cut bristle toothbrushes in plaque removal, gingival ulceration and abrasion of the bristles after a 40-day usage period. Quasi-experimental and crossover design with double blind technique were used with 73 subjects. All subjects had been randomly assigned to use one of the two types of toothbrushes--round-ended bristle and coarse-cut bristle--in the first session and switched to another type in the second session. Gingival ulcers and plaque scores (dye technique) were recorded before and after brushing in each session. Abrasion of the bristles was examined by connecting a microscope with a microcomputer. It was found that both types of bristle ends were able to remove dental plaque significantly (p<0.05) and not different in their cleansing efficiency. The new round-ended bristle caused less ulcers than the new coarse-cut bristle toothbrushes (p<0.05). No statistical difference in gingival ulceration was found after the 40-day usage of these two types of bristles. Microscopically, the abrasion of sharp edges was found in both bristle types but there was no difference in appearance found among bristles of the same type that caused ulcers and no ulcer.This study aimed to compare the effect of using round-ended and coarse-cut bristle toothbrushes in plaque removal, gingival ulceration and abrasion of the bristles after a 40-day usage period. Quasi-experimental and crossover design with double blind technique were used with 73 subjects. All subjects had been randomly assigned to use one of the two types of toothbrushes--round-ended bristle and coarse-cut bristle--in the first session and switched to another type in the second session. Gingival ulcers and plaque scores (dye technique) were recorded before and after brushing in each session. Abrasion of the bristles was examined by connecting a microscope with a microcomputer. It was found that both types of bristle ends were able to remove dental plaque significantly (p<0.05) and not different in their cleansing efficiency. The new round-ended bristle caused less ulcers than the new coarse-cut bristle toothbrushes (p<0.05). No statistical difference in gingival ulceration was found after the 40-day usage of these two types of bristles. Microscopically, the abrasion of sharp edges was found in both bristle types but there was no difference in appearance found among bristles of the same type that caused ulcers and no ulcer.
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Page : 182-191

Title : A Simplified Kit for Salivary Buffer Capacity Determination

Author(s) : Pornsri Patimanukaseam, Yuttana Punya-ngarm, Ravewan Punya-ngarm

Keyword(s) : buffer capacity,saliva,titration,simplified kit

Manuscript Type : Original Article (บทวิทยาการ)

Page : 182-191

The salivary buffer capacity can be determined by several methods but they require so many laboratory equipments that they are incapable to be performed as a routine test of a field study. The objective of this research is to create a simplified kit for salivary buffer capacity determination that needs no laboratory equipment. The kit was prepared under the principle of titration by using the Whatman No.1 filter paper cut into 0.5 cm. diameter circular piece by the paper punch. A piece of paper was dipped into 0.3 M hydrochloric acid and put one by one into 1 ml of saliva until the color of methyl orange indicator changed from red to yellow. The result showed that the titration by the acid-dipped paper was similar to the standard titration by acid-dropping with no statistical difference at 95% confidence limit. The simple correlation analysis demonstrated that the numbers of acid-dipped paper directly related with the volume of acid used for titration (r=0.89). Both titration methods showed the same direction of buffer capacity level classified with the contingency coefficient = 0.78. Furthermore, the sensitivity of acid-dipped titration to categorize the level of buffer capacity into low, intermediate and high was as high as 90%. It was concluded that the acid-dipped paper was a simplified kit which had the efficiency as same as the standard titration and probably be a practical method for estimation of the salivary buffer capacity in the field study.The salivary buffer capacity can be determined by several methods but they require so many laboratory equipments that they are incapable to be performed as a routine test of a field study. The objective of this research is to create a simplified kit for salivary buffer capacity determination that needs no laboratory equipment. The kit was prepared under the principle of titration by using the Whatman No.1 filter paper cut into 0.5 cm. diameter circular piece by the paper punch. A piece of paper was dipped into 0.3 M hydrochloric acid and put one by one into 1 ml of saliva until the color of methyl orange indicator changed from red to yellow. The result showed that the titration by the acid-dipped paper was similar to the standard titration by acid-dropping with no statistical difference at 95% confidence limit. The simple correlation analysis demonstrated that the numbers of acid-dipped paper directly related with the volume of acid used for titration (r=0.89). Both titration methods showed the same direction of buffer capacity level classified with the contingency coefficient = 0.78. Furthermore, the sensitivity of acid-dipped titration to categorize the level of buffer capacity into low, intermediate and high was as high as 90%. It was concluded that the acid-dipped paper was a simplified kit which had the efficiency as same as the standard titration and probably be a practical method for estimation of the salivary buffer capacity in the field study.
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Page : 192-201

Title : Cracked tooth syndrome

Author(s) : Boonlert Kukiattrakoon, Laddawan Panitchreon

Keyword(s) : cracked tooth syndrome,incomplete tooth fracture.

