The objective of this study was to identify and characterise various resin-bonded bridge (RBB) articles published in dental journals using bibliometric analysis. The search was performed using the Scopus database to generate publications related to RBB. Data analysis and visualisation were done using Microsoft Excel, Biblioshiny software or VOSviewer. The trend of publication shows an annual growth rate of 7.19 percent within the years 1973–2022. Sixteen articles were cited more than 100 times, with seven highly cited articles focusing on the survival and/or complications of RBB. Matthias,Kern is the most prolific author in RBB research with Journal of Prosthetic Dentistry being the most influential journal. “survival”, “dental bonding” and “zirconia” were identified as core research areas for RBB for the past 10 years. Future research on the incorporation of new technology in prosthesis fabrication to assess the survival and longevity of RBB is expected to increase, with an emphasis on bonding to new materials. This paper presents an overview of scientific production, prominent researchers and countries, emerging keywords and core research areas in RBB research.

Teeth spacing is commonly seen in the upper anterior teeth, which affect patient’s confidence due to disagreeable appearance. Teeth spacing may be due to low frenal attachment, which causes median diastema, small teeth with large maxilla, and bi-maxillary procline anterior teeth. Some patients will seek for options to close the space in order to get better aesthetic appearance. We reported this case of a 25-year-old woman who requested to close her median diastema between the teeth 11 and 21 as she felt that her smile was not nice and attractive. She also presented with mild spacing between her upper anterior teeth apart from the diastema. The treatment given to her was direct composite resin build-up, a minimal invasive treatment to close the spacing of between 1 to 2mm. The treatment has provided satisfaction to the patient. Being a conservative treatment, it can be reversible and repairable.

Background: Definitive working impression of a complete denture requires proper border molding as part of impression techniques to capture the essential details of anatomical landmarks and the functional sulcus. In the era of digital dentistry, the digital impression using optical scanners may be an alternative to conventional techniques. Objective: This paper discusses the differences between conventional methods and digital impression in a complete denture covering its procedures, importance and relevance of border molding in both methods for a good working impression. Methods: The study reviewed papers from 2000 to 2022 in Medline and PubMed on border molding and complete denture working impression. Both methods were revised and contrasted to discuss the relevance and advantages of both approaches. Results: It is still controversial to conclude that digital impression is superior to the conventional method. Both methods have the strength to improve the quality of the impression taking procedure and complete denture quality of retention and stability. Digital impression gives more comfort and less post insertion adjustment. The conventional method still has good clinical outcomes in terms of retention and stability. Border molding should not be disregarded as part of the working impression procedure. Conclusion: The paper concludes that border molding and the conventional working impression technique are still relevant due to their comparable outcome compared to digital impression, as less cost and high skills are involved.

Copy denture technique is a classic technique for construction of a new denture, based on the existing denture using a replica. This technique helps elderly population in terms of adaptation to a new denture. The aim of this study was to determine the knowledge and practice of copy denture technique among dentists and dental technologists in Malaysia. Two sets of a pre-tested questionnaire was distributed to participants who attended copy denture workshop. The participants were instructed to answer the questionnaires before and after the seminar. A total of 97 responses were collected and only 77 (79.4%) have given a valid feedbacks. The results showed that eventhough 54.5% (n=42) participants had more than 5 years of clinical experiences, 42.9% (n=33) claimed to have limited knowledge in this technique prior to the seminar and 55.9% (n=43) presented with positive attitude towards copy denture. Majority of the participants (74.1%) were uncertain and did not have the skills to perform the copy denture technique. However, following workshop, their attitude towards copy denture increased (+15.6%) and the mean score value was statistically significance (p < 0.005). In conclusion, awareness and practice on copy denture technique should be encouraged to ensure patient’s benefits when replacement denture are required.

Salvadora Persica (miswak stick) has been widely used as an aid for oral hygiene in dentate patient. Due to the fact that there is no side effect of using miswak stick as cleaning aids on teeth but it has been never introduced to edentulous patient as an oral aid for denture and oral care, this study introduced a new approach in edentulous patient the role of miswak stick. This approach may prevent the incidence of denture stomatitis in complete denture wearer. Study aimed to share the clinical finding of two (2) patients aged 35 and 65-years-old who were wearing denture and affected by denture stomatitis. Both patients were introduced with the miswak stick as an oral hygiene tools on the edentulous mucosa. After 12 weeks, postoperative assessment (clinical and photographic) were evaluated and analyzed by comparing the mapping of denture stomatitis inflammation surface area using ImageJ FIJI software and the inflammation clinical presentation. The results showed the inflammation surface area has reduced by 22.74% to 49.59%, respectively. Within the limitation of the study, the use of the miswak stick helps the reduction of the inflammation caused by denture stomatitis. Therefore, miswak stick can be introduced as one of oral hygiene aid for edentulous arch. Keywords: Salvadora Persica, miswak, denture stomatitis, denture, oral hygiene

