Background: Psychiatric patients or mentally ill patients conform a substantial section of the community deserving special attention. This study aimed to assess the oral health status and treatment needs of psychiatric patients attending District Civil Hospital, Raichur, Karnataka. Materials and Methods: The study group comprised 150 outpatients aged 18–64 years, attending the Department of Psychiatry, District Civil Hospital, Raichur. A specific questionnaire was drawn up and was used to record the demographic and medical data and oral hygiene practices. Type III clinical examination was carried out. The WHO Assessment Form 1997 was used to assess the oral health status of the study population. Results: Of the 150 patients examined, 90 (60%) were male and 60 (40%) were female. The mean age of the patients was 33.79 ± 10.57 years. The majority (52%) were diagnosed with epilepsy and 18% had anxiety disorder. The prevalence of caries was 87.3%. Periodontal status, according to the Community Periodontal Index scores, was as follows: 54% of the patients had shallow pocket (4 mm–5 mm) and 32% of the patients had 6-mm or more deep pocket. Conclusion: This study highlights a substantial need for prevention and treatment of oral health needs among psychiatric patients, and to increase awareness toward oral health.

Aim: To assess the periodontal health condition and treatment needs among elderly people aged 60–85 years residing as inmates in the eight old age homes in East Godavari district, Andhra Pradesh, India. Settings and Design: A cross-sectional descriptive study was conducted to verify the oral health condition and treatment needs among elderly people aged 60–85 years. Materials and Methods: Modified World Health Organization (WHO) 2013 oral health assessment pro forma for adults was used to assess the oral health status and treatment needs, the clinical assessment of oral mucosa, loss of attachment (LOA) , community periodontal index, dentition status, and treatment need. Prosthetic status and prosthetic needs and related oral health information were obtained from WHO Oral Health Assessment Questionnaire. Statistical Analysis Used: SPSS 23 was used for statistical analysis. Chi-square test was used for age- and gender-wise comparison. P < 0.05 was considered statistically significant. Results: Among the study subjects aged 60–74 years, there were 28.1% males and 25.9% females, and in 75–85 years, 30.6% were males 15.3% were females. In terms of periodontal status (pocket scores), 66.2% of elderly people have pocket scores 6 mm or more and presence of gingival bleeding in 75.9% of study subjects. Almost 24.4% had LOA scores of 12 mm or more. Comparison of LOA scores based on age and gender was statistically significant ( P < 0.001). Of the study participants, 50.3% need prompt treatment (including scaling). Almost more than half of the study participants require one or multiunit prosthesis as only 10.93% of elderly population has ≥20 or more natural teeth present. Conclusion: The study showed poor periodontal health among institutionalized elderly inmates. Oral mucosal lesions were found to be higher and oral health status was very deprived among the study population.

A BSTRACT Introduction: Polymethyl methacrylate (PMMA) has been widely accepted and used in dentistry owing to its working characteristics, aesthetics and stability in the oral environment, ease in manipulation, and inexpensive processing methods and equipment. Aim and Objectives: The aim of this study was to evaluate the flexural strength of a high-impact PMMA denture base resin material and flexural strength of a commonly available heat cure PMMA denture base material with Kevlar, glass, and nylon fibers. Materials and Methods: The test samples were studied under two groups. The Group I (control group) comprised pre-reinforced PMMA (Lucitone 199; Dentsply Sirona Prosthetics, York, Pennsylvania, USA) consisting of 12 samples and second group comprised regular PMMA (DPI, Mumbai, India) reinforced with different fibers. The second test group was further divided into three subgroups as Group 2, Group 3, and Group 4 comprising 12 samples each designated by the letters a–l. All the samples were marked on both ends. A total of 48 samples were tested. Results were analyzed and any P value ≤0.05 was considered as statistically significant ( t test). Results: All the 48 specimens were subjected to a 3-point bending test on a universal testing machine (MultiTest 10-i, Sterling, VA, USA) at a cross-head rate of 2 mm/min. A load was applied on each specimen by a centrally located rod until fracture occurred; span length taken was 50 mm. Flexural strength was then calculated. Conclusion: Reinforcement of conventional denture base resin with nylon and glass fibers showed statistical significance in the flexural strength values when compared to unreinforced high impact of denture base resin.

Congenitally missing anterior teeth alters the patient's physiognomy and diction in a big way. Maxillary incisor agenesis, prominently the lateral incisor is the most common congenitally missing permanent tooth, in the anterior maxillary region, which is the esthetic zone, representing approximately 20% of all dental anomalies. Treatment planning is inclusive of; smile design, preparation, perception of the patients, and their expectations in relation to esthetics, interdisciplinary alliance that meets the functional, health, and esthetic needs. A critical factor for the overall success is that of choosing a suitable restorative recourse. The case report describes the esthetic rehabilitation for congenitally missing maxillary lateral incisor and early traumatic loss of central incisor using an all ceramic-fixed prosthesis.