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| Paper Title: | KNOWLEDGE, ATTITUDE AND PRACTICE ON SELECTIVE GRINDING IN COMPLETE DENTURES AMONG GENERAL PRACTITIONERS |
| Authors Name: | Miloni Suresh Shah , Dr Ashok V , Dr Dhanraj |
| Unique Id: | IJSDR2104105 |
| Published In: | Volume 6 Issue 4, April-2021 |
| Abstract: | Introduction: Success of prosthodontic treatment in edentulous patients depends upon acceptable function and esthetics of complete dentures. Complete denture occlusion plays a role in providing uniform distribution of masticatory forces, better retention and stabilization of denture bases. Complete denture occlusion should satisfy the dynamic interrelationships between forces which stabilize and destabilize the denture, including freedom in centric, and the individual arrangement of denture teeth. A good occlusal philosophy combined with esthetics is paramount in the patient acceptance of a complete denture prosthesis. In this article brief review is made about selective grinding procedure in static, protrusive, balancing and working contacts after initial balance achieved during the set up of the posterior teeth. Materials and methods: A survey was conducted in January 2020 among general dental practitioners. It was an online questionnaire-based study, conducted to assess the Knowledge, attitude, and practice on selective grinding in complete dentures among general dental practitioners. 100 general dental practitioners participated in this study. The data collection was done via google forms.A pretested, self-administered, closed-ended questionnaire comprising the following sections formed the survey instrument. A structured questionnaire containing 10 questions was framed. The goal of developing this questionnaire was to know Knowledge, attitude, and practice on selective grinding in complete dentures among general dental practitioners. The questions had to be answered with a Yes or No response.The data collected was entered into an Excel sheet and subjected to statistical analysis using SPSS version 20. A Chi-square test was done. The level of significance was set at p<0.05. Results and Discussion: Out of the total 100 general practitioners involved in the study it was observed that the highest number of clinical experience was for about 5-10 years(n=47;47%) when compared to that practitioners with clinical experience of less than 5 yeras(n=32;32%) and for more than 10 years (n=21;21%) It was observed than most of the general practitioners were aware about selective grinding (n=83;83%) and only about (n=17;17%) were unaware about selective grinding. It was observed that most of the general practitioners were aware about the indications of selective grinding(n=83;83%) and only about (n=17;17%) were unaware about indications of selective grinding. It was observed that about (n=76;76%) of the general practitioners were aware about the advantages of selective grinding and about (n=24;24%) were unaware of the advantages of selective grinding. The study shows that the majority of them gave proper introductions regarding the making of CD(n=57;57%) and about (n=43;43%) did not give proper instructions after CD insertion. The study shows that all the general practitioners were aware about the functional and non functional cusps(n=100;100%) The study shows that the majority of them were aware about an edentulous patient requiring balanced occlusion or not(n=51;51%) and only about (n=49;49%) were unaware about edentulous patient requiring balanced occlusion or not. [Figure 10] The study shows that most of the practitioners with 5-10 years of experience had awareness on selective grinding. Pearson's Chi square value=; 0.74 ; df =1 ;p-value: 0.785 (p>0.05); hence statistically not significant)[Figure 11] The study shows that most of the practitioners with 5-10 years of experience had awareness on indications of selective grinding.(Pearson's Chi square value=; 0.74 ; df =1 ;p-value: 0.785 (p>0.05); hence statistically not significant) [Figure 12] The study shows that most of the practitioners with less than 5 years of experience had awareness on about the exact approaches for spot grinding of premature occlusal contacts.(Pearson’s Chi square value = 0.318 ;df =1 ;p-value: 0.573 (p>0.05); hence statistically not significant.[Figure 13] CONCLUSION: It was observed that the General Dental practioners had inappropriate KAP about some aspects of selective grinding in Complete Dentures. Need for relevant instructions, demonstrations and practical exposure of dental students and of the need for continuing educational programs for existing is advised. |
