Awareness of all Ceramic Restoration in Rural Population

 

Dr. V. Ashok¹ , S. Suvitha²

¹Senior Lecturer,  Department of Prosthodontics, Saveetha Dental College and Hospital, Chennai-77.

²BDS Student, Saveetha Dental College and Hospitals, Chennai-77.

 

ABSTRACT:

Aim and objective: To check the perception of patients among south Indian population on the All ceramic restoration as treatment for missing tooth. Materials and Methods: This cross sectional study will be examined among 50 subjects coming to dental college using a self administered structured questionnaire. The data will be subjected to statical analysis. Background: This survey is to know about awareness of patients regarding All Ceramic restoration as a treatment option for replacement of missing teeth. Reason: This study is to estimate the percentage of awareness among the south Indian patient coming to dental college to replace the missing the missing tooth with All ceramic restoration.

 

 

INTRODUCTION:

Increased life expectancy and increase in population, creates high demand in dental care especially in the field of prosthodontics.¹  For decades partially edentulous patients are either treated with fixed prosthesis or removable prosthesis. Recently fixed prosthesis is more popular than removable prosthesis due to comfort, function and aesthetics.² Fixed prosthesis either restored taking support from teeth or using implants. Replacing the anterior teeth with good aesthetics is a complex procedure. It includes fit, shade matching, tooth form and strength. All ceramic restorations are preferred to achieve a life like appearance.^3,4  Cad cam restorations are replacing the conventional metal ceramic restoration due to its accurate fit, aesthetics and ease.^5,6,7  The awareness of all ceramic restoration in rural population is questionable. Dental practitioners in rural area are also not advising for all ceramic restoration due to cost factor. This study emphasis on awareness of all ceramic restoration and how far people are interested in taking all ceramic restoration as a treatment option for missing tooth in rural area.

 

MATERIALS AND METHOD:

200 subjects of age group 20-50 years who visited Saveetha Dental College, Chennai were included in the study. Questionnaire contain 20 questions prepared based on this study was circulated among these patients. The questionnaire was prepared with yes, no or no idea type of answers to assess their knowledge about all ceramic restoration as a treatment option for missing tooth.

 

RESULTS AND DISCUSSION:

The table 1 shows the

S. no	Questions	Yes	No	No idea
1	Have you ever visited dentist	184	16	0
2	Do you have missing tooth	200	0	0
3	Do you know that missing tooth should be replaced?	176	16	8
4	Are you aware of replacing a missing tooth by prosthesis	176	8	16
5	Are you aware of removable and fixed restoration	172	24	0
6	Do you prefer removable restoration	8	192	0
7	Do you feel removable restoration is comfortable and aesthetic	0	192	8
8	Do you prefer fixed restoration?	200	0	0
9	Do you feel fixed restoration is esthetic	200	0	0
10	Do you feel fixed restoration has good chewing efficiency than removable restoration	200	0	0
11	Are you aware of type of fixed restoration?	112	48	40
12	Will you prefer tooth colored restoration for replacing missing tooth?	168	32	0
13	Do you have any idea about all ceramic bridges?	88	40	72
14	Do you  prefer metal or porcelain reinforced bridges?	104	24	72
15	Do you feel metal ceramic bridge is long durable?	80	32	88
16	Do you feel metal ceramic restoration is economic?	152	24	24
17	Do you prefer  metal ceramic restoration even it is less esthetic?	104	80	16
18	Do you feel all ceramic restoration are more esthetic than others?	144	0	56
19	Do you feel all ceramic restoration is economic ?	32	136	32
20	Do you prefer all ceramic crowns even its less durable?	64	112	24

 

The study shows 96% patients are willing to undergo tooth colored restorations. 56% patients are not aware of all ceramic restorations.

 

Bar Diagram I shows the awareness of all ceramic restorations among rural population in south India.

56% patients are not aware of all ceramic restoration. 46% of the patients ware of all ceramic restoration.

 

Bar diagram II shows that how many patient prefer metal ceramic restoration

 

52% of patient prefer metal ceramic restoration 12% of patient don't prefer metal ceramic restoration because of aesthetic concern 36% of patient has no idea about metal ceramic restoration.

 

Bar diagram III shows that all ceramic restoration is most aesthetic than other type of restoration

 

72% of patient says all ceramic is most aesthetic 28% of patient have no idea about aesthetics of all ceramic restoration

 

Bar diagram IV shows that all ceramic restoration is economic to patient 20% of patient reported that all ceramic restoration is economic to them 68% of patient says it's not economic

 

The treatment options for partially edentulous condition are removable prosthesis and fixed prosthesis. For decades metal ceramic restoration is the treatment of choice when fixed restoration is concerned.  Application of cad cam technology in dentistry expels the conventional method of fabrication of fixed prosthesis. Advancement in all ceramic restorative material provides better strength compared with metal ceramic restoration. In spite of its good aesthetics all ceramic restorations are not popular in rural areas because of its cost factor. The dental practitioners are also not advising the patients for all ceramic restorations. This leads to unawareness of all ceramic restorations in rural areas. This study shows the patients from rural area seeking dental treatment have less awareness regarding all ceramic restorations. Significant patients feel that all ceramic restoration fractures easily when compared to metal ceramic restorations.

 

CONCLUSION:

The study shows  56 % of patients are not aware of all ceramic restorations. Hence there is only moderate awareness in rural population.  All ceramic restorations are mainly preferred for aesthetics. The dental practitioners should have an updated knowledge about the advancement in restorative materials and explain the patients so that the patients will be benefited with recent advances.

 

REFERENCE:

1)     Talwar M, Chawla HS. Geriatric dentistry: Is rethinking still required to begin undergraduate education? Indian J Dent Res 2008; 19:175-7.

2)     Petropoulos VC, Rashedi B. Removable partial denture education in U.S. dental schools. J Prosthodont. 2006; 15:62-8.

3)     Basker RM, Harrison A, Davenport JC, Marshall JL. Partial denture design in general dental practice--10 years on. Br Dent J.1988; 165:245-9.

4)     Khurshid Mattoo , Shujaurrahman , Lakshya Yadav , Cast Partial Denture-A Non-Motivated Treatment Option In The Present Era, ISSN No. 2394-3971 Case Report

5)     Griggs JA. Recent advances in materials for all-ceramic restorations. Dent Clin North Am 2007;51(3):713-27, vii

6)     Raptis NV, Michalakis KX, Hirayama H. Optical behavior of current ceramic systems. Int J Periodontics Restorative Dent 2006;26(1):31-41

7)     Conrad HJ, Seong WJ, Pesun IJ. Current ceramic materials and systems with clinical recommendations: a systematic review. J Prosthet Dent 2007;98(5):389-404.

 

 

Accepted on 10.09.2016           © RJPT All right reserved

Research J. Pharm. and Tech 2016; 9(10):1691-1693.