The aim of the study was to investigate different procedures to check for the most effective disinfection method and most dimensionally accurate impressions post-treatment with disinfectant. Five alginate impressions, each of thirty-two dentate patients were made with 24 hours interval. Impressions were divided into five categories: Group I included alginate impression with only water rinsing (Control). Group II were with immersion in chlorhexidine gluconate solution, Group III were spraying and Group IV were impression of alginate mixed with chlorhexidine solution. Group V comprised of impressions taken after pre-procedural mouth rinsing. Samples were inoculated in blood agar media for 3 days at 37°C. The impressions were poured in type III dental stone. The inter-molar distance, inter-canine distance, the antero-posterior distance and the depth of the cast were measured with Digital Vernier calipers. The results indicate the presence of highest number of bacterial colonies on Group I impression i.e. the control group. Least bacterial count was found in Group V followed by Group III, Group II and Group IV. Highest dimensional changes were seen in Group IV followed by Group III and Group II casts. Group V was found to be most dimensionally stable. Within the limitations of the study, it was concluded that the most effective and accurate method of disinfection is pre-procedural rinsing followed by spraying and immersion. Internal disinfection was found to be the least effective method with high bacterial count as well as high dimensional changes.
Problem Prosthetic eyes often cause dryness, irritation, and inflammation of the anophthalmic sockets. Purpose To reduce the discomfort caused due to dryness of ocular prosthesis by a custom-made hollow ocular acrylic prosthesis, which is filled with lubricant drops slowly and systemically released into the ophthalmic cavity upon blinking. Materials and methods Thirty-eight patients wearing unilateral artificial eye for a period of more than 6 months were evaluated. An innovative customized hollow prosthesis is described, which was incorporated with a hollow reservoir containing a combination of a tear substitute along with cyclosporine A (0.05%) acting as the lubricant. The patients were then evaluated with the help of a questionnaire, regarding the comfort, dryness, soreness, and the ease of use of prosthesis. A self-formulated grading system was used to record the scores. Results Postinsertion of this hollow prosthesis, there was a marked reduction in the dryness, irritation, discomfort, and signs of inflammation. Conclusion It was concluded that the continuous flow of the lubricant onto the dry prosthetic eye helps in reducing dryness, irritation, soreness, and inflammation. Clinical implications A hollow ocular prosthesis that can continuously discharge lubricant onto the dry prosthesis can help in increasing patient's acceptance and comfort. How to cite this article Gupta R, Aggarwal R, Bharat A, Nijhawan S. Customized Liquid Ocular Prosthesis for Anophthalmic Patients suffering from Dry Eye: A Clinical Research. Int J Prosthodont Restor Dent 2016;6(3):57-62.
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