Trimming and polishing dental prostheses is a regular procedure conducted in dental laboratory. The dust that produced during trimming process has high hazard risk especially when it is exposed to dental technician in a long duration. X-Dent Box is invented as a protective equipment to reduce indoor air pollution by collecting the dust from exposing in dental laboratory thus protecting them. The aim of this study is to compare the effectiveness of the X-Dent Box in collecting dust from different type of dental prostheses materials during trimming process. Trimming procedure was performed for 4 minutes on five different types of common dental prostheses materials used in dental laboratory which are Plaster of Paris (PoP), dental stone (DS), resin special tray (RST), cold cure acrylic (ACC) and heat cure arcylic (HCA). The procedure is repeated 3 times for each sample using X-Dent Box and without X-Dent Box being attached to the vacuum. The collected dust in the vacuum bag and X-Dent Box was measured by weight. Data was then analysed. All types of dental prosthesis materials showed more than 60% (n:5) of dust been collected using X-Dent Box. The percentage of dust collected using X-Dent Box is between 65-90% as compared to without the box which only 20%-50%. The dust material that is most effective to the least effective collected by X-Dent box is PoP=CCA (90%) > HCA (85%) > DS (73%) > TRS (65%). There is no significant difference of dust collected with X-Dent Box (p= 0.056) compared to without the usage of X-Dent Box and on the effectiveness of X-Dent Box usage in comparing between different type of materials (p=0.406). 2018 Author(s).

As with other university programs, dental school has been affected during the Covid-19 pandemic due to physical distancing and clinical restriction. Covid-19 pandemic changes the original method of study with the swift shift to online learning, which may affect students’ performance. The objective of this study was to assess the effect of online learning methods on the final examination performance for dental undergraduate students in their clinical years in a public university in Malaysia. One-way analysis of variance (ANOVA) and post-hoc Tukey tests were conducted to compare the effect of learning methods on the mean examination score, by comparing clinical students from the year of 2018 and 2019 face-to-face (f2f) learning method as compared to fully online learning in 2020. The analysis shows that there is a statistically significant difference on final exam performance at p < 0.05 for Year 3 [F (2, 102) = 11.68] and Year 5 [F(2, 95) = 22.32]. Post-hoc Tukey HSD test indicates that the mean examination result for 2019 is significantly different from 2020 and 2018 even though the same learning method was employed for the latter. There was also no statistically significant difference for when the 2020 cohort is compared to the 2018 cohort for both Year 3 and Year 5. There was no statistically significant difference in mean examination score across all cohorts for Year 4 students. Although limited in scope, the conclusion of this study was that, f2f learning method has no significant difference with online learning in terms of final examination performance.

Coronavirus Disease 2019 (COVID-19) is an acute infectious disease that causes global outbreaks. The COVID-19 outbreak has forced various sectors to change their approach and daily practice to new alternatives. Dental education is no exception to the effects of this pandemic, which has severely disrupted teaching, learning and clinical activities. The impact of this pandemic on dental education can be classified into different aspects, including academic, practical, research and clinical services. Teaching and learning activities have been transformed into distance learning methods. However, dental educators are still struggling with psychomotor components, including practical and clinical sessions, which are the main course components that are severely affected. This sharing of experience focuses on the effects of the pandemic on the delivery of dental education and the actions taken by the Faculty of Dentistry, Universiti Sains Islam Malaysia (USIM) to ensure continuous learning. The challenges faced by the faculty are overcome with careful planning and discussion through the establishment of specific committees related to various issues, such as online learning and clinical COVID-19 committees. The committees identify any issues, plan the strategies and monitor the implementation of the plan. All actions during the pandemic are closely monitored by managing the faculty and university to ensure implementation of organised and smooth work, good record keeping, and compliance with instructions and guidelines by the authority.

Introduction: Copy denture technique is a classic technique for construction of a new denture based on the favourable aspects of the original denture using a replica. This technique helps in adaptation of new denture in elderly population. The aim of this paper was to assess the knowledge and practice of copy denture technique among dentists and dental technologists. Materials and Methods: A pre-tested questionnaire was sent to all participants who attended the Copy Denture Workshop organized by USIM on 13th April 2017. Two sets of the same questionnaire were distributed to the participant before and after the seminar. Results: Out of 100 participants, only 77% (n=77) have given valid feedbacks. The results showed, even though 54.5% (n=42) participants had more than 5 years of clinical experience, 42.9% (n=33) of the participants have poor knowledge in this technique before the seminar begin. However 55.9% presented with positive attitude towards copy denture. Most of the participants did not know about copy denture technique (43.1%) and the advantages of the technique (32.9%). 74.1% (n=57) participants were uncertain to perform the technique and did not have the skills to perform the copy denture technique. However, after attending the workshop, their attitude towards copy denture increased (+15.6%) and the mean score value was statistically significance with p-value 0.049. Conclusion(s): Awareness and workshop on copy denture technique should be encouraged to improve knowledge and practice, so that the patient who requested for replacement denture will benefit from this technique.