| Keywords: | Introduction: Success of prosthodontic treatment in edentulous patients depends upon acceptable function and esthetics of complete dentures. Complete denture occlusion plays a role in providing uniform distribution of masticatory forces, better retention and stabilization of denture bases. Complete denture occlusion should satisfy the dynamic interrelationships between forces which stabilize and destabilize the denture, including freedom in centric, and the individual arrangement of denture teeth. A good occlusal philosophy combined with esthetics is paramount in the patient acceptance of a complete denture prosthesis. In this article brief review is made about selective grinding procedure in static, protrusive, balancing and working contacts after initial balance achieved during the set up of the posterior teeth. Materials and methods: A survey was conducted in January 2020 among general dental practitioners. It was an online questionnaire-based study, conducted to assess the Knowledge, attitude, and practice on selective grinding in complete dentures among general dental practitioners. 100 general dental practitioners participated in this study. The data collection was done via google forms.A pretested, self-administered, closed-ended questionnaire comprising the following sections formed the survey instrument. A structured questionnaire containing 10 questions was framed. The goal of developing this questionnaire was to know Knowledge, attitude, and practice on selective grinding in complete dentures among general dental practitioners. The questions had to be answered with a Yes or No response.The data collected was entered into an Excel sheet and subjected to statistical analysis using SPSS version 20. A Chi-square test was done. The level of significance was set at p<0.05. Results and Discussion: Out of the total 100 general practitioners involved in the study it was observed that the highest number of clinical experience was for about 5-10 years(n=47;47%) when compared to that practitioners with clinical experience of less than 5 yeras(n=32;32%) and for more than 10 years (n=21;21%) It was observed than most of the general practitioners were aware about selective grinding (n=83;83%) and only about (n=17;17%) were unaware about selective grinding. It was observed that most of the general practitioners were aware about the indications of selective grinding(n=83;83%) and only about (n=17;17%) were unaware about indications of selective grinding. It was observed that about (n=76;76%) of the general practitioners were aware about the advantages of selective grinding and about (n=24;24%) were unaware of the advantages of selective grinding. The study shows that the majority of them gave proper introductions regarding the making of CD(n=57;57%) and about (n=43;43%) did not give proper instructions after CD insertion. The study shows that all the general practitioners were aware about the functional and non functional cusps(n=100;100%) The study shows that the majority of them were aware about an edentulous patient requiring balanced occlusion or not(n=51;51%) and only about (n=49;49%) were unaware about edentulous patient requiring balanced occlusion or not. [Figure 10] The study shows that most of the practitioners with 5-10 years of experience had awareness on selective grinding. Pearson's Chi square value=; 0.74 ; df =1 ;p-value: 0.785 (p>0.05); hence statistically not significant)[Figure 11] The study shows that most of the practitioners with 5-10 years of experience had awareness on indications of selective grinding.(Pearson's Chi square value=; 0.74 ; df =1 ;p-value: 0.785 (p>0.05); hence statistically not significant) [Figure 12] The study shows that most of the practitioners with less than 5 years of experience had awareness on about the exact approaches for spot grinding of premature occlusal contacts.(Pearson’s Chi square value = 0.318 ;df =1 ;p-value: 0.573 (p>0.05); hence statistically not significant.[Figure 13] CONCLUSION: It was observed that the General Dental practioners had inappropriate KAP about some aspects of selective grinding in Complete Dentures. Need for relevant instructions, demonstrations and practical exposure of dental students and of the need for continuing educational programs for existing is advised. Key key Words: Complete Dentures, Occlusion, Occlusal Interferences, Occlusal adjustments |
| Cite Article: | "KNOWLEDGE, ATTITUDE AND PRACTICE ON SELECTIVE GRINDING IN COMPLETE DENTURES AMONG GENERAL PRACTITIONERS ", International Journal of Science & Engineering Development Research (www.ijsdr.org), ISSN:2455-2631, Vol.6, Issue 4, page no.632 - 641, April-2021, Available :http://www.ijsdr.org/papers/IJSDR2104105.pdf |
| Downloads: | 000337067 |
| Publication Details: | Published Paper ID: IJSDR2104105 Registration ID:193229 Published In: Volume 6 Issue 4, April-2021 DOI (Digital Object Identifier): Page No: 632 - 641 Publisher: IJSDR | www.ijsdr.org ISSN Number: 2455-2631 |
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