Manuscript Type : Review Article (บทความปริทัศน์)

Page : 192-201

The objective of this article was to explain cracked tooth syndrome which is more prevalent in middle age patients and the tooth most frequently affected is mandibular second molar. Predominantly, cracked tooth syndrome is the result of a masticatory tooth syndrome, many devices and techniques may be used as diagnostic aids in testing teeth suspected of cracks. In addition, this article also includes treatment, prognosis for dentists in order to make proper diagnosis and to give the treatment for cracked tooth syndromeThe objective of this article was to explain cracked tooth syndrome which is more prevalent in middle age patients and the tooth most frequently affected is mandibular second molar. Predominantly, cracked tooth syndrome is the result of a masticatory tooth syndrome, many devices and techniques may be used as diagnostic aids in testing teeth suspected of cracks. In addition, this article also includes treatment, prognosis for dentists in order to make proper diagnosis and to give the treatment for cracked tooth syndrome
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Page : 75-84

Title : Dental Attitudes in Children with the History of Papoose Board Restraint

Author(s) : Araya Phonghanyudh, Narumol Bhawaworrphan, Yuwadee Asvanund

Keyword(s) : behavior management,children,dental attitude,papoose board,physical restraint

Manuscript Type : Original Article (บทวิทยาการ)

Page : 75-84

The purpose of this study was to evaluate dental attitude in patients who did and did not experience Papoose Board restraints. Sixty children, 5-10 years old, who had the dental treatments at Pedodontic clinic, Mahidol University participated in this study. Thirty children had experiences with the use of Papoose Board and the others had not. The children dental fear were assessed by using the Children Dental Fear Picture Test developed by Klingberg. The questionnaire of the parents contained Corah Dental Anxiety Scale, sociodemographic data of children and parents, children medical history, children behavior, behavior of the families, and children memories of using Papoose Board. The results showed that there were statistically significant differences in the mean age at time of first dental treatment and the mean number of appointment visit (p<0.05). There were no differences in dental attitudes between the two groups. Both groups of children had positive attitudes toward dental treatment. No difference in dental attitudes appeared among the group of children who remembered the use of Papoose Board and who did not. In conclusion, when used properly, the use of Papoose Board for behavior management in children, does not affect dental attitudes in the future.
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Page : 85-93

Title : Prosthodontic Status and Treatment Need in Elderly Individuals in Romkloa Community

Author(s) : Chanchai Hosanguan, Srisuda Leelasithorn, Piyada Prasertsom, Chantana Ungchusak

Keyword(s) : elderly,prosthesis,treatment need

Manuscript Type : Original Article (บทวิทยาการ)

Page : 85-93

The number of Thai elderly population is rapidly increasing. The objective of this was to evaluate prosthodontic status and treatment need in community-dwelling elderly persons in Bangkok. 522 elderly subjects, 51 years old and above, residing in Romkloa community participated in this study. Data collection consisted of field interviews and oral examinations in 1999. All 32 permanent teeth were assessed for missing teeth and prosthodontic status. Results showed that the elderly subjects had an average number of 14.1 (9.9 SD) missing teeth. About 9.6% were completely edentulous. 30.7% of the elderly subjects were wearing some types of dentures. Of the missing teeth, 27.3% were replaced with prostheses . Prosthetic replacement rate was significantly greater in anterior teeth than in posterior teeth (p<0.0001). Removable dentures were the majority of prostheses. In conclusion, the denture status in this group of elderly persons reflected barriers in access to prosthodontic services.The number of Thai elderly population is rapidly increasing. The objective of this was to evaluate prosthodontic status and treatment need in community-dwelling elderly persons in Bangkok. 522 elderly subjects, 51 years old and above, residing in Romkloa community participated in this study. Data collection consisted of field interviews and oral examinations in 1999. All 32 permanent teeth were assessed for missing teeth and prosthodontic status. Results showed that the elderly subjects had an average number of 14.1 (9.9 SD) missing teeth. About 9.6% were completely edentulous. 30.7% of the elderly subjects were wearing some types of dentures. Of the missing teeth, 27.3% were replaced with prostheses . Prosthetic replacement rate was significantly greater in anterior teeth than in posterior teeth (p<0.0001). Removable dentures were the majority of prostheses. In conclusion, the denture status in this group of elderly persons reflected barriers in access to prosthodontic services.
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Page : 94-98

Title : Oral Health Status of Schoolchildren in Southern Thailand

Author(s) : Janpim Prommajan, Poul Erik Petersen, Niels Hoerup

Keyword(s) : CPI,dmft,DMFT,Oral epidemiology,Oral health stutus

Manuscript Type : Original Article (บทวิทยาการ)

Page : 94-98

In Thailand, systematic information on oral health status is scarce. The present study was undertaken in order to describe the oral health status of schoolchildren of grade 1 (6 years) and grade 6 (12 years) in the province of Suratthani, Southern Thailand. Urban and rural schools were chosen at random from 19 districts of the province. The total sample comprised 1,154 children from grade 1 and 1,114 children from grade 6, and the participation rate was 99%. Clinical data were collected in 1996 according to the criteria of WHO, including dental caries and CPI. In grade 1 children, 96.4% were affected by dental caries in the primary teeth and the mean dmft was 8.1 (±4.3). At grade 6, the caries prevalence rate was 69.8% and the mean DMFT was observed at 2.4 (±2.6). At both grades and in both dentitions, untreated dental caries constituted most of the caries index. Only minor differences in dental caries were found according to sex and urbanization. The gingival conditions were poor, e.g. 89.6% of the children at grade 6 had CPI scores 1+2 (gingival bleeding or calculus). In conclusion, dental caries and gingival disease are the major oral health problems among children in Suratthani province.In Thailand, systematic information on oral health status is scarce. The present study was undertaken in order to describe the oral health status of schoolchildren of grade 1 (6 years) and grade 6 (12 years) in the province of Suratthani, Southern Thailand. Urban and rural schools were chosen at random from 19 districts of the province. The total sample comprised 1,154 children from grade 1 and 1,114 children from grade 6, and the participation rate was 99%. Clinical data were collected in 1996 according to the criteria of WHO, including dental caries and CPI. In grade 1 children, 96.4% were affected by dental caries in the primary teeth and the mean dmft was 8.1 (±4.3). At grade 6, the caries prevalence rate was 69.8% and the mean DMFT was observed at 2.4 (±2.6). At both grades and in both dentitions, untreated dental caries constituted most of the caries index. Only minor differences in dental caries were found according to sex and urbanization. The gingival conditions were poor, e.g. 89.6% of the children at grade 6 had CPI scores 1+2 (gingival bleeding or calculus). In conclusion, dental caries and gingival disease are the major oral health problems among children in Suratthani province.
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Page : 99-105