This clinical case describes using a milled crown on a cracked tooth as the abutment for a removable partial denture. A 63-year-old male patient diagnosed with lipoma undergoing chemotherapy and radiotherapy presented with symptomatic crack tooth syndrome on tooth 36 and partial edentulism. Conservative treatment using a molar band to extracoronally splint the tooth was conducted to determine the prognosis of the crack line. A lower partial cobalt-chromium denture was constructed by incorporating the milled crown of tooth 36 as the abutment. After six months of follow-up, there were no crack tooth symptoms, and regular review was adopted to monitor the tooth. The construction of a milled crown of a cracked tooth presented good and promising clinical outcomes in preserving tooth vitality and preventing crack propagation in partially dentate dentition for the long term.

Miswak (Salvadora Persica) has been used widely as oral aid since Babylonians era. Many methods have been introduced to improve the patient's denture hygiene but few researches on methods for cleaning edentulous area and denture to treat denture induced stomatitis. This study assessed the use of miswak stick to reduce denture induce stomatitis inflammation. A qualitative interview and questionnaires was conducted to assess the experience of miswak stick used 15 patients suffered from denture induced stomatitis. In addition, the inflammation areas were assessed using clinical photograph for the assessment of inflammation degree and denture stomatitis classification changes and compared with control group (using toothbrush). Four weeks’ result showed, no ulceration seen on the mucosa and edentulous arch. There was more than 50% (Mean=55.6%, SD±24.6%) reduction of inflammation surface area and redness. Patient with class 1 and 2 Newton's classification showed significant inflammation reduction more than 50% with 36.4% (Mean=20%, SD±9.9%) and 18.2% (Mean=20%, SD±9.9%). Patient also presented changes of the Newton's classification (n=26.7%). There is no significant different between using miswak vs conventional technique using toothbrush (p<0.05). Patients gave positive feedbacks of miswak on edentulous area as denture cleaning aid. In conclusion, miswak stick can be recommended as alternative oral care aid for edentulous patients and denture care. © 2020. All rights reserved.

The enucleation of the eye due to variety of causes such as trauma, tumor and severe eye disease or infection has resulted to permanent defect of sight and aesthetic. Defects of the eye may include removal of a part of or the entire orbit which has affected patient’s psychology. Restoring the defect with pre-fabricated or custom-made ocular prosthesis will restore aesthetics and improves patient’s social confidence. This is a case report of construction a custom-made; hand painted iris of ocular prosthesis on a patient with missing left eye due to trauma using modified impression method. The case describes the process of constructing the custom-made ocular prosthesis with modification of impression technique to improve accuracy and fitting. It is aim to highlight the importance of custom-made prosthesis as compared to pre-fabricated ocular prosthesis on its property, fitting to eye socket, hygiene and aesthetic satisfaction.

The maxillary first molar has the highest failure rate of root canal treatment, with missing canals being one of the most common causes of failure. This case illustrates the wide range of root canal anatomy in the maxillary first molar. Therefore, during endodontic care, anatomical variation should be taken into account by radiographic and clinical evaluations.

Introduction: Salvadora percisa (popularly known as miswak) has been widely used as an aid for oral hygiene in dentate patient. There is no side effect of using miswak stick. A new approach introduced the role of miswak stick in edentulous patient. It may prevent the incidence of denture stomatitis among denture wearer. This study assessed the effectiveness of the miswak stick as an oral aid in edentulous patients as an alternative treatment for denture stomatitis. Materials and Methods: A clinical case control study included patients affected by denture stomatitis. The Miswak stick was introduced to the subjects to use as the oral device to clean the denture and oral mucosal area everyday. Pre- and postoperative assessment (clinical and photographic) were evaluated within 8 to 12 weeks and analysed by comparing the mapping of denture stomatitis inflammation. Results: A total of 11 subjects with denture stomatitis comprised as type 1; n=5 (46%), type 2; n=4 (36%) and type 3; n=2 (18%). 54.5% of subjects showed more than 50% reduction in the mapping of denture stomatitis inflammation (p<0.05) after the use of miswak stick. This study also showed that the use of miswak stick for more than 3 weeks to Type I and II denture stomatitis (54.6%) has successfully reduce the inflammation for more than 50%. 54.5% of the subjects with good denture hygiene has 50% more reduction of denture stomatitis. Conclusion(s): The miswak stick was significantly effective to reduce the denture stomatitis with a regular use and maintenance of good denture hygiene.