Title : Oral Hygiene Behavior of Schoolchildren in Southern Thailand

Author(s) : Nattaporn Poomviset, Poul Erik Petersen, Niels Hoerup

Keyword(s) : oral health behaviour,schoolchildren,self-care practice,tooth cleaning habit

Manuscript Type : Original Article (บทวิทยาการ)

Page : 99-105

Few studies have been conducted to highlight the oral health behaviour of children in Thailand. The objective of the present survey was to describe and analyze self-care practices of grade 6 schoolchildren in Southern Thailand. 1,116 children were selected according to the WHO pathfinder procedure in the province of Suratthani, Southern Thailand, and 1,084 children (97%) participated in personal interviews. The structured interview included questions on tooth cleaning habits, means of cleaning the teeth, and socio-cultural backgrounds of the children. In total, 78% of the children brushed their teeth two or mare times a day: girls more often (89%) than boys (67%) p<0.01). Use of fluoride toothpaste was claimed by 89%. Moreover, other means of tooth cleaning were mentioned, e.g. use of wooden toothpicks (45%) and chewstick/miswak (19%). Tooth brushing habits were associated with religion and level of education of the mothers (p<0.01). In conclusion, planning of oral health education for schoolchildren in Thailand should give emphasis to important socio-cultural subgroups.Few studies have been conducted to highlight the oral health behaviour of children in Thailand. The objective of the present survey was to describe and analyze self-care practices of grade 6 schoolchildren in Southern Thailand. 1,116 children were selected according to the WHO pathfinder procedure in the province of Suratthani, Southern Thailand, and 1,084 children (97%) participated in personal interviews. The structured interview included questions on tooth cleaning habits, means of cleaning the teeth, and socio-cultural backgrounds of the children. In total, 78% of the children brushed their teeth two or mare times a day: girls more often (89%) than boys (67%) p<0.01). Use of fluoride toothpaste was claimed by 89%. Moreover, other means of tooth cleaning were mentioned, e.g. use of wooden toothpicks (45%) and chewstick/miswak (19%). Tooth brushing habits were associated with religion and level of education of the mothers (p<0.01). In conclusion, planning of oral health education for schoolchildren in Thailand should give emphasis to important socio-cultural subgroups.
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Page : 106-114

Title : Perception of Tobacco Effects and Attitude towards Smoking Cessation Program in a Group of Thai Dental Patients

Author(s) : Sriyuda Polpadung, Penpan Laohapand

Keyword(s) : attitude,dental patient,perception,smoking cessation

Manuscript Type : Original Article (บทวิทยาการ)

Page : 106-114

Tobacco smoking is a modifiable risk factor for periodontal disease and numerous other oral disease and conditions including malignancy and premalignant lesions. Thai dentists have been promoted to play a major role in modifying this destructive behavior of their smoking patients. The knowledge and the perception of patients are the important parts of successful smoking cessation program in dental offices. The purposes of this study were to provide data of a group of Thai dental patients on their knowledge regarding general and oral health effects of tobacco smoking and their attitude towards the provision of smoking cessation program in dental offices. Data were collected utilizing a self-administered questionnaire. One thousand one hundred and ninety one dental patients from the Faculty of Dentistry, Mahidol University and Pramongutkao Hospital participated in the study. It was found that 14.1 per cent of the respondents were regular smokers. More than half of the one-smoker and ex-smokers reported to be passive smokers. Over 90 per cent of all respondents had good knowledge concerning the general and oral effects of tobacco smoking and 68.4 per cent had positive attitude towards smoking cessation program in dental office. It was concluded that dentists have access to smoking dental patients who are receptive to receiving advice from the dentists. Perception of how patients will react to the provision of smoking cessation program in dental offices should motivate dental professional of routinely offering such a programTobacco smoking is a modifiable risk factor for periodontal disease and numerous other oral disease and conditions including malignancy and premalignant lesions. Thai dentists have been promoted to play a major role in modifying this destructive behavior of their smoking patients. The knowledge and the perception of patients are the important parts of successful smoking cessation program in dental offices. The purposes of this study were to provide data of a group of Thai dental patients on their knowledge regarding general and oral health effects of tobacco smoking and their attitude towards the provision of smoking cessation program in dental offices. Data were collected utilizing a self-administered questionnaire. One thousand one hundred and ninety one dental patients from the Faculty of Dentistry, Mahidol University and Pramongutkao Hospital participated in the study. It was found that 14.1 per cent of the respondents were regular smokers. More than half of the one-smoker and ex-smokers reported to be passive smokers. Over 90 per cent of all respondents had good knowledge concerning the general and oral effects of tobacco smoking and 68.4 per cent had positive attitude towards smoking cessation program in dental office. It was concluded that dentists have access to smoking dental patients who are receptive to receiving advice from the dentists. Perception of how patients will react to the provision of smoking cessation program in dental offices should motivate dental professional of routinely offering such a program
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Page : 115-119

Title : Concurrence of Torus Palatinus and Torus Mandibularis in a Group of Thai Population

Author(s) : Wandee Apinhasmit, Aree Jainkittivong

Keyword(s) : concurrence of tori,Thais,torus mandibularis,torus palatinus

Manuscript Type : Original Article (บทวิทยาการ)

Page : 115-119

The objectives of this study were to assess the concurrence of torus palatinus and torus mandibularis, and the age and sex variations of the concurrence of both tori in a group of Thai population. The connection of the occurrence of both tori was also investigated. One thousand and two hundred subjects were clinically examined for the occurrence of torus palatinus and torus mandibularis at the Faculty of Dentistry, Chulalongkorn University. The subjects were equally divided into six age groups: 13-19, 20-29, 30-39, 40-49, 50-59, and 60 year and over. Each age group comprised of equal number of males and females. The Chi-square test used to analyze for group differences at p<0.05. The result showed that 22.9% of total subjects exhibited the concurrence of torus palatinus and torus mandibularis. There was a significant association between the concurrence of both tori with age (p=0.001). The concurrence of both tori was not significantly different between males and females (21.3% versus 24.5%, p=0.192). There was a relation between the occurrence of torus palatinus and torus mandibularis in total subjects, in males and in females (p<0.001). Our study showed that the concurrence of torus palatinus and torus mandibularis in a group of Thai population was rather high and the concurrence of both tori was significantly diferent with age. The relationship between the occurrence of TP and TM existed.The objectives of this study were to assess the concurrence of torus palatinus and torus mandibularis, and the age and sex variations of the concurrence of both tori in a group of Thai population. The connection of the occurrence of both tori was also investigated. One thousand and two hundred subjects were clinically examined for the occurrence of torus palatinus and torus mandibularis at the Faculty of Dentistry, Chulalongkorn University. The subjects were equally divided into six age groups: 13-19, 20-29, 30-39, 40-49, 50-59, and 60 year and over. Each age group comprised of equal number of males and females. The Chi-square test used to analyze for group differences at p<0.05. The result showed that 22.9% of total subjects exhibited the concurrence of torus palatinus and torus mandibularis. There was a significant association between the concurrence of both tori with age (p=0.001). The concurrence of both tori was not significantly different between males and females (21.3% versus 24.5%, p=0.192). There was a relation between the occurrence of torus palatinus and torus mandibularis in total subjects, in males and in females (p<0.001). Our study showed that the concurrence of torus palatinus and torus mandibularis in a group of Thai population was rather high and the concurrence of both tori was significantly diferent with age. The relationship between the occurrence of TP and TM existed.
7
Page : 120-125

Title : Dens Evaginatus in Bangkok Metropolitan Schoolchildren in Bangkhaen District

Author(s) : Orasri Arunyanart

Keyword(s) : Dens Evaginatus,dental abnormality,dental developmental anomaly

Manuscript Type : Original Article (บทวิทยาการ)

Page : 120-125

A survey of 1790 Bangkok Metropolitan Schoolchildren, 9-15 years of age, in Bangkhaen district was conducted in order to determine the prevalence of dens Evaginatus and the associated pupal and periapical complications. The prevalence of this abnormally was found to be 1.79 per cent. The male to female ratio was 1.91. From this study the lower premolars showed 12.79 times more evaginations than the upper premolars. Evaginated teeth generally occurred symmetrically. Approximately seventy eight per cent of the affected premolars showed intact tubercles and the other 21.74 percent were either worn of fractured. Pulpal involvement was observed in 11.59 per cent of fractured tubecles whick failed to respond to the electric pulp test. Only 2.90 per cent of evaginated teeth showed radiographic evidence of periapical involvement.A survey of 1790 Bangkok Metropolitan Schoolchildren, 9-15 years of age, in Bangkhaen district was conducted in order to determine the prevalence of dens Evaginatus and the associated pupal and periapical complications. The prevalence of this abnormally was found to be 1.79 per cent. The male to female ratio was 1.91. From this study the lower premolars showed 12.79 times more evaginations than the upper premolars. Evaginated teeth generally occurred symmetrically. Approximately seventy eight per cent of the affected premolars showed intact tubercles and the other 21.74 percent were either worn of fractured. Pulpal involvement was observed in 11.59 per cent of fractured tubecles whick failed to respond to the electric pulp test. Only 2.90 per cent of evaginated teeth showed radiographic evidence of periapical involvement.
 
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Page : 126-132

Title : การปรับปรุงซิงก์ออกไซด์ยูจินอลซีเมนต์ตามมาตรฐานสากล ISO 3107:1988 (E) ประเภท 3 ชั้น 1 เพื่อใช้เป็นวัสดุบูรณะฟันชั่วคราว

Author(s) : Karoon Leowsrisook

Keyword(s) : Improvement,ISO 3107:1988 (E),Zone

Manuscript Type : Review Article (บทความปริทัศน์)

Page : 126-132

The objective of this study was to improve the physical properties of Zinc Oxide Eugenal Cement in accordance with ISO 3107:1988 (E) type 3 class 1 which can be used as a temporary filling material. Test specimens were prepared from propionic acid conditioning zinc oxide BP and polymethyl methacrylate mixed with oil of clove or eugenal oil and concentrate acetic acid. Fourteen specimens were prepared and tested according to ISO 3107:1988 (E). Five specimens were tested for compressive strength by Instron Corporation Series IV Automated Material Testing System 7.43.00. The setting time was measured at 37゜c, while disintegration of 4 specimens were measured after 24 h. The cement fulfils the performance required by ISO 3107:1988 (E) type 3 class 1 for temporary filling materials and bases.The objective of this study was to improve the physical properties of Zinc Oxide Eugenal Cement in accordance with ISO 3107:1988 (E) type 3 class 1 which can be used as a temporary filling material. Test specimens were prepared from propionic acid conditioning zinc oxide BP and polymethyl methacrylate mixed with oil of clove or eugenal oil and concentrate acetic acid. Fourteen specimens were prepared and tested according to ISO 3107:1988 (E). Five specimens were tested for compressive strength by Instron Corporation Series IV Automated Material Testing System 7.43.00. The setting time was measured at 37゜c, while disintegration of 4 specimens were measured after 24 h. The cement fulfils the performance required by ISO 3107:1988 (E) type 3 class 1 for temporary filling materials and bases.
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Page : 133-139

Title : Role of Interleukin-1 Genotype in Periodontal Disease

Author(s) : Duangporn Krongnawakul, Nawarat Wara-aswapati

Keyword(s) : genotype,interleukin-1,periodontal disease

Manuscript Type : Review Article (บทความปริทัศน์)

Page : 133-139

 
พยาธิกำเนิดของโรคปริทันต์อักเสบเกี่ยวข้องกับปัจจัยหลายอย่าง ในปัจจุบันเป็นที่ยอมรับโดยทั่วไปว่า การติดเชื้อแบคทีเรียที่เป็นโรคเป็นสาเหตุหลักของโรคปริทันต์อักเสบ อย่างไรก็ตามการตอบสนองของระบบภูมิคุ้มกันของร่างกาย ปัจจัยทางพันธุกรรม และปัจจัยเสี่ยงอื่นๆ สามารถส่งต่อความรุนแรงของโรค การศึกษามากมายแสดงให้เห็นว่า อินเตอร์ลิวคิน-1 มีบทบาทสำคัญในกระบวนการการทำลายของอวัยวะปริทันต์ บทความปริทันต์นี้จึงมีวัตถุประสงค์เพื่อนำเสนอการศึกษาต่างๆ ที่แสดงถึงบทบาทของอินเตอร์ลิวคิน-1 ต่อพยาธิกำเนิดของโรคปริทันต์ โดยเน้นที่ความสันพันธ์ระหว่างลักษณะพันธุกรรมที่จำเพาะของยีนอินเตอร์ลิวคิน-1 กับความเสี่ยงต่การเกิดโรคปรทันต์อักเสบ ผลการศึกษาชี้ให้เห็นว่า ลักษณะพันธุกรรมที่จำเพาะของยีนส์อินเตอร์ลิวคิน-1 มีความสัมพันธ์กับปริมาณการผลิตอินเตอร์ลิวคิน-1 ปริมาณเชื้อก่อโรคปริทันต์ และความรุนแรงของโรคปริทันต์อักเสบ อย่างไรก็ตาม ความแตกต่างทางด้านเชื้อชาติสามารถส่งผลต่อลักษณะพันธุกรรมของยีนอินเตอร์ลิวคิน-1 ดังนั้นการนำลักษณะพันธุกรรมของยีนอินเตอร์ลิวคิน-1 มาช่วยในการวินิจฉัยโรคปริทันต์อักเสบและการวางแผนการรักษาจึงยังมีข้อจำกัด
1
Page : 2-9

Title : Resistance to Vertical Root Fracture of Fractured Endodontically Treated Root, Bonded with Two Resin Cements

Author(s) : Wongchan Issarapanichkit, Amara Muangmingsuk

Keyword(s) : resin cements,resistance,vertical root fracture

Manuscript Type : Original Article (บทวิทยาการ)

Page : 2-9

The purpose of this study was to compare the resistance to vertical root fracture of two resin cements (Superbond and 3M Rely X ARC) and to observe the penetration of cement into the fracture surface. Thirty extracted human upper central incisors having approximately the same dentin thickness were used. The roots were sectioned from the crown to the length of 11.0 mm, and were endodontically prepared and filled with gutta-percha. The post spaces were prepared for cast metal posts. The roots with simulated periodontal ligament were embeded in the vilmix block. the specimens were mounted in an universal testing machine and loaded in compression until the root fractured. The fracture force was recorded in kiloNewton (kN). The fractured roots were randomly divided into 2 groups (n=15). The posts were reinserted and bonded with Superbond and 3M RelyX ARC, respectively. The bonded specimens were kept in 100% humidity for 24 hours, then were re-fractured and the force were recorded as re-fracture force. The mean fracture force was significantly higher than the mean re-fracture force (p<0.05). No significant difference between the re-fracture force after bonding with the two resin cements (p>0.05). Both resin cements can not completely penetrate into fracture line.The purpose of this study was to compare the resistance to vertical root fracture of two resin cements (Superbond and 3M Rely X ARC) and to observe the penetration of cement into the fracture surface. Thirty extracted human upper central incisors having approximately the same dentin thickness were used. The roots were sectioned from the crown to the length of 11.0 mm, and were endodontically prepared and filled with gutta-percha. The post spaces were prepared for cast metal posts. The roots with simulated periodontal ligament were embeded in the vilmix block. the specimens were mounted in an universal testing machine and loaded in compression until the root fractured. The fracture force was recorded in kiloNewton (kN). The fractured roots were randomly divided into 2 groups (n=15). The posts were reinserted and bonded with Superbond and 3M RelyX ARC, respectively. The bonded specimens were kept in 100% humidity for 24 hours, then were re-fractured and the force were recorded as re-fracture force. The mean fracture force was significantly higher than the mean re-fracture force (p<0.05). No significant difference between the re-fracture force after bonding with the two resin cements (p>0.05). Both resin cements can not completely penetrate into fracture line.
2
Page : 10-17

Title : Dental Caries Status and Related Factors in 18-72 Month-old Children at Mahidol University Dental Clinic

Author(s) : Araya Phonghanyudh, Nonglak Pancharuniti, Nuchnapang Treedhamabhinich

Keyword(s) : Bottle feeding,dental caries status,decicuous dentition,related factors,Thailand

Manuscript Type : Original Article (บทวิทยาการ)

Page : 10-17

 
This study evaluates dental caries status and their related factors in a group of children at Mahidol University Pediatric Dental Clinic, Bangkok, Thailand. One hundred and four Thai children at Mahidol University Dental Clinic with the age six years and under (mean age=47.62±12.29 months) were sampled. Caries and plaque examination of children and their mothers were conducted. all parents completed the questionnaires regarding demographic data of children and parents, feeding and dietary habits, oral hygiene care, and child dental visit. Twenty-nine percent of children were caries-free and the mean dmft of children was 7.00±6.15. Almost twenty six percent of children had dmft ranging from 6 to 10. Five statistically significantly protective factors for dental caries were found in the analysis. These were: fluoride supplementation, having water fed after bottle feeding, cleaning oral cavities for babies under one year of age, mother level of education beyond high school and having milk as a snack. Children having sweets and desserts regularly, having the bottle held in the mouth while sleeping, and plaque accumulation, were three factors that found to be positively associated with dental caries. When using multivariate model for prediction of dental caries among studied children, having the bottle held in the mouth while sleeping was the only significantly predictor in the studied model. The results suggest that children who have the bottle held in the mouth while sleeping is the only significant risk group in the studied children.This study evaluates dental caries status and their related factors in a group of children at Mahidol University Pediatric Dental Clinic, Bangkok, Thailand. One hundred and four Thai children at Mahidol University Dental Clinic with the age six years and under (mean age=47.62±12.29 months) were sampled. Caries and plaque examination of children and their mothers were conducted. all parents completed the questionnaires regarding demographic data of children and parents, feeding and dietary habits, oral hygiene care, and child dental visit. Twenty-nine percent of children were caries-free and the mean dmft of children was 7.00±6.15. Almost twenty six percent of children had dmft ranging from 6 to 10. Five statistically significantly protective factors for dental caries were found in the analysis. These were: fluoride supplementation, having water fed after bottle feeding, cleaning oral cavities for babies under one year of age, mother level of education beyond high school and having milk as a snack. Children having sweets and desserts regularly, having the bottle held in the mouth while sleeping, and plaque accumulation, were three factors that found to be positively associated with dental caries. When using multivariate model for prediction of dental caries among studied children, having the bottle held in the mouth while sleeping was the only significantly predictor in the studied model. The results suggest that children who have the bottle held in the mouth while sleeping is the only significant risk group in the studied children.
3
Page : 18-25

Title : Root Trunk Length and Furcation Entrance Width in Permanent Molars: The Measurements by Using a Computer-Assisted Image Analysis System

Author(s) : Supatra Sang-In, Chanin Taechaprasertvittaya

Keyword(s) : Computer-Assisted Image Analysis System,Digital Camera,Furcation Entrance Width,Root Trunk Length

Manuscript Type : Original Article (บทวิทยาการ)

Page : 18-25

The objective of this study was to investigate the root trunk length and furcation entrance width in permanent molars. The study samples consisted of 100 first and 100 second maxillary molars, and 100 first and 100 second mandibular molars. The photographs of root trunks and furcation entrances were taken by the digital camera, and were measured by a computer-assisted image analysis system. The difference between the root trunk length and furcation entrance width of first and second molars was examined using Z-test. The results showed that the mean values of buccal, mesial and distal root trunk lengths of the maxillary first molars were 4.27±0.85, 4.23±0.81, and 4.60±0.93 mm, respectively, in the maxillary second molars the mean lengths of the buccal, mesial and distal root trunk length were 4.22±0.93 mm, respectively, in the maxillary second molars the mean lengths of the buccal and lingual root trunk lengths in mandibular first molars were 3.22±0.62 and 4.25±0.62 mm, while those of mondibular second molars were 3.35±0.62 and 4.30±0.37 mm. The mean values of buccal, mesial and distal furcation entrance widths in maxillary first molars were 0.78±0.32, 1.15±0.39, and 1.02±0.43 mm, while those of maxillay second molars were 0.74±0.27, 1.13±0.38, and 1.02±0.33 mm, respectively. Also, the mean values of buccal and lingual furcation entrance widths in mandibular first molars were, 1.11±0.31 and 1.33±0.37 mm, while those of mandibular second molars were 0.84±0.29 and 0.96±0.37 mm. The results indicated that the mesial root trunk length of maxillary second molars was significant by longer than that of the maxillary first molar (p<0.05). For the furcation entrance width, the buccal furcation entrance of maxillary first and second molars appeared to be narrower than that of the mesial and the distal furcation entrances. In addition, the buccal furcation entrance of mandubular molar was apparently narrower than of the lingual furcation entrance (p<0.005).The objective of this study was to investigate the root trunk length and furcation entrance width in permanent molars. The study samples consisted of 100 first and 100 second maxillary molars, and 100 first and 100 second mandibular molars. The photographs of root trunks and furcation entrances were taken by the digital camera, and were measured by a computer-assisted image analysis system. The difference between the root trunk length and furcation entrance width of first and second molars was examined using Z-test. The results showed that the mean values of buccal, mesial and distal root trunk lengths of the maxillary first molars were 4.27±0.85, 4.23±0.81, and 4.60±0.93 mm, respectively, in the maxillary second molars the mean lengths of the buccal, mesial and distal root trunk length were 4.22±0.93 mm, respectively, in the maxillary second molars the mean lengths of the buccal and lingual root trunk lengths in mandibular first molars were 3.22±0.62 and 4.25±0.62 mm, while those of mondibular second molars were 3.35±0.62 and 4.30±0.37 mm. The mean values of buccal, mesial and distal furcation entrance widths in maxillary first molars were 0.78±0.32, 1.15±0.39, and 1.02±0.43 mm, while those of maxillay second molars were 0.74±0.27, 1.13±0.38, and 1.02±0.33 mm, respectively. Also, the mean values of buccal and lingual furcation entrance widths in mandibular first molars were, 1.11±0.31 and 1.33±0.37 mm, while those of mandibular second molars were 0.84±0.29 and 0.96±0.37 mm. The results indicated that the mesial root trunk length of maxillary second molars was significant by longer than that of the maxillary first molar (p<0.05). For the furcation entrance width, the buccal furcation entrance of maxillary first and second molars appeared to be narrower than that of the mesial and the distal furcation entrances. In addition, the buccal furcation entrance of mandubular molar was apparently narrower than of the lingual furcation entrance (p<0.005).
4
Page : 26-34

Title : Concentration of Tetracycline Hydrochloride in Gingival Crevicular Fluid after Pocket Irrigation

Author(s) : Srisuda Thinpangnga, Em-on Benjavongkulchai, Chanin Taechaprasertvittaya

Keyword(s) : Gingival Crevicular fluid,Pocket irrigation,Tetracycline Hydrochloride

Manuscript Type : Original Article (บทวิทยาการ)

Page : 26-34

The aims of this study were to compare the minimum inhibitory concentration level of tetracycline hydrochloride (TC) in gingival crevicular fluid (GCF) after single pocket irrigation with 5% and 10% concentrations at different time intervals. The subjects were systemic tetracycline within the past 6 months. The studied sites were the tooth surfaces having pockets 5-7 millimeters (the mean pocket depth is 5.11 millimeters). Two hundreds sites were divided into two groups: one group using 5% and another 10% TC (w/v, 15 ml, 5 min/site). The GCF samples were collected on paper strips at the time intervals, 1 hour, 1, 3, 5 and 7 days after pocket irrigation. The TC in each strip was eluted and analysed by high performance liquid chromatography. The results showed that the ratained TC concentration in GCF from both groups were not statistically different at 1 hour, level (MIC=8 µg/ml) up to 5 days (p<0.05). At 7 days after pocket irrigation, the TC concentrations in GCF was significantly higher (p<0.05) in the 10% TC group (10.13 ±1.77 µg/ml) than in the 5% TC group (5.41±0.84 µg/ml).The aims of this study were to compare the minimum inhibitory concentration level of tetracycline hydrochloride (TC) in gingival crevicular fluid (GCF) after single pocket irrigation with 5% and 10% concentrations at different time intervals. The subjects were systemic tetracycline within the past 6 months. The studied sites were the tooth surfaces having pockets 5-7 millimeters (the mean pocket depth is 5.11 millimeters). Two hundreds sites were divided into two groups: one group using 5% and another 10% TC (w/v, 15 ml, 5 min/site). The GCF samples were collected on paper strips at the time intervals, 1 hour, 1, 3, 5 and 7 days after pocket irrigation. The TC in each strip was eluted and analysed by high performance liquid chromatography. The results showed that the ratained TC concentration in GCF from both groups were not statistically different at 1 hour, level (MIC=8 µg/ml) up to 5 days (p<0.05). At 7 days after pocket irrigation, the TC concentrations in GCF was significantly higher (p<0.05) in the 10% TC group (10.13 ±1.77 µg/ml) than in the 5% TC group (5.41±0.84 µg/ml).
5
Page : 35-40

Title : Association of Torus Palatinus with Palatal Arch Dimensions and Maxillary Arch Forms

Author(s) : aree Jainkittivong, Wandee Apinhasmit

Keyword(s) : arch dimensions,arch forms,torus palatinus

Manuscript Type : Original Article (บทวิทยาการ)

Page : 35-40

The objectives of this study were to investigate the relationship between the occurrence of torus palatinus with palatal arch dimensions and maxillary arch forms in Thai subjects. The study included 366 Thais with equal number of men and women. Subjects who had no torus palatinus showed significantly deeper palates than subjects who had torus palatinus (p<0.001). The palatal arch length and width did not differ in both groups. There were no association between the size of torus palatinus and palatal arch dimensions. Torus palatini were found more common on the maxillary arches with parallel (75.9%) and divergent ends (75.1%) than those with convergent ends (63.3%). However, these differences were not statistically significant. Our finding supported the previous study in that an association between the occurrence of torus palatinus and palatal arch height existed, but the relationship between the occurrence of torus palatinus and maxillary arch forms was not demonstrated.The objectives of this study were to investigate the relationship between the occurrence of torus palatinus with palatal arch dimensions and maxillary arch forms in Thai subjects. The study included 366 Thais with equal number of men and women. Subjects who had no torus palatinus showed significantly deeper palates than subjects who had torus palatinus (p<0.001). The palatal arch length and width did not differ in both groups. There were no association between the size of torus palatinus and palatal arch dimensions. Torus palatini were found more common on the maxillary arches with parallel (75.9%) and divergent ends (75.1%) than those with convergent ends (63.3%). However, these differences were not statistically significant. Our finding supported the previous study in that an association between the occurrence of torus palatinus and palatal arch height existed, but the relationship between the occurrence of torus palatinus and maxillary arch forms was not demonstrated.
6
Page : 41-48

Title : Effectiveness of Haiter Used as a Root Canal Irrigant: The Stability

Author(s) : Piyanee Panitvisai, Angkana Techajaroenpiti

Keyword(s) : Haiter,iodometric titration,stability of sodium hypochlorite

Manuscript Type : Original Article (บทวิทยาการ)

Page : 41-48

The purpose of this study was to evaluate the effect of time, storage temperature and type of solution to the stability of Haiter. Iodometric titration method was used to determine the amount of available chlorine which indicated the stability of Haiter. Both types of Haiter, regular type and perfumed type, at 6% and 3% concentration which stored in air-conditioned and room temperature were studied. Samples were stored in tightly covered amber glass bottles at room temperature and measurement of available chlorine was done at week 0, 2, 4, 8 and 12. Results showed that the effect of time to the stability of Haiter was significantly different at the second week of the study (p<0.05). Storage temperatures and types of solution had no effect to the stability of Haiter.The purpose of this study was to evaluate the effect of time, storage temperature and type of solution to the stability of Haiter. Iodometric titration method was used to determine the amount of available chlorine which indicated the stability of Haiter. Both types of Haiter, regular type and perfumed type, at 6% and 3% concentration which stored in air-conditioned and room temperature were studied. Samples were stored in tightly covered amber glass bottles at room temperature and measurement of available chlorine was done at week 0, 2, 4, 8 and 12. Results showed that the effect of time to the stability of Haiter was significantly different at the second week of the study (p<0.05). Storage temperatures and types of solution had no effect to the stability of Haiter.
7
Page : 49-60

Title : Dentine Hypersensitivity: The Basic Knowledge, Role of Inflammation and Strategies for Management

Author(s) : Warungkana Chidchuangchai, Orapin Ajcharanukul, Premwara Triwattana, Thitikan Laothumthut

Keyword(s) : Dentine hypersensitivity,Inflammation,Management,Mechanism of action

Manuscript Type : Review Article (บทความปริทัศน์)

Page : 49-60

Dentine hypersensitivity is a long-standing problem in dentistry. The dentine exposure can occur by loss of enamel of by gingival recession. The current treatments tend to be temporary in their effect. Recent advances in biology of dentine and pulp offer a better understanding of the mechanism of action, etiological factors of dentine hypersensitivity and role of inflammatory reaction in development of dentine hypersensitivity. The new and more effective modes of management are also suggested to use for the future.
8
Page : 61-70

Title : Alveolar Ridge Augmentation with Retromolar Block Graft before Insertion of Implants

Author(s) : Kasama Aryatawong

Keyword(s) : bone graft,dental implant,ridge augmentation,retromolar bone

Manuscript Type : Miscellaneous (ปกิณกะ)

Page : 61-70

Block bond grafts harvested from posterior mandible offer several advantages for localized ridge augmentation prior to implant placement. The harvesting procedure is not complicated and can be performed under local anesthesia without sedation. The harvested bone is corticocancellous in nature but consists mainly of cortical bone. Considerable amounts of bone can be harvested from this area for use as an onlay graft to increase the width of alveolar ridge of up to a span of four teeth. Implant surgery can be executed within 4-5 months after grafting, at which time block grafts still maintain their dense quality and exhibit minimal resorption upon uneventful incorporation. This article describes the surgical technique, using basic oral surgical instruments, for harvesting block bone from retromolar region for localized ridge augmentation before insertion of dental implant.Block bond grafts harvested from posterior mandible offer several advantages for localized ridge augmentation prior to implant placement. The harvesting procedure is not complicated and can be performed under local anesthesia without sedation. The harvested bone is corticocancellous in nature but consists mainly of cortical bone. Considerable amounts of bone can be harvested from this area for use as an onlay graft to increase the width of alveolar ridge of up to a span of four teeth. Implant surgery can be executed within 4-5 months after grafting, at which time block grafts still maintain their dense quality and exhibit minimal resorption upon uneventful incorporation. This article describes the surgical technique, using basic oral surgical instruments, for harvesting block bone from retromolar region for localized ridge augmentation before insertion of dental implant.
9
Page : 71-74

Title : Cytomegalovirus Infection in the Oral Cavity of an AIDS Patient

Author(s) : Anak Iamaroon, Surawut Pongsiriwet, Prapai Siwamokstham

Keyword(s) : AIDS,Cytomegalovirus,HIV,oral ulcer,Thai

Manuscript Type : Miscellaneous (ปกิณกะ)

Page : 71-74

Ulceration due to cytomegalovirus (CMV) infection rarely occurs in the oral cavity. The aim of this report was to document a case of CMV oral ulcer. The Thai female patient was present with pain at the left retromolar area. The patient was HIV-positive. Oral examination revealed an ulcer at the left retromolar mucosa. Histopathologically, the specimen showed characteristic features of CMV infection; enlarged endothelial cells with intranuclear and intracytoplasmic inclusion bodies. Because of her economic status, the supportive treatment was provided to alleviate the pain.Ulceration due to cytomegalovirus (CMV) infection rarely occurs in the oral cavity. The aim of this report was to document a case of CMV oral ulcer. The Thai female patient was present with pain at the left retromolar area. The patient was HIV-positive. Oral examination revealed an ulcer at the left retromolar mucosa. Histopathologically, the specimen showed characteristic features of CMV infection; enlarged endothelial cells with intranuclear and intracytoplasmic inclusion bodies. Because of her economic status, the supportive treatment was provided to alleviate the pain.